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SGN2007-00106 c 7 l C IT Y OF TIGARD 1 y SIGN PERMIT :*. DEVELOPMENT SERVICES PERMIT #: SGN2007 -00106 � DATE ISSUED: 6/7/2007 =TI;GARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 112DA - 01300 BUSINESS NAME: PORTLAND CLINIC ZONE: I - SIGN LOCATION: 06640 SW REDWOOD LN *'* JURISDICTION: TIG APPLICANT /AGENT: PORTLAND CLINIC BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y • OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 23' - X 1' - TOTAL SIGN AREA: 56 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: 5 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 56.59 sq. ft. permanent wall sign. MATERIALS: ALUMINUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 39.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Spedalty 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: ---}7=aj;g DATE: 6/7/2007 3 0 RI SIGN PERMIT APPLICATION 3 17 , �� City of Tigarzl Permit Center 13125 SW Hall Blul, Tigann� OR 97223 Phone 503.639.4171 Fax: 503.598.1960 0 5 GENERAL INFORMATION Name of Development/Project Site (0(040 &7 x' VrT.L FOR STAFF USE ONLY Address/ Street Address Permit No.: ,5y N-z----) ' 60 ‘ (D. Location Suite /Bldg. # City/State Zip Expiration Date: Receipt # : Name ,{ Approved By f �s:(�" Property ' �T C.Ctn jc Date: � i i.r) 7 Owner Mailing Address Suite Map /TL# : n Zoning: 7/l City/State Zip Phone Tenant or Name Electrical Permit Required? s El No • Business C C l� C n I Building Permit Required? El [� Yes 'No Name �� `` �, Rev. 7/5/06 is \curpin \ masters \land use applications \sign permit app.doc Sign Ad 1 J1 ` Contractor Maili dress ss I Stite (Pri anc su a to permit 24 1 - 2 L I t , ` ^ ( �- '/2'\.e,\ '/2'\.e,\ is {� ( \ J f copy of all Qty/State Zip Phone � REQUIRED SUBMITTAL ELEMENTS licenses are � (Note: applications will not be accepted require' equired if V ` `t C'SC� 0 2 �j 1i without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) i 2OgnC� 1 ❑ Completed Application Form Proposed iii Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ Temporary J Wall ❑ Electronic (3 copies, if a building permit is required) (heck all that ❑ Other apply) ❑ Billboard ID Balloon size requirement: 81/2" x 11 ", or 11" x 17" lij New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: , , ` , i (3 copies, if a building permit is required) G S' K 1 size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): ❑ $39.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) g ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E ( NE NW SE SW Height to top of sign (feet): o Wall signs do not need to be drawn to scale, but Projection From Wall (inches): `7 must include dimensions of wall face and sign placement. COPT ce y Cciil■ l.. o Wall signs do not require site /plot plans. Materials: tlm if1J M. o Freestanding signs over 6 ft. required a building Will sign have illumination? 511 Yes ❑ No permit. Type: Internal ip External o If work authorized under a sign permit has not been Are there any existing freestan ding 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 xi 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 day of , 20 Signature of Owner /Agent \-\o ad) c703 ?gigs Contact Person Name Phone No. ecJ 6..200701 : 1006032 TH;_ PORTLAND CLINIC SECURITY SIGN Nu, 2092 P. ?_ T htreby acknowledge that I have read this application, that the information given is correct, that T am the owner or authorized agent of the owner, and that plans submitted are hi compliance with the City of Tigard. DATED this _ _�' day of , 20, Q 7 z 2 e of Owner /Agent ■:r i°t P1 AFL S'C-Z -r (i2? 