SGN2012-00182 'PI CITY OF TIGARD SIGN PERMIT
a . Permit #: SGN2012 -00182
COMMUNITY DEVELOPMENT Date Issued: 12/03/2012
T I G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S101 DA00105
Jurisdiction: Tigard
Name of Business: Extended Stay America
Business Address: 13009 SW 68TH PKWY C
Applicant/Agent: Gibson, Garrett
Work Description: 31" x 2'1" aluminum freestanding sign to replace former sign in same location at
driveway entrance on 68th Pkwy.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3'1" x 2'1"
Total Sign Area: 6
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: Internal
Materials:
Electrical Permit Required: Yes
Building Permit Required: Yes
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.
J
Approved By:
y 4(e
Permittee Signature: ,SQjQ. (App I 1 �1 a0
111111 q CITY OF TIGARD SIGN PERMIT
$ Permit #: SGN2012 -00182
COMMUNITY DEVELOPMENT Date Issued: 12 1 bl 12
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S10 DA00105
Jurisdiction: Tigard
Name of Business: Extended Stay America
Business Address: 13009 SW 68TH PKWY C
Applicant/Agent: Gibson, Garrett
Work Description: 3'1" x 2'1" aluminum freestanding sign to replace former sign in same location at
driveway entrance on 68th Pkwy.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 31" x 2'1"
Total Sign Area: 6
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: Internal
Materials:
Electrical Permit Required: Yes
Building Permit Required: Yes
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: -,4 _
CITY OF TIGARD RECEIPT
4
M E g r. 13125 SW Hall Blvd., Tigard OR 97223
503.639 4171
TIGARD
Receipt Number: 189334 - 12/03/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00182 Sign Permit 100 - 0000 -43115 $149.00
SGN2012 -00182 Sign Permit - LRP 100 - 0000 -43117 $22.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 3737 TLEHRBACH 12/03/2012 $171.00
Payor Ramsay Signs, Inc.
Total Payments: $171.00
Balance Due: $0 00
Page 1 of 1
•1 City of Tigard
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development /Project FOR STAFF USE ONLY
Site t.".1 b i G✓i L 4-- ,
Address/ Street Address 1( Permit No.: S GJV Z012"" 00 122_
Location I S 6° 9 S,;, (gE , tP Lw
City/State Approved By:
Suite /Bldg. # y /State Zip �,�
� i� Wd ; �Z 1"]27_3 Date: 12 I3 2012
Name LL Receipt #: I $c1 33 `i
Property � 1646—c-V--c__& Map /TL #: 2.5 101 )A001055
IO
Owner Mailing Address Suite Zoning: My G �+
Allowable Total Area: 32 � T n. - Qer -e&ta CO
City/State Zip Phone
Tenant or Name
Electrical Permit Required? Nt Yes ❑ No
Business Building Permit Required? NI Yes ❑ No
Name Rev. 7/1/11
-�^ c \curpin \ masters \land use applications \sign permit app.doc
Sign fCLY444.ii �L.
SigtA.s v` L..
Contractor Mailing Ad lJ Suite
qI &o Sr 'Nfk,Ae_
City /State 1 Zip Phone REQUIRED SUBMITTAL ELEMENTS
Pa� l.,dSz q 72o(Q 503.777 q- SS (Note: applications will not be accepted
Oregon Const. Cont. Board license # Exp. Date without the required submittal elements)
62 3 LJ 2, - z___ a// . Z //3 ❑ Completed Application Form
-
Proposed ❑ Permanent Freestanding El Freeway El 2 copies of site /plot plan, drawn to scale
Sign ❑ Temporary Roof p Electronic (3 copies, if a building permit is required)
(Check all that ❑ Wall ❑ Other t e>
apply) size requirement: 8 /z x 11", or 11" x 17
"
�
CI 2 copies of elevations, drawn to scale
E l New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: k,. size requirement: 8t/2" x 11 ", to 24" x 36"
1,`1 x2 -r
Total Sign Area (sq. ft.): / k III $165.00 Fee (Permanent sign, any size)
Si Data Total Wall Area (sq. ft.) to ° ❑ $52.00 Fee (Temporary sign, any type)
,U fA _
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S W NE NW SE SW
Height to top of sign (feet): .3 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): ,,J44, must include dimensions of wall face and sign
Materials: � placement.
/Tll� 11 / �L4t • Wall signs do not require site /plot plans.
