SGN2001-00142 '
SIGN PERMIT
CITY OF TIGARD
DEVELOPMENT SERVICES
PERMIT#: SGN2001-00142
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/14/2001
EXPIRATION DATE:
BUSINESS NAME: TOUCHSTONE SCHOOL
PARCEL: 1S136AA-0690
SIGN LOCATION: 07090 SW LOCUST ST
APPLICANT/AGENT: TOUCHSTONE SCHOOL ZONE: R-4.5
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6'X 7.5' c FIE(on
TOTAL SIGN AREA: 45 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of(1)freestanding sign. Not to be placed in visual
clearance area or public right-of-way.
MATERIALS: PLYWOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable lawsrkwill be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A t po ry sign shall a it 30 days from approval date. A balloon sign shall expire 10
riavc fmm annmval data �/�
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 8/14/2001
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 iouhAflfQ
FOR STAFF USE ONLY
Address/ Street Address
Location logo sw
FiLo Permit No.: Nlmot _ 00114a
Suite/Bldg.# City/State Zip
1 0A o� u Expiration Date:
Name t � � J� I ' �ek Receipt#: —
Property
Approved By:
iil�
Owner Mailing Address Suite
D Date:
Z5 NVQ 2-3rd P1 & f M _0 qt4 Map/TL#: 0
City/State Zip Phone
Zoning: �
Por+ICLAA C& X2,10 wi)22-b-bul -
Tenant or Name ❑
1�5,6I
Business Electrical Permit Required? Yes �r No
Name Building Permit Required? ❑ Yes No
Rev.12/1/2000 i:\curpin\masters\revised\sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance,a
copy of all City/State Zip Phone
licenses are REQUIRED SUBMITTAL ELEMENTS
required if (Note: applications will not be accepted
expired in the Oregon Const.Cont.Board Exp.Date
City of Tiigard's License# without the required submittal elements)
database
Proposed errnanent Freestanding ❑ Freeway ❑ Completed Application Form
Sign wall ❑ Electronic ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
(Check all that Other ❑ Billboard ❑ Balloon (3 copies,if a building permit is required)
a size requirement: 81/2"x 11",or 11"x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations,drawn to scale
I Sign Dimensions: i I X j� (3 copies,if a building permit is required)
`` size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (sq. ft.): $50.00$50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq.ft.) 15. a Te or n, n e
(Complete all Direction Wall Faces (circle one):
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
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
Will sign have illumination? ❑ Yeso building permit.
T e: Internal Exter al • If work authorized under a sign permit has not
Are there any existing freestanding or wall si ns at this been completed within ninety (90) days after
the issuance of the permit, THE PERMIT WILL
location, including wall signs that ov rlap a tenant space?
BECOME NULL AND VOID.
❑ Yes No
" list or diagram of all i n dimensions and DOVER FOR SIGNATURES)
If"Yes",a g g
square footage must also be s bmitted.
I hereby acknowledge that 1 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 120
l
Signature f Owner/Agent-E�d chLK, _
Ki'mi-c-r(JA
Contact Person NamePhone No.
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fMTY AMI
API,Mverl................................................
Condi...,.ffi4ly Approved...--...........
F¢r only the work as descrOmml iA;
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Receipt #: 27200100000000003353 �,
Date: 08/14/2001 - FIVOPY .
T 1 0 E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00142 Sign PerrriFt 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check M.O.-NOBEL LEARNING COMM. 0 40268279 0 $50.00
TOTAL AMOUNT PAID: $50.00
t
072799 09 P Branchpay®1-(800)444-6899 Another service of Gelco Information Network,Inc.Eden Prairie,MN . 41581000 02
DESCRIPTION ACCOUNT TOTAL AMOUNT TT SCHOOL NUMBER
ANCILLARY 6 1 4 0 •W
�OR�--1 S '0402682791
TEACHING suP. 6 3 0 0 -31
LEARNING FED ID#/-SOCIAL SECURITY# BP AUTH.NO. DATE
FOOD 6 3 1 0 COMMUNITIES I Q
BUILDING MAINT 6 4 O O NOT VAUDAFTER 30 DAYS FROM DATE
A/C&OUT MAINT 6 4 0 5 A PAY TO THE
�•r
JANITORIAL 6 4 1 0 ORDER OF U
(PAYEE)(PLEAS RINT)
TRANSPORTATION 6 5 0 O
MARKETING 6 6 0 O Add
(ADDRESS)
OFFICE SUPPLIES 6 ! O O A (CITY) (
(STATE)
OTHER CONTROLLABLES 6 9 0 0
(ZIP C DE) by
r a
NOT OD M RE THAN 300,00 NOT REDEz
FOR CASH BY DRAWER' AU RIZ R NTATIVE
YOR T OUGH 75-48
OR EST BANK RED WING,N.A.
TOTAL RED WING,MN 919 TURE OF DRAWER'S AUTHO ED REPRESENTA IVE
By signing this instrument,each of the aforesigned confirms that he instrument has been drawn h accordance wb the authodty issued M'GEL f-0FVMTION NETWORK,INC.h any
statement herein be untrue we,the aforesigned,agree to pay to the drawer upon demand the amount of this instmmem ant."exfennaes as arising from such misstatement.
11'040 268 279 ?V 1:09 319004651: 2 2 16 2 011' 26 2