SGN2001-00048 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00048
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/9/2001
EXPIRATION DATE:
BUSINESS NAME: BODYFELT PARCEL: 1S135DC-0060
SIGN LOCATION: 11765 SW GREENBURG AVE
APPLICANT/AGENT: ZONE: C-P
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 5'8"X 4'-6"
TOTAL SIGN AREA: 25 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of(1)one permanent freestanding sign. Sign height 4'6".
MATERIALS: ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary shall expire 30 days from approval date. A balloon sign shall expire 10
rinvc from annmval rintP
APPROVED BY:
PERMITTEE SIGNATURE.
DATE: 3/9/2001
SIGN PERMIT APPLICATION
13125 SW Hag Blvd., Tigard, OR 97223(503) 6394171 FAX(503) 684-7297
CITY OF TIGARD
GENERAL INFORMATION (PLEASE PB)8T CLUBLY)
Sign Address/Location: SW GRFDJB 11216 fzD
`TtiGiv R-0 , Oe- FOR STAFF USE ONLY
Name of Tenant/Business:5 - l�i✓l� Dim
E Date Received: ` / Col .
Address: 1 lel b5 SW G2E NC��RC.-,
FO
Applicant/Agent/Contact Person: �-WejE P-E> � Received By:
Sign Company: GS 4A Phone: P-503-661 1 71 Permit No.(s): h'f/!;;j)
Address: la3eCSW MoHAVE C�F- Permit Fee:
city: HO
q70 Z Receipt No
Approved By. /A�
Sign Company C.C.B.#: 1�1�� Date of Approval: o /
Expiration Date: Expiration Date:
City of Tigard Business Tax#
(or) Expiration Date: Zoning:
Metro Business License#: 2425
Expiration Date: Electrical Permit Required? Yes ❑ No ❑
Proposed Sign: (check as many as applicable) Building Permit Required? Yes ❑ No ❑
Permanent jS Freestanding Freeway ❑
Temporary Q Wall ❑ Electronic ❑
Other ❑ Billboard ❑ / Balloon ❑
Sign Dimensions: ��"81f X 41 �� � ( � slue
Total Sign Areas(sq. ft.):
�,q-Y REQUIRED SUBMITTAL ELEMENTS
Total Wall Area(sq. ft.):
Direction Wall Faces: (circle one) N S E W NE NW SE SW ❑ Completed Application Form
Height(ft.): ❑ Site/Mot Plan Drawn to Scale
Projection from Walt: (2 copies,3 A a building permit is required)
Illumination: Yes No ❑ Type: internal Ef External ❑ ❑ Elevations Drawn to Scale
(2 copies,3 d a building permit is required)
U.L Label#
❑ Applicant's Statement
Copy:SC.M LODYFELT- DMD GENERA- DEI�J j IST2Y �ee (Permanent Sign,any size)............$50.00
Materials: A L,V M I N UAA 4 t✓ DWN ❑ Fee (Temporary Sign)...........................$15.00
Are there any Existing Signs at this Location? Yes ❑ No I certify that I am the recorded owner of the
Ulla&8098180 sign d1modsw manW w jMdaW property or an ager authorized by the owner.
NOTE:* If work authorized under a sign permit has not been
completed within non& days after the issuance of the
Rarmit.THE PERMIT SHALL BECOME NULL AND VOID. Applicant's Signature
1
Receipt #: 27200100000000001022
��{{ 1C ■■�� ._.�... Date: 0310912001
TCOM►`rUTE SM A ,R CK lw
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
ELC2001-00140Permit 220-0000-431510 $53.40
ELC2001-00140 o State Tax 100-0000-207020
$4.27
SGN2001-00048Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check E S&A INC 0 5898 $107.67
TOTAL AMOUNT PAID: $107.67
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• Graphic presentation only
Please see your
representative for actual color
and material samples.
Presentation for:
GENERAL DENTISTRY
11765 SW GREENBURG RD.
TIGARD,OR. 97223
Drawing Number:
529-01
Manufacture and Install two Illuminated SIF Si nns. Work Order Number:
Two 3'x5'x8" thick aluminum cabinets painted to clients preference of color (Warm Grey 2-C)..
original drawing:
Illuminated with 800ma flourescent lamps. Date of 1-30-01
Faces are clear lexan cut to shape with second surface graphics.
Face Background = black, Scott Bodyfelt = white, General Dentistry = white. Sales: RK Design:RK
Option A: Cabinet mounted on 4"x4" aluminum posts with a 2"x4" cleat both painted to match cabinet.
Revisions:
2-7-01 RK
REDESIGN TO ILLUMINATI
i
i
_------ — Please initial&date
2"M"square cleat Top VIEW Colors:
0'-4" i Spelling:
NA �o Graphics: -
3--0" -- — ----- ---- — ----
- Please Date:
GENERAL
I �
- -_
l
4'-6"
I
0-6TDENTISTRY
I
—-- - J� Landlord Approval:
l
Date:
I
Sales Approval:
Date.
NO--
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This design presentation is the
P
I property of ES&A Sign and Awning Co.
All rights to its use,altering,
. or reproduction are prohibited without
N Scale 1/2" = 1'
written permission,
IN
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• ! : � •� �C PoatLcma office:
19380 SW Mohave Court
firITY (W ALPIM Tualatin, OR 97062
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Condi .yr. ;y Appro%od Pb-So3-691-5474
F*r ;manly the work as ¢escri*Ad in: fax.S03-691-8S73
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SIGN & AWNING CO .
Consulting /Design / Fabrication