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SGN2012-00115 11111 CITY OF TIGARD SIGN PERMIT ■ P ermit #: S GN2012 -00115 COMMUNITY DEVELOPMENT Date Issued: 07/16/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S115BA02500 Jurisdiction: Tigard Name of Business: Gentle Dental Business Address: 16200 SW PACIFIC HWY S Applicant/Agent: Brown, Terry Work Description: Wall sign (northwest facade). Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: Yes Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 33.5" x 14' Total Sign Area: 39 Wall Area: 781 Wall Face (Direction): Northwest Sign Height: ft. Projection From Wall: in. Illumination: Internal Materials: Electrical Permit Required: Yes Building Permit Required: No Total Permit Fee: $171.00 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: C L _ a_- (.G Permittee Signature: l--- City of Tigard ° Sign Permit Application TIGARD ,., - .... s =5 ... ae- rr,rs`. ..::.:.- .--f:yi2 a tetra -;4x4 .., .;, " o ,7:. -,., a —,, -... _-.:. wta u,,, -ate ,--.: s x _.wc_. . GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY Site GANT1.,E l7ENT14L. Address/ Street Address , Permit No.: S G IQ .20 i t) '-o0 1 / 5 Location 4 6200 S,u.y ` „c.► C I4 K w ( ♦i Approved By: . l .. A1-`"' Suite /Bldg. # City/State Zip S In C7A kb Oil. %122.4 Date: - 7 " / - /a Name Receipt #: J 97 S 4 8 Property Map /TL #: ca2S I IS t3 /4 " UoZSU Owner Mailing Address Suite Zoning C —G Allowable Total Area: (S ala City /State Zip Phone Tenant or Name Electrical Permit Required? Yes ❑ No Business Building Permit Required? Yes g No Name Rev. 7/1/11 p c \curpin \ masters \land use applications \sign permit app.doc Sign RAMS s.4 ScUw3 CO Contractor Mailing Address J Suite CL too S.E. 't W''" Ate City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS f ?oRTt. Frvs) OR, 5a-177- 4,45:S.V I (Note: applications will not be accepted Oregon Const. Cont. Board License # Exp. Date without the required submittal elements) 403 Ur 1 / ❑ Completed Application Form Proposed ® Permanent ❑ Freestanding ❑ Freeway ❑ 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) ® wall ❑ Other size requirement: 8'/2" x 11 ", or 11" x 17" ❑ 2 copies of elevations, drawn to scale 54 New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: t /Z �� x ty i size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 39 6 ❑ $165.00 Fee (Permanent sign, any size) Total Wall ea (sq. ft.) 1 El $52.00 Fee (Temporary sign, any type) Sign Data 2. 32 �� =IV� =—E--- % (Complete an Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE ® SE SW Height to top of sign (feet): 23'6 tr' • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 4 I is 1 must include dimensions of wall face and sign Materials: Atu a s. ?Lay LED i placement. • ♦ Wall signs do not require site /plot plans. Will sign have illumination? g Yes ❑ 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 El No If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES) 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 of 2 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. 2fra Applicant Signature Da Signature of Owner /Agent Date �- i % _ fa 503.777 - - 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 ill CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGAR.D Receipt Number: 187548 - 07/16/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00115 Sign Permit 100 - 0000 -43115 $149.00 SGN2012 -00115 Sign Permit - LRP 100- 0000 -43117 $22.00 Total: $171.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 424782 CCAINES 07/16/2012 $171.00 Payor: Ramsay Signs, Inc. Total Payments: $171.00 Balance Due: $0.00 Page 1 of 1 O LED Illuminated Channel Letters - Raceway Wired - 70 Sq. Ft. Scale: t /z "= 1' 18' 8" INTERNALLY ILLUMINATED PAN CHANNEL LETTER 32" WITH AN EXPOSED RACEWAY 24" Max 5" . 6" i r--MI 44 3/4" 1 in TRIMCAP _ II LED ILLUMINATION I I Manufacture & Install (1) Set of Internally Illuminated Pan Channel Letters on Raceways 10" TRANSFORMER W/ I DISCONNECT SWITCH IN y i l ' 3/8" X 4" LAG SCREWS METAL RACEWAY p � MAX. 36" OC Construction - Routed .090 Alum. Backs, Black Coil Alum. Returns 5" Deep, 1" Black Trim Cap 11L #12 x 1" HEX SCREWS • • • • • • • • MIN. 4 PER LETTER Letter Faces 3/16" White Acrylic w /3M Lt. Tomato Red 3630-43 & 3M Digitally Printed Dual Film • • • • • • • • 11:1 . - • -. Y TM PMS 7546 C Translucent Vinyl Applied 1st Surface Black Returns/Trimcap Painted • • • • • • • • PLASTIC FACE �, , N a aH /P Dual Film TM • • • • • • • • j Ib Illumination -White LED Grid as Required, Electrical Connection thru Raceway �; �T 9 UnhlN BACKS RETURNS I I q y Slate Gray • • • • • • • • r AND BACKS / / y • • • • • • • • Approved \ • Raceway - Fabricated Alum. Max. Depth 6 ", Painted TM Miller 7751 Beach Grass • • • • • • • • • • • • • • • • • � Approved I � I JUL 1 6 202 . or only the work a described in . DRYVIT WALL • • • • • • • • r ERMIT NO./ CITY OF TIG Install Stud Mount Letters Flush to Raceway, Clip Mount Raceway to Wall w/3/8" Lag Screws into Studs as Required • • • • • • • • ZO /� d // _ PL A NNING�C ARD 3M Light Tomato Red White Acrylic • • • • • • • • . ee Letter to: Follow N ' 1 NEE RING 3630 -43 Actual Size - Dual Film Vinyl Attach .......... ... ... _ r 45' -0' Leased Space Jc.;b Addres l (. ZOo st . j S + \ if f X - - •� �p itir tl Y � tit f 1,;,, 1 ..\'':...:. � , t ' i . ' p: m g, \ r a.t .3‘t ir Kli TR 1 ill I 11 1111111V i l(,4I . , ,,,, ilia ' _. • „ 1 29 i .," * . : ''li - fie .._ t. rin _ l _, �. . ,. 3 3 !itk ' ' a Client Date: 3.9.12 Client Approval + Date Revisions © Copyright 2011, Ramsay Signs, Inc. Page 1 of 3 pp The homage Indicated in this design is fabricated to g Change Location on Building/Banner Sizes 5.9.12 - GL These plan are the exGusive property of Ramsay Sgns, Inc. the meet UL requirements 8 e tl be leabe ed a oNing to 9160 SE 74th Avenue Interdent Inc. o ginal wo kofls designteam all UL guidlinee. 4 Change Layout/Specs 7.11.12 GL They are submitted to your company for the sole purpose of your - Portland, Oregon 97206 Gentle Dental consideratron of whether to purchase Mese plans or to purchase from Ramsay signs. Inc. a stop manufactured according to these 503.777.4555 800.613.4555 Project Manager : Darin Hauer Landlord Approval + Date pans !vi z Si 16200 SW Pacific Hwy 99 Fax 503.777.0220 �+ S Distnbubon or exhibition of these plans to anyone other than r a m says I n S. corn S U Ite S e of your company. or use of t ese plate to const0t a I ,ae" g s nsimilarto the oneem ied herein, IS expres forbidden. 1.1 Tig ard, OR 97224 In the event that such exhibition occurs. Ramsay Signs Inc. expects ' ArrEwea ' 12 -242r4 Established 1911 Design : Gina Leckband to be trn entailed in total project value in compensa'hon for hme and effort entailed in creating these plans.