SGN2004-00248 S 1
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CITY TIGARD SIGN PERMIT
I I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00248
'` .,� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/17/2004
PARCEL: 2S 102BD -00100
BUSINESS NAME: TIGARD BASKETBALL ASSOCIATION ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY 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 5'
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner. (3' x 5') Sign #1. Valid from 10/15/04
through 11/15/04.
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: Q " eG'
PERMITTEE SIGNATURE:
DATE: 9/17/2004
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" + I SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
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GENERAL INFORMATION
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Name of Development/Project
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5, l 6 n ( FOR STAFF USE ONLY
Site a� 00,7q (0
Address/ Street Adds Permit No.: 3 01 - A I-8
Location C ot" h eir EL i 14 v- k,w.
Expiration Date: ' ` `
Suite /Bldg. # City /State Zip
1 •r`a Receipt #: a0 4
Name Approved By: 0 - CG:-(--,
Property F�w,-c 7do.tG, ►h -ScLJ P;J }rat 1 L Date: 9 - /7 - 0'
Owner Mailing Address Suite Map/TL #: aS 10,E AP- - o011 O.
Zoning: Y.5
City/State Zip Phone
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Ts3 —T A ( . l eiti II moo /^ Building Permit Required? ❑ Yes ❑ No
Business f i 17
Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Ma '.. Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required suhmittal elements)
copy of all City /S . e •- Phone
licenses are
3 . required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date (
4,‘,,f City of Ti. - d's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
datab. e) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Yf Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard El Balloon
E1 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 / x S / ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): a� S I $15.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) Jurisdiction: City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) C) S 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: 0 -11../ n[, c 9 cv- • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes Er, No building permit.
Type: El 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
E] Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
s
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
Ra v Gooll X0 3 fy1 - 27 9 c
Contact Person Name Phone No.
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