SGN2003-00165 CITY TIGARD SIGN PERMIT
ir DEVELOPMENT SERVICES PERMIT #: SGN2003 -00165
III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/11/03
PARCEL: 2S 102BD -00100
BUSINESS NAME: ST ANTHONY'S SCHOOL ZONE: R -12
SIGN LOCATION: 09905 SW MCKENZIE ST JURISDICTION: TIG
APPLICANT /AGENT: TIGARD TUALATIN SCHOOL DIST
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'6" X 310"
TOTAL SIGN AREA: 17 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent framed banner sign affixed to fence.
MATERIALS: WOODNINYL
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: tRalni
PERMITTEE SIGNATURE: . YD
DATE: 7/11/03
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CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site Tvth
Address/ Street Address We 005 S PO Permit No.: S e, J 07003- 00 l (05 •
Location • rvicitenz'er Expiration Date:
• Suite /Bldg. # - City /State Zip O o
014 (n1Z3 Receipt #: a 0(23 - 3
Name Approved By:. dl'U.4 J
Property t IV A - 1 •
Date: '7 - I/- 0 3
Owner Maili Address 1 Suite Map%TL #: a S I 0a. t3 p - 00 I oo
(Acti>, b A)So MAbu,u a • . Zoning: R. -la
City/State Zip Phone
IT GQAI � t q1 3 Electrical Permit Required? • ❑ Yes [ C] No
Tenant or Nam&
. � Building Permit Required? ❑ Yes VI No
Business AO"
Rev. 07 -Jul -02 i:\curpin \masters \revised\sign permit app:doc
Name
Con QNJY\l�. REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(Prior to permit (Note: applications will not be accepted
issuance. a without the required submittal elements)
copy of all City/State : Zip , Phone .
censes are
.equired 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 I. Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ 2 copies of elevations, drawn to scale
apply) ❑ ❑ Other Billboard ❑ Balloon
(3 copies, if a building permit is required)
❑ New sign? UT Alter to existing sign? size requirement: 81/2" x11", to 24" x 36"
Sign Dimensions: 3 • '" /' X 4' h o ri []$30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
« -
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E CD 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
building permit.
Will sign have illumination? ❑ Yes X No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes 0 N
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 II day of , 20 0,3
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-- S -- iTnature of Own r/Agent
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CITY OF TIGARD 7/11/2003
13125 SW Hall Blvd. 3:22:31PM
Tigard, Oregon 97223
'IL, (503) 639 -4171
Receipt #: 27200300000000003000
Date: 07 /11/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00164 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
SGN2003 -00165 [SIGN] Sign Permit 100 - 0000- 437000 31.00
SGN2003 -00166 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $93.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check FIRST STUDENT CAC In Person 90.00
Cash FIRST SUTDENT CAC In Person 5.00
Change CITY OF STUDENT CAC In Person (2.00)