SGN2009-00223 .
CITY OF TIGARD SIGN PERMIT
C Permit #: SGN2009 -00223
COMMUNITY DEVELOPMENT Date Issued: 11/18/2009
,TIG.ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102BD03200
Jurisdiction: Tigard
Name of Business:
Business Address: 13075 SW PACIFIC HWY
Applicant/Agent: Denture Design,
Work Description: Placement of one (1) permanent wall sign 2' X 14'
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 2' X 14'
Total Sign Area: 28
WaII Area: 444
Wall Face (Direction): South
Sign Height: 15 ft.
Projection From Wall: 9 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
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: ' .Idi 1 t
Permittee Signature: _, ���,! /I' ►7
q SIGN PERMIT APPLIC A ON
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, (' ' & % i IL D
Phone: 503.639.4171 Fax: 503.598.1960
NOV 1 7 1009
CITY OF TIGARD
GENERAL INFORMATION PLANN!Nlri`drI`4EEF.!r`
Name of Development /Project
�L re, ��` �� FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: &,l � et -- OV ? 3
Location •
- Expiration Date:
Suite /Bldg. # City/State Zip
IC o 0 cr? Receipt #: _
Name l (� l 1 Approved By: S —" i
Property L. \ e. A r L L Date: 11 I l 7l D9 t�
Owner Mailing Address Suite Map/TL#: g- S (V 9-6 6 .)-17°
0 3
Zoning:
City/State Zip Phone
3 .7 10-(0116
o I 16 Electrical Permit Required? Yes ❑ N
Tenant or Namc
Business Building Permit Required? ❑ Yes No
Name Rev. 7 /1/09
l r \curpin \masters \land use apphcanons \sign permit app.doc
Sign S \c� ✓�l'!7cc'r :CA ` 4W. ILL,
Contractor Mailing Address Suite
or
a , a permit
is s+ n. m �' 0 ci
spne so. REQUIRED SUBMITTAL ELEMENTS
copy of all City/State Zip Phone
licenses are &131 . � —• �b�Q�.7 � ' y � (Note: applications will not be accepted
required if � i A Q CD a �f without the required submittal elements)
expired in the Oregoll Const. Cont. Board License # Exp. Date
databa se) a Tigard's S t� / 4 D
daaase) t � � JO _ � ❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other Billboard ❑ Balloon t " 11"
apply) size requirement: 8 /s x 11 , or 11 x 17 "
DZ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: t / (3 copies, if a building permit is required)
c g • X i L { - 0 size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): I
00 ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) y_.4� ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N ®E W NE NW SE SW
Height to top of sign (feet): if/. p • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 4 » must include dimensions of wall face and sign
{ placement.
Copy: t Lnii t ♦ Wall signs do not require site /plot plans.
Materials: cut) m i - % ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ER Yes ❑ No permit.
Type: [kr Internal ❑ External I ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes stj No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
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.
DATED this 1 '0 day of ('N oV e-AA, _ .. , 20 Oct
1 1
• _ � viii
igna e of Owner /Age t
\>:"C" ce_kX. tekk 6 r0
Contact Person Name Phone No.
•
I Job Name:
Denture Design
99W Tigard Or 97223
Date :11/2/2009
ik
la
1.; CLIENTAPPROVAL
AA I',W t '�• -- � � t ' _ . Please initial:
DENTURE DESIGN Please date:
r i!' 1: e
�• a
f
_ R t i ns are exlusive praperry of
•
4144-4k ; a zs ..
1 l 1 /YT t SignCraft Electncal A trvert sing, LL and the rewlt
'g ( _ I of the original wor of i ts emplaces . They are subnitled
-...e, _ I ? I to your company These for the sole ur se of your consideratlon
P W
ID 1 • 1 _ of whether to purchase these Plans or to purchase from
., , .. ,.,„ _ . ..., .,,...�..,. W , . „ . „ M 1 E M according to these plans. Distribution f SignCnaft Electrical Advertising LLC. a sign manufactured CC I ! a exhibition of these
_. _ Q 1 m i plans to anyone other than employees of your compact, or use
• I of these plans to construct a similar sign is expressly forbidden.
(5 1 aC' 1 In the event exhibition occurs, SigrCraft Electrical Adverbsug LLC.
.� 1 expects to be reimbursed AD for time and effort in creating
V $500
: CO these plans.
U. l aj 9 C3
04/07/2009
(r) '
_ a o I0
as N 0 • 0 0 0 Sign( ;raft
-O C ..c ..... z m m ... ELECTRICAL ADVERTISING
C1 O >, 1-- .6 uC
Manufacture & Install ONE 24 "x14" 2 = 8 � Q4
� O
2 r J
Single Faced Cabinet With New Acrylic face Q O O W CC N -g '
with vinyl graphics Reading Denture Clinic < U IL a ()
8900 SW Burnham St. Tigard, OR 97223
ph: 503-639-4910 fax: 503-620-9568
Cabinet 8" deep painted Blcak email: jdscott @signcraftelectrical.com
Face White acrylic face with blue
vinyl overlay and white letters through
Illumination 4 800ma flourescent tubes
Installation 3.5 " Lags into wood
101 CITY OF TIGARD RECEIPT
R
> . 13125 SW Hall Blvd., Tigard OR 97223
- 503.639.4171
1.1
Receipt Number: 176042 - 11/18/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00223 Sign Permit 1003100-43115 $35.00
SGN2009 -00223 Sign Permit - LRP 1003100-43117 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1313 STREAT 11/18/2009 $40.00
Payor: Signcraft Electrical Advertising LLC
Total Payments: $40.00
Balance Due: $0.00
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