SGN2003-00090 C ITY O TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00090
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/24/03
PARCEL: 2S 102 B D -01700
BUSINESS NAME: TIGARD PLAYSCHOOL ZONE: C -G
SIGN LOCATION: 12860 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD PLAYSCHOOL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5 X 2
TOTAL SIGN AREA: 5 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) A -board sign. Sign must be placed on private
property and not in the public right -of -way. Valid 4/28/03 - 5/28/03. Sign #2
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 expire 10 day- ro' vali id ry te.
„ r
APPROVED BY: J �
PERMITTEE SIGNATURE: '
DATE: 4/24/03
A 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
Address/ Street Address Pe rmit No.: rZ ,rJ 3 `' 0 <J( c 9 tD
Location ' 7 t',U0 I (A) `Paci - 1 , .`' C 1,
Expiration Date: ,f/ 7-
fl / LV 6 3 • ` / - c0:
Suite /Bldg. # City/State Zip
1L kra ce t 112 7 Receipt #: • 3-
Name Approved By:
Property Date: ilb vi,
Owner Mailing Address Suite Map/TL #: - r 6. A b -6 / 7 ( z
_ Zoning: (' Y
C _ it Zip Phone
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 30 -Jul -01 is \curpin \masters\revised \sign permit app.doc
Sign t � Gi1rtL ?1 icr
Contractor Mailing ddress • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit s, 4 s IA j \, , x , ,
(Note: applications will not be accepted
issuance, a � i\1Qlty f
copy of all City/Sate Zip Phone without the required submittal elements)
licenses are Q
required if Ti pt(11 LP- C F7273 - I ' v II d ❑ Completed Application Form
expired in the Oregdn 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 size requirement: 8 x 11 ", or 11" x 17"
Pro
p ❑ Permanent EI Freestanding ❑ F reeway
Sign gc Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that Other El Billboard ❑ Balloon (3 co if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
❑ New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
a 2. ❑ $15.00 Fee (Temporary sign, any type) •
Total Sign Area (sq. ft.):
5 341, -P4'. , NOTES: 04--- • ` '�
Sign Data Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items N S E W NE NW SE SW
emi this • Wall signs do not require site /plot plans.
section)
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): 0, ..i—i _ building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: IA) 001 the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes 1:21No
Type: ❑ Internal ❑ External / ■
Are there any existing freestanding or wall signs at this / Not all jurisdictions accept credit cards, please call jurisdiction for more information.
CI location, including wall signs that overlap a tenant space? Visa MasterCard
Credit card number 1 1
'Xl Yes ❑ No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. e
Cardholder signature Amount
(OVER FOR SIGNATURES)
r ,
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 A I , 2 0 C)-
Si•nature of 0 ett, Agent
rA.Y -h Z� Lo 3 S I ► D
Contact Person Name Phone No.
CITY OF TIGARD 4/24/2003
13125 SW Hall Blvd. 9:27:51AM
M i ■ Tigard, Oregon 97223
ea. (503) 639-4 17 1
Receipt #: 27200300000000001628
Date: 04/24/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00090 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. I-Iow Received Amount Paid
Check TIGARD PLAYSCHOOL INC KJP 2818 In Person 15.00
Payment Total: $15.00