SGN2001-00141 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00141
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/8/2001
EXPIRATION DATE:
BUSINESS NAME: TOUCHSTONE SCHOOL PARCEL: 1 S 1 36AA-06901
SIGN LOCATION: 07090 SW LOCUST ST
APPLICANT/AGENT: TOUCHSTONE SCHOOL ZONE: R-4.5
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32"X 19"
TOTAL SIGN AREA: sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary Placement of(1)A-Board sign. Not to be placed in visual clearance
area or public right-of-way. Valid 8/9/01 thru 9/9/01. Sign permit#1
MATERIALS: PLYWOOD
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. Allwor will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temp ry sign shall expire AO days from approval date. A balloon sign shall expire 10
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APPROVED BY:
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PERMITTEE SIGNATURE:
DATE: 8/8/2001
a
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503) 639-4171 FAX.- (S03) 684-7297
GENERAL INFORMATION
Name of Devlopment/Projec
Site o I FOR STAFF USE ONLY
Address/ Street Address
Location I D 9 u t VA► 11ka S
Permit No.:
Suite/Bldg.# City/State Zip
1` 1� Expiration Date: q
Name i Receipt#:
Property Ma r 1nt'� Approved By:
Owner Mailing Address
c Suite Date:
10 5 F LOOP Map/TL#:
City/State Zip Phone Zoning:
`1- 2.Z
Tenant or Narw
Electrical Permit Required? ElYes o
Business
Name Building Permit Required? El Yes VNo
Sign Rev.12/1/2000 i:\curp1n\masters\revised\sign permit app.doc
Contractor Mailing Address Suite
(Prior to permit
issuance,a
copy of all City/State. Zip Phone
licenses are REQUIRED SUBMITTAL ELEMENTS
required if (Note: applications will not be accepted
expired in the Oregon Const.Cont.Board Exp.Date
City of Tiigard's License# without the required submittal elements)
database
Proposed ompleted Application Form
p ❑ Permanent ❑ Freestanding ❑ Freeway
Sign Temporary wall Electronic IJ 2 Copies of Site/Plot Plan, Drawn to Scale
P ry ❑ ❑ p
(Check all that Other ❑ Billboard ❑ Balloon (3 copies,if a bung permit is required)
apply) ize requirement: 8'/z"x 11",or 11"x 17"
New sign? ❑ Alter to existing sign? copies of elevations, drawn to scale
Sign D' engi S: q II (3 copies,if a building permit is required)
size requirement: 81/2"x 11",to 24"x 36"
Total Sign te (sq.ft.):
❑ $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Are . ft.) $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circlTSE
items in this
section) N S E W NE N SW NOTES:
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site/plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? Yes a No building permit.
T e: Internal External • If work authorized under a sign permit has not
Are there any existing freestanding or wall s gns at this been completed within ninety (90) days after
the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space?
BECOME NULL AND VOID.
❑ Yes ` ( No
If"yes",a list or diagram of all sign dimensions and jOVER FOR SIGNATURES)
square footage must also be submitted.
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 , 20
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Signature o Own /Agent
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Contact Person !�Me Phone No.
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Receipt #: 27200100000000003269
�.. Date: 08/08/2001
T 1 0 E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00141 ITemp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
CreditCard CYNTHIA MCMAHON 0 0 008719 $15.00
TOTAL AMOUNT PAID: $15.00