SGN2009-00061 a
s, CITY OF TIGARD SIGN PERMIT
f R
. 's COM MUNITY DEVELOPMENT P ermit #: S GN200 00061
;,, D ate Issued: 03/13/2009
9
Zi RA, RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102DA00401
Jurisdiction: Tigard
Name of Business:
Business Address: 13125 SW HALL BLVD PD
Applicant/Agent: City of Tigard,
Work Description: Placement of one (1) temporary sign (Banner) 3' X 8' Valid 3/13/09 - 4/13/09 Sign #1
Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
Permanent: Freestanding: Freeway:
Temporary: 1 Wall: Electronic:
Billboard: Balloon:
Banner: Yes A- Board:
Sign Dimensions: 3' X 8'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): East
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
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: ,Z_YUA.Y.0
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Permittee Signature: 6x- ( �
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SIGN PERMIT APPLICATION
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' City of Tigard Permit Center 13125 SW Hall Nu 1, Tigarc4 OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
1;Aa(d ?0\lce sGAieboard CklAv s, FOR STAFF USE ONLY
Site JJ
Address/ Street Address Permit No.: 3G 1 . d 0 ° 61
Location \3 E VJ \ 9 J,Vcj
Expiration Date:
Suite /Bldg. k City /State Zip d--15-0 SQ •C i1o�,(d 0 R Gri ).�. � Receipt #
Name Approved By S ' T rsT
Property
CAA 0C T'? Date: 31 13/6,
Owner Mailing Address Swte Map /TL# : 49-S( Uc3- 0 -Jt,t-0 )
r)116 SW AA fAVd Zoning:
City /State Zip Phone
1\c o (4 oR or t).14. GO") IPA 411
Tenant or Name Electrical Permit Required? ❑ Yes �No
Business CVN 0C Ti ( a Building Permit Required? ❑ Yes D-"i\To
Name Rev. 7/1/07
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor, Mailing Address Suite
(Prior to permit
issuance, a
copy of all Qty /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
Gty of Tigard's
database) Z Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign [✓f Temporary ❑ Wall ❑ Electronic \2 (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon 1 " 11", 11"
appl ll size requirement: 8 /z x 11 , or 11 x 17 "
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 31 X g 1 ,,va, (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): a
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) (2 $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S V 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): .O must include dimensions of wall face and sign
- Copy: Sko►3eboatA CM° 1461 placement.
Materials: 4 lY1yl • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes 2 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.
DATED this day of , 20
Signature of Owner /Agent
a,M v\o■- 503. S- 2510
Contact Person Name Phone No.
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` CITY OF TIGARD RECEIPT
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7A ,. 13125 SW Hall Blvd., Tigard OR 97223
, _ ` 503.639.4171
1
Receipt Number: 2009 -00595 - 03/13/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00061 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
SGN2009 -00061 Temp Sign Perm 100 - 0000 - 438050 $17.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 026018 STREAT 03/13/2009 $19.00
Payor: Jim
Total Payments: $19.00
Balance Due: $0.00