SGN2007-00159 T CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00159
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/12/2007
PARCEL: 2S 102 DA - 00400
BUSINESS NAME: TIGARD SKATE PARK ZONE: CBD
SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
•
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 5'X2.5"
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: 220 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one permanent 12.5 sq.ft. wall sign.
MATERIALS: VENEER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable
laws. 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.
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APPROVED BY: -
PERMITTEE SIGNATURE: CY
DATE: 9/12/2007
7
ill SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
TIGAR V'
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GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
7
Site '�c1Q.�'� `'
'3 I�GTe. 9,,,:t
Address/ Street Address Permit No.: A) L..072.) 7 —QO 1 5 9
Location 1 31Z5 Ss. H'PLL '[3 \\j p
Expiration Date:
Suite /Bldg. # City /State Zip
tq�tA t 0'R 91Z-7-3 Receipt #:
Name t Approved By: k-
Property �A 1 oc- - 1 - i. ckui A Date: 9 112.1
Owner Mailing Address Suite Map /TL #:
V SW t�Atu- Fi►A Zoning: 13 D
City /State Zip Phone
T1 G' c & c {yZZ3
`ia( 1 Electrical Permit Required? ❑ Yes 111-
Tenant or Name
Business Building Permit Required? ❑ Yes jo
Name Rev. 7/1 /07
S 4..-.4 l t , a r 5, 3 rt is \curpin \ masters \land use applications \ sign permit app.doc
Sign � �1-1 GC 12cr.( i 90‘6.1 c l. 5
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 ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary 3 Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon t " 11", 11"
apply) size requirement: 8 /z x 11 , or 11 x 17 "
® New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
`mo t b ,5 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
12.5 te. SA ❑ $40.00 Fee (Permanent sign, any size)
Si Da Total Wall Area (s ft 19.00 Fee (Temporary sign, any e
Sign 22.0 6 � SA . ❑ $ (T P r gn, y h'P )
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) S E W NE NW SE SW
Height to top of sign (feet): 3 -S c't ♦ 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? U Yes E No permit.
Type: ❑ Internal ; 'N, xternal ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety '(9O) 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)
1
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.
DA'ZED this i day of S • , 20 Oi
i
Signature of Owner /Agent
(So3) -1213
Contact Person Name Phone No.
City of Tigard
•
TIGARD Tidemark Journal Entry Request
This form is used to request a journal entry for Tidemark case fees to: 1) correct revenue accounts
of paid case fees, or 2) transfer fees between revenue accounts to pay case fees. Receipts and •
documentation must be attached when applicable. All Tidemark journal entry requests must be
routed to the Tidemark System Administrator for processing. The Tidemark System
Administrator will route the request to Accounts Payable and a copy of the journal entry will be
returned to the Tidemark System Administrator to adjust or pay case fees.
DATE: 9/12/07
REQUESTED BY: Kristie Peerman
CASE NO.: SGN2007 -00159
RECEIPT NO.: DALE:
EXPLANATION: Transfer funds for Skate Park sign
"Posted" Account Description Posted "Post To" Account Description Post To
(Account where fees currently reside.) $ Amount (Account fees are to be transferred to.) $ Amount
Example: 245 - 0000 - 433000 Example: 245- 0000 - 432000
[BUPPLN] Pln Rv [BUILD] Permit Fee
225- 6400 - 754036 40.00 100 - 0000 - 437000 35.00
