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SGN2006-00011 C ITY OF TI G A R D SIGN PERMIT PERMIT #: SGN2006 -00011 T�jl DEVELOPMENT SERVICES DATE ISSUED: 1/9/2006 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 10 D C -0230 0 BUSINESS NAME: BULL MOUNTAIN ORTHODONTICS ZONE: C -G SIGN LOCATION: 11545 SW DURHAM RD B - JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 8' X 2' TOTAL SIGN AREA: 16 sq. ft. WALL AREA: 420 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 12 ft. PROJECTION FROM WALL: 12 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of 16 sq. ft. permanent wall sign MATERIALS: ALUM,LEXAN, 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. I PA , APPROVED BY: /L (x_d PERMITTEE SIGNATURE: SW/I DATE: 1/9/2006 , '1. `ir SIGN PERMIT APPLICATION , l 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 iNi A Mavfta I l/ OrMo6loriirs Address / Street Address Permit No.: 1V t g'-61(a - DO/ / Location 11545 Durham Rd Suite /Bldg. # City /State Z; Expiration Date: B 77 j a ) O 22LJ Receipt #: Name 1 L �- r (_J e s Approved By: Property Wood-a [ .1/I Y ko Date: I � 4 /f 1 �� Mailing Address Suite Owner s Map/TL #: ,�Slt U i"::- Zoning: City /State Zip Phone • ( 3)3 - `173 Tenant or Name Electrical Permit Required? Er Li No Business �l� U MnU yi tt i vi t'�r-N,0dOri S Building Permit Required? El Yes 1:2 Name Rev. 7/1/05 is \curpin\masters\revised \sign permit app.doc Sign Sig YICFf' ieci -17 i A i.,(, Contractor M '' s Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit �© �� x 2 4 issuance, a (p (Note: applications will not be accepted copy of all _ /State Zip Phone without the required submittal elements) licenses are required ( „ f Oa g7Z2 ,5 7 q I required if if ird expired in the Ore on Const. Cont. Board Exp. Date L -7 0 [(Completed Application Form City of Tigard's License # ��� Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed 52<ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary HAV ❑ Electronic (Check all that ❑ Other Billboard ❑ Balloon El 2 copies of elevations, drawn to scale apply) lEr New sign? (3 copies, if a building permit is required) g ❑ Alter to existing sign? ize requirement: 8 x 11", to 24" x 36" Sign Dimensions: t ; W X $38.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ( (p ❑ $18.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) ❑ City 1:1 Urb g �2 Jurisdiction: (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S W NE NW SE SW Height to op of sign (feet): (2-i ♦ Wall signs do not need to be drawn to scale, Projection From Wall (inches): 7 11 but must include dimensions of wall face and Copy: Pull 4Vl0uvrtt(jyi 0► f�►odon� -i5j- sign placement. ♦ Wall signs do not require site /plot plans. Materials :,4(IAlntinUyumito a paoyP Pn ' ♦ Freestanding signs over 6 ft. required a Will sign have illumination? [L/Yes ❑ building permit. No ♦ If work authorized under a sign permit has not _ Type: [Knternal ❑ 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 No If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. • I hereby acknowledge that 1 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 G- day of ,/frivi , 20 Signature of Owner /Agent 673 , 1 99 . ? ontact Persr Name Phone No. I BULL S Face Illuminated Wall Sign ORTHO DONTICS ' 8 - 11545 5W Durham Road J Suite B -6 Tigard, OR Owner. Dr. Bryce Willcox DMD Dec. 29, 2005 ....... BULL e CLIENTAPPR • VAL MOUNTAIN N ORTHODONTICS BRYCE WILLCOX, DMD MS PC • Please Initia - • Please date. All extruded aluminum cabinet, painted to match #034 Orange, with white high impact Lexan Folycarbonate face with first surface translucent vinyl, colors Oracal #065 Cobalt Blue, #034 Orange and #070 Black. Internal illumination from 500 ma fluorescent lam Typical la bolt installation. These plans are exclusive property of lamps. yp g SignCraft Electrical Advertising, rtising, LLC. and the result I of the original work of its employees. They are submitted to your company for the sole purpose of your consideration Sign an 16 Sa. Ft of whether to purchase these plans or to purchase from SignCraft Electrical Advertising LLC. a sign manufactured Business frontage: 35x12' D' = 420 Sc. Ft. according to these plans. Distribution or exhibition of these Sig area allowed: 63 5 Ft. plans to anyone other than employees of your company, or use g �' of these plans to construct a similar sign is expressly forbidden. Height from grade: 10' -0" In the event exhibition occurs, SignCraft Electrical Advertising LLC. expects to be reimbursed $500.00 for time and effort in creatrng Sign Depth : 9" these plans. M CNI cr, CT CITY OF TIGARD _ ..._.... [ / _ ° �,__ __ i -moll Approved -•----- '------- '-- ' .. .. ........... _ 73 o M Conditionally Approved ... ••--- • 4 JJ - •- ---- -- 1 1 * .= ,, ° scn u ��� W For only the work �Qg ,,. $ � . , M PERMIT NO. — lulu o�c�� M 1 J Q • J `��, F S ee Letter to: Follow..... ..... •......- - • -• -- «<, [ A° J • o Cj - –. " E °` c 04 4Z Attar J ib Addrss l a (p CA ~ c a; �; 4:._Dat9: -- 7— W Sy: I West Elevation en . en a. 0 1 S Face Illuminated Wall S� n g ORTHODONTICS 11545 5W Durham Road 5uite 8 -0 Tigard, OR Owner: Dr BryceWllco DMD h 7. Dec. 29, 2005 r s » -r» - -._ - _ z^= _ .: --- CLIENTAPPROVAL yrr0 O ...... rarrrrrrrr.►. Ham ■ . , 0/ .- ss r Please initial: rf✓s ,,re., ORTHODONTIST - 1 date ae,<, ry __ _ .._.. _.__. _._ - These plans are the exclusive property of SignCraft Electrical Advertising, LLC. and the result C'1 _ 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 plans or to purchase from -- ' SignCraft Electrical Advertising LLC. a sign manufactured � according to these plans. Distribution or exhibition of these t � d 0@ � plans to anyone other than employees of your company, or use - of these plans to construct a similar sign is expressly forbidden. 1 '- ,- 41 In the event exhibition scars, SigriCratt Electrical Advertising LLC. �// / " ' S f, q . e \ j expects to be reimbursed $5110.00 for time and effort in creating - . 1 j t Ir', 9i i J 6 , these plans. • • P v N ' ON dam' - ate w � O U mu") U V • J l n � get West Elevation . 9 � 'w H W 4a M 7" nu ' C M G O 4) in M1" o °" CITY OF TIGARD 1/9/2006 13125 SW Hall Blvd. 1:15:33PM viii Tigard, Oregon 97223 AA- 6 1i1 (503) 639 -4171 Receipt #: 27200600000000000106 Date: 01/09/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00011 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 SGN2006 -00011 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2006 -00012 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 SGN2006 -00012 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 ELC2006 -00011 [ELPRMT] ELC Permit 220 - 0000 - 431510 267.00 ELC2006 -00011 [TAX] 8% State Surcharge 100 - 0000 - 207020 21.36 Line Item Total: $364.36 Payments: Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid Check SIGNCRAFT ELECTRICAL DER 3385 In Person 364.36 ADVERTISING LLC Payment Total: $364.36 • cReceipt.rpt Page 1 of 1