SGN2010-00030 , •
CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00030
COMMUNITY DEVELOPMENT Date Issued: 03/03/2010
.IflGARQ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110DCO2300
Jurisdiction: Tigard
Name of Business: Artists for Children of the World
Business Address: 11535 SW DURHAM RD C -5
Applicant/Agent: Lane, Kathy
Work Description: Placement of (1) one temporary 3'x8' banner. Sign #1. Valid 3/1/10 - 4/1/10
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3'x8'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): East
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required:
Building Permit Required:
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:
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Permittee Signature: X �'''I
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SIGN PERMIT APPLICA TION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
C �� Phone: 503.639.4171 Fax 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site ..--
Address/ Street Address Permit No.: S 6 N Z-01 0 - UvU 3 U
Location //-5 S ` J � Expiration Date: .5h / /v ci f/ //
Suite /13Idg. # City/State Zip
C J l ( � 2Z3 Receipt #: / 7 "7 n )?7 Name J Approved By: r 7
l_ } �I �� 'A/ 1°
Property f�G�`� .:Q C-� �l'� -► tVUtV Y6�11 , Date:
Owner Mailing Address Suite V Map /TL#:
yid
3J& a t . / fl a Zoning:
City /State Zip J Phone-03
94 97 j d / 17 3 a �r Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name tF, „ ,, _/ ,9�
Business (,� ,� Z r { (4../ j✓ w knu 4-14,0M/ Building Permit Required? ❑ Yes ❑ No
rtil �' C � '1z? ✓CI
Name Rev. 7/1/09
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont Board License # Exp. Date
City of'l igard's
database) ❑ 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 1 " 11", 11"
apply) size requirement: 8 /z x 11 , or 11 x 17 "
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensi ons: i �'p,,��� (3 copies, if a building permit is required)
V e LiQ �
size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S O 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
placement.
Copy: ♦ Wall signs do not require site /plot plans.
Materials: Vi 1
y / ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes .,ErNo 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 NULL AND VOID.
p 14
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 I RD this � /� //c) day of , 20
Signature of Owner /Ag - nt
ket_)(2Z 6 t? ,c"‘
Contact Persoii Name Phone No.
•
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
Receipt Number: 177087 - 03/03/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00030 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00030 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 004065 KPEERMAN 03/03/2010 $19.00
Payor: K.E. Lane
Total Payments: $19.00
Balance Due: $0.00
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