SGN2006-00140 t
Er CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT #: SGN2006 - 00140 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/15/2006
PARCEL: 2S114AA -00100
BUSINESS NAME: TIGARD HIGH SCHOOL ZONE: R -4.5
SIGN LOCATION: 09000 SW DURHAM RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 5'
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary banner sign. 3' X 5' Valid 8/15/06- 9/15/06 Place
on private property, not in public right -of -way Outback Bowl 3 $J t 4 -
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. /J t ,
APPROVED BY: ^2 �w 4 C
PERMITTEE SIGNATURE:
?:14" /�J
DATE: 8/15/2006
i
III SIGN PERMIT APPLICATION
Cit of Ti Pernit Center 13125 SW Hall Blul, Tzgarg OR 97
Phone 503.639.4171 Fax: 503.598.1960 CP / I
Ass V
l
GENERAL INFORMATION G . /T 2046
PLAN OF- N TIGA
Name of Development/Project F Pit)
Site SOCC r CCY16 0' t(,�G 601/1)1/ FOR STAFF USE ON FR/N
Address/ Street Address le Permit No.: 3613 ( - (YO ((-6
Location lJ 01,t rhd in /4 / I - ' �"
Suite /Bldg. # Gty/Sta Zip Expiration Date:
Receipt # :
Name Approved , y: - Tie
Property T9urI TGILI4�n (Senn/ Q)Sfr2t Date: of ls1 ,
Owner Mailing Address Suite Map /' : gS 11 if R - 0006
Zoning: iC `f
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes El No
Business Building Permit Required? ❑ Yes
El No
Name Rev. 7/5/06
/1 , 4 is \curpin \ masters \land use applications \sign permit app.doc
Sign u
Contractor Mailing Address Suite
(Prior to permit I
issuance, a
copy of all Gty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
license d (Note: applications will not be accepted
q without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Qty of Tigard's
database) ❑ Completed Application Form
Proposed y ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
P ❑ permanent ❑ Freestandin g ❑ Freeway
Sign ''' ❑ Wall El Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard Balloon » » 11"
apply
❑ size requirement: 8' /z x 11 , or 11 x 17 "
[New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: f 7 x 5 (3 copies, if a building permit is required)
size requirement: 81" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): /,—
❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. f t.)
g ❑ $19.00 Fee (Temporary sign, any type)
(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): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
C placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes E No permit.
Type: ❑ Internal ❑ External • 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
El Yes [2 NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square 1
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.
DATED this /6 day of 47/3 , 20 D
Sig 4 e of Owner /Agent
• 1*1,0e--
Contact Pe sin N. - Phone No.
D LA+ loo S fekws
.3" Ti tr iota
Au u 5t 2 lP , Z d o (p.
u
CITY OF TIGARD
r Approved _..._... [ �
l� D Conditionally Approved [ j
For only the work as des ribed in
PERMIT NO. ZA�� / � 4
See Letter to: Follow [ j
Attach .. [ ]
Job Address: 9 trt7Z� TL
By: - TR - CA Data: 8fisi0k
CITY OF TIGARD 8/15/2006
r � 13125 SW Hall Blvd. 11:08:41AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000004095
Date: 08/15/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00140 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2006 -00140 [MISC] Misc Fee 100- 0000 - 451000 2.00
SGN2006 -00141 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2006 -00141 [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 JOAN HOWE ST 126607 In Person 38.00
Payment Total: $38.00
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