SGN2013-00135 a CITY OF TIGARD SIGN PERMIT
j -"2 Permit#: SGN2013-00135
COMMUNITY DEVELOPMENT Date Issued: 11/05/2013
'TIC.;ARD! 13125 SW Hall'Blvd.,Tigard OR.97223 503.718.2421 Parcel: 2S102CB03200
Jurisdiction: TIGARD
Name of Business: United Urgent Care
Business Address: 9975 SW FREWING ST
Applicant/Agent: Pham,Tom
Work Description: New wall sign, 2'4"x 17', on the north side located at 9975 SW Frewing Street for United
Urgent Care.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2'4"x 17'
Total Sign Area: 40.8
Wall Area: 3640
Wall Face(Direction): North
Sign Height: 25 ft.
Projection From Wall: 10 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $179.00
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:
AtjA
Permittee Signature: n( pre Iv
... , ,. ,
. ., . .
q City of Tigard
-.- .. ''. Sig n Permit Application
TItG
GENERAL INFORMATION
Name of Development/Project
VALP� UryeA4 nd� FOR STAFF USE ONLY
Site (i ��Address/ Street Address Permit No.:cJL�?IV -013--001��
Location 01117 W tge l ,v _-Qt Approved By: AV-----
Suite/Bldg.tt (2it/State '' O' I
Name 11 0 T aR A , p� Date: I115611.
/ C/
(J Receipt#: I a l i
Property TJe �L.. Povni.e /v jaS<VCli/Gt/ Map/'1L#::'� �Sl02GPa�32�0
Owner Mailing Address Suite 0 Zoning: G -
99 1 S Vhi i-Re,kig II 0 Allowable Total Area: 1 l�-2`D
City/State Zip /J Phone �f
1 AR.A 014- V (.3r)3)1 o4_ NV Electrical Permit Required? .[ 'Yes ❑ No
Tenant or Narr
Business VVV A/e rjc J . Building Permit Required? ,Yes ❑ No
Name l� Rev.7/1/In
q l is\curpin\masters\land use applications\sign permit app.doc
Sign �/lMiO/IL�!Q/A.S, GG�i .
Contractor Mailing Address V Suite
/6/x21 NF riefor m,
A/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
rsz I R 4 J OR q7 (01)AM/2_11e/3 (Note: applications will not be accepted
Oregon Const.Cont.Board License to C;Xp.iDate without the required submittal elements)
170,2 Q 9 oively ❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway 1111 2 Copies of Site/Plot Plan,Drawn to Scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies,if a building permit is required)
igj(Check all that Wall ❑ Other t ''
apply) size requirement: 8/2 x 11",or 11"x 17"
❑ 2 copies of elevations,drawn to scale
1 New sign? ❑ Alter to existing sign? (3 copies,if a building permit is required)
Sign Dimensions:j , / 17 / size requirement: 8t/z"x 11", to 24"x 36"
Total Sign Area(sq. ft.): 110n fr ❑ $164.00 Fee (Permanent sign,any size)
Sign Data Total Wall Area (sq. ft.) � j t .9 ❑ $52.00 Fee (Temporary sign,any type)
(Complete all Directio Wall Faces(circle one):
items in this NOTES:
section) N (` E W NE NW SE SW
eigh .o top of sign(feet): e 5-/ • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): Q�� must include dimensions of wall face and sign
I placement.
Materials: MIAM1VILAM
e Wall signs do not require site/plot plans.
Will sign have illumination? NI Yes ❑ No • Freestanding signs over 6 ft. required a building
_ Type: , 'lnternal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space? ___ __
❑ Yes P<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
•
A 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 thav,plansi submitted are in compliance with the City
of Tigard'.
-.-
DATED:this _ _ dayof Ari 0,J _
•
Signature of Owner/A:- =
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
•
..
CITY OF TIGARD (.....1\29
Job No.: Data LED CHANNEL LETTERS EXPOSED ON RACEWAY Approved __._..�... _,,,_
Conditionally Approved... - ..__.. [ j
A139-3 11/4/2013 For only the work as described in:
Custom
PERMIT NO. ZOI 3°0. 1Customer
Alexis Lee See Letter to: Follow ....t I
Company:
Jcb Attach.
