SGN2004-00162 CITY OF TIGARD SIGN PERMIT
' ', DEVELOPMENT SERVICES • PERMIT #: SGN2004 -00162
c� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/21/2004
PARCEL: 2S110AC -01700
BUSINESS NAME: CTK PRESCHOOL ZONE: C -G
SIGN LOCATION: 11305 SW BULL MOUNTAIN RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X2'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'x2' A -frame sign. Sign must be placed on
private property and not in the public right -of -way. Valid 8/30/04- 9/29/04. Sign #3
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N ,
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 671I A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 da m validity date.
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APPROVED BY: K
/ G
PERMITTEE SIGNATURE: - - • U Y ' ° L- v
or
DATE: 7/21/2004
Xt
,,,,, SIGN SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
�k i / //t - V v J FOR STAFF USE ONLY
Site � >` T / J r ►1
Address/ Street Address ��pp ///m}�1 D Permit No.: i 1430 fl ` / 62_ Location / / �QJf' cS;;U tom` (( �„ l � �l a 3��� / dry — S`
Expiration Date: y
Suite /Bldg. # City/State � Zip �
� doett , , 97a1977/ Receipt #: 0- 6` 2/ y 25
/ Nam /}(- Approved By: �'
Property C_ h i s54- -t k e r r at IA IK'� Date: 7/24 /
Owner Mailing Address uite Map /TL #:
Sa WL-- Zoning: C-2
City/State Zip Phone
5
- Tenant or
Name 10.39 — 739 Electrical Permit Required? ❑ Yes [- No
Business c' T {' C � VY ' SC vO c Building Permit Required? ❑ Yes ❑` No
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing A.. s Suite REQUIRED SUBMITTAL ELEMENTS
• (Prior to permit
issuance, a
(Note: applications will not be accepted
copy of all City/S . Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired ' e Oregon Const. Cont. Board Exp. Date
Cit atabase igard's License # El Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
p ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ��Temporary ❑ Wall ❑ Electronic
(Check all that
apply) ❑ Other ❑ Billboard ❑ Balloon El copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New si n? r] Alter to existing sign? 1 "
g-� size requirement: 8 /2 x 11' , to 24" x 36 "
r% Sign Dimension / A t
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (s_ ft.): %j
l o( A, r ❑ $15.00 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): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
c( ' o - R �` - • Wall signs do not require site /plot plans.
Materials.:.) • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ❑ 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 wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME 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 �a day of 47t.4 , 20�
`l,
Signature Ownerfegent)
Contact Person Name P ne No.
3 r
CITY OF TIGARD 7/21/2004
13125 SW Hall Blvd. 11:47:04AM
/ , ;41/Vit I a s i ' Tigard, Oregon 9 72 23
,-, 6 1.. (503) 63 9-4 17 1
Receipt #: 27200400000000003188
Date: 07/21/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00161 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2004 -00162 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CHERYL JOHNSON /CTK 3705 3705 In Person 30.00
PRESCHOOL
Payment Total: $30.00