SGN2004-00161 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00161
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/21/2004
PARCEL: 2S 110AC -01700
BUSINESS NAME: CTK PRESCHOOL ZONE: C -G
SIGN LOCATION: 11305 SW BULL MOUNTAIN RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X2'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'x2' A -frame sign. Sign must be placed on
private property and not in the public right -of way. Valid 7/30/04 - 8/29/04. Sign #2
MATERIALS:
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 expire 10 da s Imp idity date.
APPROVED BY: /�,,
PERMITTEE SIGNATURE: A 0 -6 /74
DATE: 7/21/2004
�,�,�.�,,I, 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 . kV` ,` s t- , '� �) FOR STAFF USE ONLY
Address/ Street Address
Location J i 3 O-6 c I( ,` / _vt �� Permit No.: Sri Lo% y - 00«01--
Suite /Bldg. # City /State Q Zip
Expiration Date: 7/ 3,l c.5 Y — x/ /6 y
7 eti" , M 97aW Receipt #: :�v - 3 / S 3
/ h � s 4- 4k Na / Approved By:
y Q k l oh,v,_ , ` Date: 21 /
Property
Owner Mailing Address uite Map/TL #:
Sa WL— Zoning: C, (7, .
City /State Zip Phone
1039 -,-77729 g--No or Name Electrical Permit Required? ❑Yes
Business C7 voc Building Permit Required? ❑ Yes C-No
. Name Rev. 8/7/2003 is \curplMmasters \revised \siqn permit app.doc
Sign
Contractor Mailing A•• s Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City /S - Zip Phone without the required submittal elements)
licenses are
required if
exp ' e Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
Cit igard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Pro posed (3 copies, if a building permit is required)
p ❑ Permanent ❑ Freestanding Freeway f „ „ 11" 17"
Sign ❑ size requirement: 8 /z x 11 , or 11 x 17
emporary ❑ Wall ❑ Electronic
(Check all that
apply) ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
❑ New sign (33 copies, if a building permit is required)
❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
C Sign Dimensions: / X e
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (s . ft.): l�
r ❑ $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): • 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.
Materials • Wall signs do not require site /plot plans.
• 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
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
❑ Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and -
square footage must also be submitted.
(0VER FAR - StG N-A-TU -RES)
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
_149
Signature 1 6f f Owner, ' gen
- 6 19
Contact Person Name P ne No.
CITY OF TIGARD 7/21/2004
13125 SW Hall Blvd. 11:47:04AM
Ai�,,,,;H�,��� � Tigard, Oregon 97223
_ (503) 63 9-4 17 1
Receipt #: 27200400000000003188
Date: 07/21/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00161 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2004 -00162 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Tofal: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CHERYL JOHNSON /CTK 3705 3705 In Person 30.00
PRESCHOOL
Payment Total: $30.00