SGN2005-00364 •
, ,
CITY OF TIGARD SIGN PERMIT
PER 4 �
1
� DEVELOPMENT SERVICES
PERMIT #: SGN2005 -00364
LL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 11/28/2005
PARCEL: 2S 112AD -00200
BUSINESS NAME: PREMIER SPORTS ACADEMY ZONE: 1 -P
SIGN LOCATION: 06830 SW BONITA RD JURISDICTION: TIG
APPLICANT /AGENT: BOB SMETS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 4'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 1,320 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install one permanent wall sign. (framed banner)
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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. �i �+
APPROVED BY: u
PERMITTEE SIGNATURE: N � ��--
DATE: 11/28/2005
,
,ii ° � S IGN 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
FOR STAFF USE ONLY
Site ',,� 0 SLu . 3o1,4- , 4 --- kd
Address/ Street Address Permit No.: :.`jGNatooS- 0034,4
Location A / t .-- Fi c c4c� �rZZ4
Suite /Bldg. # City/State Zip Expiration Date:
Receipt #: , — &OS 3
Name Approved By: C' . 0ac:- r11.-„='
Property 0 5 Date: 91 - 46 — OS
Owner _ ailing Address Suite Map /TL #: o?Sl /, AO — 00a0o
0 0 Zoning: / — P
City /State Zip Phone
i,t tro4rc/4:Rti 40'0 5e03' 06.3oR
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business (fit -€ Q r o - eiv, Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements) •
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License #
database) El 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
' Sign jia Temporary ❑ Wall ❑ Electronic
(Check all that other ❑ 2 copies of elevations, drawn to scale
apply) ❑ ❑ Billboard ❑ Balloon
(3 copies, if a building permit is required)
g. New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 4 )(4 : L
1 (';_4} ❑ $38.00 Fee (Permanent sign, any size)
Total Sign Ar a (sq. ft.): $18.00 Fee (Temporary sign, any type)
Sig Total Wall Area (sq. ft.) Jurisdiction: �(' Cit n Data j3 -Zr' 1 2-640 Y ❑ Urb
Si
(Complete all Direction Wall L aces (circle one):
items in this NOTES:
section) (R__:) S E W NE NW SE SW
Height to top of sign (feet): 1$' • Wall signs do not need to be drawn to scale,
Projection From Wall Inches : but must include dimensions of wall face and
(inches): �'�` �' sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: $on„uu" ---) PW; t c. • Freestanding signs over 6 ft. required a
ill sign have illumination? ❑ Yes ❑ building permit.
�,{ • If work authorized under a sign permit has not
Type: ❑ Internal 1xt External been completed within ninety (90) days after
Are there any existing freestanding or wall, signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes X No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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 'L` day of Due , VIC' , 20 v `�
• et. •
Signature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD
Approved tk Back of building
Conditionally Approved [
For only the work as described in:
PERMIT NO 4 .5C,1\1205 - 60344
See Letter to: Follow [ I
At
Job Address: t.0 1 )
SW bora" —
b Date: ..1, "JO - 0 6
s '
..
* t . ! c ! .
TRAM Indoor Training •
T eam - Building 8 Field Games ZA
5 - \t'V_
SPORT www.train- for - sport.com @ v
(v
. t 111
CITY OF TIGARD 11/28/2005
13125 SW Hall Blvd. 1:21:11PM .
84,,,,N ,, T igard, Oregon 97223 �
.. J. IL (503) 639 -4171
Receipt #: 27200500000000006053
Date: 11/28/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00364 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2005 -00364 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2005 -00365 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00365 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2005 -00366 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2005 -00366 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $114.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
Check PREMIER SPORTS, INC CAC 1045 In Person 114.00
Payment Total: $114.00
cReceipt.rpt Page 1 of 1