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SGN2012-00031 ,, CITY OF TIGARD SIGN PERMIT " g Permit #: SGN2012 -00031 COMMUNITY DEVELOPMENT Date Issued: 03/16/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136DCO2504 Jurisdiction: Tigard Name of Business: Tigard Triangle Smiles Business Address: 7275 SW DARTMOUTH ST Applicant/Agent: Tigard Triangle Smiles, Work Description: Installation of (1) one permanent 98.5 s.f. wall sign Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 36" x 32' -10" Total Sign Area: 98.5 Wall Area: 1710 Wall Face (Direction): East Sign Height: 32 ft. Projection From Wall: 8 in. Illumination: Internal Materials: Electrical Permit Required: Yes Building Permit Required: No Total Permit Fee: $165.00 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: / x C4/ -- ,aL RECEIVt MAR 0 2 2012 III II Ci of Ti and L A NNINGIE NG IN EE RING tY g P Sign Permit App TIGARD .,_.— .- t= 3h ...u,. r . .a _ ate. GENERAL INFORMATION Name of Development /Project _�� FOR STAFF USE ONLY Site T1c6[� "(, 6 L LL S Address/ Street Address Permit No.: 66 Ai 2D /g - 0 Uo 31 Location ' -.4 ) dp—ei I& y i1. / Suite/Bldg. # City/State /� Zip 66 �t A p prove d By : Uvr t- \ l l,(�`ta J 072, Crtei,? Date: ■3/4// �� Name / Receipt #: 1 Property .�� i ( .q4 ( tie J , M ap /TL #: /3/ 3 6 Z SAO ! `� � � Owner Mailing Address Suite Zoning: G 4 !' (Pb) , d 1 SQ � i �� 5 6N/ V i f 0 % Allowable Total Area: /S Ci( /State � D Z P ne Tenant or Name - Kee a o. �� Electrical Permit Required? [ '"Yes ❑ No Business T(GAier) ' I (44 F , 5 f ula r . s . Building Permit Required? ❑ Yes E}l <To Name Rev. 7/1/11 �1�1 is \cutpin \ masters \land use applications \sign permit app.doc C o n t r a c t o r ailing Addr •site 15 SC AYA City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS T-/ r !A a 0 &-Z7- gzi - �Za (Note: applications will not be accepted Oregon Const. Cont. Board License # Rap. Date without the required submittal elements) 64-to i'i 7 (4-I 2_ ❑ Completed Application Form ermanent Proposed ❑ Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale Sign Temporary ❑ Roof ❑ Electronic (Check all that (3 copies, if a building permit is required) apply) all ❑ Other size requirement: 81/2" x 11 ", or 11" x 17" ❑ 2 copies of elevations, drawn to scale ,� New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions size requirement: 8 /z" x 11", to 24" x 36" e•t. X " 2-10 11 1 os Total Sig Area ( sq . ft. ❑ $165.00 Fee (Permanent sign, any size) - toe , Total Wall Area (s . ft) ❑ $52.00 Fee (Temporary sign, any type) Sign Data \) o •o (Complete all Direction Wall Faces (. cle one): items in this NOTES: section) N £ Q W NE NW SE SW Il Height to top of sign (feet): S2' • Wall signs do not need to be drawn to scale, but 0 , , must include dimensions of wall face and sign Projection From Wall (inches): g ^' placement. Materials: ""V A AA .Guoi/fi I • Wall signs do not require site /plot plans. Will sign have illumination? .A, Yes ❑ No • Freestanding signs over 6 ft. required a building Type: •ternal ❑ External permit. Are there any existing freestanding or wall signs at this location, including wall signs that overlap a tenant space? of es a No If "yes", a list or diagram of all dimensions A and square (OVER FOR SIGNATURES) footage must also be submitted. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 -718 -2421 I www.tigard - or.gov I Page 1 of 2 APPLICANTS: To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the "Required Submittal Elements" box. NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work. * When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back of this form or submit a written authorization with this application BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT: • If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and may be revoked if it is found that any such statements are false. ♦ The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for approving and denying the application. 