SGN2007-00160 va t r
gi CITY OF TIGARD SIGN PERMIT
" : DEVELOPMENT SERVICES PERMIT #: SGN2007 -00160
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/12/2007
PARCEL: 2S 102DA -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:
TOTAL SIGN AREA: 14 sq. ft.
WALL AREA: 1,900 sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one permanent 14 sq. ft. wall sign.
MATERIALS: CHANNEL LETT
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED:
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.
APPROVED BY: /
PERMITTEE SIGNATURE: .,d—ef
DATE: 9/12/2007
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n SIGN PERMIT APPLICATION
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City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
TIGARD
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site T A 6\8 fat k
Address/ Street Address Permit No.: 5 /� k- - 7 - o 0 / k O
Location t Si ZS SW RAIL $‘-q b
Expiration Date:
Suite /Bldg. # City /State `` Zip
— TIctettC 1 6R .
°122! Receipt #:
Name c Approved By: ,,,, Property C- l OC- X9.4 a Date: gt 7
Owner Mailing Address Suite Map /TL #: �+ !"1 Q
13\2 SW m u- 13.4D Zoning: l b
City /State Zip Phone
t `tel�fC0R Ii-2.23 Electrical Permit Required? Yes No
Tenant or Name
Business Building Permit Required? I=1 Yes El No
Name Rev. 7/1/07
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Sign C.,ll ck IA Tax e:! Puldlcwcc S
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are -} ` q � (Note: applications will not be accepted
required if 1 i9CIL(C 1 1 � � 3
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 gl 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 "
is New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
i4 s ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft I'o ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N W NE NW CI SW
Height to top of sign (feet): ', S• . • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): ; *5 tr . 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 2 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
1=1 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)
r .
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'1ED this \\ day of �� . , 20 01
Si afore Owner/Agent
f Owner A
� � g
` Ray 'c (so - S) ` - lZI3
Contact Person Name Phone No.
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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
REQUES 1ED BY: Kristie Peerman
CASE NO.: SGN2007 -00160
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 Permit
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
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PROJECT NO. TIG001
DATE: 9/07/07
12' STRAIGHT RUN @ ANGLE
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FINISH GRADE SIGN SURFACE AREA IS
APPROXIMATELY 14 SQ.FT.
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ELEVATION
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SIGN SURFACE AREA IS APPROXIMATELY 14 SO FT
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SCALE: 1/8" = 1'-0" 3 sz M E LL_
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CITY HALL ENTRANCE u_ o
PARK SIGN LAYOUT
SCALE AS NOTED M
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(:1,.)ria Approved ---- f ;
For only the work ,as described in: .............
PERMIT N_DAJ2--.3 -voi 6 0 , , SHEET NO.
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See Letter tOt Follow ...... ...------- I } ' ( ' 0
Attach ,, , _ f 1 l Illilli 1
)b Acereps: LL 2 --- 5 1: 7 ; 17:7;; a —.2.776.a / --- 1 III 0 '
I by." ...1....27 OP'''‘ ci :L. 2 :: - 'C) 7 ' 11■116 . '
, - .... . SCALE: AS NOTED
General Ledger vszprialogif
Journal Entry Proof List ®n
User: Phyllis
Printed: 09/18/2007 - 3:59 PM
lielMMESES
Account Number Account Description Debit Amount Credit Amount Line Description System Reference Project Management
Journal Entry: 000256 03 2008 Journal Entry Date: 09/18/2007 System: General Ledger
100- 0000 - 101000 Cash & Investments 40.00 0.00 Skatepark Sign Permit /SGN2007-
00160
100- 0000 - 437000 Sign Permit Fees 0.00 35.00 Skatepark/Sign Permit /SGN2007-
00160
100-0000-438050 Long Range Planning Surcharge 0.00 5.00 SkateparkLR Pining Chg /SGN2007-
00160
225 -0000- 101000 Cash & Investments 0.00 40.00 Skatepark Sign Permit/SGN2007-
00160
225 - 6400 - 754036 Skateboard Park- Acquire /Design 40.00 0.00 Skatepark/Sign Permit /SGN2007-
00160 �I
Journal Entry Totals 80.00 80.00
Journal Entry Balance 0.00
Report Totals 80.00 80.00
Report Balance 0.00 (�
GL - Journal Entry Proof List (Printed: 09/18/2007 - 3:59 PM) Page 1
City of Tigard
A , Tidemark Journal Entry Request
TIGARD:
This foi 111 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 -00160
RECEIPT NO.: DA'1E:
EXPLANATION: Transfer funds for Skate Park sign
"Posted" Account Description Posted "Post To" Account Description Post To
(Account where fees currently reside.) $- AMOUpt (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 Permit
100 - 0000 - 438050 5.00
(LRPF) LR Planning Surcharge
TOTAL: 40.00 TOTAL: 40.00
FOR TIDEMARK SYSTEM-ADMINISTRATION USE ONLY
Case Fees Adjusted: 1 JE /# : I , Date: 1 10 / /o /6 7 By:
T/ n1C P #("Y � ?Al ,2 "
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I: \Building\ Refunds \Journa1Entn -Request.doc 09/15/06