SGN2008-00077 M P CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00077
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/24/2008
PARCEL: 2S101AA -09800
BUSINESS NAME: GEORGE FOX UNIVERSITY ZONE: MUE
SIGN LOCATION: 12570 SW 69TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X10'
TOTAL SIGN AREA: 40 sq. ft.
WALL AREA: 2,210 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 21 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one permanent 40 s.f. wall sign
MATERIALS: ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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.
1
APPROVED BY:
�
PERMITTEE SIGNATURE: 54: / � '~- -
DATE: 4/24/2008
s
illir SIGN PERMIT APPLICATION
City rf Tigard Permit Center 13125 SW Hall Blzd, Tigxrta OR 97223
Phan 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site R *Gv of f ie.4 Saa
Address / Street Address - Permit No.: S �7 21 7 0 8 - V
Location 70 SAL{X 6 51
uite /Bldg. # Qty/state Zip E xpiration Date: ? — 13 8 9
Ti y o a ox
Receipt it
Name J Approved By: 1 yp
Property U. 7 R b.• Date: y(Z /0g •
Owner Mailing Address Stu Map /TL# :
/ 2,6 00 5 ?a v ZoO Zoning: k E,
City /State Zip Phone
Tenant or lvan;e ' 1 Electrical Permit Required? El Yes ❑.No
Business G W �G i t/ v°G
i r�.d/ E:1 [�N
Building Permit Required? Yes .. o
Name / Rev. 7/1/07
/� c \curpin \ mane's \laud use applications \sign permit app.doc
U
Sign G0/yr. PD X G /„ ,ro s ill
Contractor Mailing Addres3 Suite
( ri or tope � t /10/ N— /// //A /ZI
copy of all ay/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if Ne-bL ^{ OR /N3: SJ3 S,'$'Y-ZO /j without the required submittal elements)
expired in the Oregon Const. Con card License N Exp. Date
Qty of Tigard's
database) ❑ Completed Application Form
Proposed Permanent Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other Billboard ❑ Balloon size requirement: 8 " x 11", or 11" x 17"
aPPI)) q
J New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: y X 7 - (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): yd S /
t ' ki $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq ft.) / El $19.00 Fee (Temporary sign, any type)
X01 /O sp-
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N 4 E W NE NW SE SW
Height to top of sign (feet): i 2,5-# • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): / . w must include dimensions of wall face and sign
.� ° 7 � „ As f, placement.
Copy: Materials: pi, r u •` • Wall signs do not require site /plot plans.
YX /0 c..1 .0✓6.L aIwr. • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes kl No permit.
Type: ❑ Internal ❑ External ' • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square I
footage must also be submitted.
(OVER FOR SIGNATURES)
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 , 20
!,/
Si na�Owner/
g Owner/Agent
Contact P(rson Name Phone No.
CITY OF TI1GARD •
4/24/2008 �, 52.29AM
� L e 13125 SW Hall B INd. 10 :
# ... 'I'i ard, OR 97223 503.639.4171
T 4IU * I D v
•
Receipt #: 27200800000000001383
Date: 04/24/2008
Line Items:
Case No Trait Code Description Revenue Account No .mount Paid
SGN2008 -00076 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2008 -00076 [LRPF] LR Planning Surchart;c 100- 0000 - 438050 5.00
SGN2008 -00077 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2008 -00077 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $80.00
Payments:
Method Payer User 11) Acct. /Check No. Approval No. How Received :Amount Paid
Check GEORGE FOX UNIVERSITY KJP 00260122 In Person 80.00
Payment Total: $80.00
cReccipi.ro Page 1 of 1