Skate Park- (SIGN) Sign Pennit
100 - 0000 - 438050 5.00
(LRPF) LR Planning Surcharge
TOTAL: 40.00 TOTAL: 40.00
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Fees Adjusted: JE # : Date: By
1: \ Building \ Refunds \JoumalEntryRequest.doc 09/ 15/06
PROJECT NO. TIG001
DATE: 9/07/07
BY: TAM
Special Thanks To Our .Sponsors & Partners
r il
M -- WtieOnBno'rd
Memorial ` = o
SIGN AREA (12.5 SQ.FT.) Skate c°
Park - -
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5.-0" If 1 J
SIGN
SCALE: 1/2" = 1 (J II
22`0 "±
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[-WAL -SIGN AREA (12.5 SQ.FT.) °u x
FACE AREA (88 SQ.FT.) t
0 CU FINISH GRADE WALL VENEER - STYLE TO BE al > n
ELEVATION DETERMINED co
SCALE: 1/4" = 1' -0"
Ne
CC
4
SKATE PARK BENCH SKATE PARK D W a_
O ~ z 0
L WALL <
SIGN LOCATION
EXISTING TREE Z Q O _
J
D7
SKATE PARK SKATE PARK - V / w
ENTRANCE WALKWAY ENTRANCE WALKWAY v ' Q co I
_ 0 0
O
PLAN VIEW n Z o
SCALE: 1/4" = 1' -0" NICHE PARKING LOT 0 L LL
0 0
DONOR SIGN LAYOUT -
A•pprn' -?d [ x � SCALE AS NOTED
Ce.iJOi•ona iy Approved
For only the wor as l Oscribed in: [ SHEET NO
PERMIT MO. (iN 4 -Q.-7 - c.l S 7 "i� ill
See 'Latter to: Follow — [ ^glib, ICI;,, 1 ,i1,k „ 2
Attach .. 1
,loi) Addre s: �gl_L.S _S1,--) I-4W- 1 " . " ".R,. [„ ry a A
b - K - - ( —e 2 oqt�- ., g __(� 7 SCALE: NTS
fi
General Ledger
Jouxnal Entry Proof List. ®�
XI' ea
User: Phyllis
MFGARi
Printed: 09/18/2007 - 4:18 PM D
Account Number Account Description Debit Amount Credit Amount Line Description System Reference Project Management
Journal Entry: 000259 03 2008 Journal Entry Date: 09/18/2007 System: General Ledger
100- 0000 - 101000 Cash & Investments 40.00 0.00 Skatepark Sign Permit /SGN2007-
00159
100- 0000 - 437000 Sign Permit Fees 0.00 35.00 Skatepark Sign Permit /SGN2007-
00159
100- 0000 - 438050 Long Range Planning Surcharge 0.00 5.00 Skatepark LR Ping Chgn /SGN2007-
00159
225-0000-101000 Cash & Investments 0.00 40.00 Skatepark Sign Permit /SGN2007-
tlq / t
00159
225- 6400 - 754036 Skateboard Park- Acquire /Design 40.00 0.00 Skatepark Sign Permit /SGN2007-
00159
Journal Entry Totals 80.00 80.00
Journal Entry Balance 0.00
Report Totals 80.00 80.00 Q
Report Balance 0.00 \�
NJ
GL - Journal Entry Proof List (Printed: 09/18/2007 - 4:18 PM) Page 1
.
City of Tigard
Tidemark Journal Entry Request
TICARD
This form is used to request a journal entry for Tidemark case fees to: 1) correct revenue accounts
of paid case fees, or 2) transfer fees between revenue accounts to pay case fees. Receipts and
documentation must be attached when applicable. All Tidemark journal entry requests must be
routed to the Tidemark System Administrator for processing. The Tidemark System
Administrator will route the request to Accounts Payable and a copy of the journal entry will be
returned to the Tidemark System Administrator to adjust or pay case fees.
DA "lL: 9/12/07
REQUESTED BY: Kristie Peerman
CASE NO.: SGN2007 -00159
RECEIPT NO.: DATE:
EXPLANATION: Transfer funds for Skate Park sign
"Posted" Account Description Posted "Post To" Account Description Post To
(Account where fees currently reside .) $Amount (Account fees are to be transferred to)
) $ :Amount
Example: 245-0000-433000 Example: 245- 0000432000
[BUPPLN] Pln Rv [BUI:LD]Permit Fee
225- 6400 - 754036 40.00 100- 0000 - 437000 35.00
Skate Park- (SIGN) Sign Permit
100 - 0000 - 438050 5.00
(LRPF) 1.R Planning Surcharge
TOTAL: 40.00 TOTAL: 40.00
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Fees Adjusted: JE # : ,A5'9 Date: 74f /o 7 I By 7 '
G/9/7//t/6"--- J / o/L `T€ �— . 9/2 7
I:\ Building \Refunds \JoumalEntryRecluest.doc 09/15/06 A7