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SGN2006-00198 . n CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 -00198 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/1/2006 PARCEL: 2S 102BD -00100 BUSINESS NAME: ST. ANTHONY CHRUCH ZONE: R -12 SIGN LOCATION: 09905 SW MCKENZIE ST JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' X 6' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SW SIGN HEIGHT: 2 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary sign (banner). Place on privare property, not in public right of way. Valid 11/1/06- 12/1/06 Sign #1 MATERIALS: VINYL 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: ' ,±j PERMITTEE SIGNATURE: DATE: 11 /1 /9b6 li III SIGN PERMIT APPLICAT N City of Tigard Permit Center 13125 SW Hag Blzd, Tigard OR 9 Phone. 503.639.4171 Fax: 503.598.1960 No v V0 O GENERAL INFORMATION p� / N OP . 2006 Name of Development/Project ' E Site 51, fi of APic C it i,(, (1C'L STAFF USE ONL M/Q Address/ Street Address Permit No.: co N r'-6)-0 0 l q Location [ l ° id C Expiration Date: Suite /Bldg. # Qty/ tat Zip a � � ��� ` --77 Receipt # : IN Name Approved By: a - ^Te-C 1 Property s1_ Ar n 1 ��� t c�'c Date: l /I 1/0 lv Owner Mailing Address Suite M /TL# : g- 10)._, b - D 01 QV cm 0� 6 W ll Kuril °i Zoning: r2 l L City /State / ��() Zip Phone r'l2 4 G R 'T)? j) 3 "q/ T/ Electrical Permit Required? ❑ Yes © No Tenant or Name Business 51. RIA. , --\Dy‘q (�Y' l,�l-i- Buildin Permit Required? ❑ Yes 12 - No Name Rev. 7/5/06 is \curpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, a copy of all Qty /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 Qty of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent le Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign Temporary 72 Wall ❑ Electronic (3 copies, if a building permit is required) (Qmik all that ❑ Other • Billboard El Balloon size requirement: 81/2" x 11 ", or 11" x 17" New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions r ` (3 copies, if a building permit is required) a.1 T X (n 0 - size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): ❑ $39.00 Fee (Permanent sign, any size) Sin Data Total Wall Area (sq. ) g . �� 1( ( Al $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this section) N S ;01 W NE NW SE W NOTES: Height to top of sign (feet): ,. f ♦ Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. CoPY' ♦ Wall signs do not require site /plot plans. Materials: �0...Nkm.,( ♦ Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes a No permit. Type: El Intemal ❑ Exte al ♦ 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. 1(1{/01c- (OVER FOR SIGNATURES) 1 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 1 day of N rD <) , 20 0 co r _AA i 1 Kt, , S,,s, ) Signal i Owner /Agent _C_at c5. CP OkilY.2 50 3 -- 39- l- /1 7g • )! 3 Contact Person Name Phone No. 6C 6-1- °in-k c(2_Cta-c \ '1n1 it It- i z YvDo. I D1 f(: 5b3- � 7---(1-tv /c Mil CITY OF TIGARD 11/1/2006 " 13125 SW hall Blvd. 9:27:28AM Tigard, Oregon 97223 TIGARD (503) 639 -4171 Receipt #: 27200600000000005216 Date: 11/01/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00198 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2006 -00198 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 Line Item Total: $19.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check JOSEPH VINCENT RAULINO ST 677 In Person 19.00 Payment Total: $19.00 rk !e. cReceipLrpt Page 1 of 1