Will sign have umination? (� 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?
y ] Yes ❑ No
/ (OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square
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
EXTENDED STAY HOTELS
Date: January 12, 2012
To Whom It May Concern: /�,v�
ri
I hereby authorize /"" ' and their
representative(s) to act as agents on oUr behalf to apply for sign permit(s), sign variance(s), and to perform any sign
installation work at the below address:
Extended Stay America
/ (o f
e'd ,
Sincerely,
Property Manager Name / Title: David Kellam - Director Of Exterior Sign Systems & Special Projects
Property Manager Street Address: 11525 North Community House Road, # 100
Property Manager City /State /Zip: Charlotte, North Carolina 28277
Property Manager Phone: 980) 342 -1626
Property Manager Signature:
ExtendedSlayAmerica Homestead Studio Suites StudioPLUS Deluxe Studios
STAY
AMERICA
December 22, 2011
To Whom It May Concern:
HVM L.L.0 as manager of ESA P Portfolio LLC has retained The InSite Group to
project manage the new rebranding of various hotel properties in 2012. The InSite Group
is authorized to represent ESA P Portfolio LLC regarding the rebranding of all signs
throughout the United States and Canada. ESA P Portfolio LLC shall bear all costs
associated with this signage rebranding.
Any questions regarding this matter can be directed to:
David Kellam
Director of Exterior Systems and Special Projects
11525 North Community House Road, # 100
Charlotte, NC 28277
Office: (980) 345 -1626
Sincerely,
David Kellam
Director of Exterior Systems and Special Projects
cc: The InSite Group
7675 Oak Ridge Highway
Knoxville, TN 37931
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- E- cuRtE RAMO 1.8140114 TANC1888 048813 MAME] DELTA
CI 25 00' 38_76' 2449' 34.99' ma.roo'31 88'49'44" Approved ), ..._.-
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C6 80 00' 25.34' 2.76' 25.24' N62'48'06 18'09'03" ,
PERMIT NO 91
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35.10' 872'53'09n.. 3819'06'
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* 2009 IBC
* 110 MPH WIND SPEED, EXPOSURE C
NOTES
1.) SEE MANUFACTURERS DRAWINGS
FOR ADDITIONAL DETAIL AND
2' - 1" TS 3" X 3" X 1/4" ` 1. -0" DIMENSIONS.
2.) SIGN CABINET AND CONNECTION
_ BY OTHERS.
ill r , 7 "
adk. 1 1/2" DIA. ELECTRICAL HOLE
F TUBE TO
,f ' 1/4" • PLATE
A
Errlancs • 3/4" THK. PLATE
L- 144 5/8" DIA. HOLES
4 ice' i{ p FOR 1/2" DIA. ANCHOR
l' 2" i 9 'i
GRADE 8"
I I I BOLTS (4 REQ'D) -
• •
) l ) tl
u Q a c G
° ° -
° a a ° a a ° BASE PLATE DETAIL
0
Z`I 1/2" DIA. ASTM F1554
0.16 CU. YDS. °
NOTE: GRADE 36 GALVANIZED A.B.
OF CONCRETE a A COLD GALVANIZING COATING
a 20" EMBEDMENT
REQUIRED. ° IS TO BE APPLIED TO ANCHOR
° BOLTS & NUTS AFTER INSTALLATION (4 PLCS.)
TO PREVENT CORROSION. DOUBLE HEAVY HEX NUT &
a
WASHER (TYP)
-d - (6) #4 BARS ON A
10" DIA. PATTERN HIGH STRENGTH
I 1.6 0 WITH #4 STIRRUPS •i i NON- SHRINK GROUT
ON 8" CENTERS FOR 1 ' ' 6 " NOTE: ��:r,
TOP 16" AND 12" COLUMN AND PLATES MUST -- I CENTERS THEREAFTER. BE PRIMED TO PREVENT o a
FRONT VIEW SIDE VIEW CORROSION. o m L u
CAISSON FOUNDATION N w °
HEAVY HEX LEVELING
,., NUT
4 i" i fSt DOUBLE HEAVY HEX NUT&
WASHER (TYP)
EMBEDMENT DETAIL
(TYP.)
SIGN TYPE
INS- ESH -IL -D6
extended SQ. SHT BY Project Number
CLIENT: / DESCRIPTION: 6 SQ. FT. All All designs and plans indicated on this drawing ore the sole
J property of The InS,te Group. created specifically for the noted 1 JRB ESH0000 •• 7675 Oak Ridge Highway
project use of these designs or plans for any purpose other Knoxville, Tennessee 37931
STAY DIRECTIONAL INSTALL thou the intended opplicoton shoo be prohbited without the OF DATE. DrawingNum6er. IflSite Group Voice. 865.342.8200
AMERICA 110 MPH IBC 2009 written consent The h Group Disclosure of any , the
information enclosed sed witithin. n, without consent of owner. is a 1 12/19/11 B353088 Fax: 865.539.6311
violation of intellectual property and shall not be tolerated