SGN2010-00135 CITY OF TIGARD SIGN PERMIT
E: Permit #: SGN2010 -00135
COMMUNITY DEVELOPMENT
� Date Issued: 08/20/2010
ZIGARD Parcel: 2S 114AA00100
i 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Jurisdiction: Tigard
Name of Business: Tigard Basketball Association
Business Address: 9000 SW DURHAM RD
Applicant/Agent: Tigard Basketball Association,
Work Description: Placement of one (1) temporary sign (Banner) 3' X 8' Valid 8/23/10- 9/23/10 Sign #1
Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements. Wall mounted
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 8'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
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: A
Permittee Signature: /k ` r
,.I City of Tigard
. r
E Sign Permit Application
GENERAL INFORMATION
Name of Development /Project
�_ ( , FOR STAFF USE ONLY
Site �� °� tiro �l y � �,ib I
Address/ Street Addre � Permit No.: SAN 01—O /0 ' 00 ( 3 S
Location V' /tn ✓�, (\ ), iz:_--5-
Approved By:
Suite /Bldg. # City/State Zip
�i)44 OR 5 722'x/ Date: c If0
Name
e� —� }� Receipt #: 9 /7 5"... Property / ( 5 U Map /TL #:
Owner Mailing Address Suite Zoning:
Allowable Total Area:
City/State Zip Phone
� � i
J ' � � r 1 Tvj 31 S k) Electrical Permit Required? El Yes ❑ No
Tenant or Name
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/10
� f� J 14 4 O / /9-fie /� / f \curpin \masters \land use applications \sign permit app.doc
Sign J �j (—�k / 7? `; r
Contractor Mailing Address qq Suite
6 '°. . o//
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
r ; .-.' 0 (2 t772s-/ r-J „',..?-�V- /7i _ I (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign R ❑ Roof ❑ Electronic
(Check all that (3 copies, if a building permit is required)
apply) Wall Other f-t. r.,c size requirement: 8' /a” x 11", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
['New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: ,3 A-4 r' size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): .1X 8. ;2y. ❑ $164.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) ❑ $52.00 Fee (Temporary sign, any type)
Si g n Data
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) ti.�/ 5 E W NE NW SE SW
Height to top of sign (feet): k /4 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): y must include dimensions of wall face and sign
�"�' .4 placement.
Materials: Ca ) - (/i...- I • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes INo • Freestanding signs over 6 ft. required a building
_ Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes No
(OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 I 503-718-2421 I www.tigard - or.gov I Page 1 of 2
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.
o
DATED this day of " / ' .} ' , 20 7
Signature • ■I wner /Agent
of f leau - I 3 _I23 7
Contact Person Name Phone No.
Sc, 3i(
City of Tigard I 13125 SW Hall Blvd. Tigard, OR 97223 I 503- 639 -4171 I www.tigard- or.gov I Page 2 of 2
CITY OF TIGARD RECEIPT
r ..
F i• 13125 SW Hall Blvd., Tigard OR 97223
,x�..y r_i?` 503.639.4171
!TIGAItb,
Receipt Number: 179175 - 08/20/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00135 Temporary Sign Permit 1003100 -43115 $45.00
SGN2010 -00135 Temporary Sign Permit - LRP 1003100 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 3545 KPEERMAN 08/20/2010 $54.00
Payor: Tigard Basketball Association
Total Payments: $54.00
Balance Due: ($2.00)
Page 1 of 1
CITY OF TIGARD DAILY PAYMENTS RECEIVED
4
i 0 13125 SW Hall Blvd., Tigard OR 97223 By: Payment Method •
503.639.4171 Payment Date: 8/20/2010 Module: All
T[GARD
Payment Method Cashier ID Terminal # Cash Receipt # Payment Ref. # Payor Case # Amount
(Cash I
Cash BTAGGART 179177 John Boyd MST2010 -00125 $1,394.17
Count: 1 Cash SubTotal: $1,394.17
(Check I
Check BTAGGART 179178 1072 Joan & Dan Goodrich MST2010 -00134 $117.26
Check BTAGGART 179163 520113 General Nutrition Corpord3UP2010-00189 $2,746.75
Check KPEERMAN 179173 3544 Tigard Basketball AssociSGN2010 -00133 $54.00 ✓
Check KPEERMAN 179175 3545 Tigard Basketball AssocibSGN2010-00135 $54.00 ✓
Check KPEERMAN 179174 3544 Tigard Basketball AssociSGN2010 -00134 $54.00 "
Check KPEERMAN 179168 48642 Centrex Construction IncPRE2010 -00019 $599.00
Check KPEERMAN 179176 3545 Tigard Basketball AssociiSGN2010 -00136 $54.00 IV
Count: 7 Check SubTotal: $3,679.01
'Credit Card I
Credit Card BTAGGART 179171 Mark Logreco / M D PlurrPLM2010 -00272 $133.09
Credit Card BTAGGART 179167 Mark Lengele / First EIecELC2010 -00432 $71.23
Credit Card BTAGGART 179166 Mark Lengele / First EIecELC2010 -00431 $71.23
Credit Card BTAGGART 179165 Brent D. Jacobs MEC2010-00418 $100.80
Credit Card BTAGGART 179162 Able Heating & Cooling, IMEC2010- 00415 $460.97
Credit Card BTAGGART 179169 Pro Circuit Electric ELC2010 -00433 $71.23
Credit Card DADAMSKI 179170 Eric Olson Electric ELC2010 -00434 $71.23
Credit Card DADAMSKI 179164 Richard Binder - Elite Fird=PS2010 -00092 $57.22
Credit Card DADAMSKI 179161 Cheri Fletcher - Powell - EELC2010 -00430 $151.96
Credit Card DADAMSKI 179160 Cheri Fletcher - Powell - EBUP2010-00196 $318.90
Credit Card DADAMSKI 179172 Sheri Matheis - Specialty MEC2010-00419 $104.72
Count: 11 Credit Card SubTotal: $1,612.58
TOTAL COUNT: 19 TOTAL: $6,685.76
/2-6://a
A A. AC �
EF -2 • D
Q7/EZ id/IL/ 1, C £Cff, C -.
AA_Daily_Payments Received.rpt Print Date: 8/25/2010 Page 1
ilig CITY OF TIGARD
Community Development
TI(_iARD
Cash Drawer Worksheet
DESCR I I 1'ION I'IENI QUANTITY AMOUNT
Currency $100 14 $ 1,400.00
$50 $ -
$20 1 $ 20.00
$10 2 $ 20.00
$5 6 $ 30.00
$1 11 $ 11.00
TOTAL CURRENCY: • $ 1,481.00
Coin $1.00. . $ -
$ .50 $ -
$ .25 17 $ 4.25
$ .10 5 $ 0.50
$ .05 7 $ 0.35
$ .01 7 $ 0.07
TOTAL COIN: $ 5.17
TOTAL CASH ON HAND: $ 1,486.17 - ÷
CHECKS (tape): $ 3,679.01 $ 3,679.01
CREDIT CARDS (tape): $ . 1,612.58 $ 1,612.58
ACCOUNT WITHDRAWALS (Bal. Sheet): $ -
SUB . - $ 6,777.76
BEGINNING CASH ($100.00): $ 100.00 $ 100.00
ACCOUNT DEPOSITS (Bal. Sheet): $ -
REFUNDS / REVERSALS (Bal. Sheet): $ -
OVER AMOUNT (see Explanation below): . . $ -
SHORT AMOUNT (see Explanation below): 0.,�•1 i` "£ 'A.q $ -
TOTAL REVENUE ( — Rev. Acct. Report): $ 6,677.76
Explanation: cash back was given for (2) checks: ,
Date: 8/20/2010 (Name: Branden Taggart x2449
NOTE: Make one copy of this worksheet, adding tapes, Cashier Balance Sheet Report and Revenue Account
Report for Tidemark system administration file.
