SGN2009-00203 „ CITY OF TIGARD SIGN PERMIT
COMMUNITY DEVELOPMENT Permit #: SGN2009 -00203
Date Issued: 09/18/2009
.IIG R�}, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DD00701
Jurisdiction:
Name of Business:
Business Address: 15800 SW UPPER BOONES FERRY RD 120
Applicant/Agent: Skin Vet Clinic,
Work Description: Installation of (1) one 9 s.f. permanent wall sign.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 1'2” x 7' -8"
Total Sign Area: 9
Wall Area: 246
Wall Face (Direction): East
Sign Height: 9 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: Arcylic
Electrical Permit Required: No
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: tin -.
Permittee Signature: _ • III M 1 • •
Ill SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site DfztAci f s. f K 1 q _�
Address/ Street Address Permit No.: c b � } L c ° 4 ' Oo z_ Z.
Location 1 S b00 SvJ U PPS ,171 0∎ItS fat'Z Expiration Date: -----
Suite /Bldg. # City /State Zip
1Q q ��
1 ?-o l&A - 0(L ()/(635- Receipt #: r! L^
Name ��}} Approved By:
Property
PAst
2 -V s Date: 9431
Owner Mailing Address Suite j Map /TL #:
(S3j'O S S E JO ( ?ttv �v "
+Y Zoning:
Ci /State Zip 7 Phone
1 (A- 7lA9"P t .d 11 .)1 " T 503 -6.2 Electrical Permit Required? ❑ Yes })-
Tenant or Name `
Business S ► � S �-1 Cu N1L` Building Permit Required? ❑ Yes o
Name Rev. 7/1/09
" p -� It'1C� L is \curpin \ masters \land use applications \sign permit app.doc
Sign D ' ST( C- S l& tJ r 61-6U r
Contractor Mailing Address Suite
(Prior to permit p 0 1
issuance, a 1SglZSV1 Uf fht.' FY REQUIRED SUBMITTAL ELEMENTS
copy of all City /State Zip Phone
licenses are (Note: applications will not be accepted
required if / (Is (/J t of.-'°fk3 C .5'03 •l0 3ct• 5 44.6 without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City ) d's
database) 1 (6@4 I 471 ( ❑ Completed Application Form
d
Permanent Freestanding Freeway
Proposed ❑ g ❑ [11 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 'Temporar .s wall ❑ Electronic (3 copies, if a building permit is required)
k all that ❑ Other ❑ Billboard
(Check ID Balloon 1
apply)
size requirement: 8 /z" x 11", or 11" x 17"
,l New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1 ' ?_.' h Z l 8 1, (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
`t $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) (0 ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S 1% W NE NW SE SW
Height to top of sign (feet): of • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): k'Y must include dimensions of wall face and sign
Copy: ,14 vote, tom G placement.
a Wall signs do not require site /plot plans.
Materials: +s `l LA c_ a Freestanding signs over 6 ft. required a building
Will sign have illumination? 111 Yes ,INT No permit.
Type: ❑ Internal ❑ External • 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
111 Yes `� 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 1 \ day of , 20 Q
H 4S ?
Signature of Owner/ ent
- efc`ffiE D( TWQ,T Sf \) C uQ 903 • (or" cbgr.,
Contact Person Name Phone No.
1111 CITY OF TIGARD RECEIPT
.
_.., 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
II,G;4Rp
Receipt Number: 175268 - 09/18/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00203 Sign Permit 1003100 -43115 $35.00
SGN2009 -00203 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 1077 KPEERMAN 09/18/2009 $40.00
Payor: Guided Path Ventures Inc DBA: Distinct Signage Group
Total Payments: $40.00
Balance Due: $0.00
Page 1 of 1
..
. ,..
ilk .ia
11110447111 n . r ! .. i c .
a , - r
r , um )411141 --
& ,.ri I.. A . . v -
• F i . , ilor - -- - -- , N' Date:
as — _ August 4, 2009
- _ .. .r+� — .w� ti '"'" Client:
eo •-r. ` SkinVet Clinic
__.
1
,____
_ _ .
._ ... ..
Contact:
D Jo Plant
Location:
15800 Upper
4
Boones Ferry
--- --14... Lake oswego, Of
'�.
4
Ilk
1 _
1i Scale:
- Proportional
ar
- - a r-=" " 'ti
r I LL
• CITY OF TIGARD ' j
Location of 12" SkinVet and 9" Clinic Acrylic -faced dimensiond.ler} Approved - • - - - -• I
For only the work as described in:
PERMIT NO. ..) -
158 2 Upper Boones Fel
. . . . . . . . . . . . . . . . . . . .
See Letter to: Follow '. Lak4Oswego OR 9703E
Attac P: 5 3- 639 -5656
!J —17: ''413 -624- 706
These plans are the exclusive property of the Distinct Signage Group and the result of the original work of its employees. They are submittesiklb 1/�9k' *•.+.:•: hX- 19.F�1 - • - -' A VE • w.DistinctSign.com
your consideration of whether to purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to thes v Anti b' joapf thesep "> -:
plans to anyone other than employees of your company, or use of these plans to construct a similar sign is expressly forbidden. In the evenYe c . • urs, Distinct Signage p
expects to be reimbursed $500 for time and effort in creating these plans. The respect of our creativity and time is appreciated by those who have worked on your behalf.
OREGON
BUSINESS
1 (173) ��
PARK II . C ,.
Goo ♦ '�
(, 72)
/ (174), B
<9 O
0.4/ r4 Y° , - A 071)
NOT TO SCALE
DATE 916/09
SIT E PLAN PACTRUET PROPERTY
A