SGN2009-00159 r
71 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00159
. COMMUNITY DEVELOPMENT Date Issued: 07/06/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110DCO2300
Jurisdiction: Tigard
Name of Business:
Business Address: 11535 SW DURHAM RD C -5
Applicant/Agent: Gentog,
Work Description: Placement of one (1) temporary sign (A- Frame) Valid 7/7/09 - 8/7/09 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: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 2' X 3'
Total Sign Area: 6
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Plastic
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: C1
Permittee Signature: 61N—
F ?om (480) 247 -5966 Mon 06 Jul 2009 01:12:48 PM MST Page 1 of 4
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CITT GpTIGARD
B1]IL.D DIVISION
City of Tigard -
To: From: Marcie Jones - Gentog
Planning Division
Fax: (503) 598 -1960 Fax: (480) 247 -5966
Phone: Phone: 503 - 639 -2600
Date: 07/06/2009
Subject: Permit for Temporary Sign
Comments:
I'm sending the application for a permit for a temporary sign (A- board) and your payment
authorization form. Please re -issue this permit for Gentog.
Thanks very much!
7 /i - i5//
. i From (480) 247 -5966 Mon 06 Jul 2009 01:12:48 PM MST Page 2 of 4
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GENERAL INFORlblt4 ;1ON
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Will '.i cl1 ;•:ve .ili?3.lit:I:Y.iiitEr 0 es : o- permit.
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If "yes ", .t iitit of tti£t tam. of ark sign dimensions and square `_®
foe>ra2e rcuer <afso submitted. '' '""°°°.."� -- - .
; . 1 From (480) 247-5966 Mon 06 Jul 2009 01: 12: 48 PM MST Page 3 of 4
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I hereby acknowledge that 1 have read this application, that the information given is correct, that .1 am
the owner or authorized agent of the owner, and that plans submitted *ire in compliance with the City
of Tigard,
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M I CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T1GARD
Receipt Number: 174246 - 07/06/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00159 Temp Sign Perm 1003100 -43117 $17.00
SGN2009 -00159 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 092661 STREAT 07/06/2009 $19.00
Payor: Marcie M Jones
Total Payments: $19.00
Balance Due: $0.00
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