SGN2012-00103 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2012 -00103
COMMUNITY DEVELOPMENT Date Issued:
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S110DD03700
Jurisdiction: Tigard
Name of Business: Summerfield Civic Association
Business Address: 10440 SW CENTURY OAK DR
Applicant/Agent: Froeber, Cari
Work Description: 4 ft by 2 ft freestanding sign 3 ft above nearest curb
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4'x2'
Total Sign Area: 8
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Dibond
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $165.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: �/ J
Permittee Signatu• • in a� 1
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RECEIVED
City of Tigard JUN 112012
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Sign Permit Application CITY OF TIGARD
PLANNING /ENGINEERING
GENERAL INFORMATION
Name of Development /Project p "—p 3 42,0 47 3
� // FOR STAFF USE ONLY •
Site �7ui!1� {%Y4 // L, yi G A25 -‘7_ G
Address/ Street Address Permit No.: 56* .9.91-0 .& 010 2 7
Location /Q 1f/ Ce / a4- d). •(o /�
Suite /Bldg. # City/State Zip Approved By: "�+�r
/ /f 1 0/L QJ 3-al'f Date: 1/1/ [
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Name Receipt #: ^
Property �,�{�iN/ l ,iJ. TL
Map /#: c n ) N) 05 7D 0
Owner Mailing Address IOW- Zoning: g-7 ( A ( b
1 e e SW C f - i' i kL.. b ` Allowable Total Area: 0-- "Y Pr
City/State zip Phone
�� QG / 7g9.. Y Electrical Permit Required? ❑ Yes UT 117
Tenant or N
Business Building Permit Required? E1 Yes ['No
Name Rev. 7/1/10
is \curpin \ masters \land use applications \sign permit app.doc
Sign Ddc'! / /Vc jj0 Cr NA. en f.:. !-,t'
Contractor Mailing Address Suite
15812 UPPER 50 0 ri e 5
City/State Zip F-GR JZy Phone REQUIRED SUBMITTAL ELEMENTS
Lit 5 - 639 - 565 (Note: applications will not be accepted
K r' (%;(0L: G 0 d /t' 97.3S
without the required submittal elements)
Oregon Const. Cont. Boar Ex
License # Exp. Date
e.,_, F, 1 ,' „,&,141 - ® Completed Application Form
Proposed ® Permanent ❑ Freestanding ❑ Freeway ® 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that
apply) ❑ Wall ❑ Other s ent: 8t /2" X 11 ", or 11" x "
'e
1,0 2 copies of el- ations, drawn to scale �
1 ® New sign? ❑ Alter to existing sign? , i a building permit is required) tP/
Sign Dimensions: µ FT tJ x 2 FT. H / ze requirement: 8Y2" x 11 ", to 24" 6
Total Sign Area (sq. ft.): • / g $164.00 F (Permanent sign, any size); " o b
s sa, F T. n an Jbs-
Sign Data Total Wall Area (sq ft = /a $52.00 Fee (Temporary sign, any type)
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(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): a ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials: D I p0 N D ♦ Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes /2 No ♦ Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ®, No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
foota • e must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I Page 1 of 2
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 COL day of 9A,U1V(.... , 20 Ia.,
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Signature of Owner /Agent
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Contact Person Name Phone No.
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City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard- or.gov I Page 2 of 2
SUMMERFIELD ENTRANCE @ SW 1 and SW DURHAM
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RECEIVED
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CITY OF TIGARD
I PL /ENGINEERING
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Summer�ield '
24" Q
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GOLF COURSE SIGN - TWO FACES U. C. U) '-, CD
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mr c:- . 25, i4i, , ,,,,e = Summer Fe ; , 414, pq / , xc,-€.0(
SIGNAGE ADULT 55 +COMMUNITY_1
G R 0 U P NO SOLICITING l D,� Wf ���" " , v �c!`— In
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(503) 639 -5656 tx?
Hal Payne
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RECEIVED
JUN 112012 Q
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 187184 - 06/14/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00103 Sign Permit 100- 0000 -43115 $144.00
SGN2012 -00103 Sign Permit - LRP 100 - 0000 -43117 $20.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 11670 HWATKINS 06/14/2012 $164.00
Payor: Summerfield Civic Association
Total Payments: $164.00
Balance Due: $1.00
Page 1 of 1
U
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 187184 - 06/14/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00103 Sign Permit 100-0000-43115 $144.00
SGN2012 -00103 Sign Permit - LRP 100- 0000 -43117 $20.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 11670 HWATKINS 06/14/2012 $164.00
Payor: Summerfield Civic Association
Total Payments: $164.00
Balance Due: $1.00
Page 1 of 1
I
CITY OF TIGARD RECEIPT
_ 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 187219 - 06/19/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00103 Sign Permit - LRP 100 - 0000 -43117 $1.00
Total: $1.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash JFLOYD 06/19/2012 $1.00
Payor:
Total Payments: $1.00
Balance Due: $0.00
Page 1 of 1