SGN2005-00040 At CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005-00040
'!I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/22/2005
PARCEL: 2S 102BD -01700
BUSINESS NAME: TIGARD PLAYSCHOOL ZONE: C -G
SIGN LOCATION: 12860 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD PLAYSCHOOL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5' X 2'
TOTAL SIGN AREA: 10 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 A- frame. (2.5' x 2') Sign #1. Valid from 2/25/05
through 3/27/05.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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. _�
APPROVED BY: i A-"i ". �CA-i-Yu-
PERMITTEE SIGNATURE: all 1 " ` ---A - - A"-j I I _
IF
DATE: - 22/2005
t .
, - .„ SIGN PERMIT A L CATI N
CITY OF TIGARD 13125 SW Hal Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684-7297
GENERAL INFORMATION
Name of Development/Project
Site T1 t Ct t C,c A SC �-) FOR STAFF USE ONLY
Address/ StreetA dress S�'� �o� - �
Permit No.:
Location
1 S 660 1 Ci, l [ # sI'U_
Suitert3ldg. # cihyJState Expiration Date: 3 �7 05
179 6 1 --- .% 17R Receipt #: &W S
Narne Approved By: C . deuyir-,-)
Property , Date: ''') o
Owner Mailing Address Suite �( - oZ5 S
Map1TL #: (35 / OA BD — 0170°
City/State z Zoning: L' - G
P Phone
Tenant or Name Electrical Permit Required? ❑Yes No ) 4 , Business T1 ( Y d p 1 ... S a, 00 1,, uilding Permequired?
f ,T � t•� it Required? 9 Yes No
Name, ts.J Rev. 8/7/2003 i:lcurplMmasters\revised\sign permit apa.doc
Sign - -.�
Contractor Mailing Address Suite
(Prior topertnit REQUIRED SUBMITTAL ELEMENTS
(Pri ante, a (Note: applications will not be accepted .
copy of all City /State zip Phone , th e required submittal elements)
licenses are q
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
database} i 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wail
(Check ❑ Electronic
k all that
( ❑ Other ❑ Billboard El Balloon 2 copies of elevations, drawn to scale
❑ New sign? (3 copies, if a building permit is required)
9 9 to existing sign?
n � size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: el cl l v. --p
` i n $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $16.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq_ ft.)
Jurisdiction: n Cit C Urb I
(Complete a 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,
Protection From Wall (inches): but must include dimensions of wall face and
Copy: sign placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a t
Will sign have illumination? i
❑ Yes ❑ No building permit. i
Type: ❑ Internal n External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after 1[
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and _ a __ !
square footage must also be submitted.
(OVER FOR SIGNATURES)
f
,,wit SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.:
Location
Suite /Bldg. # City /State Zip
Expiration Date:
Receipt #:
Name Approved By:
Property Date:
Owner Mailing Address Suite Map/TL #:
Zoning:
City /State Zip Phone
Tenant or
Name Electrical Permit Required? ❑ Yes 1=1 No
Business 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
(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 Ti ard's License # ❑ 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
(Check all that I=1 Electronic
apply) ❑ Other 11 Billboard El
❑ 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions:
❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: 111 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): ♦ 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 ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
f
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 day of b , 20
signature of Owner /Agent
4C-HACIOrl �� h kk g C3 - �3l(O
Cont Person Name Phone No.
A i OF TIGARD 2/22/2005
13 12 5 SW Hall Blvd. 9:36:49AM -
� r,,.I * 1 � i Tigard, Oregon 97223 •
±l+L (503) 63 9-4 17 1
Receipt #: 27200500000000000732
Date: 02/22/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00040 [SIGN] Temp Sign Perm 100 -0000- 437000 15.00
SGN2005 -00040 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $17.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check BONNIE E ANDERSON CAC 4341 In Person 17.00
Payment Total: $17.00
cReceipt.rpt Page 1 of 1