SGN2009-00193 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00193
COMMUNITY DEVELOPMENT Date Issued: 09/01/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110DCO2300
Jurisdiction: Tigard
Name of Business:
Business Address: 11555 SW DURHAM RD A -4
Applicant/Agent: Oregon Music Academy,
Work Description: Placement of one (1) temporary sign 32" X 48" Valid 9/1/09- 10/1/09 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: 32" X 48"
Total Sign Area: 10
Wall Area:
Wall Face (Direction):
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Wood
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: / / d
Permittee Signature: iiir1l/iIr
w
IIII SIGN PERMIT APPLICATIQ !V
Cit of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
( Phone: 503.639.4171 Fax: 503.598.1960 E P 0 1 2009
CITY OF TIGARD
GENERAL INFORMATION PLRNNIIPG /Ef"1GINEERIf.G
Name of Development /Project
Q /aldH ,/A c 4 FOR STAFF USE ONLY
Site f' "( rT
Address/ Street Addr Permit No.: ■■(-) 243 et— 6a (?3
Location / /sss sw LNfh4W( ,2d.
Suite/Bldg. # City/State Zip p' �{ Receipt #: Expiration Date:
A 7- Gr0 ! 7 7 ? 5-041
Name Approved By: S - r
Property NIP W r'/0 v'0d k Date: tfi tO'
Owner Mailing Address TL
Ave, Suite Map /#: 3-bI t() 0L U ? 3J�
851 S w 6 A Ss() Zoning:
City/ State Zip Phone
Pei/411.0k Y 72,99. Electrical Permit Required? ❑ Yes o
Tenant or Name
Business 0 ✓ eV ati / c de.µ y Building Permit Required? ❑ Yes No
AC
Name Rev. 7/1/09
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
isspynce, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS City/State Zip Phone Q
licenses are (Note: applications will no be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) TIC 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 size requirement: 8 x 11", or 11" x 17"
apply) ze re �l
S New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 ^ // Q ,� (3 copies, if a building permit is required)
.4 C7 size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): / 0 / //
7 ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area /�/
Sign Data `'
(sq. ft) J ( $19.00 Fee (Temporary sign, any type)
J
(Complete all Direction Wall Faces (circle one): ' f 4 /
items in this ��/, NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): 41 ' • Wall signs do not need to be drawn to scale, but
I 4 Projection From Wall (inches): , must include dimensions of wall face and sign
Co placement.
Py ♦ Wall signs do not require site /plot plans.
Materials:
• 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
❑ Yes "No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
fO ( (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.
L
DA'Z'ED this lit 6.14 L 4'�4 of Sep 4 evt4/- , 20 07
71 ,D•641/ ,
Signature of Owner /Agent
/104Nt e L.() fdl 1 ; 8 • 'Y�1-6179
Contact Person Name Phone No.
CITY OF TIGARD
Approved [
Conditionally Approved......
For only the work es [ ]
PERMIT NO.
See Letter to: Follow . —
—
Job Addresn• Attach ........
F
nppkrynryn
14
91'
'141 e;A
4'.1P
ONINEKAIPt
CITY OF TIGARD RECEIPT
M..„
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
.TIGARD
Receipt Number: 175049 - 09/01/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00193 Temp Sign Perm 1003100 -43115 $17.00
SGN2009 -00193 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
Check 2172 STREAT 09/01/2009 $19.00
Payor: Oregon Music Academy LLC
Total Payments: $19.00
Balance Due: $0.00
Page 1 of 1