SGN2016-00041 CITY OF TIGARD SIGN PERMIT
1111 . Permit#: SGN2016-00041
COMMUNITY DEVELOPMENT Date Issued: 04/04/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102CB03200
Jurisdiction: Tigard
Name of Business: Accident Care
Business Address: 9975 SW FREWING ST 210
Applicant/Agent: Pham,Tom
Work Description: One 45 square foot sign on west-facing wall.Single element 20 lbs.or greater.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3'x 15'
Total Sign Area: 45
Wall Area: 3640
Wall Face(Direction): West
Sign Height: 24 ft.
Projection From Wall: 8 in.
Illumination: Internal
Materials: Aluminum
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:
Permittee Signature: 7
y
• - RECEIVED
71
' City of Tigard APR 4 4 2016
COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF T!GAFi'-)
T I G A R D Sign Permit Application PLANNING/ENGINEERING
SIGN LOCATION
W q REQUIRED SUBMITTAL
Address: to 4Xii�Q Suite#: o2 1 0 ELEMENTS
City/state: T0�SRO, o I=1OR Zip: 6/702.23 2 copies of elevations on 81/z"x 11"
Tenant or business: �J ¢}l exi5 l2 fi or 11"x 17"pages(Wall sign
Pi a Ilaryelevations must include dimensions
Property owner name: +I✓R Ro 0 Z "/,gat,(/Q of sign and wall face and show the
location of sign on the wall.
Address: q 1175 c tii Fgt U(IIAA Freestanding sign elevations must
City/state: 1! Gl IZ GL O/Z Zip: 47,2„2 3 be drawn to scale.)
Phone: — ❑ 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
Sign contractor:i ` Vigi Q/� (a� d C pages(not required for wall signs)
Address: ! f��� 7 d/1)/ S Q�JLf' ❑ List or diagram of all existing sign
N r dimensions and square footage
City/state: ,PF1 t/A4.d Q .p: 47o�3O ❑ Application Fee
Phon��7/'3)/h2 .-,/9irnail. 4 In • .: O.
CCB License#: i7OSSIR Expiration date: ,6744/2,11k NOTES:
Contact person: -non VS • Freestanding signs over 6 ft.in height
and walls signs of which any element
weighs 20 lbs.or more require a
SIGN DATA(Complete all items in this section) building permit for construction.
If any element of a wall sign weighs
70 lbs.or more,plans must be prepared
TYPE (Check all that apply) by a structural engineer.
X New sign
0 Freestanding 0 Electrical • Building permits require 2 sets of
0 Alteration to ❑ Freeway Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign 0 Roof 0 Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
Sign dimensions: (h) x /7 (w) = 45 sq.ft. sign area
New sign: oli7 sq.ft. + Existing sign area 45 sq.ft. = /0 Total FOR STAFF USE ONLY
Total sign area: sq.ft./4 Pl®uilding face sq.ft.= X %of bldg face Case No.: s� 02 0I(G' �'7I
g.Height to top of sign: , // ft.Projection from wall: K in.
nn I Related Case o.(s):
Materials: n Am,i/n 14 my 41 9 3-
Fee:
Application accepted:
Is the sign under 20 lbs.? 0 Yes No By: 1—s Date: Z71/11//40
(Building Permit required if over 20 lbs.)
Direction wall faces (circle one): N S E0 NE NW SE SW Application determined complete:
Will the sign have illumination? Yes 0 No By: L.S Date: y1 /1(�
If yes,what type: p< Internal 0 External I:\CURRLN\Masters\Land Use Applications Rev.03/03/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
•
APPLICANTS
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.
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,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 or 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 required.
%gym► l /,,,2e ,6
Applicant's signaticr Print name Date
e4Rau7 vastly m,/,am, -5117/26/)
Ow s signature Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
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rJob- " Date: LED CHANNEL LETTERS EXPOSED ON RACEWAY
A189 3/17/2016
Customer:
Alexis Lee -V
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Company: D
Accident Care
Address: A % "k, [I) ,
A
9975 SW Frewing St Ste#210 • F.
Tigard '
Pone# 97223 Ap{�"oved b Pl. nni CHIROPRACTIC & MASSAGE
503-593-
1527 _
Page A Seale: Date: / I 1
1 of 3 1/4"=1'
Drawn By: Initials: Lg. 'Mit___ _
David Larsgaard
PROPOSAL SIGN EXISTING SIGN
Drawing Approved For Performance By:
ACCIDENT CARE _ - .
Customer:
iI 1I
CHIROPRACTIC 6:MASSAGE a ..
Date:
Landlord:
IVEDDate:
4
APR 04 2016
ITY OF TIGARi3
16127 NE THOMPSON PORTLAND,OR 97230 ' FF NN
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DESCRIPTION COLOR CHART g I 1°TRIM CAP
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Accident Care ■ .040 BLACK ALUMINUM RETURN
!'P1AB°! CC B#170289 LISTED • 1"BLACK TRIM CAP z
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TOTAL (PAINTED MATCH WALL COLOR) I LED MODULE
The information's contained in this drawing is SQUARE FOOT '4.5 S.fc I/4"DRAIN HOLE
the sole property of Vision Signs,LLC.Any
reproduction or copy without VS's permission WEIGHT 55 LBS WALL LINE
is prohibited
.JoDate: FRONT ELEVATION & SITE PLAN
A189 3117/2016 WEST BUILDING ELEVATION
Customer: "� Il,
Alexis Lee
Company: ;..__._.__:. ---1."'"`-^=.."-a,%zx---: .—..s.... .
Accident Care
it it ii
Address:
9975 SW Frewing St Ste#210
Tigard 1.---....—
OR
.--.®OR 97223
Phone#
503-593-1527
Page&Scale: 130 ft
2 of 3 1/4"=1'
Drawn By:
David Larsgaard
Drawing Approved For Performance BrSITE PLAN
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CCB#170289 LISTED N
LICENSED • BONDED •INSURED
PROPRIETARY&CONFIDENTIAL
The information's contained in this drawl Is I e IC,-
the sole property of Vision Signs,LLC.Any P B W = Primary Building Wall v �- �; �. -
reproducbonorcopywithoutVS'spermisswn SBW= Secondary Building Wall t ' 4, 1.l
is prohibited. f '`