SGN2003-00276 k • CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00276
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/31/03
PARCEL: 2S102AC -00201
BUSINESS NAME: MAIN STREET VILLAGE' APARTMENTS ZONE: CBD
SIGN LOCATION: 12650 SW MAIN ST OFFICE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X15'
TOTAL SIGN AREA: 60 sq. ft.
WALL AREA: 1,089 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 60sq ft permanent wall sign.
MATERIALS: BANNER /FRAME
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 from validity date.
APPROVED BY f y ��
/7 PERMITTEE SIGNATURE: '
DATE: 10/31/03
•
A
, ►1 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
y e of Development/Project
Site 4 *(ir V (�( (/ FOR STAFF USE ONLY
S treet Address
Address/ Permit No.: c.5 6 2/1) 2-do 3 - U� 2- 7(,,,
Location 1 Q NCI car Expiration Date:
Suite /Bldg. # �ity /State Zip
Ir i 0?--n/J Receipt t #: ,R 003 — 4 ,i8 0 5-
Name �� // ,� /� (� Approved By: f O
Property lxli kl A VC l/l 9 , /l .4.. 24 Date: l ° 1310 , 5
Owner Mailing Address Suite ,1 i Map/TL #: ■S 1 OA 7C TL — (:)( t
tl1c /I Zoning: G v V
• /State Zip Phone
0:19( W_ le)-0 0
Tenant or Na :. Electrical Permit Required? El fl
;2 No
Business l� ' 7 / y t i 1 _Building P Required? c7 Yes R No
i me ( Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address - •e REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements
copy of all City /State Phone Q elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon -.nst. Cont. Board Exp. Date
City of Tigard's Lice• e #
database) 11] 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
P P ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that other 111 2 copies of elevations drawn to scale
apply) ❑ ❑ Billboard ❑ Ba lloon
(3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
ign Dimensions:. ; ��
�� ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
(.(p ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) f bvi Jurisdiction: El City El Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) O S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): t but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials:VIVI( fiml� Ky • Freestanding signs over 6 ft. required a
Will sign haveillumine ion? ❑ Yes c7i 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
❑ Yes No BECOME NULL AND VOID.
If "yes ", a list or diagram of all ign dimensions and
square footage must also be s bmitted.
(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 , C 20 D
imor
ature of O er/ ent
b(ri..6UC5
Contact Person Naryle Phone No.
•
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3 Nal /,
a t s
lw6v.(-/ I V l 4 6°-- / 1
CITY OF TIGARD
Approve d . ..................................... ...............................
Conditionally Approved ....... ............................... 1
For only the work as described in:b
pERM4T [
See Letter to: Follow ....................
Attach .................... - n ........ [ 1
6sa
Job Address:
1.111 Vl' Li J JW -- .- -. -___
13125 SW Hall Blvd. 1:47:21PM
�44,AK, i;aI∎ Tigard, Oregon 97223
'
•
� (503) 63 9-4 17 1
Receipt #: 27200300000000004805
Date: 10/31/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00276 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2003 -00277 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $62.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check GINA STEPHENS CAC 509 In Person 31.00
Check GINA STEPHENS CAC 510 In Person 31.00
Payment Total: $62.00
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