SGN2012-00162 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2012 -00162
COMMUNITY DEVELOPMENT Date Issued: 10/04/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1 S 136DB00201
Jurisdiction: Tigard
Name of Business: Fred Meyer
Business Address: 11565 SW PACIFIC HWY
Applicant/Agent: Hayden, Melissa
Work Description: 5X37 ft wall sign (A1)
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 5'X37'
Total Sign Area: 185
Wall Area: 13750
Wall Face (Direction): East
Sign Height: 20 ft.
Projection From Wall: 12 in.
Illumination: Internal
Materials: Aluminum & acrylic
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $171.00
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: 'AP."
1111 CITY OF TIGARD RECEIPT
q
g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 188661 - 10/04/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00162 Sign Permit - LRP 100 - 0000 -43117 $22.00
SGN2012 -00162 Sign Permit 100 - 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 08464Z DADAMSKI 10/04/2012 $171.00
Payor: Melissa Hayden - Security Signs
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
a SIGN PERMIT APPLICATION
_ , City of Tigard Permit Center 13125 Su' Hall Blvd, Tigard OR 97223
T I G A R D Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Al
Name of Development/Project FOR STAFF USE ONLY
Site i l0,OF►c RA-1-1 j �i((91)10- -0 Oita 2-- Address/ Street Address Permit No.:
Location cceeli l U te.•L— � ■ --
- t Expiration Date: �—e
Suite /Bldg. # City /State Zip
Receipt #:
Name „�(� a Approved By:
Property ��VLea -- J fr-Q .L Co Date: / 119-4 /_ -1 Z
Owner Mailing Address Suite Map /TL #: / % / ' t L)RQDZ 01
Zoning C G
city /state Zip Phone
Electrical Permit Required? 'Yes ❑ No
Tenant or Name / n ' „
Business 'eS:14 Cn i. — \ � Permit Building Peit Required? ❑ Yes [Bo
Name Rev.7 /I /V9
iAcurpin \ masters \land use applications \sign permit app.doc
Sign Security Signs
Contractor Mailing Address Suite
(Prior to permit 2424 SE Holgate Blvd
issuance, a
copy of all City /Sate Zip Phone REOUIRED SUBMITTAL ELEMENTS
licenses are Portland, OR 97202 503.546.7114 (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Cir- ofTigard's 1 22809
database) ❑ Completed Application Form
Proposed ❑ F estanding ❑ Frecwa■ ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary Wall ❑ Electmnic (3 copies, if a building permit is required)
(Check all that ❑ Other Billboard El Balloon size requirement: 8 x 11”, or 11" x 17"
apply)
[/] New sign? ❑ Alter to existing sign? _ r ❑ 2 copies of elevations, drawn to scale
S Dimensions: 3.i X S '"7 (3 copies, if a building permit is required)
1 X �?( ��� S1
C\ size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): j� 0 •
�$48��e (Permanent sign, any size) f �.��
Total Wall Area (s ft
Si gn Da ta 3 , 4 � L 1 ❑ 'ee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S (TOW NE NW SE SW
Height to top of sign (feet): 20/ ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 17 , must include dimensions of wall face and sign
placement.
Copy: /:1A4vt ♦ Wall signs do not require site /plot plans.
Materials: i IA,J4.0,44 q q i,yi 1 tL • Freestanding signs over 6 ft. required a building
Will sign have illt ination? Er—Yes El No permit.
.
Type: Internal ❑ 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 overia tenant space? of the permit, THE PERMIT WILL BECOME
Ycs El 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 Z day of o , 20
Signature f Owner /Agent
Melissa Hayden 503.546.7114
Contact Person Name Phone No.
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i 1 N EAST ELEVATION ..- • .� - V • •. Ai l� • . t _. s .
■J SCALE: 1116 ' — -
f NORTH ELEVATION
2 „ ' SCALE *.'r =1.41.
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SOUTH ELEVATION 2 S 'IC �l � = -4 So ( p 1. i 1 2! C.t.k [ C1 �� F o th Work as described in:
� \ 5 ) SCALE irr •I0" Z�SZ ` PERMIT NO.. SC ./ )-0l,^ DO /b-
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STORE #375 TIGARD, OR MULVANNY.G
F ied 11565 SW PACIFIC HWY •"•'•'°•4,F 0'" ""D
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TYPICAL SECTION
r. AEIIKUl THIS IS AN ORIGINAL UNPUBLISHED DRAWING CUSTOMER APPROVAL: DATE BY DATE BY
r::. #° CREATED FOR YOUR PERSONAL USE IN Rev. #1 Rev.#4 DRAWING NO:
% .••0 � CONNECTION WITH A PROJECT PLANNED FOR
l��U �- YOU BY CUMMINGS SIGNS. IT IS NOT TO BE Gjer 54 &7 &•O1 D
rn, iRCerDRUDRai slyD servioe SHOWN OUTSIDE YOUR ORGANIZATION NOR Rev. #2 Rev. #5
USED, REPRODUCED, COPIED, OR EXHIBITED IN DATE: DATE: 4 -29 -2010
THIS DESIGN REMAINS OUR EXCLUSIVE PROPERTY AND ANY FASHION UNLESS AUTHORIZED IN WRITING
CANNOT SE DUPLICATED WITHOUT WRITTEN CONSENT BY AN OFFICER OF CUMMINGS SIGNS. Rev. #3 Rev. #6 5. Hawke
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CHANNEL LETTER SET - RACEWAY MOUNT
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ALUMINUM _ _ 5 ,.
RETURNS PAINTED
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EXISTING Ar WALL / S
LEO° RACEW 2662 RED ACRYLIC FACE in ok
2662 RED i ' C OLOR T.B.D.
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CONDUIT RETAINER:
AKZO TO MATCH
f MATTHEWS 313
Power Supply DARK BRONZE
.85 AMPS @ 120V I (Gloss Level T.B.D.)
FILLER:
WEEP HOLE AKZO TO MATCH
COVER 'N. MATTHEWS 313
JEWELITETRIMCAP "N DARK BRONZE
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- TYPICAL SECTION
cummtk THIS IS AN ORIGINAL UNPUBLISHED DRAWING CUSTOMER APPROVAL: DATE BY DATE BY DRAWING NO:
a.
r. CREATED FOR YOUR PERSONAL USE IN Rev #1 Rev. #4
i r•- /'� I CONNECTION WITH A PROJECT PLANNED FOR ,1
* Imo. e— .• 54
YOU BY CUMMINGS SIGNS. IT IS NOT TO BE Gjer 878.01 H
The International Si Service SHOWN OUTSIDE YOUR ORGANIZATION NOR Rev. #2 Rev. #5
B" USED REPRODUCED, COPIED, OR EXHIBITED IN DATE: 4 -29 -2010
THIS DESIGN REMAINS OUR EXCLUSIVE PROPERTY AND ANY FASHION UNLESS AUTHORIZED IN WRITING DATE:
CANNOT IIE DUPLICATED WITHOUT WRITTEN CONSENT BY AN OFFICER OF CUMMINGS SIGNS. Rev. #3 Rev. #6 5. Hawke
CHANNEL LETTER SET - RACEWAY MOUNT
.11'-9"
J
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1
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AKZO PAINT TO BACKS
, i i DARK BRONZE
1 PC L.-) ''■. /
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SCALE: 1/2 — 1 - 0 FONT SHOWN: HELVETICA 95 WALL 4340 j
2C- RED
LED'S "j
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RETAINER: ■
AKZO TO MATCH Power Supply r �� ' =" '
MATTHEWS 313 3.5 AMPS @ 277V
DARK BRONZE
(Gloss Level T.B.D.)
WEEP HOLE
FILLER: COVER
AKZO TO MATCH
MATTHEWS 313
DARK BRONZE BRONZE TRIM CAP
(Gloss Level T.B.D.) TYPICAL SECTION
ACTUAL SQ. FT.: 16.18
�ir6rs L THIS IS AN ORIGINAL UNPUBLISHED DRAWING CUSTOMER APPROVAL: DATE BY DATE BY
�'�;R��� " ---- CREATED FOR YOUR PERSONAL USE IN Rev. #1 Rev. #4 DRAWING NO:
\: • E LL t� CONNECTION CUMMINGS SIGNS . IT IS NOT TE TTO BE
The International Sign Service SHOWN OUTSIDE YOUR ORGANIZATION NOR Rev #2 Rev. #5 hajer 54878.01 M
USED, REPRODUCED, COPIED, OR EXHIBITED IN DATE DATE: 4
THIS DESIGN REMAINS OUR EXCLUSIVE PROPERTY AND ANY FASHION UNLESS AUTHORIZED IN WRITING 5. Hawke
CANNOT BE DUPLICATED WITHOUT WRITTEN CONSENT BY AN OFFICER OF CUMMINGS SIGNS. Rev. #3 Rev. #6