SGN2001-00021 CITY OF T SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT#: SGN2001-00021
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/29/2001
EXPIRATION DATE:
BUSINESS NAME: MARY WOODWARD ELEMENTARY SCHOOL PARCEL: 1S134CC-0170
SIGN LOCATION: 12325 SW KATHERINE 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: 4FT X 8 FT
TOTAL SIGN AREA: 32 sq.ft.
WALL AREA: sq.ft.
WALL FACE(DIRECTION): S
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: EXT
DESCRIPTION OF SIGN: Installation of(1)freestanding permanent 32sq ft sign. Sing not to exceed 6 ft in
height. Sign to replace existing sign.
MATERIALS: METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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 i n shall expire 30 days from approval date. A balloon sign shall expire 10
rinvc fmm annmval data
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 1/29/2001
01/26/2001 09_18-.FAX 5936847297 City of Tigard 10002
SIGN PERMIT APPLICATION
CITY Q M RD 13121 Sivil(+ll Bit"(/.. ligur(l, OR 97223(543)639-4171 FAX: (503)684-7247
GENERAINFORMATION
Name of Develop ent/Projecl
-lite MAa ��t�vJ{{.^� `-'C-�" �'?y FOR STAFF OSE ONLY..
Address/ Street address /
Loeation 17-3?-,'- SvJ Permit No-:_ 3c7 h-1 Z-<"o �-
suitefftq # City/Stale Zip ,
Expiration Date;�c?O/Yyo�.�� 1r -"+
i
�u -
I v � IZ 9 Receipt
Name
Property ICDA �- Jr t-/FTS Afoot_ _b] APProved By/:
Owner Mailing Address Suite Date:_ )/ 2r7
6960 s�J Sa���g n S�. Map/TL#: / i4c -7 '
City/s Late Zip Phone Zoning:
�l � DIZ 97223 S13 431 4o1& T'
Tenant or Name ElectricalPermit�equlred4L�'., ', ❑ Y''es;'+' .'No
Business
Building PermitRquire�?
Name
Rev.1211!2600- ocur4)Q%%A�3sterslrevl�edtsi n' rmil,
Sign IVR�7-�q�/h�� Se�foeL 1�kS1�2��r
Contractor Mailing Address Suite
(Prior to permit
issuance,a
copy of all City/State Zip Phone REQUIRED SUBMPTAL_ELEMENTS
licerwes are
required it (Note: applications will=be accepted
expired in the Oregon Const.Cont.Board Exp.Date without the required submittal elements)
city of Tigard's License X
database) Vg Completed Application Form
Proposed 0 permanent Freestanding ❑ Freeway ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
Sign O Temporary El wall ❑ Electronic (3 copies,if a building permit is required)
(Check all that OtherBillboard
apply) ❑ ❑ ❑ Balton size requirement: 6'/2'x!I",or 11'x 1 T'
❑ New sign? ® Alter to existing sign? ❑ 2 copies of elevations,drawn to scale
(3 copies,if a building permit is required)
Sign Dimensions: 4 l x R size regVirernent 8112."x 11',to 24"x 36"
Total Sign Area (sq.ft.): ,3 Z F ® $50.00 Fee (Permaftnt sign, any size)
Sign Data
Total Wall Area(sq.ft.) ❑ $15.00 Fee (Temporary sign,any type)
(Complete ON Direction Wall Faces(circle one):
items in this (COTES:
section) N E W NE NW SESW • Wall signs cio not ed to be drawn to scaler
Height to top of sign (feet): r but must include densions of wall face
Projection From Wall(inches): Aj h sign placement.
Copy: t Wall signs do not require sitelplot plans.
Materials: • Freestanding signs over 6 ft. required a
,,Will sign have illumination? ❑ Yes No building permit.
Typ : 13 Internal ❑ External • If work authorized under a sign permit has not
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this
location,including wall signs that overlap a tenant space? the issuance of the pl4nt'Itr Tt#E PERMIT WILL
BECOME NULL AND VOID.
