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� ` CITY OF TIGARD SIGN PERMIT
R, . A . '; Permit #: SGN2009 -00063
` c " f i; COMMUNITY DEVELOPMENT Date Issued: 03/17/2009
TIGARD:
•y 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102BD00100
Jurisdiction: Tigard
Name of Business: St. Anthony School
Business Address: 12645 SW PACIFIC HWY
Applicant/Agent: St. Anthony School,
Work Description: Placement of one (1) temporary sign (Banner) 3' X 5' Valid 3/18/09 - 4/18/09 Sign #3
Must be placed on private property, not in public right of way. Must meet visual clearance
area requirements
Permanent: No Freestanding: Freeway:
Temporary: 1 Wall: Electronic:
Billboard: Balloon:
Banner: Yes A- Board:
Sign Dimensions: 3' X 5'
Total Sign Area: 15
Wall Area:
Wall Face (Direction):
Sign Height: 5 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all
other applicable law. 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:
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° # I:.4 _ City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
VGA R, D Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
Site t f IYI NINA/ C -'66- FOR STAFF USE ONLY
Address/ Street Address Permit No.: id 9-00 - 0rOao3
Location
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Expiration Date:
Suite /Bldg. # City/State Zip
l is J tot UV, q171/7/ Receipt #:
Name _ Approved By S
Property Sf . J rvU Q tM in 1 Date: 311 ? /�
Owner Mailing Address U Suite Map�'I'I.. #: �.SiQo�- ( cn )
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, ad Zoning:
City/State Zip Phone
Saws -Q.- 1 (43 I r
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business Building Permit Required? ❑ Yes ❑ No
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 pm 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 ❑ Permanent El Freestanding El Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ® Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that
El Other ❑ Oth Billboard El Balloon
/z
app size requirement: 81/2" x 11 ", or 11" x 17"
I: New sign? ❑ Alter to existing sign? 0 2 copies of elevations, drawn to scale
Sign Dimensions: x y; n 1_ (3 copies, if a building permit is required)
i " T size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.):
1 ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft
❑ $19.00 Fee (Temporary sign, any type)
(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): 2 e,-{- • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): Q must include dimensions of wall face and sign
placement.
Copy: • Wall signs do not require site /plot plans.
Materials: V `IVvyvL • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes rg No permit.
Type: • ❑ Internal 0 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
❑ 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.
DA1ED this day of , 20
J
Si;fature of Owner /Agent
Contact Person Name Phone No.
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For Reservations or Donations, please visit
http://auction.stanthonytigard.org
•
CITY OF TIGARD RECEIPT
lg 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T I GARL)
Receipt Number: 2009 -00609 - 03/17/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00063 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00063 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 216445 STREAT 03/17/2009 $19.00
Payor: Kevin Timmins
Total Payments: $19.00
Balance Due: $0.00