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SGN2011-00062 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT , COMMUNITY DEVELOPMENT Permit #: SGN2 11 -00062 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: (p /) Parcel: 2S102AB05300 Jurisdiction: Tigard Site address: 9169 SW BURNHAM ST Subdivision: KINGSTON • Lot: PT 1 & VACATED S Project: Tigard Vision Center Project Description: Installation of one (1) permanent freestanding sign Owner: FEES JB OAK HILL LIMITED PARTNERSHIP Description Date Amount 9169 SW BURNHAM Sign Permit 05/26/2011 $143.00 TIGARD, OR 97223 Sign Permit - LRP 05/26/2011 $21.00 PHONE: Contractor: MEYER SIGN CO OF OREGON 15205 SW 74TH AVE TIGARD, OR 97224 PHONE: 503 - 620 -8200 FAX: 503 - 620 -7074 Applicant: MARCELLA ESCHMAN TIGARD, OR PHONE: 503 - 620 -8200 Total $164.00 Please sign below to indicate acceptance of conditions and return a copy with the proposed work schedule along with names and contact information of responsible parties before beginning work. ttApplicant Sign Signatureure: Issued By: ��Yt Wi( Special Conditions (See Attached) Note: THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY „...,_._, ,.. ,. . RECEIVED I 4 City of Tigard MAY 2 6 2011 CITY OF TIGARD TIGARD Sign Permit Application PLAN1►TY"GIFFG +IyECD +NG GENERAL INFORMATION Name of Development /Project Tt �_ 1) �-; FOR STAFF USE ONLY Site , 1 / V 1 s l �� Ce i -J , `` 11 / Address/ Street Address iI 11 , Permit No.: .-�/ t0 a t) ao ((- ovot0 2 -- Location C1�(pci et Lv1A-kc vvJ S•11-04K- Approved By: Suite /Bldg. # City/State Zip c, Vac,/ I/ I G c re .. 6R / 7ar} Date 0-4/ / Name Receipt #: j 3' Pro e I rVZ) L l' 1 X1'1 Cf�iti _ Map /TL #: c?, 9/ o a"4 D -C3 P) Ownerty ' ICI adutg dress Suite Zoning: M U Mb' i 65 Bu✓ wt Allowable Total Area: /....t IV City/State Zip Phone s---63 - H Q OR `I litre t L Electrical Permit Required? ❑ Yes ❑ N Tenant or Nam Business .1 (3•Al2-1) (S 167& Building Permit Required? ❑ Yes No Nam Rev. 7/1/10 4 -e” I ` i \cutpin \masters \land use applications \sign permit app.doc Contractor Mailing Add ss t �'t Suite 1S2 ©S 7 City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS Qtail OR 9 7 Z 4 2 5Z)3 -(u, 1.-),o 1.-),o 0 (Note: applications will not be accepted oz gon Cont. Cont. Board License # Exp. Date without the required submittal elements) y L l y VCompleted Application Form Proposed Er Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ Temporary ❑ Roof "Electronic (3 copies, if a building permit is required) apply k all that ❑ Wall ❑ Other '(I Urt-4. �-- t » » 11" " apply size requirement: 8 /z x 11", or 11 x 17 ❑ 2 copies of elevations, drawn to scale [E] New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: ,f ( << i 0 size requirement: 8'/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 2 _ ( ❑ $164.00 Fee (Permanent sign, any size) S' Data Total Wall Area (sq. ft.) ( rt, °/ � ° ❑ $52.00 Fee (Temporary sign, any type) ign I (Complete all Direction Wall Faces (circle one): items in thi NOTES: section) N S E W NE NW SE SW Height to top of sign (feet): " (p 1 )Q II • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Materials: timAsML - Ft( ..kr ((Gtr6(5 - Ati ( • Wall signs do not require site /plot plans. Will sign have illu nation? �es ❑ No • Freestanding signs over 6 ft. required a building Type: EIntemal ❑ External permit. Are there any existing freestanding or wall signs at this location, including wall signs that overlap a tenant space? ❑ Yes [ 'No If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES) footage must also be submitted. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 9722 I 503- 718 -2421 I www.tigard- or.gov I Page 1 of 2 1 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 c3"S day of � , 20 / Of Signature of Owner /Agent 17C.4(A__ -S S■viAA - - Y20 o ontact Person Name Phone No. