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SGN2000-00194 • CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT#: SGN2000-00194 - 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/29/2000 EXPIRATION DATE: BUSINESS NAME: MAIN STREET CLINIC PARCEL: 2510100-0070C SIGN LOCATION: 08200 SW HUNZIKER ST APPLICANT/AGENT: ZONE: I-L BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 23"X 20' TOTAL SIGN AREA: 40 sq. ft. WALL AREA: 741 sq.ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 15 ft. PROJECTION FROM WALL: 12 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Permanent placement of 23"x 20' illuminated wall sign. MATERIALS: ALUM/PLEX EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 50.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90 days from approval date. A tem•o ;ry sign shall ex r 30 days from approval date. A balloon sign shall expire 10 days frnm annrnval r1atP / APPROVED BY: a I app4adi PERMITTEE SIGNATURE: / DATE: 11/29/2000 Va i° CITY OF TIGARD Sign Permit Application Rec'd By Date Reed c�1 r c.L� 13125 SW HALL BLVD. Permanent or Temporary Permit No. Teve• 401:14 TIGARD, OR 97223 Commercial or Residential Permit Fee 6 • • • (503) 639-4171 Receipt No. • AIM' i Please Print or Type. Called Incomplete or illegible applications will not be accepted. Name of Development/Project Are there any existing freestanding or wall signs at this Site W14./j) .5)12201--Cil AA c-• location, including wall signs that overlap a tenant space? Address/ Street Address ❑ Yes ❑ No Location (•C/kms ' 0/144P If"yes",a list or diagram of all sign dimensions and square footage must also be submitted. Suite/Bldg.# City/State Zip TIO/444D eV. 17P0-3 Name NOTE: If work authorized under a sign permit has not Property 's .4.-00, been completed within ninety days after the Mailing Address Suite issuance of the permit,THE PERMIT WILL Owner BECOME NULL AND VOID. I°fl°I Alio. I`Yrl".AL City/State Zip Phone I hereby acknowledge that I have read this application,that the Pa2f !-'A o4. Pas itz71 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. Tenant or Name 4._. Business 0.40-)L) STI�v*m-4-/Jut—. • �fu - - : t / Date ///2/A7 Name y,l 10 4 Yl r 5/0") i�✓�.. - / Sign _ o =ct 'erson `-me Phone Contractor Mailing Address Suite Prior to permit SiXec, cawcz-Z4 Ke4. issuance,a copy City/State Zip Phone D of all licenses ,1-i 97 4?O oor are required ifJ�� � Required Submittal Elements expired in Oregon Const.Cont.Board Exp.Date C.O.T. License#00*3-1,1 2./11/,.cp.3, [Zompleted application form database copies of site/plot plan, drawn to scale Proposed Sign Permanent 0 Freeway (3 copies, if a building permit is required) Check all that 0 Temporary reest mg ❑ Electronic size requirement 8-1/2"x 11",or 11"X 17" . Wall ❑ ote: Wall signs do not require site/plot plans. apply ❑ Other Balloon � 0 Billboard E1 2 copies of elevations, drawn to scale (3 copies, if a building permit is required) E: lew sign? size requirement: 8-1/2"x 11",to 24"x 36" ❑ Alteration to existing sign? Note: Wall signs do not need to be drawn to Sign Dimensions: A4 ( scale,but must include dimensions. 50.00 Fee (Permanent sign,any size) Total Sign Area(sq. ft.): ` 4,0 4. ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area(sq. ft.) I+I ill r Please complete Direction Wall Faces(circle one): each item FOR OFFICE USE ONLY: in thisS E W NE NW SE SW p/TL# ZoningC13,1)�Q section © �� _ d �� Height to top of sign (feet): 1.5` Notes Projection From Wall (inches): IV f Electrical Permit Required? Yes ❑ No Copy: MMP 0/14'rOi-t-t N IC., / Materials: A-w , 10 may-, Building Permit Required? ❑ Yes No Will sign have illumination? No❑ Yes pr ed By: Date f p eli Type: Internal ❑ External a G/ Oration Date: i:\dsts\forms\signapp.doc 11/17/99 Receipt #: 27200000000000001418 _ . Date: 11/29/2000 TRIM Dr K E sMiEiAA R CK Line Items: Case No Description Revenue Account No. Amount Due Tran Code p SGN2000-00193 [SIGN]Sign Permit 100-0000-437000 $50.00 SGN2000-00194 [SIGN]Sign Permit 100-0000-437000 $50.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check HIGHLIGHT SIGN CO. 0 2671 $100.00 AMOLNT PAID: TOTAL A $100.00 I ghlight SIGN 503-620-8205 PARKING t FRO JECT: MAIN STREET CLINIC LOCATION .11($1111r. 12540 SW MAIN St 0110 /128-�O" TIGARD OR CONTACT: MR.JAY OJEDA SALESMAIk 12540 D SW. MAN ST. MAIN ST,CUNIC.CDR I #114 _ SIGN ^LOCATION - . REVISIONa^r- I { 3 I e 3 (;) SITE PLAN QTY :113011•D Apc.tr •apt.. _ [✓ _._........ I 1 _ -:- F-14, NTS Viand+f•.+l'.�+1ro ly Approvl�d...._.......__._ E x, ;wily the work as descritted irk q It '1MIITNO. - r &yrs Lel w•-to- Follow_.._ ..._._.. ..�._...__ [ 1 1. a ' i 4,0i' chld a (.t) r'---(5i---J ,��.__.(,rlliii _ Data:. UM• Iigt ight I SIGN 503-620-8205 _R,c Ec- 2a-c, MAIN N STREETcL �.0 i . _ , ,-;'..,,:_;,,ji-pa: 61/ �C CATcry: N GaRC CONTACT: MR.JAY OJEDA O' (N SALESMAN I l ---- I , i. s-rEv-rMifilri 1 RLE in / 1 MAIN ST CUN .CDR \\\\ :, REVISIONS: k I '' / APPROVE I SIGN FADE.-- /I., / / CABINET 2.8.-0 1 LAGS. y____—\\): tttio3o i 6 EA V2"X6" MOUNTING / l GI ILLUMINATED WALL SIGN {_ `I1 POWER TO �' SGALE: 1/4=1' siGN BY OTHERS , -\ ® SIGN DETAIL \\ \-• ,I NTS f \