SGN2005-00182 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00182
DATE ISSUED: 6/23/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102CB -00200
BUSINESS NAME: TIGARD HIGH SCHOOL MARCHING BAND ZONE: R -12
SIGN LOCATION: 13137 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD HIGH SCHOOL MARCHING BAND
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 10'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a temporary banner on fence. Valid from 6/23/05 through 7/23/05.
Sign #1.
MATERIALS: VINYL /BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 17.00
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.
APPROVED BY:
PERMITTEE SIGNATURE. , ' ' A` "A.' •
T �CG(D
DATE: 6/23/200 ��� �I�
r
' ,A,;il' 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 I /
Site O/d TT5 D Anil l� . 8/ , FOR STAFF USE ONLY
x Address/ Street Address Permit No.: t) G 1110100 S 0 0 t 8 d
Location A3)37 .6W f aC &IV , S
Suite /Bldg. # Cit / State Zip Expiration Date: �o _U
a, rOL 97223 Receipt #: 2 vU S — ,2q l
J
Name ,/ J� Approved By: C - ar...� v-�
-v
Property / G( a, I .6 C� I D6 L Date: t!v - ,3 -- 0. 5-
Owner wlail g Address Suite Map /TL #: a S / U e t3 ._ 00..Xo�
Zoning: Fz -t
City/State 97223 El Phone
97223 Electrical Permit Required? ❑ Yes No
Tenant or Business '/ 4 i. i f j d, Building Permit Required? ❑ Yes ❑ No
am: / Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign v
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if [r Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of . rd's License #
GI 2 Copies of Site /Plot Plan, Drawn to Scale
a ase)
0 0 (3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway`
s requirement: 81/2" x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon M 2 copies of elevations, drawn to scale
apply)
0 (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? s ize requirement: 8V2" x 11", to 24" x 36"
Sign Dimensions: ,
2 k 20 I ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): zo 5 J= $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: Ill 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
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes . E81 No •
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 / � day of 01W , 20 �
Signature (o f -Ow er /Agent
■
5 ,0 3, 598, %15
Contact Person Nam- Phone No.
9, IV
1
shoo /Tat 2.
4etiaiS1-- 116AD
71
_>,
Co f
v
CITY OF TIGARD 6/23/2005
13125 SW Hall Blvd. 3:00:47PM
Atto ,_ Tigard, Oregon 97223
, �..-a1�,1 _� . (503) 63 9-4 17 1
Receipt #: 27200500000000002911
Date: 06/23/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00182 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00182 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $17.00
Payments:
Method Payer User ID AcctJCheck No.Approval No. How Received Amount Paid
Check ANN T ELTING CAC 5604 In Person 17.00
SCHOBLASKE /JON •
SCHOBLASKE
Payment Total: $17.00
cReceipt.rpt Page 1 of 1