SGN2004-00179 •
C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00179
Ie 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/2004
PARCEL: 1S135AA-02000
BUSINESS NAME: LEARNING TREE - HALL ZONE: C -P
SIGN LOCATION: 10360 SW 87TH AVE JURISDICTION: TIG
APPLICANT /AGENT: LEARNING TREE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary A -frame sign. Sign #1. Valid from 8/1/04 through
8/31/04. Must be placed outside of right -of -way.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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: �/�
e -
PERMITTEE SIGNATURE: I V \ ∎k
DATE: 7/29/2004
A41.. Ali 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
FOR STAFF USE ONLY
Site / i Au I. Cr-c, /NLrS i 1 Gt ,
Address/ Street Address Permit No.: S C. N 0004::'-) — 00 1 1 9
Location /0 3 6 o Stti 4 j 7 Ac., Expiration Date: $ -3 t—O `i
Suite /Bldg. # City /State Zip
j / y C.ttiz./( U,-- Receipt #: .a. c) o• 3358
Name Approved By: C - L'...
Property Sac 1 4 r et S .1 -F Date: — 7 -a°t - 0 3
Owner Mailing Address Suite Map/TL #: IS 13 SA-} — 0, 7 1000
P O goy ,,CCU u Zoning: C — P
City /State Zip Phone
� 6) ' z e� 97307 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business L E(Z - n ' ' n c l . L
Building Permit Required? El Yes ❑ No
Name Rev. 7/1/04 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 without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ ymrmanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign _ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that [� Other ❑ Billboard ❑ Balloon
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 1 / X y / El $32.00 Fee (Permanent sign, any size)
I
Total Sign Area (sq. ft.): (/ ❑ $15.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) T 7 Jurisdiction: 111 City Ill Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S 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.
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 El No 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 v day of , 20 ( L I
Signature of Owner /Agent
Tug / 6,1/ 503- q77
Contact Person Name
Phone No.
et4 X1,14
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4 CTTY OF TIGARD 7/29/2004
13125 SW Hall Blvd. 11:35:47AM
i- . r '� & Tigard, Oregon 97223
c J..; , (50 3) 63 9-4 17 1
Receipt #: 27200400000000003358
Date: 07/29/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00179 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2004 -00180 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Thal: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check MICHAEL TAMMEN CAC 3254 In Person 30.00
Payment Total: $30.00