SGN2002-00122 I, �h
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT #: SGN2002 -00122
! : ��L DATE ISSUED: 7/22/2002
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE:
BUSINESS NAME: TIGARD PLAYSCHOOL
PARCEL: 2S102BD-01701
SIGN LOCATION: 12860 SW PACIFIC HWY
APPLICANT /AGENT: TIGARD PLAYSCHOOL ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5 X 2
TOTAL SIGN AREA: 45 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) A -Board sign. Not to be placed in public right of way.
Valid 7/22/02 - 8/22/02 (Sign #3)
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to th- = _ ulations contained i • e Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. • work will be done in accorda ce with approved plans. A sign permit shall expire 90
days from approval date. Ate. porary sign shall expire 3 d -ys f m approval date. A balloon sign shall expire 10
days frnm annrnval data
APPROVED BY: - !/ /
A
PERMITTEE SIGNATURE:
DATE: 7/22/2002
4 "lam
•
__ a ro l� SIGN PERMIT APPLICATION
Ai
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
`h - I r�a2G*1oll 0 ` - ` FOR STAFF USE ONLY
Site
� / lac . k
Address/ Street Address Permit No.: ma • — l0, ... ...,
Location I 226 0 G hI F 'L — c �. � ♦ M CO
Expiration Date: -• ilr
Suite /Bldg. # City/State
���Yd „11 Zip
Ue c il L Rec eipt #: ♦ 'w
Name ) Approved y: { j
Property -ti) %. -- -41.6-ed Date: 2 . OZ
Owner Mailing Address Suite Map/TL #: 9(T-BD — 0 C
0
124'(40 SvJ P� Zoning: C/ '
City /State Zip Phone
1-( tik4'Ya r dr. '1 12 Z3 Electrical Permit Required? ❑ Yes LAN
Tenant or Name
Business ��..f? Building Permit Required? ❑ Yes o
Name `! Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app doc
Sign . r 1 ' / atta- P lads vo ( -
Contractor Mailing Address • ' Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit Dt bi , S 5w \v A vw)4?(. (Note: applications will not be accepted
issuance, a 1
copy of all City/State Zip Phone / without the required submittal elements)
licenses are � ,1 r�n ()K
required if 1 io q u27) (f q — SI 10 Ei 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)
Pro Proposed size requirement: 8 x 11 ", or 11" x 17"
p ❑ Pe rmanent Freestanding ❑ Freeway
Sign Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other p Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 °, to 24" x 36"
❑ New sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
� , 7C 2 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
5 • -14 . NOTES:
Sign Data Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) • Wall signs do not require site/ lot plans.
section) N S E W NE NW SE SW g q p p
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): ; 4-. building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: Woo the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes �. No BECOME NULL AND VOID.
-
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information. U
location, including wall signs that overlap a tenant space? visa ❑Mastercard
Xi ` Credit card number / /
Yes ❑ No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted.
Cardholder signature Amount /
(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 o day of , 20 0
Signature of ner/ gent
AY1\..\ 03 - -3
Contact Person \lame Phone No.
Receipt #: 27200200000000002683
Date: 07/22/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No • Tran Code Description Revenue Account No. Amount Due
SGN2002 -00122 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check TIGARD PLAYSCHOOL INC. DCP 2748 0 $15.00
TOTAL AMOUNT PAID: $15.00
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