SGN2007-00162 pr i CITY OF TIGARD SIGN PERMIT
" ' DEVELOPMENT SERVICES PERMIT #: SGN2007 -00162
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/12/2007
PARCEL: 2S 103AA -00101
BUSINESS NAME: TIGARD BASKETBALL ASSOCIATION ZONE: R - 4.5
SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary banner 3' X 8' Valid 9/12/07 - 10/12/07 Sign #1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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. A�
APPROVED BY "' "' t
PERMITTEE SIGNATURE:
DATE: 9/12/2007
i
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR e i,,,.
Phone: 503.639.4171 Fax: 503.598.1960
T I G A R D /�/
3 , _ Sep
�/�
• GENERAL INFORMATION P weir), 1 Z 200/
'
Name of Development /Project '1
F ►.i�P.T M/ Jobe CC v � (
� FOR STAFF USE O 1N
Site /_
Address/ Street Address Permit No.: 5�'V gut '1 - 0
Location Q C � l,�.
0 0 6 J / „I /, Expiration Date:
Suite /Bldg. # City /State Zip
Receipt #: a-6D '141
l ��ur , OR q7t�� 3
Name Approved By: 5 - Te_04-1
Property Date: `f ((b w 7
Owner Mailing Address Suite Map /TT, #: AS 1 0 3 4i4 — 1)D 1 0 (
Zoning:
City /State Zip Phone
Tenant or Name Electrical Permit Required? El Yes El No
Business ur� 8dS�P1 q/ f '4 Building Permit Required? ❑ Yes Er
,N v � Rev. 7 /1/07
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address •uite
(Prior to permit
issuance, a
copy of all City /State ip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Ore:. onst. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ermanent ❑ Freestanding El Freeway 111 2 Copies of Site /Plot Plan, Drawn to Scale
Sign V Temporary ❑ 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 ; (3 copies, if a building permit is required)
� j � size requirement: 8' /z" x 11", to 24" x 36"
Total Sign Area (sq. ft.): , I
I LI- }c { 4, ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft 'q-- 5� A.4- ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W C D S SW
• I e ht4o...tnn gn (feet): ♦ Wall signs do not need to be drawn to scale, but
Pr rom a nches must include dimensions of wall face and sign
placement.
Copy: ♦ Wall signs do not require site /plot plans.
Materials: V :.1 1
y ♦ Freestanding signs over 6 ft. required a building
i have illon? No permit.
Type: El ntemal Extema ♦ 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
El Yes '12/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 [ 1 day of $ p ft' 6 tr , 20 0
Signature of Owner /Agent
(3Arret1- 1166off 23-53q-7/54
Contact Person Name Phone No.
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MI CITY OF TIGARD 9/12/2007
13125 SW Hall Blvd. 3:59:04PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000004168
Date: 09/12/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00161 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00161 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00162 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00162 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check BRUCE E ABBOTT ST 6504 In Person 38.00
Payment Total: S38.00
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