SGN2002-00007 CITY OF TIGARD SIGN PERMIT
lk DEVELOPMENT SERVICES PERMIT #: SGN2002 -00007
! I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/15/2002
EXPIRATION DATE:
BUSINESS NAME: SUMMER CREEK APTS
1
SIGN LOCATION: 13456 SW HAWK'S BEARD ST A BLD PARCEL: 1 S133DB -0740
APPLICANT /AGENT: ZONE: R -25
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 5' X 20'
TOTAL SIGN AREA: 100 sq. ft.
WALL AREA: 1,260 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 25 ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one permanent 5 x 20 wall sign.
MATERIALS: VINYL / WOOD
EXISTING SIGNS:
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 •e done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary si ; -hall expire s •ays from approval date. A balloon sign shall expire 10
rlavc frnm annrnval data
APPROVED BY: f =
PERMITTEE SIGNATURE:
DATE: 1/15/2102
‘,.:0, t,l,� 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
C FOR STAFF USE ONLY
Site ∎)(`r1r r ges1Y t c �
Address/ Street Address Permit No.: 5 6 N ) z-oo�- c)03 67
Location 3L kS k\N\ \ \a 41/4--
Expiration Date:
Suite /Bldg. # City/State Zip
—�- 4 oe - �,.•�3 Receipt #:
Name Approved By: C�
Property Kn e ev.v, 1 Date: ` � ?
Owner Mailing Address site Map/TL #: • `� ✓ -i2) 7 cD
R xy41.., Zoning: ?-5 •
City/State Zip Phone
V) ' Electrical Permit Required? ❑ Yes pt. No
Tenant or Name
Business k. / v� � 0 � Building Permit Required? ❑ Yes [� No
Name ` "' 0 Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc /\ yr k
Sign �� )i 0) C \ \\
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 ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36"
New sign? ❑ Alter to existing sign? gi, $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
2C ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
x _.1-1._ NOTES:
Sign Data Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
9 but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): 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): Q� 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 r Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ❑Mastercard
❑ 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 Amount
(OVER FOR SIGNATURES)
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 O 2 .--:._ , ,,,,,.c
Signature of • ' er /Agent
1)C\'(\: \c\.1. \ GAN k
Contact Person Name Phone No.
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Receipt #: 27200200000000000190
Date: 01/15/2002
T I D E M A R K
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00007 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash SUMMER CREEK APTS $50.00
TOTAL AMOUNT PAID: $50.00
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