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SGN2017-00067 CITY OF TIGARD SIGN PERMIT III ■ Permit#: SGN2017-00067 COMMUNITY DEVELOPMENT Date Issued: 06/13/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110AA00500 Jurisdiction: Tigard Name of Business: Allstate Business Address: 10580 SW MCDONALD ST 102 Applicant/Agent: Lanphere, Dave Work Description: New illuminated wall mounted sign for Allstate Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: Yes Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: 2'2"x8'10" Total Sign Area: 17.3 Wall Area: 576 Wall Face(Direction): East Sign Height: 11 ft. Projection From Wall: 10 in. Illumination: Internal Materials: aluminum, plastic Electrical Permit Required: Yes Building Permit Required: Yes Total Permit Fee: $201.00 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: /ii.e.. V / ,--- Permittee Signature: i /� ofR Tigard E c "." _e " City g 1111 . COMMUNITY DEVELOPMENT DEPARTMENT JUN 1 d / TIGARD i Sign Permit Application �LANNm(O IG F 21 Favrdivia.r�� a�,vi raaya�ee,67 ,/ 0000000��w�w «ar�e���eviavim a�oiaiaiaaiaiaiaiiiiomiea ,,,ea' ,.maw aaeo NG SIGN LOCATION /0s130 �neJaua�J sr fo z REQUIRED SUBMITTAL Address: /os Suite #: ELEMENTS City/state: r-/AAwil 02 Zip: 572-2-y 212 copies of elevations on 81/2"x 11" Tenant or business: 4i-[.tra-rE or 11"x 17"pages(Wall sign elevations must include dimensions Property owner name: S 44-rTste s of sign and wall face and show the location of sign on the wall. Address: Freestanding sign elevations must be drawn to scale.) City/state: lip: Phone: Email: copies of site/plot plan,drawn to scale,on 81/2"x 11"or 11"x 17" Hannah Sign Systems pages(not required for wall signs) Sign contractor: 9 Y ICList or diagram of all existing sign Address: 1660 SW Bertha Blvd dimensions and square footage City/state: Portland, OR Zip: 97219 0 Application Fee Phone: 503-946-8373 Email: davel@hannahsignsystems.com CCB License #: 203638 Expiration date: 7/23/2018 NOTES: Contact person: Dave Lamphere • Freestanding signs over 6 ft.in height and walls signs of which any element weighs 20 lbs.or more require a building permit for construction. SIGN DATA(Complete all items in this section) If any element of a wall sign weighs 70 lbs.or more,plans must be prepared TYPE (Check all that apply) by a structural engineer. New sign 0 Freestanding kl Electrical • Building permits require 2 sets of 0 Alteration to 0 Freeway ® Wall construction drawings and,if sign is freestanding,2 copies of site/plot plan existing sign 0 Roof 0 Other and 2 sets of engineering must be Sign #: submitted with building permit application. i " Sign dimensions: Lz (h) x a%o.. (w) = 1-7.3 sq.ft. sign area New sign:0.3 sq.ft. + Existing sign area sq.ft. = r•T Total FOR STAFF USE ONLY Total sign area: 17.3 sq.ft. / r7b building face sq.ft. = I %of bldg face 5G 17-C)17-000(>7 Case No.: Height to top of sign: /1 ft. Projection from wall: /0 in. Related Case No O. Materials: ALufriworr► / PLA fp L Fee:/ 10 I• 00 Application accepted: Is the sign under 20 lbs.? 0 Yes A No By: g 0 Date: 6 /161 I? (Building Permit required if over 20 lbs.) Application determined complete: Direction wall faces (circle one): N SO W NE NW SE SW n Will the sign have illumination? t] Yes ID No By: � Date: 113/ '/ If yes,what type: gl Internal 0 External R\CURPLN\Masters,\tend Use Applications Rev.03/03/2015 '' .00, Y/a//M/ O/4r//aa/a6Y6 .i...in»rim.�r.,,�in,..,....u...../a%/,Y(((/a/ City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2 APPLICANTS 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. 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,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 or 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. SIGNAT ', S of each owner of the subject pro erty required. /3/-' Ap. 