SGN2009-00039 .
pr i CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00039
• 'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/19/2009
PARCEL: 1 S 135AB -00100
BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R - 4.5
SIGN LOCATION: 10350 SW LINCOLN ST JURISDICTION: TIG
APPLICANT /AGENT: TIGARD YOUTH FOOTBALL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary (Banner) sign 3' X 6' Valid 4/1/09 to 5/1/09 Sign
#2 Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Spedalty 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.
4 /
APPROVED BY:
(At
PERMITTEE SIGNATURE: .-0 1171'
IGNATURE: . Citi 1K' • V (AV
DATE: 2/19/2009
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$1 4 h � (41 SIGN PERMIT APPLICATION
„, : :: "" City of Tigard Pernat Center 13125 SW Hall Blul, Tigard OR 7i2 3-
Phone 503.639.4171 Fax: 503.598.1960 „e i • S' n' rm
FEB 1 2009
GENERAL INFORMATION ��� p ��i ?°t.� , .l�A � - � . re
Name9f Development /Project "°Ai" i,;,RIN'
FOR STAFF USE ONLY
Site l i ' ` ''.(1dC i 1 I) a I v � R'11U
Address/ Street Address 1 Permit No.: S_G ilJ �0 - 00 3
i
Location 1 U C I jil [A I`1(.UI
_
VI � Expiration Date:
Suite /Bldg. N 9t State Zip
(; Receipt#: .9-c 35 S •
Name J Approved By. S 79
Property Date: a) Iq / D't
Owner Mailing Address Suite Map /TLS : 15 135 A 0
Zoning: }4• S
Gry /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes Q
Business Building Permit Required? ❑ Yes No
Name Rev. 7/1/07
is \curpin \ masters \land use appbcauons \sign pemtit app.doc
Sign
Contractor Mang Address Suite
(Prior to permit
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in she Oregon Const. Cont. Board License .N Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway n 2 Copies of Site /Plot Plan, Drawn to Scale
Sign N, Temporary g Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard Balloon i " " " "
apply) ❑ ❑ ❑ s ize requirement: 8 h x 11 , or 11 x 17
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: I. , i � (3 copies, if a building perrnit is required)
LP size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): A n
/? t -CI- n $40.00 Fee (Permanent sign, any size)
Sign Data Total \X /all Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this - NOTES:
section) l J S E \V NE N\ \% SE SW
Height to top of sign (feet): 5 t • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Co • e Wall signs do not require site /plot plans.
Materials: 1 e Freestanding signs over 6 ft. required a building
\Xrill sign have illumination? ft
ation? ❑ Yes `�No permit.
Type: ❑ Internal ❑ External e If work authorized under a sign pemtit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the pem THE PERMIT WILL BECOME
❑ Yes ❑ No NULL AND VOID.
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 infonnation 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. •
1 r\ i
DA I ED this I day of .\ ' � , 20 06I
i / . \ ( / A i . 1 . ) I P 16k Ai()
Signature of Owner /tent Zia/v/ La) u , . 7 j D .c71./
Contact Person Nam Phone No.
4(;,r' CITY OF iGf�R® 2/19r)009
t , , a g 13125 SW Ba MIA]. ed. 1 I I4148,]\ M
Ti 01( 97223 5113.639.4171
Wand
Receipt #: 27200900000000000355
Date: 02/19/2009
Line Items:
Case No Ti Code Description Revenue Account No • Amount Paid
SGN2009-0003 1 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.0(1
SG N2009-00031 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
SGN2009 -00032 [SIGN] Temp Sign Perm 100 - 0000 - 437000 1 7.00
SGN2009 -00032 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
. SGN2009- 00034 [SIGN] Temp Sign Perni 100- 0000 - 437000 1 7.00
SGN2009- 00034 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
SGN2009 -00035 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00035 [LRPF] LIZ Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00036 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00036 [LRPF] LIZ Planning Surcharge 100-0000-438050 2 .0(1
SGN2009 -00037 [SIGN] Tenip Sign Perm 100- 0000 - 43700(1 1 7.00
SGN2009 -00037 [LRPF] LR Planning Surcharge 100- 0000 - 43805(1 2.00
SGN2009 -00035 [SIGN] Temp Sign Perm 100- 0000 - 437000 1 7.00
SGN2009 -00038 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00039 [SIGN] Tenip Sign Perni 100 -0000- 437000 17.00
SGN2009 -00039 [LRPF] LR Planning Surcharge . 100-0000-43805(1 2.00
SGN2009- 00040 [SIGN] Tenip Sign Perm 100- 0000 - 437000 17.00
SGN2009- 00040 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item "Total: 5171.00
Payments:
Method Payer User 1D Acct./Check Nu. :approval O. !low Received . amount Paid
CreditCard NANCY BARLOW ST 31914A In Person 171.00
Payment "Total: $171.00
, eitc 1pl.r Pagc. I of I