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SGN2012-00032 CITY OF TIGARD SIGN PERMIT Permit #: SGN2012 -00032 COMMUNITY DEVELOPMENT Date Issued: 03/16/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136DCO2504 Jurisdiction: Tigard Name of Business: Tigard Triangle Smilesl Business Address: 7275 SW DARTMOUTH ST Applicant/Agent: Tigard Triangle Smiles, Work Description: Installation of (1) one 98.5 s.f. permanent wall sign. Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 36 "x32' -10" Total Sign Area: 98.5 Wall Area: 1710 Wall Face (Direction): West Sign Height: 32 ft. Projection From Wall: 8 in. Illumination: Internal Materials: Aluminum Electrical Permit Required: Yes Building Permit Required: No Total Permit Fee: $165.00 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: / Permittee Signature: )( RECEIVE MAR 022012 III City of Tigard r �NMNG ENGINEERI Sign Permit Application TIGARD P GENERAL INFORMATION Name of Development /Project T FOR STAFF USE ONLY Site I ' p. fD TV---(1 5GL-: S � Address/ Street Address /, Permit No.: J ^ �j N 20i 2. - Q iO 3 2 Location . '[- 5(i .k �� ) 1.1 Suite /Bldg. # CCity/State Zip t / Approved By: 0-(/ 0-(/ Uv r t- � \ t 1 1a1 J Date: 31 k / i 5 Name —/ Receipt #: 5 9 Property jw x'17 ( fi - r � p)4 S - C Map /TL #: lS / 3 4 .2 So V Owner g Address Suite Zoning: C G O) 7 6 GUA P G C/A/ 10 4 Allowable Total Area: iS 4 /D 1} C' /Slat Zip Phone k..CU AOt e q7 Electrical Permit Required? 11 ❑ No Tenant or Name Business T( () o 6 F 9 ua Building Permit Required? ID Yes Quo Name Rev. 7/1/11 �1�1 a \cmpin \ masters \land use applications \sign permit app.doc Con ractor ailing Addr •s v u ite t 5 o .S 56,0 '3 L t itA City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS 1 02._q177 5 >P_ ] �y �[ (Note: applications will not be accepted Oregon Coast. Cont. Board License # Lap Date � "' without the required submittal elements) 4. 0 t y 7 64 ` I Z ❑ Completed Application Form ermanent ❑ Freestanding ❑ Freeway Proposed y ❑ 2 copies of site /plot plan, drawn to scale Sign Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required) (Check all that apply) �Il ❑ Other PP size requirement: 8'/2" x 11 ", or 11" x 17" ❑ 2 copies of elevations, drawn to scale Ar l■Tew sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions size requirement: 81/2" x 11", to 24" x 36" Total Sign Area (sq. ft.): q 0 , s \ ❑ $165.00 Fee (Permanent sign, any size) 7i U 54 Total Wall Area (sq. ft.) ❑ $52.00 Fee (Temporary sign, any type) Sign Data c..(... fl = - (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N ■ $ E &) NE NW SE SW V l �j Height to top of sign (feet): Z• Projection From Wall (inches): g ■ ^ • Wall signs do not need to be drawn to scale, but ('(/�/ must include dimensions of wall face and sign Materials: At placement. ""1 • Wall signs do not require site /plot plans. Will sign have illumination? .A Yes ❑ No • Freestanding signs over 6 ft. required a building Type: ternal ❑ External permit. Are there any existing freestanding or wall signs at this location, including wall signs that verrlap a tenant space? 4il a No TO If' es ", a list or diagram of all sr dimensions ands square (OVER FOR SIGNATURES) + `Y g g q footage must also be submitted. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 1 of2 APPLICANTS: To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the "Required Submittal Elements" box. NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work. * When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back of this form or submit a written authorization with this application BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT: ♦ If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. ♦ All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for approving and denying the application. 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. SIGNATURES of each owner of the subject property are required. _1 _ •• 3/2((Z Applicant Signature Date (C Cet 3(2 ((' Signature of Owner /Agent Date Contact Person 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 CITY OF TIGARD RECEIPT .Lgt 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TiGARD Receipt Number: 185959 - 03/16/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00032 Sign Permit 100 - 0000 -43115 $144.00 SGN2012 -00032 Sign Permit - LRP 100 - 0000 -43117 $21.00 Total: $165.