SGN2001-00072 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00072
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/17/2001
EXPIRATION DATE:
BUSINESS NAME: GENTLE DENTAL PARCEL: 1 S134AA-01901
SIGN LOCATION: 10115 SW NIMBUS AVE 350
APPLICANT/AGENT: GENTLE DENTAL ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X 22'2"
TOTAL SIGN AREA: 66 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION): NE
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 9 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of(1) illuminated wall sign.
MATERIALS: STUPLEXI
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 I be done in acc nce with approved plans. A sign permit shall expire 90
days from approval date. A tempo sin shall expire 0 d ys from approval date. A balloon sign shall expire 10
rtavc from gnnmval rintP
APPROVED BY: G(X/NG 1
PERMITTEE SIGNATURE: �\
DATE: 04/17/2001
04/06/01 FRI 09:47 FAX 503 598 1960 CITY OF TIGARD Q002
1GN PERMIT APPLICATION
a
CITY Of TIO D^UN1�DtrVE��e 13125 SW Hat!Blvd., Tigard, OR 97223(503) 639-4171 FAX(503)684-7297
GENERAL INFORMATION
Name of Development/Project
Site to E NTL F— D l—W 1-'A L-
Address/ street Address
Location 16115 SCJ NIM v A�1=.
Suite/Bidg.# Gky/State Zip
1,n 4 ARD DP-
Name
Property Or-fv n E 17 av r,4 L
Owner Mailing Address Suitt
city/state zip Phoie
l c, w'/DR
Tenant or Name
Business C7�NT1,.� 'DT3htT'p�1.-
Name
Sign Gi A9.R-'E7-T- 51(4P4 -C ompplt�t
Contractor Mailing Address Suitt
(Pft to permit
g I
issuance,a
copy ofan city/State Zjpj9fi&0 Phote REQUIREQ SUBMITTAL ELEMENTS
seem"aro
squired it ANQ> - UA 540 1093 got (Note: applications will if U be accepted
expired in ttte oregm Const Cont.Board Exp Date without the required submittal elements)
Qty of Tigard's License# tO�p gZfo S.,Z,2..• O
database O
Completed Application Form
Proposed Pf Permanent ❑ Freestanding Q Freeway
®' 2 Copies Of Site/Plot Plan, Drawn to Scale
sign. ❑ Ternporaty [Z wan eiecaonle
(geek all that � (3 poples,If a building pemtit is required)
am [} Other ❑ Billboard E] Saloon size re0rement 8rh`x 11%or 11-x 17"
New sign? 0 Auer to ex sting sign? � 2 copies of elevations,drawn to scale
Sign Dimensions: 1 / M (3 coples,M a building pwrrdt is regrdred)
3 22-2 , size requirerrrent OW x 1 V.to 24"x 3s"
Total Sign Area(sq.ft.): 66.�9 1�1 W.00 Fee (Permanent sign,any size)
Sign Data Total Wall Area(sq.ft.) f4UY�S $15.00 Fee (Temporary sign, any type)
(complete all Direction Wail Faces (circle ono): • wi'
kemt in this NOTES:
section) N S E W NE NW SE SW • Wali sgns do not used to be drawn to scale.
He' ht to top of sign(feet): but must Include dimensions of wail face and
Projection From Wall(inches L. sign placement.
COp : QENT1.E PEE T l- • Wall signs do not require sitelplot pians.
Materials:$TTe6.L- PL.SIC(CILASS • Freestanding signs over 6 ft, required a
Will sign have illumination? ZT Yes ❑ No building permit.
T Internal D Extemal • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit,THE PERMIT WILL
❑ Yes X No
BECOME NULL AND VOID.
If"yes",a list or diagram of all sign dimens ions and (OVER FOR SIGNATURES)
square footage must also be submitted.
04/06/01 FRI 09:49 FAX 503 598 1960 CITY OF TIGARD Qq-0-3
1 hereby acknowledge that I haire read this application, that the information given is
correct, that i am the owner or authorized agent of the owner, and that pians submitted are
In compliance with the City of Tigelyd.
a
DATED this day of T �R 2001
Signature of Owner/Agent
(oQ�222E-T S' -iA) Gy.MPA�J ; 3�D 6,?s
Contact Person Name Phone No.
'
METHOD OF ATTACHMENT
FOR BUILDING SIGNS
FASCIA
( PLEX FACE
MODULE ) 1-1/2 X 1-1/2 X 3/16"
oe ANGLE IRON
PROFILE
-- 4'O.C.
0
1/2"X 3"
LAG &SHI ELD
0 CHID
•
G O M F7-7 A 1114Y
811 HARNEY STREET VANCOUVER WASHINGTON 98660
(360)693-9081 FAX(360)693-5948
I
Receipt #: 27200100000000001606
-4A� Date: 04/17/2001 '
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00072Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check GARRETT SIGN CO.,INC. 0 007350 0 $50.00
TOTAL AMOUNT PAID: $50.00
007350
Garrett Sign Co., Inc. FIRST INDEPENDENT BANK
811 HARNEY ST.VANCOUVER,WA 98660 DOWNTOWN OFFICE
(360)693-9081 VANCOUVER,WA 98668
98-537/1233
S
DATE CHECK NO. CHECK AMOUNT
04/12/01 007350 *******107 . 67*
PAY *ONE HUNDRED SEVEN DOLLARS AND 67 CENTS
TO CITY OF TIGARD
THE PERMIT
ORDER
OF
be4QL
d
11100735011' 1: 1 233053781: 01 00315011'