SGN2004-00008 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00008
: Ali
SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/14/04
PARCEL: 2S102BD -01700
BUSINESS NAME: TIGARD PLAYSCHOOL INC ZONE: C -G
SIGN LOCATION: 12860 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD PLAYSCHOOL INC
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: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 5 sq ft A -frame sign. Sign must be placed on
private property and not in the public right -of -way. Valid 1/14/04 thru 2/14/04. Sign
#1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 expiro 10 says from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: ` ' 1,%1 I , A lJ
DATE: 1/14/04
.. •�.
" ice SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
ENERAL INFORMATION
•
Name of Development/Project
Site q {D� � � �,�� � ��, FOR STAFF USE ONLY
Address/ Street AA dress y
(
�'� Po Permit No.: y nQ 0
Location off 5� U L I
Suite /Bldg. # City /State � Zip Expiration Date: '� �{ - qty �b q I Ic� a0 Q� 743 Receipt #: 1 - � /I
Name / / i aid W hiled lt¢rhpd1si Approved By: x y
Property d o ff ',t ;/: ' (JiU/Zh Date: ) /4/0
Owner Mailing Ad're•s Suite
78 5ii (,valntAl Map/TL#:
Zoning: C 4
City/State Zip Phone
Ma 04 '2a .)3 55 - � viD
tenant or Na Electrical Permit Required? 1:1 Yes U
3usiness Building Permit Required? ❑ Yes
Name Rev. 8/7/2003 is \curpin\masters \revised\sign permit app doc
Sign
:ontractor Mailing Address Suite
Prior to permit REQUIRED SUBMITTAL ELEMENTS
ssuance, a (Note: applications will not be accepted
opy of all City/State Zip Phone without the required submittal elements)
censes are
equired if
xpired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
;ity of Tigard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
'ro osed (3 copies, if a building permit is required)
Si n ❑ Permanent ❑ Freestanding El Freeway size requirement: 8 x 11 ", or 11" x 17"
g ❑ Temporary ❑ Wall
k all that El Electronic
Ohecec ❑ Other 12 Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑Alter to existing sign?
Sign Dimensions: - ' , X size requirement: 81/2" x 11", to 24" x 36"
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
5 rj_ ❑ $15.00 Fee (Temporary sign, any type)
>ign Data Total Wall Area (sq. ft.)
Jurisdiction: ❑ City ❑ Urb
Complete all Direction Wall Faces (circle one):
ems in this NOTES:
ection) 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
Copy: sign placement.
• Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
ire there any existing freestanding or wall signs at this been completed within ninety (90) days after
)cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
f "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 1 day of ,i , 20
OIWAS
Si nature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 1/14/2004
13125 SW Hall Blvd. 1:33:O5PM
x�r.0 �, Tigard, Oregon 97223
: . � I
�±,,+y► °.... (503) 639 -4171
Receipt #: 27200400000000000098
Date: 01/14/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00008 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. Flow Received Amount Paid
Check SCOTT & KATHARINE KJP 8508 In Person 15.00
RUMBA.UGH
Payment Total: $15.00