SGN2015-00117 o CITY OF TIGARD SIGN PERMIT
Permit#: SGN2015-00117
COMMUNITY DEVELOPMENT Date Issued: 10/19/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2421 Parcel: 2S113AB00500
Jurisdiction: TIGARD
Name of Business: Bridgeport Family Medicine
Business Address: 16083 SW UPPER BOONES FERRY RD 320
Applicant/Agent: Tolke, Deborah
Work Description: Wall sign on SW facade, 52.5 square feet. Halo lit letters with backers and raceways.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 17'6"x 3'
Total Sign Area: 52.5
Wall Area: 7557
Wall Face(Direction): Southwest
Sign Height: ft.
Projection From Wall: 7 in.
Illumination: Internal
Materials: aluminum/lexam
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $197.00
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)/LQ,1 (.( . LCD
Permittee Signature: �� ` CJ `- �
City of Tigard
Sign Permit Application
TIGARD :.
GENERAL INFORMATION
Name of Development/Project
Site Bridgeport Family Medicine FOR USE ONLY
Address/ Street Address Permit No.: 6 V N d O l s -Do I i-7
Location 16083 SW Upper Boones Ferry Rd. �
Approved By: C._-
Suite/Bldg.# City/State Zip
Suite 320 Tigard,OR 97224 Date: I 0 - le? ^ l S
Name Fee: 19 7. 00
Property Receipt#: 4 00 17 3
Owner Mailing Address Suite Map/TL#: Q ,S-i 13 If 8 0d so()
Zoning: I - P
City/State Zip Phone I 3 3 .55
Allowable Total Area: I 1 S f4-
Tenant or Name
Business Bridgeport Family Medicine Electrical Permit Required? El Yes El No
Name Building Permit Required? ❑ Yes El No
Tube Art Group Rev.]0/2]/2013
Sign I:\CURPLN\Masters\Land Use Applications\Sign Permitdoc
Contractor Mailing Address Suite
4243-A SE International Way
City/State Zip Phone
Milwaukie,OR 97222 503-653-1133 REQUIRED SUBMITTAL ELEMENTS
Oregon Const.Cont.Board License# Exp.Date
70956 7/1/17 El Completed Application Form
Proposed ® Permanent ❑ Freestanding El Freeway El 2 copies of elevations on 81/2"x 11"or 11"x 17"
Sign ❑ Temporary ❑ Roof 1►:1 Electronic pages (must be drawn to scale for freestanding sign)
(Check all that ® Wall El Other
apply) ❑ 2 copies of site/plot plan,drawn to scale,on
81/2"x 11"or 11"x 17"pages (required for
® New sign? El Alter to existing sign? freestanding signs only)
Sign Dimensions: 17,611x 3' ❑ Application Fee
Total Sign Area(sq. ft.): 52.50 NOTES:
Applications will not be accepted without all required
Si Data Total Wall Area(sq. ft.)
Sign 7557 = 0.694 Rio submittal elements.
(Complete all Direction Wall Faces(circle one): Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
section) N S E W NE NW SE SW
Height to top of sign(feet): 41' Freestanding signs over 6 ft. in height and walls signs
of which any element weighs 20 lbs. or more require a
Projection From Wall(inches): 7" permit from the Building Division for construction. If
Materials: aluminum /I exa n any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? ® Yes El No plans must be prepared by a structural engineer.
Type: El Internal El External When a Building permit is required, 2 additional
Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding,
including wall signs that overlap a tenant space? site/plot plan must be submitted with application.
El Yes ® No
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
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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,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 below 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.
/0 —/ 5
Applicant Signature Date
see attached
Signature of Owner/Agent Date
Mike Phelps
Owner/Agent's Name (Please Print) Title Phone Number
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 of 2
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IN.0- aluminum 1ares..C63 aluminum returns 3'deep.pain:satin hack 1'4'clear loan back,11Th,ow �. , _ T Family lAedldnr
CE tetra Max and Mini Max 7100k White LED Illumination.125 xaNnum letter/logo backers,3,4',^,asl outside shape et lebers,lopo. "" :j �—:=
Pair to matt,lama color.Attaa:lepers:1apato b�k with 11d'bolts.a8'dla.xIaaluminum NB0 spaces. c '-{
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16003 SW Upper Snares Ferry Rd
•. ' Ste 320
1 4,1 1 t-).):t y Tigard,b'
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Pan head screws
063 alum returns,3"deep
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17'-6" 1/4"clear lexan back,
, - diffused
1 \Individual logo elements 7'-9" TUBE ART GROUP
121/2"h "I 3/4"dia.x 4"long alum tube spacers,
_ Co t _ attach lexan with 1/4"bolts Portland Office d g 4243-A SE International Way
7-:-;••%:•,; oo Milwaukie,OR 97222
T r B�I fGl I rOl f�U to GE Tetra Max 7100k White LEDs.Cel LJ�I J 1..1 503.653.1133
M o 0,, 4\ L �� • ,. 800.562.2854
co- 1 1 l I / r o GE Power supplies f Fax 503.659.9191
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Electrical to be provided This original artwork is protected
1'-31/2" 6"tall x 4"deep fabricated [ / to raceway locations by owner under Federal Copyright Laws.
