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SGN2020-00003
CITY OF TIGARD SIGN PERMIT 111 j Permit#: SGN2020-00003 COMMUNITY DEVELOPMENT Date Issued: 01/21/2020 T I i.A It.1.7 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: One Medical Sign Permit#2 Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: 32 Total Sign Area: 57.3 Wall Area: 600 Wall Face(Direction): West Sign Height: 16 ft. Projection From Wall: 5 in. Illumination: Internal Materials: Aluminum Electrical Permit Required: Yes Building Permit Required: No Total Permit Fee: $0.00 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. (j l)U Approved By: Permittee Signature: City of Tigard RECEIVE[' 11111 - II COMMUNITYDEVELOPMENT DEPARTMENT JAN 2 1 2020 TIGARD Sign Permit Application -2_ PLATY OF TIGARD NKC' NG//ENGINEF IKY- SIGN LOCATION Address: J2,1et) fw b' Cc uI fr-Y 1Z Suite#: REQUIRED SUBMITTAL ELEMENTS City/state: /'halt4S 02 Zip: 97z. -3 0 2 copies of elevations on 81/2"x 11" Tenant or business: O 1Y ISl A-- or 11"x 17"pages(Wall sign elevations must include dimensions Property owner name: /2�-7 p�7� Arq rri' . of sign and wall face and show the �7 location of sign on the wall. Address: 'o? S•.J q-E S'r 1T 1-0o Freestanding sign elevations must City/state: Pilk D iZ Zip: c 7Zo be drawn to scale.) 4 2 copies of site/plot plan,drawn Phone: Email: to scale,on 81/2"x 11"or 11"x 17" Sign contractor: -A-4 S.4-7" S si�rv+t pages(not required for wall signs) Address: lla(oo ftJ gE7U �t-N� ' or diagram of all existing sign r dimensions and square footage City/state: 1J1 '.2Q— Zip: 972/) VI Application Fee Phone: Email: / 1 NOTES: CCB License#: Zo3te3 ':11) Expiration date: 7 2-3 • Freestanding signs over 6 ft.in height Contact person: 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) by a structural engineer. �� f�I New sign 0 Freestanding 0 Electrical • Building permits require 2 sets of ❑ Alteration to 0 Freeway 0 Wall construction drawings and,if sign is existing sign 0 Roof ❑ Other freestanding,2 copies of site/plot plan and 2 sets of engineering must be Sign #: submitted with building permit application. ,I 2,5136" 57 3 - Sign dimensions: 3 - (h) x_(w) ,= sq.ft. sign area FOR STAFF USE ONLY New sign:S xi 2 3 sq.ft. + F Ling sign area f sq.ft.=_Total Total sign area:f12 sq.ft. / _""building face sq.ft.=9%of bldg face Case No.:S 6 N Zo ZA) - COA,3 Height to top of sign: UP ft.Projection from wall: S in. Related Case No.(s): 0000 2 Materials: AW ru/N a,rL 7 /31:k 7 C` Fee: 4. 2/-Yes / Application accepted: Is the sign under 20 lbs.? Lt1 Yes ❑ No �. I 1 L s I Z& By: Date: (Building Permit required if over 20 lbs) Direction wall faces (circle one): N_/S E ONE NW SE SW Application determined complete: Will the sign have illumination? l� El No By: INI Date: j/ ' If yes,what type: Internal 0 External I:\Community DveIopmenl\Land Use Appliotions\0l Forms znd Templates\Land Use ApplktIons Zia 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 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. 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-orgov • 503-718-2421 • Page 2 of 2 SihI-I - 30` .,-; 0 a .. „ . . ► e medical ,r , , _..... . a .,41: io - . • ,,s „ 4 014: a x Y .•" qg 'x rocs' ys t E�,. ; ,.e ..� y, ,.. b . . . ri a This artwork is final-please review for errors before signing. If the final product matches the signed artwork and 15 Incorrect we will remake It on a time and material basis Prepared For: Project Manager. P.eNDtone Approval (��, I \ \` Dave Lamphere No. DrcnpGdl Date PI' ®Copyright I007 Hannah Sign Systems. a) 1 1 I i /•)• hN.� This original design tyand f Hannah are J one medical Client Signature the exclusiveof es design to produce Sign Systems. - �� The use of this design to produce a similar nwithoutwritten i riza pn from SEAL*NTS Hannah Sign Systems is strictly prohibited THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 505-206-4900 CCB#203698 L J r 258" '1 I o O 32"IO 00 O QT1i ) �`' 0 U EACH LETTER WEIGHS LJ (((JJJ LJ _ _ LESS THAN 5 L55 57.3 5F BOTH SIGNS 5" WALL 15 2"X 4"FRAMED WOOD 1/4" X 3" SPAX SCREW -=;; l (4 TYP PER LETTER) @'' i p E WEATHER TIGHT WALL BUSTER Q . r' g I {F iiiim •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. Project Manager. RevIetona 1 /4 1� 1\ /k > Dave Lamphere Na Oeamtpuon ar p.m. Approval © 2007 Hannah Sign Systems. 1 I This original design and specifications e JN exclusive Signature the eausive property of Hannah Sign Systems. onemedical nr4o The use of this design to produce a similar 1 41161211131381211Pi Drue v sign without written authorization from sc.!.Hrs Hannah Sign Systems is strictly prohibited Drawn[N DL THE HALLMARK OF CUSTOM BU,Lr SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503.208-4900 CCB#20363R 12:16. 5W SCHOLLS FERRY ..,.ems,..; fl SIGN LOCATIN� x - 9 � u � � SIGN LOCATION t t 't ti: i +i' I s v" y � $p . tr ho . "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. Project Manager. ReNelona A� IN N 11 Dim Y1, p,a „,, p,,,„pG, ,�, Copyright 207 This Approval original design end specifications ationss are stems. I nah Sign I'NJeot Nwlax: Client Signature the exclusive property of Hannah Sign Systems. SI4N S�/ST�MS j one medical The use of without written ut orizama similar 1 signnnah Sit nittenauthorictly prohibited from dawn Hannah Sign Systems is strictly prohihiled ¢Fa DL THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503.946-8373 FAX 503-20R-A000 r`re�' �nvcve