SGN2009-00052 4 \'
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Z1 X' 4 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00052
r5 , . 4: � m ,, COMMUNITY DEVELOPMENT Date Issued: 03/04/2009
ilGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103AA00101
Jurisdiction: Tigard
Name of Business:
Business Address: 10865 SW WALNUT ST ' ' •
Applicant/Agent: Tigard Youth Cheerleading,
Work Description: Placement of one (1) temporary sign (Banner) 3/12/09 - 4/12/09 Sign #1 Must be •
placed on private property not in public right of way. Must meet visual clearance area
requirements
Permanent: No Freestanding: Freeway:
Temporary: 1 Wall: Electronic:
Billboard: Balloon:
Banner: Yes A- Board:
Sign Dimensions: 3' X 6'
Total Sign Area: 18
WaII Area:
Wall Face (Direction): West
Sign Height: ft.
Projection From Wall: in
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: 2�` � Z+ t- -�'r`
Permittee Signature: '' "�'` `` .. ''°_•��
•
,
SIGN PERMIT APPLICATION
.''' City of Tigard Permit Center 13125 SW Hall Blzd, Tigarr4 Ti OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
, (c i FOR STAFF USE ONLY
Site CCUOUr ak 1 . ^"t` C_. 5c V I nr ` �j� d ll - tJU� S
Address/ Street Address (0%(DS - Permit No.: s
Location --Vajet.-akaega
Suite /Bldg. # City/State Zip Expiration Date:
1 r; L c� 1 - Receipt # :
Name J (r 1 Approved By `5 - T fZ T
Property OA 0 // 4 . C c.0 Date: / 4 f ( 0 1 O w n e r Mailing Ad ss suite Map /a# : ...St o 3 1 11A - C -' lO 1
Zoning:
City/State Zip Phone
Tenant or Name Electrical Permit Required? E:1 Yes ❑ No
�' Building Permit Required? ❑ Yes ❑ No
Business
tr am, Ott (Ike(' , r '"
Name J Rev. 7/1/07
is \ cumin \ 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
Permanent Freestanding Freeway Proposed ❑ g ❑ y ❑ 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}� ze re q
51 New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 81" x 11 ", to 24" x 36"
Total Sign Area (sq. 1 ,x6,1
.):
1 4 c . ❑ $40.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E NE NW SE SW
Height to top o ign (feet): • 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: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes V 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
footage must also be submitted.
(OVER FOR SIGNATURES)
20 vo5 2l e lc37`i3
I hereby acknowledge that I have read this application, that the information given is correct, that I any
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DA'1ED this day of (k) , 20
Signature of Owne re of u up--v
Contact Person Name Phone No.
FP-
1, ',... -- ‘ .. ..*'!' CITY OF TIGARD RECEIPT
a
, • 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T 1 G A R J)
Receipt Number: 2009 -00526 - 03/04/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00052 Temp Sign Perm - LRP 100- 0000 - 438050 $2.00
SGN2009 -00052 Temp Sign Perm 100 - 0000 - 438050 $17 00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 2460 STREAT 03/04/2009 $19.00
Payor: West Coast Extreme All Star Cheerleading LLC
Total Payments: $19.00
Balance Due: $0.00
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