SGN2010-00006 ,
CITY OF TIGARD SIGN PERMIT
III
I r Permit #: SGN2010 -00006
COMMUNITY DEVELOPMENT Date Issued: 01/15/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S136CD00100
Jurisdiction: Tigard
Name of Business:
Business Address: 11705 SW PACIFIC HWY Y
Applicant/Agent: Sprague, David
Work Description: Install (1) temporary banner sign 2'x6' on street side of business. Valid 1/18/10 - 2/18/10
Sign #1 Must be placed on private property not in public right of way. Must meet visual
clearance area requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 2'x6'
Total Sign Area: 12
Wall Area:
Wall Face (Direction): Southeast
Sign Height: 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 By: (ALA
Permittee Signature: / fp 11 -•" /K'LJ
1
14 CITY OF TIGARD SIGN PERMIT
N2010 -00006
i3 P ermit #: SG
COMMUNITY DEVELOPMENT Date Issued: 01/15/2010
T I G A R .D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1 S136CD00100
Jurisdiction: Tigard
Name of Business:
Business Address: 11705 SW PACIFIC HWY Y
Applicant/Agent: Sprague, David
Work Description: Install (1) temporary banner sign 2'x6' on street side of business.
•
Permanent: No Freestanding: No Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 2'x6'
Total Sign Area: 12
Wall Area:
Wall Face (Direction): Southeast
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials:
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.
1/
Approved By: /, ei2//
Permittee Signature:
I/ IOW - 4( /o
SIGN PERMIT APPLICAT ON
'� Ci o Tigard Permit Center 13125 SW Hall Blvd, Ti ar 7
f Phone: 503.639.4171 Fax: 503.598.1960 IVE D
TIGARD JAN 1 5 2010
GENERAL INFORMATION CITY OF TIGARD
P LANNING/ENGINEERING
Name of Development /Project
CAS , CG ti)EcT FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.:
Location / )70 Sw PAc,Tri C Hwy
5 Expiration Date:
Suite /Bldg. # City/State Zip
7 0 /-lz () C):Tid73 Receipt #:
Name Approved By:
Property J'ls r/ v ✓E 37 /1E/V T J Date:
Owner Mailing Address Suite Map /TL #:
Zoning:
City /State Zip Phone
' Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business C A-s j Cow -tiEG - c. 4., Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/09
is \ cumin \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 Tigard's
database) Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 2 Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
apply)
cit New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimension 2 x tP (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): EP ' 2 ❑ $ .00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
Si
g $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): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
ate Copy: ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a building
• Will sign have illumination? ❑ Yes ❑ No 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 ❑ 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.
DATED this 1 CT day of J.\ v /4-,11," " , ?0 )
Signature . Owner /Agent
DA v i D S) a2AGziC Sc 3- 5'6 )640
Contact Person Name Phone No.
RECEIVED
JAN 1 5 2010
WY OF TIGARD
PLANNI
CASH LI onn 3c ti onncti
r
Want y our tax money fast?
ask us about a tax refund loan
1,
RECEIVED
JAN 1 5 2010
CITY OF TIGARD
PLANNING /ENGINEEPIING
CAS H 0 n 3 n n
y R ant your tax money fast?
ask us about a tax refund loan
\ 011
III CI
TY OF TIGARD RECEIPT
a . 131 25 SW Hall Blvd., Tigard OR 97223
503.639.4171
TI GARD
Receipt Number: 176601 - 01/15/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00006 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00006 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
Cash LSELLERS 01/15/2010 $19.00
Payor: David Sprague
Total Payments: $19.00
Balance Due: $0.00
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