SGN2003-00005 � T I SIGN PERMIT
PER I DEVELOPMENT SERVICES MIT #: SGN2003 -00005
'�l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/17/03
PARCEL: 2S112AB-01900
BUSINESS NAME: LEARNING TREE ZONE: I -L
SIGN LOCATION: 14422 SW MILTON CT JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3 X 8 FEET
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary banner sign valid January 17 to February 17
MATERIALS: BANNER •
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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.
1
APPROVED BY /
PERMITTEE SIGNATURE: . �-' /■ ///
DATE: 1/17/0
low 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 [-Pa' n i ri 1 e, - 000 Address/ Street Address Permit No.: S� �(�� D
Location 1 y `t 4 a 5W m its% C Expiration Date: 2// 7/03
Suite /Bldg. # City /State D Zip
i { il( ! c,
72,2-V Receipt #: , - O0 )
Name I o J Approved By: ern -
Property fr'
Date: / // ?/m
Owner Mailing Address Suite Map /TL #: D 5I 12 AYE - 6\ OrJ
Zoning: /- P
City/State Zip Phone
03 � S 737 .
Electrical Permit Required? ❑ Yes ►.1 No
Tenant or Name
� Building Permit Required? ❑ Yes Eli No
Business ��v�/yina
Name J Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc
•
Sign
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
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 P.:4 Temporary 21 Wall ❑ Electronic
(Check all that ❑ 2 copies of elevations, drawn to scale
❑ Other ❑ B ❑ Ball
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: / /
3 ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 74 , $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) ?—ti
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N CD 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): ,er . sign placement.
Copy: o Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a
• building permit.
Will sign have illumination ❑ Yes jg No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing 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.
❑ Yes P./ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
1
I hereby acknowledge that. I have read this application,
that the information given ,
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
' Y
DATED this 2 �' ^ day of �Dt� An /2 , 20 0
Si ure of Owner /Agent
3- 31C- glep
Contact terson Name
P hone No.
4 t
LeoNv\Iii-)) e 4co!
3 Al ado rZcli s 4 t j
6 3 6V-1 3 7 7 D._-
CITY OF TIGARD 1/17/2003
13125 SW Hall Blvd. 3:38:49PM
Tigard, Oregon 97223
I'� ' (503) 639 -4171
Receipt #: 27200300000000000214
Date: 01/17/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00005 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check JMCC INC. BMK 1018 In Person 15.00
Payment Total: $15.00
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