SGN2003-00208 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00208
•LII -, DATE ISSUED: 9/3/03
"`-" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 1038 B -03300
BUSINESS NAME: BROOKSIDE APARTMENTS ZONE: R -4.5
SIGN LOCATION: 12500 SW KAREN ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Install permanent sign for apartment building.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign o • rmit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days fro • alidity date.
APPROVED BY:
i
PERMITTEE SIGNATURE: -•""I��l
DAT • •13/03
s�� „i, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site Bdll e,K Si. /7e- firphe ?ri-hrivzs
Address/ Street Address Permit No.: 5 07).) a00 3 - b O oB
Location b o .S Lt) ell- ie d Expiration Date:
Suite/Bldg, # City/State Zip
/ r , c� Ld X0 3 Receipt #: 0? 0.3 – 31 3 / ,
Name Approved By: 0.-- . C a,v✓t..-
Property `°s V ,R i -Ai % Paz-41777p Date: I - ,3 a 3
Owner Mailing Address Suite Map/TL #: QS/ 03 5 - 0 33 0 0
/,VIgg. /r/9 Zoning: R q -
City/State Zip Phone
CiC >3 c T 2,0l5",5o3— YW—d `f0 Electrical Permit Required? ❑ Yes 0 No
Tenant or Name
Business Building Permit Required? ❑ Yes J( No
Name Rev. 2/28/2003 i :\curpin\masters\revised\sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if ❑ Complet Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed . ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ 2 copies of elevations, drawn to scale
apply) ❑ Other ❑ ❑ Balloon
alloon
(3 copies, if a building permit is required)
❑ New sign? LA to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 le>"' 3f// L" $ ( g any size)
L� 39:80 Fee Permanent sign, an size
Total Sign Area (sq. ft.): 3i. `o
g i ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
Sign Data Lodz, Ai , voi a /k
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E ( NE NW SE SW .
Height to top of sign (feet): ,f ' o Wall signs do not need to be drawn to scale,
Projection From Wall (inches): A//4 sign must include dimensions of wall face and
sign placement.
Copy. , • Wall signs do not require site /plot plans.
Materials: /0- ,L,,,2 • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes -No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes /•o
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
. (OVER FOR SIGNATURES)
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CITY OF TIGARD
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Approved
Conditionally Approved
For only the work as described in:
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PERMIT NO. S N a O73 -0.P-7ob
See Letter to: Follow
Attach
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Job Address:
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A CITY OF TIGARD 9/3/2003
13 12 5 SW Hall Blvd. 10:01:55AM
Tigard, Oregon 97223
IL (503) 63 9-4 17 1 -
Receipt #: 27200300000000003931
Date: 09/03/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 - 00208 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard GRANT YOZAMP CAC 079714 In Person 31.00
Payment Total: $31.00
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