SGN2007-00034 P i Al CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00034
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/28/2007
PARCEL: 2 S 103AA -00101
BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R -4.5
SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 7'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (Banner) 3' X 7' Sign #2 Place on private
property, not in public ROW Valid 4/1/07 - 5/1/07
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.
APPROVED BY:
PERMITTEE SIGNATURE: 4, I I ►— •
DATE: 2/ gi.2007
I
Il SIGN PERMIT APPLICATION
City of Tigard Pe77r¢t Center 13125 SW Had Blzd, Tigarg OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of D �
/ velopment/P 1 r ' ojeDevelopment/Project � Se-tho' FOR STAFF USE ONLY
Site �'J V V Q ' � �1 � i
Address/ Street Address Permit No.: c , -07J `7 OGv 3y
Location V1,79 �• kNo Expiration Date:
-1- �-� _.
Suite Bldg. # City/State Zip
G 223 Receipt #: a� - DgOS
Name t Approved By. - T
Property lQtUc a / J C,h3() I U614) Date: -z- Ja 107
Owner Mailing
s� A ' I Suite Map/1'U : a Si 0 3 44 - Z 2 l0 l
ID %IJJ 560446A-- Zoning: k `f-
Gt Zip Phone
'j ( (;VL �� 3 Z 2.i_3 ,
Tenant or Name j / Electrical Permit Required? ❑ Yes ErSTo 1
Business - ft - 41A-d'vVE14-4/1-0 Building Permit Required? ❑ Yes R i o
Name Rev. 7/S/06
/' C is \curpin\ masters \land use applications \ sign permit app.doc
Sign /; ,
Contractor mailing Address Suite
(Prior to
issuance, permit I3i I c SW 1, �J ' R
a
copy of all City/State Zip L) Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (`� ^� (3 r P (Note: applications will not be accepted
required if l DZ 172 3 t `� I without the required submittal elements)
expired in the Oregpn Co. Cont. Board License # Exp. Date
Qty of Tigard's r
database) `� IQ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 1N Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard Balloon 1
apply) ❑ ❑ s requirement: 8 / " x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 2 X (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 2 is____. ❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) '\,
Si �
g ' In $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
`
section) 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
Co 1)6.111.)--- placement.
py ♦ Wall signs do not require site /plot plans.
Materials: � ��/ ♦ Freestanding signs over 6 ft. required a building
Will sign have illumi�ahtion? El Yes A 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 ' No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
1
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 l ED this day of , 20
Signature of Owner /Agent
I VI/v f I 3371
Con , ct Person ame Phone No.
Lt!il a -
1
/
145 ra-fusy\.
hp 0) dALIAL
_ f., - -- � CITY OF TIGARD 2/28/2007
71 13125 SW Hall Blvd. 2:12:02PM
Tigard, OR 97223 503.639.4171
TIGARD
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 Perrn 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 Perrn 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