SGN2005-00057 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00057
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/11/2005
PARCEL: 2 S 112 C D - 10300
BUSINESS NAME: ZONE: R -
SIGN LOCATION: 07871 SW ALDER ST JURISDICTION: TIG
APPLICANT /AGENT: LEGEND HOMES
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6FT X 4FT
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN:
MATERIALS:
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 17.00
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:
j PERMITTEE SIGNATURE: % <L---e±D *,
DATE: 3/11/2005
r
.L!, b 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
y FOR STAFF USE ONLY
Site 14 c---c ,._Sc-_ ,...
Address/ Street Address Permit No.: S�/1/d?c5zSS- 00/4lS 7
r
Location .--- 4-% -- A- \ S \�r Expiration Date: 0L(- //• o
Suite /Bldg. # City /State Zip
��� Ga.. ��,� Receipt #:
Name �� t �� Approved By: Ni
Date: 0 3•l(•
Property � \ � ' 5 v�Z \ .�k
Owner Mailing Address Suite �C�
Map /TL #: 23 !(4 ClTh — /(9300
\- S Sw�-, ■.— Zoning: ,' -/2
City /State Zip Phone r's
--r`c�\\c r s �'�_ Q 'Ci -- Sao —$cFs4 Electrical Permit Required? III Yes ®No
Tenant or Name
Business Building Permit Required? I=1 Yes ,,g
Name Rev. 1/3/05 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 without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # t- Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent r Freestanding ❑ Freeway q
j size requirement: 8 x 11 ", or 11" x 17" •
p
Sign ❑ Temporary Wall ❑ Electronic
(Check all that ❑ Other 1=I Billboard El Balloon (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: . fit X L1 �c- ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): Q`--k Srz �� 17.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) (A Jurisdiction: ['City ❑ Urb
g
(Complete all Direction Wall Faces (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,
O Height to top of sign (feet): cij (` i. but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: 14.,, �.--,��` • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes X 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
III Yes [No BECOME 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.
DATED this l ' day of (v \arch , 20
Si* re of Owner /Agent
Contact Person Name Phone No.
xa
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PL FLAN 3/11/05
LQT 1 114ME4C1 I GfROVE
1011 S.W. ALIDEIR ST1 E T
S.W. 1/4 OF SECTION 12 4 N.W. 1/4 OF SECTION 13, T.2 -S, fR1 -W, W.M.
C I r' OF T IGARD, W4S-1 INGTON COUNT►', OREGON
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y PORTLAND, OR. 97223 CCB# 60563
WATER METER
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II I . OF STREET
t MANHOLE
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FLCT '-)l AN 3/11/05
LOT 4 *1 H4MEAC GROVE
18 S.W. ALDER STREET
S.W. 1/4 OF SECTION 12 4 NIL. 1/4 OF SECTION 13, T2-S, R1-W, W.M.
CITY OF T IC ARD, WAS - INGTON COUNT(, ORECION
LE GEN-)
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G g��Iu n = ;!!!!! ! S UIT E L00 FAX (5 598 - 8900 1 N 20'-0"
PORTLAND, OR. B7223 CCB# 80563
® WATER METER
W — — — — WATER LINE
SS — — — — SANITARY SEWER
i SD - - - - --- STORM DRAIN
. OF STREET
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P ----- V-1----LCSID / -----------______
ct th
CITY OF TIGARD 3/11/2005
13125 SW Hall Blvd. 2:39:48PM
�.:,,,,s „ Tigard Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200500000000001083
Date: 03/11/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00057 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
Line Item Total: $17.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard MATRIX 011318 In Person 17.00
Payment Total: $17.00
cReceipt.rpt Page 1 of 1