SGN2002-00181 CITY TIGARD SIGN PERMIT
Ai DEVELOPMENT SERVICES PERMIT #: SGN2002 -00181
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 10/7/02
EXPIRATION DATE:
BUSINESS NAME: AUTUMN HILL
SIGN LOCATION: SW NO ADDRESS TRACT "Y„ PARCEL: 2S109CD 18200
APPLICANT /AGENT: BEEF BEND ROAD LLC ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 8'
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 32 sq ft permanent free standing sign. Sign shall not be
placed in public right -of -way or visual clearance area.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: Y
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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 o . n permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire da rom validity date.
APPROVED BY: '
PERMITTEE SIGNATURE:" c r7 , g 7 '� - �i —
DATE: 10/7/02
"Wilf L / M o/ - So - o'
`h (S c�,
3: °pn
::. I : SIGN PERMIT APPLICATION
CITY 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
A'4. Site +W Uf1n l il( 2 S /oiCO a Zoo - 0c) I �'
Address/ Street Address Permit No.: �' o GI ny -2- � -2- ' 002 - -
Location (3S$ SuJ i-Q- c Expiration Date:
Suite /Bldg. # City/State Zip J p a_ -3
TZ1CM � b2 q ( Receipt #: n
Name J t "r Approved By: ( 3- f
Property BcG-f bed R aLt 1.1-C/ Date: Iq'1(o2.
Owner Mailing Address it Suite Map /TL #: 2 5 ( o 5 C- O - I 8 2-c_
Q)16 Sw1 Lammctct; r«(U 'l Zoning: l 7 PO
City /State Zip Phone
WitsonU; tit/ 47o71) 60 3460103 Electrical Permit Required? ❑ Yes 141 No
Tenant or Name
Building Permit Required? 1=1 Yes ❑ No
Business
Name Rev. 01- Jul -02 i:lcurpin\masters\revised \sign permit app.doc
Sign C) .
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 V 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 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
X New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dim xiQns: X $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. t
Sign Data Y j
(Complete all Direction Wall Face (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: 1 • 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 Q day of G{I , 20 b a
4 4/ 1 --t
Signature of Owner /Age
PAM; r 5 coda ` Trl3
Contact Person Name Phone No.
10/7/2002
� 10:58:5OAM
T I D E M A R K
COMPUTER SYSTEMS, INC
Receipt #: 27200200000000003778
Date: 10 /07/2002
Line Items:
Case No Trait Code Description Revenue Account No Amount Paid
SGN2002 -00181 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
MISC Miscellaneous Fees & Charges - 30.0000 a $1.0000 100 - 0000 - 451000 30.00
Line Item Total: $60.00
Payments:
Method Payer Bank No Account No Confirm No How Received Amount Paid
Check BEEF BEND RD LLC KJP 5619 In Person 60.00
Payment Total: $60.00
•
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