SGN2004-00270 t ,•
CITY OF TIGARD
mi SIGN PERMIT
PER l& DEVELOPMENT SERVICES
PERMIT #: SGN2004 -00270
„�- DATE ISSUED: 9/28/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 110 D C -024 00
BUSINESS NAME: DR BRANDON ZONE: C -G
SIGN LOCATION: 11565 SW DURHAM RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 15' X 1'10"
TOTAL SIGN AREA: 27 sq. ft.
WALL AREA: 675 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 8 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one permanent wall sign. (15' x 1' 10 ")
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
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:
PERMITTEE SIGNATURE: O - LC /7 A X (1 / 14/--
DATE: 9/28/2004
. 0
'°w 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
FOR STAFF USE ONLY
Site - D2 �ZI/ytA 0/
Address/ Street Address SGN� 0 0 4 - DDa7 0
Permit No.:
Location \\ Sicip SW RAVAA.VIA -R-_b Expiration Date: -
Suite /Bldg. # City/State Zip
P- 1 o t 674a Dt R7 y Receipt #: a.0 0q- —43oz-
Name Approved By: 0 • ('GLi raa
Property l l �M.t_ NppAY Date: 5- cp 0.- ocf
Owner Mailing Address Suite Map/TL #: 0J Ii u 7c — bat" CJ
C t F S I I NE 11 y At/ Zoning: C- G
V City/State I'' Zip n W Phone
IA�11"AUVLYt, k/ `? 1O(4 5a3-bO-D't Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business T) Z -R-4/4 Building Permit Required? ❑ Yes ❑ No
Name gIC451 Rev. 8/7/2003 is \curpin \masters \revised\sign permit appdoc
Sign RSYCIY
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit O v S L '7 �.�
issuance, a (Note: applications will not be accepted
copy of all City/Sate Zip Phone 5 ,3 without the required submittal elements)
r q u i ed are ? caw -go, D q ? 777
required if i- 1� Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of da aba e jard's license # r � ' I ?� / / p
VV l � " 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
P Permanent Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary Wall
❑ Electronic
(Check all that
apply) ❑ Other ❑ Billboard El Balloon 2 copies of elevations, drawn to scale
Igt New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: r
1G ' 1 'lo pi $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
a , �{ ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Toy y/55— D
Area (sq. ft.) / 7'D Jurisdiction: [7 City ❑ Urb
(Complete all Direction Wall aces (circle one):
items in this NOTES:
section) N S E W N E N W S E SW
Height to top o sign (feet): 1 9 ' 10 '/ • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
„ rs ,� r�oz sign placement.
Copy: IR. (241 Gi+u beu�+ 4 • Wall signs do not require site /plot plans.
Materials:' IA - �C� - 46>b 1}E'b 01,1i4), P(,x� • Freestanding signs over 6 ft. required a
Will sign have illumination? * Yes ❑ 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 overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes )4 No
BECOME 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 1 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 /, day of p - �`'1M +�� , 20 v
401 fiC
Girt. -e-- _
Signature of •wner /Agent
LN■XJTA4- IAA-Nt �� � -7 7 s-
Contact Person Name Phone No. Z'
Letter of Authorization
www.ramsaysigns.com
�� 9160 SE 74th Ave Portland, OR 97206 5 3 1 1 1 5
P: (503) 777 -4555 1- 800 - 613 -4555 F: (503) 777 -0220
411 ,0 �1�� °' , represent that I /we are owners /landlords of the following real property:
11565 SW Durham Rd. Bld F Ste 100
Tigard, OR 97224
Washington
Including the building constructed thereon, which property is presently being rented to:
Dr. Brandon JC N c0 , 0 D i
(tenant)
I/We acknowledge that Ramsay Signs, Inc. will be installing the following described sign(s) to:
Dr. Brandon SC r4 4 , i Ai 73
(tenant)
Single face sign on Durham Rd.
Single face sign -East elevation
Single face sign on South elev.
