SGN2018-00052 1111 ' CITY OF TIGARD
iri, SIGN PERMIT
I
COMMUNITY DEVELOPMENT Permit#: SGN2018-00052
T r('A It l l 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2421 Date Issued: 07/09/2016
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 10 square feet located on the north façade The sign will
be internally lit. Windmill Sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes
Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3.7'x 2.75
Total Sign Area: 10
Wall Area: 364
Wall Face(Direction): North
Sign Height: 20 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum,Piex, 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 Cade, 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: Mr to ,0 06..-66-.
Permittee Signature: --/ /a:/ c.% - .� .
ed
RECEIVED
City of Tigard JUN 2 6 2 018
II
■ COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD
PLANNING/ENGINEERING
TIGARD
SignPermit Application
SIGN LOCATION
REQUIRED SUBMITTAL
Address: 11 `-)IN 5-k) Pae,p, it Suite #: ELEMENTS
City/state: �g4r`1 Zip: gr)aa3 CI2 copies of elevations on 8'/2"x 11"
Tenant or business: . bps. or 11"x 17"pages(Wall sign
elevations must include dimensions
116:14,6of sign and wall face and show the
Property owner name: Rilail
it'lls location of sign on the wall.
Address: d35--)VI/1)M(4, �'rt U. Freestanding sign elevations must
City/state: S kg,LI i2 Zip: 99//D be drawn to scale.)
Phone: S3"3' (0.2'‘i Email: /�/ 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: +'i} slA I- 0
Address: g997..5. P n i ❑ List or diagram of all existing sign
r odimensions and square footage
City/state: DX Zip: q'()�2..
��I ' CI Application Fee
Phone: 1'0 q-("222 Email:OlafreiCk etia.2e S'y -c:awN
CCB License #: I‘31-1')0 Expiration date: 3 iapici NOTES:
Contact person: e t delq11)fri • Freestanding signs over 6 ft.in height
/� and walls signs of which any element
1--474 110h5) In Q F►( n Gr`orii/j�ioin weighs 20 lbs.or more require a
v.il, rt.:
SIGN DATA (Complete all items in this section) (wys S 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.
[v]'New sign ❑ Freestanding ❑ Electrical
• Building permits require 2 sets of
❑ Alteration to ❑ Freeway Er-Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign ❑ Roof ❑ Other and 2 sets of engineering must be
Sign #: submitted with building permit
application.
I\
Sign dimensions:,,-'�`�� 1 ) x d,'. 1(w) = tO sq.ft. sign area
New sign: ,iO sq.ft. + Existing sign area 0 sq.ft. = 1 Total �''US� Ft)K STAFF USE ONLY
V
Total sign area:3_ sq.ft. /.30 building face sq.ft. = .±71.5%of bldg faceCase No.: N 20 I.� —000St
Height to top of sign: al ft. Projection from wall: 5 in. Related Case No.(s):
Materials: .+trh lrww». pi,.., t, Loa s Fee: SW 5
Application accepted:
Is the sign under 20 lbs.? C 'es ❑ No By: Al... Date:(o J2ç I 1
(Building Permit required if over 20 lbs.
Application determined complete:
Direction wall faces (circle one): N S E W NE NW SE SW �
By: Date: (t7
Will the sign have illumination? [W'Yes ❑ No
If yes,what type: U. Internal ❑ External I:\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.
Ai 1 s.
M' 414-IN
A.'. c. is signature Print name Dat
•:• :... a (Y)4-R it rti ( r~on bczAfrwv 511 it
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
E
Date:1 j/-/t- I
ES&A Sign&Awning
89975 Prairie Road
Eugene,OR 97402
541-485-5546
1
Re:Dutch Bros#
Address:
1 746 SW Pacific Hwy.
Tigard, OR 97223
I
To Whom tt May Concern:
r
I. the undersigned acting as one of the following:
•
�Q� tl�
Xf1�'syl ';
agent, r,landlord,owner/landlord,hereby authorize ES&A Sign&Awning, its
companies,affiliated companies and parent companies of every tier,and each of their
directors,officers, shareholders,employees,agents,representative,successors,and and secure all required permits. r
assigns;to act as Authorized Agent to apply for
This authorization Is applicable to the aforementioned subject property and is not applicable to
any other location(s).
i
,_ 1i. ,. Date: __,_5____:l
Signature: � ,' �`
r
Printed Name: I
r
Title:
r
Phone: _ - - � ��� i
Email: 4/ / c-- i
Please return this alcunaant to the above
menticned addiess, via emaf to
rjohnsonens•COm CC
mama.kilbo dutchbras.arms via fax(541)
485-5813, Attn:Nick Johnson.
I
89173 P rve Rd. ,ane, OR 97802 T 800.285.3547 1 Sat 405 5546 V
i
0
FACTORY SCOPE OF WORK:MANUFACTURE&INSTALL(3)ILLUMINATED WINDMILL LOGOS
DRAWING A
FINISH
SHOP DRAWING#;
25888C
gal
DUTCH BROS- DBI4S DBW10 SIDE VIEW ATTACHMENT DETAIL
1144 SW PACIFIC HINT SCALE:1•=1P-O• SELF CONTAINED CHANNEL LOGO
TIGARD,OR 91223
2'-9" 1 s
PATE Of SHOP DMWING:
2/5/18
SHOP REVISIONS: Y I LAG SCREWS •°
n SG (MIN 6 PER UNIT)
1 L
L- J-BOX
L J
FLEX CONDUIT
•
POWER SUPPLY
tr
J-BOX
iii
!-. EXTERNAL SWITCH
° °
SALES: CONCEPT. PLOD. PAGE NO
DESIGN: DESIGN:
NJ IH (N 1 of 4
ES&A SIGN&AWNING
UOS FAANI It. ME,of FINS
F MAKIN F MIAMI
INTERNALLY ILLUMINATED FACE-LIT FLUSH MOUNTED CHANNEL WRAP LOGO
5"DEEP CHANNEL WRAP
RETURNS&TRIM CAP PAINTED TO MATCH PANTONE 7691 C"INTENSE BLUE".
WHITE ACRYLIC FACE.
230-127 INTENSE BLUE PSV OUTLINE.
LED ILLUMINATION.
COLOR CODE FLUSH MOUNTED SELF CONTAINED INSTALLATION.
[---
1111 230-127 INTENSE BLUE PSV
WHITE
e If4 1 VI 4 w•' 11 01)I si
FACTORY INSTALLATION
DRAWING
SHOP DRAWING#:
EXISTING SIGN NEW SIGN
WENT: \\,, -. ___
DUTCH BROS-DBI45 , 1 ( i i N + 1
11744 SW PACIFIC HWY b `
TIGARD,OR 97223 i
l , ,,• 1 , ___\. _ \_.,: \, 1 , k i
DATE Of SHOP DRAWING: �.�+�`� li„. I ti
AVIV-' IL, :,di BLUE *I�'
215118 1 F .r .
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SHOP REVISIONS: *1 ;',:tri; ^:._- ..4,. +- I ' I BROSns
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SALES: CONCEPT. PROD. 1 PAGE N0:
DESIGN: DESIGIE I
NJ CH CH 2 of 4
ESM SIGN&AWNING
I»TS ME ID. MEL 0I first
/SIIAF5SS% F SIIAISS113
INSTALL NOTES: PICK LIST
REMOVE EXISTING WINDMILL LOGO. PART
INSTALL NEW WINDMILL LOGO AS SHOWN. 3 WINDMILL LOGO
HOOK UP TO EXISTING POWER. TOUCH LIP PAINT
INSTALLATION HARDWARE
SIGNED: DATE: