SGN2006-10003 CITY TIGARD SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2006 -10003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/17/2006
PARCEL: 2S103AA -00101
BUSINESS NAME: TIGARD JR. BASEBALL 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: 8 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of temporary sign (banner) 3 X 8 Valid 1/13/06- 2/13/06 Sign #1
Place on private property, not in public ROW
MATERIALS: VINYL
• EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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. /� Q �� �Q
APPROVED BY: ``'�`-�'�' h -.�!L�t
PERMITTEE SIGNATURE: _ " ' "
u
DATE: 1/17/2006
• C -
A ,1i S IGN PERMIT APPLICATION tt
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Develop nt/Project
Site / t OP 'IR /
r i i/ FOR STAFF USE ONLY
Address/ str et Address/ Permit No.: 56k. ��� c. - 6.-
Location Fd (4/ r^ , S ^
Suite /Bldg. # City /State Zip Expiration Date: V/ -/( 3 f / Ofo
Receipt #:
Name • A pproved By: S 172 -6)4 I
Property Date: V13/ D
Owner Mailing Address Suite Map[TL #: �.5( 613 4-Pr -CD I 0 (
Zoning: 2 z-f-. S
City /State ' Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign •
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
database) El 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign
(Check all that ❑ Temporary ❑ Wall ❑ Electronic
apply) ❑ Other I:1 Billboard ❑ Balloon Iii copies of elevations, drawn to scale
New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: •Xv
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
2 ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N ' S E W NE NW PSW
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale,
Projection From Wall (inches): • but must include dimensions of wall face and
Co sign placement.
py • Wall signs do not require site /plot plans.
•
Materials: ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after ,
Are there any existing freestanding or wall, signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. I
❑ Yes ❑ No
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 day of �"' , 20 (OG
70/#4 1/
Signature of Owner /Agent
/ rk Hetil 5 31 - cDc-)o
Contact Person Name Phone No.
CITY OF TIGARD 1/17/2006
13125 SW Hall Blvd. 12:36:09PM
Tigard, Oregon 97223
" A :_.. (503) 63 9-417 1
1'
Receipt #: 27200600000000000219
Date: 01/12/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -10002 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -10002 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2006 -10003 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -10003 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $36.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard MARK HERNDON ST 013380 In Person 36.00
Payment Total: $36.00
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