SGN2007-00009 f 0
„ CITY OF TIGARD
SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 - 00009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/18/2007
PARCEL: 2 S 102 B D -00100
BUSINESS NAME: ST. ANTHONY SCHOOL ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 34 X 72
TOTAL SIGN AREA: 2,448 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of one (1) temporary sign (banner) 34 X 72. Place on private property,
not in public ROW. Valid 1/18/07 - 2/18/07 Sign #1
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 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. y.
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APPROVED BY:
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PERMITTEE SIGNATURE:
DATE: 1/18/2007
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. . ' t�l SIGN PERMIT � 4PPLICA�T' I:O N
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CITY OF TIGARD
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (50.3"Y'684-7297 4 -7297 , � DOJ
• GENERAL INFORMATION .,,,!``
Name of Development/Project °
�,,/ /,,� / 1 �' �/
Site �c� /7/ /77." J/ Y y V t *vim., FOR STAFF USE ONLY
Address/ Street Address Permit No.: '' 7 ' LSDvO `�
Location /a (�'4 (Svc/ Aeipc / i y Expiration Date:
Suite /Bldg. # City /S ate Zip ,9_ �(.JP''�-b Receipt #: 9_0-to 1 L'( S —
Name . �,'J Approved By: • T1
Property ST. . N ' t� D SL► r,, a Date: 1 h ( gjo7
Owner Mailing Address — /Suite Map /TL #: a - 1O A 6,6- owl)
siNQ`-� Zoning: 2_ 1 Z
City /State Zip Phone
Tenant or Na e
Electrical Permit Required? El Yes ❑ No
Business S Building Permit Required? ❑ Yes ❑ No
Name � PiLt1t Rev. 7/1/05 is \curpin \masters \revsed \sign permt appdoc
Sign $1 A - i -h , .
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 of Tigard's License # n 2 Copies of Site /Plot Plan, Drawn to Scale
database)
Proposed (3 copies, if a building permit is required)
• p ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other [11 Billboard El Balloon ❑ . 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
X New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
y7 __- ❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.): '/
Y40, ❑ $18.00 Fee (Temporary sign, any type)
Total Wall Area (/ , f (! J City Sign o
(Complete al -5Pr sq. ft.) C �'[r M Ll k gQ� 1 y El Urb
Direction Wall Faces (circle one): NOTES:
items in this •
section) N • S 0 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 NI No
If "yes ", a list or diagram of all sign dimensions and I / /(- .?Y /r
square footage must also be submitted. /
(OVER FOR SIGNATURES)
1
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
Signature of Owner /Agent "
L . "� i Age a l / �/ � � �� /c al'
Contact Person Name Phone No.
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t'.- _ ".ti-
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CITY OF TIGARD 1/18/2007
13125 SV' Ball Blvd. 9:17:10AM
• Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000000215
Date: 01/18/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00009 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00009 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check RUSSELL E OEHLER ST 4768 In Person 19.00
Payment Total: $19.00
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