SGN2005-00289 CIT OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00289
DATE ISSUED: 10/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102AA 05500
BUSINESS NAME: TIGARD FITNESS INC ZONE: CBD
SIGN LOCATION: 12215 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X15'
TOTAL SIGN AREA: 45 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 13 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 45 sq. ft. permanent wall sign.
MATERIALS: VINYL /FRAME
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 temporasi,!n shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY: r
k C� 2
PERMITTEE SIGNATURE: ,( ,
DATE: 10/11/2005
L
Ail 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 — 0 6 - . 4 z _ / ) hi /n a.c. T c- - 7 .
Address/ Street Address Permit No.: 54 � - _v O J
Location t2Z, S 5,,., 1 se
Expiration Date:
Suite /Bldg. # City /State Zip
776,a g 7 u 3 Receipt #: 0 :-b( - 5 /
Name Approved By: / 6 "
Property rrw- 2e_ ( / �,e u Date: 1° l ; z 5 ---
Owner Mailing Address Suite Map /TL #:
i 22-t'S 5,...) )44/4 \A S( Zoning: (-13D
City /State Zip Phone
�� - sa 3 — (,39 - i6 3 f
Tenant or Name Electrical Permit Required? ❑ Yes a-No
Business 776-4,--,12 4 -6A _ Building Permit Required? ❑ Yes CI--No
Name Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite 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
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed J Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard El Balloon Ill 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:
- ; ` X I S - $38.00 Fee (Permanent sign, any size)
Total Sign Are ,sq. ft.):
❑ $18.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: U City ❑ Urb
9
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E (NE NW SE SW
Height to top of sign (feet): 3 ' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): ,� v�a but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes [} NC building permit.
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 10 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 / I day of C,Gf at,) , 20 6C
Signature of Owner /Agent
el — 6 '59 — /4 7..c
Contact Person Name Phone No.
'76� r
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TIGARD $99 1635 1
3‘ 639
FITNESS YR 1 RESTRICTIONS MAY APPLY
g e A L�
CITY OF TIGARD
Approved [?<11
Conditionally Approved
For only the wprk as described in:
PERMIT NO.GtiZch7S - -oo z,dP y _
"9e Letter to: Follow [ 1
Attach