(4. Yes Nv
7 Iris �S A ! t ��"i Slv^� (OVER FOR SIGNATURES)
If"yes".,p list or'd agra of all sign dimensions and
square footage must also fie submitted.
01/26/2001 09:18 FAX 5036847297 City oY Tigard 10003
I hereby acknowledge that I have read this application, that the information given is
correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this 2-9 day of JAwvArvY - . 2001 -
Signature
081Signature of Owner/Agent
45t.") So3 431 90/6
Contact Person Name Phone No_
Receipt #: 27200100000000000380
.Ak� Date: 01/29/2001
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No. Tran Code Description Revenue Account No. Amount Due
SGN2001-00021Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check TIGARD-TUALATIN SCHOOL DISTRICT NO 0 068279 $50.00
TOTAL AMOUNT PAID: $50.00
Key Bank of Oregon
TIGARD-TUALA TIN SCHOOL DISTRICT NO.23J A KeyCorp Bank 068279
Hibbard Administration Center
13137 S.W.PACIFIC HWY. =6/
TIGARD, OREGON 97223 24-201/1230 068279
CHECK AMOUNT
PAY EXACTLY 50 DOLLARS AND 00 CENTS
VOID AFTER 90 DAYS
TO THE CITY OF TIGARD
ORDER
OF UTHCIRIZED SIGNATURE
II■0 68 2 7 9110 1: 1230020111: 3 ?00 9 L000 ?4 2n■
5--
ft;TY, Of I-IAA-Mv)
............... ........ ..............
Pond, s�sy Api�roued f
cri -d in:
F% ;--ily the wor as r.
t -IMIT NO.
ii,*,; LeAg'to- Fo tow._. ..............
�441
•
AREA 1
• S,
Q
LevE-t-
23
-Z3 ZS- S iJ ,��-,-�1O)2i,JE" 1
Al, 4�- o /HA2Y �ot��� CcJ-,,-?eA0 SCHOOL
Revised 3/23/913
Foundalion Drawing(
p 4 Applies to the Following Models:
& (94, Broadcasters, Broadcaster it-S,
800-848-4262 Broadcaster FIS-S, Broadcaster 11 HS-S
1 13ASE PLATE (2) WELDED TO SIGN LEG and TQ20
2 GUSSET(2) WELDED TO SIGN LEG
3 ANCHOR BOL-I'(4) 3/4"- EXTENDS 4"ABOVE GRADE
4 STEEL REBAR (SUPPLIED BY OTHERS) -#5 OR LARGER
5 CONCRETE (SUPPLIED BY OTHERS) APPROXIMATELY .75 CU.YD.
6 1/2"CONDUIT/ ELECTRIC IN (SUPPLIED BY OTFIERS)
FRONT VIEW 7" STANDARD ILLUMINATED MODELS HAVE 120 VOLT BALLAST(S)
END VIEW
CELECTRIC a
OUT/00'
O i
Q Io
/ I I �e /
ELECTRIC
IN
" 1/2'C014DUIT 4
4 36"
36" �r
24"
42"
LOCAL FROST LINE REQUIREMENTS MAY SUPERSEDE DEPTH DIMENSIONS BASE PLATE DETAIL
Please make sure foundation drawing matches accompanying
template before proceeding. For easy Installation upoh arrival of sign, O •—
prepare your foundation in advance.
12� ELECTRIC OUT- — -® q'
For assistance call Customer Relations 1-800-8413-4262. 7/a-HOLE
Evenings and weekends call 941-953-4120 OR 941-924-3336.
FOR SAFETY:Signs Pius highly recommends anchor bolts be Cut Off)List
above the nut upon completion of leveling and installation of sign. Use
touch upp paint, Rusfofeum paint or roofing lar to coat anchor bolls after 20'ON CENTER
culling tliem off. Front of Sign