SGN2002-00248 f' "
ilk CITY OF TIGARD SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2002 -00248
S� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/14/2002
EXPIRATION DATE:
BUSINESS NAME: BULL MOUNTAIN PARCEL: 2S110AC -01200
SIGN LOCATION: 11430 SW BULL MOUNTAIN RD CLUB HOUSE /POOL
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one cluster of balloons. Balloons must be securely fastened to
structure. Sign# 1. Valid 11 -16 -02 thru 11 -26 -02
MATERIALS: BALLOONS
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 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 1 ays from validity date.
APPROVED BY: ---ef
PERMITTEE SIGNATURE: - .... '
DATE: 11/14/2002
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lib 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 FOR STAFF USE ONLY
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Site ` 1 1‘ ilk . I- t- ,C.tat h-
Address/ Street Address Permit No.: s Z — Q 0-LYW
Location k tt i 3f) v., Fail i I IkA.-F l Expiration Date: // / /k /b - 1 -4,,A` /j l t j. is Z�,
Suite /Bldg. # City /State Zip
Receipt #: ) ;
k arb r f 7 Z Z a q roved B , Name pp y'
Property Y�\ ■ \ C v Date: 1 1 /Wo z—
Owner Mailing Address Suite Map /TL #: .2 S //C', AI-C -b l 2x.x.
l I33i,/ 5.1,u • F i b I ) t4l- Zoning: , 7-
City/State Zip Phone
-MAI b a 40774 LJ ZN-L'1 I ( Electrical Permit Required? ❑ Yes No
Tenant or Name
Building Permit Required? ❑ Yes No
Business
Name Rev. 01- Jul -02 i:\curpin \masters \revised \sign permit app.doc
Sign
C REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(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 ❑ 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
(Check all that Other ❑ Billboard ❑ Balloon 111 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:
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes ❑ No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? 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 1 day of O</ - , 20 <) 7
Signature of Ow -r /=gent
12-4 ` V• l c->t - 0 1 of
Contact Person Name Phone No.
CtiTY OF TitlikriD
Apr. rov3d
Condisor3a.iy Approved ...__........._ _... I
V 'QL Fa only the wo k as descriked 41:
�� F ERMIT NO. S L J -( 2 c
°\ Sek; Lett r to Follow _.........._.
Joh Addre 1
by. _ ..�__ Dtl ec.
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1 111 Vt' 11-JI11W
13125 SW Hall Blvd. 3:51:22PM
Tigard, Oregon 97223
�I� I (503) 63 9-4 17 1
Receipt #: 27200200000000004342
Date: 11/14/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00248 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash BULL MOUNTIAN HEIGHTS KIP In Person 20.00
Change CITY OF TIGARD KJP In Person (5.00)
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt