SGN2005-00003 � w
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERM IT #: SGN2005 -00003
�I DATE ISSUED: 1/3/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111 DD 00201
BUSINESS NAME: FIT 2B HER ZONE: C -
SIGN LOCATION: 15943 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT: FIT 2B HER
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one A - frame sign. Sign #3. Valid from 3/5/05 through 4/5/05.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. 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: ch (a a_A,) �e
PERMITTEE SIGNATURE: 13
DATE: 1/3/2005
Alp SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site t 7/3 FOR STAFF USE ONLY
Address/ Street Address P
Location / 9 /3 k) }-(L 3 /)e) Permit No.: 5�� oZD05 -O o co q _ - 0 S -
Suite /Bldg. # City/State Zip
Expiration Date:
-77/�� lf' 7 Z� Receipt #: ( 90 0 q - 0 ' 99 7
Name Approved By: d. d_ec -cam t_(/y
Property 772/9R._// \��,57,771,..,,D Date: / - 3 - D s
Owner Ma iling Address ,r l Suit Map/TL #: c96 ) //). - 01)'a 0 /
lio 5,(Ai /` 4L CGOt= Zoning: 0 - N
City/State Zip Phone (— 3)
m
Tenant or
Na 972-2-V, .5-'90- °> Electrical Permit Required? El Yes ❑ No
Business !! 2-8 / ,L/ � Building Permit Required? ❑ Yes ❑ No
Name Rev 8/7/2003 is \curpin \masters\revised\sign permit app doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS I
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ Permanent Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sh g n k all that 11 Temporary ❑ Wall ❑ Electronic
apply) ❑ Other ❑ Billboard ❑ Balloon [1] 2 copies of elevations, drawn to scale
ew sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign'? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions : / ( _
" x .7 " $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
/a `,7 $15.00 Fee (Temporary sign, any type);qN
1
Sign Data Total Wall Area (sq. ft.) n ty n Urb
Jurisdiction: Ci
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) 0 S E W NE NW SE SW
Height to top of sign (feet): 1 1" • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Co py sign placement.
• Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ErNo building permit.
Type: ❑ Internal [External 1 • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and __
square footage must also be submitted.
(OVER FOR SIGNATURES)
1
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.
DATED this day of , 20
_71? M
Si nature of Owner /A en
A 's/ i Xet- V -I ' 9 k..40 - 0--
Contact Person Name v Phone