SGN2005-00365 CITY TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2005 -00365
AL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/28/2005
PARCEL: 2S112AD -00200
BUSINESS NAME: PREMIER SPORTS ACADEMY ZONE: I -P
SIGN LOCATION: 06830 SW BONITA RD JURISDICTION: TIG
APPLICANT /AGENT: BOB SMETS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 4'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 1,320 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install one permanent wall sign. (framed banner)
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N •
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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. ,�vp
APPROVED BY:
ea..L✓i.G,/
PERMITTEE SIGNATURE: — /�
DATE: 11/28/2005
�, il S IGN 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
Site SC � � �.,� FOR STAFF USE ONLY
Address/ Street Address Permit No.: SGn1 aoo5 —oo3(
Location .:\ / t - ; ,c, -Ck ckt' (C _ l
Suite /Bldg. # City /State Zip Expiration Date:
Receipt #: ,„?noS - 6053
Name Approved By: • eat,..„..,........, Property
„ Name
-;i: Date: 1/ .7 -oS
Owner ailing Address Suite
Map/TL #: R-S /49 - lX0d Da
0' ,6CY■ St 61 Zoning: / —D
City /State Zip Phone
O nr 01,No..74p, 4 ri0 7— st5, pie , ii i
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business ""r- v 4. Cc.A v v y Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/05 is \curpin \masters \revised \siqn permit app.doc
Sign .
Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
•
City of Tigard's License #
database) [1] 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ Permanent ❑ Freestanding ❑ Freeway 1 " " 11"
Sign size requirement: 8 /z x 11 , or 11 x 17"
•
Si n Tem porary ❑ Wall q
❑ Electronic
(Check all that
apply) ❑ Other El Billboard ❑ Balloon El copies of elevations, drawn to scale
la New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: 4)(4 ; z-
t' ('x 1 ❑ $38.00 Fee . (Permanent sign, any size)
Total Sign Area (sq. ft.):
•
. 2 _i 'Lei' • g, $18.00 Fee (Temporary sign, any type)
g Total Wall Area (sq. ft.) Jurisdiction: Cit Urb
Sin Data 1:32....e) .. J 4 0 y ❑
(Complete all Direction Wall Faces (circle one):
items in this � NOTES:
\
section) C� S E W NE NW SE SW
Height to top of sign (feet): ,E • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): ,.. �y� but must include dimensions of wall face and
Co sign placement.
py • Wall signs do not require site /plot plans.
Materials: icstir4i." -. Kam ‘.. • Freestanding signs over 6 ft. required a
Ail sign have illumination? ❑ Yes ❑ building permit.
CN9/ � • If work authorized under a sign permit has not
Type: El Internal 1�. 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 IX No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
1 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 2- 4. day of Li G't'r' ;vv,(C_ , 20 er°
•
y
Signature of Owner /Agent
( -30 Ve—it . 7°3* es (tat3 S (: 3
Contact Person Name Phone No.
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Back of building
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TRAIN Team-Building & Fiend G • ames k
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503.620.3040 , \L‘
SPORT www.train-far-sport. com
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CITY OF TIGARD
Approved [
Conditionally Approved [
For only the work as described in:
r
S P e E e RM Le n- tte N r O to . : 56) Follo gi? w °°5 —°1:"
Attach
Job Address: 6
By:
CITY OF TIGARD 11/28/2005
13 12 5 SW Hall Blvd. 4:08:52PM
a,,�,, �,., : Tigard, Oregon 97223
Y,!. (503) 63 9-417 1
Receipt #: 27200500000000006053
Date: 11/28/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00364 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2005 -00364 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2005 -00365 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00365 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2005 -00366 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00366 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $114.00
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
Check PREMIER SPORTS, INC CAC 1045 In Person 114.00
Payment Total: $114.00
cReceipt.rpt Page 1 of 1