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SGN2013-00106 CITY OF TIGARD SIGN PERMIT 11 ° 9 . Permit #: SGN2013 -00106 • COMMUNITY DEVELOPMENT Date Issued: 09/05/2013 TIG11RD 13125 SW Halt Blvd.. Tigard OR 97223 503.718.2421 Parcel: 2S103AA00101 Jurisdiction: Tigard Name of Business: Tigard Basketball Association Business Address: 10865 SW WALNUT ST Applicant/Agent: Abbott, Garrett Work Description: Temporary banner, 6' x 3', for the Tigard Basketball Association, located at Fowler Middle School; 10865 SW Walnut Street. Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: Yes Electronic: No Billboard: No Balloon: No Banner: Yes A- Board: No Sign Dimensions: 3' x 6' Total Sign Area: 18 Wall Area: Wall Face (Direction): Southeast Sign Height: ft. Projection From Wall: in. Illumination: No Illumination Materials: Vinyl Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $56.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. Approved By: V /1 Permittee Signature: .. %� / ilh City of Tigard Sign Permit Application TIGARD GENERAL INFORMATION N ame of Developmennt/Project FOR STAFF USE ONLY Site r0 kJ CI /Cr t nbchr �„,[[ Address/ Street Address Permit No.: b(V S 2-D ( J © (OlC Location 1016 5 5V WAItiti4 Suite/Bldg. # City/State Zip Approved By: T� 1"� • y ..A #. • Date: CC alS1I Name Fee: 5(p • LO Property TO r✓�e r . M r 4.4 / , f Gt. oo Receipt #: !�' 1' `� Owner Mailing A dress Suite Map /TL #:: 2-S103 Afs- O I DI zoning: 144 5 City /State Zip Phone I? Allowable Total Area: 2 1 Tenant or Name Business Electrical Permit Required? ❑ Yes No Name Building Permit Required? ❑ Yes ,Er (r ra l L / I // 4 5$ `. Rev.6/24/2013 Sign � � / /C,( Q / / (� t: \CURPLN \Masters \Land Use Applications \Sign Permit.doc Contractor Mailit Address Suite PO Qox (rot1 City/State Zip Phone I • • , a,. o - t,, , REOUIRED SUBMITTAL ELEMENTS Ore: .n Const Cont Board License # Exp. Date (Note: applications will not be accepted without the required submittal elements) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway Completed Application Form Sign temporary ❑ Roof ❑ Electronic (Check all that Wall ❑ Other ❑ 2 copies of site /plot plan, drawn to scale apply) (3 copies, if a building permit is required) size requirement: 81/2" x 11", or 11" x 17" ❑ New sign? ❑ Alter to existing sign? 0 2 copies of elevations, drawn to scale Sign Dimensions: 6 i x 3 / (3 copies, if a building permit is required) Total Sign Area (sq. ft.): if size requirement: 8 x 11", to 24" x 36" Sign n Data Total Wall Area (sq. ft 0 Application Fee 'g (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW () SW • Wall signs do not need to be drawn to scale, but Height to top of sign (feet): 5 must include dimensions of wall face and sign Projection From Wall (inches): (1 placement. Materials: V ' b f • Wall signs do not require site /plot plans. Will sign have illumination? ❑ Yes 0 No • Freestanding signs over 6 ft. and walls signs of Type: ❑ Internal ❑ External which any element weighs 20 lbs. or more require a Are there any existing freestanding or wall signs at this location, building permit. including wall signs that overlap a tenant space? ❑ Yes 0 If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I 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. 9/1//i Applicant Signature Date Signature of Owner /Agent Date Ca /It ‘0 # 103 -5 39- 7 /it 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 art, - i. CITY OF TIGARD RECEIPT ';',• 19 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGA.R 1'. Receipt Number: 192999 - 09/05/2013 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2013 -00106 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00 SGN2013 -00106 Temporary Sign Permit 100- 0000 -43115 $49.00 Total: $56.00 PAYMENT METHOD CHECK# CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 715.061 AKOWACZ 09/05/2013 $56.00 Payor: Garrett Abbott Total Payments: $56.00 Balance Due: $0.00 • „ t . S:' • Page 1 of 1 s.: