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SGN2003-00074
CIT OF TIGARD SIGN PERMIT r ,,, , 1 ,��r DEVELOPMENT SERVICES PERMIT #: SGN2003 -00074 - �>♦ DATE ISSUED: 4/7/03 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 112 B B -04000 BUSINESS NAME: EDGEWOOD MANOR ZONE: R -12 SIGN LOCATION: 14500 SW HALL BLVD B JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2'6" X 15' TOTAL SIGN AREA: 37 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Wall sign for apartment building. MATERIALS: VINYL & WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 30.00 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 expire 10 days from validity date. APPROVED BY: I ''` J'/'11 /fr PERMITTEE SIGNATURE: 1 40 //L (,(7 DATE: 4/y3 •, E ciFutio0e7 (\ic,ksor he Eol?e wood Pio nor AD e+e Ay h tv ip ro tP"' " ne/ >' b ii uhi*s a I L/500 5L4( Hal/ BLVD 07 Ote,on There ,:s / • •• ak,c !bp ileVt 1 't IN ea. Hof / 5/_.VD. • Prep°. e'd "f 15 2: 6' -7-•-* 3 Sc reel Tot Xi PFt? Proposed _C Plocemeto- t"., OF 11 ..... i/1 •........ ........................................ . ... - • • - Approved._ ............................... • ■••1116111111 • the woric as e••:escrid In: _ NO. Let tzr to. - • .................................... 130/i/hp ................ ..... . . .... Joh :; OMNI— iffnrall dc - - - - - 6 17`6 II' - I • • Appro. 6 X I 2 ' " IS ' / 9 " • 1.40 Scde: )"0 4pp 6 k" 8r,'ek licriestal • • • • , . • l,ll Y or IIITAI'Ui • 13125 SW Hall Blvd. 2:26:21PM higwi i Tigard, Oregon 97223 (503) 63 9-4 17 1 Receipt #: 27200300000000001360 Date: 04/07/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00074 [SIGN] Sign Permit 100 - 0000 - 437000 30.00 Line Item Total: $30.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check EDGEWOOD MANOR CAC 1799 In Person 30.00 Payment Total: $30.00 ■ • ,, ' 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 _E C �� o.) r� Address/ Street dd ss d Permit No.: 3GN at) 0 3 - 00074 Location 11500 ` ∎ • i.) QQ P1 VY� Expiration Date: N /A Suite /Bldg. # City /State Zip i li 1 i J � 1 � � 2 - 2 -V Receipt #: aoo 3 - / 3 (a O Name Approved By: C tlo G Cf— Property Wi ` il) i I- ii), Date: q - 7 - 0 3 Owner Mailing Address Suite Map /TL #: / -C +1CLO 1 0 l%a l u"2-- Zoning: /A - 7 City/State Zip Phone ' D u la t bQ 6 1 - 0 - .4 ' &2'3 ' Electrical Permit Required? ❑ Yes IA No Tenants •_•4 t-60604 �` _ Business 'Ia +5, 10) Building Permit Required? ❑ Yes ® No Name Rev. 2/28/2003 Mcurpin \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 © CQmpleted. Application Form expired in the Oregon Const. Cont. Board Exp. Date ('t City of Tigard's License # ge4 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary Wall ❑ Electronic (Check all that ❑ Other Billboard ❑ Balloon Er 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.): ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: li ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW Height to top of sign (feet): o Wall signs do not need to be drawn to scale, . Projection From Wall (inches): but must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes No building permit. Type: ❑ Internal ❑ Extern I o If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuanceof the permit, THE PER MIT WILL BECOME NULL - AND -VOID. Yes 1 -C No ( } If "yes ", a list or diagram of all sign dimensions and / \ square footage must also be submitted. \, i OVER'fOR SIG \ ATUR6$ _`--' ' 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 7 day of , 2003 iU ; ►`fil / / 8 nature of Owner /Age Lbn 50-3--(00- 3530 Contact Person Name Phone No.