SGN2003-00164 CITY OF T I G A R D SIGN PERMIT
hboovieet DEVELOPMENT SERVICES PERMIT #: SGN2003 -00164
- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2510 3
1- �
PARCEL: 2S10 13125
BUSINESS NAME: FIRST STUDENT ZONE: I -L
SIGN LOCATION: 13000 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'10" X 9'
TOTAL SIGN AREA: 37 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Framed banner as permanent wall sign posted on fence on West side of property.
MATERIALS: VINYL/WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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: / e- r-arYt
PERMITTEE SIGNATURE:
DATE: 7/11/03
1.
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, SIGN PERMIT APPLICATION
CI OF I 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 Fu o JLL�G
Address/ Street Address Permit No.: SG N .1003 - 00 1 ( o 4
Location 13coo 5w u. L Expiration Date:
Suite /Bldg. # - City /State Zip
• Receipt #: oZ U b 3' 3 Q 0 0
Name CL ��Z Approved By: Ch P4 (n Ac.l,.�
Date: '7 - I / -0 3
Property - •
Owner Maili Address Suite Map /TL #: .Q I o 's D A - Oo so I
6 Su.) Stvw6tinct a.t. Zoning: Z _ L
City/State Zip Phon
1' I1 �®%t q'1 ?3 Electrical Permit Required ? , ,❑ Yes'. la- No
Tenant or Nam Building Permit Required? ❑ Yes . , _ .
Business �'�d�
Rev. 01-Jul-02 is \curpin \masters \revised \sign permit appdoc
Name
Con tat .J`. REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State :Zip , Phone
tenses are ` 1.
required if ❑ 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 cg. permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic •
(Check all that ❑ Other ❑ Billboar ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? Nij Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: �l /O if X , 41 $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /7 gfi Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E 0 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): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes Pa No • If work authorized under a sign permit has not
Type: El Internal LI External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
If "yes", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
.
Al
'
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 I I day of , 20 03
6
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Signature of Own r /Agent
ck s 4d - a. b ?iJ -F
Cary 111
Contact erson ame Phone No.
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• 1312'5 SW Hall Blvd; _ • r 3:22,:-31P114- ��,;rl Tigard, ,97223:• . -.- ''-a 'f LL (503) 639 - 4171' ' -. f ' ' �, - • • _ - Receipt t' #. :272003000000000. .'
:- • -_ ::, , .:':--..',. - - .. - t e - :07 /11`/2003 - _.
Line Items:
Case. No _ Tran,Code 'Description Revenue-Accouiit No. ,. . Amount Paid •
SGN2003- 001,64_" [SIGN] Sign Permit 100-4)000-411.600 ,.31.00 ,
_ - SGN2003- 00'165 • • [SIGN]•Sign Permit 100= 0000- 437000.; . _ 31:00
' SGN2003 -00166 • - [SIGN] Sign Permit 100 0000. 437000 . = 3.1.00 . •
_ Line Item Total :,_ , - ' $93.00
P ayments: • • . _ _• - -_ - `� _ • , - = -�' •
. Method - • Payer, _ . - _ • = Appr a Amount Paid User'ID Acct. /Check oval No. How:It ce, ou d -
Check - - _ FIRST "ST_UDENT - - ' ' ' CAC _ i In _Person' °.° ; - 90.00_ - •
Cash- - FIRST SUTDENT CAC ' - ° In Person, - ' 5:00
Change , .. CITY OP STUDENT CAC _ In Person
•
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