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SGN2004-00228 i 2 SIGN PERMIT APPLICATION CI Y OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project egg FOR STAFF USE ONLY � / � /// Site / I X�/d V/600- ' ^ ale ,(( vo� — ova 8 Address/ treetA ess PermitNo.: (jV Add 4 Location / 701 SCE) 7z ° Expiration Date: ______—" Suite /Bldg. # City/State Zip -Irak h4f O€ q 5/ Receipt #: d 04 "4 - .3 3 (0 Name Approved By: e- e4-;1 Property Q// a5 ilk) Date: )(FS 113 D f3 — Of g csv Owner Mailing Address ''f Suite Map/TL 9 - 3 - °y 7001 54J /2'� Zoning: Wit C - 1 Ci /State Zip Phon7 / / 0 97q 20 S 7 Electrical Permit Required? ❑ Yes ❑ No Tenant or Nam // qe r � Building Permit Required? ❑Yes El No Business f/(G( 40 C ` 144 / IL Name Q Rev. 01 -Jul -02 i:\curpin\masters \revised\sign permit app.doc Sign / G(Etk; Contractor !llin ddres5. Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit 7 S � (Note: applications will not be accepted issuance, a /l&7414 X1NA� 144f without the required submittal elements) copy of all City/ t to Zip Phone licenses are required if 4/ii,4zte 02 97Z 4 2? // El Completed Application Form expired in the Oregon Const. Cont. Board Exp. ate City of Tigard's License # � database) / /0 /� ❑ 2 Copies of Site /Plot Plan, Drawn to Scale (3 copies, if a building permit is required) Proposed q Permanent re Festanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ Bal loon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) jp sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" S Dimensions: 6 , 1 „. ��aa..0 0 $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 30 # ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): 4 but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: A(, tm. (52, • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a building permit. Will sign have illu ination? fYes ❑ No • If work authorized under a sign permit has not Type: nternal ❑ External been completed within ninety (90) days after Are there any existing frees anding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overla .a tenant space? 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 ^ day of , 20 04 i ature of wner /Agent 653 - 1733 a .575e( ,4( At. Con t Person Name hon o. CITY OF TIGARD 9/3/2004 13125 SW Hall Blvd. 3:57:38PM ,:art:„ ,I� Tigard, Oregon 9 72 23 40 ' _ 1 (503) 639-4 17 1 Receipt #: 27200400000000003936 Date: 09/03/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00228 [SIGN ] Sig n Permit 100 - 0000 - 437000 32.00 Line Item Total: $32.00 Payments: Method Payer User ID Acct/Check Approval No. How Received Amount Paid Check TUBEART SIGNS & SPORTS CAC 2286 In Person 32.00 DISPLAY Payment Total: $32.00 Pe 1 t 6.r .Ilette liPII3Alt Ms,ss I II Calculation per U.B.0 1997 Exposure: 1 B ( Wind Load: 80 I S"`' "O � OAe b -3 -1 /4 1 I - 711 Date: 8/16/2004 Design Wind Pressure p= CeCgCf -1 p ill PMS 021 2 as 9 ~- - * if Job Name: Village Inn 0 -15 14.24 Signs a Sports Displays I A lstectnb r I n Location: Tualatin, OR 15 -20 15.38 5 - 10 -3/4 PM53385 • Calculated By: Dan Osterman 20 -25 16.53 III 5/Wlreosure I u Wind Load 8-80 25 -30 17.45 4243 -A SE International Way 4 - 11 -3/8 1'-4" 30-40 19.29 Portland, OR 97222 1. PMS ebck H J ( TEL 503- 653 -11 33 Black 230 -22 1 Overall Height: 1 8' -0" 1 40 -60 21.81 FAX 5 0 3- 6 5 9 - 9 1 9 1 60 80 23.88 3MB 80 -100 25.95 • 4 - Sq H. Height to = t• Section Section Height Section Width Area Pressure P.S.F Force Lb. Cntr - Ft. Moment 2885 . Lb. 82 -Ft. 103169 QUOTE NUMBER A 8.00 6.33 50.66 14 721 4.00 Totals 50.66 721.46 2885.82 4937 12 '' C U S T O ME R N U M B E R �' S req = (Moment Lb. -Ft. total) X 36 X .6 X 1.33 in3 (For Single Pole Sign) Village Inn.cdr . ^ € ' - _ 1 1000 FILE NAME (Description of Pipe Required Wall Lb. / Ft. Sm. in3 I Allan Conant 1 Option A 14" SCH 40 PIPE 0.237 10.79 3 O S A L E S P E R S O N Kevin Patey Foundation Calculation (1500 lb # Foundation /Lateral Preasure) DRAWN BY Single Pole Sign .72 p + Si p = 0 = 0.36 h= 4.000 ..