SGN2002-00100 C ITY OF TIGARD SIGN PERMIT
. i, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00100
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/12/2002
EXPIRATION DATE:
BUSINESS NAME: GREENFIELD VILLAGE APTS
SIGN LOCATION: 12085 SW 135TH AVE 001 PARCEL: 2S104BA 0010(
APPLICANT /AGENT: GREENFIELD VILLAGE APTS ZONE: R -25
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 3' 7"
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3' x 3' 7" A -frame sign. Sign shall e placed on
private property and not in visual clearance area. Valid 6/9/02 -7/ /02 Sign #2
MATERIALS: WOOD
EXISTING SIGNS:
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. AWw rk will be done in a ance with approved plans. A sign permit shall expire 90
days from approval date. A mporary sign shall expire 30 day • from approval date. A balloon sign shall expire 10
days from annrnval riatP /
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APPROVED B . -- - -=
PERMITTEE SIGNATURE: t t1' \ , ,
DATE: 6/12/2002
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_.- SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
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Name of Development/Project FOR STAFF USE ONLY
Site cr-tr ,,, -C \)1 \\ 0-c\ 1 2-. .
Address/ Street Address Permit No.: 9/ , l egp
Location t•b S„.W k "o ff - Expiration Date: _('Q de) - 9'
# City/State Zip �7 , LJ 7
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Receipt #: S% - 24(d
Name ` Approved By: ga ��
` \& �, Date: ('D ID 40 6-
Property Cam- S lrb -b olo)
Owner Mailing Address Suite Map/TL #: /
0.._ Zoning: /Z - LS
City/State Zip Phone
Electrical Permit Required? ❑ Yes ffr
Tenant or Name
Building Permit Required? ❑ Yes ENo
Business
Rev. 30-Jul-01 is \curpin\masters\revised\sign permit app.doc
Name
Sign N�//��
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(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 \El Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # a ,' 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", or 11" x 17"
Proposed Permanent ❑ Freestanding ❑ Freeway
Sign U Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon ( copies, if a 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: .1 �t ^ �I
1 $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): NOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this • Wall signs do not require site /plot plans.
section) N S W NE NW SE SW • Freestanding signs over 6 ft. required a
Height to top of sign (feet): I 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
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes S( No
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
0 Visa ❑ MasterCard
location, including wall signs that overlap a tenant space? /
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 S Amount
(OVER FOR SIGNATURES \
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Receipt #: 27200200000000002167
Date: 06/12/2002
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00100 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash GREENFIELD APARTMENTS DCP 0 0 $20.00
Change GREENFIELD APARTMENTS DCP 0 0 (S5.00)
TOTAL AMOUNT PAID: $15.00
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