SGN2004-00059 CITY TIGARD SIGN PERMIT
it DEVELOPMENT SERVICES PERMIT #: SGN2004 -00059
c�lll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/5/04
PARCEL: 2S115AA -00100
BUSINESS NAME: DURHAM PARK APTS ZONE: R -25
SIGN LOCATION: 16100 SW 108TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 8'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 5,050 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install one permanent wall sign. (2' x 8') on north wall.
MATERIALS: VINYL /WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
PERM ITTEESIGNATURE: j —
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DATE: 4/5/04
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‘°i4'>i SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW ITall Blvd. Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
GENERAL INFORMATION
Name of Oevelopmerit/P ect FOR STAFF USE ONLY
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Site D w" ' - , l2
Address / Street Address Permit No S2 O c404(4 ` 0005'(
Location Ii/ 0 $ tn7 l 0.1 4,e____ - Expiration Date:
Suite/Bldg. # City /State Zip p
1-,r& c 7� Receipt #: a ()LA _ 13 v
Name Approved By: C • C�
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Dom,.— e)e_ .1- 2 -' 19 ' Date: 4 - - b`(
Property
Owner Mailing Address —,.- Suite Map/TL #: o� S I IS A A_ — Do i ci
(G /00 S /a� tet� • , Zoning:_ tom= .
City/State Zip Phone
— 5 Electrical Permit Required? ❑ Yes No
Tenant or Na
B uilding Permit Required? ❑ Yes s;
No
Rev, 014u1-02 iAcurp1MmastersIrevlsed\sign permit app.dac
Name
Sign '5 v in „2,
Contractor Mailing Address j.s. Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit ►5q 6 S si,o 12, Awe- (Note: applications will not be accepted
Issuance, 8
copy of all City /State Zip Phone without the required submittal elements)
licenses re
re c -cnr)`�
required if :4 � Cit. q� Sa3 - GL � ❑ Completed Application Form
expired in the Or on 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 }5 Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary 1 Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ 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: 8 x 11", to 24" x 36"
Sign Dimensions k 1' ❑
6-80 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /6 El $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data . a_s
(Complete all Direction Wall Faces (circle one): NOTES:
items in this —
section) � NS E W NE NW SEr SW
• Wall signs do not need to be drawn to scale,
eight to top of sign (feet): but must Include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ 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 ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
•
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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 day of ve, — . 20 C7,
S; o ature of Owner /Agent
- 6 SS A/
Contact Person Name Phone No.
1S
10
CITY OF TIGARD 4/5/2004 -
13 125 SW Flail Blvd. 2:06:52PM
' I I I, Tigard, Oregon 97223
41. (503) 639 -4171
Receipt #: 27200400000000001388
Date: 04/05/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00058 [SIGN] Temp Sign Perm 100 -0000- 437000 15.00
SGN2004 -00059 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $46.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash DURHAM OAK APARTMENTS CAC In Person 50.00
Change CITY OF TIGARD CAC In Person (4.00)
Payment Total: $46.00
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