SGN2006-00009 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00009
DATE ISSUED: 1/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB -01006
BUSINESS NAME: LINCOLN HEALTH ZONE: C -
SIGN LOCATION: 10500 SW GREENBURG RD 200 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X24'
TOTAL SIGN AREA: 48 sq. ft.
WALL AREA: 1,200 sq. ft.
WALL FACE (DIRECTION): SW
SIGN HEIGHT: 11 ft.
PROJECTION FROM WALL: 12 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 48 sq. ft. permanent wall sign.
MATERIALS: ALUM /PLASTIC
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:
PERMITTEE SIGNATURE: (t
DATE: 1/9/2006
•
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L J. 1 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 I-hu el_ty / - 4 E ► t.-r1-t a <
Address/ Street Address Permit No.: 5(._ ft) 2-Y05- 0 00 0 9
Location tb500 ill 6- i2EEAJ7 u leG— Expiration Date:
Suite/Bldg. # City/State Zip
206 X16 — D 9 2.23 Receipt #: 2- no ( - 0 Df .D3
Name Approved By: /c.
U t 1 0 Fit C Date: *d 1-. 7 . .
Property
Owner Mailing Address Suite Map/TL #:
1 cS' tit) Cow knot /1 a 00 Zoning: (tit t,,( ' (
City /State Zip Phone 603
FbIQTLA/Lp `712S6 4I I • 18 O0 Electrical Permit Required? E -Ives ❑ No
Tenant or Name
Business L/ c.../.$ H EN � Ce7UT��� Building Permit Required? ❑Yes [ t�'�lo
Name Rev. 30-Jul-01 i:\curpinlmasterslrevised\sign permit app.doc
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Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit ''7 80O &LA- a p 0 (Note: applications will not be accepted
issuance, a Dt,0 t•-f t4-1 /2( a
copy of all City/State Zip Phone S O 3 without the required submittal elements)
re euiredare 7I D 0p\ eo S!o S
required if G ! � Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # # 3 0q. / 0 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 81/2" x 11 °, or 11" x 17"
Proposed Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary wall ❑ Electronic 2 copies of elevations, drawn to scale
(Check all that ❑ Other El Billboard ❑ Ba (3 copies, if a building permit is required)
apply) size requirement 8 x 11", to 24° x 36°
R sign? ❑ Alter to existing sign? ❑ $50708 Fee (Permanent sign, any size)
Sign Dimensions:
eg..� ,c 4 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 48 .rte NOTES:
Total. Wall Area (sgft.) 1 a00 • Wall signs do not need to be drawn to scale,
Sign Data
at) , , ,,, ,,. (0 0, _ •
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement. .
items in this
section) N S E W NE NW SE SW , • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): / /' building permit. .
Projection From Wall (inches): 1 a" • If work authorized under a sign permit has not
Copy: L/ JCCOL J 1--j c_T t been completed within ninety (90) days after
Materials: p the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? M Yes ❑ No
Type: [ Internal External
Are there any existing freestanding or wall signs at this i Not all jurisdictions accept credit cards, please call jurisdiction for more information.
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
Credit card number I I
❑ Yes TA No Expires
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. - $
•ASS•rr. ,./•••• "./..•. w r• •rtre.1
■ Cardholder signature Amount
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 0
Signature of (lamer-Agent
tiu�c2, 5 6 3 3 5 62
Contact Person Name Phone No.
1
CITY OF TIGARIa
Approved [
Conditionally Approved
For only the wojiJccas descrjbed in:
PERMIT NO. 1 (0 - v•ooi
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Suite 200, 10500 SW Greenburg Rd. This South Wall faces Oak St. ,, \ ilk , 1011111‘1%
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1 . 1 rlr ` Creating Maximum Impact
For Business Identities
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I. Date _.... ,7 - 48... 11k A 41 ' il
11128!05
Ref *` R 'rt/ MI M , , s Client:
Lincoln Health
1' r Center
NIEri _ f �I • h' i�
+4_ Contact:
E}
114,7-1 _ i. Jeff Tunick
' ,! ' K 'i,` = . i _ Mario Tomainodc
Please initial & date
.• � Colors:
24" and 22" Channel Letters on a 8" raceway painted duranodic. 2" returns painted duranodic Spelling:
Milky white faces with white trim cap. Non electric logo icon on a duranodic background. Da
Dated :cs:
ted:
24" 0 � ® 1 ilit-ii ,
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 for the sole purpose of your consideration of whether to purchase these
pions or to purchase from Classic Sign Systems a sign manufactured according to these pions, Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to construct a
similar sign is expressly forbidden. In the event exhibition occurs, Classic Sign Systems expects to be reimbursed $500 for time and effort in creating these plans. Scale: 0" = 1'0" \