SGN2008-00040 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00040
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/20/2008
PARCEL: 2 S 115 BA - 02500
BUSINESS NAME: 123 FIT ZONE: C -
SIGN LOCATION: 16200 SW PACIFIC HWY U JURISDICTION: TIG
APPLICANT /AGENT: 123 FIT
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6'10 - 5/8" X 2'
TOTAL SIGN AREA: 22 sq. ft.
WALL AREA: 391 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 22 ft.
PROJECTION FROM WALL: 7 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 21.8 sq ft. permanent wall sign.
MATERIALS: VINYL /METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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.
APPROVED BY:
PERMITTEE SIGNATURE: X
DATE: 2/20/2008
i
,.E,�I,a SIGN PERMI APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503)684-7297
GENERAL INFORMATION
Name of DevelopmenUProject
t
Site i a I � ` 'VFO R STAFFS US O Y �,�g °� ,
Address/ Street Address � � � ' r ;K : p �� � "
Location
��V w .
Suite /Bldg. # Cit /State Zip s , , i i,,, r‘ ;
Expira Da �
,1 "`4 f t , �. i
Name
—riGilip °r Rec e i pt# - as >3 i" t n i s z a4 s r
Property �t�� /[� " m5÷ suite A�pr9 By b , � t � ' St
D, t �� a" �" '`�
Mailing Addre Suite
Owner � �m �� ��� a � �� �� �'*d a� "�,� � " d .
mo A 4,14 d t r s r v �_
City /State Zip Phone v4, Z�hin i �� ' �
t
Tenant or Name : 4 a �af t � I 7 k" 4 a " 1� 14
!� � E l ec trical P Req ire � Yes No � �
Business Ol ! / � n g e pThrre-eg, % � r a 3
g ?e ,,, � , 4 Niel g r No
Name s t`` -i', a;° . F � ' `s�v� ' t
Re �2 /2 00 0 .. ; . 1:curpl. ers 're. Y sedtsfignpe app.doc . .
Sign An� AN(�D �LL•C7d S)c iS
Contractor Mailing Address suite
issuance, a / 85° o pi7tnl►j2 U2
copy of all City /State Zip k cj$6�y Phone REQUIRED SUBMITTAL ELEMENTS
licenses are
required if 1")0°°1j1"21 1")0°°1j1"21 WA 3 aa5 g2 (Note: applications will be accepted
(Prior to permit
expired
of in Tigard the Oregon Const. Cont. Board Exp. Date without the required sub elements)
Ci 's License # J 0 5 / `o 7- 19.-°q
database)
❑ Freeway ❑ 2 Cop
`f .5
/ j ❑ Co mpleted App lication Form
Proposed ❑ Permanent ❑ Freestanding
Sign ies of Site /Plot Plan, Drawn to Scale
❑ Temporary Wall ❑ Electronic (3 copies, i f a building permit is required)
(Check all that El Other El Billboard El Balloon size requirement: 8 x 11 ", or 11" x 17"
apply)
fir New sign? ❑Alter to existing sign? ❑ 2 copies .° elevations, drawn to scale
(3 copies, i if a bu ilding permit is requ ired)
Sign Dimensions: 6 ' l size requirement: 8 x 11 ", to 24" x 36" X a s
Total Sign Area (sq. ft.): l g J ❑ $50.00 Fee (Perma s ign, any size)
Sign Data Tota Wall Area (sq. ft.) 9 ❑ $15.00 Fee (Temporary s any type)
(Complete all Direction Wall Faces (circle on
item in this NOTES:
section)
N S E CI NE NW SE SW Wall s do not need to be drawn to s cale,
Height to top of sign (feet): Pa but must include dimensions of wall face and
Projection From Well
7" sign placement.
Copy: �/�/N ► L ! ♦ Wall signs do not require site /plot plans.
Materials: m k "fl L l ♦ Freestanding signs over 6 ft. requ ired a
Will sign have illumination? Yes El No building permit.
• If work authorized un der a sign permit has not
Are there any existing freestanding or wall signs at this been comp with ninet (90) day after
location, including wall signs that overlap a tenant space? the issuance of the permit, TH PERMIT WILL
BECOME NULL AND VOID.
❑ Yes No
If ,yes,,, a l or diagram of all sign dimens and (OVER FOR SIGNA TURES)
square footage m ust also be submitted.
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 3 day of F t C.+ R J , 2000
/
Signature of Owner /Agent
D>quL s 36D - a dl - 7 ? ?y
Contact Person Name Phone No.
ADVANCED ELECTRIC
(J OB
Or 1r 1 :4LC.
Your Full Service Con
1 850 (360) 225 -6826 9887 WORKORDER #:
DOWN RIVER DR. WOODLAND WA
Bussiness Name:
Contact Name:
Site Address:
Design #: Date:
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123 FIT
x � g, k. w ,� „... 16200 SW Pacific Highway
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JOB NAME 22 ,,,5 rn SALES +,- 1BN7 DA 2:0 20.1 APPROVED THIS B AN ORIGINAL DESIGN CREATED BY
r� MB � _.S IN �6 00 10e IDE *- .. a ( ; SIGNATURE, ,P PW SIGNS UN,REMAINS FFERR11 BY SA ALL
itams RESERVED
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3 1- r 6253) 62811471.3121' • FAX 12811) 47264107 07 k' - - 1 :> [H _ .. . ,�^ ' - C COPY RIGHT. 2007 PLUMB SIGNS. I NC. H7DE8R7ALINNI UNICIMIONS NNW ^;.
.. .�AWMBSICN &CaM' _ � START ORiE Y,�= '+? .PAGE:' }.:• " : ; : ; ■
CITY OF TIGARD 2/20/2008
1312n SW ilali Blvd. 8:34:30AM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000000530
Date: 02/20/2008
Line Items:
Case No "Iran Code Description • Revenue Account No Amount Paid
SGN2008- 00040 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN200$ -00040 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
ELC200S -00090 [ELPRMT] ELC Permit 220-0000-431510 53.40
ELC200S -00090 [TAX] 12°% State Surcharge 100- 0000 - 207020 6.41
Line Item Total: $99.81
Payments:
Niel hod Paper User ID Acct. /Check No. Approval No. How Received Amou Paid
Check ADVANCED ELECTRIC SIGNS DEB 13855 In Person 99.81
Payment Total: $99.81
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