SGN2004-00224 n
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00224
A.IIi 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/1/04
PARCEL: 2S 114AB -00500
BUSINESS NAME: SEVINS DAY CARE ZONE: R -4.5
SIGN LOCATION: 09300 SW DURHAM RD JURISDICTION: TIG
APPLICANT /AGENT: SEVEN HOLDER
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 2'
TOTAL SIGN AREA: 4 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one permanent wall sign. (2' x
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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:
PERMITTEE SIGNATURE: �� er-
DATE: 9/1/04
•
t
' ° t 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
/ p FOR STAFF USE ONLY
Site 5100 Sw 0 zr r, RV
Address/ Street Address Permit No.:_ sA M dot) 4 - (30 -4
Location
Expiration Date: - --
Suite /Bldg. # City /State Zip
7,„,47 �. z _ z _ 4 Receipt #: OO -1 - _3'900 Y
Name Approved By: e : erz,%th
Property .S'e (olA-) /7 0 ‘J.Q -, Date: q - / - v -f
Owner Mailing Address Suite Map/TL #: a S 1/ 4 A R (>0 S 0 c
Zoning: g 4 -
City /State Zip Phone
S0Y 7 C7,; 7 ` )/9,?
Electrical Permit Required? ❑ Yes Z No
Tenant or Name
x Business
--rB . Building Permit Required? ❑ Yes M No
Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign 1
Contractor Mailing Address - REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ❑ Completed Application Form
expired in • Oregon Const. Cont. Board Exp. Date
City • igard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
•.a base) (3 copies, if a building ( p' g permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17"
)( Sign ❑ Temporary ® Wall ❑ Electronic
(Check all that ❑ Other El Billboard El Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
X D New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
X Sign Dimensions: �, X a / s $32.00 Fee (Permanent sign, any size)
X Total Sign Area (sq. ft.): `7 j i Ell $15.00 Fee (Temporary sign, any type)
Sign Data
x Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) NS E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
x 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
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 2 N BECOME NULL AND VOID.
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
Signature of Owner /Agent
Contact Person Name Phone No.
L
CITY OF TIGARD 9/1/2004
13125 SW Hall Blvd. 3:09:20PM
...- , :. i v , Tigard, Oregon 97223
+L I (503) 639 -4171
Receipt #: 27200400000000003900
Date: 09/01/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00224 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
Line Item Total: $32.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard SEVIN HOLDER CAC 139533 In Person 32.00
Payment Total: $32.00
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