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SGN2013-00150 CITY OF TIGARD SIGN PERMIT 1111 !! Permit #: SGN2013 -00150 COMMUNITY DEVELOPMENT Date Issued: 12/26/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S115AB01800 Jurisdiction: Tigard Name of Business: Anytime Fitness Business Address: 11354 SW DURHAM RD Applicant/Agent: Miller, Jimmy Work Description: Placement of 1 single- faced, 15 sq. foot temporary banner along 11354 SW Durham Rd. frontage. Sign is for Anytime Fitness in same shopping center. Sign may not be placed in the right -of -way. Permit valid 12/26/13 to 1/24/14. Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: No Electronic: No Billboard: No Balloon: No Banner: Yes A- Board: No Sign Dimensions: 5' x 3' Total Sign Area: 15 Wall Area: Wall Face (Direction): Sign Height: 6 ft. Projection From Wall: in. Illumination: No Illumination Materials: Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $56.00 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: 4i 4 Permittee Signature/ CITY OF TIGARD RECEIPT I • 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIC A R0 Receipt Number: 194399 - 12/26/2013 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2013 -00150 Temporary Sign Permit- LRP 100- 0000 -43117 $7.00 SGN2013 -00150 Temporary Sign Permit 100- 0000 - 43115 $49.00 Total: $56.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 033740 TLEHRBACH 12/26/2013 $56.00 Payor: Jimmy Miller Total Payments: $56.00 Balance Due: $0.00 Page 1 of 1 ,.. 5--.,. _ ,, > w t 0 5 P " ) 6t \ , , +° C_.,, 7 p 5 i) sir/ OF TIG ' RD �.�_ [X ] p . ...... . . . . ......roved• _ ° [ Co nd it ion a lly ApP P For only the wo 2 �ea V a1 ST '-k--) PERMIT NO 5 „ [ ] �} �� See Letter to: Follow ] Attach .,,,r! Job .. 1 S.l � �.,. l I CV ; tl� 4e � , Cs N/ 3 D AY S 9 JANUARY. 7- 0 N LY . for ON) 6 Ask iith. Irk imam sok iiii, am v 2, Li , 0 ..... Y I ' rims ' _ r-i I ' _ The club for people. OF TIGARD ) .; I- r o v _... n' d ...... ___ ...... ......_... [>< I te C onditionally ......._.... _...._..._ [ - F'cr only the work as descr red in: _ ,• 4,41.-. - S ©e Letter to: Follow...— .... --. Attach ....... .... 1 .......................... Job ; ; car:. At • ° hi •♦ 4 :y. 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' I Y 1 _ , I _ + =s+ e � , . i , f k j '�'�� C .pp J) }� 11111 L r- r ,, k ' " .r # ,„ 0.a. c � - LL NU C :t ', L +—+ — � i li.,41677: l ■f�� a, i D . . - --'- . i hi , , , , ., , k TOT41 .viv- ' , 1 iv - 8 i 1.- .. in , ,tp• 1 at:,,, „ a ,,._,._ , .,, y 1 f. AO D 1 --- -- ■ __ r r— Feet �! . L 5w r 7,..,,,r.ii,' !��! f ,. 0 250 f �, " • ,� isommi li . City of f Tigard Sign Permit Application GENERAL INFORMATION Name of Development/Project C' FOR STAFF USE ONLY l ' Site -Av yrt i i+tn eSS ?j Address / st,et (� Permit No.: 20 I — 00) S O Location � ( 2-00 S 1� Pie t'j►c 'HI Approved B? `? � Srate /B . # City/Sate e My I I ! rel, b g ` � 7 ZVI Date: 1 1 ?) NOM Fee S6 .00 Property -\ S jJ ke4%)/Ail•ttiffiZLi eceipt #: I9 4 J Q �y� Owner Mailing Address Suite • Map/11.#: 2-S l 1 5 I t)Cl ) /� /I,J� Zoning: C — 6 c j �Q / � t-'214!) � Allowable Total Area: 2-1 Sck, - C.LIG( j IJ Tenant or Name Business J y rnntj M 1 I k- 11 J►61e. F411eS3 Electrical Permit Required? ❑ Yes Er No Name Building Permit Required? ❑ Yes No Sign L\C L' O 1tM mWlastea \L+utd ow . "tg rldrhess Snit.. �ppt+ISigu Pemw.doe Contractor 3 City /State Zip Phone ErsalanksilantilITALMEMENES Oregon Corso. Cont. Board License h Exp. Date Completed Application Form Proposed Plrmmrhtt ❑ Freestanding ❑ Ftrtvar 2 copies of elevations on 81/2" x 11" or 11" x 17" Sign Tempogary ❑ goof ❑ liertrr~„r pages (must be drawn to scale for freestanding sign) { "C]xek all that WAD ❑ Other APPI9 ® 2 copies of site /plot plan, drawn to scale, on 81/2" x 11" or 11" x 1T' pages (required for 0 New sign? ❑ Alter to existing sign? freestanding signs only) Sign Ditnensions5 Wr Ae. r_ V b 3 f4- ! , 1 Application Fee Total Sign Area (sq. ft.): NOTES: (51.. t I h � � • cations will not be accepted without required Total Wall Area (sq. ft.) I p Sign Data = submittal elements. (Co'Ploe au Direction Wall Faces (circle one): • Wall sign elevations must include dimensions of sign learn in this and wall face and show the location of sign on the wall. " c " tl1) & S E \V NE NW SE SW f 'eight to top of sign (feet): • Freestanding signs over 6 ft. in height and walls signs of which any element weighs 20 lbs. or more require a Projection from Wall (inches): permit from the Building Division for construction. If Materials: any element of a wail sign weighs 70 lbs. or more, Will sign have illumination? ❑ Yes 0 No plans must be prepared by a structural engineer. Type: ❑ Internal ❑ External • When a Building permit is required, 2 additional Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding, including wall signs that overlap a tenant space? site /plot plan must be submitted with application. ❑ fee C31 No If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I Page 1 of 2 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 be designated "Permittee" and shall provide financial assurance for work. * When the owner and the applicant are different people, the applicant must be the purchaser of record, 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 below or submit a written authorization with this application. * BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT: tic 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. ji( 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. 4_3 ti can Signature Date t of • M /Agent Date 424/di A‘V-A11 - 1)'J <4V, I / 9 r/ gent's Name (Please Print) the Phone Number