SGN2004-00246 .
C ITY OF TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00246
�= I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/17/2004
PARCEL: 2S 103AA -00101
BUSINESS NAME: TIGARD BASKETBALL ASSOCIATION ZONE: R -4.5
SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG
APPLICANT /AGENT: TIGARD BASKETBALL ASSOCIATION
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
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 temporary banner. (3' x 8') Sign #1. Valid from 9/16/04 through
10/16/04.
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
DATE: 9/17/2004
1
A :411 SIGN PERMIT APPLICATION
-.III
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION 04)-- 'J `��� l
Name of Development/Project
�{- FOR STAFF USE ONLY
Site SI • Av -I f b Sc1,..
Address/ Street Address `` Permit No.: 5 &J aC DOS - 0001 (/9
Z
Location ) C45 5\ i &L( -( tt II ✓y Expiration Date: COP 1 1 - IS - 0 `E
Suite /Bldg. # City /State Zip
�� Receipt #: c2 0 o 1 - •
Name 9 (` 1 Approved By: a . c Gw y � i �
Property 54. '' Sctluo1 Date: 9 -/7 - D1
Owner Mailing Address Suite Map/TL #: S / 7 'SD- oo / o 0
tZ6 455✓ P....,.;. µ.,, Zoning: R - is
City /State Zip Phone
T, s P3 -639 7.1 Electrical Permit Required? ❑ Yes ® No
Tenant or Name
Business
7,D D PS ,'T� n\ � 1,4,1ctio411 . c Building Permit Required? ❑ Yes No
ame
Rev. 7/1/04 is \curpin\ masters \revised\sign permit app.doc
Sign
Contractor Mailing Ad. - s S " - REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Phone
licenses are
required if ❑ Completed Application Form
expired in the Oregon ' onst. Cont. Board Exp. Date
City of Tigard's t.' - e # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign lg,Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? El Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: 3 , ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 15' 5 �� $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: City III Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) OS E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: C 10+1\ ,�
ok bc,„cfs • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
0
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
t
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.
i C —
DATED this day of , 20
?(-----
Signature of Owner /Agent
Rov c.„,,,../gvA (6N - -Z76/u
Contact Person Name Phone No.
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