SGN2002-00243 CITY OF TIGARD
SIGN PERMIT
Via' DEVELOPMENT SERVICES PERMIT #: SGN2002 - 00243
A � 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/8/2002
EXPIRATION DATE:
BUSINESS NAME: JAZZERCISE
PARCEL: 1 S135BC 00900
SIGN LOCATION: 10855 SW CASCADE AVE
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X10'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 20 sq ft banner. Valid 11/8/02 - 12/8/02. Sign #1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 d s from valid_it date.
APPROVED BY:
PERMITTEE SIGNATURE: 6-14
DATE: 11/8/2002
I IIPP
Ar:liz\ 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 FOR STAFF USE ONLY
Site - 02-2 - rilS
Address/ Street Address Permit No.: 5 -) 2._ - CAI Z `f
Location I0' - ) c am <‘ u O C a s c o k Pk) Expiration Date: // - ? ,0 Z. c l i j t " " ` I L I x /o7
Suite /Bldg. # City /State Zip 2
Pt d 11i, gi2.23 Receipt #: o '' 2 - 7o
Name 1 �'°' > Approved By:
Property ,aLd$O h C (Lb Date: ///9/0
Owner Mailing Address Suite Map /TL #: /$ / 3 5 -- no 5'o0
ILA ` J C Cash 6 - Zoning: r
City/State Zip Phone
( lOt 97i13 SO3_.670" C
r ( _ Electrical Permit Required? ❑ Yes ,- No
Tenant or Nam Building Permit Required? ❑ Yes No
Business g q
Name Rev. 01 -Jul -02 hcurpin \masters \revised \sign permit app.doc
Ma iling Address Suite
Sign
Contractor 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 1 p, Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # a 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed [ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17'
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon I El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? ! size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: i X i 0 1
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 20 sii, ft 21 $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) NS E W NE SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): 0 sign placement.
Copy: See Q"itaCILtto, • Wall signs do not require site /plot plans.
Materials: y in q ( • Freestanding signs over 6 ft. required a
building permit.
Will sign have Illumination? ❑ Yes No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ 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 4 No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
li r
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 S day of WV-abr
v 6V , b r , 2012,1_
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Signaiiu e of Owner /Agent
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Contact Person Name
Phone No.
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13125 SW Ha11 Blvd. 11:35:14AM
Tigard, Oregon 97223
_l� (503) 639 -4171
Receipt #: 27200200000000004270
Date: 11 /08/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00243 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash JAZZERCISE KJP In Person 20.00
Change CITY OF TIGARD KJP In Person (5.00)
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt