SGN2004-00301 CITY OF TIGARD SIGN PERMIT
M i l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00301
°'�' J I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/14/2004
PARCEL: 2S 102BD -01700
BUSINESS NAME: TIGARD PLAYSCHOOL, INC ZONE: C -G
SIGN LOCATION: 12860 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD PLAYSCHOOL INC
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5' X 2'
TOTAL SIGN AREA: 5 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary five square foot A -frame sign. Sign must be
placed on private property and not in public right -of -way. Valid 10/14/04 through
11/14/04.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. 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.
3 i
APPROVED BY: ';L F2,�
PERMITTEE SIGNATURE: , A I, I•'��'��'�'�' ' �
DATE: 10/14/2004
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,, 1 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
` } � " FOR STAFF USE O
Site 1 I a `pIscoc,0 co30
Address/ Stre to dress Permit No.: I� Da
Location i$3(00 5W Pact, �� a �{ — ��'
I C Expiration Date: 1 I - 14 0`{
Suite /Bldg. # City/State
/, te i -7 /
a00-4-
t 1 Receipt #: +f - 5 �{ C'
Name � • Approved By: C - Cpc.,.,i....)
Property Date: / 0 - 1'! - 01
Owner Mailing Address Suite Map/TL #: a S t 0 - -A. 6 0 — 0 17 O
Zoning: C - Co
City /State Zip Phone
Tenant or Name Electrical Permit Required? El Yes ❑ No
Business -co , P I(L. s C t ,7 DO), S Building Permit Required? ❑ Yes ❑ No
N V Rev. 8/7/2003 is \curpinlmasters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date 1=1 Completed Application Form
City of Tigard's License #
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Pro posed (3 copies, if a building permit is required)
p ❑ Permanent ❑ Freestanding ❑ Freeway t „ 11" 17"
Sign El Temporary ❑ Wall size requirement: 8 /z x 11 , or 11 x 17
(Check all that ❑ Electronic
apply) ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
❑ New si n? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
Sign Dimensions: 4.1 f r Xi
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft):
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.
Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
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
Copy: sign placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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 1 day of L , 20
Signature of Owner /Agent
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Contact Person Name Phone No.