SGN2009-00085 - ■
'" CITY OF TIGARD SIGN PERMIT
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.: _ Permit #: SGN2009-00085
.:., C OMMUNITY DEVELOPMENT Date Issued: 04/14/2009
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,, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135AA02800
Jurisdiction: Tigard
Name of Business: Children's Park
Business Address: 10540 SW HALL BLVD
Applicant/Agent: Children's Park,
Work Description: Placement of one (1) temporary sign 3' X 4' Valid 4/14/09 - 5/14/09 Sign #1 Must be
placed on private property, not in public right of way. Must meet visual clearance area
requirements
Permanent: No Freestanding: Freeway:
Temporary: 3 Wall: Electronic:
Billboard: Balloon:
Banner: A- Board: Yes
Sign Dimensions: 3' X 4'
Total Sign Area: 12
Wall Area:
Wall Face (Direction): North
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Laminated Poster Board
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
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: ; / J -Clci
Permittee Signature: ' /G77 /� /r;�" 1-"(
pp! SIGN PERMIT APPLICATION
City (f Tigard Permit Center 13125 SW Hall Blvd, Tin O
Phone 503.639.4171 Fax: 503.598.1960 l
APR SIVSO
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GENERAL INFORMATION p � T ' O P r
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Name of� Development/Project FOR STAFF USE ON1N VG
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Site nIkate 1 f A i a-c V
Address/ Street Address Permit No.: A G - 0Yr)
Location 106 \ C`Qb • Expiration Date:
Suite /Bldg. # State Zip
l - - 0 o S Receipt # :
Name ` Approved By S- T'gr
Property ye_ � Date: 4/ IWO?
Owner � g Address Suite Map /TLii : ) 3 O 1 )
/4 /1l754 Zoning:
_G /State Zip Phone
,fl -rd ,6199 e2D•?ori�
Tenant or N / Electrical Permit Required? ❑Yes [�
Buildin Permit Required? Yes '[�No Io
Business
6/2,2it. let. ; //e' Building q ❑
Rev. 7/1/07
is \ cumin \ masters \land use applications \sign permit app.doc
Sign //A-
Contractoi ma4k Address Suite
(Prior to permit
issuance, a all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
copy of
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 I__.J Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporar Wall ❑ Ei'ectronic (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
E. New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: r (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
/� S; i` 111 $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) .' El $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one): /�"` _
items in this NOTES:
section) Op E W NE NW SE SW,
Height to top of sign (feet): 4/ - • 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' ra • Wall signs do not require site /plot plans.
Materialsf.�aAe • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes isi 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
Y ❑ N o NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted,
(/!t' 574 (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.
DA 1'ED this / day of / , 20 4 9
Signature of Owner/ ' • ent
£,7/22 'tt 565 7 4, - 'a ;
Contact Person Name Phone No.
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111 CITY OF TIGARD RECEIPT
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2 .. 1 3125 SW Hall Blvd., Tigard OR 97223
503.639.4171
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Receipt Number: 173188 - 04/14/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00085 Temp Sign Perm 100- 0000 - 438050 $17.00
SGN2009 -00085 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 5599 STREAT 04/14/2009 $19.00
Payor: Children's Park LLC
Total Payments: $19.00
Balance Due: $0.00
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