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SGN2014-00142
CITY OF TIGARD SIGN PERMIT Permit#: SGN2014-00142 COMMUNITY DEVELOPMENT Date Issued: 11/12/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101AB00100 Jurisdiction: TIGARD Name of Business: Meridian Acupuncture Business Address: 12005 SW 70TH AVE Applicant/Agent: McKee,Jane Work Description: Placement of(1)one 24 s.f temporary banner. Valid 11/24/14-12/24/14.Sign#1. Sign must be on private property and not in the public right-of-way or visual clearance areas. Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: Yes Electronic: No Billboard: No Balloon: No Banner: Yes A-Board: No Sign Dimensions: 8'x 2.75 Total Sign Area: 22 Wall Area: Wall Face(Direction): Sign Height: ft. Projection From Wall: in. Illumination: Materials: Banner Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $61.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. Approved By: d(.Q1Akt Permittee Signature: d— Gtpf2fiCCt. IN City of Tigard ' Sign Permit Application T IGARD ■ : GENERAL INFORMATION Name of Development/Project el l il e5 5 Site M er t c� t an A c u awe, q FOR STAFF USE ONLY Address/ Street Address Permit No.: SVN :2 y— Dd 1412—Location i Z o o 5 J3 -7 — kV approved By: ( / Suite/Bldg.# City/State Zip and oK g-12.23 Date: //— /L - IY Name -T-1,30...r. t Fee: e, ROJ e( 1 Property Taiii e KE'Q Receipt#: I 9$>7 Owner Mailing Address Suite Map/TL#: 60.01e a 5 al:,o tie. Zoning: ✓H 0 Ls City/State Zip Phone N if — 2Y 56- Allowable Total Area: Tenant or Name , n , .`_ ' Business Mer t d t 0.11 A p U✓1 chest q l t7 eS S Electrical Permit Required? ❑ Yes 14 No Name A I',` ` (� Building Permit Required? ❑ Yes fg No S(L 1`1(j. - Ran t Rev.10/21/2013 Sign UUU 1:\CURPI.N\Masters\Land Use Applications\Slim Permit.doc Contractor Mailing Address Suite IS 093 3o P City/State (}� �ip X103 - Phone (""`''fie `-'� t't't€° 5e 3 ' 63� 5�S�J REQUIRED SUBMITTAL ELEMENTS Oregon Const.Cont. and License# Exp.Date ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of elevations on 81/2"x 11" or 11" x 17" Sign S Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign) (Check all that apply) ❑ wall ID Other ❑ 2 copies of site/plot plan, drawn to scale,on 8'/2" x 11" or 11"x 17"pages (required for ® New sign? ❑ Alter to existing sign? freestanding signs only) Sign Dimensions: g i x 2.19 ❑ Application Fee Total Sign Area(sq. ft.): 22 G ' NOTES: • Applications will not be accepted without all required Total Wzli Area(sq. ft.) I Sign Data Pmt n 190.0' I. 5 submittal elements. (Complete all DirectioK Wall Faces (circle one): • Wall sign elevations must include dimensions of sign items in this and wall face and show the location of sign on the wall. section) S E W NE NW SE SW Height to top of sign(feet): , • Freestanding signs over 6 ft. in height and walls signs of which any element weighs 20 lbs. or more require a Projection From Wall(inches): bil.A permit from the Building Division for construction. If Materials: bgwwler any element of a wall sign weighs 70 lbs. or more, Will sign have illumination? ❑ Yes ® No plans must be prepared by a structural engineer. Type: ❑ Internal External • When a Building permit is required, 2 additional Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding, including wall signs that overlap a tenant space? l J site/plot plan must be submitted with application. El Yes No 3' If"yes",a list or diagram of all sign dimensions and square footage must also be submitted. 3O Cl, (OVER FOR SIGNATURES) I 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,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 below 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. � C 11 12_ Applicant Signature Date c )OJIS__ ( 2 (4 Signature of Owner/Agent •�" Date cavr■ e ju\C d.er, 503 ' (,912 . 96 '6 Owner/Agent's Name (Please Print) Title Phone Number City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 oft ..: : Of TIGAHL ,.. ..,.. .,nally Approved. . .__�...__ )C, c ZT tN7e work atc�e bZ©r1Y._0 a yZ F��tMiT N0 ft�. See Letter to: Follow _ [ Attach...... . .... .......[ Job Address. r,. . 011..:/ - yt ei Meridian Acupuncture & Weliness Acupuncture ACCEPTING NEW PATIENTS Counseling Auto Accident Recover y & Workers Comp Treatment Massage CALL 503_692_9680 Naturopathic Medicine www . MACUWELL . com °cc ,,N), ncrt-- ty,04-k-ed 63e,