SGN2014-00041 CITY OF TIGARD SIGN PERMIT
I Permit#: SGN2014-00041
COMMUNITY DEVELOPMENT Date Issued: 04/16/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2421 Parcel: 2S101AA07700
Jurisdiction: Tigard
Name of Business: Allstate
Business Address: 12520 SW 68TH AVE A
Applicant/Agent: Lanphere, Dave
Work Description: New wall sign, approximately 4 square feet, located at 12520 SW 68th Ave on the west
facing wall.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 1'x 4'
Total Sign Area: 4
Wall Area: 1200
Wall Face(Direction): West
Sign Height: 7 ft.
Projection From Wall: 8 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.
Approved By: _, \L i LU'4..—
Permittee Signature:
City of Tigard
Sign Permit Application
TIGARD slElo 13
GENERAL INFORMATION
Name of Development,Project
FOR STAFF USE ONLY
Site Q USricin
Address/ Street Address Permit No.: S&N 2U t L - 0001 I
Location IZ5Z_o 5,4 (ogm' AvE' �J �+p
Suite/Bldg.t# City/State Zip
Approved By:
A T/t o2 G 7 Zza, Date: �f Ji '
Name Fee: 11% t" CO
Property ?AU L, CI•Ac42u,3)/ Receipt#: KO/il l
Owner Mailing Address Suite Map/TL#2 101 A 01-7 00
/ZS20 f,,a t,,8--11 ave A Zoning: MU ci a
City/State Zip Phone Allowable Total Area: ItS L4,
Tlv) aL 57l14
Tenant or Name
Business 4 use Electrical Permit Required? ..ales ❑ No
Name Building Permit Required? ❑ Yes ,O....No
Hannah Sign Systems LLC Rev.6/24/Z113
Sign l:\CLRPLN\Masters\Land Use:\pplcanons,Sign Permit.Joc
Contractor Mailing:Address Suite
1660 SW Bertha Blvd.
(:in ,.ie( /ip Phone
Portland, OR 97219 5039468373 REQUIRED SUBMITTAL ELEMENTS
Oregon G,nst.Cont.Feted License# Exp.Date (Note: applications will not be accepted
188772 11/23/2013 without the required submittal elements)
Proposed ® Permanent ❑ Freestanding ❑ Freeway. Completed Application Form
Sign ❑ Temporary ❑ Roof ❑ Electronic 1
(Check all that hit Wall ❑ Other 2 copies of site/plot plan,drawn to scale
apply) 5� (3 copies,if a building permit is required)
size requirement: 8t/2"x 11",or 11"x 17"
® New sign? El Alter to existing sign? ,B 2 copies of elevations,drawn to scale
Sign Dimensions: '�„ ��a (3 copies,if a building permit is required)
Total Sign Area(sq. ft.): size requirement: 81/2"x 11",to 24"x 36"
ET Application Fee
Si n Data Total Wall Area(sq. ft.)
t /?g
g 12420
(Complete all Direction Wall Faces(circle one): NOTES:
items in this �y.�
section) N S E(9 NE NW SE SW
Height to top of sign(feet): '7' • Wall signs do not need to be drawn to scale, but
a must include dimensions of wall face and sign
Projection From Wall(inches): B placement.
Materials: Au,,n,t= 'e • Wall signs do not require site/plot plans.
Will sign have illumination? [J Yes ❑ No • Freestanding signs over 6 ft. and walls signs of
Type: la Internal ❑ External which any element weighs 20 lbs. or more require a
Are there any existing freestanding or wall signs at this location, building permit.
including wall signs that overlap a tenant space?
❑ Yes E( No
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
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
APPLICANTS:
To consider an application complete,you will need to submit ALL of the REQUIRED 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 each owner of the subject property are required.
, 4,_,s-_,,
App cant Signa- Date
fL///
Signature of Owner/Agent 4111W Date
David P Lanphere 503-333-1216
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
/ 5'-10 9/16" r
j 2 3,16" _
/ 1 9 3/4"....- 3'-10 5/8" /
,I4'
Drill Hole and Fill w/Silicone
i" . Adheisive \\\
`\ 1/4"Thick Aluminum Painted
m 1 MP 2136 Allstate Blue Satin Finish.
M I
` 1/4"-20 x 2'Long Aluminum I
Studs Welded To Back Side
\ For Mounting
Letters To Be 1/4"Thick Aluminum �\
Logo To Be 1/4"Thick Aluminum Painted MP 2136 Allstate Blue Satin Finish.
Painted M 11477 White Satin Finish EACH LETTER WEIGHS LESS THAN 5 LB5 1/4"-2o Nut Spacer \)
P 1/4"-20 x 2"Long Aluminum Studs p■With 3M Translucent Sultan Blue SIGN IS 8.5 5Q FT Welded To Back Side For Mounting
Vinyl#3630-157 Applied 1st Surface.
1/4"-20 x 2"Long Aluminum Studs
Welded To Back Side For Mounting
WALL IS 5/8"DRYVIT WITH
3/4"PLYWOOD BACKER
dIO1EK SCREW / 6
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SIGN WEIGHS 10-S,00. ovally Approved-..._....."_....._".._"_ [ j '`!
SIGN 15 4 5Q FTor only the work as described
in:, y�i ERMIT NO. S °/i/--494c) creocfuecTrrfa,
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See Letter to: Follow.
Attach ------ I I
Job Ad ss: L ` i-
a This artwork Is final-please review for errors before signing. If the final product matches the signed artwork and Is Incorrect we will remake It on a time and material basis
Prepared For. Protect Manager. Revlelone Approval
•
a1� Dave Lanphere No. Description
D.r. Pp ®Copyright 2007 Hannah Sign Systems.
t This original design and specifications are
Ailotat,e Project. Client Signature the exclusivepropnYyofHannahSignSystems.
Damn 6116/14 j The we of this design to produce a similar
sign without written authorization from
4111114121MMEMIlllt. .
Ocala Hrb Hannah Sign Systems is strictly prohibited
Drawn 6y: DL I I -
THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503-206-4900 CCB# 188772
a a a�a.r�►I 11 IV/1
Allstate
co Allstate
ti
This artwork is final-please review for errors before signing. If the final product matches the signed artwork and 1s Incorrect we will remake It on a time and material basis
i
Prepared For Project Manager RaN610ne
1 Dom No. Description
vacs Approval ®Copyright 2007 Hannah Sign Systems.
J This original design and specifications are
Project Number: Client Signature the eadusive property ofHannah SignSystems.
111 All sta to Data ti/16/14 The use of this design to produce a similar
sign without written authorization from
Scale NTS Hannah Sign Systems is strictly prohibited
4111111421111121=121W
Drawn Sy: DL
THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503-206-4900 CCB# 188772