SGN2009-00037 .'. - CITY OF TIGARD
SIGN PERMIT
. °.. DEVELOPMENT SERVICES PERMIT #: SGN2009 - 00037
'TIG 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/19/2009
PARCEL: 2 S 103AA -00101
BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R -4.5
SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary (Banner) sign 3' X 6' Valid 5/1/09 to 6/1/09 Sign
#3 Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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: AA.4 --
PERMITTEE SIGNATURE: ' 1 4 ; IA/ /h
DATE: 2/19/2009 J
'
ri`ittl'i'
SIGN PERMIT APPLICATION
, i , ig 2
og-- (.• City of Tigard Pernit Center 13125 SW Hall Blzcl, Tigor.4 OR 97223
Phone 503.639.4171 Fax: 503.598.1960
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GENERAL INFORMATION
C:: ni.: - 1 - 1 --.
0, , ,, ,,... ..,, I A.2AFID
' Name of ,pestelopmenc/Project -- '-'t /1- timire'—r ,%.
--1.. , ..•-,,,,:1-•-pii G
FOR STAFF USE ONLY —' •`'
Site .
• .. , ,). .., _A
i , OtA U )1041, hi.) 6
Address/ Street Address Permit No
Location I DB s5 / 'Atck..411A (-)-' Expiration Date:
Suite/Bldg. # "SLate r Zip ,
. I 1(:)■ d C U 1 1 ,1 1 S Receipt # : c-S--
Name Approved By
Property Date:
Owner Mailing Address Suite Map/T1#: - 03 A - crwal
Zoning:
Ory/State Zip Phone
Electrical Permit Required? 0 Yes No
Tenant or Nam.
Business ' Building Permit Required? 0 Yes E
Name Bev. 7/1/07
i:\cumln \ masters \ land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Pnor to permit
Issuance, a
copy of all Guy/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const, Cont. Board License # Exp. Date
City of Tigard's
database) 0 Completed Application Fon
Proposed 0 Permanent El Freestanding 0 Freeway 0 2 Copies of Site/Plot Plan, Drawn to Scale
Sign cISLTemporar IS...Wall 0 Elecironic (3 copies, if a building permit is required)
(Chec k all that
1=1 Other E Billboard E Balloon size requirement: 81/2'' x 11", or 11" x 17"
aPply
0 New sign? 0 Alter to existing sign? n 2 copies of elevations, drawn to scale
Sign Dimensions: 3 i x . co 1 (3 copies, if a building perrnit is required)
size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): i n i,
I I t) el' It 0 540.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) ,
Sign Data — $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this .r\ NOTES:
section) N iS ) E W NE NW SE SW
L/
Height to top of sign (feet): %) 1 ' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
&FY'
• Wall signs do not require site/plot plans.
_ Matenals: V) IA \) 1
• Freestanding signs over 6 ft. required a building
Will sign have illumination? 0 Yes It No permit.
Type: 0 Intemal 0 External • If work authorized under a sign pen has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
NULL AND VOID.
0 Yes P1 No
If "yes", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
–: ( : 41 / /61
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 subinitted are in compliance with the City
of Tigard.
DA 1ED this ICI day of � � , 20 C
) , ',,,ill ,11 / O IX k
Signature o Owner /Agen'
1 ._
Contact Person Nam Phone No.
f; ;.... ���� OF �Q�nI�R® 2119/211(19
4 13125 S \V Hall Blvd. I I: 1 4:45,\ M
Tigard. OR 97223 5113.639. -4171
T 1'G
Receipt #: 27200900000000000355
Date: 02/19/2009
Line Items:
Case No "Iran Code Description Revenue Account No Amount Paid
SGN2009 -00031 [SIGN] Temp Sign Perni 100 -0000- 43700(1 . 17.00
SGN2009 -00031 [LRPF] LIZ Planning Surcharge 100- 0000- 438050 2 .00
SGN2009 -00032 [SIGN] Temp Sian Pcrm 100- 0000- 437000 17.00
SGN2009 -00032 [LRPF] LR Planning Surcharu,c 100-0000-438050 2.00
SGN2009 -00034 [SIGN] Temp Sign Pcrm 100- 0000 - 437000 17.00
SGN2009 -00034 [LRPF] LR Planning Surcharge 100 - 0000 - 435050 2 .00
SGN2009 -00035 [SIGN] Temp Sign Perm 100 -0000- 437000 1 7.00
SGN2009 -00035 [LRPF] LR Planning Surcharge 100-0000-43805(1 2.00
SGN2009 -00036 [SIGN] Tenip Sign Pcrm 100 - 0000 - 437000 17.00
SGN2009 -00036 [LRPF] LIZ Planning, Surcharge 100- 0000 - 438050 2.00
SGN2009 -00037 [SIGN] Temp Sign Perni 100- 0000 - 437000 1 7.00
SGN2009 -00037 [LRPF] LR Planning, Surcharge 100- 0000 - =35050 2.00
SGN2009 -00035 [SIGN] Temp Sign Perm 100- 0000 - 437000 1 7.00
SGN2009 -0003$ [LRPF] LR Planning, Surcharge 100-0000-438050 2.00
SGN2009 -00039 [SIGN] Temp Sign Pcrm 100- 0000 - 437000 17.00
SGN2009 -00039 [LRPF] LIZ Planning Surcharge 100-0000-438050 7 .00
SGN2009- 00040 [SIGN] Tenip Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00040 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
Line Item Total: 5171.00
Payments:
Method Payer User II) Acct. /Check No. Approval No. How Received Amount Paid
CreditCard NANCY BARLOW ST 31914A In Person 171.00
Payment - Total: 5171.00
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