SGN2004-00315 r\ w
CITY OF TIGARD SIGN PERMIT
,� DEVELOPMENT SERVICES PERMIT #: SGN2004 -00315
R�' ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/26/2004
PARCEL: 2S 112 B D -05200
BUSINESS NAME: ZONE: R -4.5
SIGN LOCATION: 07916 SW LEISER LN JURISDICTION: TIG
APPLICANT /AGENT: MATRIX DEVELOPMENT
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 60" X 36"
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one permanent monument sign for the subdivision. (60" x 36 ")
MATERIALS: STONE
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: '
PERMITTEE SIGNATURE:
DATE: 10/ 004
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��'� 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 .
Site LE ISER. r� C FOR STAFF USE ONLY
Address/ Street Address Permit No.: v A{ ob ({
o0315
Location 5 i..> 7 )n- Le_ ;s Le-r,G
Suite /Bldg. # City /State Zip Expiration Date:
7 . o�-ci c,z 9 1 zz4 Receipt #: 2 00 ` 4( 7
Name Approved By: 0 • C CIA.nz-3
Property MATRIX t -
IX DE bop'■ , T \EN: Date: /0 -aLP- o'{
Owner Mailing Address Suite Map /TL #: aS II a BD — o a 0°
IZ:55ty (fit`' IoO Zoning: R y -S
City /State Zip Phone
PbLT o1 2_23 Cb D3)(32 - - (25 o Electrical Permit Required? ❑Yes
Tenant or Name ❑ No
Business Building Permit Required? ❑ Yes El No
Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign L-) R-t - r .) (IU STDty E /AN Nu., sr,
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit j 2-
issuance, a °`F S E 1 2 CI (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are ft V 1 +
required if q 1 Z '�3 ��"'� I ❑ Completed Application Form
expired in the Oregon Const. Vtavrc� 3 Exp. Date
City of Tigard's License # lY 2S y ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) t G � - ILA - c tC
(3 copies, if a building permit is required)
Proposed 18f Permanent ■Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall
(Check all that El Electronic ❑ 2 copies of elevations, drawn to scale
apply) ❑ Other ❑ Billboard ❑ Balloon
(3 copies, if a building permit is required)
.�' New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Djmensions: ❑ $32.00 Fe e (Permanent sign, any size)
U O �c :Nt ( g Y )
Total Sign Are (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
1J 5
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
Stbni
(Complete all Direction voi Faces (circle one): NOTES:
items in this
section) N S E W Eik NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 31 but must include dimensions of wall face and
Projection From Wall (inches): NI. /A
sign placement.
Copy: Le(b Pctr le. • Wall signs do not require site /plot plans.
Materials: N r , d Carve It sia-x - to i it_rin k' • Freestanding signs over 6 ft. required a
Will sign have illumination? El Y Yes c 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
El Yes p 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 2b1" day of O c ob€ ,20 (-)`\
Si ure of n er /A gent
C,ro.I r. , Vice, President
603 - b 2 0 -1:50JT , e, t . ace
Contact Person Name Phone No.
s
§f ed F ucts ti LE!SER PARK MONUMENT
raoaocTIoxs
AM.lutectarat Signage
Peter Attila An:druako PROPOSAL
President l Pdudpal Artlsen
Written in Stone rroduetioo.
6424 5.E. 122nd Avenue (AB) 760-0147 Phone
Portland, CA 971Iti O 768475' Pa` DIGITALLY ENHANCED PHOTO MOCKUP)
on-line portfolio - orsow.vrr
Rock - Iron Mt. Sab - approx. Dim, 60in Wide x 36in High x 8in Thick Set drectly into landscape.
Signage - Hand - carved into surface of material - hand - painted with black & grey exterior grade
pigment - approx. Dim. 43in Wide x 20'n High = 6.0 SF
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