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SGN2010-00076 CITY OF TIGARD SIGN PERMIT Permit#: SGN2010-00076 COMMUNITY DEVELOPMENT Date Issued: 05/07/2010 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 1S135DD00500 Jurisdiction: Tigard Name of Business: Tigard Area Farmers Market Business Address: 11831 SW PACIFIC HWY Applicant/Agent: Tigard Area Farmers Market, Work Description: Placement of(1)one temporary 20 s.f. banner. Valid thru the duration of the Temporary Use 5/9/10 thru 10/31/10. Sign must be placed on private property and not in the public right-of-way or visual clearance area. Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: No Electronic: No Billboard: No Balloon: No Banner: Yes A-Board: No Sign Dimensions: 1'x9'-6" Total Sign Area: 20 Wall Area: Wall Face(Direction): South Sign Height: 7 ft. Projection From Wall: in. Illumination: No Illumination Materials: Banner 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: Permittee Signature: Er SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 ' GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY Site 1 S ► • ► ` , G i Address / Street • ddress " Permit No.: `,k Location f ( A -c �! (,o ( G L OLi Expiration Date: 671I/0 0007 O 7 0 Suite /Bldg. # City/St /') Zip P I/` ,7,, Receipt #: 1 7 -1 8 7 0 Name Approved By: p 3- Property Q(,�,� /4t Date: 6 / 7/RD Owner Mailing Addres Map /TL #: /, i/0 �� i *get Zoning: G `) City/S Zip Phone j t p / ✓ 1:1 —it ( 77 q."---- Electrical Electrical Permit Required? El Yes o B usi nt or /N a C- I L Business Building Permit Required? Yes 111...-14 N me L/(0 Rev. 7 /1/09 is \curpin \masters \land use applications \sign permit app.doc Sign C ff (je/ Contractor , a g Address Suite _ (Prior permit /� �!„ /� e 7/*‘' 2S issuance, cea , a `/ � / y /7i.. copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted required if ■ "4-/ a, 9913 - j..tV -s37 without the required submittal elements) expired in the Orego Const. Cont. Board License # Exp. Date City of Tigard's database) '. .... wiP El Completed Application Form Proposed ❑ Permanent ❑ Freestanding El 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 El Other El Billboard El Balloon apply) size requirement: 81/2" x 11", or 11" x 17" ❑ New sign ?er to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: ( r x 20 /' (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): f (�` ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) ______e,___ ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction W aces (circle one): items in this ' NOTES section) N E W NE NW SE SW Heig t to top of sign (feet): ---— ( • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): Tg/ must include dimensions of wall face and sign placement. Copy: � ♦ Wall signs do not require site /plot plans. Materials: GZG'F— /p� • Freestanding signs over 6 ft. required a building Will sign have illumination? El Yes ,Er �o 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 El 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 day of / , 20 / Signay e of .wner/Agent ontact Person Name Phone No. v 1 4 9 6 X 8sOli 3J'e SaZIS UWT.SI ..r ii If i ____________________ _______ ! ! _____________________ is oir i _ _ _____._ «a _ _ 4. _ _ __ _ ____ 0.,..tc..).a....,u =....,c.:zi:..t>.., F. Agz 4 .4z w ..........._.._.._..........._ ___ ......_........._............_............._.._.........._.._ _ _ _____ Im ____ . ___________________ j i t I t ook 1 -............... er 411.......C._.Th--- El .. 1 I . a. , { III in L 9 , ‘,....., 9..., ,. _ .. --7,- ,,,, - . - No 'r..."-:- / L P: 4 , . ,, , ' , E jpt' t , : • z i j i i NIP Cd 7 Li ; _i ; S t'^ ;; ' V tT 10 f pm gig:. .� G - - a s L_ ` ! 1 is C7B0 II I x •a CS i I I t ••• Ir"" 4112 CI -I 1 ^ lt rj CC jt w� ! Q m w a w a Z Og m Z - R U C ! ■ z Cr, ult g 3s ........ Z ! • u ( r 1 L • Iii . °' f i _:� CITY OF TIGARD RECEIPT _. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 ;TIGARD Receipt Number: 177870 - 05/07/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2010 -00076 Temp Sign Perm 1003100 -43115 $17.00 SGN2010 -00076 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 3127 KPEERMAN 05/07/2010 $19.00 Payor: Marland Henderson Construction Total Payments: $19.00 Balance Due: $0.00 Page 1 of 1