SGN2004-00384 CITY OF TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00384
`'` �,�li 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/15/2004
PARCEL: 2S110DC -02400
BUSINESS NAME: TUTORING CLUB ZONE: C -G
SIGN LOCATION: 11565 SW DURHAM RD 120 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 22 "X72"
TOTAL SIGN AREA: 11 sq. ft.
WALL AREA: 700 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 11 sq ft permanent wall sign.
MATERIALS: POLYCARB /MET
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 32.00
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 day . validity date.
i
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 12/15/2004
.. PERMIT APPLICATION
CITY Or TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
GENERAL INFORMATION
t Name of Development/Project — 1
- 1
Site ! L Il CIvb' FOR STAFF USE ONLY
Address! Street Address
Location i! 570,s- 50 rarr Rot Permit No S4' A/ `f - D 0) ?5'
Suite /Bldg. # ' City /State Zip
I D4-r) i
liarc1f )f C-7dat-1 Expiration Date:
Name Receipt #: 20 a ( e — S 39/
Property in 60C41 J `/tYrif l C (itc Approved By: it
Owner �/ rl//
p y Maf ng Ad ss ,l" s uite Date: 1 r -
Map/TL #:
Dl /State Zi Phone _ Zoning:
Val/ !'.� 903 5 a 23 J I
Tenant or Name Electrical Permit Required? [des ❑ No
Business " / (ATM rj03 C. ) '0b .
Name Building Permit Required? CD Yes ail°
J
\./ B n ✓ J
% (\ Qo I Rev. 12J1 /2o0o l:icuroin\nds !era ?revlsedlaln permit app.d c
q Sign i tcJvt 4 ' ` °
Contractor Mailing A ea Suite
(friar to permit tD S3
issuance, a
copy of all City/State . Zip Phone
"^enses are 10 a, h oR t 1o(p SD 3‘21-614,1a. REQUIRED SUSMITTj4L ?LEMENTS
wired If (Note: applications will net be accepted
' in the Oregon Const. Cont. Board Exp. Date without the required submittal elements)
City of Tigard's License #31.5 i C t " `�
aatsba$$ _ --
❑ Completed Application Form
Proposed .� Permanent ❑ Freestanding ❑ Freeway
Sigh Temporary Wail ❑ Electronic ❑ 2 Copies of Site /Piot Plan, Drawn to Scale
(Check all that 0 Outer 0 Billboard ❑ Balloon (3 copies, if a building permit Is required)
aptly) _ size requirement: 8' /1' x 11 ", or 11" x i7°'
® New sign? ❑ Alter to existing sign? , ❑ 2 copies of elevations, drawn to scale
Sign D mensions: (3 copies, if a building permit Is required)
o� o� size requirement: 8 x 11", to 24 x 36"
Total Sign Area (sq. ft.): 4 0 e [' $50.00 Fee (Permanent sign, any size)
Sign Data Total Wail Area (sq. ft.) � — .� ❑ $15.00 Fee (Temporary sign, any type)
(Complete an Direction Wall Fac =s (cI a one):
items in this ,
r
section) N S ■ is NE NW SE SW
■ - - • Wall signs do not need to be drawn to scats,
Heigh o top deign (feet): 1")..! -4, t but must Include dimensions of wall face and
Projection From Wall (inches : sign placement.
Copy: ''eta. - ∎ , nt C.it ).o tcy • Wall signs do not require siteipiot plans.
Materials: iJ- s,, .•1 _ _AL+_ r _ a Freestanding signs over 6 ft. required a
Will sign have illumination? t Yes ❑ No building permit.
_ Type: tij internal ill External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wail signs that overlap a tenant space? the Issuance of th'e permit, THE PERMIT WiLL
BECOME NULL AND VOID.
g Yes ❑ No
I if t "yes 't, a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must aiso be submitted.
Dec. 10 2004 10:24HM P".3
FAX NO. :5'336240451
FROM :EVEREST DEVELOPMENT
' 44 7,T..3 Dt;,. 204 1:•6Pri
tiz
1 hereby acknowledge that 1 have reed this application, that the 0*m:ration given is •
cerreat, that am the owner or authorized! agent bi the owner, and thet plans submitted are
in compliance with the City of Tigard.
4100 2 -
• DATED this 71 0 _day of god 4
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a Lae of nor/ gent
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Chef Atid Fp' 3 reef- eft:, .
Contiiot Niesort mime phone
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CITY OF TIGAE
— Approved -•-- ------- _
Conditionally Approved ...____ --- [ 1
For only the wor�cdesri�ed,i' _ c03 s �L
PERMIT NO. /
See Letter to: Follow ...... _. -. 1 1
A tacti . - -;) ^ -. 1 0 r
Job A. • -
By: (� 14 �� . . l l- ..` _ Dot J `f
28..
2" THE BUTZ
1_ 1 axi.n.e .re..9.• iltlinlablk
12' -6"
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CITY OF TIGARD 12/15/2004
13125 SW Hall Blvd. 11:40:40AM
t At Tigard, Oregon 97223
Alt °'f I� (503) 63 9-4 17 1
Receipt #: 27200400000000005391
Date: 12/15/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00383 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2004 -00384 [SIGN] Sign Permit 100- 0000 - 437000 32.00
Line Item Total: $64.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard STEPHEN BRENNOCK KJP 045706 In Person 64.00
Payment Total: $64.00
•
cReceipt.rpt Page 1 of 1