SGN2009-00188 kt„
,, Permit OF TIGARD SIGN PERMIT
1 tK Permit #: SGN2009 -00188
COMMUNITY DEVELOPMENT Date Issued: 08/21/2009
.-- -. 4 F, 13125 SW Hall Blvd., Tigard OR 97223 503.639,4171 Parcel: 2S103AA00101
Jurisdiction: Tigard
Name of Business:
Business Address: 10865 SW WALNUT ST
Applicant/Agent: Tigard Basketball Association,
Work Description: Placement of one (1) temporary sign (Banner) 4' X 6' Valid 9/25/09 - 10/25/09 Sign #2
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: Yes A- Board: No
Sign Dimensions: 4' X 6'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): North
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:
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Permittee Signature:
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. . SIGN PERMIT APPLICATION
City of Tigard Permit Center (3125 SW Hall Blvd., Tigard, OK << 3 ,
2009
Phone: 503.639.4171 Fax: 503.598.1960
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GENERAL INFORMATION CI V n'-
INFORMATION , , "GARD
Name of Development /Project : RING
rU) ,'fir �J„ i FOR STAFF USE ONLY
Site f ,
Address/ Street Address Permit No.: 5 4) d-0t - C 18
Location l(, $G T L✓ ``7
Expiration Date:_
Suite /Bldg. # City/State Zip ^' L
T', V' y� \ Receipt #: t ! T ?(E'
Name Approved By: S _ ' E 4 t
Property Date: 4 (xi ; a l
Owner Mailing Address Suite Map /TL #: a"S (d itk4CJT) to l
Zoning:
City/State Zip Phone
Electrical Permit Required? ❑ Yes 13 No
Tenant or Name
Business Building Permit Required? ❑ Yes Er No
Name Rev. 7/1/09
Tg is \curpin \ masters \land use applications \sign permit app.doc 19— I
Sign
Contractor Mailing Address Suite
(Prior to permit D ' , . 9 0 ( 1
issuance, a 1
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are 2u _, / (Note: applications will not be accepted
required if / S' ► �K �7� � 5-0.3 ) without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
dataa basease) t) ra's
database) ID Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign aTemporary lWall E] Electronic (3 copies, if a building permit is required)
(Check all that Other �uj Billboard ❑ Balloon
apply) size requirement: 81/2" x 11 " or 11" x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 ��,� (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
Zy - ❑ $40.00 Fee (Permanent sign, any size)
Data Total Wall Area (sq. ft.)
Sign ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) C) 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 ❑ 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.
(OVER FOR SIGNATURES)
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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 41)-,)
, 20 c2
Signature of • 1 er/ gent
•
Jt4J r Gif �.2] —17/7
Contact Person Name Phone No.
Irr CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
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Receipt Number: 174965 - 08/21/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00188 Temp Sign Perm 1003100 -43115 $17.00
SGN2009 -00188 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 04728B STREAT 08/21/2009 $19.00
Payor: Tigard Basketball Association Jeffery Riddicks
Total Payments: $19.00
Balance Due: $0.00
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