SGN2002-00170 CITY OF TIGARD
SIGN PERMIT
f4 DEVELOPMENT SERVICES PERMIT #: SGN2002 - 00170
DATE ISSUED: 9/24/2002
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: SUMMERFIELD ASSOCIATES, LLC PARCEL: 2S110DC 0100
SIGN LOCATION: " 11175 SW MEADOW BROOK DR OFFIC
APPLICANT /AGENT: ZONE: R -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
•
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X 48"
TOTAL SIGN AREA: 10 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign must be placed on private
property and not in the public right -of -way. Date for sign 9 -25 -02 thru 10/25/02
(Sign #2)
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 si y .sl 11 expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval data
APPROVED BY:
PERMITTEE SIGNATURE: u
DATE: 9/24/2002 `�
W„,,Ytiw;��ra, SIGN IT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4/71 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
FOR STAFF USE ONLY
Site
i it 0 A - ti !!*
Address/ Street Address Permit No. /0 ? o
U r2 • Qo f --1--(-, --1--(-, Location I 1 ) 1-K G -L I S(A JJ YJ)1
' J ,, Expiration
Suite /Bldg. # City /State r��Z;ip V.\‘
t IA (�X)1-227. Receipt #: Zo " 2_ — 3 1"Z .
Name Approved g K. e,_,..„
Property 0 a Date: • ) L5 oZ — a 2 2 yoz
Owner Mailing Address Suite Map/TL :_ S I / Cl IBC -G / M0
/TO SLA) 1 V Zoning: ((- - 2_ .
City /Statte, e I Zip Phone
Tenant or Name Electrical Permit rcequirea ❑ yes o '
Business - f rn j_ Building Permit Required? ❑ Yes [zNo
Name Rev. 30 -Jul -01 i:\cu •In \masters \revised \si•n • -rmit a•..doc
Sign _
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ompleted 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)
Pro used size requirement: 8Y2" x 11 ", or 11" x 17"
p ❑ e rmanent F reestanding ❑ Freeway
Sign Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that Other (3 copies, if a buildin
❑ ❑ B illboard ❑ Ba lloon ( P building permit is required)
apply)
size requirement: 81/2" x 11 ", to 24" x 36"
❑ New sign? ❑ Alter to existing sign? ❑ 50.00 Fee (Permanent sign, any size) •
Sign Dimensions;!,,-
- - Kr $15.00 Fee (Temporary sign, any type)
• Total Sign Area (sq. ftl: i .
NOTES:
Sign Data Total Wall Area (sq : �� J 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): s i
items in this sign placement.
section) N S E W NE NW / SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): L' building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials:. the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑Yes ❑ 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
❑ Yes ❑ No Credit card number / /
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 / day of 1 ') —, 20 C'
) A'
Signature of Pdwner /A
Contact Person Name Phone No.
Receipt #: 27200200000000003612
. _- , - Dat e: 09/24/2002
T I D E M A R K
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00170 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash SUMMERFIELD APARTMENTS KJP $15.00
TOTAL AMOUNT PAID: $15.00
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Thank you for your order. To serve you better, we are providing a sketch of the sign
work you want us to produce for you. Please chock the specifications, layouts and
spellings to be sure they are the way you want them. PM®asa Indicate your approval
below and return to us. The information contained herein is the exclusive property
of City Sign Company, Inc. end any disclosure, copying, dletrlbution or the taking of
any action in reliance on the contents of this information Is strictly prohibited.
0 APPROVED AS 1$ OR AS NOTED Signature
0 NOT APPROVED. MAKE CHANGES AS NOTED AND RESUBMIT.
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