(description of sign)
Dated this day of ' ,■‘4 ,. , 20 b
(Landlord/Owner or Authoriz• . Agent)
(Landlord/Owner or Authorized Agent)
MAILING ADDRESS: 9 g?/ / //V # ia a. --C__
c. /4A-)E w.4 y ic" 7—
PHONE NO.: 5: - oz. 3 .s FAX NO.: .360— 8ss 727
. - INTERNALLY ILLUMINATED WALL SIGN
, ii i ci /I
ALUMINUM 8" 1 � LAG SCREWS WITH
CABINET \ I °" - ANGLE CLIPS INTO
r - WALL ACROSS TOP
REMOVABLE 1 -
RETAINER I '
I I
I I
I 1
I I
ACRYLIC ' '
I 1
OR POLYCARBONATE 1 1
SIGN FACE
I I
I I
I I
I 1
FLUORESCENT - : 1 /2" CONDUIT
LAMPS ' TH RU WALL
I
BALLAST 1 ° ®'1 120 V.
TO J -BOX
JIN CONDUIT
I
01
I I
I "ice LAG SCREWS THRU
I . NM BACK OF CABINET
I I & INTO WALL.
(AS REQ)
WOOD WALL
0 446 4 4 , kia -1 >t
D R 2tr�',� „sv as
qI' G�wwor
1
15-5--- . I(L 1 I Wm m Le. _s /5,c_7",
1 r6-2el2 p (2_ g 7Zz
CITY OF TIGARD 9/29/2004`
13125 SW Hall Blvd. 11:57:17AM
A Tigard, Oregon 97223
1i (503) 63 9-4 17 1 •
Receipt #: 27200400000000004302
Date: 09/28/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00270 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00271 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2004 -00272 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
ELC2004 -00623 [ELPRMT] ELC Permit 220 - 0000 - 431510 160.20
ELC2004 -00623 [TAX] 8% State Surcharge 100 - 0000 - 207020 12.82
Line Item Total: $269.02
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check RAMSAY SIGNS, INC CAC 1725 In Person 269.02
Payment Total: $269.02
Page 1 of 1 cReceipt.rpt
r • •
. This bign is intended to be installed in accordance with the requirements of article 600 of the National Electric Code and /or other applicable local codes. This includes proper grounding and bonding of the sign.
I
I5, -0' IMIr
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C!T' OF TIGARD �'d
G �
N /� e i ti onall A p.i rc f T A B L I S H E D optic �, I . m the !e rul ► . us N o 7 7 ( 01 004 - 0 0 v
M IT NO
Letter Lc f ",. 1a
DENTISTRy FoR CHI� & T
— DR�N EEN iv M PC �.ddress u5�s S� .hc��; I f
BorottAdkOvt O Sck �� � described in:
� `CClielie
nt
C , ea _ Date: q—` - I r. Brandon
T Durham Road
Tigard. Oregon
SCALE: 3/4" = 1' - 0"
;;,.
Account Executive
MANUFACTURE AND INSTALL (I) SINGLE . Doug Ealy
FACED ILLUMINATED WALL MOUNTED PRODUCTION PRINT "'
DISPLAY Design
CABINET /RETAINERS
9 _ ` Ross Hliden
„
ALUMINUM EXTRUSION �3 ,.:.. � it
PAINT TO MATCH PREDOMINATE BLUE OF /�' / I Approvals �.
FACE BACKGROUND COLOR (VERIFY) r ,_: % ►
A C C O'`t� X E C U T ' I V S I G N A T U R E • _, - r Client Date
FACE _. — —
WHITE LEXAN
* ' " Landlord — Date
GRAPHICS ._..- . s a d r
DIGITALLY PRINTED ON TRANSLUCENT 'ifs- Revisions
WHITE VINYL �",s"„ 410:: Date
v
APPLIED FIRST SURFACE ON LEXAN FACE
a!
ILLUMINATION
INTERNALLY ILLUMINATE WITH - ® - -.-
to
FLUORESCENT LAMPS AS REQUIRED + oved Y
WITH ENERGY EFFICIENT ELECTRONIC t , .. •
S
BALLASTS - - =.-9 - i
. _ e S
INSTALLATION ' " 4 :- r : « -*
INSTALL DISPLAY FLUSH ON FASCIA
EXACT PLACEMENT TO BE FIELD VERIFIED aF>r� ,« _ _ . «
_
= a .. t +
- _ 99 99 # � - -- --
{ND/O w30 W2777 .a.,..- .
