SGN2003-00122 CITY OF TIGARD SIGN PERMIT
A ll DEVELOPMENT SERVICES PERMIT #: SGN2003 -00122
e;�ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/3/03
PARCEL: 2S 110DC -01000
BUSINESS NAME: SUMMERFIELD APTS ZONE: R -25
SIGN LOCATION: 11260 SW MEADOW BROOK DR 2 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18" X 24"
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent 18" x 24" sign on brick wall along Durham. Owned by Summerfield
Homeowners Assoc.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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 or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 6/3/03
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A
1 4 o 1 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Del
Site �( / A-pi FOR STAFF USE ONLY
_
Address/ Set Address Permit No.: 5 e, N o100 3 ) -
Location ) ) I S ivoele&hilic-
Expiration Date: h c
,-,
Suite/Bldg. # City /State k
—rte C� Receipt #:
Name I Approved By: (% • C""
Property + e04 (.
Date: (o `3 -
Owner M ailing Address Suite Map/TL #: .,1-1/ 10 1] C - O / 0 °`'
/
l SO [ '-fib_ /0-4) Zoning: PN -°
Ci tate Zip Phone
�� 03 4'_ / Electrical Permit Required? ❑ Yes ® No
Tenant or Name /
Business Building Permit Required? ❑ Yes c2r No
Name Rev. 2/28/2003 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)
(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 El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
,, New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
(Sign Dimensions i
A` f is,
❑ $30.00 Fee (Permanent sign, any size)
CTotal Si n Area q. ft.):
❑ $15.00 Fee (Temporary sign, any type)
Sign Data fWall Area q. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
Height to top of sign (feet): • 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.
c a erla • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes Igt 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
I
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
4- '
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 day of 20 (r i
t, 41/it/
Signat e of Own Agent
--TI 5O3 -
Contact Retson Name
Phone No.