SGN2005-00236 C ITY OF TIGARD SIGN PERMIT
41, DEVELOPMENT SERVICES PERMIT #: SGN2005 -00236
- 'j 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/11/2005
PARCEL: 2 S 114AA - 00100
BUSINESS NAME: TIGARD BASKETBALL ASSOCIATION ZONE: R -4.5
SIGN LOCATION: 09000 SW DURHAM RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 8 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placment of (1) one 24 sq ft temporary banner. Valid 8/15/05 - 9/15/05. Sign #2
MATERIALS: CLOTH /PLASTI
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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 days
from validity date.
APPROVED BY: L
PERMITTEE SIGNATURE: ( CI A '
DATE: 8/11/2005
Aug 04 05 08:02a P , 2
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,,, SIGN PERMIT APPLICATION
CITY OF TJGAPD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
'_t 4 2005
GENERAL INFORMATION
Name of Development/Project
e-
Site 1 r �� /'� )+131'N Cc -koml 1
Address / Street A ss .�7N Permit No.: 2 -0 - 4,3c - (k) Z. 3j,
Location 9 6 6-o $ W ,, Apv-. N g-)
Suite /Bldg. City /State zip Expiration Date: ' -( S-- Us "Tii ∎- ,` 4 it �os
M A/.). GR c 7 ?2 Receipt #:
Name \ "1„ n Approved By:
Property 7, ci et. L ,,, S�i.v,,u1 1/�,S9h I• Date: (9� c i
Owner . Mailing Ad4ess Suite MapTTL#:
r9 SW „,,40.'r- Zoning:
City /State `` Zip Phone
1i"G_^rd)6It. 9 77 2e3
Tenant or Nama/ Electrical Permit Required? ❑ Yes ❑ No
Business ' a av-�1 ) AS' t . • �
(I t Building Permit Required? 1:1 Yes ❑ No
c oi'r. -6
Name J Rev. 7/1/05 i : \curpin\masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted I
copy of all City /State Zip Phone without the required submittal elements) •
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
• Sign ❑j Permanent ❑ Freestanding ❑ Freeway i size requirement: 8 x 11 ", or 11" x 17"
all that /'-'• Temporary ❑ Wall ❑ Electronic "
apply) ❑ Other 111 Billboard 171 Balloon ❑ . 2 copies of elevations, drawn to scale
New sign? (3 copies, if a building permit is required)
g El to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: 7 '
3 x8 ❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
.7_ , $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 3 , Xd r Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this , NOTES:
section) 0 S E W NE NW SE SW
- Height to top of sign (feet): g . • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): r--- but must include dimensions of wall face and
Co sign placement.
py • Wall signs do not require site /plot plans.
• Materials: C I. oth /pies -h`c io,,,.,,e- • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
° • If work authorized under a sign permit has not
ype: ❑ Internal ❑ 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? 1 • BECOME NULL AND VOID.
❑ Yes N K No .. __ _ _. ., _ _
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES) •
Aug 04 05 08:03a p,3
•
•
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. A Alm
DATED this day of A vs 20 05-
( (//(
Signature of Owner /Agent
1 � —271-C
Contact Person Name Phone No.
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CITY OF TIGARD 8/11/2005
13 12 5 SW Hall Blvd. 9:22:56AM
Ar t ,.. � ,. Tigard, Oregon 97223
'( (503) 63 9-417 1
Receipt #: 27200500000000003864
Date: 08/11/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00236 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00236 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2005 -00238 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00238 [SIGN] Temp Sign Perm 100 - 0000 - 437000 2.00
Line Item Total: $36.00
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
CreditCard ROB CRAWFORD KJP 033734 In Person 36.00
Payment Total: $36.00
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