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 33328 KPEERMAN 03/16/2012 $165.00 Payor: MEYER SIGN CO. OF OREGON Total Payments: $165.00 Balance Due: $0.00 Page 1 of 1 PROJECT TITLE TIGARD TRIANGLE SMILES 7275 SW DARTMOUTH ST I 32'-10" TIGARD, OR 97223 JOB NUMBER 47387 D SALS RICH AUDETTE Tigard Triangle M N N 1 DRAWN Sr NICOLE DATE 1 -5 -12 Or ` h o d o n t c s SCALE AS NOTED ' FOLDER S /SKETCHES /P /TIGARD, OR (TIGARD TRIANGLE SMILES) FILE 47387R5.CDR DESIGN# 008 REVISIONS TOTAL SIGN SD FT: 98.5 DATE BY DATE BY SIZE 2 -13 -12 NG `_� MANUFACTURE &INSTALL (2) ILLUMINATED WALL SIGNS SCALE: I/4 "= I' -0" - , *II' J 101.1A i� t/ / • _I 3na:ly Approved _ :ly the work as described in: i ~ ciAMT NO. lj6Nic't t - 00032_ . Letter to: Follow APPROVAL ALUMINUM -I l',tt - This proof drawing is for customer review I ' 7 S 50 o � and approval before fabrication begins. PAINT -I ; ALUMINUM -2 v' Encore Image will not be responsible for problems or discrepancies that could have PAINT -2 - TRIM CAP -I 3.0 -1?- been reasonably prevented by the proper / review of this document. 0 O NOTE: • The customer shall provide accessibility ALUMINUM -2 ACRYLIC j ALL ELECTRICAL TO RUN THROUGH to remote transformers and /or ballasts for installation, final inspection and LED EXTREME BOTTOM OF SIGN service. ______ • Dedicated 120 Volt sign circuits with a ALUMINUM 2 0 ground wire to be provided within 6' of ■ —~ j the displays) by the customer. LED — — — TRIM CAP -1 Sketch may vary from specified colors. tl ACRYLIC 4 j r Photos are for visual reference only, ACRYLIC I J O i 0 y .050 ALUMINUM LETTER RETURN size and placement of signs may vary. LED TRIM CAP SIGNATURE DATE ALUMINUM -3 O ! ACRYLIC FACES PAINT -3 - e 4 WHITE LED MODULES ALUMINUM -2 WH PRINTED NAME TITLE LEGEND j 5 14 AWG WI �� 1 I 8 6 I/4 "Q1 DR HOLES (MIN. 2 PER LTR) All stan electrical signs appropriately shall compl label y w ed. ith TO BOLTS National Electrical Code (Article 600) and manufactured according to 1 `) CONDUIT Und erwriters Laboratories U.L. 48 1 0 POWER SUPPLY ALUMINUM -I 2" DEEP ALUMINUM BACKGROUND /WIREWAY ! - - 2 P 10 II 2" ALUMINUM WIREWAY /BACKGROUND [O COPYRIGHT 2011 ALUMINUM -2 5" DEEP BRONZE ALUMINUM RETURNS ALUMINUM -3 ALUMINUM FLAT BAR 1RIMARY ELECTRICAL SOURCE This drawing, and all images therein, TRIM CAP -I WHITE TRIM CAP LETTERS © r j O a� 13 13 DISCONNECT SWITCH are the sole property of Encore Image O and may not be reproduced, displayed ACRYLIC WHITE ACRYLIC FACES or transmitted, in full or in part, to PAINT - I PAINT TO MATCH DE5712 STATELY STEMS without the writtenpermission PAINT -2 PAINT TO MATCH DE6384 IRON FIXTURE from an officer of Encore Image Inc. PAINT -3 PAINT TO MATCH WHITE 1i LED INTERNALLY ILLUMINATED USING WHITE LED (E»core I M A G E 303 West Main Street 4 P.O.Box 9297 CHANNEL LETTER DETAIL ICSC Ontario, California 91762 MATERIAL & COLOR SPECIFICATIONS 800- 791 -1187 SCALE: NTS SCALE: NTS Fax 909- 988 -6376 ,. STATE LICENSE #947727 www encorei mag e. corn PROJECT TITLE TIGARD TRIANGLE SMILES 7275 SW DARTMOUTH ST TIGARD, OR 97223 JOB NUMBER 47387 SALES RICH AUDETTE DRAWN BY NICOLE DATE 1 - 5 - 12 SCALE AS NOTED FOLDER S /SKETCHES /P /TIGARD, OR (TIGARD TRIANGLE SMILES) i 60' -0" (FRONT) FILE 47387R5.CDR ,~ % EQ. DESIGN# 002 ■ . EQ . s REVISIONS li R y S. ' - r DATE BY DATE BY -wJ' i • .'a` I I M ORIGINAL NG 4 di i + C9 p ^ $'l I , • 2 - - NG ill °)-. S L.• a, r r EQ 2 -24 -12 CM f i ' ° l �. °ate 1041, .6. ; „,02‘ \ . 'P ts,,, , .II t �;' ":I'. • - Ti gard Triangle DENTISTR : - -. k , 1 ■ 4 + w., + , t T eti Orthodontics 4 • " t AI y 7 T APPROVAL * 5 s i _' A R VAL t L ` ' s a . , . .. ,. , . . , t. T � u . l • ., �.. } , t . ,� r A,, L' s � a ` t 'M � i t, 1 J I., '' .1 1.' 1f . ' 1 ,, # ° 1 . . - b ! ` rE f This proof drawing is for customer review 1 t , , t ). , f '� "" 4� �' �+ s and approval before fabrication begins. = lt �t I ' "r i• ?, s,, 1 Encore Image will not be responsible for • t ;• :Al*: i r 4 f i , � ,, problems or discrepancies that could have +, 'f.s t. . r .