SGN2007-00085 •
s
7 1, CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00085
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/1/2007
PARCEL: 1 S 135AB -00100
BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R - 4.5
SIGN LOCATION: 10350 SW LINCOLN ST JURISDICTION: TIG
APPLICANT /AGENT: TIGARD YOUTH FOOTBALL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 7'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (Banner) 3' X 7' Sign #3 Place on private
property, not in public ROW Valid 5/2/07 - 6/2/07
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 Spedalty 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: t
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DATE: 5/1/2007
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SIGN PERMIT APPLICATION
City of Tigard Pemat Center 13125 SW Hall Blul, Tigard OR 97223
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Phone. 503.639.4171 Fax: 503.598.1960
•
GENERAL INFORMATION
Name of Development/Project
� FOR STAFF USE ONLY
Site k Address / Street Address r Permit No.: 4 . - - U G a
Location __102). `:J r� S V 1-4/; v n ' - / 7
Suite /Bldg. # Qty /State Expiration E 57z 6 �
' C Receipt # :_
Name + 1 I Approved B : 9
Property I. , Mt. � a "tin f�J <3 . { �f% Date: r ��'�/ d 7
Owner Mailir Ad c I (ytt Suite Map /TL# : (5 i 3S A 8 - j� / J
6O1 W S\A N r' u,c;. Zoning: 4. C
ay/State Zip t Phone
1
Tenant or
N � (A ' l _ WC A 7 Elec Permit Required? 1:1 Yes Er---No
Business + wL ( 9 i . t , �- - 0 -1 ( ,1, f Building Permit Required? ❑ Yes Ek
Name (j Rev. 7/5/06 •
C ! y is \curpin \ masters \land use applications \sign permit app.doc
Sign S �5Grp( Si v t
Contractor Mailing d ress Suite
(Prior to permit I D SA ( t -(1 L 1 J 3
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issuance, ofall ty i 1� '
co of all City/State /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are �.�j
required if �,� ' C t T- L!�''�� -' �`� (Note: applications will not be accepted
expired in the Ore n Co t. Cont. Board License N Exp. Date without the required submittal elements)
Qty of Tigard's
/ r
database) 9 x Completed Application Form
Proposed ❑ Pemanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign lj Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard El 1
apply) size requirement: 8 h" x 11 ", or 11" x 17"
El New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: �i x • (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): Z
❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
g $19.00 Fee (Terriporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) TOT S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches : must include dimensions of wall face and sign
COPT' bet-01---- p lacement.
Nlatenals i� " .� • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illu tion? ❑ 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 I day of 20 O 7
�
Signature of Owner /Agent
9 1 2-7-)D-- J
Con . ct Person ame Phone No.
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12164A-17aq
soyatit.e....„)
CITY OF TIGARD 5/1/2007
111 . �� 13125 SW Hall Blvd. 4:31:36PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000001938
Date: 05/01/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00085 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00085 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2007 -00086 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00086 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00087 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00087 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $57.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard KIMBERLY KAMERER KJP 00979C In Person 57.00
Payment Total: $57.00
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