SGN2002-00255 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2002 -00255
+ L '- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/22/2002
EXPIRATION DATE:
BUSINESS NAME: SOUTHWEST FAMILY PHYSICIANS PARCEL: 1S135DD 04400
SIGN LOCATION: 08847 SW CENTER ST
APPLICANT /AGENT: SOUTHWEST FAMILY PHYSICIANS ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 1X20.5'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: 1,740 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 8 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Wall Sign
MATERIALS: METAL /PVC
EXISTING SIGNS: 2
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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.
APPROVED BY: •
PERMITTEE SIGNATURE: t"" ' t-Q
DATE: 11/22/2002
13 125 SW Hall Blvd. 9:13:42AM
abot Tigard, Oregon 97223
AILAIL IL,: (503) 63 9-4 17 1
Receipt #: 27200200000000004447
Date: 11/22/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00254 [SIGN] Sign Permit 100- 0000 - 437000 30.00
SGN2002 -00255 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
Line Item Total: $60.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CLASSIC DIMENSIONAL MET 10414 In Person 60.00
GRAPHICS
Payment Total: $60.00
•
•
._ SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
CP cic2. - (
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site &C,tenytu -c -r F%n10LY PhiYS1C -14-/\S
Address/ Street Address Permit No.: 6IJZt 2 - OO 2 55
Location /(c00 Z(A) Ems& RD Expiration Date: WA
Suite /Bldg. # City /State Zip
Receipt #: 2
- nG ieb Oft y7 2 23 � 2- �1�{y'
C�SEJ�tyy -v►- i /U St-i..4.--t2_ Approved By: % 7
Property Cy ti 7"F-f c A4 GU C.-( C'e c/o Date: (1122 jot
Owner / dre Suite Map/TL #: (5( 51 P - 94 017
E owe 6-- RJD Zoning: C - P
City /State Zip Phone 5O 3
7I& D q 7 2-2- 3 _ fo 20. 5556 Electrical Permit Required? ❑ Yes No
Tenant or Name
Business / / --D LC,5 L.- C /vLG Building Permit Required? ❑ Yes [/No
Name Rev. 30- Jul-01 \curpin \masters \revised\sign permit app.doc
Sign CL 4 SSIC_ c g - t 6 7 ' . 1 c yS71 S
Contractor Mailing Address • Suite 200 REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a 75 � o> w Du 121-104'. f2 Q
e
w ithout the required submittal e lements
copy of all City /State Zip Phone 5d � q elements)
licenses are
required if 1 D 97 213 6,3 , 5 5 j (O Completed Application Form
expired in the Oregon Const. Cont. Board Exp. � te
City of Tigard's License # 7 g� o � �"� 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Pro Proposed size requirement: 8 x 11 ", or 11" x 17"
p Permanent ❑ Freestanding ❑ Freeway
Sign Temporary El. Wall ❑ Electronic 2 copies of elevations, drawn to scale
(Check all that ❑ Other Billboard ❑B (3 copies, if a building permit is required)
apply) si a re 8 x 11", to 24" x 36"
® New sign? ❑ Alter to existing sign? �'
❑ 0 Fee (Permanent sign, any size)
Sign Dimensions:
( .x c)0 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
O. 5 0 NOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data 1 .2r X4' 1740 but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items section) this • Wall signs do not require site/ lot plans.
section) N S W NE NW SE SW g q p p
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): 7 ' building permit.
' Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: SEi= A.T714GK -- ip been completed within ninety (90) days after
Materials: ryt.r L i to Vc the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑YesNo BECOME NULL AND VOID.
_ Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this N ot all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa El MasterCard
❑ Yes I �1 0,( No Credit card number / /
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
s footage must also be submitted.
Cardholder signature Amount
(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 1 � ' -H day of /U0 Vs zg 6<_ , 20 OD—
Signature of Ownegent)
5O3 , G037. S6Sk3
Contact Person Name Phone No.
C�l�- S 1 6 �YS VL.
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+y ► i k, s C reating Maximum Impact
', ♦ iik e4 4 a "" ? r .1 . w , l For Business identities
Date
11/19/02
Client:
Southwest
SOUTHWEST FAMILY PHYSICIANS i °-- l Family
Physicians
I . Contact:
Dr. Cynthia Gulick
.
CLIENT
APPROVAL
: lea a itial & date
i 4. W es. ih s in'
+>'w►'RT'f -x r ef. 4Jf +'P
Colors:
Spelling:
Graphics:
Dated:
12" Dimensional Letters. Brushed "brass" face on a PVC substrate, black edges.
CLASSIC SIGN
EXTERIOR SIGNAGE .t S •D •1 0
7800 SW Durham Rd Ste. 200
Portland, OR 97224 -7577
Phone: 503 -639 -5656
These plans are the exclusive property of Classic Sign Systems and the result of the orlglnal work of Its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase Fax: 503- 624 -8706
these plans or to purchase from Classic Sign Systems a sign manufactured according to these plans. Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to
email c lassigns.com
construct a similar sign Is expressly forbidden. In the event exhibition occurs, Classic Sign Systems will be reimbursed $500 for time and effort. Scale: 0" = 1'0"
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