SGN2009-00051 {
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:rail SIGN PERMIT
CITY OF T IG ARD
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.,z Permit #: SGN2009 -00051
C OMMUNITY DEVELOPMENT
...p.-,,,,. �,= Date Issued: 03/04/2009
MI CARD; 13125 SW Hall Blvd., Tigard OR 97223 503 639.4171 Parcel: 2S111ACO2700
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Jurisdiction: Tigard - _
Name of Business: .
Business Address: 14650 97th AVE
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
Wall Area:
Wall Face (Direction): North
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: / L1_,') ' i . .f Lt- : ;
Permittee Signature: ;, ` )' l j:.�;'v^ i ;�;,
IN SIGN PERMIT APPLICATION
City of Tigard Penrt Center 13125 SW Hall Blul, Tiglvr OR 97223
Pho, • 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project^"� Q \ �
` v�- cLLTI � c ✓\ FOR STAFF USE ONLY
Site
Address/ Street Addr s Permit No.: :off a 6 U9 - °1r17S l
Location 1 4(.050 '1J 9 ---1' A-17C_
Expiration Date:
Suite /Bld # City/State Zip a p p[j , 0725..)--5.
771 sa 5'
T et � J gi Receipt #
Name Ol Approved By: S • — 1
(D n Date: 3/4-'07
Owner �y -�1 a : C - 0 7 a
Property Mailing � � ��s t M ap /TL #f A f/ / R �
5� Zoning: / s
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business i n a Y 6L Yn� Building Permit Required? ❑ Yes ❑ No
Na 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 ❑ 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 size requirement: 8 /z" x 11", or 11" x 17"
appl q rement: e
gl, New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: f k t (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
i g c,, ❑ $40.00 Fee (Permanent sign, anysize)
S i Sign Data Total Wall Area (sq. ft.)
g 11 $19.00 Fee (Temporary sign, any type)
(Complete all Dir ction Wall Faces (circle one):
items in this NOTES:
section) U. S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
spy placement.
Materials: (' (4J t( L • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes , No permit.
Type: ❑ Interval ❑ 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 E1 No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
_ footage must also be submitted. ,.
l a _ (3- (OVER FOR SIGNATURES) _00c(- ()°5' 15' 31*tP-
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 1 ED this day of VA,Pi , 20 l�
Signature of Owner /Agen
`>3 " - Vsc(
Contact Person Name Phone No.
�an� So3- S I la -- -�1(oU
111 CITY OF TIGARD RECEIPT
v
a 1312 SW Hall Blvd., Tigard OR 97223
503.639.4171
`.T-IG A R.D
Receipt Number: 2009 -00525 - 03/04/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00051 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
SGN2009 -00051 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