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SGN2004-00307 CITY OF TIGARD SIGN PERMIT 44 DEVELOPMENT SERVICES PERMIT #: SGN2004 -00307 -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/20/2004 PARCEL: 2S 104BB -07900 BUSINESS NAME: ALBERTSONS ZONE: C -C SIGN LOCATION: 14300 SW BARROWS RD JURISDICTION: TIG APPLICANT /AGENT: VANCOUVER SIGN CO BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 31' 5" X 7.5' TOTAL SIGN AREA: 209 sq. ft. WALL AREA: 5,400 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one permanent wall sign. (31' 5" x 7.5') MATERIALS: ALUM /PLASTIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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 APPROVED BY: f i PERMITTEE SIGNATURE: 411 4 DATE: 10/20/2004 .i SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297 GENERAL INFORMATION Name of Development/Project Site '1 t b k 111)k- FOR STAFF USE ONLY Address/ Street Address Permit No.: 56.1J .p.,00 0 030 7 Location 14 6D S._4 ��1c't tS `l Expiration Date: Suite /Bldg. # City /State Zip { � , l j 012 q1 ) 3 c Receipt #: 004 — 44.00a, Name 1 c 4 Approved By: C . C'a-i -✓iii Property at PAii- - - LYl f lv(an Date: /0 – .70 - o`f Owner Mailing Address ��� Suite Map/TL #: OS 10 c( 13 (3 0 c 10 c & {Z�.v4th L ev �` Zoning: C - G ty/State Zip Phone !10 F Se "-� °C(6 PAS --4--40.40 Electrical Permit Required? 121 Yes ❑ No Tenant or Name Business AA V tc0(1,5 Building Permit Required? ❑ Yes r No Name Contractor Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc Sign Mailing Address Suit REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a��� �-�{� 1'� C copy of all Ci /State Zip Phon without the required submittal elements) licenses are I L � i * t i � required if ego C J � (p-3-4-0--4 Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # r (�S [ 1() r , � ( database) l� 12 Copies of Site /Plot Plan, Drawn to Scale 5 p Proposed (3 copies, if a building permit is required) Pro P 8, Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary ff Wall [: Electronic (Check all that apply) ❑ Other Billboard El Balloon 42 copies of elevations, drawn to scale ( copies, if a building permit is required) Er New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: t �� t� 4 I X7 1 a1 -Q 3' X 34 ,0 $31.00 Fee (Permanent sign, any size) Total Sign Area (cn ft )• /1Inc,,,. -Te — I : aDgc13 (33. 111 $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this 6; section) E W NE NW SE SW Height to top of sign (feet): d2$• • Wall signs do not need to be drawn to scale, Projection From Wall (inches): '' but must include dimensions of wall face and sign placement. Copy:} I i2P - y U _N 4 • Wall signs do not require site /plot plans. Materials: — �����„� t • Freestanding signs over 6 ft. required a Will sign have illumination? g] Yes ❑ No building permit. Type: .T Internal ❑ External • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL Yes ❑ No BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) 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 keAe_ , 20 a Signat re of Owner /Agent /( )(K.M c- Contact Person Name Phone No. 8" _....... .„ r 1n_. ...._ 1" .125 ALUM. • ,� .. FLAT BAR — .... ...... ; BRACKETS • 2 .t } CL I . p — . . I ° © •+� ,- 800 M.A. INTERNAL LOGO 1 n 11 r „ . SAV ON FLUORESCENT I �- - ' ! ILLUMINATION 0 LETTERS � I.. t T 1 0 < \ ' 1 I ,_ LAMP BALLASTS l t O5 INSIDE CABINET 2 " CL 1 r . I . 