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SGN2013-00107 CITY OF TIGARD SIGN PERMIT Permit #: SGN2013 -00107 COMMUNITY DEVELOPMENT Date Issued: 09/05/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S135AB00100 Jurisdiction: Tigard Name of Business: Tigard Basketball Association Business Address: 10350 SW LINCOLN ST Applicant/Agent: Abbott, Garrett Work Description: Temporary banner, 6' x 3', for the Tigard Basketball Association, located at Metzger Elementary School; 10350 SW Lincoln Street. 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): East 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: * lZn C:21 Permittee Signature: /tea 7 . City of Tigard S ign Permit App TIGARD GENERAL INFORMATION Name of Development /Project ((/ / FOR STAFF USE ONLY Site nHZ Gl' Th044_ y4arg /G oo 1 Address / Street Addre,sy7 t J Permit No.: �N213 ©D 10 Location 10) 50 k ht n Cv f h f Approved By: itlk Suite /Bldg. # City/State I Zip ��y, ✓ r( C , rot q7:-1.21 a Date: / N a me C / (,,� Fee: � Property ! I � tkoltvx'Iv1f 5J O Receipt #: 1 . f�" t" / � 4� Owner Mailing Addre Suite y Map /TL #: 1 S I J * B rT)1 00 ✓ Zoning: CZ li .s City/State Zip Phone + , Allowable Total Area: 214 S . Tenant or Name Business Electrical Permit Required? ❑ Yes No Name Building Permit Required? ❑ Yes No r Sign rj etr ��A / 'l1/f lfJOC 0 Rev. 6/24/113 1: \CURPLN \ Masters \Land Use Applications \Sign Pesmit.doc Contractor Mail Address Suite PD Oox 011 City/State Zip Phone ri g etce , g7 jI VI -68if - 667 REQUIRED SUBMITTAL ELEMENTS Ores6n Coast. Cont. Board License Exp. Date (Note: applications will not be accepted without the required submittal elements) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway oef Completed Application Form Sign Temporary ❑ Roof ❑ Electronic (Check all that ❑ Wall ❑ Other ❑ 2 copies of site /plot plan, drawn to scale aPPly) (3 copies, if a building permit is required) size requirement: 8 x 11 ", or 11" x 17" ❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: C7 // 7 / (3 copies, if a building permit is required) Total Sign Area (sq. ft.): size requirement: 8 x 11 ", to 24" x 36" I ! .d Application Fee Sign Data Total Wall Area (sq. ft (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S C W NE NW SE SW • Wall signs do not need to be drawn to scale, but Height to top of sign (feet): f must include dimensions of wall face and sign Projection From Wall (inches): D placement. Materials: It t t „ ` • Wall signs do not require site /plot plans. Will sign have illumination? ❑ Yes ilf 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 s ace? ❑ Yes No If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES footage must also be submitted. ( 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 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. // of Applicant Signature Date �i�i, At ' A : l 7703 Signature of Owner /Agent Date oar red ACi 't f'? - f7 7- 7/ f f ' 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'GAA Receipt Number: 192998 - 09/05/2013 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN201.3 -00107 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00 ' SGN2013 -00107 Temporary Sign Permit 100 -0000 -43115 $49.00 Total: $56.00 PAYMENT METHOD CHECK # CCAUTH. CODE ACCT ID, CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 715061 AKOWACZ 09/05/2013 $56.00 Payor: Garrett Abbott Total Payments: $56.00 Balance Due: $0.00 • • • • • J Page 1 of 1