SGN2008-00042 ".r
IM ! CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00042
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/20/2008 PARCEL: 2S115BA - 02500
BUSINESS NAME: 123 FIT ZONE: C -
SIGN LOCATION: 16200 SW PACIFIC HWY U JURISDICTION: TIG
APPLICANT /AGENT: 123 FIT
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X3'
TOTAL SIGN AREA: 0 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) temporary 2'x3' A -frame sign. Sign must be placed on private
property and not in the public right of way. Valid 2/25/08- 3/27/08. Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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 ign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY: i
PERMITTEE SIGNATURE: 1C'
�' ➢� i Yau
DATE: 2/20/2008
i
916 mow- iii SIGN PERMIT APPLICATION
A.
�. 4 " L �' q t? City of Tigard Permit Center 13125 SIV! -(all Blvd. Tigard OR 97223
' _ Phone: 503.639.4171 Fax: 503.598.1960
iitANINtAV
GENERAL INFORMATION
Name of Development /Project
J �� FOR STAFF USE ONLY
Site I a YL+ S a+-e...) (�
St Address ' S �g -'--' 1 C-
Address Permit No.: _
Location 1(0 S W t 6 C. ,2 f j�, ' — - ( ?
Expiration Date: l/ 1
Suite /Bldg. # 0 City /State I, Zip
5u.1 0 Zi `t -722-( Receipt #:
Name .3 0(y in By: W
Property �a (v i(Q C in Dare: a( /0
Owner Mailing Address Suite Map /TL #:
i %() SW G- yie LA , Zoning: Cq
Cie' /State Zip Phone
Yi ga al oP q - 12z 9 � i3 C�
` 1 Electrical Permit Required? ❑ Yes No
Tenant or Name
Business 12 1 4 Building Permit Required? ❑ Ycs No
Name �� Rev. 7/1 /07
n:A cumin Amasters \land use applications \sins permit app.duc
Sign
Contractor Flailing Address Suite
(Prior to permit
issuance, a
copy of an City /State Zip Pht,ne REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
fC1 if without the required submittal elements)
expired in the Oregon Const. Cont. Board I..icense ? lisp. Date
City iik "figarl's
database) ❑ Completed Application Form
Proposed ❑ permanent ❑ I :rccstanding ❑ 14eewav . ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
Sign ❑ lbmporar ❑ Wall ❑ I3lectronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ B�,a
illbd El loon Bal
apple) size requirement: 81/2" x 11", or I I" x 17"
❑ New sign? ❑ .Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: / (3 copies, if a building permit is required)
0 size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.):
❑ 840.00 Fee (Permanent sign, any size)
Total Wall Area (sq. fr.)
Sign Data ❑ $19.00 Fee (Temporary sign, any type)
(Ciimplete all Direction \\/all Faces (circle one):
items in Ibis NOTES:
secdt,,,) N S E W NE N w S1 S \V
Height to top of sign (feet): 3 ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy: placement.
♦ 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: ❑ Internal ❑ External ♦ If work authorized under a sign permit bas 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 climensions 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.
DA 1 h this ,2 0 day of F- b (UCi , 20 0
• '3
Sig azure of Owner /Age t
Uor\a Ma Ci a cAr\a . S U3 - 3 "3(*U - 3Z(c2
Contact Person Name Phone No.
AGAR!)
iiIE work as described in:
ERM O. #J -L4 a'
See to: Follow
Attach
Adwess: 2-
. / • . 7(?--..,/c3„.4)
.T C ITY OF TIGARD
2/20/2008
14 m 1312 SW Hall BIN d. 12:5 l :04PM
r 145,rrK:; I'igard, OR 97223 503.639.4171
pT IGARSD'
t
Receipt #: 27200800000000000549
Date: 02/20/2008
Line Items:
Case No `I'ran Code Description Revenue Account No Amou Paid
SGN2008 -00042 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2008 -00042 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. 1 - low Received Amount Paid
Check MC2 PROJECT LLC KJP 1 128 In Person 19.00
Payment Total: $19.00
cRecci t.rlx Pagc 1 cif I