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SGN2007-00086 1 .1 CITY OF TIGARD SIGN PERMIT Fit s DEVELOPMENT SERVICES PERMIT #: SGN2007 - 00086 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/1/2007 PARCEL: 2 S 103AA - 00101 BUSINESS NAME: TIGARD YOUTH FOOTBALL ZONE: R -4.5 SIGN LOCATION: 10865 SW WALNUT ST JURISDICTION: TIG APPLICANT /AGENT: TIGARD YOUTH FOOTBALL 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 #3 Place on private property, not in public ROW Valid 5/2/07 - 6/2/07 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 Speaalty 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. Atemporary sign shall expire 0 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: • PERMITTEE SIGNATURE: .J ,1 ;� £ . DATE: 5/1/200. ,F° }. a '° SIGN PERMIT APPLICATION ra City of Tigard Permit Center 13125 SW Hall Blzd, Tigard OR 97223 Phone 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project ' FOR STAFF USE ONLY Site 0� ' � f ��' u,,�� _ . Address / Street Address No.:. J c9 N 2 --(1'07 p 7 - 00 e� Location I 0 g- j S ' \ -OW Suite /Bldg. # I r... ty /State E Zip Expiration I S/ ._/ -7 - iL��7 ` kil DL C L 1'G.2 j Receipt # :_ Name 1 ` Approved BWP Pro e cL! C: l Date: 5 /` `' 7 Owner i MailingJAdd ss Suite Map /TL# : 5 16 3 AA , 1/7. /© l LpCi 100 '5V\c L Zoning: R-- 4 {"' S — G3/State Zip Phone Tenant or Na n'ie Y�I } Electrical Permit Required? ❑ Yes El-- Business l ' „ k / Building Permit Required? El Yes [3o Name Rev. 7 /5/06 is \curpin \ masters \land use applications \sign permit app.doc �, �S , . Sign ', , �, ,_ _ �y l Contractor Madress l ) l'1 Suite "� r iissuance, permit 3,` 1 ; S ��, I�/ SUBMITTAL ELEMENTS copy of all Gty/State Zip REQUIRED ' Phone licenses are 7 (Note: applications will not be accepted �— required if � a�1+ 1 4-2)23 i ,11' i without the required submittal elements) expired in the Ore Constt Cont. Board License # Exp. Date Qty of Tigard's +^ j _(' g database) 11 [ 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 i apply) ❑ ❑ size requirement: 8 /z" x 11 ", or 11" x 17" 'R New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: •3 / (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): • 2-1 5 ❑ $39.00 Fee (Permanent sign, any size) Si n Data Total Wall Area (sq. ft.) g ` $19.00 Fee (Terriporarysign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N 8 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 C lacement. G � �U ♦ Wall signs do not require site /plot plans. Materials: k ♦ Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes 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) 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. DAZED this ` da y of , 20 0 7 Signature of Owner /Agent Con . ct Person ame Phone No. I� v�v Pipft-S 4kebi dAttAti aL,9,41 CITY OF TIGARD 5/1/2007 13125 SW Hall Blvd. 4:31:36PM Tigard, OR 97223 503.639.4171 T I GARD Receipt #: 27200700000000001938 Date: 05/01/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00085 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00085 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 SGN2007 -00086 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00 SGN2007 -00086 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2007 -00087 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00087 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $57.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard KIMBERLY KAMERER KJP 00979C In Person 57.00 Payment Total: $57.00 cReceipt.rpt Page 1 of 1