SGN2013-00105 IL f a CITY OF TIGARD SIGN PERMIT
Permit #: SGN2013 -00105
COMMUNITY DEVELOPMENT Date Issued: 09/05/2013
TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S114AA00100
Jurisdiction: TIGARD
Name of Business: Tigard Basketball Association
Business Address: 9000 SW DURHAM RD
Applicant/Agent: Abbott, Garrett
Work Description: Temporary banner, 6' x 3', for the Tigard Basketball Association, located at Tigard High
School; 9000 SW Durham Road.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: Yes 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): North
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $56.00
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: d(CC
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Permittee Signature: / °
7111 City of Tigard
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development /Project
/ FOR STAFF USE ONLY
Site i q'OICok Hru k Sc Ind e, , ,� [
Address / Stree C& v
ddress J Permit No.: - 20 13 - 001 C) 5
Location (7Dob 5l,/ pvt, Incly` . kA
Suite /Bldg. # City/State Q Zip
Ci c1-12.2q- Approved B i
1 l arok , O ,C Date: (5 I l
Name ✓ r tel Fe t9 •
Property rlr Gff^Ok 7 / i h f C c' o/ Receipt #: I 9?)
Owner MailiagAddress Suite Map /TL #:: 2-5 I I Likhoo 1 DO
Zoning: R4-. S
City/State Zip Phone 2
Allowable Total Area: t s- i fI •
Tenant or Name
Business Electrical Permit Required? ❑ Yes 14 No
Name Building Permit Required? ❑ Yes '°'L No
L , Rev. 6/24/2013
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Sign ,77 rJ go k l ita// �` f0 Ci i R 6 / PI..N \Masters \Land Use Applications \ Sign Pemiicdoc
Contractor M li Address Suite I
Po g A,)0I I
City/State y� Zip Phone /
Ti9 f �, OR 'T7 / / So) jg')tf -L 7 REQUIRED SUBMITTAL ELEMENTS
c�t Consc Cont. Board License # Exp. Date (Note: applications will flat be accepted
without the required submittal elements)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway Completed Application Form
Sign ja Temporary ❑ Roof ❑ Electronic
(Check all that ❑ Wall ❑ Other Vcfropies of site /plot plan, drawn to scale
f (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11" x 17"
❑ New sign? 0 Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 6' X ) / (3 copies, if a building permit is required)
Total Sign Area (sq. ft.): O size requirement: 8t /2" x 11", to 24" x 36"
' d ,e Application Fee
Sign Data Total Wall Area (sq. ft _ o
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) O S E W NE NW SE SW
• Wall signs do not need to be drawn to scale, but
Height to top of sign (feet): y must include dimensions of wall face and sign
Projection From Wall (inches): (./ placement.
Materials: Va y I • Wall signs do not require site /plot plans.
Will sign have illum ✓ ination? ❑ Yes 'No • Freestanding signs over 6 ft. and walls signs of
Type: ❑ Internal ❑ External which any element weighs 20 lbs. or more require a
Are there any existing freestanding or wall signs at this location, building permit.
including wall signs that overlap a tenant space?
❑ Yes grNo
If "yes", a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I 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 owner(s) 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.
• 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 perm it 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.
j
7/i/i,
Applicant Signature Date
Signature, of Owner /Agent Date
&Ctrne.:1 So3 -539 7/S
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2
CITY OF TIGARD RECEIPT
• ,' 13125 SW Hall Blvd., Tigard OR 97223
- 503.639.4171
TF G ARL)
Receipt Number: 193000 - 09/05/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00105 Temporary Sign Permit - LRP 100- 0000 - 43117 $7.00
SGN2013- 00105 Temporary Sign Permit 100- 0000 -43115 $49.00
Total: $56.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 715061 AKO WACZ 09/05/2013 $56.00
Payor: Garrett Abbott
Total Payments: $56.00
Balance Due: $0.00
'.. Page 1 of 1