SGN2010-00032 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00032
COMMUNITY DEVELOPMENT Date Issued: 03/05/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S114AA00100
Jurisdiction: Tigard
Name of Business: Tigard Youth Football
Business Address: 9000 SW DURHAM RD
Applicant/Agent: Barlow, Nancy
Work Description: Placement of one (1) temporary sign (Banner) 3' X 6' Valid 3/5/10 - 4/5/10 Sign #1
Must be placed on private property not in public right of way. Must meet visual
clearance area requirements. Information meeting
Permanent: No Freestanding: No Freeway: No
Temporary: 3 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3' X 6'
Total Sign Area: 18
Wall Area:
Wall Face (Direction):
Sign Height: 6 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: I
Permittee Signature: l A l A / 4, ,1� 1A1
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, °I SIGN PERMIT IT APPLIC TISN
P='''',",,,7- t . i ®, . • City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
° � il Phone: 503.639.4171 Fax: 503.598.1960 •
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GENERAL INFORMATION
Name of Devclopi ent /Project
1 FOR STAFF USE ONLY
Site I Gild ` d(h
Address/ Street Address p Permit. No.: l� A3 a o ID • 0003
Location 010 11 aUrh6�, ' 4) .
Expiration Date.
Suite /131dg. # City /State Zip ( /
Receipt #: l
er—
Name - ce . . Approved By:� I /2 /
;ii .fii 2 .1- Date: 5(3/1h
Property
Owner Mailing Address Suite Map /TL#: ° I-5 I / Li AA - (TO/ 0
Zoning: /2. LE S
City/State Zip Phone
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name. -
I (4 £-k (,;l " i ( V . •
Business 2 t\A-L �� Building Permit Required? ❑ Yes ❑ No
1 �
Name Rev_ 7/1/09
^ is \curpin \masters \land use applications \sign permit app.doc
Sign /\/ /A
Contractor- ivlailing Address Suite
(Prior to permit ,
issuance, a
copy of all - City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon C:onst. Cont. Board License # Exp. Date .
City of l igard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway I 1 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 12--,Tempora ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
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(Check all that ❑ Other ❑ B illboard ❑ B alloon ' "
(Chet size requitement: 8 /z ' x 11' , or 11 x 17"
Cl..-New sign? ❑ Alter to existing sign? n 2 copies of elevations, drawn to scale
Sign Dunensions: 22 / , (3 copies, if a building permit is required)
'> i �-i'� size requirement: 8'/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 99 M
I Y, >4:sit n $p4.0 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) v
Sign Data n $19.00 Fee (Temporary sign, any type)
(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): (p.4 -- o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy: o Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes i N No permit.
Type: ❑ Internal ❑ External o 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
r] 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)
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1 hereby acknowledge that 1 have read this application, that the information given is correct, that 1 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 (1 d , 2Q
Co � , " � )
Signature of Owner /A F $ nt
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Contact Person Narnh Phone No.
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T.1uARb
Receipt Number: 177119 - 03/05/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00032 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00032 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 5397 STREAT 03/05/2010 $19.00
Payor: Nancy J Barlow
Total Payments: $19.00
Balance Due: $0.00
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