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SGN2003-00200 CITY OF TIGARD SIGN PERMIT i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00200 I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/21/03 PARCEL: 1 S 136AD -04000 BUSINESS NAME: CANADA DRUG SERVICE ZONE: C -G SIGN LOCATION: 11505 SW PACIFIC HWY B JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 12' -2' -6" TOTAL SIGN AREA: 32 sq. ft. WALL AREA: 595 sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: 15 ft. PROJECTION FROM WALL: 8 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of (1) one 32.5 sq.ft. permanent wall sign. MATERIALS: ALUM /LEXAN 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 ys from va " ity date. APPROVED BY: PERMITTEE SIGNATURE: X -'1 > ` ' ' ` ""U DATE: 8/21/03 411 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 CCLt1G:CAO.. 1% S- ki'U l C� �Cj k) 7 --e-10 3 - U� �-o c7 Address/ Street Address Permit No.: Location )150 S - S 1,0 ?o C i cce_ 0-wt.( • Expiration Date: Suite /Bldg. # City /State Zip "� TOY 'Liana ,U'K Receipt #: • Name Approved By:. / Property IV Orl'I'S 4 SA-CUei'�S Date: /a-f l,c3 Owner Mailing Address Suite Map /TL #: / S / 3 t; /0-0 - 0 (UU 0 Zoning: ( C7 - City/State Zip Phone 5b3 - , ' 3 » g Electrical Permit Required? Ees ❑ No 'Tenant or Name Business Building Permit Required? ❑ Yes 'No Name Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc Sign �G.fYIsct. . Si A 1S Contractor Mailing Address J Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit �) CPU 7 copy of all City /State Zip Phone (Note: applications will not be accepted issuance, a without the required submittal elements) licenses are required if 1 q -ao(n e,03 - gsss © 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) ( SLI a s (3 copies, if a building permit is required) Proposed j. Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary Wall ❑ Electronic (Check all that ❑ Other Billboard ❑ Balloon ® 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) N New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: i 5' 0' x off' - ( ' ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 3a 5 r6 ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) 5 RSh (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N O E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): 15' but must include dimensions of wall face and Projection From Wall (inches): 2" sign placement. Copy: C - 7 ) Y I V A S O C. • Wall signs do not require site /plot plans. Materials: (Alu vi. L. elcom • Freestanding signs over 6 ft. required a Will sign have illumination? IN Yes ❑ No building uermit. • If work authorized under a sign permit has not Type: Q(] Internal ❑ External been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑ Yes 1K No . If "yes ", a list or diagram of all sign dimensions and I square footage must also be submitted. J (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 c2 \ day of (AAA Q. , 20 03 Signat of Owner /Agent t. ohLnan 53 -/1555 Contact Person Name Phone No. li Y �`!�^.I tiLY+�a `i( Yc'.8�?`. � k` �� r 1 F i „ ; : a 'f . . z t a ai4.c ;x a5 z xi x i A l7 Ysi - �^ H .. " f ,.'F"? ca ' st"v't '�'Yd`'T" .. r Prs"°' w t .6 z. & �:' � i �il 's" a�. 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' .w 1 e _ f F :-L c_ Date: z t ESTABLISHED 691€ Date 8.5.03 ib r.t ___\ 1 Ivici Client N Canada Drug Service 1 11505 -B SW Pacific Highway Portland, Oregon • • _ ,'', , Account Executive Rich Kellogg SCALE: 3/4" = I' - 0" Design Ross Hilden MANUFACTURE AND INSTALL (I) NEW SINGLE , l■ FACED ILLUMINATED WALL MOUNTED i DISPLAY f Approvals () CABINET /RETAINER Client Date i ALUMINUM EXTRUSION PAINT BLACK ' Landlord Date • FACE —_,—_ _ - ....„_ i ._ _. _ _ _._ _ . - _.,, .w- WHITE LEXAN . i i _� Revisions r r ?, Date TEXT ' i� Cl 230 -33 RED TRANSLUCENT VINYL APPLIED FIRST i { e. SURFACE t ....,, DROP SHADOW 220-22 BLACK VINYL APPLIED FIRST SURFACE - ILLUMINATION �d INTERNALLY ILLUMINATE WITH FLUORESCENT .:,- � 7" e LAMPS AS REQUIRED 1 .2 WITH ENERGY EFFICIENT ELECTRONIC BALLASTS , � ,' .„ tiv,..„...:...:, f � INSTALLATION _� ' ____________ ... INSTALL CENTERED LEFT /RIGHT AND E TOP /BOTTOM ON TENANT LEASE SPACE O Copyright 2003, Ramsay Signs, Inc. � c ; .. - • S ' ; These plans are the exclusive Distribution or exhibition of a 5 t f Y . And i property of Ramsay Sthes. Inc. these plans other f [ I [ i /j f • And are the result of the than n employees of of your 1 x e�W original work of its design company, or use of these plans F : team. to construct a sign similar to THERAPEUTFC GRADE 2 i the one embodied herein, is �,s They are submitted to your expressly forbidden. t � P company for the sole purpose PRODUCTION PRINT Vii, , o f our consideration of In the event that such u , 8.1 = ° r 3 _ 3 w he ther to purchase these plans exhibition s / , expects occurs, Ramsa y Si S ! f ` r �� or to purchase from Ramsay Inc expects to be reimbursed � . _ - .. - manufactured s o entailed d r p j r # - v- ' • . -_ - -- a ng to these plans. times dDeffort i n fo _ . T r� t creating these plans. i: I% / l ,,,,,.t::: ...:?:: Ramsay Signs ACCOUNT E ✓C U T I V E S I G N A T U R E ..-,,- r _ g 1,-. ma y ';"` ~n., ""j10".“ 9160 SE 14th Avenue Portland, Oregon 97206 • ;` (t ( 503 171.4555 C 800 613.4555 ( 177.0220 � 0 3 4 6 2 i} ,- �id I f I 1 CITY OF TIGARD 8/21/2003 13125 SW Hall Blvd. 11:34:02AM A Tigard, Oregon 97223 Ralik 522.;, (50 3) 63 9-4 17 1 Receipt #: 27200300000000003758 Date: 08/21/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid ELC2003 -00525 [TAX] 8% State Tax 100- 0000 - 207020 4.27 ELC2003 -00525 [ELPRMT] ELC Permit 220- 0000 - 431510 53.40 SGN2003 -00200 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 Line Item Total: $88.67 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check RAMSAY SIGNS INC JMT 1522 In Person 88.67 Payment Total: $88.67 Page 1 of 1 cReceipt.rpt