SGN2002-00133 -
C ITY OF TIGARD SIGN PERMIT
Alt DEVELOPMENT SERVICES PERMIT #: SGN2002 -00133
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/16/02
EXPIRATION DATE:
BUSINESS NAME: KINDERCARE PARCEL: 1S133AD -0250
SIGN LOCATION: 12658 SW NORTH DAKOTA ST
APPLICANT /AGENT: KINDERCARE ZONE: R -7
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS: 5' X 5" DIAM.
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft. 11101
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) balloon sign not to exceed 25' above roofline. Valid
8/19/02 - 8/29/02 (No more balloon signs permitted this calendar year).
MATERIALS: BALLOON
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 - • ulations contained in e Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. • wor will be done in acco dan e with approved plans. A sign permit shall expire 90
days from approval date. Ate pira sign shall expire S d- is fr�'m approval date. A balloon sign shall expire 10
days from annrnval riata / / /
APPROVED BY
.S! 01175/1. 1 � i�
PERMITTEE SIGNATURE:
DATE: 8/16/02
• 107/Z6%2002 11:06 FAX 5035981960 CITY OF TIGARD B 003
e
4
; _- . 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 i t .(7A (,c O . 2
Address/ Street Address Permit No.: c ( i (_` * — I) (53 , q��
Location ' �QS< 5c0 A)044. L l Expiration Date: ' 1 a J � a (,�
Suite/Bldg. # Clty / State Zip B
1 ,04_ ( co / � J Receipt #: -s r II i!Ie 0 4 9
Name Approved B, : farm
Property I f'11
p K Date: S . �[� • / �
Owner Mailing Address Suite MapITL #: f eNU • •
G I ,pl t � °C) Zoning: ' — 1
City /State zip l " l_ ' Phone
� ! J 3 11 �i , Electrical Permit Required? 11 Yes [''No
Tenant Jam
_ Bus ness ,' n /9_,L,( Building Permit Required? ❑ Yes No
Rev. 01 -Jul -02 I:IcurpinMestersVevlsed\4lgn permit app.doc
Name
Sign 4.
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are 1
required if - El 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: • 81/2" x '11" or 11" x 17" z -
ID Temporary ❑ Wall Electronic 5 irrtple, d 4 -'i
(Check all that Other El B illboard �l Balloon ❑ 2 copies of elevations, drawn to scal w( Pal �
a• .1 (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:
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft): N $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 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): sign placement.
Copy: • Wall signs do not require site/plot plans.
Materials: o Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes ❑ 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 ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
•
(OVER FOR SIGNATURES)
07/x/2002 11.07 FAX 5035981960 CITY OF TIGARD 1 j 004
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 day of
,, 20 0.0
gna of Owner Agent
Contact Person Name Phone No
Receipt #: 27200200000000003026
Date: 08/15/2002
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00133 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check MONEY ORDER/KINDERCARE DCP 90030929 0 $15.00
TOTAL AMOUNT PAID: $15.00
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