SGN2009-00196 III CITY OF TIGARD SIGN PERMIT
z Permit #: SGN2009 -00196
COMMUNITY DEVELOPMENT Date Issued: 09/03/2009
TtG,r I D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S115AB02500
Jurisdiction: Tigard
Name of Business:
Business Address: 16200 SW PACIFIC HWY A
Applicant/Agent: Summerfield Civic Association, jI
Work Description: Placement of one (1) temporary sign 48" X 32" e I.3
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 48" X 32"
Total Sign Area: 10.67
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials: Wood
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and
all other applicable law. 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.
1
Approved By:
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Permittee Signature:
111 .11 R EC SIGN PERMIT APPLICATION
of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
S E P 0 3 2009 Phone: 503.639.4171 Fax: 503.598.1960
TIt ,.0
CITY OF RIGARD
GENERAL INFORM � I O t' 1 ° '= � ���;EFRING
Name of Development /Project
--."7' FOR STAFF USE ONLY
Site -WiAl 1810-1/21_ , / / w
Address/ Stree Address Permit No.: 54/v XOt�''/ — O 01 rh
Location /49? 0 Dlj
Expiration Date:
{ Suite //Bldg. # City/State Zip p 'Z�
h/C {� � —7/ q 7 -2-2-174 Receipt #: 7 /
N e f Approved B
Property 4/RMei( 'k Date: q J 04i 2 4 b (wry
Owner Mailing Address 1 S Map /TL #: S 1 I C I S �'.�(J 0
! P State ff J ' Mb� �i ' p "''K. f Phone
Zoning: 0_,'C'.
J
14 U< ( 00/ 53 973 1 /
b 472 Electrical Permit Required? ❑ Yes No
Tenant or Name ��
G �
Business 1 Y, C vu� "Yt�
Building Permit Required? ❑ Yes No
Name Rev. 7/1/09
�/ . � , ' is \curpin \masters \land use applications permit app.doc
Sign �`//L�'
Contractor Mailing Address Suite
issuance, e permit \ 16 C �j�l, f , A
issuance, a 1 ! ht(� r ' YV V'
copy of all City/State Zip G ) Phone REQUIRED SUBMITTAL ELEMENTS
required Licenses are Ig,ik ,�n 1 I (/� O � �l�] -061-5 (Note: applications will not be accepted
re
required if De2 ,, # � 1 14 without the required submittal elements)
expired m the nst. Cont. Board License Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon size requirement: 8 x 11", or 11" x 17"
apply)
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: # (3 copies, if a building permit is required)
I7 �� size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft) X $19.00 Fee (Temporary sign, any type)
(Complete all e ction Wall Faces (circle one):
items in this NOTES:
section) S E W NE NW SE SW
Height to top of sign (feet): l/ • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy:
• Wall signs do not require site /plot plans.
Materials: (,L) • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes li No permit.
Type: ❑ Intemal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
ID Yes 111 No NULL AND VOID.
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.
1
DATED this day of , 20 O
Signature of Owner /Agent
v-rxiov
Contact Person Name Phone No.
Hap Watkins
From: Julie Ramseth Oulier @harsch.com]
Sent: Thursday, September 03, 2009 1:27 PM
To: Hap Watkins
Subject: Temporary Sign Permission
I have given my permission for Summerfield to place a temporary sign on our property located at 16200 SW Pacific Hwy,
Tigard, Oregon. The sign is to be placed on lawn area at the corner of Hwy 99 and Durham Rd. The agreed upon period
of time is September 9 through September 13 2009.
Thank you,
Julie Ramseth
Assistant Portfolio Manager
Julie Ramseth 1 Harsch Investment Properties, LLC
1430 SW Broadway, Ste.100I Portland, OR 97201 1 2: 503.973.02621 8: 503.274.9002 1E:
iulier @harsch.com
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CITY OF TIGARD
Approved [14
Conditionally Approved ....... ___.......... [ j
For only the wpjk a described in:
PERMIT NO '
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CITY OF TIGARD RECEIPT
•1
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGAxa
Receipt Number: 175093 - 09/03/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00196 Temp Sign Perm 1003100-43115 $17.00
SGN2009 -00196 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 2696 DHOWSE 09/03/2009 $19.00
Payor: Cecil Sims
Total Payments: $19.00
Balance Due: $0.00
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