SGN2000-00155 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2000-00155
MMM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/18/2000
EXPIRATION DATE:
BUSINESS NAME: FOWLER MIDDLE SCHOOL PARCEL: 2S103AA-0010
SIGN LOCATION: 10865 SW WALNUT ST
APPLICANT/AGENT: ZONE: R-4.5
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3-'2"X 10'
TOTAL SIGN AREA: 30 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of(1)one permanent 6 ft freestanding sign. Sign face of 3'-2"x 10'.
Sign must not be placed in visual clearance area.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 n shall expire 30 days from approval date. A balloon sign shall expire 10
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APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 09/18/2000
PITY OF.TIGARD Sign Permit Application Rec'd By
Date Rec'd
13125 SW HALL BLVD. Permanent or Temporary Permit No. �l►�Z�ta�i- cnvss
TIGARD, OR 97223 Commercial or Residential Permit Fee
(503) 639-4171 Receipt No.
g Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
�N
Name of Development/Project Are there any existing freestanding or wall signs at this
Site ou,/,a Iti f 5Coa lwation, including wall signs that overlap a tenant space?
Address/ Street Address 1`�CPI,l�C11.1Co Yes ❑ No
Location 0 (, j tra GvJ/I tA/Il - 5r If"yes",a list or diagram of all sign dimensions and
square footage must also be submitted.
Suite/Bldg.# City/State Zip
Name NOTE: If work authorized under a sign permit has not
Property Tj Q 7-(,,4 ir— S�ov� 0 been completed within ninety days after the
M ding Address suite issuance of the permit,THE PERMIT WILL
Owner BECOME NULL AND VOID.
/3,13 Z S4,/Ok-
City/State Zip Phone I hereby acknowledge that I have read this application,that the
p cy ? information given is correct,that I am the owner or authorized agent of the
7-11 J 3 10 owner,and that plans su mitted are in compliance with the City of Tigard.
Tenant or Na
Business .Si ur ofPwri7flA#ht Dte
Name �'l !� 07000
J1 e—AaSign klm ��T'` �N C, Contact Person N me Phon
Contractor Mailing Address suit
Prior to permit 3S V),. � ( JQOt �.�,—1 [ rC)
issuance,a
COPY City/State Zip Phone
of all licenses r�
are required if RequiredSubmittal Elements
expired in Oregon Const.Cont.Board Exp.Date
C.O.T. License# ( JUY7 .g -y Completed application form
database &L copies of site/plot plan,drawn to scale
Proposed4 3 copies;if a building permit is required)
Sign Permanent EJ Freeway ( P 9 P q )
Check all that ❑ Temporary Freestanding ❑ Electronic size requirement:'' 8-1/2",x 11", or 11"X 17"
apply ❑ Other ❑ wall ❑ Balloon ,-,.Note: Wall signs do not require site/plot plans.
❑ Billboard B"2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
New sign? size requirement: 8-1/2"x 11",to 24"x 36"
k1teration to existing Sign? Note: Wall signs do not need to be drawn to
Sign Dimensions: 3► xtbt� scale,but mustInclude dimensions.
Total Sign Area(sq. ,c: `g-$50.00 Fee (Permanent sign, any size)
Sign , ❑ $15.00 Fee (Temporary sign, any type)
Data Total a rea (sq. ft.)
Please
complete Direction Wall Faces (circle one):
each item FOR OFFICE USE ONLY:
in this N S E W NE NW SE SW Map/TL ,� b 3 �0 0/0 Zoning: S�
section
Height to top of sign (feet): Notes ,
Projection From Wall (inches): Electrical Permit Required? lees ❑ No
Copy:
Materials: Building Permit Required? ❑ Yes No
Will sign have illumination? Yes
Approved By: Date of Apps val:
Type: JW J Leal ❑ External 9 `�
VWV
["J" Expiration ate:
i:\dsts\forms\signapp.dec 11/17/99
Receipt #: 27200000000000000220
Date: 08/29/2000
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2000-00148Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check TIGARD-TUALATIN SCHOOLS 0 073612 $50.00
TOTAL AMOUNT PAID: $50.00
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