SGN2010-00040 ti
CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00040
• COMMUNITY DEVELOPMENT Date Issued: 03/05/2010
:TIGARD
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103AA00101
Jurisdiction: Tigard
Name of Business: Tigard Youth Football
Business Address: 10865 SW WALNUT ST
Applicant/Agent: Barlow, Nancy
Work Description: Placement of one (1) temporary sign (Banner)' 3' X 6' Valid 5/7/10 - 6/7/10 Sign #3
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: 3 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.
Approved B : A
Pp Y
Permittee Signature: 1 (1/( ///,1)
1 N � SIGN PE EMIT APPLICATION
} City of T oard Permit Center 1312, SW .( -Tall Blvd., Tigard, O.T . 97223
R i r g Phone: 503.639.4171 Fax. 503.598.1960 •
GENERAL INFORMATION
Nam Development/Project F ®R STAFF USE ONLY
Site 1 (� l�lv � aO1 D' OG(�'!�
Address / Sueet Address Permit No.: '�( o /
Location 1 VA /YU) V\)c YuiviAt Expiration Date:
Suite /Bld # Cit /State Zip
Receipt #: i 1 "
2E�
Name Appro =ed By: 5 I I
Property ! ` . % Date: 3l -i
Owner Mailing Address Suite Map /TL #: d S / " 1A 0-0 /)
Zoning: 12 Li. C
City /State Zip Phone
Electrical Permit Required? ❑ Yes []'No
Tenant or Na "'- , a.lf f' `` 1 \ � f , 7 —'I, .
- .I f
Business Building Permit Required? ❑Yes 2<o ` i O \4 ni∎ I . 10
Name C '■.) Rev 7/1/09
is \curpin \masters \land use applications \sign permit app.doc
Sign A ik'
Contractor Mailing Address Suite
(Prior to permit
,SSLI 1
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
datata base) a s e ard's.
database) ❑ Completed Application Form
yr
Proposed i�i Permanent 11 freestanding ❑ freewa ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
.Sign Its Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2" x 11' or 11" x 17 "
appl))
`f New sign? ❑ Alter to existing sign? 2 copies of elevations, drawn to scale
Sign Dimensions: -� . (3 copies, if a building permit is required)
. J Y LP size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): + c.
I L A lGf) ( ` i 1 1 $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) (Temporary )
$7.9.00 Pee si g n, an y type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): .� t I ; �j - o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): l !S must include dimensions of wall face and sign
Copy: placement.
o Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes No permit.
Type: ❑ Internal ❑ Extern 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 ❑ 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 ' day of. 'Al Cil� % , 20 1 0
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7 ,..-5, ,-,
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1/ \,./(,,,,tiltici 1,,v
Signature of Owner /Age
1 1\, G
Contact Person Narje Phone No.
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CITY OF TIGARD 'RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
.T'.IGARP
Receipt Number: 177126 - 03/05/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00040 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00040 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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