SGN2018-00047 CITY OF TIGARD SIGN PERMIT
g Permit#: SGN2018-00047
COMMUNITY DEVELOPMENT Date Issued: 07/09'2018
T f r;:•R`t 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1S136CCO2100
Jurisdiction: Tigard
Name of Business: Dutch Brothers
Business Address: 11744 SW PACIFIC HWY
Applicant/Agent: Nering Marcia
Work Description: New wall sign, approximately 43 square feet located on the west facade The sign will
be internally lit
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3.8'x 11.8
Total Sign Area: 43
Wall Area: 396
Wall Face(Direction): West
Sign Height: 13.8 ft
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum, Flex LEC)
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $203.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date
Approved By: 0 ;
Permittee Signature: ('`�,,�i y �� '
0
City of Tigard
IPII ■ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARDSign Permit Application
SIGN LOCATION
REQUIRED SUBMITTAL
Address: /1.7 q Li StA) P uSuite #: ELEMENTS
City/state: (t.;Qi'66 0A. Mil Zip: cir)2 3 ❑ 2 copies of elevations on 82"x 11"
Tenant or business: v+4 1 roS. or 11"x 17"pages(Wall sign
elevations must include dimensions
Property owner name: j . k:AS of sign and wall face and show the
1-"RyAlocation of sign on the wall.
Address: t ,_ 3 5-7'4 so f c 1 to k',J7 Ct Freestanding sign elevations must
City/state:
�I er w Uo'b D Q Zip: 9'7 i LI o be drawn to scale.)
Phone: S'b3 . 3i-iq (..2,—mail: l'‘)1 A ❑ 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
f4-i- S pages(not required for wall signs)
Sign contractor: �=�J �c',� �..v,�;4J ❑ List or diagram of all existing sign
Address: 9'17$ Ra.. r i RA dimensions and square footage
City/state: Ci- s2.n e_ 01Q__ Zip: Q?'-4 Dot ❑ Application Fee
Phone: 91-Co(Py'G222- -Email: 1Y14tc t'e_P b l 22.__S`c AS. Z.,)-
CCB License #: 1(,3'-110 Expiration date: 3 l04::.19 NOTES:
Contact person: OQ/'C,i(A. ��i • Freestanding signs over 6 ft.in height
i\\
and walls signs of which any element
l
weighs 20 lbs.or more require a
SIGN DATA(Complete all items in this section) building permit for construction.
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 ❑ Freestanding ❑ Electrical • Building permits require 2 sets of
❑ Alteration to ❑ Freeway 11rWa11 construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign 1=1Roof ElOther and 2 sets of engineering must be
Sign #: submitted with building permit
application.
1 Sign dimensions:3 o g i (h) x II 1 ) (w) = LI.3 sq.ft. sign area
New sign: '13 sq.ft. + Existing sign area 6 sq.ft. = f3 Total FOR STAFF USE ONLY
Total sign area: , sq.ft. / 39‘) building face sq.ft. = I I %of bldg face Case No.: S,fV )�,$ --000i-1
Height to top of sign: 13'q'ft. Projection from wall: S a' in. Related Case No.(s):
Materials: Muth; AJ nn , P1{,1., S
� Fee: ��
Application accepted:
Is the sign under 20 lbs.? ❑ Yes L No By: Al. Date: .CP
(Building Permit required if over 20 lbs.)
�' Application determined complete:
�J
Direction wall faces (circle one): N S E NE NW SE SW l
By: AL/ Date:
Will the sign have illumination? [rYes ❑ No
If yes,what type: R Internal ❑ External l:\CURPLN\Masters\Land Use Applications Rev.03/03/2015
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.
SIGNATURES of each owner of the subject property required.
Applicant'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 • wwwtigard-or.gov • 503-718-2421 • Page 2 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.
