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SGN2012-00171 III CITY OF TIGARD SIGN PERMIT * : Permit # : SGN2012 -00171 COMMUNITY DEVELOPMENT Date Issued: 10/17/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136DD03400 Jurisdiction: Tigard Name of Business: Oregon Medical Association Business Address: 11740 SW 68TH PKWY 100 Applicant/Agent: Platt, Joseph Work Description: Remove and replace monument sign on existing pedestal - Sign B: 3.33x8.15 ft Permanent: Yes Freestanding: Yes Freeway: No Temporary: Wall: No Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 3.33x8.15 ft Total Sign Area: 27.14 Wall Area: Wall Face (Direction): Sign Height: 4.25 ft. Projection From Wall: 0 in. Illumination: Internal Materials: alum 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: V.W „L• Ile • / Permittee Signature: , III CITY OF TIGARD RECEIPT ■ .. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 188826 - 10/17/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00171 Sign Permit - LRP 100 - 0000 -43117 $22.00 SGN2012 -00171 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 86576P HWATKINS 10/17/2012 $171.00 Payor: Joseph Platt Total Payments: $171.00 Balance Due: $0.00 Page 1 of 1 IN C . City of Ti and • Sign Permit Application TIGARD GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY • Site S treet Q .C( Addrac� �~ � e5 . Address/ Permit No.: S )alehz O) /7/ Location I/ 7 ‘- (-14) ‘Cf -t%- Approved By: O Suite /Bldg. # City /State Zip 9 722..7 Date: /0'17 .— /2- Name Receipt #: lc�$ Z '` Property d �iAa TL Map /#: 1 \1 S , / 3 /P )L) 0 3 9a9 Owner Mailing Address Suite Zoning ij `v i/ .f7/— Allowable Total Area: City /State Zip Phone Tenant or Name Electrical Permit Required? [] ❑ o Business Building Permit Required? ❑ Yes No Name Rev. 7/1/11 is \curpin \masters \land use applications \sign permit app.doc Sign r-L G et eh.) J � /' �r...7 Contractor Mailing Address Suite City/State yf t Zip 7c. AA, REQUIRED SUBMITTAL ELEMENTS Alert., 972 en. (Note: applications will not be accepted Oregon Const. Cont. Board License # Exp. Date without the required submittal elements) ❑ Completed Application Form Proposed ❑ Permanent g Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale Sign ❑ Temporary ❑ Roof El Electronic (3 copies, if a building permit is required) (Check all that ❑ Wall ❑ Other t » apply) size requirement: 8 /z x 11", or 11" x 17" ❑ 2 copies of elevations, drawn to scale rit New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: Y, 33x if-- size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 4.2.7 JL/ El $165.00 Fee (Permanent sign, any size) Total Wall Area (sq. ft.) ❑ $52.00 Fee (Temporary sign, any type) Sign Data = a o (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW SE SW Height to top of sign (feet): yfon • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Materials: /k mit j /Q / t. • Wall signs do not require site /plot plans. Will sign have illumination? ❑ Yes ❑ 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? ❑ 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 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. Ace Ap,oant Ji nature Date Signature of Owner /Agent Date 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 fi Exterior SB I Monument Display Concept - Option 2 SECURITY = .. S GNS .., 9 . . ,'8 Qua Since 1925 � . ` .y - '� ° +�"! ` Y 2424 SE Holgate Boulevard A 4 r- e - 0 Portland, Oregon 97202 J" e -. r #- ` 503- 232 -4172 fax 503-230-1861 ,,,, " r * • evwwsecuritysigns.com ) ,4' % OR CCB8 122809 WA SECURS1020CF 4 ae NORTHWEST SIGN COUNCIL ® 4 17 e. PROJECT MANAGER Joseph Platt DESIGNER J. Ford PROJECT NAME ( , er;,, • ,� , OREGON MEDICAL ASSOCIATION 11740 SW 68th Pkwy. —. Portland, OR 97223 ,� .,, "� .�. PAGE DESCRIPTION L """ -+., " Monument Display pi Q Concept ept A REVISIONS 1 • II • E ° ' . " - -- OREGON HEALTH " O OREGON PARTNERS CARE ASSOCIATION NA MEDICAL ASSOCIATION GROUP n � - OMEF EVENT CENTER i ccnroFt!? App roved ..._••.•.._.•......aw_ __ ..__ j Conditionally Approved._. • I _____ _ _ -. _ ___ Per only the work 8t; described In: C �N rr,� r , ' ^y '" PERMIT RMiT N . - � 1 NO.—---- © Copyright 2012 Security Sign. Inc P Q 2'�t'Z �L? .a� .. See Letter to: Follow_ All Rights Reserved " � � Unauthon ct on, and/or ., „i, t x'� - /t displ shall render the Infringer liable "" ` ••..•. for to $150 Damages, Attach p tt g ' 1 1 1 Y1 I pl�s a omeysa am Statutory hr each 2 "N° + a . ' 1' r F '.' q fi s .� 1 COPY 9 7 Address' t under e U n M ��1!" ngemen , i z - •. Act (17 U SC. 412E504) D l ' r ' _, ,w. � Thn sign 'a nbndad x M inRelled 1 ' _ "`�` .. wdan m tM rquirem n d Art�da 600 of tha NaUOnN Electoral Code and/or otter Y 9 n 9 d '� P oP• „ a din an bond' a1 Fa APPROVALS Client Signature Landlord Signature J , DATE: 09/06/12 B Exterior SB: Fabricated aluminum D/F monument display. Radius illuminated decorative feature top and bottom with 3/4" push -thru 3Form windows, illuminated and 3/4" push -thru clear acrylic tenant panels with PSV graphics. 1/2" push -thru conference center letters with PSV on face. J3 I , 1 PAGE #: 4 of 6 Internally illuminated with white LEDs. Overall size: 3' -4" X 8' -2" A DRAWING #: 12- JF353r3