SGN2009-00140 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00140
COMMUNITY DEVELOPMENT Date Issued: 06/08/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S113AB00800
Jurisdiction: Tigard
Name of Business:
Business Address: 16055 74
Applicant/Agent: NW Ski & Wakesports,
Work Description: Installation of one (1) permanent wall sign 4' X 8'
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4' X 8'
Total Sign Area: 32
Wall Area: 1600
Wall Face (Direction):
Sign Height: 24 ft.
Projection From Wall: 8 in.
Illumination: Internal
Materials: Alum /PlexNinyl
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
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 Sy:
Permittee Signature:
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SIGN P0-4. I MIT APPLICATI•N
,-,-,-.::. .:' -1,,46 City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 (�
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RECEIVED
GENERAL INFORMATION JUN 2009
l 1ITV (W 1 IGP BD
Name of Development/Project (� `` pp�
ra'� A r'M EER V�
NIA) j
Address FOR SR�ISF /OIV�L "Y�
Site N S k; . W it e pA ri ,� � (�
Street Address a a(/(// ?I9 O
/ S Add Permit No.:
Location 1 0 , i e
Expiration Date:
Suite /Bldg. # City/State Zip
F ,......
1 ; 8 e 9 7,2D Receipt #:
Name 3 ' Approved By: S- T12, % 611.-
Property Nb3 � D ate: lot ( 06) 5r._; 1 v�k������� ''S 1 3�q 077
Owner Mailing Address 1 Suite Map /TL #:
II2.D % Ski) -14 tiNkve Zoning:
City/State Zip Phone
— 141,(Ct b e G I 730-3 1533 -.C: 16%' 75 ; 5
Tenant or Njme Electrical Permit Required? Yes ❑ No
Business PO SC, A 1139,ke-S Building Permit Required? ❑ Yes /❑KNo
Name Rev. 7/1/07
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Sign tAkr)c EieJtr:c• S; Cc, , .
Contractor Mailing Ad Tess 5 Suite
(Prior to permit
issuance, a b lb3 e S l I I a- til Ne •
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are �j e� (Note: applications will not be accepted
b 1 11 , A /
required if i lot k 019 d 3' - 53- ibiA
i without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's J
database) 6 130S ' /(Y ❑ Completed Application Form
Proposed SL Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
Sign ❑ Temporary SWall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other Billboard ❑ Balloon t
apply) size requirement: 8 /2" x 11", or 11" x 17"
A New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: L ' ' 0 i (3 copies, if a building permit is required)
� ,
- 1 J size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
0 S r ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data IUDD S- ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NW SE SW
Height to top of sign (feet): 9(4 ' o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): err must include dimensions of wall face and sign
a
placement.
Copy' iA4 *,pIAe _ )) • Wall signs do not require site/ lot plans.
Materials: Al t, �n 1'ie.� �,.w/�u
[ "i/ o Freestand s over 6 ft. required a building
Will sign have illumination? ®'` Yes ❑ No permit.
Type: A 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 INTO NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square I
footage must also be submitted.
(OVER FOR SIGNATURES)
t 'w
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 Q day of Jt..k. N 2 , 20 09
L
Signature of Owner /Agent
Contact Person Name Phone No.
r
CITY OF TIGARD RECEIPT
,g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
:TIGARI?
Receipt Number: 173893 - 06/08/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00140 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00140 Sign Permit - LRP 100 - 0000 - 438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 034139 LSELLERS 06/08/2009 $40.00
Payor: Thad Firkins
Total Payments: $40.00
Balance Due: $0.00
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