N FaR r h Scinwihdl' MD, PC ® Copyright 2004, Ramsay Signs, Inc.
"� t , s t These plans are the exclusnn Distribution or exhibition of
NOTE TO GENERAL CONTRACTOR / ELECTRICIAN 4 "r 1
- �, property of Ramsay Signs, Inc these plans to anyone other
_ r . ` And are the result of the than employees of your
BRANCH CIRCUIT REQUIREMENTS .. original work of its design company or use of these plans
r*. s
p s team. (0 construtt a sign similar to ■ • the one embodied herein is
ALL BRANCH CIRCUITS FOR SIGNS ,' NOTE = P " 'w of your eve The ubmmedto expressly forbidden
MUST BE TOTALLY DEDICATED TO SIGNS. v R* DRAIN P P E T O .B E
INCLUDING DEDICATED GREEN GROUND, f- � compan for the sole purpose
ur consideration of In the min that such
PER QRCUIT AND DEDICATED NEUTRAL PER CIRCUIT MOVED BY TENANT . ,
.' . whether to purchase these plans exhibition aeon, Ramsay Signs
or to purchase from Ramsay Inc expects to be reimbursed
-" Signs. Inc. a sign manufactured 51000.00 in compensation for
SIGN CIRCUITS MUST NOT BE SHARED WITH OTHER LOADS according to these plans time and eHon entailed in
SUCH AS LIGHTING, AIR CONDITIONING, AND OTHER t`.; #
S i
a creating these plans
EQUIPMENT r+ ++own. %-
. , = , +e ; _ Ramsay Signs
PROPERLY SIZED GROUND WIRE THAT CAN BE
TRACED BACK TO THE BREAKER PANEL MUST BE PROVIDED - • - ` j i 9160 SE 74th Avenue Portland. Oregon 97206
.,. ( 503 777.4555 C 800 613.4555 F 503 711.0220
NUMBER AND SIZE OF CIRCUITS FOR EACH SIGN _
TO MEET RAMSAY SIGNS REQUIREMENT
Iof2 0 4 5 1 8
r
This sign is intended to be installed in accordance with the requirements of article 600 of the National Electric Code and /or other applicable local codes. This includes proper grounding and bonding of the sign. iNflaY
F 4 7' - 0"
-f-- CITY OF T IGARD
Approved —. [ � a
Conditionally Approved - -- [ 1
For only the work
56� aoo described in: -
PERMIT NO. PRODUCTION PRINT
Q Q See Letter to: Follow [.0. ESTABLISHED 1 4 1 1
c O Attach scJ - p��hctrsn F 9 �
Job A ddress: I tSlp S Date
Sy: (' _ (�rc.i,•V/� Data: �_� / 9.3.04
p�NTlSTRY FOR CHILDREN T��NS /' Dc Brandon r
A C C O X E C U T SIGNATURE
G N A T U R E
Durham Road
Tigard, Oregon
SCALE: 3/4 = I ' - 0„ -' '". .i.`,..' - .... -`..7.
.. , . b . _ . ► a. +.. ... {� Y.., :. -, ► * : • • count Executive
. �� � = a ,A d • .Y
- • • _ , P ... t . .. . LC • C' >. u • Doug Ealy
� ) Z. J tt C �. � CC C � ".'� •' �� + rt ir + • = • ` " '' Design
MANUFACTURE AND INSTALL I SIN GLE o _ Ii. .. 1 � .� . _ Y mac '� .. - - _ g
FACED ILLUMINATED WALL MOUNTED ` 4. .
, . yy 3 ti ` "� , ' + � . ' . • Ross Hilden
DISPLAY
t i w a t . .. s 1 J , ✓ ..t ♦ ♦ ♦'1. i 4°�r'`. Or♦..ir AIM Mt e. a . a.
