SGN2010-00076 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2010-00076
COMMUNITY DEVELOPMENT Date Issued: 05/07/2010
13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 1S135DD00500
Jurisdiction: Tigard
Name of Business: Tigard Area Farmers Market
Business Address: 11831 SW PACIFIC HWY
Applicant/Agent: Tigard Area Farmers Market,
Work Description: Placement of(1)one temporary 20 s.f. banner. Valid thru the duration of the Temporary
Use 5/9/10 thru 10/31/10. 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: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions: 1'x9'-6"
Total Sign Area: 20
Wall Area:
Wall Face(Direction): South
Sign Height: 7 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Banner
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:
Er SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 '
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site 1 S ► • ► ` , G i
Address / Street • ddress " Permit No.: `,k
Location f ( A -c �! (,o ( G L OLi Expiration Date: 671I/0 0007
O 7 0
Suite /Bldg. # City/St /') Zip P I/`
,7,, Receipt #: 1 7 -1 8 7 0 Name Approved By: p 3- Property Q(,�,� /4t Date: 6 / 7/RD
Owner Mailing Addres Map /TL #: /,
i/0 �� i *get Zoning: G `)
City/S Zip Phone
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p / ✓ 1:1 —it ( 77 q."---- Electrical Electrical Permit Required? El Yes o
B usi nt or /N a C- I L
Business Building Permit Required? Yes 111...-14 N me L/(0 Rev. 7 /1/09
is \curpin \masters \land use applications \sign permit app.doc
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Contractor ,
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(Prior permit /� �!„ /� e 7/*‘' 2S
issuance, cea , a `/ � / y /7i..
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if ■ "4-/ a, 9913 - j..tV -s37 without the required submittal elements)
expired in the Orego Const. Cont. Board License # Exp. Date
City of Tigard's
database) '. .... wiP El Completed Application Form
Proposed ❑ Permanent ❑ Freestanding El Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that
El Other El Billboard El Balloon
apply) size requirement: 81/2" x 11", or 11" x 17"
❑ New sign ?er to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: ( r x 20 /' (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): f
(�` ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ______e,___ ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction W aces (circle one):
items in this ' NOTES
section) N E W NE NW SE SW
Heig t to top of sign (feet): ---— ( • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): Tg/ must include dimensions of wall face and sign
placement.
Copy: � ♦ Wall signs do not require site /plot plans.
Materials: GZG'F— /p�
• Freestanding signs over 6 ft. required a building
Will sign have illumination? El Yes ,Er �o 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 space? of the permit, THE PERMIT WILL BECOME
El 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)
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 day of / , 20 /
Signay e of .wner/Agent
ontact Person Name Phone No.
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• Iii . °' f i _:� CITY OF TIGARD RECEIPT
_. 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
;TIGARD
Receipt Number: 177870 - 05/07/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00076 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00076 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 3127 KPEERMAN 05/07/2010 $19.00
Payor: Marland Henderson Construction
Total Payments: $19.00
Balance Due: $0.00
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