SGN2002-00200 CITY OF TIGARD SIGN PERMIT
ICI DEVELOPMENT SERVICES PERMIT #: SGN2002 -00200
da- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/21/02
EXPIRATION DATE:
BUSINESS NAME: DISCOVERY CORNER CHILDCARE PARCEL: 1S136DD 04000
SIGN LOCATION: 11700 SW 67TH AVE
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 250 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq ft permanent wall sign.
Banner must be framed.
MATERIALS: VINYL &FRAME
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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 shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall ex it 1 days from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: � 17'"^"''
DATE: 10/21/02
,
1
s
Mk
��..;b iII! ii" 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
Site w/
�iscDUe. Ca C�tiitclrar� F OR STAFF USE ONLY
Address/ Street Address Permit No.: � 6/( Z.40 2 - U O
Location 1 ti On S LO ti21 tk
Expiration Date:
Suite /Bldg. # City/State , Zip
I iL c .t u 61-1223 Receipt #:
Name ., Approved By: -P
'' AA D r�� Date: �y
Property Phi 111 At �VU� ld /
Owner Mailing � Address ' 1 ff,� AA ,, ,��,, Suite Map /TL #: /S / 3(o be.)-- O`r'0oo
L SD 5L) WTAAVC,, 1 00 Zoning: /4 u 6
CCii /State Zip Phone
I `cik L1 f� ` ln73 -(01-2D Electrical Permit Required? ❑ Yes TZ No
Tenant or Name
Business i i:DVE "\j CD( y r Ck (lAra,�� Building Permit Required? ❑ Yes [iNo
Name Rev. 01 -Jul -02 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
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if f 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 i Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign i ' Temporary Wall ❑ Electronic
(Check all that r ❑ [3 2 copies of elevations, drawn to scale
Li apply) Other Billboard Ba
(3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
} $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): L [19 $15.00 Fee (Tempora r sign, any type)
Sign Data Total Wall Area (sq. ft.) a-51 h i� � ( . A
(Complete all Direction Wall Faces (circle one): NOTES: " >1 IJ�,, I„ n �C. t ll� „ 00 eard � a items this
Qht l V 1
section) S E W NE NW SE SW CO
• Wall signs do not need to be drawn to sc ,
to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): V sign placement.
Copy: • Wall signs do not require site/plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? R. Yes No building permit.
Type: El Internal External • If work authorized under a sign permit has not
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 IA No
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 0c , 20 0 Z—
Signature of Owner /Agent
se - 6 Z Y 6o z o
Contact Person Name Phone No.
.....__
D6COVerli Cotrtr (W1A,
not,ti
vi0-142
I/ 1 1 I I
g -Cdi
Sieln 3 ( Z, oft sr
ail do 12 )(2,r3 -; 2c0 soct
Ailaablt
kcg.lcsr
Discovery Corner Childcare, LLC
11700 SW 67 Ave
Tigard, OR 97223
f7ITY OF 73W)
App roved LA 1
Condl.,,%n—ty Approved
For only the wor. escr,d u:
1 AM IT NO.
Set, Letr to* Follow
Uob Ald::
°Y. /
CITY OF TIGARD 10/21/2002
13125 SW Hall Blvd. 8:48:57AM
014,,M, !
Tigard, Oregon 97223
e
._.. (50 3) 63 9-4 17 1
Receipt #: 27200200000000004002
Date: 10/21/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
•SGN2002 -00198 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
SGN2002 -00199 [SIGN] Sign Permit 100 -0000- 437000 30.00
SGN2002 -00200 [SIGN] Sign Permit 100 -0000- 437000 30.00
Line Item Total: $90.00
Payments:
Method Payer User ID Check No. Approval No. How Received Amount Paid
Check SOURCE ONE NETWORK INC kjp 400 In Person 90.00
Payment Total: $90.00