SGN2002-00141 TY eF TIGARD SIGN PERMIT
.,..� DEVELOPMENT SERVICES PERMIT #: SGN2002 -00141
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/23/2002
EXPIRATION DATE:
BUSINESS NAME: HAMPTON PARK
SIGN LOCATION: 12490 SW 72ND AVE PARCEL: 2S101AB -01001
APPLICANT /AGENT: ZONE: MUE
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3 X 2
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 3' x 2' temporary A -Frame sign. Sign shall be placed on
private property. Sing vaild 8/24/02 thru 9/23/02. Sign #1
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 OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary s hall expire 30 days from approval date. A balloon sign shall expire 10
davS from annrnval data
APPROVED BY: if, --(212
PERMITTEE SIGNATURE: ' c"" "
DATE: 8/23/2002
On
A .
,,�, 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
or � �
n FOR STAFF USE ONLY
Site A/1/ �J
Address/ Stre rr Ql s r Permit No.: s C� Z" U v f
Location �Z0) 3 V a nd 2d1 U-E V t,S
a , Expiration Date: O .� f aLY IO Z " 9 / 107_
Suite /Bldg. # City /State Zip 611
a3a 6 i jcard, UP, daz Receipt #:
Name Approved By: r P
Property ri&rYt � Ta.-C K Date: t( ilc. -
_
Owner Mailing Addres Suite Map /TL #:
S _ AL' (...\P Zoning: M Q t
City /State Zip Phone
5 6 5 "39 bI Electrical Permit Required? ❑ Yes [g No
'Tenant or Name
Business 4a r P / 1_ Building Permit Required? 111 Yes (No Name Rev. 01- Jul -02 is \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 ❑ 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 ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary ❑ Wall El Electronic
(Check all that ❑ ❑ B 111 2 copies of elevations, drawn to scale
apply) Other Billboard alloon
(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: �
3.� V . — \o j ,3 C�� ❑ $ 30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): �J
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
o Wall signs do not need to be drawn to scale,
o si
Height to top gn (feet): but must include dimensions of wall face and
Projection From Wall (inches): . sign placement.
Copy: o Wall signs do not require site /plot plans.
Materials: a Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes o o 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.
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
•
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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 day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
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Receipt #: 27200200000000003131
Date: 08/23/2002
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
p
Case No Tran Code
Description Revenue Account No. Amount Due
SGN2002 -00141 [SIGN] Temp Sign Perm 100- 0000 - 437000 $15.00
Payments: Amount Paid
Method Payer Bank No Acct Check No Confirm No.
Check PARDISE H MOSSALMAN RAHAL/HAMPTON PARK KJP 8544 $15.00
TOTAL AMOUNT PAID: $15.00