SGN2006-00156 -t- ...
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CITY OF TIGARD
DEVELOPMENT SERVICES SIGN PERMIT
PERMIT #: SGN2006 -00156
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/31/2006
PARCEL: 2S 103AA -00101
BUSINESS NAME: FOWLER MIDDLE SCHOOL ZONE: R -4.5
SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq. ft. temporary banner. Tigard Basketball Association
9 -16 -06 thru 10- 16 -06. Sign #1
MATERIALS: PLASTIC BANN
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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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 ign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 y fro validity date.
APPROVED BY: /
PERMITTEE SIGNATURE: (7 ' `r
DATE: 8/31/2006
08/29/2006 10:28 FAX 5036355108 MSEI - OREGON 12002
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SIGN PERMIT AP
• �' PI�IC.'`I:O�T
• c t -Ti art Pemit Cyr 13125 SWIIcdI 81.11, Ti OR 97223 .
Phone. 503.639.4171 Fax: 503.598.1960
CE1y.TE.AL.INTION S�P� 1 O �� 1 •
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Narne of Development/? rojccr
, ` i16 ` [- FOR STAFF 'USE. ONLY
Site 1 oyn/ ier I n, , d IR. Sc..ho\
Address/ Setter Address Pernii[ No_: N 7 tc3 0015", •
Location Go r Ate- o". Vvr-ALvil -2 1 Titaz,,...v.r,
• Suite /Bldg. It Cry /stare Zip Expiration Date: qid f a 6 — 1 (t;, o5
•
� - d Receipt H
Name -' f � 1f1 Approved Sy
• Property � 1,-
_� q ,J, - t I i7,C. i-i i, rr4 \o. k J 'c l- Date: 6 13 1 c
-1
Owner tg Address Suite Map /TI/ : '
Zoning: Pr r
Cry/State Zip • Phone
Tenant or IVarne - Electacal Permit Required? ❑ Yes El—No
Business g�— T� p ¢.r � a 5 1� f�QG�. �S B uilding Pcrzrut Required? ❑Yc
amt • J Rev 7/5/06
i\curpltArrnsres \lied use appGeations\sign. permit app.doc
Sign
Contractor Mfg • .r•• I
•
(Prior to permit -- — - --
• issuance,
opy f all REQUIRED STJBIVFITT� EMENTS
copyof zll City/Scat %fir PPhone UQ 11
licenses an • (Note: applications will not be accepted
•
required if without the required submittal elements)
expired in the Oregon Consr. u. Board Lice. tse d E _ • . re
. City ofTigard's
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database) ❑ Completed Application Form
Proposed
❑ Perm:nem ❑ F reestanding ❑ T 'reeway . ❑ 2 Copies of Site/Plot Plan, Drawn to Scale •
Sign �!� Temporary . ❑ WiU ❑ Eleetmaic (3 co if a b p e r mit is re .
(Chcekallrha LJ der ❑ Billboard ❑ Balloon
t ee
appt size requirement: $ h x 11 '', or 11" x 17
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn. to scale
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Sign Dimensions: / ( c opies, if a building permit is required)
•
. g
srzz requirement: 8r/z" x 11", to 24" x 36" •
Total Sign Area (sq. fL_)
Z� S 1_ �f ❑ $39.00 Fee (Permanent sign,, anysize
Total Wall Area (sq. ft) .
Sign Data ; X $19.00 Fee (Teixipot:uy sign, any type)
• rti
(Compktc all Direction Wall Faces (circle one): .
acrosmrhs NCE ES:
section) N 0 E W NE NW SE SW
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Height co top of sign, (feet): • + Wall signs do not need to be drawn to scale, but • Projection From Wall (inches): must include dimensions of wall face and sign
�1'Y placement.
• Materials: �� _ _ _ • Wall signs do not require site /plot •
�•�'�� + Freestanding signs over G fr required a building
• Will sign have illumination? ❑ Ycs N iZ No permit.
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Type: ❑ Internal ❑ External ♦ If work authorized under a sign permit has not been
Axe there any existing freestanding or wall signs ar this location,. completed within ninety (90) days after the issuance
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. including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL . BECOME
• II] Yes ❑ No NULL AND VOID.
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If "yes", a List ordiagtam of all sign dimensions and square
footage must also be submitted. "" —
(OVER FOR SIGNATURES)
08/29/2006 10:29 FAX 5036355108 MSEI-OREGON 0 003
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I hereby acknowledge that I have read this application, that the information given is correct, that Z am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DATED this 2 c lay of A v J vs ,20 20 I°
Signature of Owner /Agent
RoD r'a �� spa --70 - C71-1
Contact Person Name Phone No.
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F ow IQr
Fie C6' - -�
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CITY OF TIGARD 8/31/2006
IIII ' 1 13125 SW Hall Blvd. 10:18:21AM
Tigard, Oregon 97223
TIGAID (503) 639 -4171
Receipt #: 27200600000000004336
Date: 08/31/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00156 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2006 -00156 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2006 -00157 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2006 -00157 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard ROBERT CRAWFORD KJP 323553 In Person 38.00
Payment Total: $38.00
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