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SGN2010-00144 r �� SIGN PERMIT APPLICATION � � City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OA 97223 T (G A R D � Phone: 503.639.4171 �ax.• 503.598.1960 � � � , � I �J.� e e a � x /��e � S c� GENERAL INFORMATION Name of Development /Project ��,� �� j4 v� r�� S FOR STAFF USE ONLY Site r � Address �' `E�� / s � dress �+� � < < � Y4 r k "� Permit No.: � � � "� �� Location „ � � —�/, �.ta r� /�� . p � Ex iration Date: Suite /Bldg. # Gty /State Zip Receipt #: ��/" _ N�qte � Approved By: (,�� Property ` � ' � t � � Date: ��f Owner Mailing Address Suite Map /TL #: Zoning: Ciry /State 'Lip Phone Tenant or Name Electrical Permit Required? ❑Yes �No ��r rI l C , �F'c In $uildin Permit Re aired? Yes �i� �No Business ,S c k � c. � �-✓• S'� r� c� g q ❑ Name Rev. 7/1/09 � is \curpin \masters \land use applications \sign permit app.doc S� � t � � � r Contractor Mailing Address �ui�c (Prior to pemvt 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 # I✓xp. Date City of Tigard's database _ ❑ Completed Application Form Pro osed ❑ ❑ g ❑ ❑ 2 Copies of Site /Plot Plan Drawn to Scale h Pe ent Freestandin Freeway , S� Temporary ❑ VVau ❑ hlectronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon t » " " ' apply) size requirement: 8 /2 x 11 , or 11 x 17' ew sign? ❑Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign D� n,s}ons: ./ � t (3 copies, if a building permit is required) '� ?S t � J� � .Z size requirement: 8t /z" x 11 ", to 24" x 36" � �/ To S' ea (s q. ft.): � t g •��e.. '( �� .S .� -� `- ❑ $40.00 Fee (Permanent sign, any size) 1 Tot Wall Are . ft�.f Sign Data � �j � � � � � � ��, � ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one�Q� � - � items in this � � 5 — S' NOTES: section) N S E W NE NW SE SW Height to top of sign (feet): �i f ♦ Wall signs do not need to be drawn to scale, but Projection From Wall (inches): � t ' must include dimensions of wall face and sign Copy: � � � � � � placement. Materials: � 1�s .� ; � • Wall signs do not require site /plot plans. ♦ Freestanding signs over 6 ft. required a building Will sign have illumination? ❑Yes �No permit. Type: ❑Internal ❑External ♦ 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 spac ? 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) r - � � 1 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. � � DA'1'1✓D this day of � � � , 2Q � � Si• ature Owner /Agent �\ Contact Person Name Phone No. City �f Tigard � BBQ, fireworks, fN Run, Pet Parade and so much more! RII events are f ree! lag onm wwwTigard- ocgov /)amilylefr )or a mmD�e�e rrhedule General Ledger Journal Entry Proof List .� User: kathyge Printed: 10/20/2010 - 9:47 AM T I G A R D Account Number Account Description Debit Amount Credit Amount Linc Description System Reference Project Management Journal Entry: 000404 03 2011 Journal Entry Date: 09/27/2010 System: General Ledger * * ** *This Journal Entry has been commited * * * ** 100 -0000 -43115 Sign Permit Fees 0.00 45.00 Permits - Banners for Family Fest 100 -0000 -43115 Sign Permit Fees 0.00 45.00 Permits - Banners for Family Fest 100 -0000 -43117 Long Range Planning Surcharge 0.00 7.00 Permits - Banners for Family Fest 100 -0000 -43117 Long Range Planning Surcharge 0.00 7.00 Permits - Banners for Family Fest 100 -0000 -10100 Cash &Investments 104.00 0.00 Permits - Banners for Family Fest Fund Total 104.00 104.00 Fund Balance 0.00 600- 1000 -54311 Special Department Expenses 45.00 0.00 Permits - Banners for Family Fest 600- 1000 -54311 Special Department Expenses 7.00 0.00 Permits - Batmets for Family Fest 600- 1000 -54311 Special Depamnent Expenses 45.00 0.00 Permits - Banners for Family Fest 600 - 1000 -54311 Special Department Expenses 7.00 0.00 Permits - Banners for Family Fest 600 -0000 -10100 Cash &Investments 0.00 104.00 Permits - Banners far Family Fest Fund Total 104.00 104.00 Fund Balance 0.00 GL - Journal Entry Proof List (Printed: 10/20/2010 - 9:47 AM) Page 1 Account Number Account Description Debit Amount Credit Amount Line Description System Reference Project Management Journal Entry Totals 208.00 208.00 Journal Entry Balance 0.00 Report Totals 208.00 208.00 Report Balance 0.00 GL - Journal Entry Proof List (Printed: 10/20/2010 - 9:47 AM) Page 2