SGN2005-00366 r �
C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00366
IC I I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/28/2005
PARCEL: 2S 112AD -00200
BUSINESS NAME: PREMIER SPORTS ACADEMY ZONE: I -
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: 6' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 2,640 sq. ft.
WALL FACE (DIRECTION):
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.
APPROVED BY: / �f
PERMITTEE SIGNATURE: r
DATE: 11/28/2005
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4 u,,, 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
FOR STAFF USE ONLY
Site i• : 5t`D (7 ' i >01 ! -- Keil
Address/ Street Address _ Permit No.: ,...56A/a005- 003 (,,c,
Location t i i . . � � t C 1c1- Expiration Date:
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Suite /Bldg. # City /State Zip
Receipt #: RD O 5 - 4 05 3
Name
Approved By: d . ea.A.: el..
Property ;j.�c' � 1 i , , . , d ... s Date: 1 / - d 8- o s
Owner T ailing Address Suite Map/TL #: ,,,?.s 1/? /-tr3 - co./00
Q .$G 5t V Zoning: / -
City /State Zip Phone
Tenant or Name + Electrical Permit Required? El Yes ❑ No
Business " ; CA" ,s i4 ';
" , -- ;, Qysn y Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/05 i:lcurpin \masters \revised \sign permit app.doc
Sign i ,
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
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 II Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
Proposed (3 copies, if a building permit is required)
Si• n ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
g Temporary ❑ Wall ❑ Electronic
(Check all that
apply) ❑ Other El Billboard El Balloon El
copies of elevations, drawn to scale
(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: 4 (4 ± L
x ( t )( 4 ❑ $38.00 Fee (Permanent sign, any size)
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Total Sign Area (sq. ft.):
2 .4 '7 1 - gi $18.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data 07_1:) — j i „ 40 Jurisdiction: j City El Urb
(Complete all Direction Wall Paces (circle one):
items in this NOTES:
section) / (0 S E W NE NW SE SW
Height to top of sign (feet): 16°' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): i1 but must include dimensions of wall face and
Copy: sign placement.
• Wall signs do not require site /plot plans.
Materials: I Nc_iL Kuc; i . Freestanding signs over 6 ft. required a
All sign have illumination? ❑ Yes ❑ building permit.
(No.) ��,{ • If work authorized under a sign permit has not
Type: El Internal Jg. 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 X No __ _ __
If "yes ", a list or diagram of all sign 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.
DATED this '2.5 day of L) ; vO C_ , 20 ey
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Signature of Owner /Agent
Contact Person Name Phone No.
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work as described in:
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CITY OF TIGARD 11/28/2005
13125 SW Hall Blvd. 1:21:11PM -
r p l � � a Tigard, Oregon 97223 -
J ' (503) 639 -4171
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 I of 1