SGN2004-00108 C ITY OF TIGARD SIGN PERMIT
11 d► DEVELOPMENT SERVICES PERMIT #: SGN2004 -00108
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/17/2004
PARCEL: 2S110AB -00200
BUSINESS NAME: TIGARD LEARNING CENTER ZONE: C -G
SIGN LOCATION: 14361 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD LEARNING CENTER
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install one temporary banner (3' x 4'). Sign #2. Valid from 5/19/04 through
6/14/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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.
APPROVED BY:
PERMITTEE SIGNATURE: � � �� /
- - '
DATE: 5/17/2004
I I N
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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
FOR STAFF USE ONLY
Site C C.-\_•n e( \ (=-\) t�1�C
Address/ Street Address / ( Permit No.: .66.N.1 a Oo y - bo 1 0 0
Location � `'3b t SW y<,�\ -\L \ y "
f Expiration Date: p " / 9 - b `i
Suite /Bldg. # City/State Zip
l t 3 L,( -6, 0\2 9 i? atty' Receipt #: ,,?-0b 4 — a O R 0
Name �,�
/ Approved By: C . (,c,✓c I.d
Property 6 1 L. ■ic, ` \.le Date: 5 — / '7 -0 `i
Owner Mailing ddress Suite Map/TL #: c25 (l 0 A - (J oa o
.1`�A� % P C t� ∎L k`"l Zoning: G ° C-
City/State Zip Phone
•
—C\ \r k \-) . `- ‘ S''13 ` P 0c0 Electrical Permit Required? ❑ Yes [a No
Tenant or Name `
Business T\S c�4r1 \ -.c, rr 175 Lt„.-� Q(
Building Permit Required? ❑Yes [ No
Name..) Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
S t r C_vh -Q h S
Sign S 1
Contractor Mailing Address ( Suite REQUIRED SUBMITTAL ELEMENTS j
(Prior to permit 13 t S SW P y u l l 4 w ` / ]
(Note: applications will not be accepted
issuance, a w ithout the required submittal elements)
copy of all City/State Zip Phone q
licenses are -�
required if 15 '1r\\ q7 -:a� 0s \ 121 Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City ofTigard's License# [ ✓2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ize requirement: 8 x 11 ", or 11" x 17"
Sign 2- Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ID Balloon copies of elevations, drawn to scale
apply)
(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: A /)`t,
- 1 ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
`a Er $15.00 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): 1 ` • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): h /,1{ but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: \) ‘..,\ 1 ?y M 'Q( • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes a No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
L Yes ❑ No
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 \O day of V\ , 20 (A
Signature of Own) n t
Qi sJ 3 (00 os 9 3
Contact Person Name Phone No.
1
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Sign Elevation PE. 0.
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. ' A
T igardL earning C enter
ssori Day, • Junior Preschool
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4 4.•.-- 11 s • 4,3 i Kiiidtigarten
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ill ri i-_, • Elementary
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Writin Spanish 503-603-0593 .
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d. est:: "nowdesc.r_liA..........n: ....._
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Temporary Staked Banner
CITY OF TIGARD
12 square feet Approved 4\
Conditionally Approved _ .......... .... ..... ____ ..... [ ]
For only the work as described in:
Scale: .1" — l' PERMIT NO. SG IQ ,9ocAl -oo I Q13
6eb Letter to: Follow i I
Attach ,I 1
Job Address: 143 ■ g LA RAc- t-i
Site Address: 14361 SW Pacific Hwy r'“ C ect,.:yv... Date: .5 - (7 — of
Tenant/Business Name: Tigard Learning Center & Dayschool
Sign Company: Signscupe Signs
13185 SW Pacific Hwy CITY OF TIGARD •
Tigard, OR 97224 Aporove ri....... ..... • ..... ved ............................... .. . ...... t .1
(503) 639-7881 Conditionally A )ro ....... : .
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Sign Cellte
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Site Address: 14361 SW Pac fic Hwy
Business Name: Tigard Learning Center
+ Parking
Parking
,i Scale = 1" = 20'
CITY OF TIGARD 5/17/2004
13125 SW Hall Blvd. 9:42:16AM
�, 1\ Tigard, Oregon 97223
� (503) 63 9-4 17 1
Receipt #: 27200400000000002070
Date: 05/17/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount'Faid
SGN2004 -00108 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check TIGARD LEARNING CENTER & CAC 2567 By Mail 15.00
DAY SCHOOL
Payment Total: $15.00