SGN2007-00033 CITY Y OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00033
TLGAR 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/28/2007
PARCEL: 2S 103AA -00101
BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R -4.5
SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 7'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (Banner) 3' X 7' Sign #1 Place on private
property, not in public ROW Valid 3/1/07 - 4/1/07
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. hithetv.,61----
APPROVED BY: r .
��,
PERMITTEE SIGNATURE: l("4\
DATE: 2/28 2007
SIGN PERMIT APPLICATION
City grTigard Permit Center 13125 SW Hall Blzdl, Tigarc4 OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/ roject ' FOR STAFF USE ONLY
Site I oW �'T� -- � VV�-��""� l � (',1 �J�1
Address/ Street Address t o ;,� A f Permit No.: P 0 d4)-° 2 - C" -b1) 3-3
C g ij
Location 10 ; S. V I it - J G
Suite /Bldg. # Gty /State Zip Expiration Date:
CI '4223 Receipt #: P- 61)7Dgo
Name Approved By. • T r
Property 7 , \ T'.U'l Cc 6I J s -+ Date: ?d -Sl /
Owner • ' .dress "` �A �,�, Suite Map /TL# : r2--S l D 3 A141- - l lD 1
l� JO SV t(3 lFU Zoning: `
Ca / State Zip Phone
Tenant or N�
7 � Electrical Permit Required? ❑ Yes El-No
Business �l -tk+ � , '- 'A; 1 Building Permit Required? ❑ Yes 0' .- o
Rev. 7 /5/06
'� � is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor dress Suite
(Prior permit ( 3 i i s C t r
co to a ` J'�( REQUIRED SUBMITTAL ELEMENTS
copy of all City /State Zip Phone
licenses are 1� /,, (Note: applications will not be accepted
required if 1 l �It , 1 ° R ID lY � ,
expired in the Ore: T Const! Cont. Board License # Exp. Date without the required submittal elements)
City of Tigard's g
database) l Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 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 ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
g 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.): ` 2_I 5
❑ $39.00 Fee (Permanent sign, any size)
Si n Data Total Wall Area (sq. ft.)
g $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this ' NOTES:
section) N as E W NE NW SE SW
Height to top of sign (feet): 7,i ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches):'\ must include dimensions of wall face and sign
cc ��,, ``,, t placement.
Materials: \' ��� • Wall signs do not require site /plot plans.
X L ♦ Freestanding signs over 6 ft. required a building
Will sign have ill ation? ❑ Yes Y1 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
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 day of , 20
Signature of Owner /Agent
I i 14 2 73 -J37-
Co..ct erson e Phone No.
rR7E
•
.' 14,,,, r . ': � CITY OF TIGARD 2/28/2007
13125 SW Hall Blvd. 2:12:02PM
Tigard, OR 97223 503.639.4171
TI'GARD,,
Receipt #: 27200700000000000905
Date: 02/28/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00031 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00031 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2007 -00032 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00032 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2007 -00033 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00033 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00034 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00034 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00041 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00041 [MISC] Misc Fee 100 - 0000 - 451000 2.00
SGN2007 -00042 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00042 [MISC] Misc Fee 100- 0000 - 451000 2.00
Line Item► Total: $114.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard KIMBERLY KAMERER ST 039823 In Person 114.00
Payment Total: $114.00
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