SGN2011-00067 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 -00067
COMMUNITY DEVELOPMENT Date Issued: 06/15/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102AB05300
Jurisdiction: Tigard
Name of Business: Tigard Vision Center
Business Address: 9169 SW BURNHAM ST
Applicant/Agent: Laulz, Cole
Work Description: Installation of one (1) permanent 12.5 wall sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4'2" x 3' -0
Total Sign Area: 12.5
Wall Area: 807.5
Wall Face (Direction): Southwest
Sign Height: 9 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials:
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $164.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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 (4(4,- 'I �Lr
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Permittee Signature:
•
IN 7 City of Tigard
Sign Permit Application
TIGARD
•
GENERAL INFORMATION
Name of Development /Project
�i l FOR STAFF USE ONLY
Site T(0 Ut sip CE(AI C
Address/ Street Address Permit No.: C J Zea j f cf A► D L 7
Location G / � c ,, / S�f
� � JL� t � l� l�C �'f- Approved Be: V
Suite /131d # City /State 7.ip
04 7 75ere( ,q712c Date: bhhi
Name / Receipt #: / E Z So S
Property 3 c] 414 mill <<kt ( f tAG. S l � \4ap /Tl_ #: 2cS� Z• /� �� �� OO
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Owner Mailing Address Suite / Zoning: `-+ D
l o cock ce) B vilA . &)/A Allowable Total Area: 1 S °/a
Cite /State Zip Phone hh
�` X -1 � 00/ /2\ Electrical Permit Required? ❑ Yes [ly1Qo
Tenant or r''ml
Business `Tt` /J,, C/ �( 5 y. _ /l k Building Permit Required? El Yes o
Name �''� ` l/1< Rev. 7 /1/10
/ is \cutpin \ masters \land use applications \sign permit app.doc
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Sign 4e.f -T 51 )( /^
Contractor N1. ding Addhss Y Suite
1, 2oS' (3Llh.. &)f
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
-C,20^20:). (Note: applications will not be accepted
c ree Const. Cont. Board License # p. Date without the required submittal elements)
I . �d p ^ t ❑ Completed Application Form
Proposed P Permanent 0 Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Roof ❑ Electronic ,,
(Check all that (3 copies, if a building permit/is required) /ail
apple) ❑ Other size requirement: 81/2" x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: ! e, — size requirement: 8' /z" x 11", to 24" x 36"
Total Sign Area (sq. ft.): 12.. _ s - ❑ $164.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) 111 $52.00 Fee (Temporary sign, any type)
Sign Data O � I _ .2. i
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W S E O
Height to top of sign (feet): et • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): l' Z • must include dimensions of wall face and sign
Materials: a placement.
• Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes la No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External . permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes -RE No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 1 www.tigard - or.gov 1 Page 1 of 2
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 JCPk , 20
6C 7 ( `
Signature of Owner/ gent
(Ct CA,(7— 5 —0 5 - C2C 7 2-C a
Conta erson Name Phone No.
•
•
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard- or.gov I Page 2 of 2
Ii
CITY OF TIGARD RECEIPT
1114 2 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 182805 - 06/09/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00067 Sign Permit 1003100 -43115 $143.00
SGN2011 -00067 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 31162 KPEERMAN 06/09/2011 $164.00
Payor: MEYER SIGN CO. OF OREGON, INC
Total Payments: $164.00
Balance Due: $0.00
Page 1 of 1
SCALE: I" = I' O' DESCRIPTION OF WORK
SQ. FT QTY.
12.5 I ! FCO LETTERS
LOGO
1/4 " ALUMINUM
PAINT TO MATCH
BLUE = 230 -147 DEEP SKY BLUE PSV
4' - 2" BLACK = 220 -12 PSV
COPY
1/4" ALUMINUM
1/4" ALUMINUM PAINT T/M BRUSHED ALUMINUM
r - - 1 f C ,
r I 1 INSTALLATION
� 1/2" SPACERS
v I _ '� ' INSTALL WITH 1/2" SPACERS OFF WALL
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CITY OF TIGARD .... *_N
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only the work as described in:
!JERMIT NO. 341 OUo 407
See Letter to Follow __._ [ ] q
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• This is an original unpublished drawing created for
sales @meyersignco.com PROJECT: Ti and Vision Leslie Runckel DATE: BY: DATE: I Y: CUSTOMER APPROVAL LANDLORD APPROVAL Meyer Sign Company s customer and the project DRAWING .
S ACCT. MGR: '
planned for the specific needs of Meyer Sign Customers. Tigard Vision - LR0470G
www.meyersignco.com ADDRESS: 9169 S.W.Burnam, Tigard, OR KEwsiON 4i ' E•D 1 REVI kq Thes drawings are not to be shown outside your
5 in an way unless authorized in writing by an of
SHOP MGR: ft r
phone: 503 620 - 8200 DESIGNE i� SCALE: f E`. %I;10(J k2 E.D. REVISION r organization nor used, copied, reproduced, or exhibited
y y officer of 2
PHONE. 0 A 7 E DATE DATE: SHEET OF 2
fax: 503 620 - 7074 5/16/11 REVISION a3 REVISION a6 Meyer Sign Company of Oregon.