SGN2006-00208 IV CITY OF TIGARD SIGN PERMIT
IOW DEVELOPMENT SERVICES PERMIT #: SGN2006 -00208
TIGARD ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/16/2006
PARCEL: 1 S135AB -00100
BUSINESS NAME: METZGER PSOF SCRIP SALES ZONE: R -4.5
SIGN LOCATION: 10350 SW LINCOLN ST JURISDICTION: TIG
APPLICANT /AGENT: METZGER ELEMENTARY
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: • FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X5'
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 (1) one temporary 15 sq. ft. banner. Valid 11/16/06 - 12/16/06. Sign
#1
MATERIALS: CANVAS BANNE
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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
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APPROVED BY: 7 y���Q�,�
PERMITTEE SIGNATURE: • -
DATE: 11/16/2006
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.II. SIGN PERMIT APPLICATION
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1 i City o Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223 AI
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
Site ✓ eta k� I �X3E 1p ) , , -2g FOR STAFF USE ONLY •
Address/ Street Address , Permit No.: c2 tDJ - Zf
Location 10456 t) Ll vt C ■1 V^(1: / /
stLte /Bldg. # City/State zip Expiration Date: t t I I b! 0 & _ i ' t L L'a
T i gc vw CUP- c i - 1 a 3 Receipt #: Z. to - S q 8
Name }} ;; Approved By:
Property ) 1 IAA) 6_4>1...... 5Let�[ , -- Date: ii J e /" k
Owner Mailing Address Suite Map /TL #:
67 54) l/tAun gR Zoning. Y` - ` _t , 5
City/State Zip Phone
- 11 - e, 0Z /7;373 5o3 '/3/— yam
Tenant or Name Electrical Permit Required? ❑ Yes [2
Business )'i'le+zJ•e�- Stev�•e�`,zt_t Building Permit Required? ❑ Yes ErNo
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 City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are
required if (Note: applications will not be accepted
expired in the Oregon Const Cont. Board License # Exp. Date without the required submittal elements)
City of Tigard's
database)
• ❑ Completed Application Form
Proposed ❑ permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign all that Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
❑ Other ❑ Billboard ❑ Balloon
apply) size requirement: 8 x 11 ", or 11" x 17"
grNew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: .2 1 x S I (3 copies, if a building permit is required)
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Total Sign Area (sq. ft.): size requirement: 8 x 11 ", to 24" x 36"
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Sign Data
Total Wall Area (sq. ft.) ❑ $39.00 Fee (Permanent sign, any size)
(Complete all Direction Wall Faces (circle one): $19.00 Fee (Temporary sign, any type)
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy: placement.
Materials: Cei- vtvets ea- vivt42-t2.� to Wall signs do not require site /plot plans.
Will sign have illumination? 9 Yes [ No o Freestanding signs over 6 ft. required a building
Type: El Internal R External permit.
Are there any existing freestanding or wall signs at this location, o If work authorized under a sign permit has not been
including wall signs that overlap a tenant space? completed within ninety (90) days after the issuance
of the permit, THE PERMIT WILL BECOME
irii Yes ❑ No A Vtabite 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.
E /� / Q V aff
DA'1'P:D this ] day of , �/ , 20
Signature of Owner /Agent IS C
Contact Person Name Phone No.
I �� ( -503) 1/31-- W 391
Cle-1 S tES C'iTY ��= 'ECU: .`:T..;17
Approved
� %C
PERMIT NO. -
For only the Conditional) WO A k a described
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See Letter to: Follow .
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�i.Q�'r nU� S� Attach f
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Job Add e /v3Sc =) C, M / p,-
E CITY OF TIGARD 11/ 16 /20(16
13125 SW Hall Blvd. 10.20:36AM
- Tigard, OR 97223 503.639.4171
TIGARDI
Receipt #: 27200600000000005480
Date: 11/16/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00208 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2006 -00208 [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 METZGER ELEME PSO FND KJP 1307 In Person 19.00
Payment Total: $19.00
cOceipt.rpt Page 1 of 1