SGN2009-00054 CITY OF TIGARD SIGN PERMIT
• Permit #: SGN2009-00054 COMMUNITY DEVELOPMENT Date Issued: 03/05/2009
;TIGARD
- ;G,�;�; ,,� 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102BD00100
Jurisdiction:
Name of Business:
Business Address: 12645 SW PACIFIC HWY
Applicant /Agent: ST ANTHONY'S SCHOOL.
Work Description: Placement of (1) one 3'x5' temporary banner. Sign #2 Valid 3/5/09 - 4/5/09.
Fence mounted
Permanent: No Freestanding: Freeway:
Temporary: Wall: Yes Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions: 3'X5'
Total Sign Area:
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: NON
Materials: VINYL /BANNER
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: S19.00
•
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and
all other applicable law. 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:
Permittee Signature: ,%f,! 4 0
1
SIGN PERMIT APPLICATION
City of TigxardPemizt Center 13125 SW Hall Blzd, Tigard, OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
I FOR STAFF USE ONLY
Site �� �n
Address / Street dress 1 Permit No.: (5 4 / i� 9 - of-- sr
Location 124 a � Expiration Date: 3 /5 1 0? — yl5
Suite /Bld a City/State p Zip /� _ 065 -51 V L ,,, l of -! 722.3 Receipt fl : a ®07
Name ( f Approved By:
Property v Date: --
Owner Mailing Address Suite Map /TL# :
Zoning: C C
Gry /State Zip Phone
Electrical Permit Required? ❑ Yes J tJc
Tenant or Names ' p
Business }� 440ni C C 1 Bu ilding Permit Required? ❑Yes Name 111 Rev. 7 /1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all Gry /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
City of Tigard 's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 1XTemporar ❑ 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"
apply) q ' .
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: r (3 copies, if a building permit is required)
K size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. 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.
Co pY • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ 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
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
Signal of Owner /Agent
11 / •.1' d 3 -A39 X 1/77
Contact'Person Name Phone No.
A` E ' ;;:T''',:•. CITY OF TIGARD RECEIPT
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.41 . !- +.: 2
k 13 i25 SW Hall Blvd., Tigard OR 97223
s ' "-gr . .'ij 503.539.4171
{ F { F� .,E'' �3 'F Q <
Receipt Number: 2009 -00531 - 03/05/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00054 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00054 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 005974 KPEERMAN 03/05/2009 $19.00
Payor: Linda Olsen St. Anthony School
Total Payments: 519.00
Balance Due: $0.00