SGN2012-00168 CITY OF TIGARD SIGN PERMIT
3 et Permit #: SGN2012 -00168
COMMUNITY DEVELOPMENT Date Issued: 10/08/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S113AB00500
Jurisdiction: TIGARD
Name of Business: Theraputic Assiciates
Business Address: 16083 SW UPPER BOONES FERRY RD 300
Applicant/Agent: Gibson, Garett
Work Description: 78.75 sq ft wall sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 27.66'X3'33"
Total Sign Area: 78.75
Wall Area: 1700
Wall Face (Direction): Southeast
Sign Height: 51.5 ft.
Projection From Wall: .75 in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
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: � � -
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 188667 - 10/08/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00168 Sign Permit - LRP 100 - 0000 -43117 $22.00
SGN2012 -00168 Sign Permit 100 - 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 3402 HWATKINS 10/08/2012 $171.00
Payor: Ramsay Signs Inc
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
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• City of Tigard
Sign Permit Application
TIGARD g pp
:. ... ,;.
GENERAL INFORMATION
Name of Development /Project
L /� FOR STAFF USE ONLY
Site Titerds ptia-k C. AS50004.4G 5 �
Address / Street Address ^ Permit No.: ' /P/ rT/ =' y 4 S
Location 1 QO vS OpD SQo/ S A roved By: �5� y
Suite /Bldg. # ' C Ci ity/State a ¢ Zip '[ PP
3o0 / r90�/'4 I t� t lk Date: /0 --- S -12 -
Name Receipt #: P5596.4
9'640'7
Property See.. Map /TL #: s� S 11 Al; � 5 UCH Arel
Owner Mailing Address Suite Zoning: — Y
Allowable Total Area: 15 G Id
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes No
Business 0 r , 0e-.4‘61?-4, Building Permit Required? ❑Yes o
j her �u�� c. �
R/
is \cvr pl /t n t? \ masters \land use applications \sign permit app.doc
Sign Ar4 S3WS
Contractor Mailing Addr Suite
1110 Se 7 - >Rvc,
iry State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(------ � OC 41 , Q /1204 5 :ITT -4. (Note: applications will not be accepted
Oregon Coast Cont. Board
License # Exp. Date without the required submittal elements)
�3� Z Z E `ompleted Application Form
Proposed X Permanent ❑ Freestanding ❑ Freeway 12r copies of site /plot plan, drawn to scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that KVA ❑ ether t a.
apply) size requirement 8 /z x 11", or 11" x 17"
E 2 copies of elevations, drawn to scale
S Q.New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions:23..1 Vy S X 3 v _ Li\\ size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): Wall - 7e - 1 c 3 �Jf /„/_ E r $171.00 Fee (Permanent sign, any size)
Total all Area (sq. ft.) t ( (fw ❑ $54.00 Fee (Temporary sign, any type)
Sign Data ) 7 00
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W O S W
Height to top of sign (feet): 5 r -4-- • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 5/4•0` must include dimensions of wall face and sign
placement.
Materials: ",„Ay( • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes Ar No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
K 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 1 13125 SW Hall Blvd.. Tigard. OR 97223 1 503-718-2421 1 www.tigard- or.gov 1 Page 1 oft
23' -7 3/4"
14' -0"
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" 7” PHYSICAL THERAPY -
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CITY OF TIGARD
Approved... _..- -_ . -. [
Conditionally Approved ._ - F I i
For only the work as described in:,. ....,., ,_..,_, ..... ,
PERMIT NO. N 4A --PUlZ7 S
See Letter to: Follow - I 1
Attach,...... ----I I- A j STATE FARM TherapeuticASSOCiates ;. .
Job Addres : l S a) ��� opu.ATI0(it CENTLIt PHYSICAL THERAPY 7
3 y: Date: .6Q.'-'11:--1- INN MB
Sign A - Scale: 1 /2" =1'
Manufacture & Install Flat Cut Letters & Panel Mounted to Building
tW■
Material -1/4" Routed Alum. Painted Red & Satin Black
117,
11111 i
Install Stud Mount w /Paper pattern %" Spacers as Required, Center in area above windows � I a „ 3
1
3M Cardinal Red Satin Black e _
2
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20/225-53 I 16083 ■■ � --
PRODUCTION PRINT :~
DESIGN HAS BEEN REVIEWED FOR POTENTIAL PROBLEMS AND ACCURACY BY: . — 7 I c I i
DESIGN Gina DATE 9.27.12 - r xI — �;,��
SALES DATE — alIIIIIIMINIEML
VE: 11112
OPERATIONS MANAGER -
Ili
7 I *4.4 %..,
Client Date 9.13.12 _ Client Approval + Date Revi sions 0 Copy t 0712 Ramsay Signs, km.
r— The swage st m ttis desi le is feo katea m Page 1 of 2
To ese kare tahe se exdrsive property of Ramsay Signs, Inc. t"e r meet I1L reQU d wa be le accorda to o
IOW 9160 SE 74th Avenue Therapeutic Associates dgi "'°am . ��
i al ul w laYn es .
Portland, Oregon 97206 They are submiaed to your company for the sole purpose of your
9 16083 SW Upper Booties Ferry consideration of whether lo purchase these plans cs to purchase
503.777.4555 - 800.613.4555 Suite 300 Project Manager: Darin Hauer Landlord Approval + Date fr Signs Inc a sign manufacturedaccoraing to these
1.
Fax 503.777.0220
Tigard OR 97224 n
a plo or your comp of these of these a plans omen than
y g t - sign one d herein mspresNtf
Www.ramsa SI ns.com forbidden.
Established 1911 Design : Gina Leckband In the event that such exhibition occurs, Ramsay signs Inc. �
expects to be reimburses 15% of total project value In 12 -831 r2 -P
compensation for time and effort entailed in creating these plans.
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DIMENSIONAL LETTER WALL SIGN
THREADED STUDS
INTO BACK OF LETTERS.
LETTER - -■ HOLES DRILLED IN WALL
FOR STUDS.
HIGH BOND ADHESIVE
• , APPLIED IN HOLES TO
SECURE STUDS.
DRYVIT WALL