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SGN2005-00151 CITY OF TIGARD SIGN PERMIT s.l DEVELOPMENT SERVICES PERMIT #: SGN2005 -00151 R ' I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/24/2005 PARCEL: 2S1 12 DA -00700 BUSINESS NAME: BALLYS TOTAL FITNESS ZONE: I -P SIGN LOCATION: 15353 SW SEQUOIA PKWY JURISDICTION: TIG APPLICANT /AGENT: CLASSIC SIGN SYSTEMS BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 42" X 54" TOTAL SIGN AREA: 32 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 5 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: P MATERIALS: METAL/VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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. j� APPROVED BY: �' /p �� D � . �Gtt� PERMITTEE SIGNATURE: DATE: 5/24/2005 } • 01 l� l ` SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., hgard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site .11LL - 7 - 67 L. r1-7-NESS Address/ Street Address Permit No.: 5 CAN a 00 S - co ( 5 Location / 5 3 5 3 zyv 5.601,40/ A P'K W v Expiration Date: Suite/Bldg. # City/State Zip Receipt #: U0 2 3 TIG -aai2D �7 224 Name Approved By: C Date: 5 - .2q 'V S Property 1 . % /Q. L_ c.T' - 00 Owner MaUin Address Suite Map/TL#: S I 0_1)/1 c.s eQ u v, A- / vu / 000 Zoning: City/State Zip Phone . 'O Po R 1 1 r J O ( 37 "224 &7)4-6,360 Electrical Permit Required? ❑ Yes 0 No Tenant or Name ( Building Permit Required? ❑ Yes #1 No Business 43/4./ -4-,/ S ro 7-14 P 1 E_-SS Name Rev. 304u1-01 ticumbitmastersVevisedtsign permit app.doc Sign C l../i -SS i s Z (5 J Sir 5 i 5'5 Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit �W b1,021 62 00 (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City/State Zip Phone .r o licenses are required if 7 C-t' ,D 9 7224 (c 3 ci , 5G s Of Completed Application Form expired In the Oregon Const. Cont. Board Exp. Date City of Tigard's License # .7 7 c.9 3 • 4 lA 0 2 Copies of Site/Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) size requirement BVe x W, or 11" x 17° Proposed E Permanent ErFreestanding ❑ Freeway Sign ❑ Temporary 0 wail ❑ Electronic 0, 2 copies of elevations, drawn to scale (Check all that ❑other ❑ B�Iboan t ❑ Balloon (3 copies, if a building permit is required) appN) size requirement 81/2" x 11 ", to 24" x 36" E(New sign? ❑ Alter to existing sign? ❑ $5Q,00 Fee (Permanent sign, any size) Sign Dimensions: 1-q , , w x 54 it ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): NOTES: Total Wall Area (sq. ft.) o Wall signs do not need to be drawn to scale, Sign Data 1 A but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items In this o Wall signs do not require site /plot plans. section) E W NE NW SE SW o Freestanding signs over 6 ft. required a Height to top of sign (feet): 4 ' (o if building permit. Projection From Wall (inches): ,.1 / A e If work authorized under a sign permit has not Copy: laid t_r_.Y To t — t= r TN ESS been completed within ninety (90) days after Materials: j.,-, E st v Huy, the issuance of the permit, THE PERM!"f WILL BECOME NULL AND VOID. Will sign have illumination? ❑ Yes ) No Type: [J internal ❑ External Are there any existing f i wail signs at this Not ail jurisdictions accept credit cards, please call jurisdiction for more in O Visa a MasterCard location, including wall signs that overlap a tenant space? / / Credit card number n Yes ❑ No apses If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. $ • Cardholder signature Amount lnvFR FAR SIGNATURES) \ ` b r I hereby acknowledge that 1 have read this application, that the information given is correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard. ' DATED this a 4 day of L- Y'Th- , 20 () 3 L () , Signature of- :oar /Agent �u E 1j1, f2 ( 603‘ 6 Slam s Contact Person Name Phone No. C( - -5 S l L 6-v&1 L.SY,S - / s 1 I \ ._ PORTLAND 'CARMAN RD. " EXIT ; 291 0 0 0 ,\ _ice luiE 1- : a 5 ,: a ' II 0 0 0 0 E E M i I E 1 11III1UII111111U111II111 ,k,... 16 1 0 0 0 0 f iiiil 11 1 .•� �,�, .. ___ 0 0 0 0 . 0 ) !_. 0 0 D 11 i� ;OW' 18 F . .Il- ' ' 1 • S \ 1 111! i‘i -' ■; -10"""1- ------ 1.., _ 0 ,---Ii'°-"- 1-- 1_,-------------- ---- ----------aur O UITT J' - / / � ��„��, ` iP4))._ :,_ viirat E - i E.-- 4 VP:r\c----Iviipa's Tt r P g T -- i- = I T J I 1 es_ _ : 0 . \ V� 511[111111111111111111111i r--.--11L4 SW � � \\ SW 72ND AVENUE J LAI -1 m a \I SCALE 1" = 200' A PAIdThLIBT PIRCSPERTV Bally's Total Fitness 15353 SW Sequoia Parkway Scale: 3/32" = 1'0" NO CITY O TVGARRA, Approved ..pg-. ..... 0 . 0 . 5 L ..... .5.v. ............. . ix 1 Condilionay Approved ...................... _ ............. [ 1 For only the work as described in: PERMIT NO. G ...5—N- See Letter to: Follow ........................................... . [ ] Attach__ i Job Addrev: ‘-'21 < 56 I . . > _ - 30' Vision Clearance Triangle . Property Line • SW Sequoia Parkway 3 , 6 „ 10" I Creating Maximum Impact For Business Identities Date: 3/7/05 Revised 3/22/05 0.0T Client: u Bally's B 3'6" Total Fitness 4'8" FITNEss Contact: Steve Kelly 2 „ A 2" Wq �+ Z��; SFVF�4� 1 t , 4 ' GRADE f I , '+ � f'i ,. • I I ' , 1 n`► iS`t i i'� 9,1 s ' ,� I � � ► 1�' if i �l � Please initial & date Colors: Spelling: Graphics: 18" Dated: These plans are the exclusive property of Classic Sign Systems and The result of the original work of Its employees. They are submitted to your company fa the sae purpose of your consideration of whether to purchase ° these plans or to purchase from Classic Sign Systems a sign manufactured accading to These plans. DlsMbuticn a exhibition of these plans to anyone other than employees of your company, or use of these plans to v. .. Atpe'f 3 t construct a similar sign Is expressly forbidden. It event exhlbttlon occurs Classic Sign Systems wdl be reimbursed $500 for time and effort, Scale: 0" = 1'0" 2' gc. „ ` „ - : i - 4 , f j CITY OF TIGARD _ 13125 SW Hall Blvd. Tigard, Oregon 97223 . . f 61 -- (503) 639 -4171 Receipt #: 27200500000000002322 Date: 05/24/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00148 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 SGN2005 -00148 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2005 -00149 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 SGN2005 -00149 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2005 -00150 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 SGN2005 -00150 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 SGN2005 -00151 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00151 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $88.00 Payments: Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid Check CLASSIC DIMENSIONAL CAC 12566 In Person 88.00 GRAPHICS, INC Payment Total: $88.00 cReceipt.rpt Page 1 of 1