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. SIGNATURES of each owner of the subject property are required. (f( 3 2 ( ( 2_ Applicant Signature pp gn Date (c/( (..e.U./1% L— (2, ( Signature of Owner /Agent Date z,, - Contact 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 4 '; . CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 ,,; 503.639.4171 T1Gmtras Receipt Number: 185958 - 03/16/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00031 Sign Permit 100 - 0000 -43115 $144.00 SGN2012 -00031 Sign Permit - LRP 100 - 0000 -43117 $21.00 Total: $165.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 33328 KPEERMAN 03/16/2012 $165.00 Payor: MEYER SIGN CO. OF OREGON Total Payments: $165.00 Balance Due: $0.00 • Page 1 of 1 PROJECT TITLE TIGARD TRIANGLE SMILES 7275 SW DARTMOUTH ST I 32' -I0" TIGARD, OR 97223 JOB NUMBER 47387 SMILES DENT 1 S T RY ° SALES RICH AUDETTE N Tigard Tri angle M N N , _ C DRAWN BY NICOLE DATE 1 - 5 - 12 Orthodontics `ics I SCALE AS NOTED FOLDER S /SKETCHES /P /TIGARD, OR (TIGARD TRIANGLE SMILES) FILE 47387R5.CDR DESIGN# 008 REVISIONS SIZE TOTAL SIGN SQ FT: 98.5 DATE BY DATE BY O © 213 IZ NG MANUFACTURE & (2) ILLUMINATED WALL SIGNS SCALE: I/4 "= I' -0" ti i i are° i t iAii-fa s :1 -roved ----- -[ / Co: ditionally Approved ----------- [ F 3 only the w r as described in: ERMITNO. brtJZ. ! 2- 42OID31 _. Letter to: Follow. __...... APPROVAL Attach This proof drawing is for customer review ALUMINUM -I and approval before fabrication begins. PAINT -I ALUMINUM -2 '.ress: 7 2.75 St.) au fit- Encore Image well not be responsible for PAINT -2 ip. TRIM CAP -I broblems or discrepancies that could have been reasonably prevented at the proper 5 14-41- reviewofthisdocument ALUMINUM -2 ACRYLIC © 1 I O NOTE : •The customer shal l p rovide accessibility ALL ELECTRICAL TO RUN THROUGH to remote transform and/or ballasts 1 LED I EXTREME BOTTOM OF SIGN for installation, inspection and Y service. • ALUMINUM -2 © • grou wire to be dad within 6 LED the display(s) by the customer. TRIM CAP -I ?� I Sketch may vary from specified colors. ACRYLIC O i L G E Photos ore for visual reference only, ACRYLIC � O 0 0.050 ALUMINUM LETTER RETURN size and placement of signs may vary. LED Ili ()TRIM CAP ALUMINUM -3 SIGNATURE DATE ' PAINT -3 / / 0 . ®A FACES ALUMINUM -2 j ®WHITE LED MODULES PRINTED NAME TITLE 1 ®I4 AWG WIRE EMIIII i 8 Q I 14 "0 DRAIN HOLES (MIN. 2 PER LTR) All electrical signs shall comply with National Electrical Code (Article 600) i Q 3/8" TOGGLE BOLTS and manufactured according to Q CONDUIT Underwriters Laboratories U.L. 48 G ALUMINUM -I 2" DEEP ALUMINUM BACKGROUND /WIREWAY M � 10 POWER SUPPLY standard and appropriately labeled. ALUMINUM -Z 5" DEEP BRONZE ALUMINUM RETURNS 10 � 2" ALUMINUM WIREWAY /BACKGROUND 1[O COPYRIGHT 2011 ALUMINUM -3 ALUMINUM FLAT BAR Lb— ® PRIMARY ELECTRICAL SOURCE This drawing, and all images therein, TRIM CAP -I WHITE TRIM CAP LETTERS © OO 13 DISCONNECT SWITCH are the sole properly of Encore Image ACRYLIC WHITE ACRYLIC FACES O and may not be reproduced, displayed 1 3 or transmitted, in full or in part, to PAINT -I PAINT TO MATCH DE57I2 STATELY STEMS anyone without the written permission PAINT -2 PAINT TO MATCH DE6384 IRON FIXTURE from an officer of Encore Image Inc. PAINT -3 PAINT TO MATCH WHITE 12 LED INTERNALLY ILLUMINATED USING WHITE LED Encore I M A G E 303 West Main Street t. P.O.Box 9297 MATERIAL & COLOR SPECIFICATIONS CHANNEL LETTER DETAIL .06( Icsc Ontario, California 91762 SCALE: NTS SCALE: NTS Fax 909-988-6376 r..*, STATE LICENSE #947727 www.encoreimage.com PROJECT TITLE TIGARD TRIANGLE SMILES 7275 SW DARTMOUTH ST TIGARD, OR 97223 JOB NUMBER 47387 SALES RICH AUDETTE DRAWN BY NICOLE DATE 1 -5-12 60' -0" (REAR) ■ SCALE AS NOTED • s FOLDER S /SKETCHES /P /TIGARD, OR (TIGARD TRIANGLE SMILES) . — � ', 112 1 FILE 47387R4 CDR DESIGN# 004 - I 1 C,. REVISIONS I i I , t „ hr ` : - S a T` . . A y ,,,s 1 '',.1° k DATE BY DATE BY I ORIGINAL NG 2 - 2 - 12 NG l Q Tigard Triangle DENTISTRY APPROVAL This proof drawing is for customer review & Orthodontics and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have : :-, been reasonably prevented by the proper r t IQ review of this document. . .I� • The customer shall provide acc ss ballasts " / r remo and/or w v = for installation, o f r transformers inspection ll and ' 4, € 1 . .