SGN2009-00036 :: I
7 a CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00036
T.'" P DATE ISSUED: 2/19/2009
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S103AA - 00101
BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R - 4.5
SIGN LOCATION: 10865 SW WALNUT 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): S
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 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: )4-e
PERMITTEE SIGNATURE:1
DATE: 2/19/2009
W
k ry �' all SIGN PERMIT APPLICATION
13e1 .
r v r,.: ' City of Tiganl Pernat Center 13125 SW Hall Byrd, Tibxzrt4 OR,27223
Phone' 503.639.4171 Fax: H.C ;`-''. '
FEB I q 2009
GENERAL INFORMATION FF ,w�rryy
o f 6Cn.:•,...
Name of Development /Project / �'v i i ; _iii: :',!;'ii:':1 . %'lift . +(.7i
/ 1 FOR ST AFF USE ONL
Site i .\ odd 0u l \-0 of O('LLI
Address/ Street Addres) Permit No.: 5 9 - lJUU 3 {o
Location 1
r. ,6 L G S 5 \ 'i * i. IA i �)-''
I �� �.1 � ,t Expiration Dace:
Suite /Bldg. k G'ry/State Zip
// Receipt #/ : a 03S S
Name Approved By
Property Date: a/ 11 I f
Owner Mailing Address Suite Map /U# : ,,'L s t 03 A A - eT 0
Zoning: S
Gry /State Zip Phone
Electrical Permit Required? ❑ Yes 27No
Tenant or Name,„
Bus iness Building Permit Required? ❑ Yes No
Name Rev. 7/1/07
is \curpin \masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(I'nor 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 the Oregon Const. Cont. Board License k 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 Temporar Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard Balloon t "
appl ❑ e ❑ ❑ size requirement: 8 h x 11' , or 11" x 17 "
❑ New sign? ❑ Alter to existing sign? U 2 copies of elevations, drawn to scale
Sign Dimensions: ; x Lo l (3 copies, if a building permit is required)
J size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): . t I'
I ) )e i t • n $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) U $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N 1 S E W NE NW SE SW
Height to top of sign (feet): / ' e Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
�pY placement.
Materials: Vi V • Wall signs do not require site /plot plans.
] o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit 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 - permit, THE PERMIT WILL BECOME
❑ Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square 1
footage must also be submitted.
(OVER FOR SIGNATURES)
. ..l I — ( "Of /6(1
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 .-1�1 N DA 1 ED this day of . \- UJ , 20 ri
,_____
. , !f v i V v; ,/
c
Signature o Owner /Agen
t c& 1 ri;) -606i
Contact Person Nam Phone No.
? .• CITY OF TIGARD _ 7/19P000
� m �„ 131 z, s�� tlan Blvd. 1 1 :1= 1:4ti, \i \�I
� y rf ara. OR 97223 503.639.4171
'FILAR o
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Receipt #: 27200900000000000355
Date: 02/19/2009
Line Items:
Case No 'Iran Code Description Revenue Account No Amount Paid
SGN2009-0003 1 [SIGN] Temp Sign Perm 100 -0000- -137000 17.00
SGN2009 -00031 [LRPF] LIZ Planning Surcharge 100-0000-438050 2.00
SGN2009 -00032 [SIGN] Temp Sign Perm 100-0000-437000 17.011
SGN2009 -00032 [LR PF] LR Planning Surcharge 100-0000-438050 2.00
SGN2009 -00034 [SIGN] Temp Sign Perm 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 1 7.00
SGN2009 -00035 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00036 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00036 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00037 [SIGN] Temp Sign Perni 100- 0000 - 437000 17.00
SGN2009- 00037 [LRPF] LR Planning Surcharge 100 - 0000 - 43805(1 2 .0))
SGN2009 -00038 [SIGN] Temp Sign Perm 100- 0000 - 437000 1 7.00
SGN2009 -00038 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2 .00
SGN2009 -00039 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00039 [LRPF] LIZ Planning Surcharge 100-0000-438050 2 .00
SGN2009 -00040 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009- 00040 [LRPF] LR Planning Surcharge 100- 0000 - 43800 2 .00
Line Item Total: SI 71.00
Payments:
N'lethod Payer User 10 Acct. /Check \o. Approval \o. HOW Received Amount Paid
CreditCard NANCY BARLOW ST 31914A In Person 171.00
Payment Total: $171.00
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