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SGN2019-00044 1101 _ CITY OF TIGARD SIGN PERMIT ■ ' Permit#: SGN2019-00044 • COMMUNITY DEVELOPMENT Date Issued: 05/30/2019 T f C; ' k f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101AA08700 Jurisdiction: Tigard Name of Business: Business Address: 12511 SW 68TH AVE Applicant/Agent: Morris, Michelle Work Description: Sign 1/2.Wall sign facing west. Dimensions:2'9"x 10'6"=28.9 square feet.Wall area: 1375. Percentage: 2.7%. Projection: 1/2" Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: 2'9"x 10'6"=28.9 square Total Sign Area: 28.9 Wall Area: 1375 Wall Face(Direction): West Sign Height: 24 ft. Projection From Wall: .5 in. Illumination: No Illumination Materials: Aluminum frame with acr Electrical Permit Required: No Building Permit Required: Yes Total Permit Fee: $218.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. Approved / Pp B :Y ,9 � A-A '..-ISril--- /// Permittee Signature: , /, ,/i i / ' a -e/ RECEIVED City o f Tigard MAY 3 0 2019 COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD 71a PLANNING/ENGINEERING TIGARD Sign Permit Application SIGN LOCATION wi REQUIRED SUBMITTAL Address: 17-S11 L (D MA__ Suite#: ELEMENTS ! City/state: i " Cl Oc--, Zip: 9112-3 CI copies of elevations on 8th"x 11" Tenant or business: 'F -VV i t + I b 't.L. or 11"x 17"pages(Wall sign elevations must include dimensions of sign and wall face and show the Property owner name: �tcka..�6�1� location of sign on the wall. Address: V �1 , L C Z`'e +1'3` - Freestanding sign elevations must be drawn to scale.) City/state: � � a01(2., Zip 7�� 5O2r 2- tZ El 2 copies of site/plot plan,drawn Phone. mom: to scale,on 81/2"x 11"or 11"x 17" l" pages(not required for wall signs) Sign contractor: Y\\tQ - e.��i(IL �( Yl`� LLC Th�`_ ❑ List or diagram of all existing sign Address: 400Sr ` y ,9 A dimensions and square footage City/state: 1 O Zip: 3 ❑ Application Fee Phone -2-L 3;', . mail: S`CzA.-e.. f Us'Ki t__i l.e_( YIDS h$,ttrh � O NOTES: CCB license#: I��� Expiration date: Contact person: t; �-� I�.G f.c;S Freestanding signs over 6 ft.in height MI • and walls signs of which any element 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 New si TYPE (Check all that apply) by a structural engineer. NI - ❑ Freestanding ❑ Electrical • Building permits require 2 sets of El Alteration to (Wall construction drawings and,if sign is El Freeway existing sign ❑ Roof r, ❑ Other freestanding,2 copies of site/plot plan and 2 sets of engineering must be Sign#: submitted with building permit application. ► A l .(13.. Sign dimensions:h. % (h) x (w) = '-O S 1 sq.ft.4., •irea New sign:2-v s .ft.+ Existing sign area (.'41 sq.ft.-- Total FOR STAFF USE ONLY Total sign area: sq.ft. /131uilding face sq.ft. =21 "/o of bldg face Case No.: 's y' (-- m Height to topof sign:`ZI-� ft.Projection from wall: t(2- in. Lit C $ $n' (� Related Case No.(s): Materials: A ItlN/�ie LLLW�, ar` v e- L)j \L i C _ Fee: , IS.ACCS Application accepted: Is the sign under 20 lbs.? Yes I No Bv: Date: '� l' (Building Permit required if over 20 lbs.) Application determined complete: Direction wall faces (circle one): N S E W NE W SE SW r Will the sign have illumination? 111 Yes No By: Date: �- , � If yes,what type: ❑ Internal ❑ External I:\Community Development\Land Use Applications\02Forms and Templates\Land Use Applications Rev 12/14/2017 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. • AJ1 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 arc 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. 71, /7 // 11 )I [ Ap can 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 RECEIVED MAY '3 0 2019 CITY OF TIGARD PLANNING/ENGINEERING DATE: 5 29 2019 Regarding_ 12511 SIAL'6Sm Ave (suite 200) Tigard OR 97223 Tigard Triangle Properties To atom it may concern at city or township- As the owner of the building at the above referenced location,I do hereby give authorzation to Rudnick Electric Signs LLC, and or the licensed sign vendor to secure permits, variances, and perform sign installations,removals or maintenance at the above referenced property. Thank you for your cooperation in this matter_ Sincerely, James Randall Printed Name: , t, - Title:Presiden' ember Lecv‘c , -n0\ kARED HAVE LANDLORD PUT THEIR COMPANY LETTER HEAD ON DOCUMENTMAY 3 0 2019 CITY OF TIGARD PLANNING/ENGINEERING DATE: ,/,.777P. W' Regarding: /2 57 257 5e", 65- - o bre 22-7 To whom it may concern at city or township: As the owner of the building at the above referenced location, I do hereby give authorization to Rudnick Electric Signs LLC, and/or the licensed sign vendor to secure permits, variances, and perform sign installations,removals or maintenance at the above referenced property. Thank you for your cooperation in this matter. Sincerel Printed Name: (--1A---"Pt r Title: 7 RECEIVED MAY 302019 10' 6° CTY OF TIGARD PLANNING/ENGINEERING I ® WEST SCALE:1/2"=1' 21/2"FRAME — 1/2 FABRICATE&INSTALL ONE(1) ALUM FRAME SINGLE FACE NON ILLUMINATED WALL SIGN. aluminum frame paint white \A. 1 SCREW 0 0 Q A' THROUGH FRAME 2 MM ACM SIGN FACE WITH PAINTED WHITE FACE INTO WALL KASSAY -:- N ACRYLIC LETTERS ' LETTERS AND LOGO: ry N -r, MD FLAT CUT OUT ACRYLIC APPLIED FLUSH4116- FAMILY MEDICINE BRUSHED ALUM TO FACE OF HORIZ.BRUSHED FACE r �r 0 O Co 1/4"THICKNESS PAINTED BLUE o x. t- x,,r.,,.-... _r Atstve. .. ; . . :_z.-....,t- ;.; ':= . < .e: , �.., . ' i_. 2.5" ALUMINUM FRAME attachment method : Flat Cut Out Letters { PAINTED WHITE aluminum face painted white attach to brick fascia FONT: wedge anchors `: SCREW THROUGH BACK OF FRAME INTO WALL`' INTER UI SEMI BOLD anchor size"as required six anchors(6) 0 END VIEW sign weight 125 lbs. total sign weight • WEST FABRICATE&INSTALL ONE(1)SET OF ADDRESS NUMBERS. SCALE:1"=1' 20'APPROX. 3'_6' 1/2 a D ? ' ir' x _ tilfI uP_:w t� . ....... ,' r`,I s 15' r_ f� ���KASSAYE' N FAMILY MEDICINE �' STUD MOUNT OFF FBRIK1/2 " .ia. 3 !tu'lltiff. ONE(1)SET OF ADDRESS LETTERS x s` INSTALL OVER ENTRANCE 4251 1/2"THICK SUBSTRATE END"THICK: ,.+. '4r . SILVER SILVER PAINTED FINISH STUD MOUNT 1/2"OFF BRICK FASCIA COLORS CITY OF TIGp RD NATURAL ALUMINUM FINISH VIM Approved by Planning I I WHITE Date: S--' 6-19 EN 3M 180C-57 Olympic Blue Opaque Vinyl Initials: f C **verify color with customer** Revisions Certified(12) © Copyright 2014 Kassa FamilyMedicine R ■ d n■■ack Steven Rudnick Client i Date: 4.4.19 Approval Estimation yi Steve udnickelectricsigns.com Finalized with James correct fonts 5.3.19 Member Rudnick Electric Signs,LLC File Name y ,- 1400 Southeast Township Road, Project Manager:Steve Rudnick Approval Sales add new logo kern letters 5.15.19 This original design&specifications are Job# KassayFamMed_V6 Canby,OR 97013 INTERNATIONAL the exclusive property of Rudnick Electric Signs LLC �' a SIGN ASSOCIATION The use of this design to produce a similar sign (503)263-3600 Financing Available Through: {0' fe--- , --. K A S SAY Design: MWM Approval Client ,,n/r,, without written authorization from Rudnick Electric www.rudnickelectricsi ns.net681h GAMILY MEDICINE 4 �N'ONOGg �' ' NORTHWEST SIGN COUNCIL Signs is strictly prohibited. Lac www.rudnickelectricsigns.net SW Ave. 8 LEI4ING SHEET NUMBER 1 of 3 4'-0" 0 EAST BLADE SIGN SCALE:3/4"=1' 3'-6" FABRICATE&INSTALL ONE(1)DOUBLE FACE NON ILLUMINATED BLADE SIGN. Aluminum Sign Panel 6 5,, 3"SQUARE TUBE SUPPORT BARS ' ACM Sign Panel MD PAINT POLES SILVER&WELD TO i ,!I. ALUMINUM BACKS . ® N Mounting Plate ATTACH TO BRICK WITH MOUNTING PLATE WELDED TO (` END WITH PRE DRILLED HOLES TO SCREW THROUGH INTO WALL KAssAy °, 1 jt r ii ll 3"Square Tube KASSAY PANEL: FAMILY MEDICINE 1. ,: Stand Offs LAYER ACM PANEL(WHITE)WITH STAN OFFS) "' • a a VINYL COPY&LOGO TO BE 3M 180C-57 OLYMPIC BLUE 1"BRUSHED ALUMINUM STAND OFFS ' • ( ' IN EACHCORNERMOUNTTO EATING IS A LIFESTLE i� . II ALUMINUM PANEL • s FONT:INTERSTATE UI n 11111 IT'S JUST THERAPY FONT: ! TENANT PANELS: + • INTER UI SEMI BOLD g llaa a*ti tail ALL UPPERCASE LAYER ACM PANEL(WHITE)WITH STAN OFFS) • K E M RAJ •tit ;•tit lir ;„ VINYL COPY&LOGO TO BE 3M 180C-57 OLYMPIC BLUE '' ss • PHYSICAL THERAPY , A; 1. 1"BRUSHED ALUMINUM STAND OFFS • • ] i. ..1 i ea IN EACH CORNER MOUNT TO REGENERATIVE STAND OFFS h� sit ALUMINUM PANEL . . HEALTH SOLUTIONS • wedge anchors , " a ,� 1 four per support plate *.. .,.._ am attachment method aa-, END VIEW op— attach to brick fascia Scale: NTS wedge anchors ,e anchor size"as required" eight anchors(8)four per plate . sign weight ' ..;.._ '0 COLORS 150 lbs. total sign weight NATURAL ALUMINUM FINISH I I WHITE I M 3M 180C-57 Olympic Blue Opaque Vinyl **verify color with customer** At aa# Revisions 14 Kassa Family Medicine r Rudnick Y Y RR ���r� Client Date: 4.4.19 Approval Estimation File Name Steve Steven udnickelectricsigns.com Finalized with James Certified Oil) © Copyright Electric Si K A S S AY addcnew logofonkern letters19 Member Rudnick gspecificationsecif LLC � 1400 Southeast Township Road, Project Manager:Steve Rudnick Approval Sales new 5.15.19 This original design& are Job# KassayFamMed_V6 �' Canby,OR 97013 INTERNATIONAL the exclusive property of Rudnick Electric Signs LLC FAMILY MEDICINE a SIGN ASSOCIATION The use of this design to produce a similar sign (503)263-3600 Financing Available Through: �' , : - 11251 SW 68th Ave. Design: mwm Approval Client ,vy\.<\,,ns.newithout written authorization from Rudnick Electric www.rudnickelectricsi t YERNW°°°MA' NORTHWEST SIGN COUNCIL Signs is strictly prohibited. IT «c 9 fi LEA IN6 SHEET NUMBER 2 of 3 PLOT PLAN t assay WALL SIGN , : .,R #3 BLADE SIGN #1 #2 & ADDRESS #'S ' ,pft I ; iIpIIII1L:d5.. lf 0 Revisions Steven Rudnick Client Date: 4.4.19 Approval Estimation File Name Kassay Family Medicine 1 Steve@rudnickelectricsigns.com PP Finalized with James Certified® © Copyright 2014 �� K A S S AYcorrect fonts kern let Member Rudnick Electric Signs,LLC KassayFamMed_V6 1400 Southeast Township Road, Pro'ect Mana er:Steve Rudnick Approval Sales add new logo letters 5.75.1919 y g This original design&specifications are Job# Canby,OR 97013 INTERNATIONAL the exclusive property of Rudnick Electric Signs LLC 0 FAMILY MEDICINE SIGN ASSOCIATION The use of this design to produce a similar sign (503)263-3600 Financing Available Through: 11251 SW 68th Ave. Design: MWM Approval Client /y�� without wntten authonzation from Rudnick Electnc www.rudnickelectricsi ns.net •> ,nvouo "'� NORTHWEST SIGN COUNCIL Signs is str ctty prohibited. uc g h.T.E,ASSNG SHEET NUMBER 3 of 3