SGN2012-00183 •
CITY OF TIGARD SIGN PERMIT
C . �� 111 Permit #: SGN2012 -00183
• COMMUNITY DEVELOPMENT Date Issued: 12/03/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S114AA00100
Jurisdiction: Tigard
Name of Business: Tigard Little League
Business Address: 16300 SW 92ND AVE
Applicant/Agent: Christensen, Lily
Work Description: 4X6 Banner - May not be in the right of way or in a clear vision area at an intersection of
a street or driveway.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 4' X 6'
Total Sign Area: 24
Wall Area: 1500
Wall Face (Direction): South
Sign Height: 6 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: 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:
Permittee Signature: ykis
li _ • City of Tigard
Sign Permit A plication
TIGARD �l
_ 4
GENERAL INFORMATION
Name of Development /Project
, 1 ,,, C1 1 T FOR STAFF USE ONLY
Site } �AV (,l, rl
Address / Street dress Permit No.: SGIJ 20 1 2 00 IS 3
Location 13300 5W cline) Ave.
k ite/Bid g . # City/State Zip Approved By
' Ti CIati 1 02 ¶ 1W-I Date: 1213 fl'.
Name Receipt #:
Property 11 gard Tuala -in School t) r i uF Map /TL#: (J 2 5 I N AA 00 IOC)
Owner Ma f\
ng Address Suite Zoning: — q • S
Allowable Total Area: '2 S I, • + .
City/State i p Phone
Tenant or Name' ) Electrical Permit Required? ❑ Yes o
Business L�f( ( / t j' / 1 j , t t.3 -c�0 Building Permit Required? I=1 Yes N
Name Rev. 7/1 /12
i : \eutpin \masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
City/State Zip Phone REOUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Data without the required submittal elements)
❑ Completed Application Form
Proposed El copies of site /plot plan, drawn to scale
❑ Permanent ❑ Freestand ❑ Freeway
Sign temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
h,ck II !h.,,
I'I`I, El ��'au ❑other size requirement: 8 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: q l X to I size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): — 4. C ❑ $171.00 Fee (Permanent sign, any size)
Si n Data Total Wall Area (sq. ft) I = ❑ $54.00 Fee (Temporary sign, any type)
g l5 l -ere, weaved -- Resol i on 12- 41
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) Q s E W NE NW SE SW
Height to top of sign (feet): ter • Wall signs do not need to be drawn to scale, but
Projection From \C all (inches): i� must include dimensions of wall face and sign
placement.
Materials: 1 K y f • Wall signs do not require site /plot plans.
Will sign have ill ation? ❑ 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)
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 1 Page 1 of 2
•
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. -
e
• The applicant has read th' eniire 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.
on rexlmt
Applicant Signature Date
•
Signature of Owner /Agent Date •
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