United Urgent Care ...,
....._..... 1
Maresa: .. Address:CG11 &vv '1'F,°W r h t _
9975 SW Frewing St try: Ave i • Dat+ : bh 3
Ste#110
City:
Tigard
State/ZIP: RGE7\HT R OR 97223 I I �
Phone: 1 J I_ Y c
P 1, N �� FAMILY MEDICINE w L
▪David Juan V.- 6 ft
D rawing Approved For Performance tsar.
PROPOSAL SIGN
Customer: SOUTH ELEVATION NORTH ELEVATION
\_
Data: :. /// py
•Landlord:
D ots:
t
(.s.w..
16127 NE THOMPSON PORTLAND,OR 97230 - —
{ ION
3 • ,
-5IGNS
..edaaded anre 10001"
503-442-1195
DESCRIPTION COLOR CHART 120V POWER OUTLET CHANNEL LETTERS ON RACEWAY
WHITE LED MODULE INSTALLATION DETAILS
FAX#5032550901 MANUFACTURE AND INSTALL READY IS REQUIRED t•Eu. 1Tt.)1n•E,•1Er,ERE�•4..m
ONE SET OF ELECTRICAL sSOC.E&�ioref.an WAIFS.. li wsw.E�f11 0�: Y
CHANNEL LETTERS ON RACEWAY
www.VS$Igrl$.com 3/16"WHITE PLEXIGLAS ���%�.m
IT READ AS: ccorenticno ru.REr., /• &RED TRANSLUCENT VINYL
LICENSED. BONDED•INSURED l' United Urgent Care • .040 ALUMINUM PAINTED(BLACK) QU/1,R 40.8 1
L+( !'4Ct�i� V ED MODULE
■ 1"BLACK TRIM CAP �y/� /t
ME.REIOGLAS
Thein FTARvg JbIaindin this • 8"X6"RACEWAY FOOTAC�� SQ.FT OD WI
The information's contained in this d r a w i n g is n, ,OLR
thesoleenyofVisionSgns,LLC.My (PAINTED MATCH WALL COLOR)
prop
reproduction or copy without VSs pennssion ,„ SWICH
ywi
is prohibited. k
Ste-RACEWAY
ixr aRnn,dE
Job" Date: BUILDING ELEVATION
A234 11/4/2013
Customer.
Alexis Lee
Company.
United Urgent Care
Address:
9975 SW Frewing St SOUTH BUILDING ELEVATION
Ste#110 /' ,;',y �% SIGN LOCATION�rl��
Cy:
Tigard riMh2!,rM M Nr 6,,,2 ' /
OR 97223
1,7.. 'f'...,/.4, ....
le /4, ./
Phone. / /
. 1)' /\\--. / .
503-593-1527 r F� /" t .s
Page&Seale: g �� i ,.� .
2 of 3 1/4"=1' Y '41/4
Drawn By: i /1.- I-
David Juan
I / 1 NN
Drawing Approved Fer PeAarmwrea By: �', I _ IO • •, ,
SIGN LOCATION(SOUTH)
1,
Customer: 55 ft �.a
Date: NORTH BUILDING ELEVATION
Landlord:
Tl'ITICOl
Date:
16127 NE THOMPSON PORTLAND,OR 97230
` ISION
Ill—f SIGNS
" . 6/.;.4,4 cl r.,roan'
130 ft
503-442-1195
FAX#503-255-0901
www.VSsigns.com
LICENSED. BONDED•INSURED N
ROPR$ETARY 8 CONFIDENTIAL
The information's contained in this drawing ls :SIGIi LOCATION DEFER TO
me�a�veny orvl��s��,uc.a,y �
reproduction or wpy wittaot VS's permissia P B W = Primary Building Wa l l
'aprohthiled. SBW= Secondary Building Wall RONT ELEVATION DRAWING
CITY OF TIGARD RECEIPT
.. ' �
>i .,f 13125 SW Hall Blvd.,Tigard OR 97223
• 503.639.4171
TIG ,IR01
Receipt Number: 193818 - 11/05/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00135 Sign Permit 100-0000-43115 $155.00
SGN2013-00135 Building Misc Fund (copies/prints) 230-0000-45319 $1.00
SGN2013-00135 Sign Permit-LRP 100-0000-43117 $23.00
Total: $179.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 08552G AKOWACZ 11/05/2013 $179.00
Payor: Thanh Pham
Total Payments: $179.00
Balance Due: $0.00
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