SGN2005-00238 l CITY OF TIGARD SIGN PERMIT
PER i�l DEVELOPMENT SERVICES MIT #: SGN2005 -00238
R --- � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/11/2005
PARCEL: 2S103AA -00101
BUSINESS NAME: TIGARD BASKETBALL ASSOCIATION ZONE: R -4.5
SIGN LOCATION: 10865 SW WALNUT ST 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): S
SIGN HEIGHT: 8 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement 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:
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: /
PERMITTEE SIGNATURE: 0-)/L--
DATE: 8/11/2005
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- 111 ? ' , 4 2oo5SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) - 6$4
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GENERAL INFORMATION
' Name of Development/Project
Site Fo wr )P_.,r- fr\j e DJ 1 FOR STAFF USE ONLY
Address/ Street Address Permit No.: JV N 2 c' 0 5 - cC z 30
Location ) p86 S ,S w V./gAhu+ S-1-.
Suite /Bldg. # City /State Zip Expiration Date: -/ S - o , i$ .or
% a r` CI72Z3 Receipt #:
Name 11 ` ( I Approved By: � if
Property 1 t `� h ro� — ��s 4 Sc� I �� �r; Date: 8 (t f r .
Owner Mailing Address Suite Map/TL#:
CD SW - ..,)b +r Zoning:
City /State • Zip y Phone
71 k, 0 s 61 7023
Tenant or Nal& J r Electrical Permit Required? 0 Yes ❑ No
Business f .B.ti K Building Permit Required? ❑Yes ❑ No
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Name Rev. 7/1/05 i:lcurpinlmastersuevised\sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS 1
(Prior to permit •
issuance, a (Note: •applications will not be accepted
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)
• ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Sign Illrg Temporary ❑ Wall ❑ Electronic
(Check all that II Other Bill board 111 2 copies of elevations, drawn to scale
apply) ❑ ❑ Balloon
New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: c
3 ❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.): 2.4/
$18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft 3 �� r Jurisdiction: . El City E] Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N 0 E W NE NW SE SW
Height to top of sign (feet):. f`+ • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Co sign placement.
py• • Wall signs do not require site /plot plans.
Materials: C („} . 1,/e1 «4; la Ae. • Freestanding signs over 6 ft. required a
)/ have illumination? ❑ Yes ❑ building permit.
C • If work authorized under a sign permit has not
hype: ❑ 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 PERM T 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)
Aug 04 05 08:03a pg
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•
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-u 1/4.9 v 1/4. S 20 off''
Signature of Owner /Agent
p,\,0 513 (qi 2-7,
Contact Person Name Phone No.
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CITY OF TIGARD 8/11/2005
13125 SW Hall Blvd. 9:22:56AM
//kar <et � Tigard, Oregon 97223
:_.. (503) 639 -4171
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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