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SGN2004-00247 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00247 . �� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/17/2004 PARCEL: 2S114AA-00100 BUSINESS NAME: TIGARD BASKETBALL ASSOCIATION ZONE: R -4.5 SIGN LOCATION: 09000 SW DURHAM RD JURISDICTION: TIG APPLICANT /AGENT: TIGARD BASKETBALL ASSOCIATION BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 8' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one temporary banner. (3' x 8') Sign #2. Valid from 10/1/04 through 10/30/04. MATERIALS: PLASTIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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: a PERMITTEE SIGNATURE: DATE: 9/17/2004 ■ 4�,,,li,i SIGN PERMIT APPLICATION )11 CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 S-e )6- O c t! GENERAL INFORMATION Name of Development/Project \\ Site Fo ` I FOR STAFF USE ONLY W�e,,- M� � d Sc Flo,, 1 Address/ Street Address Permit No.: Sak)a 1 / 4- 1 ' Otd s< 7 Location Ce rho a Sr \t✓0 L.-} i T v / - o v Expiration Date: ittl.� Suite /Bldg. # City /State Zip 'rij rn�� Receipt* Name 11 ✓ yy11 11 �II Approved By: e • C' ,,, Property T ►- 1�.�, uGI 11, ih Sckov1 '�Mc} Date: 9 - /7- o `{ Owner Mailirt Address Suite Map/TL #: o2S 11 L/ () —00/00 Zoning: q • S City/State Zip Phone Electrical Permit Required? ❑ Yes V No Tenant or Name 'T i -_ -} p 00) , 1 l A L Building Permit Required? ❑Yes No Business D D -me Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing A..ress uite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City/State Zi Phone licenses are required if ❑ Completed Application Form expired in the •regon Const. Cont. Board Exp. to City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard 1=1 Balloon Li 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) ❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 3 r x 8 111 $32.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): - z q f 5 n, X $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: City Ell (Complete all Direction Wall Faces (circle one): NOTES: items in this � section) N ( % E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: • Wall signs do not require site /plot plans. Materials: Ct /O lio .` vtvle, • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes No building permit. Type: ❑ Internal ❑ Extern I • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL E] Yes ❑ No BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) 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 l day of 5C/4- , 20 0 ) 7V\- Signature of Owner /Ag-nt )\9 Crc,t\A/-4 1"-) Cc? q‘ Contact Person Name Phone No. cc\-°°\ 1 - Fec)ev.-/A-'^ �e�� C6'-s T 10 si