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SGN2012-00173 • CITY OF TIGARD SIGN PERMIT Date Issued: d: 3GN2212 -00173 COMMUNITY DEVELOPMENT Date Issued: 10/23/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102BD00100 Jurisdiction: Tigard Name of Business: Business Address: 9905 SW MCKENZIE ST Applicant/Agent: Raulino, Sylvia Work Description: Temporary permit for a 2'x8' banner sign advertising a bazaar to be located on a fence facing Pacific Hwy. Effective 10/23/12. Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: No Electronic: No Billboard: No Balloon: No Banner: Yes A- Board: No Sign Dimensions: 2'x8' Total Sign Area: 16 Wall Area: Wall Face (Direction): •Sign Height: ft. Projection Froth Wall: in. Illuminations Materials: Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $54.00 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 perm it shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. • • Approved By: 6 Permittee Signature: (I fJV 0 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGAR.O Receipt Number: 188879 - 10/23/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00173 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00 SGN2012 -00173 Temporary Sign Permit 100 - 0000 -43115 $47.00 Total: $54.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Cash TLEHRBACH 10/23/2012 $54.00 Payor: Sylvia Raulino Total Payments: $54.00 Balance Due: $0.00 Page 1 of 1 ' • City of Tigard . '. Sign Permit Application • TIGKIWI GENERAL INFORMATION Name of Development /Project 6-. 1'YY` FOR STAFF USE ONLY Site Q/� . Address/ Street Address Permit No.: SG N V p� 10I I — 0011 3 Location 49 05 SW McKenzie S+ • Approved By: Gar Pale &rec .r Suite /Bldg. # City /State Zip L O 4 91223 Date: 1012311 Z Name Receipt #: 1 D0 01-1 Property 44( clitu4G,, Map /TL #: 2510281)003 .00 Owner Mailing Address Suite Zoning: R —ii. n, • 2`63t Burns +cle Allowable Total Area: 2 - 4 l il t . . City /State Zip Phone POriAalna Of( 9121 ' Tenant or Name Electrical Permit Required? ❑ Yes No Business S .• E; P 0 i/, _ c-U (yjN, Building Permit Required? ❑ Yes in No Name ' Rev. 7/1/12 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) .M Completed Application Form Proposed P ❑ Permanent ❑ ,Freestandin ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale • Sign emporary ❑ Roof . El .Electronic (3 ;copies if a'building permit is required) (Check all that ❑ Wall Other ' apply) 4...Y size requirement: ,8 ". t 11 ", or-11 " 17" , ❑ 2 copies of elevations, drawn to scaler - New sign? ❑ Alter to existing sign? (3 copies, a:building permit is required) Sign Dimensions: s size requirement: 8t /" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 1 t , r . ❑ $171.00 Fee (Permanent sign,' any. size) J 51 Si Data Total Wall Area (sq. ft _ o [ , $54.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): . items in this /�^� NO TES: section) N S v W NE NW SE SW Height to top of sign (feet): S ` • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and. sign - ' Materials: 5, sir- placement. • Wall signs do not require site /plot plans. Will sign have illumination? El Yes [ No • Freestanding signs over 6 ft. required a building Type: ❑ Internal i ' External permit. Are there any existing freestanding or wall signs at this location, .. including wall signs that overlap a tenant space? • ❑ Yes ig No If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES) footage must also be submitted. , ' - City of Tigard I 13125.SW Hall Blvd:,_Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page I oft . rf ` APPLICANTS: To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the • front of this application in the "Required Submittal Elements" box. NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work. * When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back of this form or submit a written authorization with this application BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT: • If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for approving and denying the application. 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. SIGNATURES of each owner of the subject property are required. 1017 -5 l z Applicit Signature Date 5 AA-1- [" 1 CA/Lack L. ttror.4* - # c o f 2.3 1 1 Z Signature of Owner /Agent it J7/ !° 23 - / Date (O ∎ o1/4 L.A. ac Sb - c31 y l -2q Contact Person Name Phone No.- • City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I Page 2 of 2 " -, _ �'/ • f 9685 ` 9685 • IA W'' 96 85 ` =4 ; , " V x 6 8 5• * 9685 • .d t: art;:* �' - � :'." r •' r • l c fi t' - �'� 4 . i / ., �,� �; °r c 9685 :t . A © '685 iii .C y ? ; . c. 41 \ . . ' __1.4 1 , - . 0 ' ". - 11 x A 1 ¢ 1i ' A , r € A . 966 II F k i li ,..,,-/ , 4 .•• 411W . Ali . 9 7! y y r \ is • L 44 r i rf . , t . _ , ...,-- :. tic -.,. .,, . ,,,. 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