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SGN2019-00045 CITY OF TIGARD11,4 SIGN PERMIT COMMUNITY DEVELOPMENT DatePermit d: SGN2219-00045 Issued: 05/30/2019 T I' ,'I. 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S101AA08700 Jurisdiction: Tigard Name of Business: Kassay Family Medicine Business Address: 12511 SW 68TH AVE Applicant/Agent: Morris, Michelle Work Description: Sign 2/2. Projecting sign facing East. Dimensions: 6'x 4'=24 square feet per sign face. Meets the minimum vertical clearance of 8 ft.from sidewalk. Projects 4'into ROW, which is less than maximum 6'. Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: : 6'x 4'=24 Total Sign Area: 24 Wall Area: Wall Face(Direction): East Sign Height: 24 ft. Projection From Wall: 48 in. Illumination: No Illumination Materials: aluminum with aCM pane Electrical Permit Required: No Building Permit Required: Yes Total Permit Fee: $218.00 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. r Approved By: . r-ati- ....alft_r_ Permittee Signature: 1-X/7:6,-,�_...--/_/// : RECEIVED City of Tigard 14 '. COMMUNITY DEVELOPMENT DEPARTMENT MAY 3 0 2019 T t C.A K D Sign Permit ApplicationCITY OF TIGARD PLANNING/ENGINEERING SIGN LOCATIONn �1 /� Address: \ L—CD\k J& �Taw` t'tIM Suite#: REQUIRED SUBMITTAL _ ELEMENTS City/state: ! Tot A,. l V\ Zip: -912 \ CI2 copies of elevations on 81/2"x li" Tenant or business. L—C4_5- _t t -y& i \ ,1 Mrt..At O or 11"x 17"pages(Wall sign elevations must include dimensions Property owner name: JU�,P1A4.:' �('eGk. r\ of sign and wall face and show the location of sign on the wall. Address: (Z `6 C,.:3 i' t t1n 1\ --- Freestanding sign elevations must City/state: is Zip: cl-i -i 3 be drawn to scale.) ° ��- 7.Z0Email: ❑ 2 copies of site/plot plan,drawn Phone:�31V 2j' to scale,on 8','2"x 11"or 11"x 17" pages(not required for wall signs) Sign contractor: '--' i( �(\A(.. _- .k ic_ c I ds ALL lift ❑ List or diagram of all existing sign Address: l VV . j`}Tt.��1S� , p / , dimensions and square footage City/state: °\ 0() Zip: 11 1 V l3 ❑ Application Fee Phone: GC);-2.(6 3. Email: ; - ►k e. 145.COrl° CCB License#: ILAQ75 Expiration date: .h 7 V '• NOTES: person: •V`-.vL Le_.. 0.f� c f (-5 3 Freestanding signs over 6 ft.in height Contact and walls signs of which any element weighs 20 lbs.or more require a building permit for construction. y' SIGN DATA(Complete all items in this section) If any element of a wall sign weighs 70 lbs.or more,plans must be prepared TYPE (Check all that apply) New sign by a structural engineer. ❑ Freestanding ❑ Electrical • Building permits require 2 sets of ❑ Alteration toIV Wall construction drawings and,if sign is ❑ Freeway existing sign freestanding,2 copies of site/plot plan ❑ Roof ❑ Other and 2 sets of engineering must be Sign #: �o submitted with building permit application. 1 IV Sign dimensions: O (h) x_(w) _ 2i sq.ft. si n area " 2"ill FOR STAFF USE ONLY New sign: ©j sq.ft. + Existing sign area 9.'2 sq.ft.=_Total x3`1�j Total sign area: & sq.ft. / building face sq.ft. 2:44 °%of bldg face Case No.: 't. Height to top of sign: 2•44 ft. Projection from (� wall:6.9 in. Related Case No.(s): Materials: A\U 1r�A t+vt11 (Ld541 Fee: 1 li • 't Q Qveel :_\2:retilitApplication accepted: Is the sign under 20 lbs.? Yes NoBy: ''. Date: ` li`t` "° (Building Permit required if over 20 lbs.) Application determined complete: Direction wall faces (circle one): N S E) W NE NW SE SW til By: , t- Date: �l%t Will the sign have illumination? ❑ Yes MI No If yes,what type: ❑ Internal ❑ External I:\Community Development\Land Use Applications\02_Forms and TemplatesLand Use Applications Rev 12/14J2017 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. SIGNA URES of each owner of the subject property required. K \c_ � Mocc ' 5 7. tI (cf App cant's signature Print name Date Owner's signature Print name Date Owner's signature Print name Date SIGN PERMIT APPLICATION City of Tigard • 13125 SWC'Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2 RECEIVED MAY 30 2019 CITY OF TIGARD PLANNING/ENGINEERING DATE: 5 29 2019 Regarding: 12511 SW 68th Ave (suite 200) Tigard OR 97223 Tigard Triangle Properties To whom it may concern at city or township- As the owner of the building at the above referenced location I do hereby give authorization to Rudnick Electric Signs LLC, and or the licensed sign vendor to secure permits, variances, and perform s:_n installations,removals or maintenance at the above referenced property_ Thank you for vour cooperation In this matter_ Sincerely, James Randall Printed Name: /, gr Title:Presiden I"ember g) LooAA V\ v._-- U_, "QCA HAVE LANDLORD PUT THEIR COMPANY LETTER HEAD ON DOCUME1MMQQY. 302019 CITY OF TIGARD PLANNING/ENGINEERING DATE: S/42(? Regarding: j Z S7( Svc- 6 gt C7z a D) 2z 3 , To whom it may concern at city or township: As the owner of the building at the above referenced location, I do hereby give authorization to Rudnick Electric Signs LLC, and/or the licensed sign vendor to secure permits, variances, and perform sign installations,removals or maintenance at the above referenced property. Thank you for your cooperation in this matter. Sincerel dew— Printed Name: <-/ pt Title: r 7 4'-0" c EAST BLADE SIGN SCALE:3/4"=1' 3'-6" FABRICATE&INSTALL ONE(1)DOUBLE FACE NON ILLUMINATED BLADE SIGN. Aluminum Sign Panel 6 5, 3" TUBE SUPPORT BARS I ACM Sign Panel PAINT POLES SILVER&WELD TO ALUMINUM BACKS • ° ° I . i . /—Mounting Plate ATTACH TO BRICK WITH MOUNTING PLATE WELDED TO 1!t. 1\L END WITH PRE DRILLED HOLESTO SCREWTHROUGH INTO WALL K S S 1 Begg 3"Square Tube KASSAY PANEL: - FAMILY MEDICINE j ;. Stand Offs LAYER ACM PANEL(WHITE)WITH STAN OFFS) 'II' ` 1 �,. r VINYL COPY&LOGO TO BE 3M 180C-57 OLYMPIC BLUE R-=' 1"BRUSHED ALUMINUM STAND OFFS IN EACH CORNER MOUNT TO EATING IS A LIFESTLE o4-.)ALUMINUM PANEL .� � 911 1 FONT:INTERSTATE UI a 4 IT`S JUST THERAPY FONT: A • „ INTER UI SEMI BOLD -i TENANT PANELS: --.., ., LAYER ACM PANEL(WHITE)WITH STAN OFFS) ALL UPPERCASE �� , � "` KEMRAJ ;��� VINYL COPY&LOGO TO BE 3M 180C-57 OLYMPIC BLUE . �, PHYSICAL THERAPY , ;1 ,4�1 1"BRUSHED ALUMINUM STAND OFFS t 0.IN EACH CORNER MOUNTTO REGENERATIVE STAND OFFS 7i A,s - ALUMwuMPANEL HEALTH SOLUTIONS ' i. wedge anchors fir 7 '1-'3;;; I-..!'....,1V-...10.: 6':....''. Ott x � �','� r "' is S J four per support plate attachment method til 4F; END VIEW attach to brick fascia Scale: NTS wedge anchors ' anchor size"as required" eight anchors(8)four per plate sign weight . . 41 COLORS 150 lbs. total sign weight I j7-1 NATURAL ALUMINUM FINISH jj I I WHITE `'- I Mil 3M 180C-57 Olympic Blue Opaque Vinyl CITY OF TIGARD **verify color with customer** CITY Approved by Planning Date: c-'50 i Initials: Revisions Kassa FamilyMedicine R IC Steven Rudnick Client Date: 4.4.19 Approval Estimation File Name y steve{n udnickelectricsions.com pp Finalized with James Certified® © Copyright is Si S .AY correct fonts 5.3.19 mrembe. Rudnick Electric Signs,LLC 1400 Southeast Township Road, K A S A 1 Project Manager:Steve Rudnick Approval Sales add new logo kern letters 5.15.19 This original design&specifications are Job# KassayFamMed_V6 Canby,OR 97013 INTERNATIONAL the exclusive property of Rudnick Electric Signs LLC I U FAMILY MEDICINE .a SIGN ASSOCIATION (503)263-3600 Financing Available Through: The use of this design to produce a similar sign 11251 SW 68th Ave. Design: MWM Approval Client n.-/>"`<•/\ without written authorization from Rudnick Electric _.. www.rudnickelectricsi ns.net •FERNW°°D cAFrrAL NORTHWEST SIGN COUNCIL Signs is strictly prohibited. �cc A k iEA4TNG SHEET NUMBER 2 of 3 P LOT P LAN : . 0 . ri i .f. �; �1 .; #1 3 • Kira #3 BLADE SIGN WALL SIGN #2 & ADDRESS #'S 3 A ;-'4. : , .... 1 ..... . .. . 4,.., ..,. . . „ ,_-.. ,,... ... ...„...,..„„ , .., . .. ......, .,.;. ... ,; „;. „,.. .. 4 f'. 1 0 bra Steven Rudnick Revisions Kassay Family Medicine p ��� Client Date: 4.4.19 Approval Estimation Certified® File Name /'� steve@rudnickelectricsigns.com Finalized with James © Copyright 2014 K A S S AY correct fonts 5.3.19 Member Rudnick Electric Signs,LLC KassayFamMed_V6 =-3 1400 Southeast Township Road, Project Manager:Steve Rudnick Approval Sales add new logo kern letters 5.15.19 ill This original design&specifications are Job 4 Canby,OR 97013 INTERNATIONAL FAMILY MEDICINE the exclusive property of Rudnick Electric Signs LLC *SIGN ASSOCIATION The use of this design to produce a similar sign �' (503)263-3600 Financing Available Through: s 11 i 51 SW 68th Ave Design: M�n/M Approval Client e / � without written authorization from Rudnick Electric LLC www.rudnickelectricsigns.net FERN °°D r.ArrrA. NORTHWEST SIGN COUNCIL Signs is strictly prohibited. USING SHEET NUMBER 3 of 3