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SGN2009-00200 14 CITY OF TIGARD SIGN PERMIT Permit#: SGN2009-00200 COMMUNITY DEVELOPMENT Date Issued: 09/15/2009 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S110DCO2200 Jurisdiction: Tigard Name of Business: Business Address: 15570 SW PACIFIC HWY Applicant/Agent: Safeway, Work Description: Installation of one(1)permanent wall sign 12'X 22' Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: 12'X 22' Total Sign Area: 173 Wall Area: 6250 Wall Face(Direction): North Sign Height: 40 ft. Projection From Wall: 5 in. Illumination: Internal Materials: Electrical Permit Required: Yes Building Permit Required: No Total Permit Fee: $40.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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: r u �� IR 111 SIGN PERMIT APPLIC i ION ,„,% City of Tigard Permit Center 13125 SW Hal/Blvd., Tigar,, t ' .97114 I q .d,,,.ij TIGARD Phone: 503.639.4171 Fax::503.598.1960 S g-p ) 2 0 0 9 GENERAL INFORMATION r t,x,1,1,°,,., Name of Development/Project 1 -3-0 IS63 QC�L t FOR STAFF USE ONLY Site Address/ Street Address Permit No.: 3C°A) 01)9- Uv`4"e-D Location Suite/Bldg.# City/State Zip Expiration Date: Receipt#: e 7 . q Name Approved By: , e Property fl- Date: 1((CO Owner Mailing Address Suite Map/Tl,#: .;'''S/f U D& °°171--.4-° Zoning- City/State Zip oning•(:ity/StateZip Phone Tenant or Name Electrical Permit Required? 12/Yes ElNo Business Building Permit Required? ❑ Yes [(No Name Rev.7/1/07 is\curpin\masters\land use applications\sign permit app.doc Sign Secuirty Signs Contractor Mailing Address Suite (Prior to permit 2424 SE Holgate B lvd issuance,a copy of all City/State Zip Phone REOUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted required if Portland, OR 97202 503 546 7114 without the required submittal elements) expired in the Oregon Const.Cont.Board license# Exp.Date City of'Tigard's 122809 database) ❑ Completed Application Form Proposed 0 Permanent ❑ Freestanding Freeway ❑ 2 Copies of Site/Plot Plan,Drawn to Scale Sign 0 Temporary Wall Electronic (3 copies,if a building permit is required) (Check all that 0 Other Billboard Balloon t apply) size requirement: 8/z"x 11",or 11"x 17" New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations,drawn to scale Sigh Dimensions: 1 �c.'`J' e , (3 copies,if a building permit is required) (.(i size requirement: 81/2"x 11",to 24"x 36" Total Sign Arca(sq. ft.): 1 z, 0 $40.00 Fee (Permanent sign,any size) Sign Data Total Wall Area(sq. ft.) cosop 0 $19.00 Fee (Temporary sign,any type) (Complete all Direction Wall Faces(circle one): items in this NOTES: section) 62 S E W NE NW SE SW Height to top of sign(feet): 4r) ' • Wall signs do not need to be drawn to scale, but Projection From Wall(inches : S-<( must include dimensions of wall face and sign Copy: c-- placement. Materials: • Wall signs do not require site/plot plans. • Freestanding signs over 6 ft. required a building Will sign have illumination? Yes 0 No permit. Type: tE1,.Internal External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME Yes El No 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 1...S44\-i day of ,20 • Signature of Owner/Agent Melissa Hayden 503 546 7114 Contact Person Name _ Phone No. q CITY OF TIGARD RECEIPT R . 