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C ITY OF TIGARD SIGN PERMIT
4 DEVELOPMENT SERVICES PERMIT #: SGN2006 -00014
1 - ' JII 13125 SW Hall Blvd., Ti gar d , O R 97223 (503) 639 -4171 DATE ISSUED: 1/10/2006.
PARCEL: 2 S 102 B D -01600
BUSINESS NAME: TIGARD PLAYSCHOOL ZONE: R -12
SIGN LOCATION: 09845 SW WALNUT PL 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: 45 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) A -Board sign. Not to be placed in public right of way.
Valid 1/20/06- 2/20/06 (Sign #1)
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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 �a m validity date.
APPROVED BY: /
PERMITTEE SIGNATURE:
DATE: 1/10/2006
IR
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1.lj S
c • IGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
•
FOR STAFF USE ONLY
Site
Address/ Street Address h Permit No.: c . JU I-- J X
J 6 - 0 Y
Location e y eic sw Wel /1744 - r 1 , / /
Suite /Bldg. # City /State Zip
Expiration Date: '! - to CO - - l (ps
d,0 /L. /72°3 Receipt #: J - ^ Co —
Name ? Approved By: ICV
Property Date: t� I ( u (o
Owner Mailing Address Suite Map/TL #:
Zoning: Cq
City /State ' Zip Phone
Electrical Permit Required? ❑ Yes L-rcro
Tenant or Name k ,
Business 77 � arL1 /) /��/ Building Permit Required? El Yes Ericiar
Name Rev. 7/1/05 i:\curpin \masters\revised \sign permit app.doc
Sign
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) I
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of database)ard's License # [11 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed Per manent Const. Cont. • ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
(Check all that emporary Wall ❑ Electronic
apply) ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions / // /
.2. X 2 - / ❑ $38.00 Fee ,(Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(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): 2 //2. ' • 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
I j sign have illumination? ❑ Yes ❑ building permit.
Nq • 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. 1
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
r
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 / C% day of CJ a Cl , 20
&F
Signature of Owner /Agent
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Contact Person Name Phone No.
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