SGN2005-00342 4
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00342
dill DATE ISSUED: 11/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102BD -00100
BUSINESS NAME: ST. ANTHONY SCHOOL ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 5
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner. (3' x 5') Valid from 11/7/05 through 12/7/05.
Sign #3.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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:
DATE: 11/7/2005
CITY TIGARD SIGN PERMIT
PERMIT #: SGN2005 -00342
�, DEVELOPMENT SERVICES
I 13125 SW Hall Blvd., Tigar OR 97223 (503) 639 -4171 DATE ISSUED: 11/7/2005
PARCEL: 2 S 102 B D -00100
BUSINESS NAME: ST. ANTHONY SCHOOL ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 5
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner. (3' x 5') Valid from 10/7/05 through 11/7/05.
Sign #3.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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: t ry30..i` cu .& & `'---
DATE: 11/7/2005
■ - 1 -
U4. III S IGN PERMIT APPLICATION
f
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site S) AD/h/ty c Leex &led �� FOR STAFF USE ONLY
Address/ Stree ddress } Permit No.: GNa Dos -- 00,39,),
Location 9eL5 -&(J /VI c Z/e—
Expiration Date: 11 - 5
Suite/Bldg. # Cit /State Zip
62-AR 7722-3 Receipt #: a uvs - 5 r
Name /i1 " �� Approved By: C' ea.,:,,,,..... Property RDl►( 0-7 Date: 11- 7 - 05
Owner Oai G li � ng Address Suite Map/TL #: QSw� 131) oc„c»
20 3 0 E AliP4S/C/e Zoning: la -
Cit State ' Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ckj No
Business Building Permit Required? ❑ Yes cg No
Name Rev. 7/1/05 i:lcurpinlmasters\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 /Slat- Zip Phone without the required submittal elements)
licenses are
required if
expire. e Oregon Const. Cont. Board Exp. Date El Completed Application Form
Cit . Tigard's License #
database) 111 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
Si • n ❑ P ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
g a Temporary ❑ Wall ❑ E lectronic
(Check all that ❑ Other El Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply)
[]New sign? (3 copies, if a building permit is required)
g ❑ A lter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
. Sign Dimensions: 3 X6"
❑ $38.00 Fee (Permanent sign, any size)
. Total Sign Area (sq. ft.):
❑ $18.00 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 l`) W NE NW SE SW
Height to top of sign (feet): 3 ♦ Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Co sign placement.
py ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
,14.441 sign have illumination? El Yes ❑ building permit.
C ♦ 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 ❑ 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 7 day of /VO cinic , 20 U
64/1k
Signature of Owner /Agent
CA/2,7_ 6 - 63) xii
Contact Person Name Phone No.