SGN2006-00089 i ,
C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00089
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/31/2006
PARCEL: 2S 102BD - 01700
BUSINESS NAME: TIGARD PLAYSCHOOL ZONE: C -
SIGN LOCATION: 12860 SW PACIFIC HWY 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: 5 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary A -frame sign. Sign must be placed on private
property, not in the public right of way. Valid 8/15/06- 9/15/06 Sign #2
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 days
from validity date.
APPROVED BY: )211A-6 C
PERMITTEE SIGNATURE: "" X °1VP-t44 /
DATE: 5/31/2006
1 . It
A,
,,a 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 1 i 5 04 PI a I , r1C • FOR STAFF USE ONLY
Address/ Street Address Permit No.: 5 6A) e>' —0-0(-A-9
Location 1 a i 4, 0 S Vi 66 P c kI w y . Expiration Date: �((S(U(n— a/ j s/ O b
Suite /Bldg. # City /State Zip
-6 o , . R -l2Z3 Receipt #: p9-OZ ' o
Name J Approved By: �- G /'i
Property
Date: 513 110 b
Owner Mailing Address Suite Map /TL #: a S / 1' 0 D l7 ra
Zoning: C.S0
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes 0--N
Business 5 3-d e(Ot ,, _ Building Permit Required? ❑ Yes Er
Name Rev. 7/1/05 is \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)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign IRI Temporary Wall ❑ Electronic
(Check all that ❑ Other El copies of elevations, drawn to scale
apply) ❑ Billboard ❑ Balloon +
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: S A X 1
El $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $18.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: El City El Urb
g
(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): • 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: WOoC( • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes fj 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 2 N
If "yes ", a list or diagram of all sign dimensions and
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.
GT S¢- nn
DATED this -- - I ' day of ill Qy , 20 0
Signature of Owner /Agent
S 314
Contact Person Name Phone No.
CITE' OF TIGARD 5/31/2006
' ' 13125 SW Hall Blvd. 12:41:39PM
7 2 "- Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000002666
Date: 05/31/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00088 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00088 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00089 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00089 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $36.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard GRETCHEN TAKAHASHI ST 01329A In Person 36.00
Payment Total: $36.00
cReceipt. Page 1 of I