SGN2009-00125 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00125
COMMUNITY DEVELOPMENT Date Issued: 05/21/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110DCO2300
Jurisdiction: Tigard
Name of Business:
Business Address: 11535 SW DURHAM RD C -5
Applicant/Agent: Gentog,
Work Description: Placement of one (1) temporary sign (A- Frame) Valid 5/26/09 - 6/26/09 Sign #1 Must be
placed on private property, not in public right of way. Must meet visual clearance area
requirements.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 2' X 3'
Total Sign Area: 6
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Plastic
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: Signature: !�Y ���t
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SIGN PERMIT APPLICATION
: . City of Tigard Permit Center 13125 S[V Hall Blvd, Tigard, OR 9728 EC E I V E D
Phone: 503.639.4171 Fax: 503.598.1960
T I GARD MAY 2 0 2009
GENERAL INFORMATION CITY OF TIGARD
PLANWGtENGINEERIN
Name of Development /Project
FOR STAFF USE ONLY
Site G -e.n c L Le
Address/ Street Address Permit No.: L� �C 1 - ! �S
Location 1 1 53 5 5 W IJurVlurr1-
Expiration Date:
Suite /Bldg. # City/State Zip
C 5 Ti n ed D#e- 97.-7,;`/ Receipt #: l) 3 to a- I
Name Approved By: S - T' 41. r
Property
Date: 519-i j C `/
Owner Mailing Address Suite Map /TL #: ,- S i / (r) ()L C -3 %
_ Zoning
City/State Zip Phone
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1 /07
e \ cur* \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 ❑ Temporary El 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"
apply) q
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: ., t t (3 copies, if a building permit is required)
X size requirement 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): co
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) l 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
placement.
Copy:
• Wall signs do not require site /plot plans.
Materials: PL {T (G
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ 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
ID Yes El No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footaer must also be submitted.
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.
DATED this day of , 20
e „. ) a_ a e e e
Signature of Owner /Agent
5'0 -b3 9- eOf)
Contact Person Name Phone No.
CHI
VC A RU
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5 0 3- 6 -260
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CITY OF TIGARD RECEIPT
,
:' : . 13125 SW Hall Blvd., Tigard OR 97223
• 503.639.4171
TIGARD'
Receipt Number: 173621 - 05/21/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00125 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00125 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 082066 STREAT 05/21/2009 $19.00
Payor: Muriel A Bickett
Total Payments: $19.00
Balance Due: $0.00
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