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SGN2009-00144 R .:O CITY OF TIGARD SIGN PERMIT ,, Permit #: SGN2009 -00144 COMMUNITY DEVELOPMENT Date Issued: 06/09/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102DA00401 Jurisdiction: Tigard Name of Business: Business Address: 13125 SW HALL BLVD PERMITS Applicant/Agent: City of Tigard, Work Description: Placement of one (1) temporary sign (Banner) 4' X 6' Main Street Park Valid 6/11/09 - 7/11/09 Must be on private property, not in public right of way. Must beet visual clearance area requirements Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: No Electronic: No Billboard: No Balloon: No Banner: Yes A- Board: No Sign Dimensions: 4' X 6' Total Sign Area: 24 Wall Area: Wall Face (Direction): 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: Permittee Signature: IMF vi II SIGN PERMIT APPLICATION City (iTiganiPemit Center 13125 SW Hail Blul, Tim OW7223 Phone 503.639.4171 Fax: 503.598.1960 ECE 1 V JUN CD 20 09 GENERAL INFORMATION A Name of Development /Projec PCArvNING` ;�� T n r � GARD 1p(d ?O\CAL f N N 0 FOR STAFF USE aI�'L' ERING Site '' II Address/ Street Address Permit No.: S60 ecrel - (J l 4 4 Location \b0.6 SVJ V s) \Jd Suite /Bldg. # City/State Zip Expiration Date: 1 c3 c4 a 611),a Receipt # : 1 _ Name Approved By: S ` T►Z04" C•kl o. 1-IAa(a Date: �o (' to/ Property JJ +�. Owner Mailing Address Suite Map /TL# : OS i D a- 44 (D 4 00.5 914 Nall 0)14 Zoning: City/State Zip Phone - o i on1 ❑ Tenant or Name Electrical Permit Required? Yes ['No Business Building Permit Required? ❑ Yes ErNo Name Rev. 7/1/07 is \cutpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, oyof all a City/State EQUIRED SUBMITTAL ELEMENTS copy ce Zip Phone 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) d Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway Zi 2 Copies of Site /Plot Plan, Drawn to Scale Sign Z 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" appl}) �l ❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: y 1 X 6 1 (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 9 , A ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft [a' $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 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: • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes 171No 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 17j No NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. ' /iI _ 7/(I (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 day of May , 20 0 q Signature of Owner /Agent ct (j)t) . 00 4- tact Person Name Phone No. 1./ -i TIGARD MAPS IM - Interactive Mapping - Planning Page 1 of 1 Layers d 11 TIGARD MAPS IM - Interactive Mapping - Planning E+1 Shaw All Cl Hide All A � ___�,_,. r+l El Address Label ` -- \ - \.,- \ \ l e, , \� so n © Buildings I H t ,�� s} (-+1 El Parks 12645 [+l ❑ TLID Label SL Anthony's ES \ / n ❑ Business Licenses , to ❑ Sensitive Lands \, tin ❑ Land Use Maw) Stree( Farr tin ❑ Districts and Boundaries ,12705 G \ r `� fin ❑ Buildable Lands Inventory 126!13 Q P ii ❑ New Development 65 A 9492 I n h Transportation -- f \ +U ❑ Community `' \ S 13075 Arr„ 7 :9480 IJ ❑ Hydrography ❑ Metro Planning ❑ Natural Hazards v Tabular Results Query GI Buffer GI My Map a Lat/Long Labeling GI Penn its GI http: / /tiggisiw /mox52 /enter.cfm? &action= mox52_if frameset 5/22/2009 _u CITY OF TIGARD RECEIPT IN 13 125 SW Hall Blvd., Tigard OR 97223 • 503.639.4171 TIGARD Receipt Number: 173917 - 06/09/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2009 -00144 Temp Sign Perm 100 - 0000 - 438050 $17.00 SGN2009 -00144 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 010557 STREAT 06/09/2009 $19.00 Payor: Jim Wolf Total Payments: $19.00 Balance Due: $0.00 Page 1 of 1