SGN2014-00040 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2014-00040
COMMUNITY DEVELOPMENT Date Issued: 04/16/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101AA07700
Jurisdiction: Tigard
Name of Business: Allstate
Business Address: 12520 SW 68TH AVE A
Applicant/Agent: Lanphere, Dave
Work Description: New wall sign, approximately 9 square feet, located at 12520 SW 68th Ave on the west
facing wall.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 1.5'x 5'11"
Total Sign Area: 8.875
Wall Area: 1200
Wall Face(Direction): West
Sign Height: 8 ft.
Projection From Wall: .25 in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $0.00
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 Ld
Permittee Signature:
City of Tigard
,
I Sign Permit Application s/F,^, A
TIGARD .ter
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site A(,uTq-i ��..AA`` 7
Address/ Street Address Permit No.: S2 v2DIN– 40
Location /ZSZp Si.) Ca•STm A'i
Spite/Bldg.# City/State P Approved By: All,` GrP
A T I( t4. o Date: M��/�l�'1
L �j722.3 11 b. t'O
Name Fee:
Property An...... LklgZ.ubi Receipt#: 11511
0
Owner Mailing Address Suite Map/TL#:A 2S 10 1 MA-Di/DO - - -
/25210 Sw ioe'� Ave A Zoning: NAVE
City/State Zip Phone S.:�
Allowable Total Area: 1 o
7 1 o,L 9712-1 _
Tenant or Name Electrical Permit Required? ID Yes �No
Business Q l-tSTre-X"
Name Building Permit Required? ❑ Yes ,INo
Hannah Sign Systems LLC Rev.6/24/200
Sign I:\CURPLN\Masters\Land Use Applications\Sign Permit.doc
Contractor Mailing Address Suite
1660 SW Bertha Blvd.
City/State Zip Phone
Portland,OR 97219 5039468373 REQUIRED SUBMITTAL ELEMENTS
Oregon Const Cont Board License# Exp.Date (Note: applications will not be accepted
188772 11/23/2013 without the required submittal elements)
Proposed IS Permanent ❑ Freestanding ❑ Freeway Er Completed Application Form
Sign ❑ Temporary ❑ Roof ❑ Electronic
(Check all that g wall ❑ Other [ 1....-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? 0'2 copies of elevations,drawn to scale
Sign Dimensions:t62. X s' 11 11 (3 copies,if a building permit is required)
Total Sign Area(sq. ft.): size requirement: 8t/z"x 11",to 24"x 36"
Total Wall Area(sq.ft.) ' ❑ Application Fee #/7s
Sign Data /2.04::,
(Complete all Direction Wall Faces(circle one): NOTES:
items in this �,.�
section) N S E� W J NE NW SE SW
i • Wall signs do not need to be drawn to scale, but
Height to top of sign(feet): 8 must include dimensions of wall face and sign
Projection From Wall(inches): 04" placement.
Materials: A-.„Mt..rr.-' • Wall signs do not require site/plot plans.
Will sign have illumination? ❑ Yes S. \() • Freestanding signs over 6 ft. and walls signs of
Type: ❑ 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 iElNo
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 1 503-718-2421 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.
I(
App,cant Signaa Date
106//1/
Signature of Owner/Agent Date
David P Lanphere 503-333-1216
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
5'-10 9/16' /
2 3/16" 1/4" \
Drill Hole and Fill w/Silicone
i - Adhesive
T ::;:;: :::F1 minum Painted
tate Blue Satin Finish.
iity_ :,, ‘.. ang inum To Side t
`Letters To Be 1/4"Thick Aluminum
Logo To Be 1/4"Thick Aluminum --/ Painted MP 2136 Allstate Blue Satin Finish.
Painted Mp11477 White Satin Finish EACH LETTER WEIGHS LESS THAN 5 LB5 1/4"-20 x 2"Long Aluminum Studs 1/4"-20 Nut Spacer
With 3M Translucent Sultan Blue SIGN 15 8.5 5Q FT Welded To Back Side For Mounting
Vinyl#3630-157 Applied 1st Surface.
1/4"-20 x 2"Long Aluminum Studs
Welded To Back Side For Mounting WALL IS 5/8" DRYVIT WITH
3/4" PLYWOOD BACKER
#10 TEK BATH / a.
arEw 8"
5/8"DRYVIT WITH
�» 1 HANGING MAR RI!
3/4"PLYWOOD BACKER
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SIGN WEIGHS 16 LBS CITY OF TIGARD (4 1111
SIGN IS 4 SQ FT Approved [)el
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Conditionally Approved..-.._. v4 OaiUcreweral
For only the work as described in:
PERMIT NO. S G N"Z 0/1-( - 60-0 e(0 Iw�vnroDVters
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•This artwork is final-please review for errors before signing.`if e t ct matches e signs artwork end Is Incorrect we will remake it on a time and material basis
ANNA Prepared For. Prro t Manager Revisions
DstveLanphere �• Daiael0a Da. Approval ®Copyright 2007 Hannah Sign Systems.
This original design and specifications are
A f[S a r Num� Client Signature the exclusive
thproperty
designtoproduh Sign
imilar ms.
Data 8nB/t4 t The use of this design to produce■similar
sign without written wtlwrizatien from
111114SEMIMIDIP , [ `�k NTS Hannah Sign Systems is strictly prohibited
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THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503-206-4900 CCB# 188772
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•This artwork Is final -please review for errors before signing. If the final product matches the signed artwork and is incorrect we will remake It on a time and material basis
Prepared For: Protect Manager. Revlelone
', I �' I Dave IJnphero No D �p�^ Data Approva I ®Copyright 2007 Hannah Sign Systems.
\ { ` t'roJecc Numtron This original design and specifications are
4211=31311 Allstate -_ Client Signature the eusofthproperty o pro Hannah
ceasimSystems.
Data Numb
The use of this design to produce a similar
sign without written authorization from
_��NTS Hannah Sign Systems is strictly prohibited
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THE HALLMARK OF CUSTOM BUILT SIGNS 1660 SW BERTHA BLVD PORTLAND, OR 97219 PHONE 503-946-8373 FAX 503-206-4900 CCB# 188772