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SGN2009-00035 1 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #:. SGN2009 -00035 T1GARD' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/19/2009 PARCEL: 2S 103AA -00101 BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R -4.5 SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG APPLICANT /AGENT: TIGARD YOUTH FOOTBALL 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 3/1/09 to 4/1/09 Sign #1 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: 44,,PL QQ c- L�' PERMITTEE SIGNATURE: �.fA b1 o`^" DATE: 2/19/2009 IT SIGN PERMIT APPLICATION City (I Tigard Pernrx Center 13125 SW Hall Blzd, Tig rc4 O�.4 2 •3 Phone. 503.639.4171 Fax: 503.598.1960 V �: i L 1j FEB 1 9 2009 GENERAL INFORMATION CITY OF TIC Name of velopment /Project J I and 10-oa STAFF USE ONLY Site Address/ Street Addre Permit No.: 44- 4q - CrOO .. Location MB Expiration Date: L /l � 6W lA '�' Suite /Bldgg.# State Zip /�, 6d 0 11 11,11, J Receipt # : ?o1' 03 Name J a i " t Approved By 5 • TP Property Date: •411-109 Owner Mailing Address Suite Map /TL# : °2S I D 3 /h* - an lr1 Zoning: < City/State Zip Phone Tenant or Nam Electrical Permit Required? ❑ Yes VA o Business Building Permit Required? ❑ Yes 'Al No Name Rev. 7/1/07 is \ cumin \ masters \land use applications \ sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, a copy of all City/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) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway El 2 Copies of Site /Plot Plan, Drawn to Scale Sign 12 Temporary Wall El Electronic (3 copies, if a building permit is required) (C1heck all that ❑ ❑ size re uirement: 8i/" x 11 ", or 11" x 17" apply) Other Billboard Ba lloon q ❑ New sign? ❑ Alter to existing sign? 111 2 copies of elevations, drawn to scale Sign Dimensions: 3 1 co 1 (3 copies, if a building permit is required) size requirement: 8½" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 1 a V i q i ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N © E W NE NW SE SW Height to top of sign (feet): I' • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Co py • Wall signs do not require site /plot plans. Materials: VI ny • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes ‘rtr No permit. Type: ❑ Intemal ❑ External • If work authorized under a sign permit 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 ❑ Yes 1:1 No NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) -;1// /1 r (i/ /O i Q 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 day of 1J , 20 Dci Signature o Owner /Age 0 0 \ A \ 6 ∎D ID -0[361 Contact Person Name Phone No. ',.';''''')W r.5a CITY OF A O G (-6 R® 2/19/2009 !i m :).•., 13125 Shy Ball Blvd. I 1 :14:48A \'I , Zaimt . I'iard, OR 97223 5fl3.f 39.3171 flGARD1 • Receipt #: 27200900000000000355 Date: 02/19/2009 Line Items: Case No Tian Code Description Revenue Account No Amount Paid SGN2009 -00031 [SIGN] Temp Sign Perm 100- 0000- 437000 17.00 SG N2009-00031 [LRPF] LR Planning Surcharge 100- 0000- 438050 2.0)) SG N2009-00032 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.011 SGN2009 -00032 [LRPF] LR Plan ring Surcharge 100- 0000 - 4381)50 2.01) SGN2009- 00034 [SIGN] Temp Sign Perni 100-0000-437000 17.00 SGN2009 -00034 [LRPF] LIZ Planning Surcharge 100-0000-438050 2.00 SGN2009 -00035 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SG N2009-00035 [LRPF] LIZ Planning Surcharge 100- 0000 - 438050 2.00 SGN2009 -00036 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2009- 00036 [LRPF] LIZ Planning Surcharge 100-0000-438050 2 .00 SGN2009 -00037 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2009 -00037 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2 .00 SG N2009-00038 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2009 -00038 [LRPF] LIZ Planning Surcharge 100- 0000 - 438050 2.00 SGN2009 -00039 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2009 -00039 [LRPF] LR Planning Surcharge 100-0000-438050 2.00 SGN2009- 00040 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SG N2009-00040 [LRPF] LR Planning Surcharge 100- 0000 - 438050 - 2.00 Line Item "Total: SI71.00 Payments: Method Payer User 1D Acct. /Check No. .- approval No. 1Iow Received Amount Paid CrcditCard NANCY BARLOW ST 319I4A In Person 171.00 Payment Total: SI71.00 clZcccipa so Page 1 0l I