SGN2013-00145 CITY OF TIGARD SIGN PERMIT
r< ' Permit#: SGN2013-00145
COMMUNITY DEVELOPMENT Date Issued: 12/03/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S112DC00701
Jurisdiction: Tigard
Name of Business: Dominos
Business Address: 15989 SW 72ND AVE
Applicant/Agent:
Work Description: Replace existing wall sign due to logo change.
Permit re-issued 2/25/15 with correct address(see comments for additional information).
Permanent: Yes Freestanding: No Freeway: No
Temporary: 1 Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2'8.5"x 13'
Total Sign Area: 35
Wall Area: 311
Wall Face(Direction): North
Sign Height: ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: No
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: 1e -,SSu-t cl al.A.c
Permittee Signature:
CITY OF TIGARD SIGN PERMIT
1 ! Permit #: SGN2013 -00145
COMMUNITY DEVELOPMENT Date Issued: 12/03/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DC00701
Jurisdiction: Tigard
Name of Business: Dominos
Business Address: 15985 72nd
Applicant/Agent:
Work Description: Replace existing wall sign due to logo change.
Permanent: Yes Freestanding: No Freeway: No
Temporary: 1 Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 2' 8.5" x 13'
Total Sign Area: 35
Wall Area: 311
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: No
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: C�tQ � ( CCU_ �—
Permittee Signature: // G
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�" SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site I�Om\rO -S FOR STAFF USE ONLY
Address/ Street Address
Location /5 5 kA) 7Znd- !1VC PermitNo.: S -fia '
Suite /Bldg. # City /State Zip
Oil a � Expiration Date:
' Name " I Receipt #:
/
t i`i4 - i5 0 C . CGw —'
Property f�'e.� en 1�-� Approved By: �
Owner Mailing Address Suite Date: IA - - 13
J 3S D <3W SC lay ' 3� MapfTL #: o? S 11 � 1J C _ 00- 0
city/state Z Phone Zoning: 7 - p ) t / 0
pol- 1C44 0 172z'I5D3) (O Zy -(,3 C LCau13 - 00 - 7 1 3
Tenant or Name Electrical Permit Required? [Y Yes ❑ No
Business P P 00\ f I a S
Building Permit Required? ❑'. Yes X No
— Name
n J + p I Q, Rev. 12/1 /2000 is \curpin\masters\revised\sign permit app.doc
Sign /Id Vai1cat. verot t s 14)AS
Contractor Mailing Address Suite
i su a to permit ` C y
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issuance, a I uJ V 0vJ v_ �
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are 1 1 +. ,� G�coo z/_n� /�� �4
required (Note: pp
reqquired are
if W01 Vv C 60) cG Note: a Itcations will aQt be accepted
expired in the Oregon Const. ont. Board Exp. Date without the required submittal elements)
City of Tigard's License #/05 y o S 9 b) i 15 _
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway
❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary M Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
apply)
® New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
Sign Dimensions: 2 , 1 IL t� - I . ' size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 3 5 . 247 ❑ $50.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) 3 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) O S E W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): Igi 1 " but must include dimensions of wall face and
Projection From Wall (inches): 5'` sign placement.
Copy: Potnr . %.7_7...c... • Wall signs do not require site /plot plans.
Materials: cukkinr∎“wJ"v'. • Freestanding signs over 6 ft. required a
Will sign have I umination? Yes ❑ No building permit.
Type: Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes ® No
If "yes ", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must also be submitted.
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.
DATED this l‘ l �'� / 3 day of , 20 13
it//‘ -L
Signature of Owner /Agent
S+, e,v � c�.c, (lab )3 ( (2
Contact Person Name Phone No.
CITY OF TIGARD
kpproved ........- ._....___._..._. .-- -- -- [X 1
Oondttionally - -- [ ]
For only theworkas e d in 14s, PERMIT NO.
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FACE /16 W/
2.8s T SURFACE HITE ACR VIN IC YL , -- - --
3730-33 RED: UPPER TILE 3/16" 7328 WHITE ACRYLIC
B - 3730 -127 BLUE LOWER TILE FACES
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.050' X 5' ALUMINUM RETURNS 1.-5 " GRAPHIC DETAIL .050 X 5' ALUMINUM RETURNS 1--- 5 • �_/�
EXTERIOR FINISH: WHITE — �% _ EXTERIOR FINISH: PMS 307 BLUE V�
INTERIOR FIMSFL REFLECTIVE WHITE -- NTS INTERIOR FINISH: REFLECTIVE WHITE
WALL ANCHOR ASSEMBLY_
WALL ANCHOR ASSEMBLY _/ AS REQUIRED
AS REQUIRED TRIM CAP. 1'PAI NTED TO MATCH .! —
PMS 307 BLUE • - - --
TRIM CAP: 1 'WHITE - - --•. - —
REMOTE LED POWER _ NOTE: SUPPLIES AS REQUIRED _ _
SUPPLIES AS REQUIRED I
U.L. APPROVED ALUMINUM BAFFLE
ALUMINUM BAFFLE .
3/16'7328 WHITE ACRYLIC A 120 VOLTS 3 /16
FACE W/ 1ST SURFACE VINYL 3- MOUNTING TEMPLATE FACE 1'
FLEXIBLE CONDUIT I INCLUDED FLEXIBLE CONDUIT
.063 - AWMINUM BACK .063-ALUMINUM BACK
' WHITE LED'S AS REQUIRED —
WHITE LED'S AS REQUIRED P - - --
DRAIN HOLE WITH BAFFLE 1—'y DRAIN HOLE WITH BAFFLE -----
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LOGO PROFILE LETTOLE
CCA I_ P R NTS P ROFILE
PIZZA THEATER IMAGE CHANNEL LETTERS
LETTER LOGO LOGO LETTER OVERALL OVERALL AMP BOXED ACTUAL
HEIGHT "D" HEIGHT LENGTH LENGTH HEIGHT LENGTH LOAD SQUARE SQUARE
A B C D E F FOOTAGE FOOTAGE
16" 2'-4 3/16" 1 ' -2 9/16" 96 1/4" 2'-4 11/16" 10' -8 7/16" 0.72 25.61 8.80
1 8 " 2' -7 1 1 /16" 1 ' -4 3/8" 108 1/4" 2' -8 5/16" 12' -0 1/2" 0.72 32.41 11.14
lijia. 20" 2' -11 1/4" 1'-6 3/16" 120 1 /4" ` 2' -11 7/8" -, 13'-4 9/16" - 0.72 - 40.02 13.76 ash k '
24" 3'-6 5/16" 1 13/16" 144 5/16" 3' -7 1/16" 16'-0 11/16" 1.44 57.62 1 9.81
30" 4' -4 7/8" 2' -3 1/4" 180 7/16" 4' -5 13/16" 20' -0 7/8" 1.44 90.04 30.95
Cuatomcr: Date: PrepucdBy: • Calm oagym or .ayron Irks , Papreatiaysyr .Uc„ym„tedrt HBaldrdm NYS DISTRIBUTED BY SIGN UP COMPANY
I t,V,, n•e wcv n, ae provide the cartn FIO macs sad R.iw toil .ik made. 4 11/16" 10'- DOMINO'S 08/29/13 CM rc O p 70021st Street Southwest
po Bo :210
Lrxation: File Name: EOg: Watertown, SD 57201.0210
. VARIOUS 2012 IMAGE REMOTE CL C- PRINTS - R1 DZ S /SN MAKERS / /MASIBUILDERS I 1 1843_9888 ,,.v, . ig.,,.cont
iii CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGAR D
Receipt Number: 194150 - 12/03/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00145 Sign Permit - LRP 100 - 0000 -43117 $23.00
SGN2013 -00145 Sign Permit 100-0000-43115 $155.00
Total: $178.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1201 CCAINES 12/03/2013 $178.00
Payor: Advanced Electric Signs, Inc.
Total Payments: $178.00
Balance Due: $0.00
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