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SGN2008-00230 CITY OF TIGARD SIGN PERMIT D EVELOPMENT SERVICES PERMIT #: SGN2008 -00230 TIGA 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/3/2008 PARCEL: 1 S 136DB -02601 BUSINESS NAME: ELITE KETTLEBELL GYM ZONE: C -G SIGN LOCATION: 11606 SW PACIFIC HWY 100 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 18' X 4' 4" TOTAL SIGN AREA: 79 sq. ft. WALL AREA: 1,360 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 24 ft. PROJECTION FROM WALL: 2 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of one (1) new wall sign 18' X 4' 4" (Awning) Must be placed on private property not in public right of way. Must meet visual clearance area requirements MATERIALS: FABRIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: Y ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 40.00 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: °^�� oACLtX PERMITTEE SIGNATURE: Pi k DATE: 12/3/2008 r SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hcd1 Blzd, Tigarr OR 97223 Phone. 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project Site (ZL,Zt� K�?ZLfPjp"f.�.t. 6 Y FOR STAFF USE ONLY Address / Street Address Permit No.: ) a-013 fs - ilD - U Location ` ( (60 to 6km ?r4-Gt (Ql c_ I Y Suite /Bldg. # City /State Zip Expiration Date: I GM-�p a. '1 2 3 Receipt # : �� Name Approved By S- " Property VIA l N e..44 -0.,,...t._ SKr0 G-6- Date: (a-I 3 /Dk Owner Mailing Address Suite M /1L# : / 5/ 3 iv 08 ' D>-loD 1 11 lo0G a.) P9Lt -ic. Zoning: C Guy/State Zip Phone 11 es 140-1) OtL %.Z. 3 5 - z AS I % Electrical Pernut Required? ❑ Yes ❑ No Tenant or Name Business ?If_ �� ,� Building Permit Required? ❑ Yes ❑ No + ni Name Rev. 7/1/07 is CI \curpin \masters \land use applications \sign permit app.doc Sign 6 ¢ "' l 4 ir. r.1 Cm 4- C 1 6 ( Contractor Mang Address Suite (Prior to permit Qo bo, 2 O i o F issuance, a 7 JO copy of all Gry /State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted required if pA.T1.- -4440 ) DA- el 1214- 25 (."` j3& without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) (ac, V I V 1 ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ® n tll oard an size requirement: 1 / " x 11 ", or 11" x 17" apply) A( iMG �,�oV`�2 ❑ Blloo i uirement: 8 q ❑ New sign? Cil Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: I I // (3 copies, if a building permit is required) 1 g k '`E' Ar size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): g ❑ $40.00 Fee (Permanent sign, any size) Si Sign Data Total Wall Area (sq. ft.) g 1. GO ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) Q S E W NE NW SE SW Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 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 building Will sign have illumination? Yes ❑ No permit. Type: rYLInternal ❑ External ♦ If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME ❑ Yes ❑ No NULL AND VOID. 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 day of , 20 Signa e of Owner /Agent Contact Person Name Phone No. PortlandMaps Detail Report Page 1 of 1 P o '. l ri I M! a ps New Search 1 Mapping 1 Advanced 1 Google Earth 1 Help l PortlandOnline 11606 SW PACIFIC HWY - TIGARD Explorer 1 Property 1 Maps 1 Crime 1 Census 1 Transportation Summary 1 Elevation 1 Garbage 1 Hazard 1 Natural Resources 1 Photo 1 Property 1 Water 1 Sewer 1 Tax Map 1 UGB 1 Watershed 1 Zip Code 1 Zoning Aerial Photo 2007 / '06 / '05 / '04 / '03 / '02 / '01 6" / 2' / 4' / 10' / 20' Streets: On / Off Lots: On / Off Dot: On / Off _ :i0o. , r ir r. 1 ' w , • ,, M ) s , . i. i 78 � ca c= T S cvAv 4 CS Ord Ai �! •• -.I 4 5 1 u � , a I I.* . li ‘ , i i i 1 r ,„_.* I; .., _ ,.. dip fp( 1164.4 Weir ..,...„...:, •L- ....., im - ,.:•,_.... • .41: -77 0 l 150 FT City of Portland, Corporate GIS 11/17/2008 THE GIS APPLICATIONS ACCESSED THROUGH THIS WEB SITE PROVIDE A VISUAL DISPLAY OF DATA FOR YOUR CONVENIENCE. EVERY REASONABLE EFFORT HAS BEEN MADE TO ASSURE THE ACCURACY OF THE MAPS AND ASSOCIATED DATA. THE CITY OF PORTLAND MAKES NO WARRANTY, REPRESENTATION OR GUARANTEE AS TO THE CONTENT, SEQUENCE, ACCURACY. TIMELINESS OR COMPLETENESS OF ANY OF THE DATA PROVIDED HEREIN. THE USER OF THESE APPLICATIONS SHOULD NOT RELY ON THE DATA PROVIDED HEREIN FOR ANY REASON. THE CITY OF PORTLAND EXPLICITLY DISCLAIMS ANY REPRESENTATIONS AND WARRANTIES, INCLUDING, WITHOUT LIMITATION. THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE CITY OF PORTLAND SHALL ASSUME NO LIABILITY FOR ANY ERRORS, OMISSIONS, OR INACCURACIES IN THE INFORMATION PROVIDED REGARDLESS OF HOW CAUSED. THE CITY OF PORTLAND SHALL ASSUME NO LIABILITY FOR ANY DECISIONS MADE OR ACTIONS TAKEN OR NOT TAKEN BY THE USER OF THE APPLICATIONS IN RELIANCE UPON ANY INFORMATION OR DATA FURNISHED HEREUNDER. FOR UPDATED INFORMATION ABOUT THE MAP DATA ON PORTLANDMAPS PLEASE REFER TO cur ti ME TADATA. FOR QUESTIONS ABOUT ASSESSMENT INFORMATION PLEASE CONTACT THE COUNTY ASSESSORS OFFICE IN YOUR COUNTY. Address 1 Mapping 1 Advanced 1 Google Earth 1 Help 1 About PortlandMaps © 2008 City of Portland, Oregon http:// www.portlandmaps.com/detail.cfm? action = Photo &propertyid= W263574 &state_id... 11/17/2008 ga ■' .. t', 8 a r C31 1 cony 1 I i . r , l i r, L PAINTER C �r 14110111.11.1.1121111116,-- AMMO. 7 - . .._ - : ' . . .. . , ... ,, ...,. , 2., iernie ....-..._ ., „. ,.., �,, fir � / / 1 CV k ` _ ®NATIIRA�, FURNITURE A 11TURAI URNI1URE Q ., ° mod. ._ ...... . •M.a f t �'� .f I 1 1 .. _, Jw ul�l _ . I CITY OF TIGARD 12/3/2008 � 1312; Shy Ball BI 1. 10:38:04AM "Tigard. OR 97223 503.639.9171 TIGARD! • Receipt #: 27200800000000004008 Date: 12/03/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2008 -00229 [SIGN] Sign Permit 100 - 0000 - 437000 35.00 SGN2008 -00229 [LRPFI LR Planning Surcharge 100- 0000- 438050 5.00 SGN2008 -00230 [SIGN] Sign Permit 100 -0000- 437000 35.00 SGN2008 -00230 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $80.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check GRAPHIC ILLUMINATED ST 54392 In Person 80.00 AWNING Payment "Total: S80.00 - eRcceipt.rpt Page 1 of 1