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SGN2002-00243 CITY OF TIGARD SIGN PERMIT Via' DEVELOPMENT SERVICES PERMIT #: SGN2002 - 00243 A � 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/8/2002 EXPIRATION DATE: BUSINESS NAME: JAZZERCISE PARCEL: 1 S135BC 00900 SIGN LOCATION: 10855 SW CASCADE AVE APPLICANT /AGENT: ZONE: BUSINESS TAX NO: JURISDICTION: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2'X10' TOTAL SIGN AREA: 20 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): NW SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one 20 sq ft banner. Valid 11/8/02 - 12/8/02. Sign #1 MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 d s from valid_it date. APPROVED BY: PERMITTEE SIGNATURE: 6-14 DATE: 11/8/2002 I IIPP Ar:liz\ 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 - 02-2 - rilS Address/ Street Address Permit No.: 5 -) 2._ - CAI Z `f Location I0' - ) c am <‘ u O C a s c o k Pk) Expiration Date: // - ? ,0 Z. c l i j t " " ` I L I x /o7 Suite /Bldg. # City /State Zip 2 Pt d 11i, gi2.23 Receipt #: o '' 2 - 7o Name 1 �'°' > Approved By: Property ,aLd$O h C (Lb Date: ///9/0 Owner Mailing Address Suite Map /TL #: /$ / 3 5 -- no 5'o0 ILA ` J C Cash 6 - Zoning: r City/State Zip Phone ( lOt 97i13 SO3_.670" C r ( _ Electrical Permit Required? ❑ Yes ,- No Tenant or Nam Building Permit Required? ❑ Yes No Business g q Name Rev. 01 -Jul -02 hcurpin \masters \revised \sign permit app.doc Ma iling Address Suite Sign Contractor 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 1 p, Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # a 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed [ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17' Sign Temporary ❑ Wall ❑ Electronic (Check all that Other ❑ Billboard ❑ Balloon I El 2 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: i X i 0 1 ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 20 sii, ft 21 $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) (Complete all Direction Wall Faces (circle one): NOTES: items in this section) NS E W NE SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): but must include dimensions of wall face and Projection From Wall (inches): 0 sign placement. Copy: See Q"itaCILtto, • Wall signs do not require site /plot plans. Materials: y in q ( • Freestanding signs over 6 ft. required a building permit. Will sign have Illumination? ❑ Yes 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 4 No If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) li r 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 S day of WV-abr v 6V , b r , 2012,1_ — Ail Signaiiu e of Owner /Agent Rir i �V1 503 - a9 I Contact Person Name Phone No. 1 C YID „ �� I\Neelc- �we� k, Q � � O3r( 1o'7 l0' T p t_-1 To F o L � j3u��i�iNCl 6 /+' �, r n C- TV OF T IAA p 9c] ;. _ I ? r '• the wor as sescrit e iV1iT - + it 7.r 2_2 ! et.:a to Follow_.. l h /o ' -... _.. 1.,111 yr 1 1lTt%i V 13125 SW Ha11 Blvd. 11:35:14AM Tigard, Oregon 97223 _l� (503) 639 -4171 Receipt #: 27200200000000004270 Date: 11 /08/2002 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2002 -00243 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Cash JAZZERCISE KJP In Person 20.00 Change CITY OF TIGARD KJP In Person (5.00) Payment Total: $15.00 Page 1 of 1 cReceipt.rpt