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SGN2003-00166 t o C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2003 -00166 -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/11/03 PARCEL: 2S114A0 -00100 BUSINESS NAME: TIGARD HIGH SCHOOL ZONE: R -4.5 SIGN LOCATION: 16300 SW 92ND AVE JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 310" X 4'6" 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 placed on fence. MATERIALS: WOOD/VINYL 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: r ..e 41-41 4 - PERMITTEE SIGNATURE: n DATE: 7/11/03 r ' DurhQKA/ fi - Tic ? c , t,d 4- h`9 44,i 4 SIGN PERMIT APPLICATION I CITY OF I GARD 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 RAth Sri dex. - (DO g,00 Addressl Street Address i(o b0 �$W �'J r ed Permit No.: sg N 0200 3 - Location • Expiration Date: Suite /Bldg. # - City /State Zi p _ 3 0 o U Cgs #: a 00 3 Name Approved By: e../4 il.. ( n.) Property T .' SC�A.Q,,. Date: '7 - /! -03 Owner Mailirig Address Suite Map/TL #: , 5 I I 4 AO -00100 646 (1 SLo SnnnA a • Zoning: R- y, .5 City/State Zip Pho ' "re 0 , oK. q7I23 Electrical Permit Required? .0 Yes . ❑ No Tenant or Nam Business F'i�xAdeyd" Building Permit Required? 0 Yes ❑ No Name Rev. 01 -Jul -02 is \curpin\maSters\revised\sign permit app:doc Sign dW11�.1u�. I C 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 . 1equired 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 , Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboar ❑ B alloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) ❑ New sign? 4 Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: 3 f 10 II x ci f & f r [$30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): Rt Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) n - - K ✓l (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E 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 building permit. Will sign have illumination? ❑ Yes gl No • If work authorized under a sign permit has not Type: ❑ Internal ❑ External been completed within ninety (90) days after Are there any existin §freestanding 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. 0 Yes ❑ No 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 (1 day of , 20 03 Signature of Own r /Agent 1111/(13 Contact erson ame Phone No. •..---• - :•F -, —. „ , i ..-, , • . ,,: • , . • 4- . . • , • . • ' - ,-, ' , :41-"' • , . .., • . , . , •S ••••••-; ...,, , ., • . . ;_,:- - i f „„ • . . . • • • . . . ,., • „ ' •; • ••-• ;• • - • • • -;• =IA •: • • ., . • . - ' - • . ".-- • , . :"", :- • •• . •-'• '', • ,, r .,:',J : • ' ' .,,,, :,', ‘: •"' , :, .- ,•.,• , , . . •• • •• '• • • . " • ' • . . .• , . „ ,.._ , . - .; , . ; • ' -: ,, i : , ',' - .•• •.', f.• '':, ' -.• . , ' . .• . . •.• . - - • --, • . , - , .. .. • -.• • • . - .. . • . , , _ ' • . .. ' , „. . , , .., • • . . . . . . • • „ . • • • • • . p , , . . • . • • . .. • .,• - , - ' - . . . • ). • . . . ' . • , • . , , • . . 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''• . - '?=?,`'-',4,--': - -,•: - ..--•-•,',....Ci. , •:A 7 ' . - - , .. - ::.., 0 "-:::' , ...-_-: ,.. . , : , f--', '',-='-. 1.'z '• - • ' -. -.."- 4'-' • . -----;,' ".' - •.-;:; , ''. ..". - :-.:-.',•.-1 ;:::: " .,. i.,1 i Y yr 11vti1W 13125 SW Hall Blvd. 3:22:31 PM Pei ' I l it\ Tigard, Oregon 97223 E (503) 63 9-4 17 1 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 PPrcnn in nn%