1" DEEP FORMED __, A i SAV -ON LETTERS 0 SECTION DETAIL SECTION DETAIL THROUGH THROUGH ALBERTSONS SAV ON PHARMACY SIGN CHANNEL LETTERS O 1" DEEP FORMED 7328 WHITE PLEXIGLAS LETTER & LOGO FACES WITH 2 -TONE BLUE VINYL OVERLAY & WHITE OUTLINE O 15 MM 80 MA EGL 4500 WHITE NEON, DOUBLE TUBE n HIGH POWER FACTOR TRANSFORMERS IN EACH LETTER O 1" WHITE TRIM CAP ON LETTERS AND LOGO EXCEPT FOR 2" WHITE TRIM CAP ON LOGO LEGS ( ) 1/2" FLEX CONDUIT THROUGH WALL EACH LETTER. STD. J -BOX FOR WHIP CONNECTION INSIDE EA LETTER SEPARATE FLEX WHIP 6-0" LONG SHIPPED W/ EA. LETTER CD 8" PREPAINTED WHITE .040 ALUMINUM LETTER & LOGO RETURNS O .040 ALUMINUM BACKS O 8 5/8" PLYWOOD BACKING BEHIND WALL BY OTHERS THAN IMAGE NATIONAL (NOT REQUIRED FOR CMU WALLS) c-) 3/8" LAG BOLTS INTO BLOCKING . (USE LAG BOLTS WITH SHIELDS ON MASONRY BUILDINGS) Q STUCCO OR DRYVIT SYSTEM OVER STUDS 8/26/04 D.C. ALB- SAVON.PHARMACY 1A`iII11 niir; Irr,,non Image National, Inc. ppif — . - -- MIIII Ell[ — .. (IIMP!af? fill Itr f ALBERTSONS An Electric Sign Company 4t4 EastAmityRoad —, -_ — D.F. SAV ON PHARMACY UF: Boise Idaho USA am6 -sm4 pllDif: Men, ... ...... Ri'ITpIPii _-- _......_..._.__.._.. Tel: 208.145.4020 F8%; 208.116.9886 ww. m STANDARD SIGNS f" w imagat i'mM..m n 10 Tel: '71mmpNni, nIp"c ii'r.1 r i *: r,�.i � ... ., ..... .,, .. ........ .... ...: . • ‘44-(6-14 s SITE SIGN SURVEY FORM . Please Draw Site Plan Et Indicate Locations of ALL SIGNAGE 4 i , „...___ ;( : . . , , , 1 , ...71:1 ; • . . , 1 ; . ; . . , , , , 1 ; ......I.... , .. ...., 1... .1 . , • ....., I ..;• • ., • , . ; , w : , . , 1 . 1 1 , . 1 I . . i . .. , , ..1 - . . .... . i , • •• : . , • - : . : ,c_i____:_.. )......, ,,,..___________,, ......1: ! i ■ i . . • 1 ! I I i • .\ 7 : • . . . • . . 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I ! : ; : .• , . , . . : .• 1 1 / 4 ,,,, GRID , . . . . - - . . page 3 , Ii 1 Image National, Inc. An Electric Sign Company �,. > >� c. !TV OF TEGARD [Xl <- GENERAL OFFICES: C • 444 E. Apallr fl0 :r1al■'. ^� d t 1 4 41SE,1983116 +r: vi nirk as described in: TELEPHONE: 0 ,S G iJ a a o 4 — O0 (89 8) 592.1056- (208) 345 -4810 FAX' (288) MIN Lotter to: = : ;flow Ai 1 tac41( UNDERWRITERS 5 1 0 8 t3' OZq N3 O LABORATORIES Iu Date: t0^ Q O -o U.S. SbP.R. -AIL SIGNS ��L � ___ —_� CONFORM TOUL.R12161 B LAMED ACCORDINGLY. CANADA - All. SIGNS MUST BE CAS COMPLIANT BOISEPIMT HIE PUNT -.- _ II #433195-001 IL #433195402 Thls sign is intended to be Install- ed in accedence with the require- ments of Article 600 of the Na- No nal of k ris :ea and/or NQ- l ,� ; i L \ � \ , � � � � ` „� to5 I t �, \ - proper po undnd handing of �`` + 1 ( . °ti r S�J ' '. the si 5 , 'w.r :. L }!!` • • BATE: 072404 • ;' ; ; .... , O RA4IN N: AI . L ME rd a I S1v ' ' et ALESRNreRr Irk R. a D.C. MA T WRAC Lim§ .� smut Rir>9m _ c LSIIIM11N5: I Tt ��t E. _ t IPA 1 _ I PROMICION: NSW . _ _ o a « �, 4 . - - ' - t - ONE .� rC."^ Y..� La Y ". $ . r .. 1 wµ ��•� ac s, -S ' "' SAYS ORDER NO.: : - ONOLf ID.: 9334 EXISTING SIGNAGE STOREFRONT SIGNAGE PROPOSED SIGNAGE STOREFRONT SIGNAGE 13' -0" COMP FILE NANE: AIBSAVON- 576 - 72404 -C < f 31' -5" 38 T 4 f <— 7 -1 o '� 23'-6" ALI3EHTSONS 11.4 AMPS @120 V. RANj — 5' 0" a — 1.11 b e rts o tts ( a PELIMI: NI Ni• 4 ...____ - ION Ai ±.1.: : rtso S —V 6.0 AMPS@ 120 V. 25 AMPS @12oV. — • • 3'4" 2.- � PANAFLE FACE TENANT PANEL REPLACEMENT (2) TOTAL - (1) D/F PYLON y r e ' n l TOTAL ELECT. LOAD AMPS I( --gto" M ea 1A - tq k. a r—P\A ra CI — —r-C->VC---Q- '..,ci _ 1,1 CIO om ���a EE Ira (A (),(il,c,_114,.. _--id x 'DJ -_-_ z_(.4s-c S')I - %tO sc ©2004 Image National, Inc. This design is an original work of authorship by Image Nationol, Inc. ( "Image ") which owns the copyright protection to this design as provided by the copyright lows of the United States (title 17, U.S. Code). All rights are reserved by Image and, until the use of this design is authorized by Image in writing, Image owns the exclusive rights to: a) reproduce this design in copies, in graphic form or as a sign; b) prepare derivative works based upon the design; c) distribute copies of the design by sale or other transfer of ownership; and d) display the design publicly.