SGN2009-00173 CITY OF TIGARD SIGN PERMIT
COMMUNITY DEVELOPMENT
Permit d: SGN2009-00173
Date Issued: 08/06/2009
r ?1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102BD01600
Jurisdiction: Tigard
Name of Business:
Business Address: 9845 SW WALNUT PL
Applicant/Agent: Alvarez, Jenny
Work Description: Placement of (1) one temporary A -frame sign. Valid 8/15/09 - 9/15/09. Sign #3. Sign
must be placed on private property and not in the public rigth -of -way or visual clearance
area.
Permanent: No Freestanding: No Freeway: No
Temporary: 3 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 2' x2.5'
Total Sign Area:
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials:
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.: _ �� - • - —
,
, SI GN PERMIT APPLICATION
City cf Tigard Permit Center 13125 SW Hail Blul, Tigan4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960 j
GENERAL INFORMATION
Name f Development/Project FOR STAFF USE ONLY
Site Address/ Stre dress O Permit No.: J 7- 60 r 73
Location GraLi 5 Qom) WoLl2Ak0t I 1 Expiration Date: V/510 9 - 9 7 /J A, `.
Suite /Bldg. # City/State I Zip
i CO (7iD3 Receipt # : ) _ 1 ( f f
Name ( Approved By. k 51'
Property -- T - 3, _ V A►te /■lam 4- C),t Date: (I /0fr
Owner MailiVAddress l ' \ 0h , Suite Map /TL# :
leg - D5 5 W 3 ,0i— 1 Z oning: GC
City/State Zip Phone
J Ca cAld, o' n ` Electrical Permit Required? ❑ Yes
Tenant or Name
Business Tc C1/4.✓d P � ssJoe ( Building Permit Required? ❑ Yes ro
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
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
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) ❑ Completed Application Form
Proposed Permanen ❑ Freestanding ❑ Freeway 111 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 p 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 Di ` ions: 1 (3 copies, if a building permit is required)
X a size requirement: 8 x 11", to 24 x 36
Total Sign Area (sq. ft.):
. ❑ $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
placement.
aY 1 • 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 El Extemal ' • 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)
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 (0 day of ' 1 ,20 0 ci
dll ./
igna . e of Owne ' ,ent
' ) tit IA- L I NOck_r SO
Contact Person Name Phone No.
I
1
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
Receipt Number: 174749 - 08/06/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00173 Temp Sign Perm 1003100 -43117 $17.00
SGN2009 -00173 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 2941 KPEERMAN 08/06/2009 $19.00
Payor: Jenny Alvarez
Total Payments: $19.00
Balance Due: $0.00
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