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 175209 - 09/15/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2009-00200 Sign Permit 1003100-43115 $35.00 SGN2009-00200 Sign Permit-LRP 1003100-43117 $5.00 Total: $40.00 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 170994 STREAT 09/15/2009 $40.00 Payor: Melissa Hayden Security Signs Total Payments: $40.00 Balance Due: $0.00 Page 1 of 1 i . 2Z-9 3/4" ][ r EQ -1 -I 1 i — EQ 0 1 91-5 1/2" i 1 i . 1 a 1 ITEM 0 EQ i . . . - IL • r 141-0" 4 -----_,...„..... I, • ; EQ aromm®•kx-s' 44 •04 , • I • 1 . . _ . . . .. SAE 1. WAY , . . I . • 1 111111""I CO . . 1 €0 . • ..' ' , ' , i ' , ' , ', , ,' , H , . . 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K in PO Box 50727 Bellevue, WA 98015 NORTH ELEVATION - NTS ,&......--ZCD0----- Voice: (206) 949-7050 Fax: (425)861-9594 • 9'-5 1/2„ I ITEM O __ I r.,,==wiiniai , L_ 1! , „.,..,___ _ ' SAF-48-VRTCL-LED 8'-8" - - COOilli ill. 4lie. >1.11 r it .>0.44114 .!PI" Ce 0 WU.. 0 4'-0" SA F E \WAY V) ceQ LI 22'-9 3/4" 112" " / 1/4 LAG SCREWS IN SHIELDS OR TITLE: -s"- — TOGGLE-BOLTS AS NEEDED(TYP) SPECS MINIMUM FOUR PER LETTER 3"-/ WALL .090(MIN)ALUMINUM LETTER RETURN&FACE EL 6"ALUMINUM WALL LINE EXTRUSION RETURNS. Date:8-7 9-09 CLEAR LEXAN BACK U WILL MAR W6(S). TO ISL.e.ECIFIO AIgw•xo 1/4"EXTRUSION UP�*- L NATIONAL ELECTRICAL COORS. ��� W� Approved ' .'*°°- III WHITE L.E.D. ,O)1.1-=u,O.MO WHITE PLEXIGLAS FACE ► �� xuseMTM.uiweµa� ��i' EVERY 4"-6"ON CENTER MOON.suuIN uOmKueo W/TRANSLUCENT RED MO�w M. EVERY VINYL OVERLAY 2-14 GA.WIRES PER . "S"TO BE WHITE ILOW VOLTAGE 205-12D LETTER THROUGH WALL SHOW-THRU PLEXIGLAS L.E.D.TRANSFORMER c1-1-----"*---i' Signage Consulting PASS THROUGH CONDUIT Permits/Variances WHITE LED EVERY 4" 10. Design AND 3 1/2"ON CENTER I 12 VOLT POWER SOURCE ATTACHED TO Purchasing INTERIOR WALL FRAME Project Management CONTINUOUS SILICONE 1/4"LAG SCREWS IN SHIELDS OR BEAD t--TOGGLE-BOLTS AS NEEDED(TYP) -.e[ r'---_ _ C.S. Sign Corporation MINIMUM FOUR PER LETTERL 110 V.PRIMARY FEED PO Box 50727 WEEP HOLES FLAT-HEAD COUNTER-SUNK Bellevue, WA 98015 SCREWS 1/4"WEEP HOLES AS NEEDED Voice: (206) 949-7050 TYPICAL LED ILLUMINATED LOGO SECTION SIDE VIEW TYPICAL 12 VOLT LED REVERSE ILLUMINATED LETTER SECTION SCALE:1"=1'-0" Fax: (425)861-9594 ITEM 0 -- - 3'- 10" ppru=rinui � 13'-10" ii v,= , , ,....._ - J 3'-3" ir1 co 2'-6" II, harrnacy 4 T''' It <1100.