SGN2010-00034 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00034
COMMUNITY DEVELOPMENT Date Issued: 03/05/2010
•TI{"i• • 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102BD00100
Jurisdiction: Tigard
Name of Business: Tigard Youth Football
Business Address: 9905 SW MCKENZIE ST
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: 1 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.
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Approved By: A ■ ;
Permittee Signature: ' il;l' l/(∎44 i79 4 1A
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,,, s ,, 1 � City o 7 . City igard Permit Center 73125 611/ Hall Blvd., Tigard, OR 97223 •
A r a na Phone: 503.639.4171 Fax 503.598.1960 •
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GENERAL INFORMATION
Name of Dcvclo mcnt /Project
FOR STAFF USE ONLY
6/--, . 1`1" 1
Site f �
Address/ Street Address r Permit. No.: SC00 10 T () Q 0 3
Location 6 ( t O r ? ) CIe�)6 "
Suite /Bldg. # City /State Zip Expiration Date:
Receipt #: / 1 ) / c
Name Approved By: 5 -
Property , Da 3/31/0 )
Owner tvlaiLng Address Suite Map /TL`t/: T tT s /o 6 6 I O
Zoning: 4" la"
City /Sratc Zip Phone
Name Electrical Permit Required? ❑ Yes El No
Tenant or ,. I 1 + -
Business l `(1 t,v'J \' tt.t �y'' 11-00-0)61,U Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/09
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,: \curpin \masters \land use applications \sign permit app.doc
Sign
Contractor Mailing 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 ConSt. Cont. Board License # Ilxip. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign lE -.Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
that ❑ Other k all ❑ Billboard ❑ Balloon t " 11" (Chet size requirement: 8/z x 71" or 11 x 17"
`y existing New sign? ❑ Alter to existin sign? _ 2 copies of elevations, drawn to scale .
Sign Dimensions: f (3 copies, if a building perrnit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sigii Area (sq. ft.): (1
1 l' / 4 ft ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) v
Sign Data ❑ $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
Ieight to top of sign (feet): (. - Ei" 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 E No pert
i
Type: ❑ Interval ❑ External 0 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
❑ Yes [1] No NULL AND VOID.
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.
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DATED this day of (i ��� V , 20
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Signature of Owner /A.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
TIGARD
Receipt Number: 177122 - 03/05/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00034 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00034 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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