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SGN2013-00136 ;ryl CITY OF TIGARD, SIGN]PERMIT ' ` _'.. Permit#: SGN2013=00136 COMMUNITY:DEVELOPMENT Date Issued: 11'/0512013' ITEM,=ARD 13125iSW,Hall Blvd.,Tigard OR 97223 :503.718.2421! 'Parcel: 2S102CB03200 Jurisdiction: TIGARD Name of[Business: United';Urgent Care, (Business Address: 9975'SW FREWINGI ST Applicant/Agent: Pharr,Tom Work Description: New wall sign,2'4"x:1,7',on the'South side located at 9975 SW Frewing Street'for United Urgent.Care. Permanent: Yes' Freestanding: No Freeway: No Temporary:, Wall: Yes Electronic: 1No Billboard`: No Balloon: !No Banner: NO A-Board: No Sign!Dimensions: 74!'x 17" Total Sign Area: 40.8! Wall Area:, 1'540 'Wall Fadei,(Direction): South Sign Height: 25 ft. Projection.FromiWall: 10; in. Illumination: Internal' Materials: Aluminum Electrical Permit Required: Yes Building Permit Required: Yes Total Permit Fee: $178'.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. 'AIII work, will Ibe: 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 shalliexpire 101days from validity date. Approved By: 4 L6UX IPermittee Signature: . f',l, preenAt III City of Tigard Sign Permit Application TIGARD • . - -- GENERAL INFORMATION Name of Development/Project l/ � FOR STAFF USE ONLY Site �/fl''I le 1 fV gj eerld 6 i'6 � Address/ Street Address Permit No.:�j �4V!Q -'OOj'3(o Location 7 97 5 fRe\jJ1 V S Suite/Bldg.# City/State Approved By: ii o T a P d ^ Date: lU C311 Name U I' q p Fee: 1 p 0 v Property PI eAR t PoAd e I Receipt#: ti '/per I'l Owner Mailing Address � . Suite f Map/TL#: 1911O2C-N232-00 97 7 5-3 W rj�eU�i1, 1 I 0 Zoning: C-6-31 City/State Zip Phone v ��� —9 `�I7 J O 1 ,i VO 4_ 'pi 0 Allowable Total Area: Tenant or Name d J Business ///e)(i e Electrical Permit Required? . Yes ❑ No Name �i Building Permit Required? Yes ❑ No Sign UiSte4f �� h G ✓ Rev.6/24/2013 1:\CPRPLN\Masters\Land Use Applications\Sign Permit.doc Contractor Mailing Address Suite , /6/17Nfr .� Ct , State Zip Phone CA 64 pl DX �7,? ��'6 x,4y,2_/,,,'Q5 REQUIRED SUBMITTAL ELEMENTS Oregon Const.Cont.Board License# cp.D e (Note: applications will not be accepted 17O 2 k 9 ‘NAteii( without the required submittal elements) Proposed JZQ Permanent 1:2 Freestanding ❑ Freeway ❑ Completed Application Form Sign ��j` Temporary ❑ Roof ❑ Electronic ❑ (Check all that & j �, ❑ Other 2 copies of site/plot plan, drawn to scale apply) (3 copies,if a building permit is required) size requirement: 81/2"x 11",or 11"x 17" New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations,drawn to scale ign Dimensions: j•7 / x p / (3 copies,if a building permit is required) Total Sign Area (sq. ft./): �� size requirement: 81/2"x 11",to 24"x 36" Si Data Total WallA a (sq. ft.) j/542 ❑ Application Fee ' ► 7 �,b�,� (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N l`"9 E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but .7 must include dimensions of wall face and sign Projection From Wall (inches): /0 Ie placement. Materials: A-jN4N-L4Ii,rn, • Wall signs do not require site/plot plans. Will sign have illumination? ar Yes ❑ No • Freestanding signs over 6 ft. and walls signs of Type: xi Internal ❑ External which any element weighs 20 lbs. or more require a Are there any existing freestanding or wall signs at this location, building permit. including wall signs that overlap a tenant space? ❑ Yes fif No If"yes",a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503-718-2421 I www.ti>;ard-or.gov I Pape 1 a1 APPLICANTS: To consider an application:complete,you will need to submit ALL of the RE QUIRED_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 rmust be the purchaser of record or a lessee in possessions