SGN2009-00007 R .
C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00007
,ThGARLY 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/7/2009
PARCEL: 2S 102CA -00190
BUSINESS NAME: TIGARD PLAYSCHOOL ZONE: R -12
SIGN LOCATION: SW NO ADDRESS JURISDICTION: TIG
APPLICANT /AGENT: TIGARD PLAYSCHOOL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5' X 2'
TOTAL SIGN AREA: 5 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (A- Frame) 2.5' X 2' Valid 1/8/09 - 2/8/09
Sign #1 Must be placed on private property, not in public right of way. Must meet
visual clearance area requirements
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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.
APPROVED BY: 41Abt
PERMITTEE SIGNATURE: -����
DATE: 1/7/2009
r
Ill SIGN PERMIT APPLICATION
,N.
City f TiganiPemat Center 13125 SW Hall Blul, Tina rr t 621
Phor, 503.639.4171 Fax: 503.598.1960 C E IV ED
JAN
GENERAL INFORMATION CITY O F TI
PLAN ,iG/ .
0 7 [OO9
NGWEER WU
Name of Development /Project FOR STAFF USE ONLY
Site - 1 i r ' tA f 641.00 1
Address / Street Ad p Permit No.: » �
/Ci 1-v7
Location ' Yc S Slit (n1/l�(n�wl' PI • Expiration Date:
Suite /Bldg. # City/State Zip
0 b �.-( 04 "1 G
7Z Z 3 Receipt # :
Name J Approved By: s . TQ EA-
Property Date: 1 1 ? 1 D
Owner Mailing Address Suite Map /TL# : '4516 a CA - 0
Zoning: it 1 .>'
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/07
is \curpin \ masters VLind use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Gty of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign [, Temporary El Wall ❑ Electronic (3 copies, if a building permit is required)
ap C�t l ekall that
1:1 Other El Billboard El Balloon size requirement: 8 x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 1 c l f‘
X ❑ $40.00 Fee (Permanent sign, any size)
S i Sign D ata Total Wall Area (s ft
g ❑ $19.00 Fee (Temporary sign, any type)
(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, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
aY • Wall signs do not require site /plot plans.
Materials: WOO • Freestanding signs over 6 ft. required a building
Will sign have illumination? El Yes ITNo permit.
Type: El Internal a 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
El Yes No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
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 7 — day of U� , 20 D r
Signature of Owner /Agent
61-0-414e, Tit sk; S 631 - F - 110
Contact Person Name Phone No.
Ili . CITY OF TIGARD 1/7 /200.)
- rtrs sW Hall BIN i 4.13.44PM
Tigard. OR 97223 503.639.41 71
TIGARD
Receipt #: 27200900000000000050
Date: 01/07/2009
Line Items:
Case No I ran Code Description RCN entic Account No Amount Paid
SGN2009- 00007 [SIGN) Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00007 [LRPFI LR Planning Surcharge 100 - 0000 - 435050 2.00
SGN2009- 00008 [SIGN] Temp Sign Perm 11)0- 0000 - 437000 17.00
SGN2009- 00008 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
Line Item Total: S38.0O
Payments:
Method Payer User ID Accl. /Check No. Approval No. 11ow Received A nton n1 Paid
CreditCard GR[TCI -I EN TA KA MASH I ST 1414613 In Person 35.00
Payment Total: S38.00
it
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