SGN2018-00051 •
i 1 i i ii -
CITY OF TIGARD SIGN PERMIT
COMMUNITY DEVELOPMENTPermit#: SGN2018-00051
i[GAttD Date Issued: 07/09/2018
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
ApplicanVAgent: Nering,Marcia
Work Description: New wall sign,app-oximately 26 square feet, located on the north 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: 2.8'x 9'
Total Sign Area: 26
Wall Area: 364
Wall Face(Direction): South
Sign Height: 13 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum, Plex, LED
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: j6.`#'wL.
kav,
Permittee Signature: j L1Ci..-GL I ?x.—'1,q v‘?,
RECEIVED
City of Tigard 6 2018
COMMUNITY DEVELOPMENT DEPARTMENT JUN 2
11
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CITY OFTIGARD
Sign Permit Application PLANNING/ENGINEERING ING
SIGN LOCATION
REQUIRED SUBMITTAL
Address: 10/y Lj SLA) t;C Suite#: ELEMENTS
City/state: •-riza-ti 0g_ Zip: 91)2D3 ❑ 2 copies of elevations on 81/2"x 11"
Tenant or business: o}C.t1/4 (SroS. or 11"x 17"pages(Wall sign
elevations must include dimensions
f�„ Ii AS of sign and wall face and show the
Property owner name: �Ct.+� 1�" + location of sign on the wall.
Address: 3 5-?44 5(U ,l c- L in h/j yy a Freestanding sign elevations must
City/state: t
SI%erL-i o-6 O1. Zip: 9'7 i y o be drawn to scale.)
Phone:_ 5:3 3yg (,� tmail: iJ 1 A ❑ 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
pages(not required for wall signs)
Sign contractor: L�.�,-i Sir t- A.,�^ ,�
Rcur-;-e_
J ❑ List or diagram of all existing sign
QAddress: TIq'7s' RA dimensions and square footage
City/state: GLJ5e.. L. OR Zip: 60 /1 k 0 Application Fee
Phone: 541-teXPy—(01:2-2--Email: C tc.t'c.Q b la 2eS:cy1S. C
CCB License #: J(6.3 4.1')0 Expiration date: 3 119 NOTES:
• Freestanding signs over 6 ft.in height
Contact person: l:L/'C.i c �.f`
A and walls signs of which any element
i.. 1J 144 J L f tIP V/3 i}wl weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA(Complete all items in this section))5`4 C
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.
IYNew sign ❑ Freestanding ❑ Electrical
• Building permits require 2 sets of
❑ Alteration to El Freeway [L-Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign ElRoof ElOther and 2 sets of engineering must be
Sign #: submitted with building permit
application.
Sign dimensions: d'101' x (w) = (25Ssq.ft. sign area
Otapfx CA
New sign:a .5 sq.ft. + Existing sign area e sq.ft. = 25.) Total s I 0 IZ S 1_l I I 1'til: 0\1.1
Total sign area:3ci sq.ft./ 3y building face sq.ft.= 9.8%of bldg face Sc�N -0001
Case No.:
Height to top of sign: 13 1 ft. Projection from wall: 5 in. Related Case No.(s):
Materials: Atti in f AJfi1 pi_c_,--N.,i L -\IJ Fee: -3
Application accepted:
Is the sign under 20 lbs.? ❑ Yes ❑ No By: Al---- Date: (.Q (25? IS
(Building Permit required if over 20 lbs.
Application determined complete:
Direction wall faces (circle one): S E W NE NW SE SW
By: Ak----- Date: CO 2g t
Will the sign have illumination? eYes ❑ No
If yes,what type: D Internal ❑ External I:\CURPLN\Masters\Land Use Applications Rev.03/03/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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.
