SGN2013-00029 CITY OF TIGARD SIGN PERMIT
i . n Permit #: SGN2013 -00029
COMMUNITY DEVELOPMENT Date Issued: 02/13/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S115AB01900
Jurisdiction: Tigard
Name of Business: Anytime Fitness
Business Address: 16200 SW PACIFIC HWY A
Applicant/Agent: McCormick, Tony
Work Description: 2.5'X26.5' wall sign cabinet
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 2.5'X26.5'
Total Sign Area: 66.25
Wall Area: 1403
Wall Face (Direction): North
Sign Height: 21 ft.
Projection From Wall: 13 in.
Illumination: Internal
Materials: Aluminum & acrylic
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $171.00
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.
Approved By: 141
Permittee Signature: A , � -
- - ��
CITY OF TIGARD RECEIPT
111 � 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 190221 - 02/13/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00029 Sign Permit - LRP 100 - 0000 -43117 $22.00
SGN2013 -00029 Sign Permit 100- 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 32138 HWATKINS 02/13/2013 $171.00
Payor: Meyer Sign Co
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
City of Tigard
Sign Permit Application
TIGAU_D
GENERAL,,, INFORMATION
n:m. 4 t)c% I.,i.n.n, I',r.nr,
Arty f=itness FOR STAFF USE ONLY
Site
Address / O,..,.■,t.irn, pp • II '' • Permit No. 'fi ‘20).— Ovl?` 9
Location I(v7.oQ 5w (1rele tihhou.y 1pprovedBy
s,ritc mit a Guy /stmt: /. `J' f( �'' 3_ 1 --
A Ti rc1 OR 6112.24 Date:
N anN: Receipt #. /' D 2 2-1
Property JA ' /`"' ^-L6° \lapi•ILF$. 2 `j)) 5 f /9 00
Owner \lafla,� ..\ Nit" SJ■u Zoning C —(T
//2/5/l/- 5 0/01+/ T Allowable Total Area: / `? 4 /Ii _
I . a. S,atc r• rl>„..
Ii L /AI ,4 2 1 10 Electrical Permit Required' [ Yes ❑ No
Tenant or vim, •�
Business A l t l fne FI li'1
C ss Building Permit Required? Idl'cs ❑ No
Nam, R., 7it,12 ■ . cmr:n \maa.•n .L•nd .,t .rrr,: a„, ••, .•.,„ r, nm, a d -;
Sign Mel ex Si 6n Co,
Contractor dl, Addre•, >,.,,•
15205' SW '14 thAVe .
Ii.rr /Star, %r I'h..-r R EOUIRED SUBMITTAL ELEMENTS
(1 `�Q 02 9 224 -0-824.X) (Note: applications will pot be accepted
t> • ,„, Cron,' t .• 1 I,a-nac = 1.0 1)_a without the required submittal elements)
[Completed Application Form
Proposed , ?. copies of site /plot plan, drawn to scale
Po r.,manr ❑ rnv�,and ❑ 1'r
Sign ❑ rcn, ❑ Rua ❑ rJ,,nm„
(3 copies, if a building omit is required)
(I:hack Al that
P b' P 9 )
atrb•) Q-cfan ❑ tom° s' requirement: 8 x 11 ", or 11" x 17"
2 copies of elevations, drawn to scale
DNew sign? ❑ Alter to existing sign? (3 copies, if a budding permit is required)
Sign Dimensions:x. 4u ),( , E a, ...2I f; size requirement: 8'/i" x 11", to 24" x 36"
Total Sign . \rea (sq. ft.): 4 ❑ $171.00 Fee (Permanent sign, any size)
*fora) Wall Area ea (sq. ft.) _ l • AiCr Sign Data
J4 0 �0
(f'„ tnpk is all Direction Wall Faces (circle one):
ncmr,n th„ NOTES:
'VC tinny It S F. W NE N \V SE SW
Height to top of sign (feet): , J r — / p X, r' ♦ Wall signs do not need to be drawn to scale, but
Protection Front Wall (inches): 13 �' must include dimensions of wall face and sign
placement.
Mmenals:Rat q,larn; � acilikca�
• Wall signs do nut require site /plot plans.
Will sign have illumination? Yes ❑ No ♦ Freestanding signs over 6 ft. required a building
Type. [r Internal ❑ External permit.
.\re there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes o
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503.718 -2421 I a\vw.tigard- or.go'.' I Page 1 oft
APPLICANTS: — — —
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall he designated "Pennirtee" and shall provide financial assurance for work
I * When the ownet and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back of
' this form or submit a written authorization with this application
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
AP /,inn _ N2/7// 3
pplic. ∎ .i gn � Date
i
�.. /4/i
S ' ature • vt r /?t•ent Date
Lyn a. v is so 3 - toga - &a.Oo
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503-718-2421 I www.tigard- or.gov i Page 2 of 2
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NORTH ELEVATION
WEsT#ERN LOCATION: DRW:
�� I - 22-2013 1&200 SW PACIFIC HIGHWAY STE. A
480 - 4104995 ��° ANYTIME FITNESS P WORK CHU CK WALKER i TIGARD OREGON 91224 NORTH ELEVATION
All Designs & Artwork are sole property of Western Signs & lighting. Permission to copy or reproduce must be obtained in writing.
26 ' - __. __
rmi _ t i
. i.i ittst .. tit
66.25 SQUARE FEET
MATRIX SIZE 3
ILLUMINATED PAN CHANNEL LETTERS MOUNTED TO RACEWAY
RACEWAY ALUMINUM
.JMINATION WHITE LED
LETTER FACE 1/8" WHITE ACRYLIC .063 ALUMINUM BACK
TRIM CAP I" JEWELITE (BLACK)
LETTER RETURNS 5" DEEP .040 ALUMINUM (BLACK) ! s" •040 ALUMINUM RETURN
LETTER BACKS .063 ALUMINUM 1 1 I ! 1" TRIM CAP
(PAINTED TO MATCH FASCIA)
RACEWAY 14" TALL 8" DEEP .063 ALUMINUM A 1
LOGO 3 - M PLUM PURPLE 230 -128 I F ! ,; --- Ur ACRYLIC FACE
if
CITY OF TIGARD
18 GAUGE LOW VOLTAGE CABLE
3-M BLACK VINYL
- :,nally Approved. •_ . .1 I DISCONNECT SWITCH ,_
i
• .111 the work as described in: 1 '
1=RMIT NO. 9i N?i7/3 /97(L9 LOW VOLTAGE POWER SUPPLY r HACOBUSHING
– •8r. Letter to: Follow t i ,, .. � GROUND SCREW
Oh •_ - 120V PRIMARY FEED
N _ ( ¢ '
#8 \ i , MOUNTING SCREW
)O b Atilt s: /(v U ° A C + —
V: _ - -- -- .- ... ()stir 2=41=0 EXISTING JUNCTION BOX I I 1
I
LED (WHITE)
2 N 2452 W. Birchwood Suite 111
Signs & Lighting Mesa, Arizona 85202 DRAIN HOLES_ I DRAIN HOLE MIN. (2)
480 - 831 -8600 - Office
480 -831 -8611 - Fax RACEWAY DETAIL SIDE VIEW
www.westernsignsaz.com
UL UNDERWRITERS LABORATORIES APPROVED
CD
WES?"ERN DATE: 1 -22 -2013 LOCATION: DRW
CUSTOMER: ANYTIME FITNESS n ; 16200 SW PACIFIC HIGHWAY STE. A
480 - 410.4995 GHUGK WALKER , TIGARD OREGON 31224 I NORTH ELEVATION
AI Designs & Artwork are sole properly of Western Signs & lighting. Permission to copy or reproduce must be obtained in writing.