SGN2009-00032 lir CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00032
TIGARD 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: TIGARD YOUTH FOOTBALL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: 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 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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: j/k4A10-1 "^
PERMITTEE SIGNATURE: / I4. L N ' ('I""'
DATE: 2/19/2009
i
I-, SIGN PERMIT APPLICATION
e , . , ! , , , C i t y o f T i g a nn l P e r m i t Center S W 97223
• Phone 503.639.4171 Fax: 503.598.1960 C t ,I in i,
F EB 1 9 2009
GENERAL INFORMATION
r,� � . ,w.er���
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Na J Lr,t`
eofDevelopment /Project i rif: if! - \ ;- r:, =� 5.
_ FOR STAFF USE ONLY` `-
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Site 11iy y0U� ioc bon. i
Address/ Street dress Permit No.: 6,- ;'.;"--0Z'`t - dz
Location 0 q UGQ /5 Y 5 Dux hap d � Expiration Date:
Suite /Bldg. k Gr State Zip
( 6 x" -'o 35.E
I ir�, C�;��.d 7/1)0 Receipt # :
Name Approved By. - 1-6 I
Property Date: .:- f 0`i
Owner Mailing Address Suite M /TL# : p. S.1 WI AA'- ()Diet)
Zoning: 1
C
Gry/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ErNo
Business Building Permit Required? ❑ Yes 2
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 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 # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ( Freestanding ❑ Freeway Li 2 Copies of Site /Plot Plan, Drawn to Scale
Sign - Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8' /" x 11 ", or 11" x 17"
appl)) q
❑ New sign? ❑ Alter to existing sign? _ 2 copies of elevations, drawn to scale
Sign Dimensions: i X e (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): a
V /0 I' [ $40.00 Fee (Permanent sign, any size)
Sign Data Total \X/all Area (sq. ft.) LJ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) ' S E W NE NW SE SW
eight to top of sign (feet): 3 1 o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
C°rY o Wall signs do not require site /plot plans.
Materials: `/1 Viv o Freestanding signs over 6 ft. required a building
\Xrill sign have illumination? ❑ Yes ''EA-No permit.
Type: ❑ Internal ❑ External e If work authorized under a sign pemnit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted. _
r�I1 S) 1 (OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is correct, that I am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DA ED this I 1 day of I f b 20 L
v Qi,A,o co /r)( 0V (L �
Signature of Owner/ , nt J
N ((1C,N G Contact Person Name Phone No.
:'' ., „fr. CITY OF TIGARD 2/19/2009
1 i � � cum
G a 3 13125 S \ \' Hall lilyd. 11 14:4$AM
' `� Ti OR 97223 5113.63').4171
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.+ti:A
Receipt #: 27200900000000000355
Date: 02/19/2009
Line Items:
Case No "Ilan Code Description Revenue Account No Amount l'aid
SGN2009-0003 1 [SIGN] Temp Sign Perm 100- 0000 - 437000 17M0
SGN2009 -000 31 [LRPF] LR Planning Surcharue 100-0000-438050 2.00
SGN2009 -00032 [SIGN] Temp Sign Perm 100-0000-437000 17.00
SGN2009 -00032 [LRPF] LR Planning Surcharge 100-0000-438050 2.0))
SGN2009 -00034 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00034 [LRPF] LR Planning Surcharge 100- 0000 - 435050 2.00
SGN2009 -00035 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
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] Tenip Sign Perm 100 -0000- 437000 17.00
SGN2009 -00037 [LRPF] LR Planning Surcharge 100- 0000- 43505O 2.00
SGN2009 -00035 [SIGN] Temp Sign Perni 100- 0000 - 437000 17.00
SGN2009 -00035 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
SGN2009 -00039 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00
SGN2009 -00039 [LRPF] LR Planning Surcharge 100- 0000 - 435050 2.00
SGN2009- 00040 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009- 00040 [LRPF] LR Planning Surcharge 100- 0000 - 43$050 2.00
Line Item Total: 5171.00
Payments:
Method Payer User ID Acct/Check No. :approval No. IIow Received .Amount Paid
CreditCard NANCY BARLOW ST 31914A In Person 171.00
Payment "Total: $171.00
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, Receila.rp! l'ag' 1 ol 1