SGN2007-00207 •
I • e
16 i . CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00207
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/6/2007
PARCEL: 2S102BD-00100
BUSINESS NAME: ST. ANTHONY SCHOOL1 ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: ST. ANTHONY SCHOOL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary banner 3' X 6' Valid 11/6/07 - 12/6/07 Sign #2
MATERIALS: VINYL
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 Speaalty 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: 1 ," /
PERMITTEE SIGNATURE: ,a1." t -
DATE: 11/6/20i
•
1 . 1 11 1 ii, IR SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Bluff, Tigard OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
` 4 �� � — FOR STAFF USE ONLY
Site
Address / StreetAddress� let-ltrozi
Ac ,�/t� s6/`) a(rp i- CDo -t)'7
Location —�-1 _ ��> �J / Permit No.:
� � n CA / S Y "” Expiration Date:
Suite /Bldg. # Gty /State Zip
— L A C ri 7-,_3 Receipt # : at-6'24613(o
Name Approved By - 1Y - 674 r
Property Date: f (((P(07
Owner Mailing Address Suite M /TL# : •S / O, Z 61- Ot.) (CO
Zoning:
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes
Business 5 4+1/`, YL SC1444 Building Permit Required? ❑ Yes 1 - No
Name Rev. 7 /5/06
is \curpin \ masters \land 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
Gry of Tigard's 1
database) 1 ❑ Completed Application Form
Proposed P ❑ Permanent ❑ Freestanding ❑ Freeway I ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Z. Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that
apply) • Other El
Billboard ❑ Balloo size requirement: 81/2" x 11 ", or 11" x 17"
3 0 New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.
(p ❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S (n W NE NW SE SW
Height to top of sign (feet): ' ., . ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy: ♦ Wall signs do not require site/ lot plans.
Materials: 30.nr\c- g p p
♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes R. No permit.
Type: ❑ Internal p' External ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes i f5 , No 1 NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
a
I hereby acknowledge that I have read this application, that the information given is correct, that I am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DATED this b day of lU O t) , 20
- 1 c4tAv4-L
Signature of ; er /Agent
•
�q j � 50 3
Contact Person Name Phone No.
f— 4-N44/up/ cito rte.
[4.0lict o¢- 4 a r
(1;0 -, Co 4, 1I
ij or> cA I I ; go - -c1.0 ($?
•
CITY OF TIGARD i 1/6/2007
. 1 3125 SW Hall Blvd. 2: I6: 18PNI
Tigard. OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000004936
Date: 11/06/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00207 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00207 [LRPF] LR Planning Surcharge 100 0000 - 438050 2.00
Line Item "Total: 519.00
Payments:
Method Paver User ID Acct./Check No. Approval No. l - low Received Amount Paid
Check JOSEPI - I VINCENT RAULINO ST 833 In Person 19.00
Payment Total: 519.00
eReceipt.rpi Page 1 oil