SGN2014-00115 CITY OF TIGARD SIGN PERMIT
II 3 Permit#: SGN2014-00115
COMMUNITY DEVELOPMENT Date Issued: 09/22/2014
TIGARD 13125 SW Hall 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: Rone, Clifford
Work Description: Temporary banner for Tigard Basketball Association.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions: 33.5"x 71"
Total Sign Area: 16.5
Wall Area:
Wall Face(Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: vinyl
Electrical Permit Required:
Building Permit Required:
Total Permit Fee: $61.00
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: j_HQ. a
Permittee Signature:
IN CITY OF TIGARD RECEIPT
I . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 197697 - 09/22/2014
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2014-00115 Temporary Sign Permit-LRP 100-0000-43117 $8.00
SGN2014-00115 Temporary Sign Permit 100-0000-43115 $53.00
Total: $61.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 015986 CCAINES 09/22/2014 $61.00
Payor: Clifford G Rone
Total Payments: $61.00
Balance Due: $0.00
Page 1 of 1
7111 City of Tigard
Sign Permit Application
TIGARD -
GENERAL INFORMATION
Name of Devel,gnnent/Project
of
Site 0+ s ( ik:J(e .(t. t,Q_ FOR STAFF USE ONLY
Address/ Street Address Permit No.: ,sC( J o1U I'f - 0 0 ((S
Location /p 86,r a't,.s (t I Q(4.a I-
Approved By:
suite/Bldg.# City/State Zip
7:;-7 F 12"? Date: q l 'a a- (`fid
Name Fee:
%C O l . u 0
�t orti I0-1„, --fl- DQ. .A-f�`Sf" Receipt#: I q-7 b v 7 Property
Owner Mailing Address Suite Map/TL#: a 10am 0010)
LQC o .co r*Akt jam►-. R - . S
Zoning:
City/State Zip y' -.hone
)�3r-Y cm Allowable Total Area:
Tenant or Name
Business / ` y tuerA Eocka i••-(2Q 4Sdov:Aft_ Electrical Permit Required? ❑ Yes IX No
Name Building Permit Required? ❑ Yes No
Rev.10/21/2013
Sign I:\CURPLN\Masten\Land Use Applications\Sign Permit.doc
Contractor Mailing Address Suite
City/State Zip Phone
REQUIRED SUBMITTAL ELEMENTS
Oregon('.oust.Cont.Board License# Exp.Date
❑ Completed Application Form
Proposed ❑ 2 copies of elevations on 81/2"x 11"or 11"x 17"
I> ❑ Permanent ❑ Freestanding ❑ Freeway
Sign ...Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
((:heck all that ❑ Wall then
apply) ah.t►.� ❑ 2 copies of site/plot plan,drawn to scale,on
81/2"x 11"or 11"x 17"pages (required for
El New sign? El Alter to existing signs freestanding signs only)
Sign Dimensions:3�1 Flt J /71 " ❑ Application Fee
Y
Total Sign Area(sq. ft.): ` , j-- NOTES:
• 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) N S 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: Cktr.4 ba,cn any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? ❑ Yes g No plans must be prepared by a structural engineer.
_ Type: ❑ 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 14 No a,,,66t_ttlti ,
If"yes",a list or diagram of all sign dime sions 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, 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 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.
zit II
Applicant Signature Date
S{ C a41 aclntd a-v,n cz.
Signature of Owner/Agent Date
Owner/Agent's Name (Please Print) Title Phone Number
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
Cheryl Caines
From: Gavaza, Dani <dgavaza @ttsd.k12.or.us>
Sent: Friday, September 19, 2014 9:01 AM
To: Cheryl Caines;Clifford Rone
Subject: TTSD fence banners
Hi Cheryl.
Clifford Rone with Tigard basketball is permitted to hang banners on district fences in the City of Tigard. He has gone
through the proper channels and been issued a permit sticker. If I can be of any further assistance please let me know.
Thanks,
Dani
Dani Gavaza
Facility Use
Phone: 503-431-4087
Fax: 503-431-4020
Tigard Tualatin School District
6960 5W Sandburg St.
Tigard, OR 97223
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