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SGN2004-00070
, C ITY OF TIGARD SIGN PERMIT Alik ; DEVELOPMENT SERVICES PERMIT #: SGN2004 -00070 Ail SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/20/2004 PARCEL: 2S 110DC -02200 BUSINESS NAME: SAFEWAY ZONE: C -G SIGN LOCATION: 15570 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'1 -1/4 "X12' 10 TOTAL SIGN AREA: 38 sq. ft. WALL AREA: 3,010 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 38 sq ft permanent wall sign. MATERIALS: ALUMINUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 31.00 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 om validity date. APPROVED BY: PERMITTEE SIGNATURE: ' J.a AA' ,` ` P ff ' DATE: 4/20/2004 v . 6 ,,, 1 ,, .41! SIGN PERMIT APPLICATION CITY OF TIGARD /3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4/71 FAX (503) 684 -7297 l GENERAL INFORMATION Name of DevelopmenUProjeect �, Site -�-�`( ta'vt --q FOR STAFF USE ONLY -z Address/ sfse s Pte; ,,C--, ,S c hu 2..c), L( - U c) v S�i ,�? Location Permit No � (S Suite /Bldg. # City /State Zip i, t4 C '4 ! Expiration Date: _bt Name oGp�� Receipt #: Property 6 d. /Qf f LL L Approved By: . Owner Mailing Address Suite Date: 7 / 7 / p � 5'173 4Ven s dk `C Id() Map/TL #: 2,S / 10 1) c Cl t Zs,S v , , City /State Zip Phon Zoning: l Tenant or Name Business ` -�� a Electrical Permit Required? ' :. s ❑ No Name OD' Building Permit Required? -. ❑ Yes,'r'g -Alo Sign Va,l�t,(„(�t,�,vev 1,. Rev.1?l1 /2000 is�curpinUnasters\revlsedlsignpermitapp .doc Contractor Mailing Address uite (Prior to permit issuance, a mil copy of all City /State Zip Phone � (,1.0 REQUIRED SUBMITTAL ELEMENTS licenses are tt� r G Lit 3 required if j(UALL U,V"} l ` J 3i1'3 (Note: applications will not be accepted expired in the Oregon Const. Cont. Board Exp. Date without the required submittal elements) City of Tigard's License # (..(2 51 database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding El Freeway Wall ❑ Electronic ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ Temporary (Check all that '(3 copies, if a building permit is required) apply) ❑ Other Billboard 111 Balloon size requirement: 81" x 11 ", or 11" x 17" a New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale n Dimensions: I (3 copies, if a building permit is required) SIf�N v 8'I,t'_,(tXl'2 size e requirement: 81/2"x11 ",to 24 "x36" VV Total Sign Area (sq. ft.): " 3 � i � / $5e OO Fee (Permanent sign, any size) 3 /.qD • Total Wall Area (sq. ft.) ❑ $15.00 Fee (Temporary sign, any type) Sign Data ! Xai5 - 3c.1 r (Complete all Direction all Faces (circle one): items in this NOTES: section) N S E ar NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): 3 but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy:(,t,yb(ZS cc g '� . Wall signs do not require site /plot plans. Materials:(,�,( 4 M,tW\ . Freestanding signs over 6 ft. required a Will sign have illumination? Z Yes ❑ No building permit. Type: 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 BECOME NULL AND VOID. ❑. Yes jf No ' If "yes ", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES) square footage must also be submitted. J 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 Address/ Street Address Permit No.: Location Suite /Bldg. # City /State Zip Expiration Date: Receipt #: Name Approved By: Property Date: Owner Mailing Address Suite Map /TL #: Zoning: City/State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes ❑ No Business Building Permit Required? ❑ Yes ❑ No Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a w ithout the required submittal elements copy of all City/State Zip Phone p elements) licenses are required if ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary ❑ Wall Electronic (Check all that ❑ apply) ❑ Other El Billboard ❑ Balloon El 2 copies of elevations, drawn to scale (3 copies, if a building permit is required) ❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) NS E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ No building permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL ❑ Yes Li No BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard. DATED this (/ day of / 20 65 /O Sig :ture of Owner /Agent dfri 500 Contact Person Name Phone No. i 1 !Sit 1 \ I 1 -$V ). 1 g )13 1 \ as ) ,7q ) , 4 4 ) , 1 � v 1 �t ,) ' 1 I T I 1 b I c.5 l 1, l ' 1 -� 1 it 1 - 1 � j 2 1 —z ) _III _.. t I IIII -I 1 /L r 1 I j -' �l 1 i ' 7 6r‘ --r--- i ' J 1 1 1 1,E r' — 1 1 l 1 >_ �\ w 1 1 L - - ._ _ 1 1 1 ' T I k 1 ;y,L - -, Z1, cc r � I 1� j `� 1 `� L 1 I � ( _ ��r� - ,— _T 1 1 1 1 I ___1 ,A 1 t 1 .1 t 1 1 I Z ! , . 1 ` t 1 1 ' 1 I 1, I } 11111111111M — 1 ` f � I (' .� 11.E I p 013 i _ ; I :I , - t i C ti ' "A____L7 I I - - - 1 \ 1 1 1 — �r ',1 1 1 �--� --t= I f ! L 1 .it I. • 1 1 1' ;: r;:: � 1 1 �I r 1 I I — T I L; ��,�,1ji) I� �� ! a _ --I '' I J li 1 1 • j r I a 1 f ` �, , 1 1 j1 1 { _ l I 1 L • J 1 1 _ 1 I � 1 1 4Qb: . ) ) _i_ CITY OF ARD . • Approved .- _ [ )(] Conditionally Approved _.._..... [ ] only the orwork as described in: PE work ... ■ PERMIT PJO._Gr/�l 2.�0�{ .- ca�To7U See Letter to: Follow [ ] Illif illibilb.- Attach Job Address: 15-570 $$t4 fl ] . ■ ■1 ■ ....._..] 6y: K 0-e. �. DatQ: _VE I p' _0 _______, 0 1 1 watts F ABO O 6 -0" All /A e i � — U Z I SIT�A se s r�F�,�� �II /I� / ��� � \ � �o 7 16 3'- 11/ CO >- f I l < o ,1 • .•.- -4 r- --- Q WEST ELEVATION 3/32 " =1' -O" WEST ELEVATION 3/32 " =1' -O" LJ.1 CC LL < _ 10‘ l +. „•K A err =<, MWM MiNSOMkr .. 4", -)� Pi Ci ti \6 1 -k " " t. .. 3'i Ir" ZOI ^ le = ms' s. / �s• 4. „) 1 1 s - I . ; �.� ., ti ft TITLE: WEST ELEVATION NTS E LEVATIONS STARBUCKS __ WELLS FARGO SHOWING COFFEE i � SIGN LOCATIONS j ni - i f. i Date: 4 1404 MITT 07 C01L / I 5• Deep channel letter oE° p ( P BLACK B ° . I 1 ° ' � .. !• u..aKw L 12' 101 /2' l t Approved r 1 with square head Disconnedtwitch In _ _ _ _ - I screws primary to be within I L - i ? p y . sight of siP nn (sign I } ° o fit o - i, ° � _ ° .�” +..: Includes supply >+ ° •� • • !! _ (1, 16" � A 1 _ 1 o i�i «K� _ STARBUCKS ,, T Primary electrical � � , _ � �'�• T transformer a source (112• cond ' ! SA FEWAY LOGO 1 3' - 1/4 51/4 i 4 .•.— I. i_ 1 L L. 1 #300 Glass Housing „ _� minimum) F: NEC j - 1478 fl = . T –� 16" L- 1 I 3116•Whneaoryuo —1 \ Signage Consulting J !— I ©• ;I Permits /Variances B' 0° Aluminum letter back –�- -. _ . _ _. �• _� T • � � ' Design I' I Tube support r" \\ I Purchasing I ` 4 '#. Project Management w n t V , i NV 1 `� C.S. Sign Corporation I with primary to 120V 8AMPS disconnect switch 11, ► 2109 N.W.96th St. Letter - Section View SITE PLAN Seattle, WA 98117 Scaler NTS Voice: (206) 949.7050 NTS Fax: (206) 789 0121 A 4 . 1 1IIl r a ( 41 PECIFICATIONS: C r • L_ ' _. NILAIJ 0 Double faced internally illuminated suspended window logo disk. Logo disk cabinet to be 4" deep, fabricated d. Ceiling attachment options. Disconnect switch from .063" aluminum, painted to match satin finish 1/8" Steel ceiling plate, V Black polyurethane. painted Black j 0 Faces to be 3/16" White acrylic. 1" Black Trimcap with square head screws retainer edging. Graphics of logo to Pil I N O be 1st surface 3M Translucent Scotchcal vinyl. Copy to Q B' show thru White of Holly Green #3630 -76 background. �r.� 0 Logo to show thru White of Black #230 -22 background. Q B Q Internally illuminate logo disk with Brilite #4500 H.O. W CC EGL White, 30 ma, neon glass grid. Power with 120v AS‘ Nbi#4, B transformer covered in White vinyl film. Glass housings U Q rI t o be E bit. Primary wire to run thru 1/2" rigid conduit to (5 ceiling. Q Ceiling plate to be 1/8" steel, painted Black. Suspend � 4 ; 24" logo from ceiling with 1/2" rigid conduit, painted Black. tin t Length of conduit from ceiling to vary per location. d C r * * Center of logo above grade to be 5' - 6 ". `� Center logo left to right within window. Trim around �� conduit at ceiling with Black acrylic beauty rings. 4 0 OF , S. Sign must be approved by the National Electrical Code, Underwriters Laboratory, CUL,and all applicable local TITL codes. • ELEVATIONS Section View NTS Distance from glass window Disconnect switch in primary to be within sight of sign SHOWING Front View (sign includes power supply enclosure) SIGN LOCATIONS 1.__F REF: NEC 110 -3 [B] 600 -2, 600-4 3" 4" 1 120V 2.4 AMPS I Date: 4 14 04 End View REF: NEC 600 -6, 600 -21 Primary electrical source (1/2" conduit minimum) Approved Signage Consulting Permits / Variances Design Purchasing Project Management C.S. Sign Corporation 2109 N.W.96th St. Seattle, WA 98117 Voice: (206) 949-7050 Fax: (206) 789 0121 CITY OF TIGARD 4/20/2004 13125 SW Hall Blvd. 2:07:46PM A Tigard, Oregon 97223 _'1 L:t= (503) 639 -4171 Receipt #: 27200400000000001626 Date: 04/20/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00070 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 ELC2004 -00202 [ELPRMT] ELC Permit 220 - 0000 - 431510 106.80 ELC2004 -00202 [TAX] 8% State Surcharge 100- 0000 - 207020 8.54 Line Item Total: $146.34 Payments: f;, M hod Payer User ED Acct. /Check Approval No. How Received Amount Paid Check VANCOUVER SIGN COMPANY DEB 26017 In Person 146.34 Payment Total: $146.34