SGN2018-00046 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2018-00046
COMMUNITY DEVELOPMENT Date Issued: 06/26/2018
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13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S113AB00500
Jurisdiction: Tigard
Name of Business: Bridgeport Family Medicine
Business Address: 16083 SW UPPER BOONES FERRY RD 320
Applicant/Agent: Arnell, Haley
Work Description: New wall sign, approximately 15 square feet, located at 16083 SW Upper Boones Ferry
Road, Suite 320. The sign is located on the west façade and will be lit internally.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 1.5'x 10'
Total Sign Area: 15
Wall Area: 8316
Wall Face(Direction): West
Sign Height: 9.5 ft.
Projection From Wall: 9 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $203.00
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.
F
Approved By: , 06/1€ t/Z--
Permittee Signature: I' CtAAA
. RECEIVED
City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT JUN 2 s 2018
'711p
CITY OF TIGARD
TIGARD Sign Permit Application PLANNING/ENGINEERING
SIGN LOCATION
r�ddress:16083 SW Uer Boones FerryRd. REQUIRED SUBMITTAL
pp Suite#: #320 ELEMENTS
City/state: Tigard,OR Zip: 97224 g 2 copies of elevations on 8'/2"x 11"
Tenant or business: Bridgeport Family Medicine or 11"x 17"pages(Wall sign
elevations must include dimensions
of sign and wall face and show the
Property owner name: G&S FC, LLC c/o Colliers International location of sign on the wall.
Address: 8 51 SW Sixth Ave, Suite 1200 Freestanding sign elevations must
be drawn to scale.)
City/state: Portland, OR Zip: 97)f)4
Phone: Email: ❑ 2 copies of site/plot plan,drawn
to scale,on8'/"x11"or 11"a 17"
pages(not required for wall signs)
Sign contractor: Tube Art Group
E❑ List or diagram of all existing sign
Address: 4243-A SE International Way dimensions and square footage t
Ci state: Milwaukie,OR Zip:p: 97222 ❑ Application Fee
j
Phone: 503-653-1133 Email: harnell@tubeart.com
NOTES:
CCB License#: 70956 Expiration date:
• Freestanding signs over 6 ft.in height 1
Contact person: Haley Arnell and walls signs of which any element j
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.
0 New sign
❑ Freestanding ❑ Electrical • Building permits require 2 sets of t�
D Alteration to ❑ Freeway rE1Wall construction drawings and,if sign is
existing sign freestanding,2 copies of site/plot plan
Cil Roof C1 Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
Sign dimensionsl'6"(1.500)(h)x 10'(w) = 16 sq.ft. sign area
FOR STAFF USE ONLY 1
New sign:_ sq.ft.+ Existing sign areaJ2►�s .ft.= Total 6.1.60t
Total sign area:L.150 sL.ft., 31 uilding face sq.ft.-0.07dio of bldg face Case No.: Sb Sol 0(:)D4t0 1
Height to top of sign: 'iii
ft.Projection from wall: f�f in. Related Case No.(s):
Materials: allikAINAWAM Fee'ie '3
Application accepted:
Is the sign under 20 lbs.? ':i Yes ❑ No By: ILI Dater cg
(Building Permit required if over 20 lbs.)
r, Application determined complete:
Direction wall faces (circle one): N S E ;NE NW SE SW
By: A,/ Date: (.0120 l
Will the sign have illumination? 0.. Yes ❑ No
If yes,what type: Internal ❑ External I:\Community Development\Land Use Applications\02 Forms and
TemplateMand Use Applications Rev 12/14/2017
pp
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwvtigard-or.gov • 503-718-2421 • Page 1 of 2
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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 he 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.
SIGNATURES of each owner of the subject property required.
\-\0‘1e-k) 1 \\
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Applicant's Si! Lure Print name Date
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Owner's signature Print name Date
Owner's signature Print name Date
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Cruv— EP! f 6. PC, cv y�"
SIGN PERMIT APPLICATION
City of Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
RECEIVED AG
3/8"lags TUBE ART GROUP
10'-0" JUN
top hinge Portland Office
9„ ., �I-I�,(per T1GAR� 4243-A SF international Way
�ANNINGI�NG'tNE�RING Milwaukie,OR 97222
503.653.1133
40I 1
3/16”white Lexan .562.2854
809 503.659 9191
ti? Brid a ort -
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�, ,� This original artwork is protected
rii ' i C 1 11under Federal Copyright Lavas.
a LEDse
1 L._
Make no reproduction of this
design concept without permission
-- from Tube Art Group.
Elevation View-Wall Sign #6 TAG retainer
OScale:3/4"=1'-0" 4400
#1 TAG body Customer Number
133229
Side View-Wall Sign
Quote Number
Scale:3/4"=1'-0"
133229 Bridgeport Family Medicine r2
Manufacture and Install One (1) SF illuminated Wall Sign File Name
TAG#1 body and#6 retainer,painted MP33172 Silver Surfer Metallic.3/16"white lexan face with black 220-12 vinyl applied 1st surface. Adam Calabria
Salesperson
White 7100K LED illumination.
Attach flush to wall with 3/8"x 3"lags and shields. Deborah Tolke
Drama By
**
Checked By
February 6,2018
Date
198'-0"Total Frontage
O41. I- :kx' A \it'
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i, �_- --_ CITY OF TI AI e,s.oi,s
1, a� Approved by PIannin [ l Approved
lip_ [ ]Approved With Changes Noted
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� - __,� Date: 2cc 1[1
.`{ - 1 - r Initials: Al_-
Customer Signature
�_ .. Bridgeport tD
ii, iro. _,._Family Medicine ; ,,,....11.111;. 198' Date
!, Landlord Signature
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PI'. .. �....�.� Date
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I - "R f Bridgeport Family Medicine
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' FerryRd
' - • � 16083 SW Upper Boones
_ - :?,...--::";:•1`21 ;,,s - #320
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4. i -, 'Z."TAY Ti§ Tigard,I r
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h f '-,ri t 1 is r is intended to provide a
, 1 �� �, reasonable representation of the final
a,. 1, �� SJ,- ; - manufactured article.Fasteners and seams
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in materials may not be represented
,' �'.1iyp • e f exactly as they will be fabricated,
' L _ -_ Colors on prints may not accurately depict
photo inlay specific colors.
1 of 2
AG
TUBE ART GROUP
Portland Office
4243-A SE International Way
Milwaukie,OR 97222
503.653.1133
800.562.2854
Fax 503.659.9191
This original artwork is protected
under Federal Copyright Laws.
Make no reproduction of this
design Concept without permission
from Tube Art Group.
4400
Customer Number
133229
Quote Number
133229 Bridgeport Family Medicine r2
File Name
Adam Calabria
Bridgeport
Salesperson
I _Family Medicine Deborah Tolke
Drawn By
NC6��� Checked By
�� February 6,2018
Cate
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Revisions
16083 SW Upper [ ]Approved
Boones Ferry Road [ ]Approved With Changes Noted
rp, Customer Signature
Date
Landlord Signature
Date
Bridgeport Family Medicine
G 16083 SW Upper Boones Ferry Rd.
G
#320
—� Tigard,OR 97224
This drawing is intended to provide a
.� reasonable representation of the float
G
i manufactured article.Fasteners and seams
In materials may not be represented
exactly as they will be fabricated.
Colors on prints may not accurately depict
specific colors.
2 of 2