SGN2006-00023 CITY Y OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00023
AP DATE ISSUED: 1/18/2006
1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 102BA -01400
BUSINESS NAME: WOODARD PARK APARTMENTS ZONE: R - 12
SIGN LOCATION: 09685 SW JOHNSON ST 1 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: OVAL SHAPE
TOTAL SIGN AREA: 31 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: IND
DESCRIPTION OF SIGN: Placement of (1) one 6 ft. permanent freestanding sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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.
A 170 i
APPROVED BY:
PERMITTEE SIGNATURE: —
DATE: 1 18/2006
•
, I, S IGN PERMIT APPLICATION
ma y. VIII
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site D� I AA n FOR STAFF USE ONLY
Address/ Street Address
�� _ � Permit No.: .5 CO C o L ,
Location Expiration Date:
Suite /Bldg. # City /S to Zip
. g e z i u . T / a. .9 7 2 5 Receipt #: ( D a- S9
Name l Approved By: (<
Gt/
Property � / /� d ./ , ,Cz..c Date: `l / y I uc,
Owner Mailing Address Suite Map/TL #:
Vi e' s - W 44 t .44 , 1 p Zoning: /6 i Z—
Cit /State ip Phone
Tenant or Name / Electrical Permit Required? ❑ Yes EI,No
Business Building Permit Required? ❑ Yes a-No
Name Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign /�"
�V v `y
Contractor Mailing dress Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a �'� �(� f � (�] - 01. , - k.
copy of all ty/ tate Zip Phone without the required submittal elements)
licenses are
required if FDA 0^ Q17 /`7 y � 30 Jir
1=1 re � Completed Application Form
expired in the Oregon Const. Cont. . ? ( Board Exp. Date
City of Tigard's License # yy 2 Copies of Site /Plot Plan, Drawn to Scale
database) CU-WI km44 ❑ p
(3 copies, if a building permit is required)
Proposed EL Permanent Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
• Sign Temporary Wall ❑ Electronic
(Check all that Other ❑ ❑ 2 copies of elevations, drawn to scale
apply) ❑ ❑ Billboard Balloon ,
New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
g 'ze requirement: 8 x 11 ", to 24" x 36"
Sign Dim�nsi ns: (00 y .t
dd $38.00 Fee (Permanent sign, any size)
Total Sin Area (sq.,ft.):
.7 jq 1 . �- ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Are (sq. ft.) Jurisdiction: El City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W O S W
Height to top of sign (feet): T �0 • 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.
Materials: A , , . , 1 , + X - • Freestanding signs over 6 ft. required a
Will sign have illumination? A Yes F'" building permit.
No Yatet • If work authorized under a sign permit has not
Type: ❑ Internal .R External been completed within ninety (90) days after
Are there any existing freestanding or wall_ signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes jzt No
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 1 day of , 20 DCQ
• o / 4411
Signat e of 0 P er /Agent
Contact '=-rson lme Phone No.
•
CITY OF TIGARD 1/18/2006
13125 SW Hall Blvd. 2:45:OOPM
I/ Tigard, Oregon 97223
= (503) 63 9-4 17 1
Receipt #: 27200600000000000259
Date: 01/18/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00023 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -00023 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard JERRY A MASON KJP 901389 In Person 38.00
Payment Total: $38.00
cReceipt.rpt Page 1 of 1
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COW OF TUGAG ® / ``� ', � °5 • �` A Approved [X ` �� ry �� C
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