SGN2012-00199 CITY OF TIGARD SIGN PERMIT
>m .,, Permit #: SGN2012 -00199
COMMUNITY DEVELOPMENT Date Issued: 12/26/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S110AA01000
Jurisdiction: Tigard
Name of Business: Boy Scout Troop #423
Business Address: 14170 SW PACIFIC HWY
Applicant/Agent: Venne, Ryan
Work Description: Placement of (1) 24 sq. foot banner. Valid 12/26/2012 - 1/26/2012. Banner must be
placed on private property and not in the public right -of -way or visual clearance areas.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wail: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A - Board: No
Sign Dimensions: 65:4'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): Northwest
Sign Height: 8 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials:
Electrical Permit Required:
Building Permit Required:
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 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: A /,( / 'Tb f G FP
Permittee Signature: ,�
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
- 503.639.4171
TIGARD
Receipt Number: 189614 - 12/26/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00199 Temporary Sign Permit 100 - 0000 -43115 $47.00
SGN2012 -00199 Temporary Sign Permit - LRP 100 -0000 -43117 $7.00
Total: $54.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1322 TLEHRBACH 12/26/2012 $54.00
Payor Venne Plumbing LLC
Total Payments: $54.00
Balance Due: $0.00
Page 1 of 1
City of T igard
Sign Permit Ap li cation
TIGARD y
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site L.i42i)c4l2S 0 n
Address/ Street Address Permit No.: SGM 2O `2. ODIC
Location / f ( ?0 S t p • T 4c. C-C. )-t v „( Approved By: GDP
Suite /Bldg. # City/State Zip 111261 12
Ti
'644Q/04 9721-1 Date:
Name Receipt #: t% 61
Map /TL #: 2..S (10 O 1 0 0
Property -oG a ,%.
Owner Mailing Address Suite Zoning C` G
i o q 3 0 St..) a e fe . Allowable Total Area: 2N 54 4.
.
City/State Zip ]'hone
1* qit f 0 17 221 Electrical Permit Required? ❑ Yes [pp.
Tenant or Name
C Business Building Permit Required? ❑Yes No
' �S4 res-e 4 Z3
Name Rev. 7/1/11
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
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale
Sign 0 Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Wall ❑ Other t »
apply) size requirement: 8 /z x 11", or 11 , > x 17"
❑ 2 copies of elevations, drawn to scale
(r New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: ► 4 6 , size requirement: 8'/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): t
Ill $171.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) I
Y` 21-1 S ti ❑ $54.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E S S E S W
Height to top of sign (feet): 6 y t • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 8 must include dimensions of wall face and sign
( placement.
Materials: • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes ®' No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal 0 External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes IKE 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 of 2
APPLICANTS:
To consider an application complete, you will need to submit ALL of the RE
front of this application in the "Required Submittal Elements" boat, as Bescabed on
NOTE: Person specified as "Applicant" shall be designated "Permittce" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the
written authorisation from the owner or an agent of the owner. The owner(s) #"g" this ppL, purchaser appli of r 000td or a catma in the space ace provided o n Me bac ck
i of this them or submit a written aut'horixatio, with this application o osk
r o�
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, arid 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 cotitente 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 anrhotized.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.
/ 2 —z c.. —i2—
Applicant Signature ° bate
A4-77441 `' / /
Signature /
�� I gezut Date
Contact Person Name Phone No.
•
•
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -417i I www,tigard- or.gov I Page 2 oft
E0 /E0 39 d C8VOLL A❑ AlID 096t86SE09 9Z :tt Zt6Z /9Z /Zt