2Z - o ( ( K2-0D Contact Person. Name Phone No. • I ' CITY OF TIGARD 6/7/2007 13125 SW Hall Blvd. 1:20:25PM Tigard, OR 97223 503.639.4171 'TIGARD Receipt #: 27200700000000002537 Date: 06/07/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00106 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2007 -00106 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2007 -00107 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2007 -00107 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 ELC2007 -00382 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40 ELC2007 -00382 [TAX] 8% State Surcharge 100 - 0000 - 207020 4.27 Line Item Total: $135.67 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard MELISSA HAYDEN /SECURITY KJP 506630 In Person 135.67 SIGNS INC Payment Total: $135.67 cReceipt.rpt Page 1 of 1 THE P ortlan d 19 , 21 i 1 SIGN PROGRAM SW Redwood Lane Revised 4/12/07 4/19/07 4/25/07 5/20/07 SECURITY SIGNS Quality Since 1925 t 0 1 , Channel Letters Face lite THE I )RTLAND CLINIC - - -,P, Manufacture and install (1) one set of internally SECURITY I I I' illuminated channel letters and logo wrap SIGNS oualrtv'once 1 - " 2424 SE Holgate Boulevard "The Portland Clinic" & LLP Portland, Oregon97202 • 503- 232 -4172 fax 503-230-1861 " - y n W www.securitysigns.com . `'. +� 4 Faces: Letters, 3/16" White Acrylic oR«B.12zavv WASECUR51020CF 4, 114 A =Al - a ` ; ' • : Trim Cap: 1" Black Jewelite NTF N noNAt . ti slcNAS�ocunox .. r - Returns: .040 Alum, 5" Deep, stock Black -- - "' - , +„ _ (verify exiting PCLs return color TM) - , zwr• PROJECT MANAGER ' m- :. „4 - e. ,.; _ Bill Engles Backs: .040 Aluminum, pre -coat white DESIGNER Illumination: EGL CL 83 White Neon . J. Ford 4 s " LLP ": 1/4" Alum. FCOs painted Satin White APPROVALS - ” e. R ^ j : • • W` Client Signature 1 � i ■ ∎. ' * , Installation � °A" �• 1 r f Landlord Signature x= r • Wall Type: Brick I _ i Mounting: Flush mount to building fascia PROJECT NAME — -- 1 . 1 ,, > Transformers: Remote mounted T _ i, . � x. 1 - Primary: 120V c co v, _ U vrn a e,. e r waNF , .. 1 t : r � • , 0 O WEST ELEVATION wt° 1' Scale: 3/32" = 1' -0" F O D N 0 ._ ,� FCO Letters -- - Non- Illuminated Manufacture and install (1) one set of non - illuminated FCO Letters PAGE DESCRIPTION THE PORTLAND CLINIC Tenant Identification "The Portland Clinic LLP Physicians and Physicians and Surgeons LLP Surgeons" CN REVISIONS Construction: Routed Letters 0 Remove logo, change copy 4.12 Material: 1/4" Aluminum *Add "Physicians & Surgeons" 4.19 p „ 'ma w -- I, ' ® Returns to black ` L' ' %MI, a Colors: Paint Satin White 4.25 1 I P ♦ P rovidence Carman Medical P laza • ® Copy change to ' s ' • ' 't directory 4.25 ,�� �_., Installation . `1 O , as ir P Wall Type: Brick Y ® Copyright 2007 Security Sgns, Inc --- _ s .„ , - . v. co g ! This original design and cpeafiations are exclusive ro ert of a � ,.l Mountin Stud mount flush to brick fascia Security Signs, Inc. The use of this _ � - _ # ' design u a whole or pert to produce '' •"., .,., _,,..� ■ - a similar sign witthout written -- _ ,. _. ,,.. .. . - -. authorization is prohibited D ATE 04/08/07 ` Colors ' PAGE #: 1 of 5 WEST ELEVATION White Acrylic/ ■ Satin Black O Satin White DRAWING #: Scale: 1/4" = 1' -0" 07-JF597r4 S t . t 0 SECURITY SIGNS Quality Since 1925 2424 SE Holgate Boulevard 23'-5" Pan - Channel Ltrs. Portland, Oregon 97202 w/.177 White Acrylic 503- 232 -4172 fax 503-230-1861 J ( Faces, Black trim cap www.securtysigns.com D D OR CCB# 122809 WA SECUN51020CF and Black retu "O I 0 0 1/4" FCO Alum. Ltrs. oa 1 INTERNATIONAL ISI D C 1\1 SIGN ASSOCIATION. �� 0a6a _�__ O 1 I painted Satin White D co P ROJE Engl CT es MANAGER ., " CHANNEL LETTERS & FCOs - 56.59 SQ FT _ t B ill 1 O SCALE: 1 /2" = 1' -0" CITY OF TIGARD DESIGNER Approved [y a J. Ford - Conditionally Approved.... ..._...._ µ [ ; APPROVALS For only the wor1S as described in: • PERMIT NO. :? ? ✓`} tip - C l O CO Client Signature See Letter to: Follow...._ ._ .__ [ Attach , [ 1 Landlord Signature Job A r � �{ �,- o c -=r4 j- 1 � by: K- '--- - Date:- to (Z ("7 5" Deep Returns PROJECT NAME E mil ■ 1" Trim Cap .L., 1/4" Lag Shield Anchors �O CO c _ as reqquired 3 -4 per J c I LTR (TYP) - 0 • U - rn 1" Black Trim Cap ▪ V Threaded Stud Of (0.