SGN2007-00186 CITY OF TIGARD SIGN PERMIT
" ° . ` DEVELOPMENT SERVICES PERMIT #: SGN2007 -00186
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/15/2007
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 10/15/07 - 11/15/07 Sign #2
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.
APPROVED BY: 2J "`
PERMITTEE SIGNATURE: - 0 •"z4 a "
DATE: 10/15/2007
T
Er!
SIGN PERMIT APPLICATION
Cu) (i Tigard Pemit Center 13125 SW Hall Blzd, Tigarg OR 9 2 k ,
Phi 503.639.4171 Fax: 503.598.1960 �./ ik
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GENERAL INFORMATION p�' �M4,i j OF Pi 200? •
Name of Development/Project it!C
FOR STAFF USE ONLl'
Site fowler 11.01Ak Sf t.onI
Address/ Street Address Permit No.: 5400 U7 aO l'(0
Location lo MS 3 W Wotk.4 fT 1 Expiration Date:
Suite /Bldg. # Gty /State Zip
Receipt # : (9-01) ` t 4449 ''''3'.. I I ICirok OR g7aa5
Name t Approved By S-
Property Date: 10113107
Owner Mailing Address Suite Map /n# : ?_S 10 344- -MN()
Zoning: l2 Lt <-
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ErNo
Business Building Permit Required? ❑ Yes I No
Name Rev. 7/1/07
/� (� is \curpin \masters \land use applications \sign permit app.doc
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Sign (tolefiif CW
Contractor Mailing Address Suite
(Prior to permit / y h
issuance, a 10 $4. +/ 79-4
Gty /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
require j rqrq r�1 OR c' a 3 f 3'S3Q � /f�' (Note: applications will not be accepted
r
a ot� without the required submittal elements)
expired in the gon Cont. Cont. Board License # Exp. Date
Gty of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale r'
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"
apply) q
❑ New sign? ❑ Alter to existing sign? ❑ . 2 copies of elevations, drawn to scale
Sign Dimensions: 3 , X 8 / (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): /
a ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) at` ❑ $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): 3' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): r) must include dimensions of wall face and sign
placement.
Copy: • Wall signs do not require site /plot plans.
Materials: Y ► "1 / • 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)
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 5 day of 0c-+ , 20 07
Signature of Owner /Agent
Contact Person Name Phone No.
� CITY Of TIGARD 10/15/2007
13125 sw flan Blvd. 2.21:48PM
. Tigard. OR 97223 503.639.4171
T I GARD
- Receipt #: 27200700000000004622
Date: 10/15/2007
Line Items:
Case No Trait Code Description Revenue Account No Amount Paid
SGN2007 -00185 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00185 [LRPF] LIZ Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00186 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00186 [LRPF] LIZ Planning Surcharge 100- 0000- 43805O 2.00
Line Item "Total: 538.00
Payments:
Method Payer User II) Acct. /Check No Approval No. How Received Amount Paid
Check GARRETT E ABBOTT ST 1081 In Person 38.00
Payment Total: $38.00
ft
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