SGN2009-00019 a CITY OF T I G ®R D SIGN PERMIT
' ';" DEVELOPMENT SERVICES PERMIT #: SGN2009 -00019
T,IGRD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/26/2009
PARCEL: 2 S 102 B D -00100
BUSINESS NAME: ST ANTHONY'S SCHOOL ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: ST ANTHONY'S SCHOOL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X5'
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 3'x5' temporary banner. Sign #1 Valid 1/26/09- 2/26/09.
Fence mounted
MATERIALS: VINYL /BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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: (Y4
DATE: • 009
i-
114 SIGN PERMIT APPLICATION
•
NI
• City of Tigard Permit Center 13125 SW Hall Blul, Tigam OR 97223
Phorn• 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Na rye of Development/Project
Site t ' _ l, i ahoo I FOR STAFF USE ONLY
Address / Street Address �� Permit No.: S �? N Z-6 - t c J
Location (2-(v y 5� Gl�f.- Expiration Date: 1 4 /1/419 — %z-(o /U"
Suite /Bldg. # City/State Zip
-- -
1lard g7 ZZ.. Receipt#: 2o9 — c-0 / Name Approved By 7
Property tin p Date: 1 /Z-{ -! 0 9
Owner Mailing Address Suite Map /TL# :
Zoning:
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes E..No
Business Building Permit Required? ❑ Yes Q_lia_
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit •
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed It Permanent ❑ Freestanding ❑ Freeway . ' ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary Cl Wall ❑ Electronic (3 copies, if a building 2ermit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: $ /z" x 11 ", or 11" x 17"
appl) f q
New sign? + El Alter to existing sign? El 2 copies of elevations, drawn to scale
S ign Dimensions: 7 (3 copies, if a building permit is required)
V X size requirement: 81" x 11 ", to 24" x 36"
Total Simi Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this N
t `a
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, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
SPY: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
1] Yes ❑ No 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.
DA "IEDthis 2(0 clay-of J' ,
1- ' ,4 41—
Si 1f7- of Owner g
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Contact Person Name Phone No.
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Receipt #: 27200900000000000187
Date: 01/26/2009
Line Items:
Case No Trail Code Description Revenue Account No Anuuml Paid
SG N2009-0001 1SIGN Temp Sign Perm 10O 0000 - 437000 17.0(1
SGN2009 -00019 IL 1011 LI: I'lannin Srnchar c 100-0000-438059 2.OU
Line Item "Total: `tiI9.00
Payments:
\Icthud Payer User ID Acct./Check NO ,Approval Nu. !Ion Received Amount Paid
C reditCcnd LINDA OLSEN/ ST ANTHONY KJI' 026439 In Person 1900
SCI - TOOL
Payment Total: S19.00
P.w.c 1 01 I