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 182631 - 05/26/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2011 -00062 Sign Permit 1003100 -43115 $143.00 SGN2011 -00062 Sign Permit - LRP 1003100 -43117 $21.00 Total: $164.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 31047 STREAT 05/26/2011 $164.00 Payor: Meyer Sign Co Total Payments: $164.00 Balance Due: $0.00 Page 1 of 1 • • MANUFACTURE AND INSTALL ONE (I) D/F ILLUMINATED MONUMENT WITH PUSH THRU GRAPHICS DESCRIPTION OF WORK SO. FT QTY. REM 22.6 I D/F MONUMENT I CABINET EXTRUDED ALUMINUM CABINET PAINT TIM PMS COOL GRAY 10 �66 � SEMIGLOSS FINISH 1 1 I 4 - n I v r-1 I—__ _— _ — — — — _ - _ FACE I .090 ALUMINUM FACE WITH ROUTED OUT COPY PAINT WHITE GLOSS FINISH — COPY 374" PUSH THRU COPY Tigard WHITE SEE SECOND SURFACE T. WHITE DIFFUSER DEEP SKY BLUE PSV BLACK= 220 -12 PSV \ C ILLUMINATION N e 0 V / is io n LAMPS INTERNAL WHITE H.O. FLUORESCENT EXTERNAL LINEAR FLUORESCENT SIGN LIGHT ON PROJECTING STEMS Center SIDE POSTS PAINT I TIM BUILDING TRIM SW JAVA BROWN PRECAST CONCRETE CAP INSTALLATION BRICK BASE SINGLE POLE MOUNT WITH CONCRETE sP MATCH BRICK AT MAIN BLDG FOOTING BY OTHERS BRICK BASE BY OTHERS i I -0 ° 1 • CITY OF TIGARD - 1PProved ......... .........._......__ t 6/r. , Conditionally Approved. ( I For only the work apidQ "' " 2 " rip . PERMIT NO. l -D See Lett. to: Follow [ I • .tt:C I Job Ad ' • / , • qty: ix' , Date: _AN �� � sales @me rsi nco.com Vision LATE. Runckal , DATE: BY MTh BY CUSTOMER APPROVAL. LANDL0r1D APPROVAL Th. a astral unpublished bowing n�sesd DRAWING s Pmnneeler ��p Ye S PR0 Tigard ACCT. MGR: Hera Sr canwM+ .,mem. ntl aM ynlaa .7+ www.meyersignco.CoT' ADDRESS: 9169 S.W.Bssmam, TOrd.OR SN�MGR REVISION �1 _E.D,. TB'BD1Y �a _ _ -- me rPe�Rrn..a ern.r.rsknwa... Tigard Vision LR0470G 7 p l + COV Thee nwrro a.. no en them >n.de ran + tl phone: 503 620 • 8200 DESIGNER. 1C 5 C A L E REASON �: E.D. o s, owa mn ,•.,1 mi. mo b an.ns„,al lax: 503 620 - 7074 PHONE: D A T E : 5/18/11 _ REVISION 03 _ R E V I S I O N Pa .. _ _ . A D A T E : DATE: ny..sixncanP•mao..xe ^ M er,n ...are, of SHEET I OF 2 1 ) 1 ) , -1 1 -t- - 5� ° F�3 20 i1 5 l c— P 1 r ill IN c., I C U) ) , 7 n ,J \� " . . __ ' :j __ .__ ( X N MANUFACTURE AND INSTALL ONE (I) D/F ILLUMINATED MONUMENT WITH PUSH THRU GRAPHICS DESCRIPTION OF WORK SQ. FT QTY. ITEM 22.6 I D/F MONUMENT 3' -0 " CABINET EXTRUDED ALUMINUM CABINET 1' -0 " PAINT T/M PMS COOL GRAY 10 Igg I SEMIGLOSS FINISH I 1'-4 " I 5' -4 u I 1'-4 " I 6'-0 „ I FACE .090 ALUMINUM FACE WITH ROUTED OUT COPY o D 11 GLOSS WHITE GLOSS FINISH 0 COPY 3/4" PUSH THRU COPY Ti a rd DIFFUSER SESONB SURFACE BLUE IF 47 DEEP SKY BLUE PSV BLACK = 220 -12 PSV ILLUMINATION in all ■ • c? INTERNAL WHITE H.O. FLUORESCENT ✓ V LAMPS EXTERNAL LINEAR FLUORESCENT SIGN LIGHT ON PROJECTING STEMS Center SIDE POSTS FABRICATED ALUMINUM PAINT T/M BUILDING TRIM SW JAVA BROWN PRECAST CONCRETE CAP INSTALLATION BRICK BASE SINGLE POLE MOUNT WITH CONCRETE to MATCH BRICK AT MAIN BLDG FOOTING BY OTHERS BRICK BASE BY OTHERS E 10, -0 2' -0 " VIIMMISL ' i - Vision - , • ��� ; , = 4 t , ' • This is an original unpublished drawing created for Sales �• me ersi nco.com Ti and Vision Leslie Ru nckel D ATE : B DATE BY: CUSTOMER APPROVAL: LANDLORD APPROVAL: Meyer Sign Company's customer and the project DRAWING # : �° Y S PRO 8 ACCT. M GR : r g P I www.meyersignco.com ADDRESS: 9169 S.W.Burnam, Tigard, OR REVISION #I E.D. RrvlsloN #a a planned(orthespec o(MeyerS ignCustomers. Tigard Vision - LRO4IOG S SHOP MGR: These drawings are not to be shown outside your phone: 503 620 8200 DESIGNER: JC SCALE: REVISION #2 E.D. y REVISION #5 , organization nor used, copied, reproduced, or exhibited P HONE D A T E 5 REVISION #3 g REVISION #6 i m an way y unless authorized in writin b an officer of I 2 fax: 503 6 - 7 0 74 9 DATE DATE: SHEET OF Meyer Sign Company of Oregon. •