SGN2003-00319 •
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C ITY OF TIGARD SIGN PERMIT
Ij� DEVELOPMENT SERVICES PERMIT #: SGN2003 -00319
— r 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/24/03
PARCEL: 1 S136DD -04000
BUSINESS NAME: DISCOVERY CORNER CHILDCARE ZONE: MUE
SIGN LOCATION: 11700 SW 67TH AVE JURISDICTION: TIG
APPLICANT /AGENT: DISCOVERY CORNER CHILDCARE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 10'
TOTAL SIGN AREA: 40 sq. ft.
WALL AREA: 900 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one permanent wall sign.
MATERIALS: 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:
Cam a e r
PERMITTEE SIGNATURE: •
DATE: 12/24/03
,:
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ii� SIGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171' FAX. (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
`v C ory Ch , FOR STAFF USE ONLY
isa
Site �//
Address/ Street Address c
I l�Q� ,) � n Permit No.: �(; N 02 60 " " 31
Location V �J `" `.
S
uite /Bldg. # Citw /State Zip Expiration Date:
✓ i� - Receipt #: a 003 - 55 30
Name Approved By: C- • Cat..
Date: I.:: -a�i -b3 Property /_ N OD
Owner Mailing ass Suit Map /TL #: i513 Co DD -0 LI UOv
/14 &V [o1 " b Zoning: r"l GCE -
Sta 0)93 Phone
w
Electrical Permit Required? ❑ Yes 'K No
Tenant or Nam
Business Building Permit Required? ❑ Yes 17 No
Name Rev. 8/7/2003 i \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 w ithout the required submittal elements
copy of all City /State Zip Phone 4 elements)
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 Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ W all ❑ E lectronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
t New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 4
A x t� t Vv' $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
, ,,
$15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft q Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E 0 NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: , • Wall signs do not require site /plot plans.
Materials: t/l y�NI// V • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: ❑ Internal ❑ Exter al • 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
BECOME NULL AND VOID.
❑ Yes '& No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
l •
4
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 Z T day of Di2Ce nrd0ci'- , 20 C�3
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Signature of Owner /Agent
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Contact Person Nafne Phone No.
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CITY OF TIGARD 12/24/2003
13125 SW Hall Blvd. 10:07:09AM
A Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200300000000005530
Date: 12/24/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00319 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2003 -00320 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
Line Item Total: $62.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check DISCOVERY CORNER CAC 1171 In Person 62.00
CHILDCARE LLC
Payment Total: $62.00