SGN2009-00003 i
7 n �� CITY OF TIGARD SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2009 -00003
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/7/2009
PARCEL: 2S 102 B D -00100
BUSINESS NAME: TIGARD BABE RUTH BASEBALL ZONE: R -12
SIGN LOCATION: 12645 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD BABE RUTH BASEBALL
BUSINESS TAX 140:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 5'
TOTAL SIGN AREA: 20 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 sign 4' X 5' (Banner) Valid 1/10/09- 2/10/09 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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
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APPROVED BY:
PERMITTEE SIGNATURE: rte`s V� vA
DATE: 1/7/2009
SIGN PERMIT APPLICATION
City grTiganiPernit Center 13125 SW Hall Blul, Tilern OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
Site . C'7s
// �� NA 1Ao r FOR STAFF USE ONLY
.� 5 c. �a � t
Address / Street Address Permit No.: v )1 t 9 " Ui9-°P 3
Location. 9/ (2(' 'IS - 6 ti., -ectc : c ,{-
Suite /Bldg. N City/State Zip 0 Expiration Date:
Receipt # :
Name Approved By '
Property rev. Crn,'--1 l ( r ` 2,.1n. i \Le Date:
Owner Mailing Address Suite Map /11,# : P -510 .?"g 0 ' 01.)16)
Zoning:
Gty/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business i N e-e._ ::) Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suit-
(Prior to permit
issuance, a
copy of all Gty/State Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Orego.' ` .nst. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary N. Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
appl)) q
1:E" New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: G( X / (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
5 j ❑ $40.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N 6 E W NE NW SE SW
Height to top of sign (feet): • 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 PT • Wall signs do not require site /plot plans.
Materials: 111-4\64 , • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes No permit.
Type: ❑ Internal ❑ 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 ❑ No NULL AND VOID.
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.
DAZED this , day of TEL `'\ , 20
04.
Signature of Owne /Agent
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Contact•Person Name Phone No.
: . CITY OF TIGARD I/7/2009
., 1312 S Hall Blvd. 12:23:52PM
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�� ,. 'hoard OR 97233 5O3.639.4l71
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Receipt #: 27200900000000000044
Date: 01/07/2009
Line Items:
Case No Trait Code Description Revenue Account No Amount Paid
SGN2009-0000 1 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00001 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00002 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00002 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00003 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00
SGN2009 -00003 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00004 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00004 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2009 -00005 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00005 [LRPF] LIZ Planning Surcharge 100 -0000- 438050 2.00
SGN2009 -00006 [SIGN] Temp Sign Perni 100- 0000 - 437000 17.00
SGN2009 -00006 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $114.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. I - low Received Amount Paid
CreditCard DOUGLAS NEWPORT ST 977664 In Person 114.00
Payment Total: $114.00
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