SGN2009-00226 T
CITY OF TIGARD SIGN PERMIT
s.
Permit #: SGN2009 -00226
COMMUNITY DEVELOPMENT Date Issued: 12/02/2009
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104BB08000
Jurisdiction: Tigard
Name of Business:
Business Address: 14250 SW BARROWS RD 001
Applicant/Agent: Broome, Kari
Work Description: Placement of one (1) temporary sign (Banner) 2' X 6' Valid 12/2/09 - 1/2/10 Sign #2
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 6'
Total Sign Area: 12
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: External
Materials: Vinyl
Electrical Permit Required:
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: fiA-LA-6(1
Permittee Signature: 'n4- ,v 4>t
DeQ 02 09 11:23a p.1
SIGN PERMIT APPLICATI =Nc 2009
City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223,_ _. _ _
Phone. 503.639.4171 Fax• 503.598.1960 ° ' ` . _ "' j,.•,.)
TIGARD __. °
GENERAL INFORMATION / S50 I o,' l DLL-- 19°,y
S ✓cu79'Dd. 5 70 4-O
Narnc of Devclupmnrnt /Pried
Site l' I lt� -t. in 0/ Spai c/ FOR � S � T �/ A �g FF USE ONLY
Address a Address . ' . t/ 1 "(/ �v g
/ 9 re I / } � ` Permit No.:
Location v
l y j5 )1 �l � �LS)S 2d
Suite /Bldg # Cityi State !` Zip I Expiration Date:
' I ',arc:: f 7 t ?-3 Receipt #: _ i
Na-ne f Approved By: S_ !� i -
Property Date: 1a`I a-(d R
Owner Mailing Address i Suite Map /TL #: ,2-Sii) 1 d. t/o
Zoning:
City/State Zip Phone •
•
Tenant or Warne Electrical Permit Required? ❑ Yes ❑ No
Business J o; lOY /ut- n v Building Permit Required? ❑ Yes ❑ No
Name t.� ! / / // Rev. 7 /1/09
is \cumin \misters \land use applications', sign permit app.doc
Sign
Contractor M g Address Suite
(Prior to permit
issuance, a
copy of all City Smtc Zip Phone
REQUIRED SUBMITTAL ELEMENTS
e cued are applications will not be accepted
without the required submittal elements)
expired in the Oregon Const Cone Board License # Exp. Date
C tr/ of Tigard's
database) Completed Application Form
Proposed apfSnanent ❑ Frc,,stancling ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Ll Tanporary ❑ wa ❑ Electrode (3 copies, if a building rnait is required)
(Check at that
CI ❑ Billboud ❑ Ba]loon t g p
e
apply) size requirement: 8 / x 11", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: f (3 copies, if a building permit is required)
r)--•4- r)--•4- `' u S &� .� 6 / Wati size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. Et.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. Et)
pr $19.00 Fee (Tempotary sign, any type)
(Complete all Direction Wall Faces (circle one):
item, in this
sec on) NOTES:
N S E W NE NW SE SAC/
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
Copy: placement.
Materials: f✓y� !-- • Wall signs do not require site /plot plans.
��' ♦ Freestanding signs over 6 R. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type ❑ Internal alExternal • 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
"R? Yes ❑ No NULL AND VOID.
r If "yes ", a list or diagram of all sign dimensions and square
i footage must also be submitted. _
(OVER FOR SIGNATURES)
/ d- 6,(09
•
cri br ri I cols
Dec 02 09 11:24a p,2
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
Signa e of 6wner ::s t
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Contact Person Name Phone No.
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apil CITY OF TIGARD RECEIPT
Ig 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIQARD
Receipt Number: 176180 - 12/02/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00226 Temp Sign Perm 1003100 -43115 $17.00
SGN2009 -00226 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
Credit Card 022805 STREAT 12/02/2009 $19.00
Payor: Debra Nass
Total Payments: $19.00
Balance Due: $0.00
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