SGN2003-00138 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00138
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/16/03
PARCEL: 1 S135CA -00600
BUSINESS NAME: AUTUMN OAKS APTS ZONE: R -12
SIGN LOCATION: 11200 SW GREENBURG RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8' X 2'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 900 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Framed banner (wall sign) 8' x 2' on 30' x 30' wall. Total of 60 units in the
complex.
MATERIALS: VINYL /WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 0.00
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 data
0
APPROVED BY: •
PERMITTEE SIGNATURE: <f ' 9=e
/
DATE: 6/16/03
v
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
J n FOR STAFF USE ONLY
Site ;i.� f/cY» . l 3 cL /( /7pf 5
Address/ Street Address Permit No.: .5 G,0 a u3 – 00 1 3 8
Location l/2 ( C _4.%. It r'ee vi ,7ikF P�
�' Expiration Date:
Suite /Bldg. # City /State Zip
T; 4 r J, 0 q 7 .1 )5 Receipt #: c boa — o'�S'c>
Name / Approved By: Chilt.
Property (J 4 4 4 Z G Date: (o -- IL --o.3
Owner Mailing Address Suite Map/TL #: 1 SS CAA – O o(0 0v
186'Y G 6 91 Zoning: R - la.
City /State Zip Phone
Pt/cl OR q ?Ora ,5'5 2q/- 0/3-4/
Electrical Permit Required? ❑ Yes cp No
Tenant or Name
Business Building Permit Required? ❑ Yes 0. No
Name Rev. 2/28/2003 is \curpin\masters \revised \sign permit app.doc
Sign I–
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a n
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if [v]' 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)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other El Billboard ❑ Balloon Ii f 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:
x 8 Er $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
/C 7), fir, p Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(Complete all Directio Wall Faces (c o e):
items in this NOTES:
section) N S E C4 NE NW SE SW
Height to top of sign (feet): 1' s ' • 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 V No building permit.
Type: ❑ Internal ❑ External • 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 issuance of the permit, THE PERMIT WILL
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)
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 / a day of J k n Q , 20 0 3
26 IP 4 , ( 2_0 9z
Signature df O ner /Agent
Contac`t'Person Name Phone No.
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CITY OF TIGARD 6/16/2003
13125 SW Hall Blvd. 10:25:54AM
A0 t Ti gard, Oregon 97223
(503) 63 9-4 17 1
•
Receipt #: 27200300000000002502
Date: 06/16/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00138 [SIGN] Sign Permit 100- 0000 - 437000 30.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. Dow Received Amount Paid
Check DOLLY JACOBSON CAC 1085 In Person 30.00
Payment Total: $30.00