- 3O Neon Glass • •i 3/16" Acrylic Face • m +0 w U �L � 0 � .040 Alum. 5" Deep • . _ L ° nO UL listed CPA w / "G" Cup- - Black returns ' .� .. 1/4" Alum. FCO Letter = ° - _ 0 - . Glass Tube Supports V PAGE DESCRIPTION "ii Building Identification oarig r 1/4" FCO's painted 1 /2 "Conduit thru wall Holes Drilled In Wall REVISIONS Satin White For Studs Secured With 0 Change copy, remove GTO Wire to transformer High Bond Adhesive logo -4.12 © No changes 4.19 Transformer w /disconnect SECTION VIEW switch in metal raceway © 4 R 25rns to black SCALE: 1 /2 "= 1' -0" 120V to J -Box in conduit *Copy change to directory 4.25 O ® TYP. PAN - CHANNEL DETAIL TYP. FCO DETAIL ® Copyright 2007 Security Signs, Inc. This original design and specifications SCALE: NTS SCALE: NTS are exclusive property of Security Signs, Inc. The use of this design as a whole or part to produce a similar sign without written authorization is prohibited. O BUILDING IDENTIFICATION DATE: 04/08/07 Scale: NTS PAGE #: 3 of 5 DRAWING #: 07- JF597r4 4 SE 11 S IGN S 13' 0 Qua S ince 1925 2424 H olgate B oulevard Portlan d, Oregon 97202 I i D 503- 232 -4172 fax503- 230 -1861 I --- D www.securitysigns.co O I � OR CCBp 122809 WA B ECUR51020CF 1 0 INTETA I I SIGH CIATION. LL > PROJECT MANAGER C O 0 SuE, O �� J Ford O FCO LETTERS & LOGO - 17.33 SQ FT CITY OF TIGARD SCALE: 1" = 1' -0" APPROVALS Approved '•-••- -•' [ 7�; Client Signature Conditionally Approved... [ �"or only the. G wok as describe Landlord Signature PERMIT NO I- (3 See Letter to: Follow......_ - -- [ Attach [ I Job re : Attach (. !,.3 9_LA PROJECT NAME . 'T 0) C to _ J C 4•13 c 002 CU �O wU ; q Threaded Stud In Back .--------1 / o Of Letters d- o 0 1/4" FCO Letters / u /` • NEN PAGE DESCRIPTION ,. / Entrance 1/4" Alum. Letter — */ M Identification W 1/4" FCO Letters REVISIONS / 0 Change copy, remove logo -4.12 a Q A dd "Phy & �r Surgeons 4.19 Holes Drilled In Wall © No changes 4.25 For Studs Secured With High Bond Adhesive *Copy change to directory 4.25 *Cop 2007 Security Signs, Inc. This original design and specifications are exclusive property of SECTION VIEW TYP. FCO LETTER DETAIL design as a whole or part to produce O SCALE: 3 "= 1' -0" O Security Signs, Inc. The use of this SCALE: NTS a similar sign without written authorization is prohibited. DATE: 04/08/07 O ENTRANCE IDENTIFICATION I PAGE #: 4 of 5 Scale: NTS DRAWING #: 07- JF597r4 .,� . G SECURITY SITE PLAN NORTH ^ AREA MAP NORTH SIGNS Quality Since 1925 hek 2424SE Holgate Boulevard Portland, Oregon 97202 ,» SW C a din$j In - _ _. , 503.232 -4172 fax 503-230.1861 www.securitysigns.com OR CCBR 122809 WA 5ECUR51020CF 1 -, cp M � L INTER ( 1< I 11 SIGN ASSOCIATION. _.....lint1114 i P . * 1 i 1 r _ ; ' t D ` I ` OE54 _.._ _e� 4L PROJECT MANAGER _ t — "WRY..` _,/ ` i ;: , AI � o . I , ' i ( � 0� �� i I V■ 81 ... P G APPROVALS ,,..,;;_,.,, ,-, i 10 , I j' _ t I pL l � Cent Signature —i ; i /y 1 Landlord Signature A SW Kit* 101111 , L . - - % 1 . 1 _ 1 � ' * • ` 4 j PROJECT NAME r .. } 8 I I r /Al n _, . • v.:0 I ine ra . a °�. t C c O 2 ,:2 ' N — _ ' SIGN TYPES io .�. w � rZ � r . :o o p' 1 1 N p v rl _ I ; O r 3 ;} A Building Identification - Channel Letters PAGE DESCRIPTION t Entrance Identification - FCO Letters Site Plan w., r j t� M it. • IO 4 F s i r J y * ♦ i Q REV Remove SINS optional stilt 7� ^�' � colors - 4.12 a ` Q Change copy 4.19 A Q Add rrow, adjust ti#P 1 opk, .. a = �� > . ~! ` cop a 4.25 f < ; PY c h a 5 to t 1L. , !, IA 1 © Copyright 2007 Security Signs, Inc. N T S This original design and specifications are exclusive property of Security Signs, Inc The use of this design as a whole or part to produce a similar sign without written authorization is prohibited. DATE: 04/08/07 PAGE #: 6 of 6 DRAWING #: 07- JF597r4