JAL dam. 6
A..1 c. is signature Print name Dat
•
:......�A . r1/-R ILO 6r on bcwfwv d, 5/, ,(
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
Date: ice/=Ie I
ES&A Sign&Awning
89975 Prairie Road
Eugene,OR 97402
541-485-5546
Re:Dutch Bros#
Address:
11746 SW Pacific H .
Tigard, OR 97223
To Whom it May Concern:
r'
�,ky,�l the undersigned acting as one of the following:
I. �Q�i .
agent, r,landlord,owner/landlord,hereby authorize ES&A Sign&Awning,its
i ated companies and parent companies of every tier,and each of their nd it
Companies,affi i Pa ,agents, representative.successors,
directors,officers, shareholders, employ i
assigns;to act as Authorized Agent to apply for and secure all required permits.
This authorization is applicable Iicabie to the aforementioned subject property end is not applicable to '
;
any other location(s). '
Signature: �r"- �`
1/.. „ Date: �'
Printed Name: 1 `
Title:
Phone: . - -
Email: iI I e— ' • `
. ,_ c i,/,l'er-ift-
PifeaSe return
this doaiment to the above mentioned address, via email to
fjohnsosi ns.corn CC: maria.kilbo dutchbrvs,ccrr>� via fax(541)
n _naf�-
485-5813, Ann:Nick Johnson.
ne. OR 97402 T BOO.285.35.7 I 541 485 5.546 • : .,-•
89475 trrirr Rd. b W i
FACTORY SCOPE OF WORK:MANUFACTURE&INSTALL(2)SETS OF ILLUMINATED CHANNEL LETTERS ■....,
DRAWING A
!FINISH
HIV DIAWING#;
25888B1
WENT;
DUTCH BROS-DB145
11744 SW PACIFIC HWY DBCL9 SIDE VIEW
TIGARD,OR 91223 SCALE:3/4"=1'-0"
9'-0" 5"
DATE OF SHOP DRAWING
2/5/18
L J D
SHOP REVISIONS; O
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■
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ATTACHMENT DETAIL
CHANNEL LETTERS WITH REMOTE P-CAN
SALES: CONCEPT. PROD. PAGE NO:
DESIGN: DESIGN:
NJ CN UI I of 3 REMOTE P-CAN
INTERNALLY ILLUMINATED FACE-LIT FLUSH MOUNTED CHANNEL LETTERS • PHOTO CELL
ES&A SIGN &AWNING 5'DEEP CHANNEL LETTERS. c SWITCH
IMS Pawl W. MK "MI RETURNS&TRIM CAP TO MATCH PANTONE 7691 C"INTENSE BLUE". _ r'- POWER SUPPLY
's4►.ass54I '5I1.4153813 WHITE ACRYLIC FACES.
230-127 INTENSE BLUE PSV,230-015 YELLOW PSV,230-33 RED PSV. - LOW VOLTAGE WIRE
LED ILLUMINATION. ■
FLUSH MOUNTED WITH REMOTE EXTERIOR INSTALLATION.
COLOR CODE
230-015 YELLOW PSV
L 230-33 RED PSV
al 230-127 INTENSE BLUE PSV
WHITE
0
IA ORY INSTALLATION
DRAWING
SHOP DKAWIN6#:
25888B MIMS°SIGN NEW SIGN
.
WENT <, ��,, _ 7(G ` )•-lt - '
ylbt
DUTCH BROS-DBI45
11744 SW PACIFIC HWY III
V
TIGARD,OR 97223 •
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PATE OF SHOP DWAN& IIE
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SHOP PENSIONS:
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SAM: CONCEPT. PROD. PAGE NO:
DESIGN: DESIGN:
NJ 01 CII 2of3
ESMA SIGN&AWNING
mis PIM{ID. MEN.011141
P 5414153814 1541.413113
PICK LIST
INSTALL NOTES:
INSTALL SIGN AS SHOWN. , 2 CHANNEL LETTERS
TOUCH UP PAINT
HOOK UP TO POWER. INSTALLATION HARDWARE
SIGNED: DATE: