SGN2010-00129 CITY OF TIGARD SIGN PERMIT
g Permit#: SGN2010-00129
COMMUNITY DEVELOPMENT Date Issued: 08/18/2010
13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S103DD00600
Jurisdiction: Tigard
Name of Business: Tigard Grange-Tri Squares
Business Address: 13770 SW PACIFIC HWY
Applicant/Agent: Schnetky, Mark
Work Description: Placement of(1)one 18 s.f temporary banner. Valid 8/18/10-9/18/10. Sign#1 Sign
must be placed on private property and not in the public right-of-way or visual clearance
area.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions: 3'x6'
Total Sign Area: 18
Wall Area:
Wall Face(Direction): Northwest
Sign Height: 18 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: P
Permittee Signature:
City of Tigard
' Sign Permit Application
GENERAL INFORMATION
Name of Development /Project
j 0 S - i4 w �-, FOR STAFF USE ONLY
Site "
Address/ Street Address Permit No.: S I/00 O - OC) 1 2 -7
Location
Suite /Bldg. # City/State Zip Approved By:
Date: S i 1 t6 I i'
Name Receipt #: / 7 q /2
Property f
1 Map /TL #: D- 5 /0 3 D iD Uc ( C)
Owner Mailing Address Suite Z oning: -
Allowable Total Area: e V se
City/State Zip Phone
Electrical Permit Required? ❑ Yes o
Tenant or N /
Business % P -4)/,604A,d--AR Building Permit Required? ❑ Yes
Name Rev. 7/1/10
/ is \curpin \masters \land use applications \sign permit app.doc
Sign / l 1
Contractor Mani g Address Suite
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(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 Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ all ❑ Other t »
apply) size requirement: 8 /2 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 1 / .0 I size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): i, e ❑ $164.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq.. ❑ $52.00 Fee (Temporary sign, any type)
a
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E NE NW SE SW
Height to top of sign (feet): �� • Wall signs do not need to be drawn to scale, but
Projection
m Wall (inches): f must include dimensions of wall face and sign
Materials: Fr /f_ ! placement.
/ • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ Externa 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
foota . e must also be submitted.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 1 www.tigard - or.gov 1 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.
DATED this 1 day of hi& , 20
A .l.
Signature of Owner /Agent
/kJ ,_°e_i-/;(// &
Phone No.
Contact Person Name Ph o
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City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard- or.gov 1 Page 2 of 2
T'` ' ; ;;C'. CITY OF TIGARD RECEIPT
H „
II
'i 13125 SW Hall Blvd., Tigard OR 97223
,...05-?u,,...,44 503.639.4171
TIGARD
Receipt Number: 179105 - 08/18/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00129 Temporary Sign Permit 1003100 -43115 $45.00
SGN2010 -00129 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
Credit Card R65441Z R65441Z KPEERMAN 08/18/2010 $52.00
Payor: Mark Schnetzky
Total Payments: $52.00
Balance Due: $0.00
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