SGN2013-00130 1. CITY OF TIGARD SIGN PERMIT
: Ij :.. Permit#: SGN2013 00130
_i COMMUNITY DEVELOPMENT Date Issued: 10/21/2013
:T.IGARD, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S110DCO2200
Jurisdiction: Tigard
Name of Business: Safeway
Business Address: 15570 SW PACIFIC HWY
Applicant/Agent: Hayden, Melissa
Work Description: Install a new phamacy sign on front facade.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 18.16 x 3.25
Total Sign Area: 60
Wall Area: 6250
Wall Face(Direction): North
Sign Height: ft.
Projection From Wall: 5 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. 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: l_.ki.A-W�C 6 . C ,rty
Permittee Signature: „fit n oA.� Ceti 1,----
SIGN PERMIT APP; *JJ)N
City f g t gurd OR 97223
pr (.r/�o Ti and Pernir!Center 13125 Sll%�,�+�
.} T
T GARU Phone: 503.639.4171 Fax:503.5198.12602.0\3
GENERAL INFORMATION �m(o. T•, 01.ING Z
P NINGIENGIN
Name of Development/Project
FOR STAFF USE ONLY
Site
Address/ Street Ad •ss Permit No.: 5 G N a u 13 - 00130
Location
vSS
?Gitic_, Expiration Date:
Suite/Bldg,.# City/state
y Receipt#:
Name Approved By: C c _A-, .
Property Date: 10 .. /1 13
Owner Mailing.\ddress Suite Map/TL#: c s 1 l(. IJ C 6 ad 00
Zoning G—G
city/state-- Zip Plume 1 °l one 5 O
Tenant or Na •
Electrical Permit Required? Yes 0 No
Business Building Permit Required? [X] Yes ❑ No
Name Rev.'./I/(N)
is\eurplu\masters\land use applicninn- sign permit app.dirc
Sign Security Signs
Contractor Mailing Address Suite
(Prior to pemnir 2424 SE Holgate Blvd
issuance,a
copy of all (`air/state Air phone REQUIRED SUBMITTAL ELEMENTS
lieemes are (Note: applications will not be accepted
required if Portland, OR 97202 503.546.7114 without the required submittal elements)
expired in the Oregon Const.Corn.Board license# Esp.Date
City of l igard's
database) 122809 ❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Firma) ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
Sign ❑ 'Temporary \\'au ❑ lilectronic (3 copies,if a building permit is required)
ply)all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8'/z"x 11",or 11"x 17'
rr Y) q
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations,drawn to scale
Sign Dimensions: (3 copies,if a building permit is required)
size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign,any size)
Total Wall Area(sq.ft.)
Sign Data ceZ ❑ $19.00 Fee (Temporary sign,any type)
(complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N E W NE NW SE S\\
Height to top of sign(feet): 2C1 • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): 5 rt must include dimensions of wall face and sign
� � placement.
copy: D
1 • Wall signs do not require site/plot plans.
tilaterials.
lLNn, • Freestanding signs over 6 ft. required a building
Will sign have illumination? ,"Yes ❑ No permit.
Type: Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that ovcrl a tenant space? of the permit, THE PERMIT WILL BECOME
Yes ❑ No AND VOID.
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted.
(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 Iplans submitted are in compliance with the City
of Tigard.:.
;
DATED this I day of C)CA" , 20
Signature )f Owner/Agent
Melissa Hayden, 503.546.71141
Contact Person Name Phone No.
■EN®
ITEM O 2 ME
3'-10"
13'-10"
3'-3°
2'-6" o,
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it
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"PHARMACY"HALO ILLUMINATED LETTERS&LOGO SCALE:1/2"=1'-0" 7i°' O
COLOR&MATERIAL SCHEDULE W Q
LETTERS&LOGO W lli
n/
3"DEEP FABRICATED ALUMINUM REVERSE CHANNEL LETTERS 1 1/2" 1/4"LAG SCREWS IN SHIELDS OR
PAINTED POLISHED BLACK.
FACES&RETURNS: .090 ALUMINUM TOGGLE-BOLTS AS NEEDED( V
BACKS: CLEAR LEXAN 3" (MINIMUM FOUR(4)PER LETTER)R)
ILLUMINATION: WHITE L.E.D.HALO ILLUMINATION.
LED.MOUNTED EVERY 4"AND 3-1/2"ON CENTER. .090(MIN)ALUMINUM LETTER RETURN&FACE
ATTACHMENT: MOUNTED TO FASCIA USING 1 1/2"STAND-OFFS.
CLEAR LEXAN BACK i
A(y,t^, TITLE:
Iu WHITE L.E.D.EVERY 4" ELEVATIONS
AND 3-1/2"ON CENTER
C>7-2—:--z--7:3- D DATE:
2-14 GA.WIRES PER 0-08-1 3
LETTER THROUGH WALL
c ,
APPROVED
PASS THROUGH CONDUIT
Ut1
CITY O F TI GAR D WA
12 VOLT POWER SOURCE ATTACHED TO
INTERIOR WALL FRAME
Approved _. . _._ [ j SIGNAGE
Co1ldltlor,allyApproved.. . _ [" ] 110VPRIMARVFEEO CONSULTING
PERMITS/VARIANCES
For only the work as described in: 1/4"WEEP HOLES AS NEEDED DESIGN
PERMIT NO. 6C, N d 01 3 -oo 13 o PROJECT
See Letter to: Follow. --[ j WALL MANAGEMENT
A ach TYPICAL 12 VOLT LED REVERSE ILLUMINATED LETTER SECTION SCALE:1'=1'4' CS SIGN CORPORATION
-' PO Box 50727
I:5 -7 9 S 1n1 Pa1c - BELLEVUE, WA. 9B015
Job Address: , VOICE: (206) 949-7050
:y: o[S_ — na`e: IO
FAX: (206) 453-3017
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PARTIAL NORTH ELEVATION(RIGHT)-SCALE 3/32"=1'-0"
ITEM O %ce\f �� _..
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1 ITEM® S4lUt^ �l(�'' �l CONSULTING
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ITEM V FASTING'
Refit"
PERMITS/VARIANCES
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PD I X 0727
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NORTH ELEVATION-NTS -� Z :-..Y •VDICE ) 949-7050
Zj ^O �.X: ( 00)0053-3017
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UPI ,': CITY OF TIGARD RECEIPT
q
p _t.. 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TCGAR0
Receipt Number: 193601 - 10/21/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00130 Sign Permit-LRP 100-0000-43117 $23.00
SGN2013-00130 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 63708J CCAINES 10/21/2013 $178.00
Payor: Melissa Hayden
Total Payments: $178.00
Balance Due: $0.00
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