SGN2002-00075 r
CITY OF TIGARD SIGN PERMIT
i ?, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00075
I 'l l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/9/02
EXPIRATION DATE:
BUSINESS NAME: GREENFIELD VILLAGE APTS
SIGN LOCATION: 12085 SW 135TH AVE 001 PARCEL: 2S104BA -00101
APPLICANT /AGENT: GREENFIELD VILLAGE APTS ZONE: R -25
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 3' 7"
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3' x 3' 7" A -frame sign. Sign shall be placed on
private property and not in visual clearance area. Valid 5/9/02- 6/8/02
MATERIALS: WOOD
EXISTING SIGNS:
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 OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary si n shall expire 30 days from approval date. A balloon sign shall expire 10
days frnm annrnval riatP
APPROVED BY: /{\, `-
PERMITTEE SIGNATURE: �J
DATE: 5/9/02
r
A :ti��,,, 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
�`` ,, 1 FOR STAFF USE ONLY
Site cr'� e64 V \ \�R- -. )4 -
Address/ Street Address AA Permit No.: S §/..) 2-do 2_ - `z 7
Location tab��a. %Ui ‘'.S' ,1z \?e- -• Expiration Date: 51 ?1•02--. ` 69 74/0 '--
Suite /Bldg. # City /State Zip
V Q t r l aa. Receipt #:
Name Approved By: /_& P"
Property c ∎ MO..\n d∎-- Date: mac/ (6 t'
Owner Mailing Address Suite Map/TL #: 2 S I O 7 6P d d ( 0b
_0._ Zoning: it - LS
City /State Zip Phone
Electrical Permit Required? ❑ Yes ff
Tenant or Name
Business Building Permit Required? ❑ Yes [/No
Name Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc
Sign N A
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 size requirement: 8'/2" x 11 ", or 11" x 17"
Pro
p Permanent ❑ Freestanding ❑ Freeway
Sign Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other El 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? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: % rl t l
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
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 & W 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): k4 / 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 gl No BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this / 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 IS 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)
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 t► day of M , 20 0 Z
Ito
Sigrfa ure of Owner /Agent
Contact Person Name Phone No.
Fr ■-■
5035798244
GREENF I ELD VILL I AGE
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Receipt #: 27200200000000001698
_..o. Date: 05 /09/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00075 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash GREENFIELD VILLAGE APTS KJP $15.00
TOTAL AMOUNT PAID: $15.00
•