SGN2003-00028 CITY OF TIGARD SIGN PERMIT
Ai' ,. DEVELOPMENT SERVICES PERMIT #: SGN2003 -00028
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/10/2003
PARCEL: 2S110DC -01000
BUSINESS NAME: SUMMERFIELD APARTMENTS 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: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
ror - r S,anl 'a.(i0 03 — V1576-7
DESCRIPTION OF SIGN: Temfo -) t� �p�
< y 40 P lGred ou-Fs• e Cam' O
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall exp - 10 days from valid y dat .
APPROVED BY:
PERMITTEE SIGNATURE � �'�"
DATE: 2/10/2003
lip
�: gil 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
Address/ Permit No.:
Site 5 � .sOit v�� �� .�� ( 3 -. OOoD,s
Street Address I
Location )` �'�S- Expiration Date: 21'16103
Suite /Bldg. # City /State Zip
--1— 9a 0 Receipt #: •
Name Approved By; gm
Property
` Date:'./ (0(
Owner Mailing Address Suite Map /TL #: aal0DC. - 0 1 3O
C SD l ODD Zoning: aS
ty/State Zip Phone
oZ - -a Electrical Permit Required? ❑ Yes No
Tenant or ame Building Permit Required? ❑ Yes No
Business
Rev. 01 -Jul -02 is \curpin \masters \revised \sign permit app.doc
Name
E
Sign REQUIRED SUBMITTAL ELEMENTS Suite R EQ
Contractor Mailing Address
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City/State Zip Phone
licenses are
required if % Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # E/ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed IThyermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign arTemporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ib $15.00 Fee (Temporary sign, any type)
• Total Wall Area (sq. ft.) Ngick
Sign Data
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): / 42 but must include dimensions of wall face and
Projection From Wall (inches): A02 . sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: WOOD • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes ❑ No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
O es ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. .
(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 ) O day of Veibt,t,cce-Lti , 20 DS
Signature Owner /Agent
Contact Person Name Phone No.
l 11 Y Ur HUAKV _
13125 SW Hall Blvd. 10:52:26AM
,t ol t, Tigard, Oregon 97223
� I (503) 63 9-4 17 1
Receipt #: 27200300000000000514
Date: 02/10/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00028 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash INGRID BMK In Person 20.00
Change CITY OF TIGARD BMK In Person (5.00)
Payment Total: $15.00
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