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SGN2012-00170 I CITY OF TIGARD SIGN PERMIT - Permit #: SGN2012 -00170 COMMUNITY DEVELOPMENT Date Issued: 10/17/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1 S136DD03400 Jurisdiction: Tigard Name of Business: Oregon Medical Associates Business Address: 11740 SW 68TH PKWY 100 Applicant/Agent: Platt, Joseph Work Description: Remove and replace previously approved wall sign, same dimensions - Sign A dimension 5x12.25 ft Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 5x12.25 Total Sign Area: 61.25 Wall Area: 2080 Wall Face (Direction): South Sign Height: 8 ft. Projection From Wall: 5 in. Illumination: Internal Materials: Alum acrylic Electrical Permit Required: Building Permit Required: 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: AAP O JT JCt. , w , ( 1.94 Permittee Signature: 11 11111 CITY OF TIGARD RECEIPT I . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 188825 - 10/17/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00170 Sign Permit - LRP 100 - 0000 -43117 $22.00 SGN2012 -00170 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 • III I SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223 A G A R I3 None: 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY Site "/��� Address Street dd ress Permit No.: Location //7 `�d ,f)J ‘o7V,� }/�� /vim �� Expiration Date: •�— 'oite /Bldg. # ■ it u, / J Receipt #: CJ $ y Name /f �►'' Approved By: M Property O/if/44 Date: / 0 /Z Owner Mailing Address Suite Map /TI. #: / S /"F-24/p D '3%/ 1.2.0 ,..47,64044- Zoning. A4' City /State Zip Phone Tenant or Electrical Permit Required? Yes ❑ No Business Building Permit Required? ❑ Yes ©�io Name Rey. 7/1 /09 e \curpin \ masters \land use applies tions \sign permit app.doc Sign Security Signs Contractor Mailing Address Suite (Prior to permit 2424 SE Holgate Blvd issuance, a copy of all Cite /State Zip Phone REQUIRED 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 # I .al. Due City of Tigrd's database) 122809 ❑ Completed Application Form Proposed ❑ Permanent a Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Si =n ❑ Temporary pe ® Wall ❑ l ;lectrrmic (3 copies, if a building permit is required) i•, (Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8'/2" x 11 ", or 11" x 17" I p.) ❑ New sign? E] Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: • , (3 copies, if a building permit is required) .S /2. Zr size requirement 8'/2" x 11", to 24" x 36" Total Sign Area (sq. ft): 6/ zs--- ] $40.00 Fee (Permanent sign, any size) Total Wall Area (s ft.) Sign Data ZOO 4 $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N 6 E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 4 r • must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials: - ite •} A-c f 4 L • Freestanding signs over 6 ft. required a building Will sign have illumination? Yes ❑ No permit. Type: 1st 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 overlap a tenant spa of the permit, THE PERMIT WILL BECOME ❑ Yes No NULL AND VOID. If "yes", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) 1 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 .0" l / day of ©e.1 , 20 f V III 4 efOwner/Aent Melissa Hayden 503.546.7114 Contact Person Name Phone No. Exterior SA1 Wall Display Concept - Option 2 0 P Y p p SECURITY SIGNS Qualxy Since 1925 D )' i Portland, Oregon 7202 Boulevard � 1 - , 503- 232 -4172 fax 503-230-1861 " www.securitysigns.tom OR CCBa 122809 WA SECUR51020CF k # _ INTERNATIONAL oc SIGN Assunos .....:. SIGN COUNCIL 11 NORTHWEST I. PROJECT MANAGER CtTv OF TIGARD Approved , i • -- ---• L ( 1/J Joseph Platt l DESIGNER Conditional) k roved. : I I . ` J. or For only the work as deei bid IT V ■ ....-.� PERMIT NO. U i ■■■■ III PROJECT NAME See fetter to: Follow. t Attach. 14 2_ ...11..7 `� � �` 1 111 sy - -_ _ _. Date: ,ti Job Address: 1111 O REGON MEDICAL '1 II / - - a ASSOCIATION , ., �_„ Cr 1 1 740 SW 68th Pkwy. '; ,17i r • .� T. �':,�' Portland, OR 97223 ` r e - _ _ ._ ' �' ,t PAGE DESCRIPTION ♦ it e . t . a .,. :T.4..i — _ / e , all Display s. , .a , Concept • ' -- .i �� r �� i REVISIONS . s * i NA n -� 7(r ''t w '4 ° �' t 4 004 i ; ■ 1 ~ 1 .M `kf ` * z . f ~ w aYti ' Y a , is 1 { i r :4 ' . . l _---_ _. __- r , , t ,. 1 ' S ure a r xi �r °` ,.. O Copyright 2012 secu ' Signs, Inc. . ,' I r *ir } 8S wx AN Rights Reserved IF a '. �) ,_' f , A - \ ♦ t � $ s +_�'a' c ^ x na u tho r i zed n=.product on, andior t " ' " .. dis la shall render the Infnn liable ` z P Y 9e. •, ,< r - ' � "�'ne° - t GROUP S "01 ". 3. ,, for up to 5150,000 n Statutory Damages, - �^' , ; r ," plus attorneys lees and costs, for each • > + Miff EVENT CENTER I , r � � � t nsnyemenc fe e. the u. copr ght --. - - Act ( U 5 C 4 1 ... . ^ , 1 '5 ns 'in . t ~. ••. - « ... aPPI' c. NN raq menu al 'ce400 rt . -.. ,.R" s++ . `...�. 4r , *tom . o, R..:,av' ° +`<., �,. -, .t• . 9re e s , ,� 9, undosa bond gnf�a� a c �_ n M . APPROVALS M ', "' -' *: .„ Client Signature 9Po ikg. wrm f :„. '�w r s t i i nk' , .� a �.�. Landlord Signature DATE: 09/06/12 A Exterior SA: Fabricated aluminum wall display. Radius illuminated and 1" push-thru clear acrylic tenant panels with decorative a feature top and bottom with 1 "push thru 3Form windows, illuminated PSV grphics. 3/4" push thru conference center letters with PSV on face PAGE #: 2 of 6 Internally illuminated with white LEDs. Overall size: 5' -0" X 12' -3" DRAWING #: 12- JF353r3