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SGN2004-00391 P CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00391 clll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/30/2004 PARCEL: 2 S 114AA -00100 BUSINESS NAME: TIGARD HIGH SCHOOL ZONE: R -4.5 SIGN LOCATION: 09000 SW DURHAM RD JURISDICTION: TIG APPLICANT /AGENT: TIGARD HIGH SCHOOL BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4'X5' TOTAL SIGN AREA: 20 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 6 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placment of (1) one temporary 20 sq ft banner. Valid 12/30/04- 1/30/05. MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 17.00 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 •• n permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 d ys fro •alidity date. c � APPROVED BY: PERMITTEE SIGNATURE: DATE: 12/30/2004 r „, „,,, SIGN PERMIT APPLICATION 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 / / a -6/ /1.`i .SGht90 Address/ Street Address // Permit No.: _ '') � ] /� L' C5/ -6 J . � Location 9000 510 l�ft. rAamn Zc /� I' ` Expiration Date: Suite /Bldg. # City /State Zip i t9Gir-i% 7 (J 4 , q 7 -4 j Receipt #: ')-- -D t L( - S 7_ Name Approved By: Property / I ` C� .0 �, f fL Leo / Date: (� 3 Owner Mailing Address Suite Map/TL #: Zoning: City/State Zip Shone 77tA G f 7,2 LW S90.0 Electrical Permit Required? ❑ Yes DI-16 Tenant or Nafne Business Building Permit Required? 111 © Yes - No Name Rev. 7 /1/04 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City /State Zip Phone licenses are required if W Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign U Temporary ❑ Wall ❑ Electronic 111 2 copies of elevations, drawn to scale (Check all that ❑ Other ❑ Billboard ❑ Balloon ' apply) (3 copies, if a building permit is required) [A New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 1. X S ❑ $32.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.):a 0 WI $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: p City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this A � section) CND S E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): 6 ' but must include dimensions of wall face and Projection From Wall (inches): 0 sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ,ti No building permit. Type: ❑ Internal .O 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 El Yes 0 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 91 day of !mac , 20 C Si es. % • at ' o ""wner /A 5 =1S,��3 Contact •It Name Phone No. CITY OF TIGARD 12/30/2004 13125 SW Ha11 Blvd. 1:55:30PM / l 1', Tigard, Oregon 9 72 23 61 ±E. (503) 63 9-4 17 1 Receipt #: 27200400000000005573 Date: 12/30/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00389 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00 SGN2004 -00390 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2004 -00391 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 Line Item Total: $51.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid CreditCard ERIC ROBBINS KJP 030421 In Person 51.00 Payment Total: $51.00 cReceipt.rpt Page 1 of 1