SGN2011-00029 CITY OF TIGARD SIGN PERMIT
l: Permit #: SGN2011 -00029
COMMUNITY DEVELOPMENT Date Issued: 03/01/2011
TLGART] 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S113B000300
Jurisdiction: TIGARD
Name of Business: Tigard Youth Football
Business Address: 7980 SW DURHAM RD
Applicant/Agent: Barlow, Nancy
Work Description: Placement of one (1) temporary sign (Banner) Valid 3/5/10 - 4/5/10 Sign #1 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: 1 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: $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: C%` a.
Permittee Signature: 1A-Wil/UtylAA(10)
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City of Tigard RECEIVED
° g Sig n Permit Application
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GENERAL INFORMATION CITY OF TIGARD
PLANNING/ENGINEERING
Name of Development/Project
- W . V\ AO -- v - R (WW1 li FOR STAFF USE ONLY
Site �, I�allICY 1 �
Address/ Street Address Permit No.: 5§ 2O/ / our, 2.9
Location ^I C1 S® 4 A0 W D 4
Suite /Bldg. # Ciry /Sta Zip Approved By: /e P
1 1 Date: IAA/1i
Name 1 Receipt #: /0/ 4
Property I 1 l Map /TL #: 2 D 2.. Li 5 // 3 13 d- O b 3 V C)
Owner Mailing Address Suite ZoZoning: l le - / p ly Dl
Allowable Total Area: ` 2. y S, A
City/State Zip Phone
' I� I � �/ Electrical Permit Required? ❑ Yes [o
Tenant or NV l/� N l j „ n ,fi (.1 /p 1 y I I "
Business (• - I� 1 Y 1 r � / Building Permit Requir ❑Yes o
Name ball Rev. 7/1/10
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Sign • V" �J (/� VVV To v 1 VVVI�t
Contractor Mailing 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 ❑ Wall ❑ 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: size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): X 5 n $164.00 Fee (Permanent sign, any size)
Si n Data Total Wall Ar I sq. ft.) = i� ❑ $52.00 Fee (Temporary sign, any type)
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(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): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials: ♦ Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes ❑ No • 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?
El 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 1 503- 718 -2421 1 www.tigard - or.gov 1 Page 1 of 2 w..
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 l
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Signature of Owner/ nt
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Contact Person Name Phone No.
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City of Tigard ! 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard- or.gov 1 Page 2 of 2
CITY OF TIGARD RECEIPT
. >.. 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 181626 - 03/01/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00029 Temporary Sign Permit 1003100 -43115 $45.00
SGN2011 -00029 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 61105A DADAMSKI 03/01/2011 $52.00
Payor: Nancy Barlow
Total Payments: $52.00
Balance Due: $0.00
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