SGN2006-00002 C ITY OF TIGARD SIGN PERMIT
, 1 DEVELOPMENT SERVICES PERMIT #: SGN2006 -00002
I I 13125 SW Hall Blvd., Tigar OR 97223 (503) 639 -4171 DATE ISSUED: 1/3/2006
PARCEL: 2S 103AA -00101
BUSINESS NAME: FOWLER MIDDLE SCHOOL ZONE: R -4.5
SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG
APPLICANT /AGENT: FOWLER MIDDLE SCHOOL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X5'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 20 sq ft banner. Valid 1/07/06- 2/070/06.
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 d. - o validity d. -.
APPROVED BY: ell
PERMITTEE SIGNATURE: Y M •' \� fA
DATE: 1/3/2 '
r .9 , 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 )
Site f(-1- � (e-V c4t/� SC-4-AP FOR STAFF USE ONLY
Address/ Street Address Permit No.: S C A-12 . 4 0. 6 -vQo Z
Location /i ?, 5 � ` - •- ) t (0 4 S Expiration Date: /72 70 6 - 2 77 kC.
Suite /Bldg. # City /State Zip
7 K ?" L -5 Receipt #: 2 6 -� / 3
Name Approved By: 1 --
Property _ / , c r � �� c 1` / r,. 6 Date: // 370-4
Owner Mailing address Suite Map/TL #: pp Z --Sv - 46 4 - c y c (
be/LC , :S c(tt. „,,. Zoning: l`' �
City /State Zip Plane
one
Tenant or
Name ( '•i' `'3 c)' Z. 3 Electrical Permit Required? El Yes n-1
Business Building Permit Required? ❑ Yes
Name Rev. 711/05 i:\curpin\masters\revised\siqn permit ap .rii
Sign
. 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 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of
databa e gard's License # El 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1
• Sign y size requirement: 8 /z” x 11 ", or 11" x 17"
(Check all that Sign Temporary ❑ Wall ❑ Electronic
apply) ❑ Other El Billboard ❑ Balloon E] 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: „ _ ,
o , e : ,x ;? El $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 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: t! if .,) / • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑Yes ❑ building permit.
N • If work authorized under a sign permit has not
ype: ❑ 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 day of ✓ �� 20 L 6
Sigiature of Owner /Agent
Contact Person Name Phone No.
Z991-896-EOS :auliaoH •
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