'cant's signature Print name Date Owner's signature Print name Date Owner's signature Print name Date SIGN PERMIT APPLICATION City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • ww-w.tigard-or.gov • 503-718-2421 • Page 2 of 2 PHILADEL,PHIASIGN • RCE,+ ;IN. .r._ Ver kt i:'f 2.4AN^S N; 41tr Philadelphia Sign Company • 707 West Spring Garden St • Palmyra,NJ 08065 Re: Site1D ORXXG Lorenzo Serafini Agency 10580 SW McDonald St Ste. #102 Tigard, OR 97224 AUTHORIZATION AND CONSENT FORM By my signature below,I hereby represent that I am the owner of the property indicated above or otherwise duly authorized by the Lease to grant authorization for Philadelphia Sign Company and/or their sub-contractor to apply for permits and install new signage at the above referenced location.I acknowledge that the signs(including cabinets) that are installed will remain the property of Allstate Insurance Company and may be removed upon the termination of the agency agreement or lease or for any other reason with 10 days notice to me. Please check one: Q Philadelphia Sign and/or its sub-contractors is authorized to remove the existing sign and/or sign cabinet and dispose of it.I agree to waive all right, title and interest in such sign and/or sign cabinet. Philadelphia Sign and/or its sub-contractors is authorized to remove the existing sign and/or sign cabinet and leave on premises in a location designated by me. LANDLORD APPROVAL Signature Print Name u• . -.. Date ,/, ,f 7 V/7 Title t?uJnzAY email r. /A r': ne:; {- i Address -- ` - Phone 7;'S- gCO2-- i A O Return Form to: Philadelphia Sign Company 707 West Spring Garden St Palmyra,NJ 08065 or FAX to: (856)829-8549 attn: Laura Tedesco or email to: ltedesco@philadelphiasign.com .� ` w 0i x a . ARP 'V ` +sir 4: FAllity c rRfEfi0 of I , �� ,-. i R LE, ...< - 0 D W v TYLER Qi Ltd r+ 10 ' E CURFiAI _ i. �� ,• . R O '.""� -- 7 77) OU •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 1 Propat»d For: Protect Manager. 7461°116 A royal ®Co ri ht 2007 Hannah Si n S stems. Dave I�nphere444 NfaD.re PP PY g g Y .1111migam. \; �� \ Th _� This original design and specifications are rrujnne Number Client Signature the exclusive property of Hannah Sign Systems. Allstate The use of this design to produce a similar D�tae BA2/17 sign without written authorization from Scala NTg Hannah Sign Systems is strictly prohibited Drams Dy. DL THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503-206-4900 CCB#203638 • 17.3 SF 8,10" cv . Allstate N - lir, ..„,‘, ,,, ,. SIGN WEIGHT 44 LBS N A WALL 15 PLYWOOD OR METAL SIDING e, UIQ POWERS TOGGLE BOLT al i (EVERY 4 LIN. FEET) u 1 I '1 ., a1 /- Al •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 Revisions 1 l� r ,� Prepared For Project LManager:he No Dem Dau Approval ®Copyright 2007 Hannah Sign Systems. ] il This original design and specifications are Allstate D ata�u Client Signature theexclusiveproperty esign of Hannahce Sign Systems. ^Ql The use at this design to produce a similar —"—2/17 sign without written authorization from &Ma NTH Hannah Sign Systems is strictly prohibited Drawn By: DL .........— THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503-206-4900 CCB#203638 ir 11 „ "„ leve' ailil *' � Solueion[e+s I.. Minn _... 'j,� l �ei`t;Ltt}3AV .. r t ii .iii, . Contractor Hep a,vz fit w 41c, >:.ra _ 0 NO2 ,. ,, I N 01 �'`�.,. .fl. , PROPOSED SIGN A , � as +iii 4 Yi' ,,F !. ti, y ., i E01 '.. '`'" '' -, , { � ,..A, Q ,, 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 1 Prepared For. Protect Manager. ReAelone \ � i,1 /A\ Pave Lamphere Na Deartptbn DataApproval ©Copyright 2007 Hannah Sign Systems. �\ Nk This original design and specifications are .11 Alleta Protect Number: Client Signature the exclusive useofth property of Hannah Sign Systems. — te Da to 6/12/17 The use of this design to produce a similar IL -- sign without written authorization from Sulet NTS Hannah Sign Systems is strictly prohibited Drawn Dr DL THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503-206-4900 CCB#203638