SGN2009-00178 jp CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00178
COMMUNITY DEVELOPMENT Date Issued: 08/17/2009
'T.. 1 GARa 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102DA00401
Jurisdiction: Tigard
Name of Business:
Business Address: 13125 SW HALL BLVD CITY HALL
Applicant/Agent: City of Tigard,
Work Description: Placement of one (1) temporary sign (Banner) 4' X 6' Valid 8/24/09 - 9/24/09 Must be
placed on private property, not in public right of way. Must meet visual clearance area
requirements. Main St. Park
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 4' X 6'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): Southwest
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: .y -`t-f A 4kXd
Permittee Signature:
I
114 . • SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
T I G A R D Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FA-MI L( fC 5f zoo 1 FOR STAFF USE ONLY
Site
Address/ Street Address , Permit No.: *) — pi) 1'1
Location C
Suite /Bldg. # City /State Zip Expiration Date:
Receipt #: 1 4- g to 3
Name
? Approved By:
Property
CcIY OP Tr4rma$. Date: 8 (09
Owner Mailing Addres S 'te Map /TL #: t 01)(1-0 1
Milling
Zoning:
Ci State p ole_ Phone
Tenant or Name Electrical Permit Required? ID [''
Yes rNo
Business i1 f AI V ri3f'e1_. Building Permit Required? ❑ Yes ErNo
Name Rev. 7/1/09
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copy of all City /State Zip Phone // REQUIRED SUBMITTAL ELEMENTS
licenses are ���d , 0 p.,� ,� i�� (Note: applications will not be accepted
required if VIM ! without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date Iry r
City of Tigard's
database) �r ❑ Completed Application Form
Proposed ❑ Permanent 4 16- 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 ❑ Balloon
apply) size requirement: 8'/2" x 11 ", or 11" x 17"
1 gPNew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: .ef f
4 x t (3 copies, if a building permit is required)
!! ��''`"'�� size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
F ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data ...„.....~ ❑ $19.00 Fee (Temporary sign, any type)
(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): qv- • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Ammo e placement.
Copy: �'�^{ �y�Iy{ F • Wall signs do not require site /plot plans.
Materials: 1/My L • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes in No permit.
_ Type: ❑ Internal p 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)
d % —t - ''\ i •
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 A at , 200_
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Contact Person Name Phone No.
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CITY OF TIGARD RECEIPT
1 I
g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
Receipt Number: 174862 - 08/17/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00178 $19.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 0027333 STREAT 08/17/2009 $19.00
Payor: City of Tigard
Total Payments: $19 00
Balance Due: ($19.00)
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