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SGN2008-00229 • y C ITY OF TIGARD SIGN PERMIT °. DEVELOPMENT SERVICES PERMIT #: SGN2008 -00229 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/3/2008 PARCEL: 1 S136DB -02601 BUSINESS NAME: ELITE KETTLEBELL GYM ZONE: C - SIGN LOCATION: 11606 SW PACIFIC HWY 100 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN • PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 18' X 4' 4" TOTAL SIGN AREA: 79 sq. ft. WALL AREA: 860 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: 24 ft. PROJECTION FROM WALL: 2 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of one (1) permanent wall sign 18 ' X 4' 4" (Awning) Must be placed on private property not in pubic right of way. Must meet visual clearance area requirements MATERIALS: FABRIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: Y 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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: A PERMITTEE SIGNATURE: ., DATE: 12/3/2008 IN SIGN PERMIT APPLICATION City gf Tigard Permit Center 13125 SW Hall Blvd, Tigan OR 97223 Phone 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY Site S treet Address S� U � . en) c i Address/ P ermit No.: Location Li 100 6 `5W /4-eA. Rl L D Suite /Bldg. # City/State Zip Expiration Date: ,�#� t1Csq�D, el-1ZZ Receipt #: ,A-'dg Name Approved By. .s • 112-6 Property AA l c.4 t- S )4.0 & Date: 1 Z3lo g Owner Mailing Address Suite Map /TL# : ± S DB 04 0 ( 10006 Sk iC 1* VE 20o Zoning: d 6 City/State Zip Phone TI . Oe. 912.13 3'52 A4—si is Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business ati nt K�77 �� G. Y K-1 Budding Pernut Required? ❑ Yes ❑ No Name Rev. 7/1/07 is \curpin \ masters \land use applications \sign permit app.doc Sign 6 12 -A ►4- % L 43AMI t M A, *- S t c7 lq Contractor Mang Address Suite (Prior to permit P,0 e 5O' issuance, a 00 copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are . (Note: applications will not be accepted required T 'TLCQ oL without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) 6 (j j 1.. .2/ ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that r Billboar Ball 1 11", 11" app ly � li fq _10 V 11.4... 11.4... ❑ s ize requirement: 8 /z x 11 , or 11 x 17 " ❑ New sign? y,Aher to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: / / i/ (3 copies, if a building permit is required) l dr size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): . 1 ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) ,zgb.0 ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E 0 NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 4/ must include dimensions of wall face and sign copy, u �� L ,�� placement. Materials: • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a building Will sign have illumination? Yes ❑ No permit. Type: Internal External • If work authorized under a sign permit has not been Are there any existing freestan ing or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME El Yes ❑ No NULL AND VOID. 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 day of , 20 i_ Signature of Owner /Agent G ,rf,1.4A A W rte-( 6 503 - 2-s 6 - 3 5 Contact Person Name Phone No. . 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CITY OF TIGARD 1 2/3/2008 13125 SW Ilan Blvd. 10:38:04AM `y• Tigard. 014 97223 5113.639.4171 TIGARD Receipt #: 27200800000000004008 Date: 12/03/2008 Line Items: Case No i ran Code Description Revenue Account No Amount Paid SGN2008 -00229 [SIGN] Sign Permit 100- 0000 - 437000 35.00 SGN2008 -00229 [LRPFI LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2008 -00230 [SIGN] Sign Permit 100- 0000 - 437000 35.00 SGN2008 -00230 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: 580.011 Payments: Method Paver User 11) Acct. /Check No. Approval No. How Received Amount Paid Check GRAPHIC ILLUMINATED ST 54392 In Person 80.00 AWNING Payment Total: 580.00 i. cRecript.rpt Page 1 01 1