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SGN2004-00122 C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00122 I I DATE ISSUED: 5/28/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S133AC-08800 BUSINESS NAME: AUTUMN PARK TOWNHOMES ZONE: R -25 SIGN LOCATION: 10915 SW 130TH AVE JURISDICTION: TIG APPLICANT /AGENT: AUTUMN PARK TOWNHOMES LLC BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 43 "W X 8 "H TOTAL SIGN AREA: 28 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one permanent 28.67 sq.ft. monument sign. Sign must be placed on private property and not in the public right -of -way. MATERIALS: STONE EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 31.00 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 validity date. APPROVED BY: PERMITTEE SIGNATURE: - ��_� DATE: 5/28/2004 Ka AI 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 74- -':-■,,c=g ' FOR STAFF USE ONLY Site P* s..�r4-. r ■ Y°'r -)& Lt L Address/ Street Address Permit No.:. q - OOI ZZ. Location j ,°t \ \'. Qom`' "` Expiration Date: Suite /Bldg. # City /State Zip Oct- c1 Dzzy Receipt #: l - 9' q b Name ' t Approved By: Property pL') ASS -C. / �'�a�..e1v�� Date: . -)�-J� U p Y Owner Mailing Address Suite Map /TL #: RI 3 3A-G ' 0 810 ■7.15 S' C."i "q..,,_ l .,,,__, Zoning: /Lag Pb City /State Zip Phone Co ._ -- �=v V Ci `\ (5 , zsn , c, � Electrical Permit Required? ❑ Yes E -No Tenant or N ame Building Permit Required? ❑ Yes © Business Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc Name /\ Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit S (Note: applications will not be accepted I issuance, a V ��� c '� 1 without the required submittal elements) I copy of all City /State Zip Phone (�� -5) icons re � � required it �. • //� q.� 5 -a1 _ � S% [g- Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # S�Co S - a a E2 Copies of Site /Plot Plan, Drawn to Scale database) oo� (3 copies, if a building permit is required) 4 the Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other El Billboard a-2 copies of elevations, drawn to scale apply) ❑ 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 Dimensions: L 1 x v,k-‘ ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): �� ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) N / a Jurisdiction: ['City ❑ Urb (Complete all Direction Wall Faces (circle one): N' Q NOTES: items in this section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale, 1 Height to top of sign (feet): a 'A. .vt but must include dimensions of wall face and Projection From Wall (inches): N/A sign placement. Copy: A� .. s -a \ s, ma y& • Wall signs do not require site /plot plans. Materials: , • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes [YNo 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 BECOME NULL AND VOID. ❑ Yes Et 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 day of , 20 Signature ■ Owner /Agent Contact Person Name Phone No. "6.11 A. Vl' 11VALW J /GO /LVl/`F 13125 SW Hall Blvd. 11:39:58AM ee ii l Tigard, Oregon 97223 -'- __:. (503) 63 9-4 17 1 Receipt #: 27200400000000002290 Date: 05/28/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00122 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 Line Item Total: $31.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid CreditCard KRISTA L BOYD /MATRIX KJP 028732 In Person 31.00 DEVELOPMENT CORP Payment Total: $31.00 Page 1 of 1 cReceipt.rpt r- GO N E . j �' N o .. IC \ N 0 1 >F � #..1 i r t i , t r .. r f ; \ f f� . I— b. ' e g l ` , til `i102. r 1 LJ.. f r qS } W u. ` f l yyy � 5 Y 5 L r Tr 'fi 1i T y \� 'ft. , . � v Z i Y � 1 i O 3 4 l S ti lt t `' . " � # { } ( r ' 1 { or p - - 2- .-,,,, i . -f..,1*....„.N.,.; 4i-4:L k.,,v -.:::, f1'�7 , % 1 t } � : Y. 4- sciryt. 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