SGN2010-00041 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00041
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 5/7/10 - 6/7/10 Sign #3
Must be placed on private property not in public right of way. Must meet visual
clearance area requirements. Registration
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:
Permittee Signature: A 11`(1. V
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t ,� 1�E � ®6 SIGN PE 1'eMIT APPLICATION
® Crt of Tigard Pe?71iit Center 13125 SW/ Hall Blvd. Tigard OR 97223
W- i .Phone: hone: 503.639.4179 Fax 503.598.9960
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GENERAL INFORMATION
Namc of )evclopmcnt /Project
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Address / State[ Addres Permit No.. S &� a D ( - (� DD�" )
Location 1 i / k) t O00 4(he n �
Expiration Date:
Suite/131dg # City /State Zip
Receipt #: i ) I t
Name Approved By: 5 .—(12L 1 •
Property J C )� Date: 3/ '1 t.
Owner Mailing Address Suite MViap /TL #: .4.-5 ! / µ C D l
Zoning: P" s
City /State Zip Phone
Electrical Permit Required? ❑ Yes EN
Tenant or Name _..,.. I f,� ! � i∎ i lr f61ti Business , d Cr'�- i j' (i �! Braiding Permit Required? E] Yes No
Name .0 Rev 7/1/09
is \curpin \masters \land use applications \sign permit app.doc
Sign j\ / IV
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Contractor Mailing Address Suite
(Prior to permii
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 ConsL Cont. Board License # Exp. Date
City 111
rd's
database) Completed Application Form
data
Proposed ill. Permanent ❑ Freestanding ❑ freeway 2 Copies of Site/Plot Plan, Drawn t0 Scale
,Sign I4 Temporar ❑ wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Bi iboaad ❑ Balloon
size requirement: 81/2" x 11 " or 11" x 1 %"
apply
g New sign? ❑ Ater to existing sign? 2 copies of elevations, drawn to scale
Sign Dimensions: -Z (3 copies, if a building permit is required)
J x size requirement: 81/2" x 11 ", to 24" x 36"
• Total Sign Area (sq. ft.): 1
1 �> / 2 Gf -)'1 I I $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) V
Sign Data U $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): 6941 a 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 "'No permit.
Type: El Internal ❑ Exter 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
❑ 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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I hereby 'acknowledge that b 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 0 day of L`U jib_____.,! , 20 1 ��
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Sign 2 rule of Owner: /Age`s '\ (Mil bii 1 (/ 1 trIA) 7 ' " ---, 3 -7 2' - '1 -2 6 i
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Contact Person Nacre Phone No.
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
flGARD
Receipt Number: 177127 - 03/05/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00041 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00041 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 KPEERMAN 03/05/2010 $19.00
Payor: Nancy Barlow
Total Payments: $19.00
Balance Due: $0.00
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