SGN2005-00231 s
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CITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2005 -00231
°' w �� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/4/2005
PARCEL: 2S102BD -00100
BUSINESS NAME: ST. ANTHONY SCHOOL ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner. (3' x 6') Valid from 8/4/05 through 9/4/05.
Sign #2
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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. Q
APPROVED BY: —�` — 00.4_,A.4...,
PERMITTEE SIGNATURE: .' ' i '
DATE: 8/4/2005
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.ei� 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
/^ ,� / 6 FOR STAFF USE ONLY
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Site �i 7f�10 V / OL,
Address/ Street Address Permit No.: : 5 ( 2 ) , - 0 6 ) . 5 - L O 2
Location / (4 LS PMPC- / Suit�ldg. # City /S ate Zip 1 Expiration Date: �'� cS
71 - �
. 042-b 97a::3 Receipt #:
Name Approved By: C` • ( .
Property ST. AN 1 - 14(D SL hat_ Date: a -q - v5
Owner Mailing Address _ /Suite Map /TL #:) ( P vv t u
'k� Zoning: - t o
City /State ' Zip Phone
Tenant or Na e Electrical Permit Required? El Yes 111 No
Business ... h coL Building Permit Required? ❑ Yes ❑ No
Name
� Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign Sr- AN n fc \) - i1
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of
databa e) ard's License # n 2 Copies of Site /Plot Plan, Drawn to Scale
(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 O ther
apply) 1---1 ❑ Billboard ❑ Balloon I 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
X New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: i
j X 7 - n $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
LiC�g I 1 $18.00 Fee (Temporary sign, any type)
Sign Data Total WallArea ( ft.) ^I. r ,e Jurisdiction: (l City 1 1 Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S 0 W NE NW SE SW
Height to top of sign (feet): • 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 ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall_ signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes N11 No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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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.
p • •
DATED this day of 20
Chit
Signature of Owner /Agent - . •
•
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Contact Person Name Phone No.