SGN2009-00135 •
•
Er CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00135
COMMUNITY DEVELOPMENT Date Issued: 06/04/2009
TLG',ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102AA05500
Jurisdiction: Tigard
Name of Business:
Business Address: 12215 SW MAIN ST
Applicant/Agent: Tigard Fitness,
Work Description: Placement of one (1) temporary sign (Balloon) 1.5' X 15' Valid 6/4/09 - 6/14/09 Sign #1
Cannot exceed 25' in height
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: Yes
Banner: No A- Board: No
Sign Dimensions: 1.5' X 15'
Total Sign Area: 22.5
Wall Area:
Wall Face (Direction): West
Sign Height: 15 ft.
Projection From Wall: in.
Illumination: Internal
Materials:
Electrical Permit Required: No
• Building Permit Required: No
Total Permit Fee: $19.00
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.
J i
Approved By: ., _4 -- / X i
r%
Permittee Signature: '
SIGN PERMIT APPLICATION
a•- City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 9E
! `: Phone: 503.639.4171 Fax: 503.598.1960 C -I l
J uN 0 4 2009
GA T v
GENERAL INFORMATION pLl AN/Me, T
Name of Development /Project ` L ER/ t
FOR STAFF USE ONLY �'G
Site Address/ � e dr Permit No.: S& &) •;131 et - V l 3'
Location t V Z 1 S S W Mai " S-V--- Expiration Date:
State /13Idg. # City /State Zip
l ■ l y- OK. I � ZZ ?/ � Receipt #: 1 1380
Name "► Approved By: '—
Property ¶f0 •� 7 A 6-11-.C/ Date: (41
` ( 01
Owner Mailing Add ss i Suite Map/TL#: ' S / V C 4 A vs cab
Zoning.
City/State Zip Phone
Tenant or Name l Electrical Permit Required? ❑ Yes ,,El No
Business l �d -n ,�'>� s Building Permit Required? ❑ Yes 1 loo
Name Rev. 7 /1/07
is \ cumin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ 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
III
apply) Other ❑ Billboard e size requirement: 8 x 11 ", or 11" x 17'
pf `New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1 S y<,S (3 copies, if a building permit is required)
size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data 71.-. $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): must include dimensions of wall face and sign
Copy: placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have ill ' ation? ❑ Yes ❑ No permit.
Type: ntemal p External • If work authorized under a sign permit has not been
Are there any existing freestan g 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
❑ Yes No NULL AND VOID.
If `yes ", a list or diagram of all si gfi 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.
DA I ED this day of , 20
ignature of G caner /Agent
Contact PersonNaamd Phone No.
-.----- .
,1
1
. 2
(-, \
'6' \
... ----- -.- . \
0
G P-71..7> c i - r - €., 5
15 . D. .
0 .
3
x,
CITY OF TIGARD RECEIPT
17
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 173807 - 06/04/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00135 Temp Sign Perm 100- 0000 - 438050 $17.00
SGN2009 -00135 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash STREAT 06/04/2009 $19.00
Payor: Tigard Fitness
Total Payments: $19.00
Balance Due: $0.00
Page 1 of 1