SGN2013-00004 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2013 -00004
COMMUNITY DEVELOPMENT Date Issued: 01/14/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102BD00100
Jurisdiction: Tigard
Name of Business: Tigard Babe Ruth
Business Address: 12645 SW PACIFIC HWY
Applicant/Agent: Haskett, John
Work Description: 5'X3' temporary banner sign - Jan 15 -Feb 14, 2013- May not be placed in the ROW -
First sign in 2013- Fees waived per Resolution 12 -42
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 5'X3'
Total Sign Area: 15
Wall Area: 1000
Wall Face (Direction): East
Sign Height: 6 ft.
Projection From Wall: 1 in.
Illumination:
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $0.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By:
Permittee Signature: 401—fr44'(
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City of Tigard
Sign Permit Application
TIGARD Application
GENERAL INFORMATION
Name of Development /Project
� l FOR STAFF USE ONLY
Site x11TL Lh vt� C` {+ > G�fy)'
Address / Street Address 1 z- qs `• r' u� Permit No.: J G1\11013 I I - ( 1Li
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Location 7O v Approved By: H 1 n p W•
Suite /Bldg. # City/State Lip
I Yut� 9 7 ,3 Date: 01 7-013
Name Receipt #: n 101/4-
Property I Map /TL #: Zs i 0 LB D 00 o 0
Owner Mailing Address Suite Zoning: R — I Z /'
Allowable Total Area: Z' l � Si,. 7f . (,b0 nil e
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes 1:6'o
Business Building Permit Required? ❑ Yes IV No
Name Rev. 7/1/11
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Contractor Mailing Address Suite
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City/State lap Phone REQUIRED SUBMITTAL ELEMENTS
IPOc 9 '7a$) (Note: applications will not be accepted
(ln ;e on 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 Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that
apply) Wall ❑�h� size requirement 8 /z" 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: 5>< 3 size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): / — v / F-/- ❑ $171.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) _ 111 $54.00 Fee (Te sign, any type)
(Complete all Direction Wall Faces (circle one): et_ S 2 r 2 0R,;-,../
items in this NOTES:
section) N S COW NE NW SE S\6'
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
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 ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ❑ No
(OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square
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.
• 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.
�/0 44/1 / %4,/'e,z9
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- 639 -4171 I www.tigard or.gov I Page 2 of 2