SGN2009-00034 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00034
"T.IGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/19/2009
PARCEL: 2S 114AA -00100
BUSINESS NAME: TIGARD YOUTH FOOTBALL 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' 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 5/1/09 to 6/1/09 Sign
#3 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: Al IA
PERMITTEE SIGNATURE: M ` IA.4 C a4M7
DATE: 2/19/2009 d
J koirr- �s�t'a'-
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x a m SIGN PERMIT APPLICATION
. City gr Tigard Permit Center 13125 SW Hall Bl ul, Tig2rc4 OR 97223
Phone. • 503.639.4171 Fax: 503.598.1960 FIE - cr.:: e
FEB 1 9 2009
GENERAL INFORMATION
CiTY OF T IGARD
Na of Development /Project > • " '' a r . _ - ii,:i'.'' ii':'u1:L:flitbl..1
rr�� EE �1 '' • • FOR STAFF USE ONLY
Site I 'YAM r 1 � t �l V V y.i. I r
Address/ Street A�Jdress / Permit No.: /�,ot.= 02s i - J Zf(---.3.
Location 0 9 000 `2 1) Do flap 1
Suite /Bldg. # Cer State Zip Expiration Date:
iii, �, Receipt # : 2�t�`1 0 5
C �! � G17Z�� PP Y� �� ; te`''a
Name .Approved -
B I
Property Date: }'((`l 1O9
Owner Mailing Address Suite Map /TL# : a–S' I q 40— ern /C1)
Zoning: 0 - 5.-
Gty /State Zip Phone
Tenant. or Name Electrical Permit Required? ❑ Yes o
Business Building Permit Required? ❑ Yes lail No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign •
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all Guy/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 Cons:. Cont. Board License N Exp. Date
Gryof Tigard's
database) ❑ Completed Application Form
❑ Permanent Freestanding ❑ F ree w ay
Proposed ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign . Temporary 22 \X/all ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8' /z" x 11 ", or 11" x 17"
apply) q
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: l x ti I (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
1 Q � /) 1 It U $40.00 Fee (Permanent sign, any size)
Sign Data Total \X /all Area (sq. ft.) n $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) % 1 S E W NE NW SE Std/
eight to top of sign (feet): 3 1 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy placement.
o Wall signs do not require site /plot plans.
Materials: Vi 11 v I o Freestanding signs over 6 ft. required a building
will sign have illumination? ❑ Yes Vi—No permit.
Type: ❑ Internal ❑ External o If work authorized under a sign pemiit 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
E] Yes El NO
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 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.
DA' l LD this I day of I �� , )0
V ,; /te)(.0(
Signature of Owner/ y
Dv\i 1 )( '771 . i
Contact Person Name Phone No.
'3,:i'4,1 CITY 0B� T9GARD 2/19/2019
-- oe
i s 1 3125 s\y 11;111 Blvd. 1 114:48AiM
``tea ° Tigard. Olt 97223 503.639.-1171
T LGAARDP
,..ice
Receipt #: 27200900000000000355
Date: 02/19/2009
Line Items:
Case No "I Code Description Revenue Account No Amount Paid
SGN2009 -00031 [SIGN] Temp Si Pcrm 100 -0000- 437000 17.00
SGN2009 -000 31 [LRPF] LIZ Planning Surcharge 10(1- 0000 -4 3$050 2.00
SGN2009 -00032 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00032 [LIZPF] LR Planning Surcharge 100-0000-438050 2.00
SGN2009- 00034 [SIGN] Temp Sian Perm 100-0000-437000 17.00
SGN2009 -00034 [L R PE] LR Planning Surcharge 100-0000-438050 2.00
SGN2009 -00035 [SIGN] Temp Sign Pcrm 100- 0000 - 437000 1 7.00
SGN2009 -00035 [LRPF] LR Planning Surcharge 100- 0000 - 435050 2.00
SGN2009 -00036 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00036 [LRPF] LR Planning Surcharge 100- 0000- 435050 2.00
SGN2009 -00037 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009- 00037 [LRPF] LR Planning Surcharge 100 0000 - 435050 2.00
SGN2009 -0003$ [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00035 [LRPF] LIZ Planning Surcharge 100-0000-438050 2.00
SGN2009 -00039 [SIGN] Temp Sign Pcrm 100- 0000 - 437000 17.00
SGN2009 -00039 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
SGN2009- 00040 [SIGN] Tenip Sign Perm 100- 0000 - 437000 1 7.00
SGN2009 -00040 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
Line Item "Total: 5171.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. Hoy Received Amotml Paid
CreditCard NANCY BARLOW ST 3)914A In Person 171.00
Payment Total: SI71.00
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