SGN2008-00079 i
A"! C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00079
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/2/2008
PARCEL: 2S 115BA - 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' X 3'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (A- Frame) 2' X 3' Must be placed on private
property, not in public right of way. Must meet visual clearance requirements.
Vallid 5/5/08 - 6/5/08 Sign #2
MATERIALS: PLASTIC
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 sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: 'b ' •
PERMITTEE SIGNATURE:
L.' IA/ c'
DATE: 5/2/2008
r
N SIGN PERMIT APPLICATION
City (f Ti nd Perr it Center 13125 SW Hall Blzd, Ti OR 97223 #7i, .. - ,
More 503.639.4171 Fax: 503.598.1960 ' ' Fl A op
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site t v-'J fi4 c,2 fi 1"-C---- _ Address/ street Address Permit No.: ,, a fr— " 07 1
Location I ( CI..0 C.'fl,c 444.1 Expiration Date:
Suite/Bldg. # Gry/Statt �/ Zip r 14 g /
U l 1 G rr[ Cr7 Z 7 Receipt #: 6 'f
Name Approved By. S l 4 1
Property Lefiu CIAA f Date: ./a"/ uir!
Owner Mpg Address Suite M } : •-S 1/ 561c1 (7V ( DV
« J 0 -SW GrorciV icto Zn , Zoning: t- CP
Gty /State Zip Phone
-- tiac ( , / 'l RlaZ`{ 503-3"Y)-7210 Electrical Permit Required? ❑ Yes ErNo
Tenant or Name t r
Business 11 f}1`4 Building Permit Required? ❑ Yes EAo
Name Rev. 7/1/07
is \curpin \masters \laud use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance,
copy of all yofall Qty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
c
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed El Permanent t 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 ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 " x 11", or 11" x 17"
app1) �l
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 2 x r t (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
ff. ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft ❑ $19.00 Fee (Temporary sign, any type)
(Comply all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): 3 t • 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.
Materials. vl�t�.� • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign ha4e illumination? ❑ Yes cello permit.
Type: ❑ Intemal ❑ 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 E" No NULL AND VOID. '
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
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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 b
/ « 1 ,
Signatur- of Owner /Agent
Le Act Chan.
Contact Person Name Phone No.
L Z9
i t 30
Ok
CITY OF TIGARD 5/2/2008
13125 SW Hall Blvd. 1 2:48:161 M
Tigard. OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000001486
Date: 05/02/2008
Line Items:
Case No "Iran Code Description Revenue Account No Anmt Paid
SGN200S - 00079 [SIGN] Temp Sign Perm 100 0000 437000 17.00
SGN2008 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: 519.00
Payments:
Method Payer User ID Acct. /ChecI. No. Approval No. liow Received Amount Paid
Check MC2 PROJECT LLC ST 1 135 In Person 19.00
Payment Total: 519.00
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