SGN2014-00007 CITY OF TIGARD SIGN PERMIT
Be
11111 Y Permit#: SGN2014-00007
COMMUNITY DEVELOPMENT Date Issued: 01/22/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110DB01300
Jurisdiction: Tigard
Name of Business: Eye Health NW
Business Address: 15298 SW ROYALTY PKWY
Applicant/Agent: Hayden, Melissa
Work Description: New wall sign, approximately 34 square feet, located at 15298 SW Royalty Parkway for
Eye Health NW.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 34"x 142"
Total Sign Area: 34
Wall Area: 2875
Wall Face(Direction): East
Sign Height: 20 ft.
Projection From Wall: 12 in.
Illumination: Internal
Materials: Aluminum/Plastic
Electrical Permit Required: Yes
Building Permit Required: Yes
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.
Approved By: % vCV
Permittee Signature: pre -
III li N .. . .
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., "Tigard, OR 97223
T 1 G A K L} Phone: 503.6394171 Fax:503.598.1960
GENERAL INFORMATION
Name of Development/Project
Q, FOR STAFF USE ONLY
Site iszs i2p({a ,w i
Address/ Street Addres, ta k}e 1
t ion.:
Cc GN2 00�
Location d Expir ation
Date:
Suite/BI (.in/Stale Zip
Receipt#: 1 1LP it go
\.tt Approved By_:
Property Date: I/z2 N
Owner Mailing Address Suite Map/TL#: 25 lip peo
Zoning. C""
City/State Zip Phone 11
Tenant or Name Electrical Permit Required? Q/ s ❑ No
Business e ,e `_ca KL Building Permit Required? 0 Yes ❑ No
Name Rev.7/1/09
is\curpin\masters\land use applications\sip permit app.d,,c
sign Security Signs
Contractor Mailing Address Suite
(Prior to permit 2424 SE Holgate Blv
issuance,a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses an
Portland, (Note: applications will not be accepted
required if , OR 97202 03.546.7114
without the required submittal elements)
expired in the Oregon Conat.Cont.Board License# lisp.Date
City of Tigard's
database) 122809 ❑ Completed Application Form
Proposed ❑ Freestanding ❑ ❑ 2 Copies of Site/Plot Plan,Drawn to Scale
P Permanent !recstandin� Freeway
Sign ❑ Temporary 2<i'all 12<lectumic (3 copies,if a building permit is required)
�ppl)k all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2"x 11",or 11"x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations,drawn to scale
Sign Dimensions:al&x i � it (3 copies,if a building permit is required)
� size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area(sq. ft.):
`�j4-
[1] $40.00 Fee (Permanent sign,any size)
Sign Data
Si Total Wall Area(sq. ft.)
g ;Si ❑ $19.00 Fee (Temporary sign,any type)
(Complete all Direction Wall Faces(circle one):
items in this NOTES:
sccritm) N S F ' NE NW SE SW
Height tot of sign(feet): ZO# • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): 17 r. must include dimensions of wall face and sign
Q placement.
Copy: L� nikkh • Wall signs do not require site/plot plans.
Materials: L ,Q CL
• Freestanding signs over 6 ft. required a building
Will sign hair illt ation? Yes ❑ No permit.
Type: al 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 space? of the permit, THE PERMIT WILL BECOME
❑ Yes N 1VO NULL AND VOID.
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
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 (s4-1.-- day of AdAN-__ ,20 1A4 —
Signature f(honer/Agent
Melissa Hayden 503.546.7114
Contact Person Name Phone No.
CITY OF TIGARD
Approved
Conditionally Approved. _ [ i'QS qQ/� = 4SI Tit For only the work de ibed in:`��/X ( � �S X c�hc pER MI
See Letter to: Follow
[ ] C)
t Attach-....._. [ l
t ,� ob Address: 5 :.�.. �� , :'e. 1 SECURITY
.� :� , ., , �J SIGNS
`• t % ' .Date: _''44-1,,t,•:,:,s , ,:,01-
--k'.,- rHealth +�r. • o.
• - •
Jiw�wesssea
• mwfia ,�
I_.ex `. PROJECT MANAGER
r*+ Dylan Martin
REMOVE&DISCARD CABINET ,!t;,, - ry _ i ,_ DESIGNER
—1 " — — -�- A.Morrison
v kl I PROJECT NAME
.1 . .
r r
_ ®� ,L_.. Eye Hoeft NW
i
`�'° SW Royalty Parkway
„ ._. � z• Tigard Oregon
•
622a
. ,,,, PAGE DESCRIPTION
... . - Channel Letters
Note:Verify All Dimensions
-+-'ter: w� ,--...--,.......,,,,, - -; . Identification
Before Manufacturing
REVISIONS
Proposed Signage "Logo,Health" Channel Wrap °"p NOw""°°
•12.0913
Add 1 opt.on to A
Faces:3/16"White acrylic Face:3/16'White acrylic w/1st •122313
8" 5' 142.125" surface applied 3M 230-127 „ ,,,A3
Trim Cap:1'White Jewelite Intense Blue vinyl '°"
3.el, / Returns:.040"aluminum,5"deep, Color:3M Intense Blue
1 _
- White
Trim Cap:1-White Jewelite
I Backs:.040"aluminum,pre-coat
n r white Returns:.040'aluminum,5'deep,
\� �'ie . ' White
Illumination:White LEDs °,,ti°
i MN Backs:.040'aluminum,pre-coat
;to; 119.0 99,a , ��„N " 6 a us .aEye white .,010 112•aN O R T H W E S T o.-
Faces:3/16'White acrylic w/1st Illumination:White LEDs
surface applied 3M 230-127 ,b,�,;W.„ P�
7'-5'/z Intense Blue vinyl Raceway
APPROVALS
Color.3M Intense Blue Construction:8'deep,paint Client Signature
0 Channel Letter Display Layout-33.68 Sq.Ft. Scale:1/2"-1'-0' TM wall
Colors Channel Letters Trim Cap:1'White Jewelite
installation g
Landlord Signature
.77-7— Illuminated Returns:.040'aluminum,5'deep,
Health White Acrylic White Wall Type:dryvit over plywood and studs DATE:12/23/13
Manufacture and install(1)one set of internally illuminated
w E s r ■ 3M Intense Blue 230.127 channel letters on raceway
Backs:.040"aluminum,pre-coat Mounting:3/8"lag bolts through t`.J
P g 9 9 top PAGE 0: 1 of 2
PTM Fascia,verify color Scope:Remove and discard existing wall si white raceway into studs,32"on cente
A ternate V■ew-Nlght Shot (C110.1��9091) g wa sign.
DRAWING t:
Illumination:White LEDs Transformers:Raceway mounted,120v 13-AM277r2
CITY OF TIGARD RECEIPT
_ n
11111 !! 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 194648 - 01/22/2014
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2014-00007 Sign Permit- LRP 100-0000-43117 $23.00
SGN2014-00007 Sign Permit 100-0000-43115 $155.00
Total: $178.00
PAYMENT METHOD CHECK# CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card -13954d AKOWACZ 01/22/2014 $178.00
Payor: Melissa Hayden 61((:)ST
Total Payments: $178.00
Balance Due: $0.00
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