SGN2008-00189 CITY OF TIGARD
SIGN PERMIT
IT!
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00189
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/8/2008 PARCEL: 2S110DC - 02100
BUSINESS NAME: CARL'S JR ZONE: C -
SIGN LOCATION: 15520 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS:
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 24 s.f. banner. Valid 10/11/08 - 11/11/08. Sign
#1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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.
APPROVED BY: �/ y`�
PERMITTEE SIGNATURE: )C I` CO� r
DATE: 10/8/2008
V SIGN PERMIT APPLICATION
City 9f Tigvv1 Permit Center 13125 SW Hall BIuL, Tin Tigancl OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site �(��
Address/ Street Address Permit No.: S`- L _ o� 001
Location l`JSZb !.J PPC,l FIc l p lo ( 9 — Ir I
Suite /Bldg. # City/State Zip
Expiration Date: (f J ( /p
— 1 " la)RAZ4, c z 22-.9 Receipt #: ? 3 Y9 8
Name Approved By
Property O J C- R1- nEv►LN Date: `o/ 1
Owner Mailing Address Suite Map /TL# :
1-Zh,S 3) 1.‘104)000 T Zoning: tit , 7
City/State Zip Phone
W Lw vi L1 ,OL 9 WAD (92.) gve 2- 6 4 1 t i Electrical Permit Required? ❑ Yes [(No
Tenant or Name
Business CAA 91. s 7 Building Permit Required? ❑ Yes 14
Name Rev. 7 /1/07
is \curpin \ masters \Land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to perrn4
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign x Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 " x 11 ", or 11" x 17"
apply) q
® New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
sv 5q FT ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data aq F-' ❑ $19.00 Fee (Temporary sign, any type)
(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, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
&pY • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes 0 No permit. .
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME ,
❑ Yes No NULL AND VOID.
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.
DAILD this - T C - 7 N 1 3 c day of 0 T M Q , 20 C b
Signature of Owner /A t
Z_046 < < C3 -- 45e-e-14-so
Contact Person Name Phone No.
1312:ti \\ Ilalll,l \d. I0 :29 :25. \NI
z " 1 marl, t)IZ 97223 303.639.4171
Receipt #: 27200800000000003498
Date: 10/08/2008
Line Items:
Case No i ran Code Description Revenue Account No .-`,mount Paid
SGN200 8-00189 [SIGN] Temp Sian Perm 100 -0000- 4;7000 17.00
SGN2008 -OOI89 [LRPF] LR Plannin« Surchai c 1(10-0000-43805(1 2.00
Line Item Total: 519.00
Payments:
1lethod Payer User ID Acct. /Check No. Approval No. I Receked Amount Paid
Cash CARL'S JR K In Person 20.00
Chan C.O.T. K.IP In Person (1.00)
Payment Total: 519.01)