SGN2015-00115 CITY OF TIGARD SIGN PERMIT
,„ Permit#: SGN2015-00115
COMMUNITY DEVELOPMENT Date Issued: 09/30/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101AB03000
Jurisdiction: TIGARD
Name of Business: Pediatric Associates
Business Address: 7150 SW DARTMOUTH ST
Applicant/Agent: Sign Company of Oregon, Meyer
Work Description: One(1)new 62 sq.ft. sign on 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: 5'x 12'
Total Sign Area: 62
Wall Area: 2196
Wall Face(Direction): West
Sign Height: 19 ft.
Projection From Wall: 3 in
Illumination: No Illumination
Materials: Aluminum&Acrylic
Electrical Permit Required: No
Building Permit Required: Yes
Total Permit Fee: $197.00
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: ---.--
Permittee Signature: Not Present
(
6i. 6 fs 3) RECEIVED
SEP302015
IN • City of Tigard CITY OF TiGARD
PLANNING/ENGINEERING
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of I)evclnpment/Project
FOR STAFF USE ONLY
Site Pediatric Associates /n���rryy c�
Address/ Street \ddres Permit No.: cSA )c OIS--(/�.i//S
Location 7150 SW Dartmouth St. A
pproved By
Buhr Bldg.= t ii, Seu, top
Tigard, OR 97223 Date: ACl/Y-
..„„, Receipt#:
Property Retail Specialties Ventures LLC. Map/TL#:
Owner \l.tiling \Lida ts >ui4 Zoning: ri q
61067 Desert Rose Dr. Allowable Total Area:
rit, st:nc /.il, Ph,,n,
LaQuinta.CA 92253 Electrical Permit Required? 2ts
Tenant or Name
Business Pediatric Specialties Building Permit Required? es
Nanic Rev.7/1/1'_
Meyer Sign Co of Oregon c\cumin\masters\land use applications\sign permit app.doc
Sign
Contractor Mailing Address Suite
15205 SW 74th Ave
---i:it).State lip Ph,onc REQUIRED SUBMITTAL ELEMENTS
Tigard, OR 97224 503-620-8200 (Note: applications will not be accepted
t trrg n cemst.coat.shard license r.p.1)atc without the required submittal elements)
64014 01/29/16 �,
L f ompleted Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 2 copies of site/plot plan,drawn to scale
Sign ❑ Temporal, ❑ Roof ❑ l aectronic (3 copies,if a building permit is required)
heck all that ® \'all ❑ Other 1 ee
',ply) size requirement: 8/z x 11",or 11"x 17"
2 copies of elevations,drawn to scale
® New sign? ❑ Alter to existing sign? (3 copies,if a building permit is required)
Sign Dimensions: . e requirement: 81/2"x 11",to 24"x 36"
5' 2" x12'
Total Sign Area (sq. ft.): S1 . : Fee (Permanent sign,any size) (i, _
2 sq ft_ ‘1#7
Total Wall Area(sq. ft.) El $54.00 Fee (Temporary sign,any type)
Sign Data 2196 = 2 53".
(Complete all Direction/Wall Faces(circle one):
items in this NOTES:
section) N S E & NE NW SE Six'
Height to top of sign(feet): 19' 2" • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): 3't must include dimensions of wall face and sign
placement.
Materials: Aluminum and Acrylic • 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, I
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 I 13125 SW Hall Blvd..Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 1 4 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.
r
(-71/7 06/5
Applicant S., ature Darc
e A ) l I1 9/3 04
s
Signature of OwnNi t Date
Tony McCormick 503-620-8200
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 of 2
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CITY OF TIGARD
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FABRICATION SPECIFICATIONS
ID PANEL TYPE 0.050"ALUMINUM
PAINT COLOR DURANODIC BRONZE I SATIN
12,_0„ C.O. THICKNESS 112"ACRYLIC
PAINT COLOR WHITE I SATIN
VINYL ACCENT APPLE GREEN
ATTACHMENT FLUSH MOUNT
2" BF.C.O. THICKNESS 112"ACRYLIC_
PAINT COLOR WHITE!SATIN
' ATTACHMENT FLUSH MOUNT
BACKER FRAME MATERIAL 2"SQUARE TUBE
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1 SW FCO NON-ILLUMINATED WALL DISPLAY SCALE: '//" - 1'-0"
QUANTITY:2 MANUFACTURE&INSTALL 62 SW EA.
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• • This is an original unpublished drawing created for
sales @meyersignco.com PROJECT: PEDIATRIC ASSOCIATED NWACCT.MGR: ROB BREAZILE DATE BY DATE: BY: i CUSTOMER APPROVAL: LANDLORD APPROVAL: Meyer Sign Company's customer and the project DRAWING#:
planned for the specific needs of Meyer Sign Customers.
111211TerC°. WWW.meyerslgnco.COm ADDRESS: SW 72ND&SW DARTMONTIf NOP MGR: REVISION NI 1 REVISION+K These drawings are not to be shown outside your
w_ phone:503 620.8200 TIGARD,OR SCALE : REVISION REVISION iI organizat on nar used,copied,reproduced,or exhibited
Tax: 503 620 7074
DESIGNER: PAUL RULE D A T E : 09.14.2015 REVISION# REVISION N DATE: DATE: Meyer S gn Co pang of Oregonwntmg by an officer o! SHEET OF
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