SGN2002-00008 1.
CITY OF TIGARD
SIGN PERMIT
!I DEVELOPMENT SERVICES PERMIT #: SGN2002 - 00008
AA. III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/17/2002
EXPIRATION DATE:
BUSINESS NAME: WALNUT PLACE APARTMENTS PARCEL: 2S102BD-0150
SIGN LOCATION: 09815 SW WALNUT PL 001
APPLICANT /AGENT: MARCIENNE TERRACE & ASSOC. ZONE: R -25
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL:. Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 10'
TOTAL SIGN AREA: 30 sq. ft.
WALL AREA: 625 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) non - illuminated wall sign (banner w /frame).
MATERIALS: BANNER W/F
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 b= tone accordance with aptro ed plans. A sign permit shall expire 90
days from approval date. A temporary sit shall expire 30 days from a..ro'al . : ;te. A balloon sign shall expire 10
rlavc from annrnval riata /
APPROVED BY: ° ■
PERMITTEE SIGNATURE: �
DATE: 1/17/2002
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/cm ry „ Ia SIGN PERMIT APPLICATION
_14 41 CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
/�,�// n /; FOR STAFF USE ONLY
Site W�Gt.C/?(� Pld a �,(� � k t
Address/ Street Address 1 T V Permit No.: ( A — `�Q
Location 6 )95 - 56C.) M 1 ye�j _ Expiration Date: 1 J
r
Suite /Bldg. # — City /State Zip — �� /�
1 I ' r i Receipt #: . * !�� v Namme Approved B : / b ' ,
/ �C/I , � _
Property 1 �CiOn 2 fi I afQ(ke- 5j i Date: t, ` 7 os
\ e�
Owner Mailing Address Suite Map/TL #, % 5 a Bb V 15n 1
1 A . . i1 ' 0,- Zoning C.5
City/State Zip Pho i
Pi-td , OlQ 6 n-'. Electrical Permit Required? ❑ Yes Er •
Tenant or Name
Business /1 ,, ,¢ J Building Permit Required? ❑Yes ;P o
c lj�+"i
a me ✓ Rev. 30 -Jul -01 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) 1 (3 copies, if a building permit is required)
Proposed size requirement: 8 x 11 ", or 11" x 17"
Pro
p Pe rmanent ❑ Freestanding ❑ Fre
Sign �
n Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that (3 copies, if a building permit is required)
apply) ❑ Other Billboard ❑ Balloon 4ze requirement: 8 x 11 ", to 24" x 36"
LkNew sign? ❑ Alter to existing sign? n $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
3 )() ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.) : , e .
NOTES:
Sign Data Total WWI Are (�Sq. ft.) .1.,..4-.. - ♦ Wall signs do not need to be drawn to scale,
9 tra but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one : r sign placement.
items in this
section) N S E , �(�` 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): building permit.
Projection From Wal (inches): OS ♦ If work authorized under a sign permit has not
Copy: . AO 0 . ... been completed within ninety (90) days after
Materials: Q V .60/1/q the issuance of the permit, THE PERMIT WILL
Will sign have illumination? Yes IF% No BECOME NULL AND VOID.
Type: 0 Internal ❑Extern:/
Are there any existing freestanding or wall signs at this N all jurisdictions accept credit cards, please call jurisdiction for more information.
CI location, including wall signs that over p a tenant space? visa MasterCard
Credit card number / /
El
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 Amount
(OVER FOR SIGNATURES)
4011,
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 O U d ✓ , 20
? im i te12 1 ,
ure of Owner /A ent
Contact Person Name Phone No.