SGN2005-00246 CITY TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2005 -00246
DATE ISSUED: 8/22/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S 134BC -00101
BUSINESS NAME: CARLS JR ZONE: C -
SIGN LOCATION: 12144 SW SCHOLLS FERRY RD JURISDICTION: TIG
APPLICANT /AGENT: CARL'S JR.
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one rooftop balloon not to exceed 25 feet. Sign #1. Valid from
8/25/05 through 9/3/05.
MATERIALS: BALLOON
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. 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.
a _ ( 1 ati,.,
APPROVED BY: 7 /
PERMITTEE SIGNATURE: �' �° ` rit , "��
DATE: 8/22/2005
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A A fl°: S IGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site Cad.; 7r,
Address/ Street Address Permit No.: J & /J.? o05 — D D aL{ co
Location /a / `/e - Cu) rch,i/i fe „ Rd
Expiration Date: 9 '3 -oS
Suite /Bldg. # City /State Zip a U US
y a La, OR. >da 3 Receipt #:
Name Approved By: e eo -(
°Y-- �.�
Property �Ir�?nfJ LLB Date: - �,?
Owner Mailing C
Address suite 141iOt” (L Map/TL #: /5 /3 cl BC — UU / o /
o? /6& Ka4j(tc 6 ' v Zoning: C G
City/State Zip Phone
17tlnolw % /o8 /S Electrical Permit Re
Tenant or Name Required?
ID Yes No
Business C a, 4- /; 7 r Building Permit Required? ❑ Yes No
Name Rev. 7 /1/05 is \curpin\ masters \revised \sign permit app.doc
Sign i _
Contractor Mailing Address suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements) •
licenses are .
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of
database Tigard's License # El Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard Balloon [II 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions:
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City El Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes []' building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall_signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes El■o _
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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.
DATED this day of , 20
•
Signature of Owner /Agent
P a,rSti 7
Contact Person Name Phone No.
A CITY OF TIGARD 8/22/2005
13125 SW Hall Blvd. 9:42:14AM
,#111 j 1�� Tigard Oregon 97223
A (503) 639 -4171
Receipt #: 27200500000000004053
Date: 08/22/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00246 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2005 -00246 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
CreditCard ROVERT MARSH/CKE CAC 042055 In Person 18.00
RESTURANTS
Payment Total: $18.00
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