SGN2006-00215 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00215
T,I'GARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/29/2006
PARCEL: 2S 102 B D -01700
BUSINESS NAME: TIGARD PLAYSCHOOL ZONE: C -G
SIGN LOCATION: 12860 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD PLAYSCHOOL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5' X 2'
TOTAL SIGN AREA: 5 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary A -frame sign. Sign must be placed on private
property, not in the public right of way. Valid 8/15/07- 9/15/07 Sign #3
MATERIALS: WOOD
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 Spedalty 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. Atemporarysign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: / - `
PERMITTEE SIGNATURE: )' .474
DATE: 11/29/2006
�'�'! . 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
..,< 6U-�� Pltx,. 1 , Iv, c. FOR STAFF USE ONLY
Address/ Street Address Permit No �iN
Location i a i d SIN eac),r., Jam. - c�z <Y
Suite /Bldg. # City /State Zip y
Expiration (j �, (, - 9(,
/ s/,
r r 50 , Or q7 Z Receipt #:
Name Approved /C
Property Date: t tc.c,
Owner Mailing Address Suite
Map /TL #:
Zoning:_ C _
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes , [o -
Business ` 1 1 a Q P /&fs•c -ov t c , Building Permit Required? ❑ Yes 2
Name Li Rev. 7/1/05 is \curpin \masters\revised \si•n permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone ' without the required submittal elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
_database) El Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ Permanent Freestanding ❑ Freeway
size requirement: 8 x 11 ", or 11" x 17"
Sign [ Temporary ❑ Wall ❑ Electronic
(Check all that Other
apply) ❑ ❑ Billboard 1:1 Balloon ❑ 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign?
Sign Dimensions: , '� Z ? size requirement: 81/2" x 11", to 24" x 36"
❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
S ❑ $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): o Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Copy: - sign placement.
Materials: o Wall signs do not require site /plot plans.
o Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes 2 building permit.
No o If work authorized under a sign permit has not
Type: ❑ 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)
1 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.
3 DATED this S day of May , 20 6
Signature of Owner /Agent
rc�ie _s-0_?_ 6 9 e -31-1
Contact Person Name Phone No.
I ' CITY OF TIGARD 1 1 "Y """"
mi 13125 SW Hall Blvd. 2:05.25PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200600000000005638
Date: 11/29/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00213 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2006 -00213 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2006 -00214 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2006 -00214 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00215 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2006 -00215 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $57.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard G LYNN TAKAHASHI KJP 619240 In Person 57.00
Payment Total: $57.00
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