SGN2008-00115 111 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00115
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/2/2008
PARCEL: 1 S 126DC -04900
BUSINESS NAME: TIGARD ORTHOPEDIC & FRACTURE CLINIC ZONE: C -P
SIGN LOCATION: 09445 SW LOCUST ST JURISDICTION: TIG
APPLICANT /AGENT: TIGARD ORTHOPEDIC & FRACTURE CLINIC
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 22" X 108"
TOTAL SIGN AREA: 23 sq. ft.
WALL AREA: 937 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 9 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION:
DESCRIPTION OF SIGN: Installation of one (1) permanent wall sign 22" X 108"
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: � ,' 4,1,4
DATE: 6/2/2008
SIGN PERMIT APPLICATION.
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:`'p City o f "l igard Permit Center 13125 SUS Hall Blvd, "Tigard, OR 97223 ' ' >'
.- , yG Phone: 503.639.4171 Fax 503.598.1960
f�
: -. <, 2008
GENERAL INFORMATION
Name of Development /Project )p�
n �/ FOR STAFF USE ONLY
Site / !1 j,0 nn 1 Ce l C.y�� -��
Address/ Street Address � Permit No.: SO U a aU g" CV l fs
Location 9 360 LC C.6(S L O cS i
Suit . # Ciro. /State Zip Expiration Date:
�� 7 77c Receipt #: ol." ? �I ks 7
Name ` Approved By: 3 , - 2.��
Property Ent-) LC� Date: Cote—log
Owner Mailing Address �z Suite � l�la Tl_ #: / " -•
EC) ,I (23 3 , 7 ■ � Zoning: mac 1
City /State Zip Phone
775c.r -el 0 - el 7 e / 5113 `35 2 /<3/3 Electrical Permit Required? ❑ Yes [ No
. Tenant or Name 1
Business r5n ��! �A f}ed,C, V fj2et2. ti Building Permit Required? ❑ Yes 12 No
Na Ctlhic.„ Rev. 7 /1/07
C A is \curpin \ masters \land use applications \sign permit app.doc
Sign T / (�(.54,94___
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Contractor Mailing Address June ._.:_..:.
(Prior to permit • ,
issuance, py of City - t are Zip C / _ REQUIRED SUBMITTAL ELEMENTS
co of all t Zip i Phone
licenses are (Note: applications will not be accepted
required if T (2_ 9 7 i — 0, - a`/�"' �3 without the required submittal elements)
expired in the 0 . on Co Board License # Exp. Dare
City of Tigard`.s
database) 11.-. 71. ❑ Completed Application Form
Proposed Permanent ❑ F eesranding 0 Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ff Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard Balloon t '
appl El _ ❑ ❑ size requirement: 8 /2 ' x 11 ", or 11" x 17"
yew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: ti' ft >t (3 copies, if a building permit is required)
{ V II x 102" A/ size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.):
43.33 �tL ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data 61 l 3 , 5-0
❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall R es (circle one):
items in this NOTES:
section) NS • W E NW SE SW
1- Height to top of sign (feet): • Wall signs do not need to be drawn. to scale, but
Projection From Wall (inches): j ii must include dimensions of wall face and sign
placement.
Copy:
• Wall signs do not require site /plot plans:
Materials: 19 1 a6),' • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ ' s o permit.
Type: ❑ Internal 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 o 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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1 1 J. S L otik./ 4.;.•4 I' t
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J hereby acknowledge that I have read this application, that the information given ia c.orrect, that 1 an
the owner (it. authorized agent of dze owner, and . that plans submirted are in compliance with the City
of Tigard.
• DATED this ( 5- day of " , 20 S
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COrittet PertOrill'arne Phone No.
•
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TIGARD ORTHOPEDIC J \\,
& FRACTURE CLINIC 9 /
22 "h x 108 "w ext. dimensional lettering
22 "h x 22 "w logo; 5.5° cap height lettering
(saved at 1/10 scale)
overall space available: 24 "h x 120 "w
MI II
.� CITY OF TIGARD IGAR :3 6/2/2008
1 2OPM
13125 SW Hall Blvd.
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000001857
Date: 06/02/2008
Line Items:
Case No Trail Code Description Revenue Account No Amount Paid
SGN200S - 001 1 5 [SIGN] Sign Permit 100 -0000 - 437000 35.00
SGN200S - 001 15 [LRI'F] LA Planning Surcharge 100 0000 - 43800 5.00
Line Item Total: $40.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard MARY T 13RENNOCK ST 441827 In Person 40.00
Payment Total: $40.00
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