SGN2006-10009 i
., CITY OF TIGARD SIGN PERMIT
`.. DEVELOPMENT SERVICES PERMIT #: SGN2006 -10009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/7/2006
PARCEL: 2S 103AA -00101
BUSINESS NAME: TIGARD YOUTH CHEERLEADING 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'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq. ft. temporary banner. Valid 3/8/06 4/8/06. Sign #1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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. (�(
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APPROVED BY: _ , `" "
PERMITTEE SIGNATURE: CI\ .a ti_ri l c(31---d (31---d DATE: 3/7/2006 v �t
1
AIX A ,L�1II l� S IGN PERMIT APPLICATION
CITY OF TIGARD
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project .
Site FOR STAFF USE ONLY
Address/ Street Address Permit No.: S6 N G I oo 6 /000 9
Location 10� 1.045 t �^U, SUO I (\ u,�
Suite /Bldg. # City /State Zip Expiration Date: Tred*
" tnoneo 87223 Receipt #:
Name Approved By: a - C/41 ki
Property l- \l "�UIC?�k�� +� Dt - Lt- Date: 334(0 (p
Owner Mailing Address Suite Map/TL #: ,251 0.344-13biloi
• Zoning: �.
City /State ' Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes No
Business T I, bi-Vi2--D ou -w) avideaci to Building Permit Required? ❑ Yes D"
Name Rev. 7/1/05 i:\curpin \masters \revised\sign permit app.doc
Sign
Contractor Mailing Address s •
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
reguir if
expir n e Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License # •
database) 111 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
• ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ! Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Oth 2 copies
apply) ❑ Bi llboard ❑ Balloon El p' s of elevations, drawn to scale
t 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: :3xg
4 $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
01-
9 $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) ❑ City 11] Urb
Jurisdiction:
(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): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Copy: sign placement.
Materials: • Wall signs do not require site /plot plans.
•
• 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.
❑ 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 MG--Y , 20 NO
k . c,uo VP c o o �' \r)e ► n
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Signature of Owner /Agent
i Lv oLoci - d.4c;_,=
Cont Act Person Name Phone No.
3 X
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A CITY OF TIGARD RECEIPT
DEVELOPMENT SERVICES RECEIPT DATE:
„ i I 13125 SW Hall Blvd., Tigard, OR 97223 JURISDICTION.: r i(o
503- 639 -4171 www.ti and -or. ov
9 9 CASHIER DATE:
CASHIER RECEIPT #:
LINE ITEMS:
Case No. Fee Description Revenue Acct. No. Amount Due
wag a40.6- 'coa 544 .._......._ e .._._....... .L4U-0000- 37too /co.o >
LOP ' - .._sue -. ... too -0000 -t os a -a o .___......
seoiJ aD1X .. -.OD..0 .._.........-- .. ; ._. 5icos 1 _._.. -re30 6
.............. _.- _......._.......- ......_.... L - dt370 ! (o. ...
tad .. _...___...
Total Due: $ 360-7),
❑ SEE ATTACHED FEE SCHEDULE.
PAYMENTS:
Payer: Ti avA YOUTH- raigrMq, e,i4 %6t2LEA -Did &
Method Initials Check No. Confirm No Amount Paid
Mar sr ....... _ _ .. _ ...._. -_ ... _....... _...- _ .
- - _
...- _ ...._ _ ....._- - -... _...._ 0 ff .........._..
Total Paid: $ 3l0, p
I:\ Building\ Forms\ ManualPermitFormsUvtanualReceipt .doc 03/01/063/6/2006
CITY ON' 1IUAKIJ
13125 SW Hall Blvd. 10:37:54AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000001084
Date: 04/01/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -10008 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -10008 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2006 -10009 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -10009 [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
Check TIGARD YOUTH FOOTBALL ST/DLH 1032 In Person 36.00
CHEARLEADERS
Payment Total: $36.00
cReceipt.rpt Page 1 of 1
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