SGN2009-00237 - CITY OF TIGARD SIGN PERMIT
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• pok Permit #: SGN2009 -00237
COMMUNITY DEVELOPMENT Date Issued: 12/30/2009
T- ICrARI9 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103DD00600
Jurisdiction: Tigard
Name of Business:
Business Address: 13770 SW PACIFIC HWY
Applicant/Agent: Royal Scottish Country Dance Societ,
Work Description: Placement of one (1) temporary sign (Banner) 2' X 5' Valid 12/31/09 - 1/31/10 Must be
placed on private property, not in public right of way. Must meet visual clearance area
requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 2 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 2' X 15'
Total Sign Area: 10
Wall Area:
Wall Face (Direction):
Sign Height: 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: !t;{ { 1 Oh-tat
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Permittee Signature: �� c ��✓C 6�
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!! SIGN PERMIT APPLICATION
` City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
� ���� D Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project I I 1
T7 eN TI •` A T•T T Tr T! /l TT
1 'VIA. J 1 r11' - V . . . / 1 i l.1.1.111-4 l
Site �t�,11
Address/ Street Address Permit No.: 5 .`O a� Uv q 4 3
Location /3 - 7 7 D SW P4C(f 1C /ANY
Suite /Bldg. # City/State Zip Expiration xptration Date:
TI GAR0 O R Receipt #: 1 7 Co "' 7
Name Approved By: `7 7
Property T I GAR 0 G 4 A N G Date: 1 2431/ / 0
Owner Mailing Address Suite Map /TL#: 9-3i 03 D b 4)0( 12
Zoning:
City/State Zip Phone
Tenant or Name Q D Y A L S C e'T T t S• i.i c o 1l N-' Electrical Permit Required? ❑ Yes [�No
0 ANA- a Building Permit Required? ❑ Yes 121
Business PO /Z TL /1 A), /S R/1 NC 14 socior Y
Name - - - - I Key. 1/1/09 I
e \ cumin \ masters \land use applications \ sign permit app.doc
Sign a 6 #JI1 ., &- E X T
Contractor Mailing Address I Suite
(Prior to issuance, a
copy eJ ei O ' W permit S SP C E T
co of all City/State Zip y 706 REQUIRED SUBMITTAL ELEMENTS Phone
licenses are Q (Note: applications will not be accepted
requited T 4 At i lTtN 6R 5 4 3 - 472� - S 4. j
9 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 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign a Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard t " 11", 11"
apply) d ❑ Balloon size requirement: 8 /2 x 11 , or 11 x 17 "
® New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: / y I (3 copies, if a building permit is required)
2 x size requirement: 8'/2" x 11", to 24" x 36"
Total Sign Area (sq. ft):
ain5 1 0 li ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 19.00 Fee (Temporary s any e
� � ❑ $ �' P �➢ �'� Y tyP )
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S 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.
Copy: ♦ Wall signs do not require site /plot plans.
Materials: V ! N L ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes No 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 I l i
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
El Yes No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square pp
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footage must also be submitted.
(OVER FOR SIGNATURES)
I Z.-( 3 l /0g — 1/31((1)
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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 1ED this 3 O day of 19E c e'l,3 .c_ , 20 D
Signature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 176427 - 12/30/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00237 Temp Sign Perm 1003100 -43115 $17.00
SGN2009 -00237 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1248 STREAT 12/30/2009 $19.00
Payor: Donald Gertz
Total Payments: $19.00
Balance Due: $0.00
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