� i t t 1 / I 1 _ - -_ _ _- service. 1 J ( ,:� t' ` • Dedicated 120 Volt sign circuits with a i ` j y l ' } " ` • _ ground wire to be provided within 6' of t • ' , ' / j s . .r�. —� the display(s) by the customer. y t L i - +' s J • Sketch may vary from specified colors. j . -. 4 1. / �.r 4 ' , r 1. $R) 3 si an / i . + � " � �` i ^ s, `Ut � �/ Photos are for visual reference only, \ f i / . � "f *� j'' ;• placement may vary. i m va e a ay. l ° _ a .,.. = 4 + C `y + i/ d la cement of signs ` 1- r , . + SIGNATURE DATE , . b 1. 4 w� ► t, , \ , + f 1 t II e �. - - . . . - . � , \ , ,I/ / V� a � ' 0 P R I N T E D NAME T I T L E 11 +r ' t r 1 1 ,y All electrical signs shall comply with ~ ' „ i ) /t . • ! 1 1 + 1 und manufactured I n 9 600 0 _ I - Underwriters Laboratories U.L. 48 ■ standard and appropriately labeled. • '4 , _ 1__ [O COPYRIGHT 2011 ar This drawing, and all images therein, are the sole property of Encore Image it ' . ` ' and may not be reproduced, displayed or transmitted, in full or in part, to EXISTING SIGN TO BE REMOVED AND DISPOSED anyone without the written permission from an officer of Encore Image Inc. O C ENHANCED PHOTO OF EAST ELEVATION WITH PROPOSED NEW SIGN �I SCALE: NTS M A G E 303 West Main Street 4 P.O.Box 9297 Ontario, California 91762 ICSC 800 - 791.1187 Fax 909 - 988 -6376 ,,,s.N...., STATE LICENSE #947727 www. encore i ma g e. corn SIGN I SCOPE OF WORK / DESCRIPTION PROJECT TITLE • -- — -- -- - _ __ __ __ r `_ O MANUFACTURE AND INSTALL (I) INTERNALLY ILLUMINATED TIGARD TRIANGLE SMILES i — __ WALL SIGN 7275 SW DARTMOUTH ST /, ,� TIGARD, OR 97223 e D MANUFACTURE AND INSTALL (I) INTERNALLY ILLUMINATED � I D WALL SIGN JOB NUMBER 47387 ' , \ • 1 SALES RICH AUDETTE ^^ • . I I C1)1 MANUFAC AND INSTALL (I) INTERNALLY ILLUMINATED DRAWNBy NICOLE DATE 1-5-12 � I I I WALL SIGN �.. I I 1 SCALE AS NOTED • I FOLDER S /SKETCHES /P /TIGPRD, OR (TIGPRD TRIANGLE SMILES) • v .•N �� ,..o.m •.,. 1111 I I I FILE 47387R3.CDR r I DESIGN# 001 p J_J ( ( � II REVISIONS • .� 1 POPP,rBOX I DATE BY DATE BY ' GARDENS ORIGINAL NG FE BLDG. C BLDG. B I 1 11.703 SOFT. 5,200 SOFT. EXISTING BUILDING I EXISTING BUILDING EXIS NG BUI 'RING I I I r �,� r I APPROVAL 1 - This proof drawing is for customer review " I and approval before fabrication begins. i l l Encore Image will not be responsible for I �', ( > problems or discrepancies that could have t U - 1 c been reasonably prevented by the proper -_D (._ i) C� ) c L--) C- r 0 review of this document. z — - — I — - -- • 1 viiiUI L 1 I to The customer te ransfo pro and /or ballasts y /• — 1 = — _. -- of for installation, final inspection and — __ -- — I I -- — __ — I . ground wire to be provided I service. - I — FdMP T REMAIN - a Volt within with 6' of — I the display(s) by the customer. • / I Q Sketch may vary from specified colors. - ` — T -- I ' Z Photos are for visual reference only, I / _ -_ -- _ N size and placement of signs may vary. I — __ 1111 I N- I I SIGNATURE DATE I P R I N T E D NAME T I T L E 1 > ► O REP �cIP� HOLLYWOOD [� . / — vIDEO I I All electrical signs shall comply with c t _ _ — — 1 National Electrical Code (Article 600) I PUBLI PATH OF TRAVEL 1 1 and manufactured according to ____ -. -i 1 Underwriters Laboratories U.L. 48 // --- -- I I __ _ _ O © standard and appropriately labeled. — - — / _ —_ [O COPYRIGHT 2011 / C" Ir . eRK 1 / — — a nd may not be reproduced L IMP' e i , E T T This drawing, and all images therein, / 19 I ^ ( are the sole property of Encore Image u I , Pay 1 J ) I _ -' - � ar e di I eo ____ .__ ___ - -__ w full or p art, to p - anyone without the wri tten permission / from an officer of Encore Image Inc. SW DARTMOUTH AVE. II (...-- fi ICSC Encore IMAGE n l I OFFICE MAX 303 West Main Street 4 9297 Ontario, California 91762 800 - 791 -1187 Fax 909 - 988 -6376 SITE PLAN cw.. .,,— STATE LICENSE #947727 SCALE: NT S www.encoreimoge.com