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SGN2013-00125 v CITY OF TIGARD SIGN PERMIT lS • Permit #: SGN2013 -00125 COMMUNITY DEVELOPMENT Date Issued: 10/09/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102AA00905 Jurisdiction: Tigard Name of Business: Sierk Orthodontics Business Address: 12000 SW MAIN ST Applicant/Agent: Slingluff, John Work Description: A new wall sign, approximately 24.5 square feet (1'9" x 14') on the north wall for Sierk Orthodontics located at 12000 SW Main Street. Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 1'9" x 14' Total Sign Area: 24.5 Wall Area: 580 Wall Face (Direction): North Sign Height: 14 ft. Projection From Wall: 5 in. Illumination: Internal Materials: Aluminum Electrical Permit Required: Yes Building Permit Required: No Total Permit Fee: $178.00 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. I Approved By: i /..h i A �; Permittee Signature: _ . . . , .. RECEIVED , P p i • City of Tigard OCT 0 9 2013 • Sign Permit Application PLANNING/ENGINEERING I TIGARD GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY Site Sierk Orthodontics Address / Street Address Permit No.: '' 9Nzo - 00 1.2. Location 12000 Main St. Suite /Bldg. # City/Start Zip Approved By: Tigard,Or 97223 Date: k l 11 ,,»e Receipt #: `0l 3 17 Property Polly Sierk Map /TL #: /� I O 2-* DCAOS Owner Mailing Address Suite Zoning. 12000 SW Main St Allowable Total Area: lsa City/State Zip Phone Tigard,Or 97223 503 - 702 -1157 Tenant or Name Electrical Permit Required ?s ❑ No Business Sierk Orthodontics Building Permit Required? ❑ Yes (o Name Rev. 7/1 /12 Meyer Sign Co of Oregon is \curpin \masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite 15205 SW 74th Ave City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS Tigard, OR 97224 503 - 620 - 8200 (Note: applications will not be accepted Oregon Const. Cont. Board License # Exp. Date without the required submittal elements) 64014 02/04/15 Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway Er 2 copies of site /plot plan, drawn to scale Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required) (Check all that i© Wall ❑ Other t se apply) size requirement: 8 /2 x 11", or 11" x 17" (J2 copies of elevations, drawn to scale ® New sign? ❑ Alter to existing sign r• (3 copies, if a building permit is required) Sign Dimensions: size requirement: 81/2" x 11 ", to 24" x 36" 1' "x14' Total Sign Area (sq. ft.): EC$171.00 Fee (Permanent sign, any size) 24.5 sq ft. Si Data Total Wall Area (sq. ft.) = .0422 11 $54.00 Fee (Temporary sign, any type) • ' 580 sq ft. (Complete all Direction Wall Faces (circle one): items in this NOTES: section) ion� ® S E W NE NW SE SW Height to top of sign (feet): 14' • Wall signs do not need to be drawn to scale, but Projection From Wall (mches): 5 " must include dimensions of wall face and sign Materials: aluminum placement. • 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 1 13125 SW Hall Blvd., Tigard. OR 97223 1 503 -718 -2421 I www.tigard - or.gov I Page 1 oft • 1 . APPLICANTS: To Li:oxidtr ca urtda at c r nn:per>, too rill nod to uvbntit AU, of thr $LQS in6'.j silt F 1,1, 1+]; a. dncrtbtd as t}x Raw al 'ON oponeairto as tic "llrt(tmrI'ntaboottat Drawn" be, A'OTT Perpn •lrrrdi a 1 "&vrairave shalt be end'hoottltttr" end thal poridr raeorad a.cwaaR tn. apm, tiChrn d.r won' mod *e •pplumno are different props the a7pi..,-nr Ir.. ht Ar patimer of toad ors lessee in posrsrr» vot r .nn.a ..41. ass.. fro.. thr n.■v.er or ors silenced the owner. The onwt(r) ow* tips this. eppileNisn is dm plow pn.•1ded en *e beck d 1 a... !cwt to aulwnit a wrinea aaatadtabra NhL lbw giant a _ _ BY SIGNING BELOW, THE APPLICANTS) SHALL CERTIFY THAT • It the sppbcauun is /retool. rite apple :air til tarrs.n,e the Win panted on aearrJlc.a a with the temp sod aubjeet to all the eoothuams and 4mtlution, of the appava d • Al of du above ahtcnacnto snit the etrtvIrsenh to the pot plat, stteeMmnta, sad ishibite uaaswitreJ herewith, arc the, and the atplicant:.0 act 'ttta rtlre that act perm tusued, braved on this estpliention, amid may be , r eottai iris is 1 tlut as16 sack sraterr'c. is sat fake • llte apptcanr has mad the cairn rimer•. c t the s pliearon. Exhaling the policies and rtitetaL, sod kook wands t rryutrn1w. - fry• arrrreina ansl sirn raw ' attileteuna_ 1 hereby ararnovticdge that I have read ahii appllsatlutt. that the iulutmbnon Riven se correct, that I air the ~RCS or authenr•il ere to rf the writ:, µtad that plans suhmtttert um its,oropft pith the f :te of Tigard. SICNATI RFS r.ttjj, owns• of the sal.rrt tm.p• re• Par required p 9k) /bights A mimeses Brion ear Dot Sterur,ttr 14 s t.a w-, yr' Date Eros Keraeafiarty Mlxo'npr 6.:!4.11 f,e,t,.rt 1 Nu t. !Ism, No City of Tristrd 1 13125 SW If BM.. Tiptd OR 97223 1 303- 7I$4421 1 vow w,tipnd• , - .Foe 1 car 2 c f 2 CITY OF TIGARD RECEIPT S . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 193487 - 10/14/2013 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2013 -00125 Sign Permit - LRP 100 - 0000 -43117 $23.00 SGN2013 -00125 Sign Permit 100 - 0000 -43115 $155.00 Total: $178.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 34140 BTAGGART 10/14/2013 $178.00 Payor: Meyer Sign Co. of Oregon Total Payments: $178.00 Balance Due: $0.00 Page 1 of 1