SGN2018-00053 CIT Y OF 11C,ARE. SIGN PERMIT
COMMUNITY DEVELOPMENT Permit#: SGN2018-00053
F f(;1�1t I) Date Issued: 07I0912018
13125 SW Hail Blvd Tigard OR 97223 503 718.2421 Parcel: 1S136CCO2100
Jurisdiction: Tigard
Name of Business: Dutch Brothers
Business Address: 11744 SW PACIFIC HWY
Applicant/Agent: Nenng Marcia
Work Description: New wall sign approximately 10 square feet located on the east facade The sign will
be internally lit
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 3.7 x 2 75
Total Sign Area: 10
Wall Area: 196
Wall Face(Direction): East
Sign Height: 20 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum, Plex, LED
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $203 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:
D
RECEIVED
City of TigardII 018
14 ■
COMMUNITY DEVELOPMENT DEPARTMENT JUN 2 6 2
CITY OF TIGARD
Sign Permit Application PLANNNG/ENGINERING
TIGARD
SIGN LOCATION REQUIRED SUBMITTAL
Address: I 1 1)/1 S Pad,;h. It Suite#: ELEMENTS
City/state: ' .54,r4 Zip: � �)3 ❑ 2 copies of elevations on 8 "x 11"
Tenant or business: 4-6 C7t/2
.N IOS . or 11"x 17"pages(Wall sign
elevations must include dimensions
ci -4.4-(;k
Il^ of sign and wall face and show the
Property owner name: l r► �y� location of sign on the wall.
Address: d,.3 5"") C /.n Freestanding sign elevations must
City/state: S ker.L..; R. Zip: Cri 1 y
be drawn to scale.)
Phone: 5)3-344 (p;2'1S Email: /31 A ❑ 2 copies of site/plot plan,drawn
to scale,on 81/2"x11"or 11"x17"
rC�n S,�� n A pages (not required for wall signs)
Sign contractor: [�7 ii k l
Address: R9S� �J��, � ❑ List or diagram of all existing sign
rr 1 OS L p dimensions and square footage
City/state: ( DA- Zip: o - ❑ Application Fee
Phone: 5'1 I •6 y-(0229 Email:r'Ylat Qbbcoe s yc:, \
CCB License #: 1(;34-4)t, Expiration date: 3 [2.1 9 NOTES:
Contact person: M thee Jet-AA • Freestanding signs over 6 ft.in height
LD and walls signs of which any element
c.2 F: n CwA. weighs 20 lbs.or more require a
SIGN DATA (Compete all items in this section) building permit for construction.
�� If any element of a wall sign weighs
2 70 lbs.or more,plans must be prepared
TYPE (Check all that apply) by a structural engineer.
CST New sign ❑ Freestanding ❑ Electrical • Building permits require 2 sets of
❑ Alteration to ❑ Freeway C'Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign 111Roof ElOther and 2 sets of engineering must be
Sign #: submitted with building permit
application.
.I'
Sign dimensions: .3..(f.5.'T h) x_ .1 (w) = 10 sq.ft. sign area
New sign: I 0 sq.ft. + Existing sign area 0 sq.ft. = I'6 Total FOR STAFF t'S E ON l.ti
Total sign area: IC_sq.ft./ At, building face sq.ft.= _S %of bldg face Case No.: -�bN 2-0(g _00053
SlJ
Height to top of sign: 2-0 ft. Projection from wall: 5 in.
Related Case No.(s):
Materials: Avr►l;l►wwn plrc-i , L.e_d S Fee: 2-0
Application accepted:
Is the sign under 20 lbs.? Yes ❑ NoBy: AL Date: (.Q Z
(Building Permit required if over 20 lbs)
�) Application determined complete:
Direction wall faces (circle one): N S V W NE NW SE SW
By: Date: (P 2
Will the sign have illumination? [WYes ❑ No
If yes,what type: 1,-4nternal ❑ External I:\CURPLN\Masters\Land Use Applications Rev.03/03/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-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.
/ flat f.le, /1)/e.i%:).)
A..1 c. is signature Print name Dat
A-Q ILO (9r 04 of stilt
Owner's signature Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2
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Date:j,5-r-/— /> 1
ES&A Sign 8 Awning
89975 Prairie Road
Eugene,OR 97402
541-485-5546
1
Re:Dutch Bros# �'
Address:
1
11746 SW Pacific Hwy.
Tigard,OR 97223
To Whom h May Concern:
r
yyyy�� / the undersigned acting as one of the following:
agent,ar,landlord,owner/landlord,hereby authorize ES&A Sign&Awning, its
Companies,affiliated companies and parent companies of every tier,and each of their
directors,officers,
shareholders,employees,agents, representative,successors,and
for and secure all required permits.
assigns;to act as Authorized Agent to apply i
This authorization is applicable to the aforementioned subject property and is not applicable to
any other location(s).
/ Date: �'J /
AV i. f/_
Signature: r ;'
Printed Name: / : f ` i - > - :_ 44
Title:.
Phone: -
Email: .r/ J -- .
Pie return this document to The above
mentioned askitess, via email to rjohnsors_a_sig_ns.comm CC: maria.kilbor d chbras.cio!ns via fax(541) i,
485-5813, Ann:Nick Johnson. ;`
. i
ne. OR 97402 T 800.285.3547 541 485 5546 , %'. - . -
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FACTORY SCOPE OF WORK:MANUFACTURE&INSTALL(3)ILLUMINATED WINDMILL LOGOS
DRAWING
FINISH
SHOP DRAWING#:
25888c
GANI
DUTCH BROS D8145 DBW10 SIDE VIEW ATTACHMENT DETAIL
1744 SW PACIFIC HWY SCALE:1"=1'-O" SELF CONTAINED CHANNEL LOGO
TIGARD,OR 97223
RAH Of SHOP DMWING:
2/5/18
SHOP REIIISIONS: I LAG SCREWS • °
(MIN 6 PER UNIT)
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INTERNALLY ILLUMINATED FACE-LIT FLUSH MOUNTED CHANNEL WRAP LOGO
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WHITE ACRYLIC FACE.
230-127 INTENSE BLUE PSV OUTLINE.
LED ILLUMINATION.
COLOR CODE FLUSH MOUNTED SELF CONTAINED INSTALLATION.
■ 230-127 INTENSE BLUE PSV
WHITE
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FACTORY INSTALLATION
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SHOP DRAWING#:
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WENT:
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11144 SW PACIFIC HWY
TIGARD,OR 91223 \'\
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INSTALL NOTES: PICK LIST
REMOVE EXISTING WINDMILL LOGO.
INSTALL NEW WINDMILL LOGO AS SHOWN. 3 WINDMILL LOGO
HOOKUP TO EXISTING POWER. TOUCH UP PAINT
INSTALLATION HARDWARE
SIGNED: DATE:
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