>M1 18'-2" ■ aua "PHARMACY" HALO ILLUMINATED LETTERS&LOGO SCALE: 1/2" = 1'-0" O 1111111 III,...,nP.I:...Es„,,„I,, „ .. ir� COLOR&MA II I,I h ulill I,II,Illi II!I II I:IW',J,iJilld6 3u":a¢uu.I W,sfu� Ial!tlll I,i'.!'AiiR „ ,ilull ! it IuV l,i WiBSYUW TERIAL SCHEDULE LJ.J CI I LETTERS&LOGO 3” DEEP FABRICATED ALUMINUM REVERSE CHANNEL LETTERS 1 1/2” 1/4"LAG SCREWS IN SHIELDS OR Ce PAINTED POLISHED BLACK. _ FACES&RETURNS: .090 ALUMINUM TOGGLE BOLTS AS NEEDED(TYP) Q BACKS: CLEAR LEXAN 3" (MINIMUM FOUR(4)PER LETTER) < L9 ILLUMINATION: WHITE L.E.D. HALO ILLUMINATION. V) I' L.E.D. MOUNTED EVERY 4"AND 3-1/2" ON CENTER. .090(MIN)ALUMINUM LETTER RETURN&FACE ATTACHMENT: MOUNTED TO FASCIA USING 1 1/2" STAND-OFFS. CLEAR LEXAN BACK TITLE: 1' WHITE L.E.D.EVERY 4" SPECS AND 3-1/2"ON CENTER 1®:'------- I2-14 GA.WIRES PER LETTER THROUGH WALL Date:$_19.09 Approved fr PASS THROUGH CONDUIT -z 12 VOLT POWER SOURCE ATTACHED TO INTERIOR WALL FRAME 110 V.PRIMARY FEED Signage Consulting Permits/Variances 1/4"WEEP HOLES AS NEEDED Design Purchasing WALL Project Management TYPICAL 12 VOLT LED REVERSE ILLUMINATED E 1"=„ „, .., °" C.S. Sign Corporation PO Box 50727 Bellevue, WA 98015 Voice: (206) 949-7050 Fax: (425)861-9594 ITEM © =- WALL LINE h, _ ,.W� -- tEL 6"ALUMINUM � % -l t EXTRUSION RETURNS. -.-......, 1/4"EXTRUSION LIP) 1,111, Co WHITE PLEXIGLASNSLUCEFACEE W/TRANSLUCENT RED S. VINYL OVERLAY "S"TO BE WHITE 1 .1_LOW VOLTAGE 205-12D CAFE SHOW-THRU PLEXIGLAS L.E.D.TRANSFORMER 440•10>111 , WHITE L.E.D.EVERY 4" I 04:11 .:1' I . 100,--41111111411 . AND 3-1/2" ON CENTERg IX "SIGNATURECAFE"DIRECTILL UMINATEDCABINET SCALE: 1/2" = 1'-0" I O I 11 1 1 1 1 1 1 II i 1 II 1 1 1 1 1 I, 1 IJ 1 11 1 Idl HI' III II III III III 1 I no 1 II 1 III ,1111 IN, iu1V1 I COLOR&MA TERIALSCHEDULE LLII CABINET : 6" DEEP FABRICATED EXTRUSION CABINET PAINTED TO MATCH PANTONEBLACK5C. CI CONTINUOUS SILICONE - FACE: WHITE ACRYLIC FACE WITH TRANSLUCENT DIGITAL VINYL PRINT. BED 1/4"LAG SCREWS IN SHIELDS OR LL.. ce TOGGLE-BOLTS AS NEEDED(TYP) ILLUMINATION: WHITE L.E.D. DIRECT ILLUMINATION. (MINIMUMFOUR(4)PERLETTER) < CID ATTACHMENT: MOUNTED FLUSH TO FASCIA. WEEP HOLES FLAT-HEAD COUNTER-SUNK C : SCREWS"SAFEWAY"TYPICAL LED DIRECT ILLUMINATED LOGO SECTION SCALE:3/4"=1'-0" tn Imm 1 11 ALWAYSVERIFYBEFOREMFG. • TITLE: SPECS , iferrEte € .sISlhK)lo) 1 4'-0" Date:g-19-09 Approved II S7:01, .�� ( - I' ' aJ 4� _� `e o � � Signage Consulting -: ... _ i•.�,._'syn ' • r: , • ., sAmer„ _ iii. IC...'<”. • _ . ,_ e.4 7:...:. 'I rP,,k ,Ui . __,,,. 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' • T +� ApprovedBLt - • , __ � . J E7'1 •eG ,. - SAFEWAY _- ii 1478 �' -- I i ,, I 111 , • . I 1 '+' „. C ; I • y ky I i 1 '� l � •.y . .�+ Signage Consulting 1 0 ; �fJ� Permits/Variances I ; I ,' Design y' Purchasing '* IP'e:._a,•'.e.'FF;///°• • 41 . • 5\ Project Management • • I 1 .. ._...r . -�-. - -•:..,_�•�- .- -- -- .. . .. - .•I- . . -• •��- ,�-�- �.. r �.—�,-. �-- - --Y. - - — r - - - ' :111. C.S. Sign Corporation fit.. I - - .. _ i .�- - ( r. ., PO Box 50727 ' Bellevue, WA 98015 Voice: (206) 949-7050 Fax: (425)861-9594