SGN2010-00039 CITY OF TIGARD
SIGN PERMIT
= Permit #: SGN2010 -00039
>' COMMUNITY DEVELOPMENT Date Issued: 03/05/2010
TIG1RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135AB00100
Jurisdiction: Tigard
Name of Business: Tigard Youth Football
Business Address: 10350 SW LINCOLN ST
Applicant/Agent: Barlow, Nancy
Work Description: Placement of one (1) temporary sign (Banner) 3' X 6' Valid 4/6/10 - 5/6/10 Sign #2
Must be placed on private property not in public right of way. Must meet visual
clearance area requirements. Registration
Permanent: No Freestanding: No Freeway: No
Temporary: 2 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3' X 6'
Total Sign Area: 18
Wall Area:
Wall Face (Direction):
Sign Height: 6 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
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.
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Approved By:
Permittee Signature: / 4_, 1 /1.
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Vi 3} k .. SIGN PE ll' MIT APPLICATION
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City of Tigard Permit Center 13125 Sl.(I Hall Blvd, T,gard, OR 97223
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C rP Phone.. 503.639.4171 Fax: 503..598.1960 •
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GENERAL INFORMATION
Nam • of Development /Project
C FOR STAFF USE ONLY
Site
Address/ Street Address ll r Permit No.: � G?A ) t 0 - 000 3 q
Location 10 0 ?,0,f n I 1 1 / t Expiration Date:
Suite /Bldg # City /State Zip
Receipt #: / 1
Name I Approved By: S- 710.04
Property
--1--":"' 0 Date: 3) 4 f I U n 'rn
Owner Mailing Add ress Suite • Map /TL#: 1 51 3 S A a `r . /
Zoning: e- -1- .
City /State Zip Phone
Electrical Permit Required? ❑ Yes 61,) .
Tenant or Name, ,� F06111d) Business �� I \\ ,) 1 �C of l 1 Building Permit Required? ❑ Yes No
Name .J Rev. 7/1/09
/,� {t' f is \cucpin \ masters \land use applications \sign pcumct ap p.doc
Sign A
Contractor Mailing Address / Suite
(Prior to permit
issuance, a REQUIRED SUBMITTAL ELEMENTS
copy of all City /State Zip Phone
licenses arc (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Lisp. Date
City rd's
database) Form
❑ Completed Application
dat
Proposed ill Permanent ❑ Freestanding ❑ Freeway I 1 2 Copies of Site /Plot: Plan, Drawn to Scale
.Sign liN Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check at that ❑ Other ❑ Billboard ❑ Balloon
apply) size requitement: 8/2" x 11", or 11" x 17"
g New sigh? ❑ Alter to existing sign? n 2 copies of elevations, drawn to scale
Sign Dimensions: --7 copies, if a building permit is required)
Y u size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): I - 1
f G? '' 2 tf ) ' (•�' 1 1 $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data ❑ 11.9.00 Fee (Temporary sign, any type)
(complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE N \V1 SE SW
I - Ieight to trop of sign (feet): t().4 • Wall signs do not need to be drawn to scale, but
Projection From Wall (niches): must include dimensions of wall face and sign
placement.
Copy: ® Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes -0"No permit.
Type: ❑ Internal ❑ External o 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 El 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 hereby acknowledge that 1 have read this application, that the information given is correct, that 1 am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DATED this 1)
day of f\l, C��, ■ ∎ A ,, t , ?0 1 ��
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Signature of Owner /A.ge6
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Contact Person Na.rie Phone No.
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a pil CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 177125 - 03/05/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00039 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00039 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 5397 KPEERMAN 03/05/2010 $19.00
Payor: Nancy Barlow
Total Payments: $19.00
Balance Due: $0.00
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