I:\Building \Cashier \CashBalance.xls Rev. 10/5/06
•
CITY OF TIGARD •
• • 13125 SW Hall Blvd., Tigard OR 97223
503.839.4171
T IGAR D
Balance Sheet Report
Account Date: 8/20/2010
Cash Summary
Begining Cash: $100.00 Ending Cash In /Out: $1,494.17
Cash In /Out: $1,394.17 Actual Ending Cash: $1,486.17
Total: $1,494.17
•
Over /Under: ($8.00)
Check Summary
System Count: 7 Actual count: 5 Discrepancy: (2)
System Total: $3,679.01 Actual Total: $3,679.01 $0.00
Refund Summary
System Count: 0 Actual count: 0 Discrepancy: 0
System Total: $0.00 Actual Total: $0.00 $0.00
Credit Card Summary
System Count: 11 Actual count: 10 Discrepancy: -1
System Total: $1,612.58 Actual Total: $1,612.58 $0.00
Trust Account Summary
Payments: $0.00
Deposits: $0.00
8/20/2010 5:02:12PM Page 1 of 1
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CITY OF TIGARD Transaction by Revenue Account
I COMMUNITY DEVELOPMENT For Post Dates: 8/20/2010 to 8/20/2010
T I G A R. I) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Account Code Account Name Posted Amount
1003100 -24001 12% State Surcharge $242.42
1003100 -43112 CDC - Planning Review $64.00
1003100 -43115 Sign Permit $180.00
1003100-43116 Land Use Fee $522.00
1003100-43117 Long Range Planning Fee $114.00
2200000-43103 Electrical Permit Fee $453.68
2300000 -24102 School Const Excise Tax, Tig -Tual $380.00
2300000 -43101 Plumbing Permit Fee $118.83
2300000 -43102 Mechanical Permit Fee $519.97
2300000 -43104 Building Permit Fee $927.78
2300000 -43106 Building Plan Review $2,024.58
2300000-43108 FLS Plan Review $1,046.38
2300000-43111 Mechanical Plan Review $84.12
Total Post Amount: $6,677.76
v.r
Transactions
Posted Amount
Method: Cash $1,394.17
Method: Check $3,679.01
Method: Credit Card $1,612.58
Total Post Amount: $6,685.76
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•
CITY OF TIGARD
Community Development
TIGARD
Cash Drawer Worksheet
DESCRIPTION ITEM QUANTITY AMOUNT
Currency $100 $
$50 $ -
$20 1 $ 20.00
$10 2 $ 20.00
$ 8 $ 40.00
$1 14 $ 14.00
TOTAL CURRENCY: $ 94.00
Coin $1.00 $ -
$ .50 $ -
$ .25 20 $ 5.00
$ .10 5 $ 0.50
$ .05 8 $ 0.40
$ .01 10 $ 0.10
TOTAL COIN: $ 6.00
TOTAL CASH ON HAND: $ 100.00
CHECKS (tape): $ -
CREDIT CARDS (tape): $ -
ACCOUNT WITHDRAWALS (Bal. Sheet): $
SUB - TOTAL: $ 100.00
BEGINNING CASH ($100.00): $ -
ACCOUNT DEPOSITS (Bal. Sheet): $
REFUNDS / REVERSALS (Bal. Sheet): $
OVER AMOUNT (see Explanation below): $
SHORT AMOUNT (see Explanation below): Zs ^ Fy.,rf -
TOTAL REVENUE (m Rev. Acct. Report): • $ 100.00
Explanation:
Date: 8/20/10 !Name: Debbiea Adamski
NOTE: Make one copy of this worksheet, adding tapes, Cashier Balance Sheet Report and Revenue Account
Report for Tidemark system administration file.
I :\Building \Cashier \CashBalance.xls Rev. 10/5/06
CITY OF TIGARD RECEIPT
E! g :.. 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 179255 - 08/26/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 - 00136 $ - 2.00
Total: $ -2.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash DHOWSE 08/26/2010 $ -2.00
Payor: Tigard Basketball Association
Total Payments: $ - 2.00
Balance Due: $0.00
Tidemark
S ystem Administration
I ` " "' Finance Department Request
Date: ,GPA6,0
To: I/ Liz Lutz
Angela McCoy
From: Dianna Howse/
Re: Receipt #: /7 92 Yf, 77,„2,57,2 /79s
Please process this request as follows: /79.7 SS
Journal Entry (route copy of JE to
Dianna Howse).
