SGN2006-00016 i C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00016
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/10/2006
PARCEL: 2S102BD -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: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 34 X 72
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: 0 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 72 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of 1 34" X 72" banner. Valid for 1/10/06 through 2/10/06. Sign #1
MATERIALS: BANNER
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 days
from validity date. i
►� / ` / i' 1 f
APPROVED BY: ,
PERMITTEE SIGNATURE: ". � ��
DATE: 1/1 /2006
,m . 1
•
t SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
/ VP / �� l�_ FOR STAFF USE ONLY
Site y frT>
Address/ Street Address Permit No.: ;() a 1p_ 0Z l J
Location /a ��y�? sal PA!FT !c / Expiration Date: // a d �D - - --
Suite /Bldg. # City /S ate Zip n / / 0(0 .-// U b
71 L 7AP ) 9-7a R eceipt #: - a� C3C�6/ 3-7
Name Approved By: . . .1
Property S I , AN (Dr\� SLh ' ' Date: '10 (0
Owner Mailing Address /Suite Map/TL #:
S' k1_ Zoning: k--
City /State • Zip Phone
Tenant or Na e Electrical Permit Required? ❑ Yes ❑ No
Business Sic Building Permit Required? ❑ Yes ❑ No
Name l',11 f Rev. 7/1/05 is \curpin \masters\revised\sign permit app.doc
Sign vl • AN7740N P c t
0
. Contractor Mailing Address Suite REQUIRED SUBMIT
(Prior to permit SUBMITTAL ELEMENTS
issuance, a (Note: •applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are
• required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
database) 11] 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway • y size requirement: 8 x 11 ", or 11" x 17"
Sign
all that Temporary ❑ Wall ❑ Electronic
apply) Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
New sign? (3 copies, if a building permit is required)
g ❑ 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.):
zCig ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area sq. ft.) Jurisdiction: ❑ City (1 Urb
. r,.1 . e__
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N • S C) W NE NW SE SW
Height to top of sign (feet): o Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Co sign placement.
py o Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No o 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 No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
/ / /t *2/0 (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
6IF / 1 .
Signature of Owner /Agent .
(
678Q---7//79 6 %)
Contact Person Name Phone No.
�. o..