SGN2011-00033 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 -00033
COMMUNITY DEVELOPMENT Date Issued: 03/01/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S103AA00101
Jurisdiction: Tigard
Name of Business: Tigard Youth Football
Business Address: 10865 SW WALNUT ST
Applicant/Agent: Barlow, Nancy
Work Description: Placement of (1) one 15 s.f. temporary banner 3' X 5' Valid 4/1/11 - 4/30/11 Sign #2
Must be placed on private property, not in public right of way or visual clearance areas.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3' X 5'
Total Sign Area: 15
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: $52.00
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: ej14 dd a. C,Gwv --
Permittee Signature: " NU \ ,(J / 1, LLSII
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City of Tigard RECEIVED
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' -------.# Sign Permit Application FEB 2 3 2 011 ARD
GENERAL INFORMATION �N GINEERING
1rof Development /Project
ay ' �� FOR STAFF USE ONLY
Site fJ V IL
Address/ Street Address Permit No.: .54 N 2.�) 1 / - OO O 33
Location I /`� al, �l P
7 Approved By:
Suite /Bldg. City/ Zip
D 0 I Date: 2 /ZAt //
Name J Receipt #: / 5 f 4'3
Property
4D Map /TL #: ZS/o AA - 00 / O/
Owner Mailing Address Suite Z oning: /2. " Y. 5
Allowable Total Area: 2 Y S. A
City/State Zip Phone
Tenant or Name I iI Electrical Permit Required? El Yes [ r —No
Business / /� �(i PA—
Y '+ Y ` `0 O ��j� " Building Permit Required? El Yes E .0
Name (/L Rev. 7/1/10
is \curpin \ masters \land use applications \sign permit app.doc
Sign ,
Contractor Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
❑ Completed Application Form
Permanent
Proposed Freestanding Freeway Pro P d ❑ ❑ g ❑ y ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ilr Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Wall El Other > 17"
apply) size requirement: 81/2" x 11", or 11" x 17
❑ 2 copies of elevations, drawn to scale
❑ New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ) X 1 ❑ $164.00 Fee (Permanent sign, any size)
Si n Data Total Wall Area s ft. I El $52.00 Fee (Temporary sign, any type)
g °
(Complete all Direction Wall Fa es (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
Materials: placement.
• Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
foota • e must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 I www.tigard- or.gov I Page 1 of 2
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 l� day of � , 20 I
_ ,01/Liti (-4 w
Signature of Own Agent
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Contact Person Name Phone No.
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City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2
CITY OF TIGARD RECEIPT
111 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 181630 - 03/01/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00033 Temporary Sign Permit 1003100 -43115 $45.00
SGN2011 -00033 Temporary Sign Permit - LRP 1003100 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 61105A DADAMSKI 03/01/2011 $52.00
Payor: Nancy Barlow
Total Payments: $52.00
Balance Due: $0.00
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