SGN2019-00140 CITY OF TIGARD SIGN PERMIT
• Permit#: SGN2019-00140
COMMUNITY DEVELOPMENT Date Issued: 12/12/2019
T<6 A « 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S112DC01400
Jurisdiction: Tigard
Name of Business: Northwest Mothers Milk Bank
Business Address: 15875 SW 74TH AVE
Applicant/Agent: MCCORMICK,TONY
Work Description: One(1)new 44-square-foot sign on east-facing wall.Sign is less than 20 pounds and
will have no illumination.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions:
Total Sign Area: 44
Wall Area: 4088
Wall Face(Direction): East
Sign Height: 13 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: Sintra letters
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $228.00
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:
r
Permittee Signatu -: _a/ C/� .
City of Tigard RECEIVED
114 COMMUNITY DEVELOPMENT DEPARTMENT DEC 12 2019
Sign Permit Application CITY OF TIGARD
TIGARD PLANNING/ENGINEERING
SIGN LOCATION ,
/S ff 7 c<J. �7" '�W suite#: REQUIRED SUBMITTAL
Address: ELEMENTS
City/state: 'OA-P-1). // 0 A- Zip: /id"� copies of elevations on 8'/2"x 11"
Tenant or business: iLl bti- /d Juni-es 41/( /iik- or 11"x 17"pages(Wall sign
elevations must include dimensions
J/1S ����/(, 6iU e,2e/<(/1eJ of sign and wall face and show the
Property owner name: 4,Le.
/ /— location of sign on the wall.
Address: //.2- 1 L.- D1 b"/i I0ii ,f r• �l L''1 Freestanding sign elevations must
Ci /state: { "-lN"%S U� Zip: q/i �. raven to scale.)
City/state:
Phone: Email 2 copies of site/plot plan,drawn
to scale,on8'/2"x11"or 11"x17"
fj1ry I,1 r t e C l,� ges(not required for wall signs)
re Sign contractor: / ./' �y p
Address: /5 11 L! 5•b'- . 7 f' /'7 V __ List or diagram of all existing sign
,�! q / and square footage
City/state: 1 / b/ ( OA-- Zip: / 7a?c1 tensions
lication Fee
Phone: V/-23 zrZ- mail: / Lt3(Aid ii„,,6.,,. em.1
2/#li NOTES:
CCB License#: iration date: !/
t • Freestanding signs over 6 ft.in height
Contact person: ��/l+7 f ?l -' 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
TYPE (Check all that apply)17(New sign by a structural engineer.
❑ Freestanding ❑ Electrical • Building permits require 2 sets of
El Alteration to g Wall construction drawings and,if sign is
❑ Freeway
existing sign ❑ Roof ❑ Other freestanding,2 copies of site/plot plan
and 2 sets of engineering must be
Sign#: I submitted with building permit
application.
l i' /3'/a
Sign dimensions: 3 `f (h) x_(w) = 44- sq.ft. sign area
New sign: 44- sq.ft.+ Existing sign area', "1-4'.
' sq.ft.=_Total 4.1b jt; rr. FOR STAFF USE ONLY
Total sign area: sq.ft./146 building face sq.ft. =•16 %of bldg face Case No.:
Height to topof sign:132- ft. fromwall: � i
' Projection n.
� Related Case o.(s):
Materials: <5t N'r"i L wnelLS Fee: •2126
Application accepted:
Is the sign under 20 lbs.? 2/Yes ❑ No By: /N. Date: Ai/.7
(Building Permit required if over 20 lbs.)
Application determined complete:
Direction wall faces (circle one): N S E W NE NW SE SW n
Will the sign have illumination? ID Yes 11 No By: A-2 Date:
If yes,what type: CIInternal 1:1External I:\Community Development\Land Use Applications\02 Forms 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.
• 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-aiient of the owner,and that plans submitted are in compliance with the City of Tigard.
SIPNATURES of •-ch owner subject property r uired.
7 , e /'j"7 ,crn/ /215//1
nt's s. ature Print name Date
Digitally signed by Lesley L Mondeaux
DN.<n nLesley L Mondeaux,o=NONhwest Mothers
Lesley L. on ed UX MllkBankou,entall=lesleyDnw mhorg.c=DS Lesley Mondeaux,Executive Director 12/12/19
Date:1019.11.1109:11:10-08'W
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
SCOPE OF WORK:
Manufacture & Install:
One (1) Set of FCO Letters
13' 1" 1"Thick Sintra
5' - 10" 1 Stud Mount Paint To Match Logo Colors
Flush To Wall
—
Installation
Install Stud Mounted Flush to Wall
Paint-Northwest
M
E., ■ Paint Northwest
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IMOTHERS
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7,zmoTHERs MILK ,., ,
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Sign -44 Sq Ft
Scale: 3/4" = 1' - 0"
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RECEIVES` ; c4,.
ir
DEC 12 2019
CITY OF TIGARD
PLANNING/ENGINEERING ,
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-- _ DRAWING# CUSTOMER APPROVAL
sales@meyersignco.com PROJECT: Northwest Mothers Milk Bank ACCT.MGR:Rob Breazile This.e an original wpuhgshed drawing crewed for Attention:
Meyer Sign Company's customer and the project planned
#4C www.meyersignco.com= ADDRESS: 15875 SW 74th Ave D A MSR:1 Northwest Mothers Milk Bank Entrance Sign INITIALS DATE
for the speafc needs of Meyer Spn Castomers. ' Colors shown on this artwork are for representational purposes only. '
g Tnese draw rips are not to be snown outs de your An inkjet printer,printing on copier or computer monitor display
phone: 503 620 8200' Suite#too DESIGNER:J� LANDLORD APPROVAL epamxanen net ease, op ed,eproduced,er exhibited cannot exactly duplicate the true color of the materials used
11....0V•°‘"-&—G°\\‘ fax: 503 6 2 0-7 0 7 4 Tigard,0 R 97224 D A T E : 11/26/19 Mee Sign Company ess authorized
wriMg by an officer of n the actual sign making process.
INITIALS DATE
Northwest Mothers Milk Bank
15875 SW 74th Ave.
Tigard , OR 97224
( East Elevation Drawing ) Scale = 1 '4" = 4'
RECEIVED ciry OF TIGARC
DEC 12 2019 Approved y lanninc
CITY OF TIGARD Date: Z
PLANNING/ENGINEERING
Initials:
15875 r_
I Sign #1 T i
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FILE INFO: REVISIONS: CUSTOMER APPROVAL:
sales@meyersignco.com PROJECT: Northwest Mothers Milk ACCT.MGR This Is an onginal unpublished drawn); created for LL
J DATE: BY: Attention:
15875 S W 74th Ave. DRAWING: Meyer sign Company's customer and the project planned
IrrlatetlerC1 www.meyersignco.com ' ADDRESS: SHOP MGR 1- 0 0 INITIALS DATE for the spe Bc needs of Meyer Sign CustomersColosshown on r,printing on opiereprese pater mon for display
2- 0 0
phone: 503 620-8200 PHONE g SCALE : 3- 0 0 LANDLORD APPROVAL: organization nor used.copied,reproduced,or exhibited
cannot exactly duplicate the true color of the materials used
DESIGNER 77,?. D A 1 E : - 0 O in
Sign company of Oregon.
wtinng by an office of g making P
fax 503 620-7074
SHEET OF 5- 0 0In the actual signprocess
,..,,,, `. 6- 0 0 INmALS DATE
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�, ` av �, 15875 SW 74th Ave.
OR 9722
,A. SITE PLAN
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:: Description of work:
� � im Install 1 set of FCO Sintra
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:ei:t::s.ofInut:hacttoort:enant's East
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.� �� Scale: 1�4 - 25' CITY OF TIGARD
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SINTRA LETTERS ON A CONCRETE TILT UP WALL
CONCRETE TILT UP WALL
\\ """""""""""" 3/16" x 4" ALUM. ALL THREAD STUDS
(Approx. 4-6 per letter)
RECEIVED
DEC 12 2019 CITY OF TIGARD
Approved • Panning
CITY OF TIGARD Date:
PLANNING/ENGINEERING
Initials: ..
1 ' THICK SINTRA LETTERS
WEIGHT: 5 LB. OR LESS PER LETTER
(NTS)