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SGN2013-00022 I CITY OF TIGARD SIGN PERMIT I ' Pe rm it #: SGN2013 -00022 COMMUNITY DEVELOPMENT Date Issued: 02/05/2013 TI (A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S110DC00500 Jurisdiction: TIGARD Name of Business: Kona Kids Business Address: 11455 SW SUMMERFIELD DR Applicant/Agent: Johnson, Work Description: Wall sign (23' 10" x 2'). Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: Yes Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 23' 10" x 2' Total Sign Area: 48 Wall Area: 1360 Wall Face (Direction): South Sign Height: ft. Projection From Wall: 5 in. Illumination: Internal Materials: alum /acrylic 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: C 'ltiAV Ct C v`'`- ''L/....-i Permittee Signature: _,art c+ya.yJ±Z. - c4:4-40 City of Tigard RECEIVED FEB 0 4 2013 Sign Permit Application CITY OF TIG T PLANNING/ENGINEERING TIGARD PANNING /E GENERAL INFORMATION Name of Development /Project Site &I1 U.)I l)d f 66 art FOR STAFF USE ONLY Address/ Street Address Permit No.: 0 U e) a .)` ,/ , SG aoi Location / / . / 5 t 1 14) um , )1e e J ct hr Suite /Bldg. # Ci /State Zip Date: Approved By: e�'�'L 7.9 O q1-2Z,1 a S ` - - 1 3 G] + Name / i Receipt #: 1 I © °? B Property (i>6 K i° 619er/7 es L(,Cd Map /TL #: a S i i U 0 C 6 O 0 v Owner Mailing Address , y ,� / Suite / / , /), /✓ Zoning: C - & i/5475 S& ham/ / W` , r / co Allowable Total Area: o7 O L i - Ci tate Zip Phone Tenant or '`� Na! e ( ti Zt9 ut) 33Z �� Electrical Permit Required? [71 Yes ❑ No Business r j/ J Sd ci t l)iyjl) ,0( Building Permit Required? VI Yes ❑ No Name Rev. 7/1/12 Sign ) S c / ) � is \curpin \masters \land use applications \sign permit app.doc Contractor Mfg Address Suite gale P (a ItiffaL City /State Zip Phone REOUIRED SUBMITTAL ELEMENTS r . ji IA 4 1' i 5t// Cf 654 (Note: applications will not be accepted OregOn Const. Cont. Board License # Exp. Date without the required submittal elements) 11/34- 3.1(' . t izi Completed Application Form Proposed ■ Permanent Freestanding ❑ Freeway 0' 2 copies of site /plot plan, drawn to scale (Check all that R Temporary El Roof 1:1 Electronic (3 copies, if a building permit is required) apply) size El Other size requirement: 8 x 11 ", or 11" x 17" [] 2 copies of elevations, drawn to scale :/ New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign imensions: size requirement: 8 x 11 ", to 24" x 36" Z 3'Io't X Z - O" Total Sign Area (sq. ft.): i er $171.00 Fee (Permanent sign, any size) Si Data Total Wall Area (sq. ft.) j../, o ❑ $54.00 Fee (Temporary sign, any type) ', 3100 = 3 (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N 0 E W NE NW SE SW Height to top of sign (feet): /(p ' • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 5 " must include dimensions of wall face and sign Materials: aga , yl e ,---e t , a e e....) placement. • Wall signs do not require site /plot plans. Will sign have illumination? 'Yes ❑ No • Freestanding signs over 6 ft. required a building Type: lb Internal ❑ External permit. Are there any existing freestanding or wall signs at this location, including wall signs that overlap a tenant space? ❑ Yes IN, 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 I of 2 APPLICANTS: To consider an application complete, you will need to submit ALL of the REQUIRE s 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 g b owner of the subject property are required. A IL ■trilli.„,,Iff Plods Applicant Signature 'J Date // r Signa i e of Owner /Age Date • �h 050 I 5/1 r S 55 /3, Contact Person Name Phone No. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503-718-2421 I www.tigard- or.gov I Page 2 of 2 Ill CITY OF TIGARD RECEIPT V m •. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 T[GARD Receipt Number: 190128 - 02/05/2013 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2013 -00022 Sign Permit 100- 0000 -43115 $149.00 SGN2013 -00022 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 058560 CCAINES 02/05/2013 $171.00 Payor: ES & A Sign and Awning Total Payments: $171.00 Balance Due: $0.00 • • Page 1 of 1 Layout 23' -loe �) 5" 1 ` i , N K D I S D E NTIL ST D Y . Side View Scale: 1 /2 =1' -0" Photo Inlay Specifications RECEIVED . 4 , , 7 ..., p r. - FEB 04 2013 CITY OF TIGARD PLANNING /ENGINEERING ' , Manufacture & Install (1) Channel Letter Wall Sign KIDS DENTISTRY "KID'S DENTISTRY" Letters: 5" deep Black stock aluminum returns & 1" Black trim cap. "4641111.1111 . White acrylic faces. White LED illumination. a I s, i Installation: sow...:::- r : : _ T ..4 Install channel letters. centered between (2) fascias. Use spacers on bottom of letters for recessed fascia. Remote install or access to be verified. Verifications: Colors. font, dimensions, access, installation CITY OF TIGARD Y Approved.....--....... [/` , Conditionally Approved . i j Photo inlay is for illustration only and is not to scale. ES&A is not responsible for discrepancies ansing from photo inlay. For only the work described in Decision to purchase should not be based upon this photo inlay. Refer to specifications for actual dimensions. PERMIT NO 3i ; N 070 (.3 - 00 oad L �, See Letter to: Follow I l $QtLHi ET f -e,i, I c-)1 I i , J Address: A `I S c $ inl v �.,..n ' e 1 �� . IA) C,( (I wie n3; 0A 3 $o yc( Per e -a l --- - - � ----__ Date: , -2 - 2013 COPYRIGHT ES&A SIGN CORP. mat % �r +•. ed sue O • rd se I: ee/auel pn�eq d ElM ea t� REVISIONS: CLIENT APPROVAL ' CHIfl DRAWING NUMBER: 14595 -C -0I PRESENTATION FOR: 84974 PRAIRIE RD. ad Rrerdd tr al appal * alai d de GMa ad ee 91.11 dedmd a corded e a nnn 9 a Ira ee1M t mar 401 d1. ee.a wants 1.9.13: Made letters smaller and raised to fit on split face CMU INCLUDES COLORS, SPELLING. ARTWOM DATE Of ORIGINAL DRAWING: Di D4.13 KONA KIDS EUGENE. OA PT +n. pumas d EVA ip 4 + R fn edema la *ter get re ek.et d to dso 4 be miteeed be A its pema n arm et din ESM Sp Cap. 'dm it erns Tee prime d ESM Sip trqit de Tea *espy eensa Jr *amp a *Mel m of obi assay a ere.:SAA iNN �om 1 1 455 SW SUMMERFIELD OR. ;4. i8.:,4 is pan. a. *honk Rims he a lom % sec ,..r. • ■w de pa* pee dN be erred Al we is e1. ae PLEASE INITIAL PLEASE DATE: SALES; DESIGN: PAGE HO: i4 i 484.5•1'; TIGARD, OR 97224 OINK PRESENTADON ONLY. PULE SEE NMI REPRFSENTATIME FOR ACTUAL COLOR AND ►YUERAI anus. ' BH BS 2 of '- UMW MIMI 1 MIME MME URII IMTTIrMR MIMI III IMrTFiFMT 11111Ft A IiMfFS