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SGN2019-00002 CITY OF TIGARD SIGN PERMIT rs • Permit#: SGN2019-00002 COMMUNITY DEVELOPMENT Date Issued: 01/14/2019 T f C_1 A U f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1S135BD00300 Jurisdiction: Tigard Name of Business: King Lasik Business Address: 9735 SW SHADY LN 201 Applicant/Agent: Wells, Shelly Work Description: New 17.25-square-foot wall sign on west-facing wall. Sign weighs more than 20 pounds and has internal illumination. Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: 23"x 108" Total Sign Area: 17.25 Wall Area: 4560 Wall Face(Direction): West Sign Height: 38 ft Projection From Wall: 10 in. Illumination: Internal Materials: Sheet metal, polycarbonE Electrical Permit Required: Yes Building Permit Required: Yes Total Permit Fee: $218.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. Approved By: .. Permittee Signature: See application RECEIVED City of Tigard JAN 14 2019 CITY'O -- T CIA'aD irr! aCOMMUNITY' .D} VELOPMENT DEPARTMENT 1_ �, Sign PLANNNC, �CPING Permit [,..:_, -;,,,,,,:.. . -, :nom . M SIGN LOCATION . Address:?T. 5 s.5ulJ%dl y La/V e Suite#: C7/ REQUIRED SUBMITTAL .�-- ELEMENTS City/state: /r frr.1C( 042 ?a, p: � z3 Zi7,7222 copies of elevations on$'/a"S 11" Tenant or hu, Hess: 4' ,z14 /a,'�f`j�/ or 11"x 17"pages(Wall sign t elevations must include dimensions Property owner name: of sign and wall face and show the ,wlocation of sign on the wall. Address: % 9,0 Sh/5741 / / qf . LGO/l. t estanding sigh elevations must City/state: rif7GA-4'l7/ G/.--- Zip: f72-491 r drawn to scale.) Phone:54 '/7gEmail: rfL/ JI :1 A / / ••• Lik 2 copies of site/plot plan,drawn to scale,can8'/3"x11"or 11"x17" Sign contractor: ' C{5/, /' /11 r -� (;-_-)eages(not required for wail signs) "" /r Q Address: 1,1/ 24, SjT,i t diam e,f existii sign -' ii J Pia. i:uensiororlgras and square footage City/state: l r ct✓°t f., Q R Zip: 97;2..73 clApplicadon Fee Phone:. 3-A4,YA3 Email:,_Th e// CCB License#: Ex iration date: MUTES: Contact person: ,C)//e f1[/ �/1, • Freestanding signs over 6 ft.in height �' and walls suns of which any element r--- weighs 20 lbs.or more require a --1 building permit for construction. SIGN DATA(Complete all items iri this section) i .. ......_ ......�.....,.,.__.,,�:.._,� If any clement of a wail sign weighs ,., TYPE(Check all that apply) 70 lbs.or more,plans must be prepared tit" tve�['sign by a structural engineer. ❑ Freestanding E'''E1ectrical • Building permits require 2 sets of ❑Alteration to ! El Freewa y construction drawings and,if sign is existing sign Y ❑ Other freestanding,2 copies of sire/plot plan ❑ Roof )f and 2 sets of engineering must.be ��j' Sign#: submitted with building permit j application, Sign dimensions: As _(u') _ /(95Il sq.ft.sign area Newsign:/.Qv s C •. ingsign area •C3' sq.ft. Total Total sign area .>�stl.h. 1 , „?6J!�rulding q.ft.=;r OO //of bldg face face s l q ase No.: *S�IV•2o/ Height to top of sign.: . S ft.Projection from.wall: /0 in, � Related Case N (s): Oh Materials:. e e/G e 111 Pei t rrloknf. , Feer t2 l el _._ ...__:. r ,,. 2,.e j Application accepted. Is the sign under.20 lbs.? ❑ Yesler No (Building Permit required i f over 20 lbs.) BY "4-'^' Date. j .Direction wall faces(circle one): N S E 6' NE NW SE SW APplieaac,n determined entre e: Will the sign have illumination? lel Yes 0 Na By: ---AS Datek. i" � If yes,what : e: [ nternal i;l omm p apptketlonslo2_Pormr end t)pe: ❑ External :: wiry Development Um Tamplaces\Land Use AAPnrutJan, Rev 12l14J2417 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. Wnen 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+ acla owner of the subject property required. ----aAd4 &ie/Ls. 757 /a6v2 Applicant's s' ture Print naln Date er'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 PROOF #3 a FA5TSIGNSL FIRST TWO PROOFS INCLUDED WITH ORDER.ADDITIONAL PROOF CHARGE$10. More than fast. More than signs: Order/Estimate#5941 12176 SW Garden Place Customer: King Lasik Tigard,OR 97223PHONE 503.244.8813 Project Lead: Shelly 314@fastsigns.com PROJECT SIZE: 23 x 108 CITY OF TIGARD Approved by Planning Date: 11 9 Initials: In-- LEA'S 11( Front Illuminated Channel Letters 23 x 108 16"Cap height on "King" 19.5"Circle for Logo Shown on Mounted on Raceway MATERIAL(S): DATE: 1.8.19 Proofed By:Al t ADDITIONAL NOTES: APPROVAL: FASTSIGNS'CANNOT BE HELD RESPONSIBLE FOR VISUAL AND/OR SPELLING/GRAMMATICAL ERRORS PRESENT IN CUSTOMER-PROVIDED FILES.IMAGES CONTAINED WITHIN THESE PROOFS NOT GUARANTEED FOR COLOR ACCURACY. PROOF #3b FA5T5IGNS FIRST TWO PROOFS INCLUDED WITH ORDER.ADDITIONAL PROOF CHARGE$10. More than fast. More than signs: Order/Estimate#5941 12176 SW Garden Place Tigard,OR 97223 Customer: King Lasik PHONE 503.244 8813 Project Lead: Shelly 314@fastsigns.com PROJECT SIZE: 23 x 108 120" . I. k sk, i 1, i.ii.1 , /I j / , , r 0$ I If 1 ' . ' ` ,, 1; ► 23" l i If 9 ,. �411‘ � i 108" ', ,: , ,f,.,, eil,' \ , v. \ I! i I, / , ,s 8, f r tiL f ik •gtti:' , .in,i t ,, '',%,i+i;1 ivl,t-;iir t,,A fig. ,'{1 441i4, 1 4 ;Ie .,?e ,, E.,,,..2;41 31 A '). . iiIk"4?; 4' l.. . kkA, itt 'i ;/,; 4 --ti �) %J ,'c 'll, " s. if V a ' 40 � ot, , •::-/r . i 0 r' Aft :1 a t I fi f' I 0;4413°--''' vr,„ ... , ,..r.„ ..t._ ,z/A� 7� .`! r r.,....-.yll w Rte,: ."; »ir _4 4 ' 4.0.''riza. o1/,. MATERIAL(S): DATE: 1.8.19 Proofed By:AJ ,L , ADDITIONAL NOTES: APPROVAL: FASTSIGNS'CANNOT BE HELD RESPONSIBLE FOR VISUAL AND/OR SPELLING/GRAMMATICAL ERRORS PRESENT IN CUSTOMER-PROVIDED FILES.IMAGES CONTAINED WITHIN THESE PROOFS NOT GUARANTEED FOR COLOR ACCURACY. Raceway Color: 7" 5" rAiNT#2319C / — t — i / ' 5 O ,� O RACEWAY LETTERS:• oh . FA U , F -- _0 O LED ILLUMINATED CHANNEL LETTERS- RACEWAY I � SCALE:3/4"=1'-0" T -o .__N © 1 0 FACE: 0 RETURNS: © ILLUMINATION: TYPICAL SECTION DETAIL MATERIAL: SG Acrylic MATERIAL: 5"DEEP PRE-PAINTED.040 ALUM. MATERIAL: LED NOT TO SCALE COLOR:White COLOR:Black COLOR: 0,H[E INSTALL 0 TRIMCAP: 0 BACKS: 0 ELECTRICAL: A.Non-Corrosive Securement Using Appropriate Mounting Hardware MATERIAL: JEWELITE TRIMCAP MATERIAL: PRE-PAINTED WHITE ALUM. POWER SUPPLIES INSIDE RACEWAY COLOR: Black 20 AMP CIRCUITS REQUIRED @ 120 V. B.'/"Flexible Conduit Whip to 120v Power C.Blocking as Required per Location D.20 amp 120v Circuits Required (supplied by others) E.Disconnect Switch Provided @ Left End of Raceway F.1/4"Weep Holes as Required MOUNTING HARDWARE CHART MASONRY WOOD METAL 1/4"BOLTS THRU WALL • • • 1/4"LAGS W/SHIELDS • 1/4"LAG BOLTS • 1/4"TOGGLE BOLTS • COLORS SHOWN ARE APPROXIMATE.THIS DESIGN AND ENGINEERING IS SUBMITTED SOLELY AS PART OF OUR PROPOSAL AND IS TO REMAIN PROPERTY OF FASTSIGNS'TIGARD AND ANY OTHER USE HEREOF IS PROHIBITED AND SUBJECT TO DESIGN AND USE CHANGES. CUSTOMER: DRAWING ACCEPTED: ❑ APPROVED FOR CONSTRUCTION: ElFASTSIGNS DATE: CUSTOMER: More than fast. More than signs: REPRESENTATIVE: NAME/TITLE: 11525 SW Pacific Hwy. PHONE 503.244.8813 LOCATION: SIGNATURE: Tigard,OR 97223 FAX 503.244.7753 SCALE: DATE: Contact:Shelly Wells 314@fastsigns.com r a .. V, le `�(`e eep t oNs 5:yv t, lir` �t : iat • "e ..,.:,:„.,,......,, ,.:4„, • . ,. , , .„ _,IB iit_ . .. .. n R .. i P.- q0 ' h (West (/4'azYa/V i a/e/ hs &v 4. so c Qr co O 1`. Starbucks Tigard Medical Mall f ow SW Shady Ln SW Shady Ln SW Shady Ln SW Shady Ln SW Zrnbat Chilair6fe'7(.1 GAG � ,(� 57/ //V w X 470'!i