SGN2005-00355 CITY TIGARD SIGN PERMIT
j* h DEVELOPMENT SERVICES PERMIT #: SGN2005 -00355
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/17/2005
PARCEL: 1 S136DD -04000
BUSINESS NAME: DISCOVERY CORNER CHILDCARE ZONE: MUE
SIGN LOCATION: 11700 SW 67TH AVE JURISDICTION: TIG
APPLICANT /AGENT: DISCOVERY CORNER CHILDCARE, LLC
BUSINESS TAX NO:
SIGN
PERMANENT: \ FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' 4" X 9' 5"
TOTAL SIGN AREA: 40 sq. ft.
WALL AREA: 848 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Install one permanent wall sign. (framed banner)
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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. f
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APPROVED BY: 0/� , � --
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PERMITTEE SIGNATURE: L1-u' e71..
DATE: 11/17/2005
1
A 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 l 1l Cosc at( ( / W
Address/ Street Address Permit No.: C6-1\i2005 0035
Location 1 OD S k) (11 he, � uite /Bldg. # Cit /State Zip Expiration Date:
I l tiV v _ li Z2 Receipt #: '• CO S- —0103
Name Approved By: C - C'ctL,.`c,..../
Property Pl'Ulif . ,a-bid Date: i' 1 - 1 7 - 03
Owner Mailing Address Suite Map /TL #: 13134 1) r) o f 06-
1 Ka SW 10 100 Zoning: MU_ i=
' ' City /State Zip Phone
f L a� 91223 g)3--629-6620 Electrical Permit Required? 10 Yes ❑ No
Tenant or N e
Business Building Permit Required? El Yes ❑ No
Name Rev. 7/1/05 i:\curpin\masters\revised\sign permit app.doc
Sign
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 Tigard's License # n 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed X Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ 111 2 copies of elevations, drawn to scale
apply) Other Billboard Balloon p
(3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Ign Dimensions: q _ rd is ,s,
' t 6 ,t§ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): i •-\ 'j�
[ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) O 1 Jurisdiction: n City 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): • 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 El 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 ❑ No If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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 1 ` day of N dv e}Jo , 20
j\
Signature of Owner /Ag
44/1 400.r 3 � - 9y2-/
Contact Person Name Phone No.
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• OTY OF TIGARD
cr,d,tv..)na!ly Approved [
L;nly the work as described in:
,"r* NO. SbMa 605-003 - 55
_::1r to: Follow [
Attach
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C ITY OF TIGARD 11/17/2005 .,
1 3125 SW Hal1 B1vd. 9:31:10AM
A ,,, �, Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200500000000005883
Date: 11/16/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00355 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00355 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
Check DISCOVERY CORNER CAC 5110 In Person 38.00
CHILDCARE
Payment Total: $38.00
cReceipt.rpt Page 1 of 1