SGN2015-00114 - . CITY OF TIGARD - SIGN PERMIT
I � DEVELOPMENT IN
Permit#: SGN2015-00114
COMMUNITY Date Issued: 09/30/2015
Tt)LCAp►. , 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 27.56 sq.ft. sign on north-facing wall.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3.5'x 8'
Total Sign Area: 28
Wall Area: 1088
Wall Face(Direction): North
Sign Height: 17 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:
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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: —.
Not Present
Permittee Signature:
4 ( ,f) it,,,) A
RECEIVED
11 • City of Tigard SEP 3 0 2015
CITY OF TIGARD
Sign Permit Application PLANNING/ENGINEERING
TIGARD
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site Pediatric Associates �'Wc915- Crr /�
Address/ Street AJJress Permit No.:
Location 7150 SW Dartmouth St.
Approved By:
suite;Bid.,.= ( ,i\ >t,vc Zip
Tigard. OR 97223 Date: ��Vi S
\.gym, Receipt#:
Property Retail Specialties Ventures LLC. Map/TL#:
Owner \lading 1ddress Scirc Zoning: C-' (7
61067 Desert Rose Dr. Allowable Total Area:
(.n, JLuc /ip Phren
LaQuinta,CA 92253 Electrical Permit Required?
❑ 'es �It
Tenant or Name
Business Pediatric Specialties Building Permit Required Yes
\Am, Rev.7/1/12
i:\curPln\master,\land use apphcanons\sign Permit app.doc
Meyer Sign Co of Oregon
Sign
Contractor Mailing.\ddress Suite
15205 SW 74th Ave
city/state /ih 11,,,a, REQUIRED SUBMITTAL ELEMENTS
Tigard, OR 97224 503-620-8200 (Note: applications will not be accepted
()re}n,n Cunsc.Cunt.Boar)license 0 I.p.oat without the required submittal elements)
64014 01/29/16
ompleted Application Form
Proposed ❑ Permanent ❑ Freestanding 0 Freeway
2 copies of site/plot plan,drawn to scale
Sign 0 Fcmporan 0 Roof 0 Ilectroni` copies,if a building permit is required)
((:heck all that ® Wall ❑ Other
apply) ize requirement: 81/2"x 11",or 11"x 17"
2 copies of elevations,drawn to scale
® New sign? 0 Alter to existing sign? (3 copies,if a building permit is required)
Sign Dimensions: s requirement: 81/2"x 11",to 24"x 36"
3' 53/8" x8' y
Total Sign Area(sq. ft.): $171 Fee (Permanent sign,any size) l ct
7.56 Sq ft.
Total Wall Area(sq.ft.) 0 $54.00 Fee (Temporary sign,any type)
Sign Data 1088 = 2 53",.
(Complete all Direction Wall Faces(circle one):
items in this NOTES:
section) e S E W NE NW SE SW
Height to top of sign(feet): 16' 8 5/8" • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): art 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: 0 Internal 0 External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
0 Yes ® No
(OVER FOR SIGNATURES)
If"yes",a list or diagram of all sign dimensions and square
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 oft
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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.
e 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.
a /,5—
Applicant Si:lature Date
cX e(1Signature of Owner/1 crit Date
Tony McCormick 503-620-8200
Contact Person Name Phone No.
4.,
City of Tigard 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
Approved by Plan . ing
Date: Vic' /c_
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Initials: �S
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CITY OF TIGARD
Approved by Ian ing
Date: ,_?0
Initials: LS
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FABRICATION SPECIFICATIONS
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PANEL 'TYPE 0.050"ALUMINUM
EV-0" PAINT COLOR DURANODIC BRONZE I SATIN_
13 F.C.O. THICKNESS 112"ACRYLIC
2" PAINT COLOR WHITE I SATIN
VINYL ACCENT APPLE GREEN
ATTACHMENT FLUSH MOUNT
0
/ E.C.O. THICKNESS 112"ACRYLIC
A D PAINT COLOR WHITE 1 SATIN
ilatric
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ATTACHMENT FLUSH MOUNT
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j D BACKER FRAME i MATERIAL 2"SQUARE TUBE
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jj NOTE:MEYER SIGNS TO REMOVE AND RE-INSTALL EXISTING ADDRESS
in 7 \, j NUMERALS PRIOR TO SIGN INSTALL.
t0 n 2associates
"SD.UNISTRUT j
BRACKET j
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� _ OF THE NORTHWEST !GARD
ApprcvQU P arming^ Date: 36//S--
318"ALL-TREAD
t/ WI NUTS&WASHERS Initials:
1 SIF FCO NON-ILLUMINATED WALL DISPLAY SCALE: 314" = 1'-0"
QUANTITY: 1 MANUFACTURE&INSTALL 27.56 SIF EA.
ART SUPERIMPOSED ON PHOTO-SHOWN AT APPROXIMATE RELATIVE SCALE
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RE-INSTALL NUMERALS HERE.
Pediatric .r • CENTER VERTICALLY ON FASCIA.
associates
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�� � This is an original unpublished drawing created for I
_ • DRAWING#:
sales@meyersignco.com pRORECT: PEDIATRIC ASSOCIATED NWACC?:MGR: ROB BRE/WLl5 DATE
WA _ DATES BY CUSTOMER APPROVAL: LANDLORD APPROVAL: Never sign Company's customer and the protect
www.meyersignco.com ADDRESS: SW 72ND&SW DARTMONT13HOP MGR: REVISION in 1 - _TE:
— REVISION - -- -- planned for the specific needs of Never Sign c"sto,„ers.
These drawings are not to be shown outside your
phone:503 620-8200 TIGARD,OR SCALE : REVISION N _ REVISION# __
organization nor used,copied,reproduced,or exhibited
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swer
OFDESIGNER PAUL RULE DATE : 09.14.201 S aEws�oN _ REVISION* DATE: DATE: n any way unless authorized in writing by an officer of SHEET OF fax: 503 620 - 7074 ----- Meyer sign company"r Oregon.
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