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SGN2006-00012 CITY OF TIGARD SIGN PERMIT i DEVELOPMENT SERVICES PERMIT #: SGN2006 -00012 Ali 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/9/2006 PARCEL: 2 S 110 D C -02300 BUSINESS NAME: BULL MOUNTAIN ORTHODONTICS ZONE: C -G SIGN LOCATION: 11545 SW DURHAM RD B - JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 20' X 23' TOTAL SIGN AREA: 40 sq. ft. WALL AREA: 420 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: 12 ft. PROJECTION FROM WALL: 12 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of 40 sq. ft. permanent wall sign MATERIALS: ALUM, VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 38.00 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. 11 APPROVED BY: KO. PERMITTEE SIGNATURE: j"Y L , � - DATE: 1/9/2006 . , i r SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project dull hi _ Or-t(/l octon- 1\GS FOR STAFF USE ONLY Site i� Tvl Address/ Street Address Permit No.: 7g c9-0V6"0 Location [ 1 6 - 4 I J PUrhA wi Pot t SH- Suite /Bldg. # City /State Zip Expiration Date: l' —(D I (/ rd 2. 2. 01722(T Receipt #: Na e ` ) V Approved By: / �1 " Property 1JV(���,(� 24 Ai • a (� Date: / / °/ j0 70 Owner Mailing Address Suite Map/TL #: r�S/ / 0 6.C_ (.) Zoning: ('C City /State Zip Phone &3 a 232 Tenant or Name / Electrical Permit Required? ' ,Yes ❑ No Business Bail MouVIf,(.�/1 Orpho do ,lfics Building Permit Required? ❑ Yes ErNo Name �- „�� eCk l"� Rev. 7/1/05 is \curpin \masters\revised \sign permit app.doc Sign 510 e' �✓atI Ii. UL Contractor Maifing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a P , (J p x Z3 �3 � o (Note: applications will not be accepted copy of all City /State Zip Phone without the required submittal elements) licenses are required if 7IGI G� Y� 012 �3'�D3g 1 -1-c i0 ompleted Application Form expired in the Oreg. Const. Cont. Board Exp. Date City of Tigard's License # S� '^! l/ 9 , 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed Rermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary E14 /all ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) , if a building copies, (3 co � ( p� g permit is required) ❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 20 1 VV,>'t( 2 3 /i 38.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 14.0 efi ❑ $18.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) 420 Jurisdiction: ❑ City El Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E I�V NE NW SE SW Height to top of sign (feet): II i r, /( / 1 • Wall signs do not need to be drawn to scale, Projection From Wall (inches): 1Zf1 but must include dimensions of wall face and sign placement. Copy ©mil- FODONT157 • Wall signs do not require site /plot plans. Materials:ll (U wl iii U(NI / l.Pr?(41 0 h � ij / CI, L.A Freestanding signs over 6 ft. required a Will sign have illumination? 'Yes ❑ building permit. No • If work authorized under a sign permit has not Type: [nternal ❑ External been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑ Yes {2■lo , j If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. 1 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 / 0C-- day of , 20 Signature of Owner /Agent Contact Person ame Phone No. • BULL Single Face Illuminated Wall Sign ORTHODONTICS 11545 SW Durham Road Suite 0 -6 - - 20 , -0° Tigard. OR H Owner. Dr. Bryce Willcox DMD Dec. 29, 2005 _ _- l i 0 oT �C oRTH0DONTIsT B M M `pc C LIENTAPPROVAL , All extruded aluminum cabinet, painted to match #034 Orange, with white high impact Lexan Polycarbonate face with first surface translucent vinyl, colors Oracal #065 Cobalt Blue, #034 Orange and #070 Black. Internal Please initial: illumination from 800 ma fluorescent lamps. Typical lag bolt installation. Please date. Sign area: 40 Sq. Ft. • Business frontage: 35' x12'-0' = 420 Sq. Ft. Sign area allowed: 63 Sq. Ft. These plans are the exclusive property of Height from grade: 10' O" SignCraft Electrical Advertising, LLC. and the result Sign Depth : 9" of the original work of its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase these plans or to purchase from SignCraft Electrical Advertising LLC. a sign manufactured awarding to these plans. Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to construct a similar sign is expressly forbidden. In the event exhibition occurs, SignCraft Electrical Advertising LLC. expects to be reimbursed $500.00 for time and effort in creating these plans. _ OF TIGARD O -� CITY Approved _......_.... ['V.I. M Conditionally Approved .. ....... [ 1 "' For only the work as es ibed 'n• _ ::µ o y (o —tTU U 1 ORTHODONTIST PERMIT NO. I a___ - o h E I S ilo Latter to: Follow [ [ 0 I = r . .,, ,� Att ch .. ... r .. + y '° M ) I Job Address: 1/ �f� �I1, L �" ... _ ;dW a • w P A.r 4 — 4 C a J y V] C bt V ctd Qh C 1 , 0 o • I , i 4,7 , \1� ` h t W F. ,A 4 M ftr _Y ,N _ O M a. East Elevation i • e t e r ''''It!! 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East Elevation A CITY OF TIGARD 1/9/2006 13125 SW Ha11 Blvd. 1:15:33PM { �� Tigard, Oregon 97223 61. IL, (503) 639 -4171 Receipt #: 27200600000000000106 Date: 01/09/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00011 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 SGN2006 -00011 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2006- 00012 [SIGN] Sign Permit 100- 0000 - 437000 33.00 SGN2006 -00012 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 ELC2006 -00011 [ELPRMT] ELC Permit 220 - 0000 - 431510 267.00 ELC2006 -00011 [TAX] 8% State Surcharge 100- 0000 - 207020 21.36 Line Item Total: $364.36 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check SIGNCRAFT ELECTRICAL DER 3385 In Person 364.36 ADVERTISING LLC Payment Total: $364.36 cRcceipt.rpt Page 1 of 1