SGN2009-00206 11 ii, CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00206
COMMUNITY DEVELOPMENT Date Issued: 09/23/2009
TLGGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101 DB00101
Jurisdiction: Tigard
Name of Business:
Business Address: 7440 SW HUNZIKER RD D
Applicant/Agent: DePaoli, Peter
Work Description: Placement of one (1) temporary sign (A- Frame) 2' X 3' Valid 10/4/09- 11/4/09 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): Southwest
Sign Height: 4 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: �� i / 014
Permittee Signature: • ---1,40-4.50-1/'
•
SIGN PERMIT APPLICATION
. City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, 0RRE�
Phone: 503.639.4171 Fax: 503.598.1960 (`+ E
SEP 2 3 2009
GENERAL INFORMATION CITY OF
TIGARD
P
Name of Development /Project
hW A.IG/ '� � N EEA►NG
FOR STAFF USE ON
Site psi, /,.l psi, /,.l IA)) ilipt,isli?
S treet Address �`'"� Kt Ov 0 l ''' 6 c90 fO
Address/ /O AA.. ('_ Permit No.: Location 7 / !ti z i
Expiration Date:
Suite /Bldg. # City/State Zip
7 �'y 2 722 3 Receipt #:
Name a ` �� ► C / � et � n `/ (/ Approved By: - -MCA i
Property i�? f €it if 4P+4 Date: a- IO a,
/� e ,11 j
Owner Mailing Address Suite Map /TL #: oZ 5 L U f I) ts 0C) (iJ I
Zoning:
Gty t to p Phone
Electrical Permit Required? ❑ Yes o
Tenant or Name
Business Building Permit Required? El Yes Erio
Name Rev. 7/1/09
(S J (� mi permit . is \curpin \masters \land use applications \sign pent app doc
Sign J' ( O
Contractor, Mailing Address Suite
(Prior to permit / . 5-2_7 J ', ��ey
issuance, a 4
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are r9 , av Q7 �� p (Note: applications will not be accepted
required if j without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp Date
City ts ara's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 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
apply) size requirement: 81/2" x 1 ", or 11" x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 2),(3 (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft): j
,f� ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 0 $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW S SW>
Height to top of sign (feet): i;' ♦ 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: l�s �,, (,,,,,,k ♦ Wall signs do not require site /plot plans.
Materials: roy. • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes IN 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
El 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.
DATED this D-3 day of - , --s'yt bA__ , 20
e ,
(Awl" .4•Ao, 1
Signature o'rIwner /Agent
�(.- st3 4w -o 9J - 7
Contact Person Name Phone No.
• CITY OF TIGARD RECEIPT
11
IN C ~,., 13125 SW Hall Blvd., Tigard OR 97223
' 503.639.4171
.T1GA'RD
Receipt Number: 175311 - 09/23/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00206 Temp Sign Perm 1003100 -43115 $17.00
SGN2009 -00206 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 019144 STREAT 09/23/2009 $19.00
Payor: Rushing Wind Fellowship
Total Payments: $19.00
Balance Due: $0.00
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