SGN2009-00155 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00155
COMMUNITY DEVELOPMENT Date Issued: 06/25/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135BB00500
Jurisdiction: Tigard
Name of Business:
Business Address: 10487 SW CASCADE AVE A
Applicant/Agent: Malone, Greg
Work Description: Placement of (1) one 24 sf. temporary banner. Valid 6/26/09 - 7/26/09. Sign #2. Sign
must be placed on private property and not in the public right -of -way or visual clearance
area.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 6'x4'
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: 411.1■
w
IR SIGN PERMIT APPLICATION
City 4 Center 13125 SW Hall Bhd, TigarcZ OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION gi
Name of Development/Project � r w
S {�'P ozse FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: cs7 Z p0 i -0 (5--5
Location�'1 SA/ 17 Expiration Date: 6 / 0 ' — -7 / `d5'
t- Suite / Bldg. # I Gty /State Zip 7� — ` ` ! v
`1 "T /
� -�-��a �� Receipt � : 3
Name Approved By �� P
Property giii*P Date: (0/14/0 5
Owner Mailing Address Suite Map/n#: is / 3 573 /5 -cam Sol
Zoning:
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes Q -o
Business Building Permit Required? ❑ Yes -No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign '
Contractor Mailing Address Suite
(Prior to permit '
issuance, a all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
copy of
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License N Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Permanent Freestanding F reeway Li 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Fk 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)) Ol
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions , X . (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
.. y ❑ $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) 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
Copy. , Le. a,-e- % placement.
• Wall signs do not require site /plot plans.
Materials:
d p y/ • 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
1=1 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.
DAILD this g 5 day of J� � ,?0 d
Sig ture of er /Agent
G � (9D3)--7-5-7-8 75.E
Contact Person Name Phone No.
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A per( fro cc
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CITY OF TIGARD RECEIPT
.71 13125 SW Hall Blvd., Tigard OR 97223
• 503.639.4171
?1GARD
Receipt Number: 174143 - 06/25/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00155 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00155 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 008948 KPEERMAN 06/25/2009 $19.00
Payor: Greg A. Malone
Total Payments: $19.00
Balance Due: $0.00
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