SGN2005-00121 CITY OF TIGARD SIGN PERMIT
4 DEVELOPMENT SERVICES PERMIT #: SGN2005 -00121
°" - DATE ISSUED: 4/29/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 110AC -01700
BUSINESS NAME: CTK PRESCHOOL ZONE: C -G
SIGN LOCATION: 11305 SW BULL MOUNTAIN RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X2'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'x2' A -frame sign. Sign must be placed on
private property and not in the public right -of -way. Valid 5/2/05 - 6/2/05. Sign #2
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 17.00
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 : ays from validity date.
APPROVED BY: � ' 4..a LIL
PERMITTEE SIGNATURE: ti ' ` '
DATE: 4/29/2005
•
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�.�111 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
// FOR STAFF USE ONLY
Site C h ✓i 64 - t k re Sao
Address/ Street Address Permit No.: 5‘ 2 - 6 Y- 9 5 .— 001 Z-
Location [ 130 S SLJ ISM(( `vI+, Pd Expiration Date: SIZ /OS- 6(Z /vs
Suite /Bldg. # City /State Zip
(� C� rd Receipt #: Zi ' 1 ° `1
Name 5 Approved By: - G 7
Property v 1 . -f-(A. �`Akc, iLagAva., Date: YIZg10S
Owner Mail Address Suite Map /TL #: ZSt/046 IV O
1(3U ; Suau(( -(Pj Zoning: G- G
City /State Zip Phone
( 1 -) C�2z 61%- 56-20
7
Tenant or
Name Electrical Permit Required? ❑Yes [�
Business C h V 1 s -( '( tua L A 9 R , C (- d . z ( Building Permit Required? ❑ Yes No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a
(Note: applications will not be accepted
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
database Tigard's License # [ Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
p ❑ Permanent ❑ Freestanding ❑ F reeway SI e requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other El Billboard ❑ Balloon 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
❑ New sign? ❑ After to existing sign? 1 size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: �� X � - 4--k
i � , b O ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): La $17.00 Fee (Tempora sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: City 111 Urb
(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): 3 • 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
r pe: ❑ Internal 12 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 0 N
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
r
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 Z? day of A? 1 , 20
Signature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 4/29/2005
13125 SW Hall Blvd. 12:49:30PM
i� , , i . , Tigard, Oregon 97223 li
,4i1,� ' f (503) 639 -4171 1
Receipt #: 27200500000000001904
Date: 04/29/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00121 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
Line Item Total: $17.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CHRIST THE KING PRESCHOOL MET 1090 In Person 17.00
Payment Total: $17.00
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