SGN2011-00098 - CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 -00098
COMMUNITY DEVELOPMENT Date Issued: 09/06/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136DA00700
Jurisdiction: Tigard
Name of Business: Tigard Basketball Association
Business Address: 9000 SW DURHAM RD
Applicant/Agent: Garrett,
Work Description: Placement of one (1) temporary sign (Banner) 3' x 6' Valid 9/6/11 - 10/6/11 Sign #/j
Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 6" x 18"
Total Sign Area: 108
Wall Area: 828
Wall Face (Direction): North
Sign Height: 8 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: ,
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Permittee Signature: rte%
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C ity ofTigard
Sign Permit Application
GENERAL INFORMATION
Name of Development /Project
[� </ FOR STAFF USE ONLY
Site Ct� /7 l '1 )61,0o
Address/ Stre Address _ 9 Permit No 60 0001 I l r
q �(Lek� k� T
Location OQ� f �/ P A pp rov ed By: S ' n �� 1
Suite /Bldg. # City/State . Zip �r
1 I I�f D R C / ^7 a �' Date: 1 I b C / / i P p /
Name j� Receipt #: i a 3 0 S
9 J
Property ( tyke A T�a'at1 � LLt9a + Pr 51r I Gf 1 Map /'IT., #: 02 � , ,t( s � l) 4 Iq �} -6�i 4)
Owner Mailing Address !! Suite Zoning: Kam" E
6960 S Li Sa�ilbtrq g
/ Allowable Total Area:
City/State • Zip Phone
Ti tArek, d2 g 7d_a3 503- 4- )I �
Tenant or Electrical Permit Required. ? ❑ Yes E: No
D ame
Business rt'9 Rrcr\ H f 15t 5 (-1•0o I Building Permit Required? ❑ Yes .,❑ No
Name Rev. 7/1/11
I C, Q f I ei kI , i \curpin \ masters \land use applications \ sign permit app.doc
Sign 779 Gr'ol K SsOC.,
Contractor Mailing Address Suite
PO Po D.3011
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
77.904 Po P 970191 So3 -�S4 .t$ 7 (Note: applications will not be accepted
Oregon Consz Cont. Board License # Exp. Date without the required submittal elements)
0 Completed Application Form
Permanent Freestanding Freeway Proposed ❑ ❑ g ❑ y Ni .. ies of site /plot plan, dra . cale
Sign 0 Temporary ❑ Roof ❑ Electronic (3 copies, 1 . .. - . . - t is required)
(Check all that I Wall ❑ Other t » ", 11" >
ap pl y ) Si - • sirement: 8 /z x , , 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: sn E; size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): I y ❑ $165.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) Z $52.00 Fee (Temporary sign, any type)
Si Data _
(Complete all Direction Wall Faces (circle one):
items in this ! NOTES:
section) 0 S E W NE NW SE SW
Height to top of sign (feet): L ' e Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 0". must include dimensions of wall face and sign
placement.
Materials: V;
to Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes j2r 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?
❑ Yes 21 No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
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
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owners) must sign this application in the space provided on the back
of this form or submit a written authorization with this application
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
e All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
c fM
Applicant Signature Date
Signature of Owner /Agent Date
cw c S 37- 7/5
Contact Person Name Phone No.
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
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CITY OF TIGARD RECEIPT
,' = Z 13 125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 183835 - 09/06/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00098 Temporary Sign Permit 100 - 0000 -43115 $45.00
SGN2011 -00098 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 030094 STREAT 09/06/2011 $52.00
Payor: Garrett Abbott
Total Payments: $52.00
Balance Due: $0.00
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