Reversal (fees have been reversed on .
Revenue Account Report).
Credit Card Return (fees have been
reversed on Revenue Account Report).
Other /Explanation:
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I: \ Building \Forms \RteSlip-FinanceReq. doc
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Page 1 of 1
CITY OF TIGARD RECEIPT
1 V
C 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 179254 - 08/26/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 - 00135 $ - 2.00
Total: $ -2.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash DHOWSE 08/26/2010 $ -2.00
Payor: Tigard Basketball Association
Total Payments: $ - 2.00
Balance Due: $0.00
Page 1 of 1
CITY OF TIGARD RECEIPT
O
IIII C . 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 179252 - 08/26/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 00134 $ - 2.00
Total: $ -2.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash DHOWSE 08/26/2010 $ -2.00
Payor: Tigard Basketball Association
Total Payments: $ - 2.00
Balance Due: $0.00
Page 1 of 1
CITY OF TIGARD RECEIPT
g I 13125 SW Hall Blvd., Tigard OR 97223
E
503.639.4171
TIGARD
Receipt Number: 179249 - 08/26/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00133 $ -2.00
Total: $ -2.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash DHOWSE 08/26/2010 $ -2.00
Payor: Tigard Basketball Association
Total Payments: $ -2.00
Balance Due: $2.00
Page 1 of 1
IN CITY OF TIGARD Transaction by Revenue Account
I COMMUNITY DEVELOPMENT For Post Dates: 8/20/2010 to 8/20/2010
1 T i t. A R C ` 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Account Code Account Name Posted Amount
1003100 -24001 12% State Surcharge $242.42
1003100-43112 CDC - Planning Review $64.00
1003100 -43115 Sign Permit $180.00
1003100.43118 Land Use Fee $522.00
1003100-43117 Long Range Planning Fee $114.00
2200000 -43103 Electrical Permit Fee $453.88
2300000 -24102 School Const Excise Tax, Tig -Tual $380.00
2300000 -43101 Plumbing Permit Fee $118.83
2300000 -43102 Mechanical Permit Fee $519.97
2300000 -43104 Building Permit Fee $927.78
2300000-43106 Building Plan Review $2,024.58
2300000-43108 FLS Plan Review $1,046.38
2300000 -43111 Mechanical Plan Review $84.12
Total Post Amount: $8,677.76 '
....•••
Transactions
•
Posted Amount
Method: Cash $1,394.17
Method: Check $3,879.01
Method: Credit Card $1,612.58
Total Post Amount $6,685.76
./.)
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71 CITY OF TIGARD
Community Development
TIGARD
Cash Drawer Worksheet
DESCRIPTION ITEM QUANTITY AMOUNT
Currency $100 $ -
$50 $ -
$20 1 $ 20.00
$10 2 $ 20.00
$5 8 $ 40.00
$1 14 $ 14.00
TOTAL CURRENCY: $ 94.00
Coin $1.00 $ -
$ .50 $ -
$ .25 20 $ 5.00
$ .10 5 $ 0.50
' $ .05 8 $ 0.40
$ .01 10 $ 0.10
TOTAL COIN: $ 6.00
TOTAL CASH ON HAND: $ 100.00
CHECKS (tape): $ 2,161.17 $ 2,161.17
CREDIT CARDS (tape): $ 2,761.12 $ 2,761.12
ACCOUNT WITHDRAWALS (Bal. Sheet): $ -
SUB $ 5,022.29
BEGINNING CASH ($100.00): $ 100.00 $ 100.00
ACCOUNT DEPOSITS (Bal. Sheet): $ -
REFUNDS / REVERSALS (Bal. Sheet): $ -
OVER AMOUNT (see Explanation below): $ -
SHORT AMOUNT (see Explanation below): - {-•: >. , $ -
TOTAL REVENUE (.. Rev. Acct. Report): _ $ 4,922.29
Explanation: $8.00 Cash refund processed to correct over payment by checks on 8/20/2010. No
actual cash was given out today, howev elefund was entered in Accela to correct the balance
sheet for 8/20/2010. Dianna Howse 4/,f
Date: 8/26/10 'Name: Kristie Peerman x2452
NOTE: Make one copy of this worksheet, adding tapes, Cashier Balance Sheet Report and Revenue Account
Report for Tidemark system administration file.
I: \Building \Cashier \CashBalance.xls Rev. 10/5/06
CITY OF TIGARD Transaction by Revenue Account
$ COMMUNITY DEVELOPMENT For Post Dates: 8/26/2010 to 8/26/2010
T I G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Account Code Account Name Posted Amount
1003100 -24001 12% State Surcharge $383.70
1003100 -43114 PFI Permit Fee $600.00
1003100 -43115 Sign Permit $45.00
1003100 -43117 Long Range Planning Fee $7.00
1003100 -48001 Cash Over /Under $0.00
2200000 -43103 Electrical Permit Fee $1,404.24
230000043101 Plumbing Permit Fee $984.17
2300000 -43102 Mechanical Permit Fee $809.31
2300000-43106 Building Plan Review $166.54
2300000 -43111 Mechanical Plan Review $112.33 /
5000000 -25500 Sewer Connection Fee $410.00
/V
ef t/ I l i
Total Post Amount: $4,922.29 \
•
0
Unallocated Payment: .00
Transactions
Posted Amount
Method: Cash $ � , �i�'`
Method: Check $2,161.17 - It. ' ,
Method: Credit Card $2,761.12 }
Total Post Amount: $ .29
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CITY OF TIGARD
a
•
; � . 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Balance Sheet Report
Account Date: 8/26/2010
Cash Summary
Begining Cash: $100.00 Ending Cash In /Out: $100.00
Cash In /Out: $0.00 Actual Ending Cash: $100.00
Total: $100.00 Over /Under: $0.00
Check Summary
System Count: 8 Actual count: 8 Discrepancy: 0
System Total: $2,161.17 Actual Total: $2,161.17 $0.00
Refund Summary
. ( •(
System Count: 4 Actual count: 0 Discrepancy: �' C i
r -4
r C 6� t ‘ o
System Total: $8.00 Actual Total: $0.00 . 0
. el $(8.00)
e
Credit Card Summary td At-
System Count: 23 Actual count: 23 Discrepancy: 0
System Total: $2,761.12 Actual Total: $2,761.12 $0.00
Trust Account Summary
Payments: $0.00
Deposits: $0.00
8/26/2010 4:58:07PM Page 1 of 1
CITY OF TIGARD
•
Community Development
TIGARD
Cash Drawer Worksheet
DESCRIPTION ITEM QUANTITY AMOUNT
Currency $100 $ -
$50 $ -
$20 1 $ 20.00
$10 2 $ 20.00
$5 8 $ 40.00
$1 14 $ 14.00
TOTAL CURRENCY: $ 94.00
Coin $1.00 $ -
$ .50 $ -
$ .25 20 $ 5.00
$ .10 5 $ 0.50
• $ .05 8 $ 0.40
$ .01 10 $ 0.10
TOTAL COIN: $ 6.00
TOTAL CASH ON HAND: $ 100.00
CHECKS (tape): $ -
CREDIT CARDS (tape): $ -
ACCOUNT WITHDRAWALS (Bal. Sheet): $ -
SUB $ 100.00
BEGINNING CASH ($100.00): $ -
ACCOUNT DEPOSITS (Bal. Sheet): $ -
REFUNDS / REVERSALS (Bal. Sheet): $ -
OVER AMOUNT (see Explanation below): $ -
SHORT AMOUNT (see Explanation below): _ %.: „ ti. .• $ -
TOTAL REVENUE (= Rev. Acct. Report): $ 100.00
Explanation:
Date: 8/26/10 'Name: Debbie Adamski, x2450
NOTE: Make one copy of this worksheet, adding tapes, Cashier Balance Sheet Report and Revenue Account
Report for Tidemark system administration file.
I:\Building \Cashier \CashBalance.xls Rev. 10/5/06