SGN2015-00116 CITY OF TIGARD SIGN PERMIT
IIII i . Permit#: SGN2015-00116
COMMUNITY DEVELOPMENT Date Issued: 09/30/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101AB03000
Jurisdiction: TIGARD
Name of Business: Pediatric Associates
Business Address: 7150 SW DARTMOUTH ST
Applicant/Agent: Sign Company of Oregon, Meyer
Work Description: One(1)new 62 sq.ft. sign on east-facing wall.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 5'x 12'
Total Sign Area: 62
Wall Area: 2196
Wall Face(Direction): East
Sign Height: 19 ft.
Projection From Wall: 3 in.
Illumination: No Illumination
Materials: Aluminum&Acrylic
Electrical Permit Required: No
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: 111100' , oe
Permittee Signature: Not Present
If .
RECEIVED
`5 61� c- SEP 3 0 2
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• City of Tigard CITY OF TIGARD
Sign Permit Application
PLANNING/ENGINEERING
TIGARD
GENERAL INFORMATION
\amc,,f Ucvch,pmcnt Pngect
FOR STAFF USE ONLY
Site Pediatric Associates
Address/ •Ire0 \Jdres' Permit No.: C itJ:, te— (y)//
Location 7150 SW Dartmouth St. A
pproved By:
suite:Bldg.= c'it, St.us Y.ip C-k-30//S---Tigard, OR 97223 Date:
\..me Receipt#:
Property Retail Specialties Ventures LLC. Map/TL#: n
Owner \laihn>; \,Wrens sunc Zoning: o `�r
61067 Desert Rose Dr. Allowable Total Area:
t_B, 't.u, Lip I'h.wit.
LaQuinta,CA 92253 _ Electrical Permit Required? ❑ s [yo
Tenant or Name
Business Pediatric Specialties Building Permit Required? l es
\:unc Rev.7/1/12
Meyer Sign Co of Oregon is\curpin\masters\land use applications sign permit app.doc
Sign
Contractor \failing.Address Suite
15205 SW 74th Ave
(dim State tip Ph,m REQUIRED SUBMITTAL ELEMENTS
Tigard, OR 97224 503-620-8200 (Note: applications will not be accepted
,„I;,nit.cant.►i„ard License# I[.p.uate without the required submittal elements)
64014 01/29/16
ne/:ompleted Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 2 copies of site/plot plan,drawn to scale
Sign ❑ Tempi wary ❑ Roof ❑ Electronic (3 copies,if a building permit is required)
(Check all that ® Wall ❑ Other t »
apply) size requirement: 8/z x 11",or 11"x 17"
2 copies of elevations,drawn to scale
® New sign? ❑ Alter to existing sign? (3 copies,if a building permit is required)
Sign Dimensions: ize requirement: 81/2"x 11",to 24"x 36"
5' 2" x12'
Total Sign Area(sq. ft.): $ ee (Permanent sign,any size) 4/93
r sq ft.
Sign Data Total Wall Area(sq. ft.) 2 53 El $54.00 Fee (Temporary sign,any type)
2196
(Complete all Direction Wall Faces(circle one):
items in this NOTES:
section) N S 0 W NE NW SE SW
Height to top of sign(feet): 19' 2" • Wall signs do not need to be drawn to scale, but
Projection From Wall(inches): 3n j must include dimensions of wall face and sign
placement.
Materials:
Aluminum and Acrylic. • Wall signs do not require site/plot plans.
Will sign have illumination? ❑ Yes ® No • Freestanding signs over 6 ft. required a building
_ Type: El Internal 0 External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ® No
(OVER FOR SIGNATURES)
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard,OR 97223 I 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.
'72/7 9/3e/ 5-
Applicant S. s Date
C
.� 1 Cl/i /S
Signature of OwW Agen Date
Tony McCormick 503-620-8200
Contact Person Name Phone No.
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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FABRICATION SPECIFICATIONS
• Eli PANEL TYPE 0.050"ALUMINUM
PAINT COLOR DURANODIC BRONZE 1 SATIN
1 2,_0„ U F.C.D. THICKNESS 112"ACRYLIC
PAINT COLOR WHITE!SATIN
/ VINYL ACCENT APPLE GREEN
ATTACHMENT FLUSH MOUNT
2" C.O. THICKNESS 112"ACRYLIC
C PAINT COLOR WHITE!J SATIN
ATTACHMENT FLUSH MOUNT
BACKER FRAME MATERIAL 2"SQUARE TUBE
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1 SIF FCO NON-ILLUMINATED WALL DISPLAY SCALE: 1/2" - 1'-0"
QUANTITY:2 MANUFACTURE&INSTALL 62 SIF EA.
t G 500,5 ART SUPERIMPOSED ON PHOTO.SHOWN AT APPROXIMATE RELATIVE SCALE
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• • This is an original unpublished drawing created for
lit..
sales @meyersigneo.com PROJECT: PEDIATRIC ASSOCIATED NWACCT.MGR: ROB BREAZILE DATE: d BY DATE: BY: •
CUSTOMER APPROVAL: LANDLORD APPROVAL: Meyer Sign Company's customer and the project DRAWING#:
luislverco. WWW.meyersigneo.eom ADDRESS: SW 72ND&SW DARTMONTIiHOP MGR: REVISION All REVISION u planned for the specific needs of Meyer Sign Customers.
These drawings are not to be shown outside your
phone:503 620.8200 TIGARD,OR SCALE : REVISION N REVISION#
organization nor used,copied,reproduced,or exhibited
DATE: DATE: in any way unless authorized in writing by an officer of SHEET OF
•
fax: 503 620 7074 DESIGNER: PAUL RULE DATE : 09.1 4.2015 REVISION• REVISION# Meyer Sign Company of Oregon.
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