SGN2003-00298 f '
C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00298
•��i DATE ISSUED: 11/26/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DC -01000
BUSINESS NAME: SUMMERFIELD APTS ZONE: R -25
SIGN LOCATION: 11175 SW MEADOW BROOK DR OFFIC JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 4'
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary A -frame sign. (2' x 4') Valid from 1/2/03 through 2/2/03
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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 permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date. _
APPROVED BY
PERMITTEE SIGNATURE. j� / dr 61 . 21 . 111 •
DATE: 11/26/03
it
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w,.yAil SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
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GENERAL INFORMATION
Name of DevelopmenUProject
Site Si/r4 FOR STAFF USE ONLY
Address/ Street Address CSC. 1\ a 6J3.._ UO .xc7
Permit No.: S 8
Location 1 g.
I) SG3 r �do4 /ti L� Expiration Date:
Suite B I City /State Zip
71 I 02-9300-4 Receipt #:
Name Approved By:
Property °(r ,2_,,,Q._ • i Q. "0\, Date:
Owner Mailing Address Suite h",ap111 #:
i 116 gWfhe , i ,i' Zoning:
City/State Zip Phone
Tenant or Name Electrical Permit Required? El Yes ❑ No
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 30 Jul i:\curpin\masters\revised\siqn 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 ❑ Completed 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 ❑ P anent ❑ Freestanding ❑ Freewa
Sign size requirement: 81/2" x 11 ", or 11" x 17"
y
Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other El Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36"
❑ New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
NOTES:
Sign Data Total Wall Area (sq. ft.) ♦ Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
' (Complete all Direction Wall Faces (circle one): - sign placement.
items p p
emi this • Wall signs do not require site/ lot plans.
section) N S E W NE NW SE SW . Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
` Projection From Wall (inches): • If work authorized under a sign permit has not
a
Copy: . been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes El No
BECOME NULL AND VOID.
Type: ❑ Internal ❑External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ❑Mastercard
Credit card number / /
❑ Yes ❑ No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
;;square footage must also be submitted.
, Cardholder signature Amount /
(OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this s:26 /ih day of 001eAlbAJ , 2003
AP. / 0 N.
S a re .4j Owner /Agent
c0- /gqi
ontact P son Name Phone No.
CITY OF TIGARD 11/26/2003
13125 SW Hall Blvd. 11:33:33AM
Iii Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200300000000005175
Date: 11/26/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00298 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User 1D Acct. /Check Approval No. How Received Amount Paid
Cash SUMMERFIELD APTS CAC In Person 15.00
Payment Total: $15.00
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