� <v ` ., CHECKED BY Single Pole A= 2.34 X p ( 0.72 ) A= 1.137 30 July 2004 1 • ® - 3.5 / 3x.3 I 3 1 3 1 DATE O / \ P) ( PSF) (Ftg. width) (Ftg. Length) M 1 . . / - O 0.3 50 4.243 REVISIONS w 0.568 5.042 d= A 1+ SQRT ( 1+ 4.36 A x h ) d =2.866 LO , 1 $ Y O F T�G t , 'Footing Dimentions Width 3 v Lenght 3 b L t i y roved ....... Depth 2.866 C f eri i , App Yds. concrete 10.955425 �• ;;• ; ;,,ly th work as des i o � 6l ]Ap proved S G t , o v� � p G FiM t � l : tr. : O. - � ` t i % wF+ r ��ed w ith changes noted : c e L Fo N ow -- - -- -- - -- - - -- - - - - -- - t N [ Att�� `��_- (CUSTOMER SIG NAT URE i- 111111111111111111 l "IIIIF O ;-. c d ss: W p -. - ,T( 1 D/F Monument Sign : , �_ ___ Color Rendering /Scale: 3 /411 =1 0 " L ANDLORD SIGNATURE DATE M anufacture and Install One (1) Double -Faced � �.r F \ Internally Illuminated Monument Sign. �, OPUS ffi P . p s y } ' y: � Y; ♦ northwest \ a r Specifications: 17001 SW 72nd 11 r ,,, " {` Tigard, Oregon 97224 t 0 Fabricated Aluminum Cabinet, painted to match PMS 3385. ' " fi Internal Flourescent tamping. co Apr r , r 1 r 1 : ' i-:-.;,:_,,:„.2:,,-:.....,:',:;,;:.,. © 3/16" Impact Acrylic Sign Faces, #21 19 Orange. First Surface �' f \ 17070 SW 72nd W { Vin Co 3M Black 230 -22 F,� ; ,,,,..;,-;::.:;°0;.;::,,-.:.:-..!::., M: ,x :.:;..,:;;.',.:.::.%,:,.:„ Tualatin, Oregon © Fabricated Aluminum Pole Cover, painted to match PMS 155, \ \ \ \ texcoat medium texture finish. 5-1/2" reveal painted to match Thie original artwork is protected 3000 psi concrete '4 M N - w PMS 3385, matte smooth finish. 3 desig under Federal Copyright Laws. Make ne reproductlon of this n concept witltout permi f :f1acted Sol Colors o on print d not accurately E levation View Scale: 3/8=11 011 concrete specified colors. 9/ 10 1 . 4 / 4 1 1 VI L � ` C { ��. . ♦ } 1, y :, 3 _ I '44,1".4.".".4.‘.1114•414.-419. Ai Atm A,.'. TL7'..7.a++.• ..'raM,a:f -rr'a +� Proposed 8' Monument Iocatio :;�_: 13MR I p 1" ' pia' 0 .. tt� . r �r,TNw ........,f,....410-1 ,,, " i ' ....":'; .. N iimaP..- olsi■miel111411 1111111aliiiii, „ wiz 0 ,.. mr • f;.t �� m u uiamo�� 131 ■iv CTITOFinsAmp • fir. a►.L _. - ,. ; � ' r dipp ., , ..L :t .41 L... / , * � 52 BN ilr 7. 40 1 fQ , / . �J d e fl.. � 1 ij1: 4 4 RA + r te . "hi- ' .. .1,„,, jr ' 0 Illi rli O • ' 8 ' / 19 FGLB / A '. a:JII KD • , 4 �' ose, 0 # / , , , > �'� L Y i . / ., •. , \ Arl. 7 ippr ir,;,,,,,,,,,.: � - y ■ 1 :'" -,:' , ..;„,.- ArAig,5 44 I P r. de TI IliFk P ill / it In i p STREETSCAPE ANDS ' ET ' ' . . 41, % ' ,1 , {,, >• � +'`- 17 F t ! T REES ADDRESSED I Iv / 4' I . � � :• 0 SEPARATE APPL R ON �. �1� 1' 's� u r R ;' _ 1 .. ' 11 1 ■*". . 7 / RA /1 . 1 71 A 4.0 l;! �" �>tI I 1 14 ',I 4 R a, i .., 0 6M iikC a ` 14 KD l ' 4 ; I P 4r t a14d 17 , �� , 1 1 ' ' ! 0w i , �L tte `` PA i aqi T r � Y . SFORMER � ► I 1 R �� y�;., 11I i 4, . 4. ii` r; 14 FGLB' aLi � „� a 1 i �, ,- 24 iG J� ,{ tho 011o F ' 44 1 ' ! *P 1� ..' `^ �'' •� MUCOD 5� r y5 FGLB l I ,/ # a � LINE CC ZONE to MR � • JP , \ 1 V I It 1 .. ' lip 40 I. ' Ni,. r d� 15 FGLB 'l 11 1 li � FAA 1110 z -1. !�.� N 1 5 MR • . 4 19 9 KT FGLB : fl' h ! ^ f .• . - i 7r447 ' .. ` B 4111 2 4.( 0■111121 „.„.." lift 11 416, " ,_. I' ',11 /1 �a F D . � `� 1 • � ��� _ . .l�. . „4 f ... r r " IPA ■ _ �T *�� - 1, r ` •!'rte+ s•r>Lt.4� r'{? f'..r•�i'�'���ri: �+a.t.R is r9" -ik 1 V Y . **N. 4IP. »1,t Proposed Wall Sign Locations � �, / � � � � � � � � •T ' (4 H IV , � �� • }y - . R ev i se d 18' Pylon Sign location �c 4 , .. 4► t) t :.(.-....41.-,-- 1 J g -�� -4. . fditi, � �4at 1, .4 4 ,? ,in ^' I. T '.• A 004.1,014, 4 J ' J �J 0 � 4, , ,0 /4 42►` ro�....p. i ...... ^ �.p 1 y..'^L. - STREE AND STREET \1 ' 'e) E 1 4 j { - ' a y �"7" ADDRESSED , PARATE APPLICATL, IN 76 '