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SGN2003-00138 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2003 -00138 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/16/03 PARCEL: 1 S135CA -00600 BUSINESS NAME: AUTUMN OAKS APTS ZONE: R -12 SIGN LOCATION: 11200 SW GREENBURG RD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 8' X 2' TOTAL SIGN AREA: 16 sq. ft. WALL AREA: 900 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Framed banner (wall sign) 8' x 2' on 30' x 30' wall. Total of 60 units in the complex. MATERIALS: VINYL /WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 0.00 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 data 0 APPROVED BY: • PERMITTEE SIGNATURE: <f ' 9=e / DATE: 6/16/03 v 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 J n FOR STAFF USE ONLY Site ;i.� f/cY» . l 3 cL /( /7pf 5 Address/ Street Address Permit No.: .5 G,0 a u3 – 00 1 3 8 Location l/2 ( C _4.%. It r'ee vi ,7ikF P� �' Expiration Date: Suite /Bldg. # City /State Zip T; 4 r J, 0 q 7 .1 )5 Receipt #: c boa — o'�S'c> Name / Approved By: Chilt. Property (J 4 4 4 Z G Date: (o -- IL --o.3 Owner Mailing Address Suite Map/TL #: 1 SS CAA – O o(0 0v 186'Y G 6 91 Zoning: R - la. City /State Zip Phone Pt/cl OR q ?Ora ,5'5 2q/- 0/3-4/ Electrical Permit Required? ❑ Yes cp No Tenant or Name Business Building Permit Required? ❑ Yes 0. No Name Rev. 2/28/2003 is \curpin\masters \revised \sign permit app.doc Sign I– Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a n copy of all City /State Zip Phone without the required submittal elements) licenses are required if [v]' ompleted 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 ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that Other El Billboard ❑ Balloon Ii f 2 copies of elevations, drawn to scale apply) (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: x 8 Er $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): /C 7), fir, p Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb (Complete all Directio Wall Faces (c o e): items in this NOTES: section) N S E C4 NE NW SE SW Height to top of sign (feet): 1' s ' • Wall signs do not need to be drawn to scale, Projection From Wall (inches): / / but must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes V 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 BECOME NULL AND VOID. ❑ Yes ❑ No 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 / a day of J k n Q , 20 0 3 26 IP 4 , ( 2_0 9z Signature df O ner /Agent Contac`t'Person Name Phone No. 4 n ------ _ ) -7 1 i 1 ) ,1 1 „.... , ■ 1 ■ ori _ ........... 1 ::: .,: : n : f e....,,,,,c_to.........,1....„:-..7 0 - ------ -- APP ,- W APP -- *e *IA.. SES f 0 : c,nlv the v1_ ?-. `-2---:-- — . . 1 LA IT O. ............. - .. 1 - . •-v tc' 0 • -- .......... - . ...C> ‘--- se e Let," - Gy-eft: tl'i • - CITY OF TIGARD 6/16/2003 13125 SW Hall Blvd. 10:25:54AM A0 t Ti gard, Oregon 97223 (503) 63 9-4 17 1 • Receipt #: 27200300000000002502 Date: 06/16/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00138 [SIGN] Sign Permit 100- 0000 - 437000 30.00 Line Item Total: $30.00 Payments: Method Payer User ID Acct. /Check Approval No. Dow Received Amount Paid Check DOLLY JACOBSON CAC 1085 In Person 30.00 Payment Total: $30.00