SGN2002-00065 illk
- A A CITY OF TIGARD SIGN PERMIT
14 ' DEVELOPMENT SERVICES PERMIT #: SGN2002 -00065
�. l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/1/02
EXPIRATION DATE:
BUSINESS NAME: ST ANTHONY'S SCHOOL PARCEL: 2S1026D 0010
SIGN LOCATION: 12645 SW PACIFIC HWY
APPLICANT /AGENT: ST ANTHONY'S SCHOOL ZONE: R -12
BUSINESS TAX NO: JURISDICTION: TIG
•
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 18 sq. ft. temporary banner. Banner to be placed on school
yard fence. Valid 5/1/02 thru 5/30/02.
MATERIALS: VINYL
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 OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall pire days from approval date. A balloon sign shall expire 10
Hays from annrnval data
APPROVED BY: _.y,� / l
PERMITTEE SIGNATURE: ���' c, 7"
DATE: 5/1/02
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ma y, 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 1 ScAor
__II ��ii FOR STAFF USE ONLY
Site T• 4 vx I 5 � (
Address/ Street Address Permit No.: S Ca /(/ L.Q1/4..) Z C") ( o
Location /2 ( s— ScO �jc_ y Expiration Date: S -/ - 0 L t 4h&&. S / ) 1/4/0 Z
Suite /Bldg. # City /State Zip
CS-6 /2/J 2.7?-2..S Receipt #: ,Z J o -
Name dd / c. j App roved B /� 1�
Property I1v� v S !!/ Date: - // 1, 2
Prop y SL � N�
Owner Mailing Address Suite Map/TL #: as l ° a 13 - 00 / 0 0
Zoning: Q/ 2—
City /State Zip Phone
. S 'x. Oil,' Permit Required? ❑ Yes a No
Tenant or Name
Business V Q tTs`r 11�,,L `�C��y c1 � G! � t�U � O Building Permit Required? ❑ Yes II No
Nam Rev. 30 -Jul -01 is \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
copy of all City /State Zip Phone without the required submittal 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 size requirement: 8 x 11 ", or 11" x 17"
ro
p ❑ Permanen ❑ Freestandin ❑ Freeway
Sign 1t i Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
ap size requirement: 8 x 11 ", to 24" x 36"
0 New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
`3 x
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
/ S NOTES:
Sign Data Total Wall Area (sq ft • Wall signs do not need to be drawn to scale,
Si
g / T but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this
section) N(S)E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: 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 1 Not all jurisdictions accept credit cards, please call jurisdiction for more information.
CI
location, including wall signs that overlap a tenant space? visa CI MasterCard
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 day of "AW. ' 20 0
,-
A ff
Sig of Owner /Agent
10-W-4-179
Contact Person Name Phone No.
Receipt #: 27200200000000001589
, � Date: 05 /01/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00065 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments: Amount Paid
Method Payer Bank No Acct Check No Confirm No.
Check CITIZENS FOR THE NEW LIBRARY KJP 1019 $15.00
TOTAL AMOUNT PAID: $15.00
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