SGN2006-00136 CITY TIGARD SIGN PERMIT
" DEVELOPMENT SERVICES PERMIT #: SGN2006 -00136
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/4/2006
PARCEL: 2 S 102 B D -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 8/4//06 through 9/4/06. Sign #2
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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: f/ ��
PERMITTEE SIGNATURE: 1 "U! I ,
DATE: 8/4/2006
. ,A
.:. S IGN 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 C , 1/ /V, a, • FOR STAFF USE ONLY
Address/ Street Address , � T '/, / Permit No.: S61Ua — 0 0 /.3 So
Location / (i.Z/ (<)'VY / PR/pc
Suite /Bldg. # City / ate - Zip Expiration Date: C /� �U _
71 cp
(1p+� b 97a a. Receipt #: ooh ��y3
Name Approved By: &If...
Property Sr / �N S (_h - , Date: F3/4 /e) (,.,
Owner Mailing • Address p sr > 3r� /Suite Ma /TL #: O - 6O)OO
S k l.
Zoning: — ice
City /State • Zip Phone
N e Electrical Permit Requir ❑ Ye
Tenant or ' No
Business S� Building Permit Required? El Yes ®- No
Name Rev. 7/1/05 r \curpin\masters\revised \sign permit app.doc
�1 - A `I-'f c A
Sign � .
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENT
(Prior to permit 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 # n 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
• Proposed 11 Permanent [11 Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other Billboard ❑ . 2 copies of elevations, drawn to scale
a ppl y ) ❑ ❑ Balloon
n? New sign? (3 copies, if a building permit is required)
ICI g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
X7 �— ❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
LiC�g ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area sq. ft.) Jurisdi
g 5 Fr C N U 1f n Cit y ❑ Urb
(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):, • 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 • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ 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 SI No 1
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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
7.
1• /
Signature of Owner /Agent
&8Q-//79
Contact Person Name Phone No.
Ll l Y OF 1 IUAIC11 V, �, L„V„ . b.
11 - '1 1312 SW HaI1 Blvd. 11:57:47AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171 I
Receipt #: 27200600000000003934
Date: 08/04/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00136 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2006 -00136 [MISC] Misc Fee 100- 0000 - 451000 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check RUSSELL /CATHERINE OEHLER CAC 4697 In Person 19.00
Payment Total: $19.00
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