SGN2007-00032 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00032
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/28/2007
PARCEL: 2S 114AA -00100
BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R -4.5
SIGN LOCATION: 09000 SW DURHAM RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 7'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary (Banner) sign 3' X 7'. Place on private property,
not in public right -of -way. Valid 4/1/07 - 5/1/07 Sign #2
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. 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.
4 11 JL-t
APPROVED BY:
PERMITTEE SIGNATURE: i
DATE: 2/28/2007
.. .
NI q SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hail Blul, Tigan 4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of roject
Development/
Site � � , � QJ J FOR STAFF USE ONLY
Address/ Street fress � (' u ,3.07,- 0-00 3 d-
n �,,,, n Permit No.:
Location 0 i (-� S 4v 3) 'r �-W► I` � ,
Suite /Bldg. # City /Stateyifl 1, Zip y '7 Explratiori Date: C/ -2 Re ceipt #1: � (�7J� Q .
9O
Name Approved By 6 - CA I
Property �t 1 AO&SC a1 l Date: °'"I, , .k/0 - 7
Owner • • A ddress Suite Map /TL# : 0 7.-St l it AA - W 1 CD
Vi(r6 Jt iA
Zoning: � '-f. 5-- Cit Zip Phone
Tenant or N Electrical Permit Required? ❑ Yes �No
Business h bb� �� Building Permit Required? ❑ Yes ['�o
Name J Rev. 7/5/06
Sign -?g S ng ress 1 S is \curpin\ masters \land use applications \sign permit app.doc
S1174 (� ' n
Contractor Mailing %/ Suit
(Prior to pa rtneit l i 1 j5ryy...- �j sw ?LCi-) 130:..I
copy of py of all Qty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
co — (AC
Q
licenses are
required if T \, LM.C1 ZZ3 � 1-K1 ( applications will not be accepted
without the required submittal elements)
expired in the Ore &titAft\
Cont. nt. Board License # Exp. Date
ay of Tigard's 6 v
database) I C7 N Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 /z" x 11", or 11" x 17"
apply) ze re q rement: r
'V. New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3+' x 4 (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
g $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one): I
items in this NOTES:
section) O S E W NE NW SE SW
Height to top of sign (feet): '1/ • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials: �
Copy j �� • Wall signs do not require site /plot plans.
m`i • Freestanding signs over 6 ft. required a building
Will sign have ill ation? ❑ Yes V. 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 (I 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.
DA 1ED this day of , 20
Signature of Owner /Agent
IC;,VY
Conta t Person N., e Phone No.
ri
Tv qED-4-.A
71 ' UL i' ` „ � CITY OF TIGARD 2/28/2007 M 0
°
13125 SW Hall Blvd. 2:12:2P
. Tigard, OR 97223 503.639.4171
TI GARD
Receipt #: 27200700000000000905
Date: 02/28/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00031 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00031 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00032 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00032 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00033 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00033 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2007 -00034 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00034 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00041 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00041 [MISC] Misc Fee 100 - 0000 - 451000 2.00
SGN2007 -00042 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00042 [MISC] Misc Fee 100 - 0000 - 451000 2.00
Line Item Total: $114.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard KIMBERLY KAMERER ST 039823 In Person 114.00
Payment Total: $114.00
cReceipt.rpt Page 1 of 1