SGN2010-00011 Y
=y CITY OF TIGARD PERMIT
Permit #: SGN2010 -00011
COMMUNITY DEVELOPMENT Date Issued: 01/29/2010
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13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102BD00100
Jurisdiction: Tigard
Name of Business: St Anthony's Pre School
Business Address: 12645 SW PACIFIC HWY
Applicant/Agent: St Anthony's Pre School,
Work Description: Placement of one temporary sign (banner) 3 ft X 6 ft (18 sq ft) Valid 1/30/10 to 3/1/10
/sign #1 Must meet visual clearance requirements. Must be placed on private property,
not in the ROW.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3 ft X 6 ft
Total Sign Area: 18
Wall Area:
Wall Face (Direction): East
Sign Height: 5 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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.
A / ,pr 1 P B A roved : ( ' 1 A
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Permittee Signature: , I1 1 jIi /
111 11p1 SIGN PERMIT APPLICATION
j i, City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
„ , - I Pr &" r , FOR STAFF USE ONLY
Site � /� /�
Address/ Street Address Pemut No. � 1/ 2l/�/J 'eM //
Location l mi40 W (bag P-w&
Suite /Bldg. # City/State Zip Expiration Date:
Tj i9p � ri 012 9 ' Receipt #: / 7 0 7 V
Name t (ll l l/ Approved B
. e /
Property Date: 1 / �� v
Owner Mailing Address t• I �`., n Suite / Map /TL #: (D(90/046'
UP41 d J SW 'ILIUM t l� a`� Zoning:
City/State Zip Phone /
Electrical Permit Required? ❑ Yes Xi No
Tenant or Name
Business Building Permit Required? ❑ Yes gNo
Name Rev. 7/1/09
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 ty Tigazd's
database) ❑ Completed Application Form
da
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon t " " " "
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 Dimensio p X /Q (�� (3 copies, if a building permit is required)
+ ( -1 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): Q r�
C D ' c r ❑ $40.00 Fee (Permanent sign, any size)
Da Total Wall Area (s ft
Sign g$19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this 1 NOTES:
section) N S 0 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): Q must include dimensions of wall face and sign
placement.
Copy:
• Wall signs do not require site /plot plans.
Materials: Nki 10 r\ - v,'��A 1 ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ es la-No permit.
Type: ❑ Internal ErExtemal ♦ 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
1:1 Yes 12.--No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
1 1.30, ID — 31 I I 1 D (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 Z C {
day of J l�Vl �i( r� , 20 /0 y
i gnature of Owner /Agent
C0 3q
i&na 50 3 - - -- 7a F)(7
Contact Person Name Phone No.
CITY OF TIGARD RECEIPT
1� l��,i,'a ',1
13125 SW Hall Blvd., Tigard OR 97223
a iiir...,, 011,li y 503.639.4171
T'TG14 p
Receipt Number: 176744 - 01/29/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00011 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00011 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 5062 STREAT 01/29/2010 $19.00
Payor: Russell Oehler Catherine A Oehler
Total Payments: $19.00
Balance Due: $0.00
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