SGN2003-00103 CITY TIGARD SIGN PERMIT
1444 01�r DEVELOPMENT SERVICES PERMIT #: SGN2003 -00103
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/12/03
meil- PARCEL: 2S110AC -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: Temporary balloon cluster to be attached to existing free standing sign. Valid
5/12 -5/16 & 5/19 -5/23. (10 days total). Sign #1
MATERIALS: BALLOON
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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 • - - • sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire 0 day from validity date.
APPROVED BY: •
PERMITTEE SIGNATURE: �
DATE: 5/12/03
05/tt1r2003 10:16 FAX 5033981060 CITY OF TIGARD Z 002
3/ M oY)
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,, = = 1� SIGN PERMIT APPLICATION ,�3 kri
CITY OF TIGARD 13175 SW Hall Blvd,, Tigard, OR 97223 (503) 639 -4171 FAX' (503) 684 -7297 5 t (\ e. \.
GENERAL INFORMATION _
Name of DevelopmenUPro}act c` j
Site tie) I r' • CS +c4�Q S OIL A F UPI` ONLY M !
Address/ cireet Add 'e$$ Permit No-: 56/1/2.e) 03 ()0/03
Location )1515 Su) lie o f &/1-4 12 d Expiration Date: _ --
:luftelD1 g.# City /State 'Zip — ' -
t Re:..eipt # :
a ' Approved By: i 1 / _
Property '0 _ n J-- Date! C /Z
Owner flab ng A. dr S ,
..ai i I1.f 8plTL#:�.
is hi,/ cU Zoning: yd _
i ty /State Zip Phone s03
lg . , a! 9 . r to-20-508e) Electrical Permit Required? Lj Yes 919 No
Tenant or Name
Business e i , Building Permit Required? 0 Yes 4 No
_ — Rev. 2/2er2003 i :';ry my n sterstreviseri�si n i a ctac
N ame �.. °T 9 permit �:-- - - -_—I
Sign / . ___.s34 —
Contractor ' fling Address ate REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
ropy of ad City/state zip Phone without the required submittal elements)
icense$ are
required K -- ( Completed Application Form
exphed in the Or an Const Cont Board Exp. Date
csy ofTigard`s License # 0 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed r .- (3 copies, if a building permit is required)
Permanent El Freestanding p Freeway size requirement 8 x 11', or 11" x 17
Sign i ► : Temporary [j Well , 0 � eeotrsniC
(Check a that j Other ❑ Billboard , pp Balloon LI 2 copies of elevations, drawn to scale
— (3 copies, f' a building permit is required)
® New sign? i"] Alter to existing signs - size requirement: 8W x 11', to 24" x 36"
1 Sign Dimensions:
LI $30.00 Fee (Permanent signs, any size)
Total Sign Area (sq. ft.): - -- $15.00 Fee (Temporary sign, any type)
{ Total Well Area (sc. ft.) �
Sign Data Jurisdiction: 14 City Llrb
(Complete en Direction Wall Faces (circle one): NOTES:
Rents in this
Sew N S E W NE NW SE SW
Height to top of sign (feet): • Watt signs do not need to be drawn to scale,
Projection From Wall (inches); but must include dimensions of wall face and
Copy sign placement.
• Wall signs do not require site /plot plans.
Materials; —_.. • • Freestanding signs over 6 ft. required a
Will sign have illumin ❑ Yes ❑ No building permit.
Type El
In 0 ExtemAt_ • 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 sign dimensions, and
1 square footage must also be submitted, �_ _____
OVER FOR SIGNATURES)
CITY OF TIC �RD
illh'
05'G1 2003 10:17 FAX 50259S1:160 J.
that the inforRration give►z is
t hereby acknowledge that I have read this application, plans t n gi submitted are
the owner or authorised agent of the owner, and that P
corrects that I am t Tigard.
in compliance with the City of Ti 9
T_________ day of ----" _
DATED this ____- -.-- -
I ka.1A+.114
Si• nature of Owner /Agent
4► Phone No
C untact Per5e{ Name
b euelov-y) 02,u, s 4-0 ia.c outt-a 40
ax-its f ,s-ta,-nel,t,), .
r
1 . (9)A-12A-4---1
Y Ur I lliAtUJ J 1 L, LVVJ
13 12 5 SW Hall Blvd. 9:52:13AM
it Tigard, Oregon 97223
.- - 67 1.. (503) 63 9-4 17 1
Receipt #: 27200300000000001897
Date: 05/12/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00103 [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
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