SGN2002-00142 i
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2002 -00142
• � �i DAT ISSUED: 8/26/02
` `- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: GREENFIELD VILLAGE APARTMENTS PARCEL: 2S104BA 00101
SIGN LOCATION: 12085 SW 135TH AVE
APPLICANT /AGENT: ZONE: R -25
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: ADD 3'4" X 2'5"
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 5 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Alteration to existing sign. Adding 8.5 sq ft of copy to monument sign.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary si hall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnvaI rlatP
APPROVED BY: j -IZAA
PERMITTEE SIGNATURE: <Th
DATE: 8/26/02
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• .��.,411a SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
Site
G��� �-c e \ & V ■ \ \tL �� FOR STAFF USE ONLY
— C L r
Address/ Street Address Permit No.: J /v z.,602 - 001 ('a
Location t'.O$S- B UJ \.-\''-' i ,)-g--
Expiration Date:
Suite /Bldg. # - Ci it ty //State Zip
c , 'I aa� Receipt #: �`'1 3 f 3
Name Approved By: 3
Property U. \ a o Ka Date: 5iz(o'
Owner M d ess Suite Map/TL #: A$ /0 VQ�- 00 /fk1
w z }�
, Mowln,�.tiy.� r Zoning: •
..city/State - Zip Phone U', to P 0.`WA.. .
C' ` �0�
D 3 0 • 4 al Electrical Permit Required? ❑ Yes g No
Tenant or Name
Business Building Permit Required? ❑ Yes No
Name Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc _____
Sign N P
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
• copy of•all City /State Zip Phone without the required submittal 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 size requirement: 8 x 11 ", or 11" x 17"
p Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other El Billboard El Balloon (3 copies, if a building permit is required)
apply) _ size requirement: 8 x 11 ", to 24" x 36"
❑ New sign? ErAlter to existing sign? [$50.00 Fee (Permanent sign, any size) •
Sign Dimensions: .Ld v � `
ll IC. )\ ❑ $15.00 Fee (Temporary sign, any type)
• Total Sign Area (sq. ft.): -
_ NOTES:
Sign Data Total Wall Area (sq ft ^ p, o Wall signs do not need to be drawn to scale,
Si
g 1 a-y`a t but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this
section) r) S E W NE NW SE SW • • Wall signs do not require site /plot plans.
o Freestanding signs over 6 ft. required a
Height to top of sign.(feet): 5t ND ∎ k building permit.
Projection From Wall (inches): _ • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes EtrNo BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this / Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa O MasterCard
❑ YeS X No Credit card number / / —
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. g
Cardholder signature Amount
(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 p\ \ day of , 20 C
Signature of Owner /Agent ° •
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Contact Person Name Phone No.
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Receipt #: 27200200000000003134
Date: 08/26/2002
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00142 [SIGN] Sign Permit 100 - 0000 - 437000 $30.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash GREENFIELD VILLAGE APARTMENTS KJP $30.00
TOTAL AMOUNT PAID: $30.00
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