SGN2010-00045 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00045
COMMUNITY DEVELOPMENT Date Issued: 03/09/2010
. ?IG 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102DA00600
Jurisdiction: Tigard
Name of Business: Friends of the Tigard Library
Business Address: 13500 SW HALL BLVD
Applicant/Agent: Burgess, George
Work Description: Placement of (1) one 3'x'4 temporary sign. Sign #1. Valid 3/12/10 - 4/12/10. Sign must
be placed on private property and not in the public right -of -way.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3'x4'
Total Sign Area: 12
Wall Area:
Wall Face (Direction):
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Wood & Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $0.00
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: /
Perm ittee Signature: X. •� !�� c - _ `----
w ry
f7; , 6 . 4 ° SIGN PERMIT APPLICATION
., City of Tiga?rl Permit Center 13125 SW Nail Bluff, Ti garr4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
A ) g FOR STAFF USE ONLY
Site r i ; ` .!>`..6L -y C... - . . / t. ,, / e0 4 t�..� - & � ,.
Address/ Street Address I I ertnit No.: .5 67 / J - O v 0 (4.5
Location 1 5 _ ,
'�' Expiration Date: 3b 24/ c) '1 4 7-1( 0
Suite /Bldg. # City/State Zip S
Receipt # : I" 're
Name Approved By: K-1 P
Property ' .. i:4- ,rv.E___. TL Date: 31 9� /d
Owner Mailing Address Suite Map /# : ZS / a ?" D A- - 6 ' • ( O U �
Zoning:
Cry/State Zip Phone
Tenant or
Name Electrical Permit Required? Ill Yes [ o
Business Building Permit Required? ❑ Yes No
Name Rev. 7/1/07
is \ cumin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of Gry /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
Guy of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway — 2 Copies of Site /Plot Plan, Drawn to Scale
Sign R Temporary ❑ wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon 1
appl size requirement: 8 /z" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? L 2 copies of elevations, drawn to scale
Sign Dirnensions: 't (3 copies, if a building pen is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
n $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data n $19.00 Fee (Temporary sign, any 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): `l ' • 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. o Wall signs do not require site /plot plans.
Materials: ik+pc. • • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes [j' No permit.
Type: ❑ Internal ❑ Extem4f • 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.
DA1ED this day of , 20
• SignaturAf Owner/Agent •
5s 3— 3 5— 09c,
Contact Person Name Phone No.
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13185 SW Pacific Hwy . B-3 Tigard, OR 97223
Phone: (503) 639-7881 Fax: (503) 639-9667
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NAME f 1 -e. v' L 0 TTh `i ‘ i.41 (.., (Y., ile, r y ORDER DATE APPROVED BY:
CONTACT
ADDRESS 219// DATE:
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PHONE DUE DATE DEUVERY El
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co. cili3naliy Approved [
Fci only the work as described in: t. ' ( ,,, —
PERMIT NO. 24;10--;------
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13185 SW Pacific Hwy ® B-3 Tigard, OR 97223
Phone: (503) 639 -7881 Fax: (503) 639 -9667
NAME ( r 1 1 ' Si` C Ti 4.„-c C, i L (61P Y ORDER DATE APPROVED BY:
CONTACT 6 -e_va I,, f f 8 U r, Eft
ADDRESS , I /0 /(C DATE:
CITY STATE ZIP PICK -UP ❑
PHONE -C ` 6 j cf - n 9 6_ DUE DATE DELIVERY ❑
FAX INSTALL ❑
P.O.* „, 7/r/ / 0 SHIP ❑
MATERIAL 126 '
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SOB TOTAL: / p 6::
INSTALL / SHIP:
TOTAL:
LESS DEPOSIT:
❑ CHECK#
❑ CASH
❑ MC /VISA#
BALANCE DUE:_ / C3' f 1J` I
SPECIAL [.� CHE # 0
INSTRUCTIONS:
0 CASH
a // ❑ MC/VISA#
RECEIVED BY: DATE: t
I PAID IN FULL: EV ❑
PLEASE PAY FROM THIS ORIGINAL INVOICE n s KG I
Friends of the Tigard Library
USED
BOOK SALE
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