SIGNATURES of ch owner of the subject property required.
j2A41(
i'l
Ap li is signator Print name Date (-0/Alt(
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 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
t -
Date:I /— /< 1
ES&A Sign&Awning
89975 Prairie Road
Eugene,OR 97402
541-485-5546
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Re:Dutch Bros#
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Address:
11746 SW Pacific Hwy.
Tigard, OR 97223 ;`
To Whom ft May Concern:
I,_1/.. ' - the undersigned acting as one of the following: r
agent, . er,landlord,owner/landlord,hereby authorize ES&A Sign&Awning, its
companies,affiliated companies and parent companies of every tier,ansuccessors,each of their
representative,
directors,officers,shareholders,employees,agents,
assigns;to act as Authorized Agent to apply for and secure all required permits.
t
This authorization is applicable to the aforementioned subject property and is not applicable to l
any other location(s)•
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Signature: / // Date: �' r� i
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Printed Name: r
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Title:
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Phone: _
Email: it I 6--- ` ' • ,
P �this document to the above address, via ernafl to
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sasigns.nom CCma
: ria.kilbor d alb S•kms via fax(541)
�hnson(�e_
485-5813, Attn:Nick Johnson. �
aq+ps Pristine Rd. tuve
ne, OR 97402 T 800.285.3517 T 541 185 5516 v 5, .
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FACTORY SCOPE OF WORK:MANUFACTURE&INSTALL(1)SET OF INTERNALLY ILLUMINATED FACE-LIT FLUSH MOUNTED CHANNEL LETTERS LEVEL
DRAWING A
FINISH
SHOP DRAWING#:
25888A1 SECTION VIEW
SCALE:1/2"=1'-0"
CLIENT:
DUTCH BROS- DB145 DBCLW-CUSTOM-57SF
11744 SW PACIFIC HWY SCALE:1/2"=1'-0" 5"
TIGARD.OR 97223 3'-3"
LAG SCREWS
(MIN 4 PER UNIT)
DATE Of SHOP DRAWING: _
2/5/18 1 Ls, "'.1J-BOX
SHOP REVISIONS: v FLEX CONDUIT
6.28.18(Al)REDUCED SUE TO ;:i-
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DESIGN: DESIGN:
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ES&A SIGN&AWNING 11'-8"– —
99fi1 PI,99Iff IO FUGENf 01.MC
1541.413.5111 F 541.4153113
CHANNEL LETTERS&LOGO:
5"DEEP CHANNEL LETTERS.
CUSTOM COIL STOCK TO MATCH PANTONE 7691 C"INTENSE BLUE. ATTACHMENT DETAIL
SELF CONTAINED CHANNEL LOGO
COLOR CODE CUSTOM TRIM CAP TO MATCH PANTONE 7691 C"INTENSE BLUE". CHANNEL LETTERS WITH REMOTE MOUNT
230-015 YELLOW PSV WHITE ACRYLIC FACES. INTERIOR INSTALLATION
230-127 INTENSE BLUE PSV,230-015 YELLOW PSV.230-33 RED PSV.
230-33 RED PSV LED ILLUMINATION GE 82374.
■ 230-127 INTENSE BLUE PSV
INSTALLATION:
f 1 WHITE FLUSH MOUNTED REMOTE INTERIOR INSTALLATION.
FACTORY INSTALLATION
DRAWING
SHOP DRAWING#•
25888A1
EXISTING SIGN
CUNT: NEW SIGN
DUTCH BROS- DB145 M!
11144 SW PACIFIC HWY
TIGARD,OR 97223
DATE OF SHOP DRAWING: " `4• ,,- ' {
2/5/18 , .r/ N ' " di -I , , , '
DUTCH BROS
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\SHQP REVISIONS it(AO REDUCED SIIE TO - �� �r{USTQM 51SF
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DESIGN: DESIGN:
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ES&A SIGN&AWNING
MA 31311 ID MEW 3 1140!
1 MIAS.SS44 F 541.4153113
INSTALL NOTES: PICK LIST
INSTALL SIGN AS SHOWN.
HOOK UP TO POWER. 1 CHANNEL LETTERS
TOUCH UP PAINT
INSTALLATION HARDWARE
SIGNED: DATE:
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S
FACTORY INSTALLATION
DRAWING
DI III6#:
25888A
EXISTING SIGN NEW SIGN
IR
DUTCH BROS-DBI45 rs, ,i
11144 SW PACIFIC NW/ 'LI/
TIGARD,OR 91223
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SHOP RERSIONS: ' `4{. s_'t D u r
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TDL w t l I face i n (Q Vi
09115 FtOOiE�. EBT 1t 11481 `+�
P 040,45454f F MIAMI)
INSTALL NOTES: PICK LIST
INSTALL SIGN AS SHOWN. oil PART
HOOKUP TO POWER. 1 CHANNEL LETTERS
TOUCH UP PAINT
INSTALLATION HARDWARE
SIGNED: DATE: