SGN2006-00062 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00062
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/14/2006
PARCEL: 2S 113AB - 00700
BUSINESS NAME: ELMO'S STUD ZONE: I -P
SIGN LOCATION: 16255 SW UPPER BOONES FERRY RD JURISDICTION: TIG
APPLICANT /AGENT: BILL FAGAN
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 6'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (BANNER). 4' X 6' Valid 4/15/06 - 5/15/06
Place on private property, not in public ROW. Sign #1
MATERIALS: VINYL
EXISTING SIGNS:
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: Of
PERMITTEE SIGNATURE:
DATE: 4/14/2006 /7„
S
s 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 .
/
Site CI i If? S J rttP FOR STAFF USE ONLY
Address/ Street Address Permit No.: X 3- 0 0 (0 - JZV (6
/
Location
c b 2, ' tt Q 4,9ef r``/114 2NN Expiration Date:
Suite /Bldg. # City /State ( Zip ' / -
• 11 (i 4_ ?O l -4 ` Receipt #:
Nam Approved By: - 1
Property t (( _` A !"--( Date: 't /4 �O i,
Owner . Mailing Address n r Suite Map /TL #: ass/1 3,11
< !�S A-j6�C Zoning: /L
City /State Zip Phone
•
Tenant or Name Electrical Permit Required? ❑ Yes in N
Business t t , Li20 Building Permit Required? ❑ Yes _111,W
Name Rev. 7/1/05 i:\curpin\masters\revised\sign permit app.doc
Sign
•
Contractor Mailing Address Suite
(Prior to permit • REQUIRED 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 11 Completed Application Form
City of Tigard's License # ❑
database) 2 Copies of Site /Plot Plan, Drawn to Scale
•
Proposed V • g ❑ Freeway (3 copies, if a building permit is required)
❑ Permanent p Freestandin
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Sign : Temporary ❑ Wall size requirement: 8 x 11", or 11" x 17
(Check all that ❑ Electronic
apply) ❑ Other ❑ Billboard ❑ Balloon 11] . 2 copies of elevations, drawn to scale
sign? (3 copies if a building permit is required)
j21 New g n? ❑ Alter to existing sign? size req uirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: Y / X L i
1 $38.00 Fee .(Permanent sign, any size)
. Total Sign Area (sq. ft.):'
40 C $18.00 Fee (Temporary sign, any type)
Si n D Total Wall Area (sq. ft.)
g 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): / o Wall signs do not need to be drawn to scale,
Projection From Wall (inches): L` but must include dimensions of wall face and
Copy: sign placement.
Materials: o Wall signs do not require site /plot plans.
o Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes X building permit.
No / o If work authorized under a sign permit has not
Type: ❑ Internal El 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 ceNo i_
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES) •
A-
1 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.
Cif
DATED this / day of 4A / , 20 a
3 i
,.._ .---<// .-
_____., ..: z , „.„
S ure f owner /Agent
�4 2 ( (0 y D `(>4 375 - 2- 7
Contact Person Name Phone No.
14) 327- 3/S —(
CITY OF TIGARD 4/18/2006
'" 13125 SW Hall Blvd. 9:28:14AM
Tigard, Oregon 97223
T,IGARD (503) 639 -4171
Receipt #: 27200600000000001733
Date: 04/18/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00061 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00061 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00062 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00062 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00063 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00063 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00064 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -00064 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $72.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check MARLAND H. HENDERSON ST 2132 In Person 72.00
Payment Total: $72.00
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