SGN2012-00053 Ili 4 CITY OF TIGARD SIGN PERMIT
g Permit #: SGN2012 -00053 • COMMUNITY DEVELOPMENT Date Issued: 03/29/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S101AB00100
Jurisdiction: Tigard
Name of Business: Meridian Acupuncture & Wellness
Business Address: 12023 SW 70TH AVE
Applicant/Agent: Hayden, Melissa
Work Description: Installation of one (1) permanent wall sign 5' 6" x 2' 6.5"
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 8' x 2.5'
Total Sign Area: 19.33
Wall Area: 250
Wall Face (Direction): South
Sign Height: 14 ft.
Projection From Wall: 1 in.
Illumination: External
Materials: Aluminum
Electrical Permit Required: No
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: l ALlit
Permittee Signature: ,,s7
:
SIGN PERMIT APPLICATION
r
Cit of Tigard Permit Center 13125 Sir Hall Blvd., Tigarel, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
TIGARD
GENERAL INFORMATION
Name oFC)ecelnpment /Pmieet FOR STAFF USE ONLY
Site / leelt - Y--e."'
Address/ /-/� a °°053 S treet Address (/nA)�,
/ Permit No.:
Location 1 G 2 1 Sid 7z) 40-'
Expiration Date:
Suite / Bldg. # City/State Zip �
. ,
T
074
/f .i ! 7 72Zp Receipt #: / p1#
Name J //J.-.e /5!r' es•:3D Approved B : 4) 1211 1/1/
�
-y! Date: 3 /a-o I ( >—
Property / & � j�1O �/J�TT7.e f
Owner Mailing Address rite Map /TL #: a-5/ 0I At LT) 1 bi
/Z.42_7 . re0 7 .'4>w Zoning: C4 151D
Ciro /State /ia Phone
7-7,5'd 9 77 ? Electrical. Permit Required? ID []
Yes - ")To
Tenant or Nan
Business /P &'//.6"/ /9C-1-47;/, n G�r ••••• Building Permit Required? El Yes No
Name d /A Rev. ', /1/09
is \ cumin \ masters \land use applications \sign permit app.doc
Sign Security Signs
Contractor Mulling Addrr s Suite
(Prior to permit 2424 SE Holgate Blv :1
issuance, a Z7
copy of all Ciry /State Zip Phone REQUIRED SUBMITTAL ELEMENTS k
licenses are (Note: applications will not be accepted
required ; > Portland, OR 97202 503
without the required submittal elements)
expired in the Oregon C_onsr. Cont. Board License # Exp. Date
City of Tigard's
database) 122809 ❑ Completed Application Form
Proposed ❑ ❑ ❑ 2 Copies of Site / Plot Plan, Drawn to Scale
p P ermanent Freestanding Freeway ,
Sign ❑ T }. ❑ \FVall ❑ Electronic (3 copies, if a building permit is required)
(Check all that
1:1 Other El Billboard El remen
Balloon size requirement: 8t /�" x 11 ", o 11" x 17"
PP
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: _ / , it V i (3 copies, if a building permit is required) 1
!: jc 2 -s size requirement: 8t /a" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): -
If. 3 . ; ✓
❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) - V i
Sign Data GG o s+• 1 ❑ $ 19.0() Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) eb ta, E W NE NW SE SW
r'
Height to top of sign (feet): 7 1 • Wall signs do not need to be drawn to scale, but
Projection From Wall (mches): /1, must include dimensions of wall face and sign
placement.
Copy: • Wall signs do not require site /plot plans.
Materials: 17h,/ //2 • Freestanding signs over 6 ft. required a building
Will sign have illumination? '® Yes ❑ No permit.
Type: ❑ Internal N. 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 X No
NULL AND VOID. 1
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 2� day of 1"/" 4 20 / 2
Signature Df Owner /Agent
Melissa Hayden 503.546.7114
Contact Person Name Phone No.
-` CITY OF TIGARD RECEIPT
}
q s SW Hall S Hall Blvd., Tigard OR 97223
�'
503.639 .4171
trG RD,
Receipt Number: 186006 - 03/20/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00053 Sign Permit 100 - 0000 -43115 $144.00
SGN2012 -00053 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
Credit Card 52856P STREAT 03/20/2012 $165.00
Payor: Joseph Platt
Total Payments: $165.00
Balance Due: $0.00
Page 1 of 1
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Apprdvnd
Conditionaiiy Approved [
For only the work as described in:
PtRiUIIT NO. 5f ti giai 1- tD53
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ACUPUNCTURE REVISIONS
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'` APPROVALS
/9 33'Y' Client Signature
R SOUTH ELEVATIO Signature
le: None NO REMOVAL OR PATCHING REQUIRED
I DATE: 3/22/12 J
MAR 23 2012 I PAGE F. 2of4 I
DRAWING •:
CITY OF TIGARD 12- ar232r6
PLANNING /ENGINEERING
CITY OF TIGARD ,
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For only the work as described 1n -
PERMIT
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ACUPU ‘ TURE N ACUPUNCTURE PROJECT MANAGER
& W LLN E S S &WELLNESS Joseph Platt
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Oct WALL S PAGE DESCRIPTION
Scale: 'h" - 1' -0" CITY CODE
15% Total VIlall Wall Displays
ALLOWANCE
REVISIONS
114/12
Wall D'ISp airs Colors
*3/16/12
Non - Illuminated. MP 18071 Metallic Silver • 3/19/1 e .
Manufacture and install two (2) displays. •3119/12
■ Duranodic Bronze Lora. mown.
® 3/20/12
Displays Lama r -"'`b"
■ 3M 220 -69 Duranodic >.eop1'o..
Frames: l'' Square tube frame painted Metallic Silver. ® shown.
Faces: .090 Aluminum face painted Metallic Silver with applied 3M 220-69 Duranodic vinyl. o o
6/12 ;a d UGC!.
Display c removed.
Letters: 1 4 ' Thick flat cut out aluminum letters painted Duranodic Bronze.
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Installation
Asap m a: 50,000 F Zany 4...,
Wall Type: Dryvit and Stone �Deu c + "
-dr a mo ee9M41e
Install: Flush to fascia with appropriate hardware. .... •............. -
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. APPROVALS
Client Signature
Landlord Signature
DATE: 3/22/12
PAGE A: 3 of 4
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PROJECT MANAGER
Joseph Platt
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• . " 1 Client Signature
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Landlord Signature
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' ??....;',1 ELLIIIUREIT el DEDICATION
SITE PLAN
Ell) I DATE: 3/22/12 I
Scale: None
PAGE 4 of 4 I
DRAWING if:
12-ar232r6