SGN2007-00107 R P CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00107
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/7/2007
PARCEL: 2S112DA
BUSINESS NAME: PORTLAND CLINIC ZONE: I -
SIGN LOCATION: 06640 SW REDWOOD LN * ** JURISDICTION: TIG
APPLICANT /AGENT: PORTLAND CLINIC
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 13'X1' -
TOTAL SIGN AREA: 17 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 17.33 sq. ft. permanent wall sign.
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable
laws. 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: X ��-2-J
PERMITTEE SIGNATURE: - A.
DATE: 6/7/2007
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41,1101 _ SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blul, Tigarc OR 97223
Phone 503.639.4171 Fax: 503.598.1960
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GENERAL INFORMATION
• Name of Development/Project
Site ( Q r . cA_. FOR STAFF USE ONLY
Address/ Street Address `�'` SL Zj - J I�
Location Permit No.: 7
/ Suite /Bldg. # City /State Zip Expiration Date:
/
Receipt # :
Name Approved By 11—°41P
Property k r4 0.6n ie , Date: I- iv-
Owner Mailing Address Suite M # :
Zoning: � e
City /State Zip Phone
Tenant or Nam e Electrical Permit Required? [,'Yes ❑ No
Business /( C / �, J ( � Building Permit Required? ❑ Yes M
Name � Rev. 7 /5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign -0, ' r
Contractor Mailing dress to
(Prior to permit , i
issuance, a 2 (—f f Gi/J�`v
copy of all City /State Zip \ `P C.,
Phone ,� REQUIRED SUBMITTAL ELEMENTS
licenses are ,, /, (Note: applications will riot be accepted
required if ��-1 S )n(t a tr ./6 Z - V l without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Qty of jigard's i ���
database
❑ Completed Application Form
Freestanding Proposed Permanent ❑ ing ❑ Freewa y 111 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ;KI Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard Balloon r " » 11"
apply)
❑ size requirement: 8 h x 11 , or 11 x 17 "
iij New sign? ❑ . Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: X . I /,/ + i, (3 copies, if a building permit is required)
6 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 1 ,2
, w ❑ $39.00 Fee (Permanent sign, anysize) •
Sign Data Total Wall Area (sq. ft.)
❑ • $19.00 Fee (Temporary sign, any type)
(Complete .all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E ® NE NW SE SW -
• Height to top of sign (feet): •- Wall signs do not need to be drawn to scale, but
• Projection From Wall (inches): Y4 'e' must include dimensions of wall face and sign
C TY G6- L tlpg)C\ air\∎ placement
Materials: A( t1YY1 I no jr`, • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes p 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
❑ 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.
DA lED this day of , 20
Signature of Owner /Agent
\AD ) d_on
Conta erson Name Phone No.
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