SGN2003-00296 411111 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00296
„ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/25/03
PARCEL: 1 S 101 TM -SIGN S
BUSINESS NAME: DAFFODIL HILL SUBDIVISION ZONE:
SIGN LOCATION: SIGNS SW NO ADDRESS JURISDICTION:
APPLICANT /AGENT: GEORGE J. MARSHALL
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8'X4'
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 8 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 32 sq. ft. permanent freestanding sign. Sign must be on
private property & not in the public right -of -way. Sign permit approval based upon
building permit approval.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: Y
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:
• •. /
PERMITTEE SIGNATURE: k
DATE: 11/25/03
f
A 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
l- F�rtt- (-SI
FOR STAFF USE ONLY
Site f
Address/ Street Address Permit No.: S - 10 2,o0 3 - () 0 22,6
Location S, IA) . LiAbl- TER'.. ,I AL -Pot. Tate.
Suite /Bldg. # City/State Zip
Expiration Date:
)A Q� Receipt #: 2 3 '" 5 / V
Name Approved By:
Property
14Ei 605 CDNsr L.LC.. Date: / Y � / 0 3
Owner Mailing Address Suite Map /TL #: i5 /o/ T Spr r
o, Bo RIvet Zoning: 4 - 2 .
it Zip Phone
d,. -tM.,p te..417zei I . • S.2 Y- Ztp 7„ Electrical Permit Required? ❑ -Yes Z No
Tenant or Name
Business Building Permit Required? Yes I=1 No
Name Rev. 8/7/2003 is \curpin \masters \revised \siqn permit app.doc
Sign 5A 1.4_ ..
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a i
r
w ithout the required submittal elements
copy of all City /State Zip Phone q elements)
licenses are
required if [- Completed Application Form
expired in the Oregon 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 ❑ Permanent k' Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ 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? liA Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
$31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
37, 4 X g- ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this
NOTES:
section) N �J E W NE NW SE SW
Height to top of sign (feet): g FE£ • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
C ,. - sign placement.
Copy: d-� A-7 ri4 crli I • Wall signs do not require site /plot plans.
Materials: 0 pp • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: ❑ Internal 7 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
I=1 Yes '[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 �� day of 0(, , 20 O.,' .
/ .
..gnature of OW;.- r /Agent ' - . .. • .
0 44
Contact Person Name Phone No.
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`--- --' - -- 1_ - --- MOUNTAIN ROAD Approved _ [ Xi
- - - - - - - - - - - - S W BULL - --- - Con'ditio Approved [ i
_ - -- - r — — — — FoT only The work as descl•il�ed in:
_ _ _ _ _ -- J PERMIT NO. pc n) a 0.0)3. \ Uo�` .C.
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---, �w r'- "__ - - --- - ------- - - - - -- ____ I- w r1 Attach I l
I °;z I \ . v? I Job Address: I ki c Sc.-1 L« '
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At. OF TIGARD t SUB2001.00004
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CITY
olrvcena,QO SITE PLAN N DAFFODIL HILL SUBDIVISION
(Map is not to scale)
4 ii CITY OF TIGARD 11/25/2003
13125 SW Hall Blvd. 10:15:44AM
"_'# Tigard, Oregon 97223
_.. (503) 639 -4171
Receipt #: 27200300000000005146
Date: 11/25/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00296 [USIGN] Sign Permit 255- 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ED Acct. /Check Approval No. How Received Amount Paid
CreditCard GEORGE MARSHALL KJP 025869 In Person 31.00
Payment Total: $31.00
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