SGN2012-00131 1114 CITY OF TIGARD SIGN PERMIT
1 . Permit #: SGN2012 -00131
COMMUNITY DEVELOPMENT Date Issued: 08/23/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S135AA02000
Jurisdiction: Tigard
Name of Business: Hall Blvd Learning Tree
Business Address: 10360 SW 87TH AVE
Applicant/Agent: Moore, Brenda
Work Description: Placement of 1 tempory sign A -Frame for Hall Blvd. Learning Tree 3' x 4' Must be
placed on private property, not in public right of way. Sign #3 Valid 9/2/12- 10/2/12
Permanent: No Freestanding: No Freeway: No
Temporary: 3 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 3'x4'
Total Sign Area: 12
Wall Area:
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials: wood and vinyl a frame
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $54.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: 61,7
Permiftee Signature: a 2tk k I •
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 188123 - 08/23/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00131 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00
SGN2012 -00131 Temporary Sign Permit 100 - 0000 -43115 $47.00
Total: $54.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Debit Card 005414 CCAINES 08/23/2012 $54.00
Payor: Brenda Moore
Total Payments: $54.00
Balance Due: $0.00
Page 1 of 1 •
RECEIVED .►,.. t
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AUG 232012 7
N . City of Tigard CITY OF TIGARD j ��''i • P NNIt J,. ;fE 1r alp EER O I�! �,
Sign Permit Application N
TIGARD
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GENERAL INFORMATION
Name of Development /Project
a e i vd Learn; rn i n� T 1,,e& FOR STAFF USE ONLY
Site /1/
Address/ Street Address ` _ / 8-7-t- y�. Permit No.: J G c) 0 CD - U U 1 ,3
Location (C 3U0 S V\ � 1
Approved By: P 56 Suite /Bldg. # City /S tate Zip
fr t v OR , D I b Date: — g — Z3 — 20 /Z
Name Receipt #: 1 /23
Property '€ rer4 1 I
,�� AA v ` of re Map /TL #: IS / 5 .4A v) 000
Owner Mailing Address Suite Zoning:
9 - Allowable Total Area:
City /S tate Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes to
Business - 70" t.krA Lz i , -Tic`4-Q Building Permit Required? ❑ Yes 311' No
Name Rev. 7/1/11
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date 'thout the required submittal elements)
PP
Completed Application Form
P ermanent Freestanding Freeway
Proposed ❑ g ❑ y 111 2 copies of site /plot plan, drawn to scale
P
Sign Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Wall ❑ Other
apply) size requirement: 81/2" x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
F r sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 3 1 ,.... I size requirement: 8 /2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): ` . ❑ $165.00 Fee (Permanent sign, any size)
Si Data Total Wall Area (sq. ft.) Fee (Temporary sign, any type)
0, o ve
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) jv1 S E W NE NW SE SW
Height to top of sign (feet): £4. • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement. W ob ( i -t v; yt ) Pc rrut. ment.
♦ Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes !2 No • Freestanding signs over 6 ft. required a building
_ Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
E Yes No
If "yes ", a list or diagram of all sign dimensions and square
(OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 1 of 2
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back
of this form or submit a written authorization with this application
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
♦ All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
Applican ;. • , • e Date
Signature of Owner /Agent Date
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Contact Person Name Phone No.
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City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard- or.gov Page 2 of 2