SGN2004-00367 C ITY OF TIGARD SIGN PERMIT
A DEVELOPMENT SERVICES PERMIT #: SGN2004 -00367
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/6/2004
PARCEL: 1 S 134AA -01900
BUSINESS NAME: GENTLE DENTAL ZONE: C -G
SIGN LOCATION: 10115 SW NIMBUS AVE 350 JURISDICTION: TIG
APPLICANT /AGENT: GARRETT SIGN CO
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y •
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 13' 4"
TOTAL SIGN AREA: 40 sq. ft.
WALL AREA: 1,100 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one permanent wall sign. (3' x 13' 4 ")
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: n a. e
PERMITTEE SIGNATURE:
DATE: 12/6/2004
dillik 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
Site
G� '.n1 �-
� - 0 � FOR STAFF USE ONLY
Address/ Street Address Permit No.: ..SC,N ao O'4 - 00 3(07
Location C0 t 15 S&i \ (j yy 1, to S AV-e_, Expiration Date:
Suite /Bldg. # � Ciity /State Zip
3 s l' C� - d, orz. 01.23 Receipt #: a 004 sa 3 5
Name Approved By: C • e .,,.t.a.1
Property I.0,� -PN—d Q-AT I - Date: /a - (o - o'C
Owner Mailing Address Suite Map /TL #: / S / .3Li A") —0/ 9 oo
110 SE Tel OK(1 r/ Zoning: C. - G
City/State Zip Phone
V incou'ex `M3 3 (a 4 ,j(0(D Electrical Permit Required? X Yes ❑ No
Tenant or Name
Business c .�1
l p Building Permit Required? ❑ Yes yl No
Rev. 7/1/04 is \curpin \masters \revised \siqn permit app.doc
Name
Sign GQ.vYZ+ St t_
Contractor Mailing Address U Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a ?« 110 -G( y- In / a- without the required submittal elements)
copy of all City /State J Zip Phone
licenses are
required if Valtarikiir q n 6 0 34,())P3-- ov ❑ Completed Application Form
expired in the Oregon Const. Cont. Board ' Exp. Date
City of Tigard's License # _ � S ®5 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
r
database) O (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary JZ Wall M Electronic 2 copies of elevations, drawn to scale
(Check all that ❑ Other
apply) (3 copies, if a building permit is required)
[r New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: v /X /3 _ y , ., v" $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 4/0127 0 $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.) �, Jurisdiction: ❑ City El Urb
Sign Data t /60
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) 0 S E W NE NW SE SW a Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 1 " but must include dimensions of wall face and
Projection From Wall (inches): Aj sign placement.
Copy: &En/ - . - 7 p,,-,--4 L e Wall signs do not require site /plot plans.
Materials: . > "s /.✓r , A uw / .,i,✓d^ , , • Freestanding signs over 6 ft. required a
Will sign have illumination? 'Yes El No building permit.
Type: Internal ❑External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that over ap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes No
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 .6D day of lb ec it? - , 20 D (-/
Atir .,
lure of Owner /Age
Mic, c-Z b 360 - &53-90 '/
Contact Person Name Phone No.
D-0 '17 ' 1 4/
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HALO LED DIMENSIONAL LETTERS OVER ROUTED ALUMINUM COPY PLATE
MOUNTED ON EXPOSED RACEWAYTO MATCH WALL.
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WI APPROVE TIN MINSTTEO SHIN MEMMI. IT MINTS OW CRIMEA AS INEICATIO POP SHIN TYPE, COLORS, SIZES,
PLACEMENT. LLUIIMNATION HP APPLICABLE), METHOD OP INSTALLATION, CONSTRUCTION AND ATTACHMENT
• TINT TIM IS A RENTAL R M MCOSIIEES AS PERSONAL PROPERTY OF BABBITT MM COMPANY. WE WILL NOT ATTACH ANY CLAY OR LEAN, ■
COMMA TIE MN ASANl0111I1. ASSISI ANY FEES AGAINST OR DUN IT A EEIiAL ESTATE /IITNE NY REASON OF ATTACH ■ENT
IN CONNICTION TO 111 PROPERTY M NABS. TINS ANROWIL WILL TRANSFM TO THE 1111011111114 CAMS NI TO TOE SALE OF TNNI PROPERTY.
NE SILL EASE AMLAP' AN ALLAN ACCESS TO TIP MIOIERTY FOR REEIOMIL OF TEE SASSY SHEER MINIM NEWT IT SPAY OR INIM ANCE
x O X L—L._
_ Purr IAN. /NON! 0 ... .._ l rrM/Qrrrwrl u - -
Approved (� X4/1
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Conditionally Approved _....__...,.., 1
For only the work as described in:
PERMIT NO. SC,N .RdcF— Do3b7 __
See Letter to: Follow _ .._ ..__ [ l
Attach
Job Alfdr sg s: 10115 S t. ) )�I; ,,�6c�s ] 35
. — - _- S G Cacnr Kato. / (0-01
MET HOD OF ATTACHMENT
FOR BUILDING SIGNS
CHANNEL LETTER ON A RACEWAY
.FASCIA
(CHANNEL I_.. , allni
LETTER)
LL
(RACEWAY)
1 -1/2 X 1 -1/2 X 3/16"
ANGLE IRON
PROFILE
4' O.C.
3/16" ANGLE IRON CLIP
L 4' 0.C.
O a ®. SHIELD
•
1/2" X 3 ".
LAG & SHIELD
1/4 "X 1 ".'
BOLT & NUT
FLAT WASHER
811 HARNEY STREET VANCOUVER WASHINGTON 98660
(360) 693 -9081 FAX (360) 693 -5948