SGN2006-00141 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00141
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/15/2006
PARCEL: 2S103AA -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: 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. Sign #1 Valid 8/15- 9/15/06 Place
on private property, not in public right -of -way. Outback Bowl
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.
APPROVED BY:
.'- 441111
PERMITTEE SIGNATURE: Gfi1,2
DATE: 8/15/2006
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blul, Tigzra 7223
Phone. 503.639.4171 Fax: 503.598.1960 �t
E1 VFp
1
GENERAL INFORMATION AUG ' 5 2006
CITy OF
Name of Development/Project f/�� .T u I PLA (MIN T!CAR
Site
eiviei'- knit & IMt k &al, FOR STAFF IN
Address/ Street Address
Permit No.: °��� -0-0/q/
Location Walligit/
Suite /Bldg. # City/State Zip Expiration Date:
Receipt # : ( o �v 4
Name _ Approved By gr'
Property Tigard I u a IaM '5 ckool ki n� Date: gll 510‘,
Owner Mail Address Suite Ma P /TL# : 1-5 /0 ` DU a)/
Zoning: -U-
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes (No
Business Building Permit Required? ❑ Yes [l/No
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 (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding El Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporar ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard Balloon 1
appl) h ❑ size requirement: 8 /z" x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign? 1 ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: � 1 (3 copies, if a building permit is required)
_ size requirement: 8' /z" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
5' ❑ $39.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data I ❑ $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
Copy placement.
Materials: • Wall signs do not require site /plot plans.
1 • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ 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
❑ Yes [✓J No 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.
DATED this `") day of Au , 20 10
r f' rW
Signa of Owner /Agent
lqq- 381
Conn Name Phone No.
____— ---
D 1 .1- k / v ) Tett kr
k Li , yi uii, , L--1\,„ ,, '------, , • As_ 1 .•L) , , 7, ./9 .
„....
I
1 0 ex
Li
D..- y
,, ,.
/v op e.)(,) „Al,
1 ics.get?i, 7 . —,....„?
L 611 i
t 474f 4ted. 1
4.-- 1
,....
a / CITY OF TIGARD
,---<
7 /(S --- I ii -C 7° Approved
Conditionally Approved
[
For only the work as described ip,:,
See Letter to: Follow I
Attach
Job Addre S S?..0 04LA/ ift
By: g 'I Date: 81/C/06
CITY OF TIGARD 8/15/2006
- ' 13125 SW ball 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
cReceipt.rpt Page 1 of 1