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,I aluminum raceway,attach to // (verify any obstructions Make no reproduction of this
3'-11 1/2" 13'-6 1/2" concrete wall with 3/8"x 3"lags ✓ behind wall) design concept without permission
1 every 6 feet o.c.
from Tube Art Group.
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Elevation View-Halo Lit Letters with Backers and Raceways 52.50 Sq.Ft. 3/4.125"outside aluminum of letter letter shape backer,
[ 4400
O 1 Scale:1/4"=1'-0" tree logo=35 lbs. � Customer Number
Bridgeport=35 Ibs.
SW Wall area:38.1677 x 198=7557 sq ft Family Medicine=65 lbs. 126919
Proposed sign area:3 x 17.5=52.50 sq ft Quote Number
Sign will occupy:0.694%of gross wall area 126919 Bridgeport Family Med r6
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2 Scale:NTS Adam Calabria
Salesperson
Sabrina Obeso
Drawn By
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Manufacture and install one (1) set of reverse pan halo lit channel logo/letters with 198' 0"Total *� • August 22,2015
backer letters on raceways . Date
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.090 aluminum faces,.063 aluminum returns 3"deep,paint satin black.1/4"clear lexan back,diffused. T° Family M _I,1, ,
GE Tetra Max and Mini Max 7100k White LED illumination..125 aluminum letter/logo backers,3/4"past outside shape of letters/lo o. -
Paint to match fascia color.Attach letters/logo to back with 1/4"bolts,3/8"dia.x 1 1/2"aluminum tube spacers,
painted to match fascia. ' ,e
Revisions
Fabricated aluminum raceways(3),8"tall x 4"deep.Painted Miller CW055W Honey Wind.Attach to wall with ' " ' 5-
3/8"x 3"lags and shields,1 every 4'-0"o.c. t ]Approved
Connect to electrical provided to raceway locations by owners electrician.120V AC. ., w • [ ]Approved With Changes Noted
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Customer Signature
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Date
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Bridgeport Family Medicine
CITY OF TIGARD 16083 SW Upper Boones Ferry Rd.
Ste 320
Approved by Planning Tigard,OR
Date: Ib--(4, - [S'
This drawing is intended f0 provide a
reasonable representation of the final
!n i t i a I s: 22 � O Photo Inlay-SW Elevation manufactured article.Fasteners and seams
in materials may trot be represented
Scale:NTS exactly as they will be fabricated.
OPhoto Inlay-Nighttime-SW Elevation specific on tors.may not accurately depict
Scale:NTS specific colo s.
1 of 2
SIGN LOCATION PLAN AG
TUBE ART GROUP
Portland Office
4243-A SE International Way
Milwaukie,OR 97222
503.653.1133
800.562.2854
Fax 503.659.9191
` t _' r t �.,,as'"* This original artwork is protected
• r under Federal Copyright Laws.
# *; • #`# : t s t• ' 1 — Make no reproduction of this
'•,'- - - - }e ,__ " — design concept withouto
Permission
lit('# s t 1 i from Tube Art Group.
1' `*, _ _)"` 1 'S-i t I i " y.' tom . ,.
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t _7 t i _ a . 4400
r l , �4 l i , i , t , , a r. Customer Number
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126919
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° _ Quote Number
`l - y 1• �, 126919 Bridgeport Family Med r6
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-. File Name
r / r FEl Adam Calabria
_ i?J r_ Salesperson
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H rs \ . _ 's' , ,/' _ ( "3'' Bridgeport Family Medicine
16083 SW Upper Boones Ferry Rd.
A ,:,; ridgeport s Ste320
� Family Medicine Tigard,OR
N This drawing is intended to provide a
reasonable representation of the final
manufactured article.Fasteners and seams
in materials may not be represented
exactly as they will be fabricated.
Colors on prints may not accurately depict
specific colon.
2 of 2