SGN2010-00069 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00069
COMMUNITY DEVELOPMENT Date Issued: 04/23/2010
T1GARll7 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102BD01600
Jurisdiction: Tigard
Name of Business: Tigard Play School
Business Address: 9845 SW WALNUT PL
Applicant/Agent: Woodruff, Amanda
Work Description: Placement of (1) one temporary 2.5' x 2' s.f. A -frame sign. Valid 4/23/10 - 5/23/10. Sign
#1. Sign must be placed on private property and not in the right -of -way or visual
clearance area.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 2.5' x 2'
Total Sign Area: 5
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Wood
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: A -1: --Q Q`t .,
Permittee Signature: ��� , iA I. _•
NI 1 m
SIGN PERMIT APPLICATION
. City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
TIGARD
GENERAL INFORMATION
Name of Development /Project
DII I, FOR STAFF USE ONLY
Site v I Arol 1 l LYI 0 c
Address/ Street A ldress Permit No.: .5.t-) a`-0 t O -0v U (o J
Location p°�"1�s c7 c/`-r'4 P
� v;te /Bldg. # w City/State Zip
( Expiration Date: //z- 3 / / � '' s / L S I l
' I � ' a4 c - z 2 , Receipt #: I (so - 1 C 1
Name 404;54 lI Approved By: K p
P
Pro erty 1 (.(44
„ ( dJ l: nn �(A'�>� ,T � Date: 2..-3l t 0
Owner Ma i Address , '' Suite Map /TL #:
p
la 4 S U LA P I Zoning:
City/Stat_e Zip Phone
b&*S/l ` OQ_ 91275 Electrical Permit Required? ❑ Yes Q�Qo
Tenant or Name
Business 1% n � O sokoa Building Permit Required? 111 Yes EkNo
Name J Rev. 7 /1/09
c \curpin \ masters \lard use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a REQUIRED SUBMITTAL ELEMENTS
copy of f all City /State Zip Phone
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway El 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Er Temporary ❑ wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon t
apply) size requirement: 81z" x 11 ", or 11" x 17"
p New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
2 ' S
Sign Dimensions: i (3 copies, if a building permit is required)
x 2 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): f
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(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, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy:
• Wall signs do not require site /plot plans.
Materials:
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes (I No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
El Yes ❑ No 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.
DAIED this day of , 20 0
0
A
ignature of Owner /Agent
Asflaila& 7E
Contact Person Name Phone No.
2
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CITY OF TIGARD RECEIPT
•c - 13125 SW Hall Blvd., Tigard OR 97223
,. _ .,Ci 503.639.4171
T:1g
i:i we;d-':4 t
Receipt Number: 177679 - 04/23/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00069 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00069 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 06791Z KPEERMAN 04/23/2010 $19.00
Payor:
Total Payments: $19.00
Balance Due: $0.00
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