• been reasonably prevented by the proper NA T review of this document. • L` : - ' - - - -- The customer shall provide accessibili o k. . I �' j t ' to remote m transformers and /or ballasts ■ " - a.. - for installation, final inspection and ' ga I III* _ °• � ` p ""�� f a,- service. fi \ • Dedicated 120 Volt sign circuits with a .t L� I I lie ground wire to be provided within 6' of t l' I ( r L_ ��� the displays) by the customer. BOY SCOUT TROOP 749 e T , t it. t •Sketch may vary from specified colors. . I . - 3° _ t ' • y Photos are for visual reference only, L � ,. r ut ra �, . y ;. , t : c a t - i m� size and placement of signs may vary. .. a v • + / '1 . ' `. • , • ;a.:t.... - ( �'• +, Ite SIGNATURE DATE 4 ' Sale -. r ,,.� , ` P R I N T E D NAME T I T L E 1 All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to ' Underwriters Laboratories U.L. 48 standard and appropriately labeled. [O COPYRIGHT 2011 This drawing, and all images therein, are the sole properly of Encore Image and may not be reproduced, displayed or transmitted, in full or in part, to anyone without the written permission from an officer of Encore Image Inc. O ENHANCED PHOTO OF WEST ELEVATION WITH PROPOSED NEW SIGN SCALE: NTS Encore I M A G E 303 West Main Street 4 P.O.Box 9297 Ontario, California 91762 ICSC 800 - 791 -1187 Fax 909 - 988 -6376 c•,, ,,.,. STATE LICENSE #947727 www.encoreimage.com SIGN I SCOPE OF WORK / DESCRIPTION PROJECT TITLE -- - -- -- __ __ __ — Ra ''" O MANUFACTURE AND INSTALL (I) INTERNALLY ILLUMINATED TIGARD TRIANGLE SMILES , — __I / ,, �� WALL SIGN 7275 SW DARTMOUTH ST / 1 CI MANUFACTURE AND INSTALL (I) INTERNALLY ILLUMINATED TIGARD, OR 97223 I WALL SIGN JOB NUMBER 47387 - . ■• I SALES RICH AUDETTE hi • 1 — 1 - I © MANUFACTURE AND INSTALL (I) INTERNALLY ILLUMINATED DRAWN BY NICOLE DATE 1 -5 -12 • I I I WALL SIGN ‘, I I I SCALE AS NOTED • 4 I _ -, L \ I I I FOLDER S /SKETCHES /P /TIGARD, OR (TIGRIS) TRIANGLE SMILES) n t `,.^ I I t FILE 47387R3.CDR t DESIGN# 001 1 I REVISIONS I� -� I • • F DATE BY B POFPTOX ' GARDENS O RIGINAL NG FETSMART BLDG. C i BLDG. B 1 t I1,200 SQFT. 5.200 SOFT. I EXISTING BUILDING EXISTING BUILDING EXIS NG BUI ING I • I I t °Ttir If l■., I APPROVAL This proof drawing is for customer review t 7 and approval before fabrication begins. I 7 Encore Image will not be responsible for n a problems or discrepancies that could have t II-3j C been reasonably prevented by the proper ( ( _ � ( J _D ) _ C ---) (7-- t O review of this document. l I vuu vzwa t z_ /---;_. _ — __ _._.. _ _— I — . r n G L / I • The customer shall provide accessibility —_ — _ , ___ — °' to remote transformers and /or ballasts for installation, final inspection and I service. — — — t AND RAMP TO R I Dedicated 120 Volt sign circuits with a / — I — — — 0 EMAIR — ground wire to be provided within 6' of — — — t t the display(s) by the customer. _ t Q ' • Sketch may vary from specified colors. j — _— t ®� MD I 1 D Photos are for visual reference only, csi • / _ __ — __ t-- size and placement of signs may vary. I i N- � � `__ _ — 1111 I SIGNATURE DATE / ) C— _ J -- -- r____--, / I P R I N T E D NAME T I T L E - • G LOT— uoLLYwoO� t 01=11•11M �/ a- ■ 0 REMAIN- '— vIDEO f I All electrical signs shall comply with - I — — I I — National Eledrical Code (Article 600) — -- — I PUBLIC - PATH OF TRAVEL ' I and manufactured according to / = t Underwriters Laboratories U.L. 48 — —_ I — _ _ _ 0 standard and appropriately labeled. I (DI. - ___ . ` t1 _ , I 1 [O COPYRIGHT 2011 /<. Z ____ -- • REA OF C. ' RK 1 L IM' • EM This drawing, and all images therein, 11 1 — _ _ _ are the sole property of Encore Image U 1 i and may not be reproduced, displayed -a� C I _ _ _ _ _ _ _ ` _ _ __ _ _ _ or transmitted, in full or in part, to anyone without the written permission 7 from an officer of Encore Image Inc. SW DARTMOUTH AVE. - ' r e Encore 303 West Main Street I I OFFICE MAx + / t P.O.Box 9297 M Ontario, California 91762 !CSC 800 - 791 -1187 Fax 909 - 988 -6376 SITE PLAN �„o-ww.. STATE LICENSE #947727 SCALE: NTS www.encoreimage.com