SGN2014-00009 ��
CITY OF TIGARD SIGN PERMIT
s Permit#: SGN2014-00009
COMMUNITY DEVELOPMENT Date Issued: 01/23/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S103AA00101
Jurisdiction: Tigard
Name of Business: Tigard Babe Ruth League
Business Address: 10865 SW WALNUT ST
Applicant/Agent: Haskett,John
Work Description: Temporary Banner Sign for Tigard Babe Ruth League
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions: 3'x 4'
Total Sign Area: 12
Wall Area:
Wall Face(Direction): North
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:
�
Permittee Signature/.� •
a
RECEIVED
JAN 2 3 2014
III • City of Tigard
CITY OF TIGARD
u ' Sign Permit Application PLANNING/ENGINEERING
TIGARD I
GENERAL INFORMATION
Name of t)cvekpment/Pmiect
FOR STAFF USE ONLY
Site {6 , l /�` 9
Address/ street Address Permit No.: J /(J L
Location 7F
Suite/Bldg_# city/State Zip
Approved By:
J
Date: ['Z5-
Na61741"--e Fee: 000.
Property % . .1e, j��� 1 Receipt#:
Owner Mailing Address Stoic Map/TL#:
f Ca:6-53 akt[vvu[E Zoning:
City/State Zip Phone Allowable Total Area:
i7elr1- cO 9')' Tv3-fr31.-Sd�
Tenant or Name �
Business • Electrical Permit Required? ❑ Yes L7 1V
Name Building Permit Required? ❑ Yes No
I dy Rev 10/2uwt3
Sign ` l �r t�a+r� 1_e.AL't/Jt I:\CL'RPI.N\Masters\land Use Appbcaa„ns\Sign l'emnt.due
Contractor Mailing Address Suite J
!.0 . ? 371 ,
City/State Zip Phone
PD et6..4 Q12.974 REQUIRED SUBMITTAL ELEMENTS
Oregon Const.Cont.Board License# Exp.Date
❑ Completed Application Form
Proposed ❑ permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of elevations on 81/2"x 11"or 11"x 17"
Sign Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
(Check all that
APO)) Wall Other El 2 copies of site/plot plan,drawn to scale,on
81/2"x 11"or 11"x 17"pages (required for
❑ New sign? ❑ Alter to existing sign? freestanding signs only)
:sign Dimensions i ❑ Application Fee
3x9
Total Sign Area (sq. ft.): NOTES:
iir sq.-Ct t • Applications will not be accepted without all required
Sign Data Total Wall Area(sq. ft.) _ _, submittal elements.
(Complete all Direction Wall Faces(circle one): • Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
section) NS E W NE NW SE SW
Height to top of sign(feet): • Freestanding signs over 6 ft. in height and walls signs
of which any element weighs 20 lbs. or more require a
Projection From Wall(inches): permit from the Building Division for construction. If
Materials: V. A H) any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? El Yes gif No plans must be prepared by a structural engineer.
Type: El Internal ❑ External • When a Building permit is required, 2 additional
Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding,
including wall signs that overlap a tenant space? site/plot plan must be submitted with application.
❑ Yes ® No
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 Page 1 oft
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,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 below or submit a written
:authorization with this application.*
BY SIGNING BELOW,THE APPLICANTS) 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.
•�// — L
App ant Signature Date
Signature of Owner/Agent Date
C�v l Sectc-kexe3 s113 L3(--4-0 fl
Owner/Agent's Name(Please Print) Ttle Phone Number
City of Tigard , 13125 SW Hall Blvd.,Tigard, OR 97223 503-7I 8-2421 , www.tigard-or.gov Page 1 of 2
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 194670 - 01/23/2014
•
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2014-00009 Temporary Sign Permit-LRP 100-0000-43117 $7.00
SGN2014-00009 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 071419 JFLOYD 01/23/2014 $56.00
Payor: Dawn Haskett
Total Payments: $56.00
Balance Due: $0.00
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