SGN2020-00010 CITY OF TIGARD SIGN PERMIT
ligt Permit#: SGN2020-00010
COMMUNITY DEVELOPMENT Date Issued: 02/04/2020
T f G A R D 13125 SW Hall Blvd..Tigard OR 97223 503.718.2421 Parcel: 1S134BC00200
Jurisdiction: Tigard
Name of Business: One Medical
Business Address: 12180 SW SCHOLLS FERRY RD
Applicant/Agent: LANPHERE, DAVE
Work Description: New awning sign
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: 4.5
Wall Area: 600
Wall Face(Direction): West
Sign Height: 9.5 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials: Aluminum and plastic
Electrical Permit Required: No
Building Permit Required: Yes
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: --1— �
Permittee Signature: See application
RECE8VEI
City of Tigard FEB 0 3 2020
111
COMMUNITY DEVELOPMENT DEPARTMENT
111111 C CITY OF TIGhRG
T[GARD
Sign Permit Application PLANNING/ENGINEFRItit
SIGN LOCATION
REQUIRED SUBMITTAL
Address:Ai W_ btl.S e#: ELEMENTS
City/state: , i : q.72� q(Z copies of elevations on 81/2'x 11"
Tenant or business: or 11"x 17"pages(Wall sign
elevations must include dimensions
of sign and wall face and show the
Property owner name: Ct-- . r ItZC XAfL location of sign on the wall.
��Address: ,J �—k�7�2' Freestanding sign elevations must
City/state:---� `Gt.. Lt tJ {2, Zip: CI e� , be drawn to scale.)
Phone: Email: � coepies of site/plot plan,drawn
to scale,on8'/z"all"or11"x17"
ipl_ ` ges(not required for wall signs)
Sign contracto -fJ�Q/�` l�t�lA trlu
-�`p �1) or diagram of all existing sign
Address: I(PO 'SLr,� �lst'cal, ' ensions and square footage
City/scat l kaL1'a� 'Ere.. Zip: 9: 1 q 1 Application Fee
Phone:�73g- d3 Email: iCWIt.0 a-1n �.. t� �'t'"
NOTES:
CCB License##: 05 Expiration date 1.. I aV
• Freestanding signs over 6 ft.in height
Contact person: -DOW 4 t--Ql N 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
TYPE (Check all that apply) 70 lbs.or more,plans must be prepared
/New sign byn structural engineer.
❑ Freestanding 0 Electrical • Building permits require 2 sets of
❑ Alteration to ❑ Freeway 0 Wall construction drawings and,if sign is
existing sign freestanding,2 copies of site/plot plan
❑ Roof Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
/Sign dimensions: /.S (h) x3(w) _ 4 5 sq.ft. sign area
New sign: I S" sq.ft.+ F.xisting sign area 3?.3 sq.ft.=_Total (0415 FOR STA�F�F�USSE-�ONNLY/�/J/
Total sign areaiQ/.8 sy.ft. / WObuilding face sy.ft. =A 33 %of bldg face Case No.: .S 3,&)W 1 e i D
Height to top of sign: 4, ft. Projection from wall: in. Related Cas No.(s):
Materials: 41.-L,m/„),>.1n /P4.asTIC_ Fee: V
Application accepted: 45)2'0
Is the sign under 20 lbs.? 0 Yes �No B L•nY Date:
(Building Permit required if over20lbs.) y
Direction wall faces (circle one): N S E ONE NW SE SW Applica on determined comz l t':/147
Will the sign have illumination? 0 Yes 2" No By: S Date:
If yes,what type: ❑ Internal 0 External IVornmmYty Development\Land Use Appliobons\02 Forms end
Tempbtes\land Use Appliotbns pee 12/14/2017
City of Tigard • 13125 Sly'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.
SIGNAT RES each owner of the subject property 1required./
gAi
Applicant'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 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
BS1-1
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WALL DIMENSIONS 20' TALL X 30' WIDE
CITY OF TIGARD RECEIVED
Approve 1planning FEB 0 3 2020
Dc`'<te. / CITY OF TIGARD
Initials: .... - PLANNING/ENGINEERING
a This artwork Is final-please review for errors before signing. If the final product matches the signed artwork and Is Incorrect we will remake it on a time and material basis
Prepared For. Protect AlaHgen gevlelona b rOVO
` ?� .I '\` Dave Larrhmn No. Description Date
®Copyright 2007 Hannah Sign Systems.
11 ) This original design and specifications are
Project.Numbs. Client Signature the exclusive property of Hannah Sign Systems.
`" one medical
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SIGN S IS�I lJ Sonia NM Hannah Sign Systems is strictly prohibited
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THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503•ZOe-4900 CCB#203638
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-please review for errors before signing. If the final product matches the signed artwork and Is Incorrect we will remake it on a time and material basis
11 1!/1 L1 Prepared For Protect Manager: ^P.evlelOne —
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DAM IJIIPFIeM Ho Daaralprlon Data Approval mCopyright 2007 Hannah Sign Systems.
This original design and specifications are
rmpcc namba- —'Client Signature the exclusive property of Hannah Sign Systems.
onemedical The use of this design to produce a similar
11 ��,//p D ��� sign wilhaul wnnen aulhorixalion(rum
SIGI I S`�SI { /�IJ Suitt NTS Hannah Sign Systems is strictly prohibited
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THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503-206-4900 CCB#203638