SGN2009-00004 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00004
TT6AR6 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/7/2009
PARCEL: 2S 102 B D -00100
BUSINESS NAME: TIGARD BABE RUTH BASEBALL ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 5'
TOTAL SIGN AREA: 20 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 sign 4' X 5' (Banner) Valid 2/11/09- 3/11/09 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: , /
PERMITTEE SIGNATURE: r
DATE: 1/7/2009
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i SIGN PERMIT APPLICATION
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rc,,,,,- City of Tigard Permit Center 13125 SW Hall Blui, Tigarc4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site `�`. r`�� "�'b -�.�c '" •
Address/ Street Address '� Permit No.: ' � (erZ9-tr zww'y
Location --
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t) 0 Expiration Date:
Suite /Bldg. N. City /State Zip
Receipt 4 :
Name Approved By
• Property • �6 i.....-,A. C .: ,..T b 4.. k t f' c_ L i _, ''. Date:
Owner • Mailing Address Suite M /TL#
Zoning:
Guy /State Zip Phone
Electrical Pit Re No • Tenant or Narne ' O / Permit Required. Yes ❑
Business 1 � 1 �,t 1 tc� } ` 1�` l Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/07
is \ cumin \masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address St2 t�i�
(Prior to permit.
issuance, a
copy of all Guy /State ,Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required ;f
.-
:' without the required submittal elements)
expired m the Oregoce-Const. Cont. Board License ' Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway U 2 Copies of Site /Plot Plan, Drawn to Scale
Temporary Wall E lectronic
Sign p ry ❑ (3 copies, if a building permit is required)
(Check all that h
O er Billboard Balloon 7
apply) ❑ ❑ ❑ size requirement: 8 /z" x 11 ", or 11" x 17"
a" New sign? ❑ Alter to existing sign? n 2 copies of elevations, drawn to scale
Sign Dimensions: c( X i (3 copies, if a building pernut is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
..--) 0 a i fl - • n $40.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g n $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N E W NE NV(/ SE SW
Height to top of sign (feet): a Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy • Wall signs do not require site /plot plans.
Materials: �' `1
o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes CNo permit.
Type: ❑ Internal ❑ External e 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
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 I E D this day of J `� , 20 (--- 1
Signature of Owneru /.gent
•
Contact Person Name Phone No.
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CITY OF TIGARD 1/7/2009
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;'' 13125 Swy Hall Blvd.
1 igard. OR 97223 503.639.4171
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Receipt #: 27200900000000000044
Date: 01/07/2009
Line Items:
Case No "Iran Code Description Revenue Account No Amount Paid
SG N2009-00001 [SIGN] Temp Sign Perri 100- 0000 - 437000 17.00
SG N2009-00001 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SG N2009-00002 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00002 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00003 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00003 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00004 [SIGN] Temp Sign Perin 100 -0000- 437000 17.00
SGN2009 -00004 [LRPF] LR Planning Surcharge 100 -0000- 438050 2.00
SGN2009 -00005 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00
SGN2009 -00005 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00006 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00006 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $114.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard DOUGLAS NEWPORT ST 977664 In Person 114.00
Payment Total: 5114.00.
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