CABINET /RETAINERS
• s. �. s► a . s 4/`b•idti • lr'\, • .+V1a11."vt • • a s •• a
, � ♦ . j r- +.. ► s .t• s a. . •s. �1, {
t r a w ` s' i s •• . a.. �. a ,i, Approvals
ALUMINUM EXTRUSION 0. - ms's _• �' .` .r' ..'1 , 11 , 1 V •�►�► !4 ♦s - �
�. .:a- ar. `. �. e ... �► s ♦ .6: i � :. ..Tit .�t ♦ . � s ...• r s ' s .� i -i s s .s ' ' • s +/► �+Af 4,'4r�
r_ .^. > }- .Lw.atssta fl i k04`0 ' .+r s.�♦..a..e.rli,/ � ►�•
PAINT TO MATCH PREDOMINATE BLUE OF FACE `r - w rt � -' ii. s - �� r r + �,� ' � �.11.r4..- '..•� Client _Date
BACKGROUND COLOR (VERIFY) F • r . ,�llw/r ,/t � :: s t ►°.1r• I.- w . i.4.
' s + . r r + � .�? de ? N► r +' a r. r► r.► a � "�"h' Landlord Date
FACE -..,i''' ` , ' . f 40A el ..,„...s„, *- ���
WHITE LEXAN ., _ . .. _ a 0d m• It1 'ti -"11.0%.- 1 , .rte — .A'' _ _ sk `
a a - Revisions
' '� '.. w -. _ � _ _
GRAPHICS .. ,. _-.a _ •. - Date
DIGITALLY PRINTED ON TRANSLUCENT WHITE . ` ° ::, . • p0 p (� O Q
VINYL a 11� Uv �..
APPLIED FIRST SURFACE ON LEXAN FACE — _ 11) EKT 1 RY FOR CHILDREN it TEENS —
e'.
ILLUMINATION #
INTERNALLY ILLUMINATE WITH FLUORESCENT i(
LAMPS AS REQUIRED t .,` r� .- II ENERGY EFFICIENT ELECTRONIC BALLASTS 1 � . m- . _., _ � a I N CI)
f •
INSTALLATION ,
INSTALL DISPLAY FLUSH ON FASCIA e '!r- • idt ' - ' .. `
EXACT PLACEMENT TO BE FIELD VERIFIED 'f a g
__ .' ..
4 _
. . . r .+r „gook i '' 0 Copyright 2004, Ramsay Signs, Inc.
r • • 41.. ° I I <, . 1 ` These plans are the clusn Distribution or exhibition of oiAlli NOTE TO GENERAL CONTRACTOR / ELECTRICIAN t ,, s property o Ramsay Signs, Inc plans to anyone other •
a . . s _ _ And are the result of the than employees of your
BRANCH CIRCUIT REQUIREMENTS original work of its design company, or use of these plans
a • " team. to construct a sign similar to
All BRANCH CIRCUITS FOR SIGNS °
li �� " the one embodied herein, is
V 4 : .. They are submitted to your expressly forbidden.
MUST BE TOTALLY DEDICATED TO SIGNS, < company for the sok purpose
INCLUDING DEDICATED GREEN GROUND, * ` If of your consideration of In the event that such
whether to purchase these plans exhibition occurs, Ramsay Signs
PER CIRCUIT AND DEDICATED NEUTRAL PEA CIRCUIT . or to purchase from Ramsay Inc. expects to be reimbursed
SIGN CIRCUITS MUST NOT BE SHARED WITH OTHER LOADS Signs. Inc. a sign manufactured 51000.00 in compensation Inc
_
SUCH AS LIGHTING, AIR CONDITIONING, AND OTHER 49� - = , i according m these plans. creating rhea plans
m
EQUIPMENT 'e ` ' ,rw.ne a
a` wr - VMS f sr~. -. ,,t Rslnsy Signs
• PROPERLY SIZED GROUND WIRE THAT (AN BE f
¢ 9160 SE 14th Avenge Portland, Oregon 91206
TRACED BACK TO THE BREAKER PANEL MUST BE PROVIDED .. _ eP ` . trr 91 g
.__. 503 177.4555 ( 800 613.4555 i• 503 777.0220
_
. 0 / f : 2404
r
•
NUMBER AND SIZE Of CIRCUITS FOR EACH SIGN J` ' . . . „.„ -11110
TO MEET RAMSAY SIGNS REQUIREMENT
2of2 0 4 5 1 8
•