with, written authorization from the owner or,an agent Of the owner. The owner(s)mustsign this application in the space provided on:the back ' of,this form or submit a written authorization with this,applcation BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT: • If the application pis 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 Ifound,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.bleach owner of the subject property are required. /5// Applicant Signature 'Jr Date S t /;/ /3 Signature of.Owner/ Date 7 im Pita .C^503 y4/0e -// qy Contact Person Name Phone No. City of Tigard I 13425 SW Hall Blvd.,.Tigard, OR 97223' I 503:-639-41711 I www.tigard-or.gov II. Page 2 of 2 Job No- Dare. LED CHANNEL LETTERS CITY OF TIGARD S TIERS EXPOSED ON RACEWAY A139-3 11/4/2013 HpprOved [Conditionally Approved Customer. For only the work as described in: Alexis Lee PERMIT NO. - 3 2Q l3_�--- j Hominy: see Letter to: Follow_ [ United Urgent Care [ 1 Address: Attach - . , 9975 SW Frewing St I,^') A+dress: 4 S S� al X.-' , Ste#110 i. 1 ..�A_r��r ►... • Ill : - —s a City: . Tigard OR State/VP: 97223 I L. Phone: L— C u" G E 1-\,, T 503-593-1527 I I I 1 °0 Page 3ate: 114•=1 0 FAMILY MEDICINE w L Drawn Sy: David Juan i. A ft .1 Drawing Approved For Performance sr PROPOSAL SIGN Customer: SOUTH ELEVATION NORTH ELEVATION ti^y� \.. Date: %' q.F, I v C9NITTDRGEN7 ©NitIDP«.224!.:(AAf CARE Landlord: a.e Date: f 16127 NE THOMPSON PORTLAND OR 97230 -" assupor V"ISION —5 IGNS " 4/ re 2000" 503-442-1195 DESCRIPTION COLOR CHART CHANNEL LETTERS ON RACEWAY 120V POWER OUTLET �u►r�oy DETAILS 503-255-0901 MANUFACTURE AND INSTALL WHITE LED MODULE READY IS REQUIRED 3/16. I iNS Na ONE SET OF ELECTRICAL SUCONf IC KEW OUT WA.unz. I¢zaI FEER u,Css„riio www.VSsigns.com CHANNEL LETTERS ON RACEWAY. IT READ AS: 3/16"WHITE PLEXIGLAS DRAG WAV s-CONSTRUCTED ALUMINUM • &RED TRANSLUCENT VINYL LICENSED* BONDED•INSURED United Urgent Care • .040 ALUMINUM PAINTED(BLACK) y pp °N I�ARli 40.0 i"""CAP • 1"BLACK TRIM CAP n _ , The information's n aioFNnat • 8"X 6"RACEWAY OOTAG SOFT The information's contained in the drawing is s I LOW�rA"the sole property of Vision Signs,LLC.Any (PAINTED MATCH WALL COLOR) ! ;�reproduction or copywilhoutVS'spennission a CNOTr c„ is prohibited. r%44 n.CLWAT Ihr awN HOLE toe No Date: BUILDING ELEVATION A234 11/4/2013 Customer: Alexis Lee Company. United Urgent Care Address. 9975 SW Frewing St SOUTH BUILDING ELEVATION Ste#110 ' is SIGN LOCATION -^ CNN: / $ .:: / Tigard 447 0 4 �:, State/ZIP: e�R 97223 ,, . �' , • v. Phone. , ��`. i 503-593-1527 \��\ 1 .„„,, z gi-5-- CI*\ a s () .- 2 of 3 1/4"=1' kawn By: David Juan *awing Approved For Performance Sy: •. ,' N. V - • SIGN LOCATION(SOUTH) � .L \ R 2ustomer: 55 ,f !y - /ate: NORTH BUILDING ELEVATION .andlord: 41."0110-0144R4CM1 late: 1127 NE THOMPSON PORTLAND,OR 97230 ISION : "froiland x000' 130 ft 503-442-1195 FAX#503-255-0901 www.VSsigns.com .ICENSED• BONDED•INSURED N 20PRIETARV 8 CONRDENTIAI. 1e information's contained in this drawing is e sole property of Vision Signs,LLC.Any PBW = Primary Building Wall SIGN 'LOCATION REFER TO production or copy without VS's permission prohdated. SBW= Secondary Building Wall FRONT ELEVATION DRAWING ' CITY OF TIGARD RECEIPT 11,1 q I ,... 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TiIc..ka Receipt Number: 193817 - 11/05/2013 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2013-00136 Sign Permit- LRP 100-0000-43117 $23.00 SGN2013-00136 Sign Permit 100-0000-43115 $155.00 Total: $178.00 PAYMENT METHOD CHECK# CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 08552G AKOWACZ 11/05/2013 $178.00 Payor: Thanh Pham Total Payments: $178.00 Balance Due: $0.00 Page 1 of 1