SGN2013-00039 n
CITY OF TIGARD SIGN PERMIT
Permit d: SGN2 039
COMMUNITY DEVELOPMENT
Date Issued: 03/26/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S110DC00700
Jurisdiction: Tigard
Name of Business: SUMMERFIELD
Business Address: 11205 SW SUMMERFIELD DR
Applicant/Agent: Davis, Lyn
Work Description: NEW MONUMENT SIGN MEASURING 3'5" HIGH AND 6' WIDE TO REPLACE AN
EXISTING SIGN AT 11205 SW SUMMERFIELD DRIVE.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3' 5" x 6'
Total Sign Area: 21
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
Building Permit Required: Yes
Total Permit Fee: $171.00
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:
Permittee Signature: NA' pre '�rfi
RECEIVED
MAR 25 2013
N,..„• City of Tigard
• • CITY OF TIGARD
7lG/1RD Sign Permit Application NING/ENGINEER►►HG
GENERAL INFORMATION
Name of Development/Project
f
Site WIVIV GIQ E es F STAFF USE ONLY
am 1L°t - rl
Address / Street Andress Permit No.: : i r': STAFF
3 CPti3 5
Location I I 2.06 SW mmr ;ell r•
Approved By: Me—
Suite /[skit;. # City/State Zip
tryl q 1 2-24 Date: ' J2(I I 3
Name Receipt #: I r VVDlll1(D O
Property ---A—\ f 6. R t . v„,...,6,, ,„2 Mfa)/TL #:_ Zs 110 DG o o7 DO
Owner niailina r •aa suite Qr Zoning: R -2S ( PID)
%, 1.1J Z f ,., -2..... Allowable Total Area: 32..c41- pox
".-1• a 4 - 1111M
Name eta 1 Electrical Permit Required? ❑ Yes
Tenant or
Business S(..t.YVlV1 1 etat 1'-5k4` es Building Permit Required? [s ❑ No
Name Rev. 7/I/12
Sign Meter Si, Ca. , \curpin \masters\lard use appbcannna \sign pcmmr app doe
Contractor Matbng Addnas Sum
16 5w74' Ave-
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
iciatIfOR R1124 563-13.16-82 p p (Note: applications will ma be accepted
ore . Cnnst. t :nor. Roane License a r•.rp. � at ate without the required submittal elements)
e 4C 14 . 0 �T! � S Completed Application Form
Proposed I cmranau Errreestanding ❑ I•rccv:n Z toptes of site /plot plan, drawn to scale
Sign
❑ Temporary ❑ Rnnf ❑ I(lectninic (3 copies, if a building permit is required)
(Check all that ❑ wall ❑ orbs` size requirement 81/2" X II", or 11" x 17"
' �opies of elevations, drawn to scale
[►] 'New sign? ❑ Alter t• existi sign? (3 copies, if a building permit is required)
Sign Dimensions: 1_,S / twin e. siz equirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 1,6 W 171.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) I ❑ 554.00 Fee (Temporary sign, any type)
Sign Data =
(Complete all Direction Wall Faces (circle one):
items ill this NOTES:
secnon) N S E W NE NW SE SW
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Materials: • ,� placement.
pin . , _ „ t llktl .11C S ♦ Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes LI 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 IC()
If "yes", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage 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 I of2
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back of
this form or submit a written authorization with this application
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
•
3//2/3
Applicant i atur Date
griatur of Own /Agent Date
•
L v L S 5b3- 6 V-o S ac
Contact Person Name Phone No.
•
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 -718 -2421 I www.tigard - or.gov I Page 2 oft
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 190760 - 03/26/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00039 Sign Permit - LRP 100- 0000 -43117 $22.00
SGN2013 -00039 Sign Permit 100 - 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 32426 JFLOYD 03/26/2013 $171.00
Payor: Meyer Sign Col. of Oregon, Inc.
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
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RECEIVED
MAR 2 5 2013
CITY OF TIGARD
PLANNING /ENGINEERING
4
SCALE: 1" = 1-0" - _ DESCRIPTION OF WORK
-'- N MOVE AND RECYCLE (1) EXISTING
\ - 'NW" _ DISPLAYS, MANUFACTURE AND
� - INSTALL (1) NEW SINGLE FACED NON
ILLUMINATED MONUMENT DISPLAY
C ITY OF TIGARD
_....__._.. __
- - -
S U M M E R F I E L D C onditionallyApproved. ... pc.] SQ. FT 15 QTY: 1
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11204 ESTATES PERMIT NO. 2r)t - 000 34 MANUFACTURE AND INSTALL NEW
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See Letter to: Follow _ ( ] NON- ILLUMINATED ID MONUMENT
A ttaCh._... DISPLAY WITH STONE VENEER BASE
RETIREMENT COMMUNI I
Retirement Job ddress: I r.
Ai i, e Aad li I is s ng ( 5 0 3) 6 16-5899 B y' DMA: 3/ Z(o 16 ID CABINET AND FACES
ALUMINUM CONSTRUCTION
I
111 1
PAINT DEEP MOCHA BROWN SATIN •
:`1 x - 74,.. - : "'� - '''x L � FINISH (VERIFY EXACT COLOR)
EXISTING CONDITION c. � ' = 11 �� y: APPLY 220 99 FAWN OPAQUE VINYL
TEXT
"� — ~'°'�" -
FIRST SURFACE
RECEIVED
REVEAL
PROPOSED CONDITION N
ALUMINUM
MOCHA BROWN
MAR 2 5 2.013 (VERIFY EXACT COLOR)
CITY OF 1'IOAI9 . BASE
N " STONE VENEER TO MATCH MAIN ID
pLANNiNQIENOINEE
DISPLAY
4 - ► INSTALLATION
_ -vh4 _ -- - - INSTALL NEW DISPLAY AT SAME
LOCATION AS REMOVED DISPLAY
SUMMERFIELD
_.,
ESTATES
,..
RETIREMENT COMMUNITY
(503) 616-5899
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PROJECT: S m.rn.id R eure..n . E ACCT. MGR: $ . °a Hm _ _ CUSTOMER APPROVAL LANDLORD APPROVAL: M. ~ $ °" C° " ° ., .", °, °,. . DRAWING #:
irgsellirS! www. ayeragnco.mm ADDRESS: SHOP MGR: _- _ .....— . . REVISION pia _.. - -.. __ REVISION* ■
,hone: 503 620 - 8200 w ; � ' � e " a � o . a e ° "ad :� .. ", Summerfieid Retirement Estates- $FI.13186
REVISION k REVISION #
SCALE °
:: 503 620 - 7074 {DESIGNER: D A T E 2/14113 REVISION #
s • REVISION z + DATE: DATE
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