SGN2002-00072 CITY OF TIGARD SIGN PERMIT
N DEVELOPMENT SERVICES PERMIT #: SGN2002 -00072
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/7/2002
EXPIRATION DATE:
BUSINESS NAME: SUMMERFIELD ASSOCIATES, LLC PARCEL: 2S110DC -0100
SIGN LOCATION: 11175 SW MEADOW BROOK DR OFFIC
APPLICANT /AGENT: ZONE: R -25
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X 48"
TOTAL SIGN AREA: 10 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign must be placed on private
property and not in the public right -of -way. Date for sign 5/8/02- 6/8/02 (Sign #1)
MATERIALS: WOOD
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 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 sign shall expire 30,days from approval date. A balloon sign shall expire 10
rlays from annrnval rlata `
V
APPROVED B�
PERMITTEE SIGNATURE -
DATE: 5/7/2002
. ._
<,.1.iIra 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
II__ FOR STAFF USE ONLY
Site m i2 ill oaf.e 1 d '� ��� -" �����
Address/ Street Address J Permit No.: •_
Location 1' 1 Sim j-aJlvit Expiration Date: MC — / • d If
Suite /Bldg. # City /State Zip j j
Tyra C1 -'2774 Receipt #: l L(�LJ
•
Name �3 ,,L � ApprovedBU: WA 1
Property PC�1 CLcf 1C� . � n'7J� Date: .5- "7 0(9) _ 0 j}
Owner Mailing Address Suite v Map/TL #:_ 6c n % 6 (/ O DC 0 I v0 C)
j : S 1 _. O Zoning: �"� - C95
City/State Zip Phone
& f'~A Electrical Permit Required? ❑ Yes [No
Tenant or Name
Business - - ►fief\, {" -k, Building Permit Required? ❑ Yes Er/No
Name Rev. 30- Jul-01 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,
copy of ll 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 # El 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11" x 17"
Proposed ❑ ermanent LI Freestanding ❑ Freeway
Sign Z Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other El Billboard El Balloon (3 copies, if a building permit is required)
apply) size requirement: 81" x 11 ", to 24" x 36"
❑ New sign? ❑ Alter to existing sign? ❑ 50.00 Fee (Permanent sign, any size)
Sign Dimensions•' )(
$15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ,
' NOTES:
Sign Data Total Wall Area (sq. • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this
section) N S E W NE NW S SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): c4 •
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 ( 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 asshownon credit card
square footage must also be submitted.
Cardholder signature Amount
(OVER FOR SIGNATURES)
41 1,
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 7 day of No ,
, 20 /
Signature of wner/Agent
or S� - ��nS 50 3 4.2/4---/g9/
Contact Person Name Phone No.
* //, ../
i • . site_ flow
, ,.
....
s vyvoluis - 6-e- 0 6 ( + 1.5 •
4 -13
.„ 5 SO Aeodowb
srti- I .
- ridoxd 1 Or q '')- V
.
- 1
II 1 n i 3011 c 5 e. _ . bon d_ -61.1-e_.-
(1 LL i=- -
- i i.-/
JO- PoCi ( C q
603) Z(31 , - 5 g
..1
z
k. •
n r•,,.. .
• .) VeLf
.
A .11 OP
'in ( 0 V Apc_il•-•'Yi .„ • [ 1
COrldi ;.• A. :‘,.uvici . , [ !
Fn. imly the wxk a= ,-..:-,.: - Mc in:
1 tRMIT NO. -4'' .-- Oo / (L7 7
Le9 .*-- tc !!,,;-' ow .. [
,-
• .::, -4:
- ---- '.
f—
L
(...._} .
— 3
— ---
le , AULUiSAWL4tl1.F'L I 1 /J'iiuu 11:410 b AM
k - � Dv � , .a,... I.L�.r rl. �•
L10 `�� r – 0. i ga - - v. If a1�n
City Si WI Y 1� Com an p �, Ix�c.
HATO' ( S tru g the Pkrttand Area ? S 6
�) Since 1911
e :Jel. a 304 S.E. Second Avenue , ei
Portland, Oregon 97214 DA /.
(503) 231 -3839 FAX (503) 231 -9511 . '.16/ /4i
11111A1 r7, IN l'anifkt1A1
tRVM
NM eSI f iU INS
.2_ 0 30 " x of f' f & Ur- Qe
Zeitz,48fiobirPoe,4/ • S ` MME RFC E LD 1
____
��� u
LI E COPY
(Al"' 1 & 2 BDM APARTMENTS i
-
FILE COPY i
RES
(�,lu�.c tAiin L I V I ICI G ij
------ .�., / f ; , 1 .1, Si . I
Executive Golf Course a,f R JJ 't- � 1t1 1\ I.uluciutis ( Iuhillit: �' .: a ' 't ,, - �f
1 y Approvsc E
phew s
Call 684-18900 ho._ A _--
Le �* to Follow. t :i
1.
W.),1 '4 .� _ h ip
w a.
Thank you for your order. To serve you better, we are providing a sketch of the sign
work you want us to produce for you. Please check the specifications, layouts and
spellings to be sure they are the way you want them. Please indicate your approval
below and return to us, The information contained heroin is the exclusive property
of City Sign Company, Inc. and any disclosure, copying, distribution or the taking of
any action In reliance on the contents of this information la strictly prohibited.
❑ APPROVED AS IS OR AS NOTED. Signature
O NOT APPROVED. MAKE CHANGES AS NOTED AND RESUBMIT.
S-,` k— 4 : III 7 s S w YYlud ■o ►-o-9 i� 0-h- v _ ) - ,-/ ' zi
s um mer4'eQ Gt m-e-r45
Receipt #: 27200200000000001668
'" � Date: 0510712002
TIDEMARK
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00072 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash SUMMERFIELD APARTMENTS DCP 0 0 $20.00
Change SUMMERFIELD APARTMENTS DCP 0 0 (55.00)
TOTAL AMOUNT PAID: $15.00