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SGN2012-00116 IN CITY OF TIGARD SIGN PERMIT Permit d: SGN2212 -00116 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: Temporary banner. Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: No Electronic: No Billboard: No Balloon: No Banner: Yes A- Board: No Sign Dimensions: 2' x 6' Total Sign Area: 12 Wall Area: Wall Face (Direction): Northwest Sign Height: ft. Projection From Wall: in. Illumination: No Illumination Materials: Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $54.00 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: (;Y a---- (,w�- Permittee Signature: 11 7 City ofTigard Sign Permit Application TIGARD r Ti 'r r ..:_ ..,.. ,XE.I: 7b. : L'. . &'z .°.3. ital 4ife = ' at r. _':°` .. % 5.W.°, 1i . ='i:: 4W- 4,7. rfifi ..` ;:a;r2 as :_: .s2.5_3... -: TCZT4 • GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY Site GliNTLZ l>ENT14L. Street Address S G N do ra - D a n k' Address / � Permit No.: Location 1 taZbO *AO .1.C.1'.IC 14 i 43%I A /► `� Suite /Bldg. # City/State Zip pproved By: �/ S City/State na. 77zZi4 Date: 7' /oZ Name Receipt #: 1 V 5 q r Property map/m#: ..S el ( 1S /� €' -0Q6-4" Owner Mailing Address Suite Zoning: Co - & Allowable Total Area: N/A City /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes [t No Business Building Permit Required? ❑ Yes 0 No — Name Rev. 7/1/11 is \curpin \ masters \land use applications \sign permit app.doc Sign RA Y SA• � to • Contractor Mailing Address Suite t ROO S.E. '7 4" AU • City/State 1 Zip Phone REQUIRED SUBMITTAL ELEMENTS ?ORTI.Agt Ore. - r n- iiS (Note: applications will not be accepted Oregon Const. Cont Board License # Exp. Date without the required submittal elements) 103422. 11,3 ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale Sign ® Temporary El Roof ❑ Electronic (3 copies, if a building permit is required) (Check all that M. apply) Wall ❑ Other size requirement: 8 x 11 ", or 11" x 17" ❑ 2 copies of elevations, drawn to scale yj New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: e. *I( X t size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 120 ❑ $165.00 Fee (Permanent sign, any size) Data Total Wall Area (sq. ft.) o ❑ $52.00 Fee (Temporary sign, any type) Sign to V) � (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W N E O S E S W Height to top of sign (feet): 1 4 • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign Materials: ►be► N i placement. • Wall signs do not require site /plot plans. Will sign have illumination? ❑ 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? El 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 CITY OF TIGARD RECEIPT 2 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TrGARD Receipt Number: 187546 - 07/16/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00116 Temporary Sign Permit 100 - 0000 -43115 $47.00 SGN2012 -00116 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00 Total: $54.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 424782 CCAINES 07/16/2012 $54.00 Payor: Ramsay Signs Inc. Total Payments: $54.00 Balance Due: $0.00 Page 1 of 1 . ,-y G Temporary Banner Scale: 1 "= 1' 6' -0" Manufacture (1) Temporary Banner Material - 13 oz. White Vinyl Banner w/ Grommets Every 2' Gentle Dental Graphics - Digtally of Banners stas Re 0 & ORTHODONTICS NOW ACCEPTING Ca (855)8 - GENTLE � � RE CEIVED PMS 7546 C PMS 1795 C APPOINTMENTS JU[ O F 1 6 2012 CITY TIGARD PANNIN /ENGINEERIN 35' -0" Leased Space a4a'. . °" 7 t C TY OF TIGARD Approved [/C Conditionally Approved Obb�l1S q " te a For oe o as described I � Gentle >'' Dental PERMIT NO. SC N old - - Od tlw .; 8ORTHODONr C, **..�,, [ 1 cau Iassle.ce TUe Ate S Letter e s : w Foll :.. .. Atta [ l Job A ddr ess : nly th I � _a s S rib � � in: a t- �' 71;) .L.' icy ,_C.4:..64- r - - , . Ao _62- . • \ \ t ,_ . -- Client Date: 3.9.12 Client Approval Signs, Page 3 of 3 pp l + Date Revisions © Copyright 2011, Ramsay Signs Inc. The sgnage indicated in this design is (abrirafed to g These laps are the exclusive grope of Ramsay Signs Inc. the Th re ui meals 8 will be leabe accoNin to Change Location on Building/BannerSizes5 .9.12 -GL g et UL g re led g odg;na wcrkof its design team. al UL guidlines 9160 SE 74th Avenue Interdent Inc. 4-Change Layout/Specs 7.11.12 GL The are submitted to our com an to he sok Port Oregon 97206 G en tl e D y r p r purpose of e con s Rams on of Signs. Inc a purchase these plans or to purchase 503.777.4555 800.613.4555 Y Project Mana Darin Hauer Landlord A Date msRamsaySgns .Inc.asgnmanuactured ordigto he A � 16200 SW Pacific Hwy 99 n, 1. Fax 503.777.0220 Dlstdbu6on o exhibition of tese plans tc anyone oher han sign similar one e Suite ite S employees 'Tau' crompany, or use of here Bans r c rien. a ra m s a y s i g n s. c o m to tl e mbodied he rem. is expressyforb dden. Tigard, OR 97224 I n he ventthatsucn lb r Rams Signs In .expe is �� b Established 1911 Design : Gina Leckband and re idon poe� oa s. plans ompansa benab 12 242r4 and effort entailed in creating these plans