SGN2006-10007 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006-10007
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/2/2006
PARCEL: 1 S135AA -01901
BUSINESS NAME: 20/20 EYECARE ZONE: C -
SIGN LOCATION: 10225 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 17' X 4'
TOTAL SIGN AREA: 68 sq. ft.
WALL AREA: 704 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 16 ft.
PROJECTION FROM WALL: 14 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent Wall Sign 17' X 4'
MATERIALS: AL /PLEX /NEON
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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: �� /1 4 �' � ,
PERMITTEE SIGNATURE:
DATE: 3/2/2006
A lb
441I ; 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 c �
Address/ Street d 2 d dress Permit No.: S6/ Flo - ( CYO() 7
• Location 10225 SIN Hall 8/vd
Expiration Date:
Suite /Bldg. # City /State Zip
T Gard 1 Ok £17223 Receipt #:
Name Approved By: ,- _ CA-•T
Property Or Wayne Geri Date: 3 4 ,1 /0 4 .
Owner Mailing Addres quite Map /TL #: / 354 b / 90 (
10225 SW &211 &Vd Zoning: ) L a2
City /State Zip Phone
71ard DA97223 £ 3•Vlif.100q
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business 20/2 )/ecar Building Permit Required? ❑ Yes ❑ No
Name Ad v.
1/3/05 i:\curpinlmasterslrevised\sign permit app.doc
Sign SignCra& Electrical Ad
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to ssuance permit a &1 X 2363to (Note: applications will not be accepted
i ,
copy of all City /State Zip Phone without the required submittal elements)
licenses are 11� ar d OR. 8 7223 &0 3. 1, 39.'f9/D
required if J ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # 155 54,24 q . Q 7 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign J Temporary Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 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", t� 24" x 36"
Sign Dimensions: /7 x
❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 6 8 ❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 704 Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N Q E W NE NW SE SW
Height to top of sign (feet): /a' o Wall signs do not need to be drawn to scale,
Projection From Wall (inches): f', " but must include. dimensions of wall face and ,
sign placement.
Copy: 2o/io EyeCare. Wayne 6erig, 0D P RssoG s Wall signs do not require site /plot plans.
Materials: Numinim Alex neon f- Vinyl o Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ✓I building permit.
No o 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 Ut No --
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. _ __ ___ _ _ _ __^
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 0UI/ day of , 20 ,{D
..()
ii
Signature fe owner /Agent .
Sholly Ca,k -,3 - 3 9.1 `0
Contact Persod Name Phone No.
e
I.
20 /20 _ . _ _ ... -
No rth E Elevation
W ° ° � ` ���
10225 5W Hall Blvd.
1 t .'• '¢` " �✓ Tigard, Or
"' • �� w ' 4 Contact: Dr. Wayne Gehrig
' ' eAe ` .. . . Y s ,. ; 503-244-1004
� , Febrvrary 23, 2006
"' CLIENTAPPROVAL l i t
la Y), !I"'; A .; " ' '...3, ' 4,, , i• t,..i..44,•,...,.....• , ..... .
■�`� y ._ ....4 i r 7 _ I.. - .. Please initial'
`k 'Si ♦ Wayne G++o. OD. and A..oc ..
_ _ `.3'. Please date:
all i l l': wit
: . ip
- _ These plans are the exclusive of
1 't !_ i original al Electrical
mrk of Advertising, LLC. and the result
1 z . - `,��Y_ - of the employees They are submitted
----1 _ -
� r- f ,.... r r•rr� Je► you company purpose of your consderabon
__ __ -
se from
...... . - i , r _ - - S onCr El Add - ng a sign nufactured
_ - _ _ ac
according to these plans. D istribution or exhibition of these ■ _ - ::..� . R _ ` ^, t - • �: _ _ •. - - , —_ ... plans to anyone other than employees of your company, or use
" -" - - - �_ of these plans to construct a similar sign us expressly forbidden.
=•�'`_ In the event exhibition occurs, SignCratt Electrical Advertising LLC.
expects to be reimbursed $500.00 for time and effort in creating
__ these plans.
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Approved co.) < ' ' o b.
Co Approved - [ ° - . ON c c n
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Wall size: 704 S . Ft. [ gg
cn
R ` or only the work as described in: Z o G o,
Sign Size: 68Sq. Ft. (9.6% of allowed sq. footage) ,- FRMIT NO. `:4,i.,) D4704, W M—
Height from grade: 13Z :' Letter to: Follow [ j W m o
s.0 CO
E
Sign Depth: 14" Attach �� [ 1 an
.1,-) b .Address: (Oa -as S& 4-14 M
a
i .
Channel Letters and Module Illuminated Wall Sian Sato
Wayne Getlg, O.D. one AMC.
10225 5W Hall Blvd.
]3' -O" •
Tigard, Or
Contact: Or. Wayne Gehrig
` 503 -244 -1004 1 W i i E C L 1,
� Februrary 23, 2006
v i i �
_t
(Wayne Gerig, O.De and Assoc. CLIENTAPPROVAL
4 — — _ _.3' -11 e ► 117 -10" ■•
Channel Letters: 20" x 5" aluminum white channel letters with red plex
faces and 1" white Jewelite trim. Internal illumination from 30ma red double
tube neon. Letters mounted on raceway, painted to match building facia. Ptease dale: -
Module: All aluminum 5" module, painted black with white face and black 1"
Jewelite trim, Translucent vinyl graphics for copy in Oracal #030 Park /Zed.
Internal illumination from 30ma white neon grid.
20/20 Module: All aluminum 5" module, painted black with white plex face and SgnCreft E iwl th e recurs; epr andthe of result
black 1" Jewelite trim. Translucent vinyl ra hics in Oracal # #031 Red. Internal of the original work of its employees. They are submitted
illumination from 30ma white neon grid. g p toroar�nanYurcas these purpose ayourrAnai
of whether to purchase these plans or to purchase from
SignCraft Electrical Advertising LLC. a sign manufactured I
Typical lag bolt installation . according to these plans. Distribution or exhibition of these I
plans to anyone other than employees of your company, or use
of these plans to construct a similar sign is expressly forbidden. l
s .; y. In the event exhibition occurs, Signe-raft Electrical Advertising LLC.
y "; -•• . P , expects to be reimbursed 7;500.00 for time and effort in creating
,
these plans.
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North Elevation MEr) .
CITY OF TIGARD 3/31/2006
' " 13125 SW Hall Blvd. 3:10:36PM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000001044
Date: 03/31/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -10007 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -10007 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. H ow Received Amount Paid
Check SIGNCRAFT ELECTRICAL ST /DLH 3543 In Person 38.00
Payment Total: $38.00
"cReceipt.gx Page 1 of 1