SGN2004-00223 %
CITY OF TIGARD SIGN PERMIT
bk DEVELOPMENT SERVICES PERMIT #: SGN2004 -00223
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/31/2004
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: 12' X 2'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner sign over Durham Rd. right -of -way. Sign #1.
Valid from 8/24/04 - 9/23/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: ^c_
PERMITTEE SIGNATURE: 4111110t 1 .4 Lik P 4
DATE: 8/311'004
• 6 /C -(-k. 1 9 .h ►v, P (r c,
A � Iti SIGN PERMIT APPLICATION P-u- "s".- 4-
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site n p D H16-14 SC,f+O b C
Address/ Street Address Permit No.: SGN a0 c) 4' tip cD.--3
Location 9 coo 5 u Q ue.1HAM -i7 . ) - a3 - f7
Expiration Date: dieil
Suite /Bldg. # City /State Zip
X n Aro O 107 IZL1 Receipt #: - n/� _
Name 1 Approved By: �{ C0wy.c,4—)
Gj 0 Date: - 3 1- 6 4
Property � 'J
Owner Mailing Address Suite Map /TL #: ..2S IN-l- F Pr — pot OD
c / ci (0 0 5vo 5-4r+.)1)Bu�(r 5�. Zoning: R y- . S
TI 6-1;12b a 9 ()4 31 - .L{000 Electrical Permit Required? ❑ Yes No
Tenant or Name
� H ` - 5c 1 �� L Building Permit Required? ❑ Yes No
Business RO I Tf
Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name
Sign 516N % 5(_,OPE 96 1 -- --
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS 5 ( LL f4 7� (Note: applications will not be accepted
ssuance to permit , a ?, ✓ ) € J�f f t NI ✓) without the required submittal elements)
copy of all City /State Zip Phone
licenses are n �{ Y> , ,�\/� 3 �_ I ❑ p pp
required if 1 ItT('t� v r. (5°3 } � Completed Application Form
expired in the Oregon Const. Cont. Board Exp. to
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
d
Pro ose Freeway size requirement: 8 x 11 ", or 11" x 17"
Proposed Permanent ❑ Freestanding ❑ Freewa q
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ 2 copies of elevations, drawn to scale
apply) ❑ Billboard ❑ B alloon (3 copies, if a building permit is required)
4 r, 1 New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign rift ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 2 15A f r ❑ $15.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) , _. Jurisdiction: ❑ City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): 1 �' sign placement.
Co{ f 4.F / -t 11C -�' ♦ Wall signs do not require site /plot plans.
Materials: VI ? ■..1 L. ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes allo building permit.
Type: ❑ Internal El 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
"r 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 day of AUG—UST' ,200
I
Sign ture of Owner /Agent
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Contact Person Name Phone No.
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