SGN2005-00069 C ITY OF TIGARD SIGN PERMIT
i t DEVELOPMENT SERVICES PERMIT #: SGN2005 -00069
- � I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/18/2005
PARCEL: 2S 114AA -00100
BUSINESS NAME: TIGARD HIGH SCHOOL ZONE: R -4.5
SIGN LOCATION: 09000 SW DURHAM RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a temporary banner. (3' x 6') Sign #1. Valid from 3/19/05 through
4/19/05.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. 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: AL- ■-•■• — I —ALL
PERMITTEE SIGNATURE:
DATE: 3/1 E"/2005
,
..il►1' SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
� ca '1 -_ L
' FOR STAFF USE ONLY
Site � , I \ � t �C%
Address/ Street Ad ress Permit No.: SGNa Do S - 000!0 9
Location 9000 DUrha till gel Expiration S
Suite /Bldg. # City /State Zip p Date: ' f I `! u
L 4 Cr/224 Receipt #: ooS - Ik�l
Name Approved By: C C c.L.:, v 1.- Property 1 IC A CS-1'C = = VY1 D6-�,CL Date: 3 - 19 - CS
Owner � M � ai C ling ddress 914P1/1 Suite Map/TL #: S l l'-f Mt-1 00 ( ov
u' ! 5f A Zoning: R L{ .S
City /State Zip Phone
q7ZZ3 4 ;loco
Tenant or Nam Electrical Permit Required? ❑Yes IXI No
Business Building Permit Required? ❑ Yes IX1 No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite I REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a i
w ithout the required submittal elements
copy of all City /State Zip Phone q )
licenses are
required if ❑ Completed Application Form
expired in the Ore. Const. Cont. Board Exp. Date
City of Tigard's ense # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale i
database) I
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign N. mporary ❑ Wall ❑ Electronic
(Check all that r Other ❑ Billboard ❑ Balloon 111 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
['New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): , {' $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) T � Jurisdiction: ['City ❑ Urb
(Complete all Direction Wall Faces (circle one): CF- -c►4
items in this NOTES:
section) S E W NE NW SE SW
eight to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: , • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal RI External been completed within ninety (90) days after
Are there any existing freestanding or wall s gns at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes V] No
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 rg/ agy day of " / , 20 0 3
Sig .ture of Own -r /Agent
D..V//C ( -- 1/ V /E5 s 5 9 '/-
Contact Person Name Phone No.
Tigard Youth F
Registration Grades 3 — 8th
April 6 April 17
6:00 pm - 9:OOpm 6:00 pm - 9:OOpm
Tigard High Tigard High
For Information Call: 503- 670 -9444
WWW.tigardyouthfootball.org
CITY OF TIGARD 3/18/2005
13125 SW Hall Blvd. 2:18:39PM
r „iii Tigard, Oregon 97223 4J
1.L. (503) 63 9-417 1
Receipt #: 27200500000000001221
Date: 03/18/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00069 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00069 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2005 -00070 [SIGN] Temp Sign Perm 100 -0000- 437000 15.00
SGN2005 -00070 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $34.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard DAVID L JONES CAC 996172 In Person 34.00
Payment Total: $34.00
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