SGN2003-00133 CITY OF TIGARD SIGN PERMIT
"'1� 'I'� DEVELOPMENT SERVICES PERMIT #: SGN2003 -00133
E�>♦I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/12/03
PARCEL: 2 S 110AC -01000
BUSINESS NAME: WELLINGTON ESTATES ZONE: R -40
SIGN LOCATION: 11545 SW BEEF BEND RD 08MGR JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of a cluster of balloons attacted to existing freestanding sign.
MATERIALS: BALLOONS
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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: - - ' 4 " 4 ••• "
DATE: 6/12/03
CITY OF TIGARD 6/12/2003
13125 SW Hall Blvd. 11:00:24AM
Tigard, Oregon 97223
AMP ' (50 3) 63 9-417 1
Receipt #: 27200300000000002456
Date: 06/12/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00133 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash WELLINGTON ESTATES KJP In Person 15.00
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt
, 05/01 2003 1U: 16 FAX 5035981960 CITY OF IIGARD a UU2
Ake
, SIGN PERMIT APPLICATION
CITY OF TIGARD /3/23 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (50) 684 -7297
GENERAL INFORMATION Name of DevelopmenttProleci �~ — — — OR.ACF, ONLY _,
Site Weil l 'o ��4 _..__ __
Address/ StreetAt!d'ess Permit No.: -> _61 ZOO 3 - 00 3
Location / i . - __ �o
a b Expiration Date:_ / /.Z o 3 = �?- ?/
;tui:e/E1id . * T Ci fS Lip
_, --- _-
l Gtrf �A7Z2 _ Receipt #; .2cx, -ySS0 . --
e * - Approved ey: i� _ —
tf U "�
Property i /1L°t —1 Date. (°� C3 3 — __ ---- -__.._
Owner nt . atiing Address ..ci Map /TL #:
,.�LS 2 Cj 0 _ Zoning: - - - - - __ -. -- .._____- _- __ -__._
ltyiState Zip Phone ,.303
_ l #+ 4 .r 11f ( 37Qe ��9'i oo q Electrical Permit Required? tLi Yes °
Tenant or Name
Building Permit Requi ❑ •'es No
Business erg 'n,.4 OA
Name ' Rev 212812003 i ; perm a
it app ,'c
Sign i i I ,� - --- _ I �.r.
Contractor M alin9 Addres9 lie REQUIRED SUE3MITTAIELENIENTS
(Prior to permit (Note: application:, will not be accepted
oapy of all Hay/state ZIP Phone ---- without the required submittal elements
licenses am
requ•oa If 1;4( Completed Appiication Form
expired in the Ottjon Cons. Cont Board Exp. Date
CA) oflisar 's License # ______H Copies of Site /Plot Plan, Drawn to Scale
Webs**
(3 copies, if a building permit is required)
Proposed i a permanent El Freestandtnn ❑ l=eeway size requirement: 31/2" x 11", or 11" x 17"
Sign Temporary Ej Wall Electronic
(Check An that 1 Other [] Billboard Balloon [i 2 copies of elevations, drawn to scale
a " — - - -- copies, (3 co ies if a building permit required)
is re u
( p 9p• a'
T U New sign? ❑ Alter exis sign? _--i size requirement: 8 x 11', to 24' x 38"
�
Sign Dimensions:
__ — _ - -- f1 $30.00 Fee (Permanent sign, any size)
j Total Sign Area (sq. ft.):
V $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sc. ft) �~ ��� Jurisdiction: City r] Urb
(Complete ' Direction Wail Faces (circle one): NOTES:
items itt section) N S E W NE NW SE SW
Height bo top of sign (feet): i • Waif signs do not need to be drawn to srate,
Projection From Wall (Inches). but roust include dimensions of well Lace and
sign placement.
Copy _. - - -- - • Wall signs do not require site/plot plans.
N taterials:
_ _ _� • Freestanding signs over 6 ft. required a
1 Will sign have illumination? ❑ Yes El No building permit.
}
_____ __ Ti ti ❑ Interrai _ G External • If work authorized under a sign permit has not
re
A 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? I the issuance of the permit, THE PERMIT WILL
Yes No BECOME NULL AND VOID,
it '•yes ", a list or diagram at all sign dimensions and I �--- j
L square footage must also be submitted. .�..-_.�__ _ J
OVER FOR SIGNATURES)
N
OF 1IF;�R.0
` 05 •u1� 2O 3 10:17 FAX 5035981P \,
that the information given is
acknowledge that I
have read this application,
I hereby or authorised agent of the owner, and that plans submitted are
cor rect, that i am the cwne { of Ti ard.
in compliance with the City 9
20 �___.
DATED this L0.- - 4-ino 1111 ..- ,,,„ Itil e , / /
Pi gnature o
Owner/Agent d
' � No.
..._ - -- hog �.
C:,:ar�, ct,P son Name
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