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SGN2005-00126 C ITY OF TIGARD SIGN PERMIT PERMIT #: SGN2005 -00126 _al 'II DE VELOPMENT SERVICES DATE ISSUED: 5/3/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134AA -01900 BUSINESS NAME: BURGER KING ZONE: C -G SIGN LOCATION: 10115 SW NIMBUS AVE JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' -6 "X18' -4" TOTAL SIGN AREA: 45 sq. ft. WALL AREA: 480 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) 45.8 sq. ft. permanent wall sign. MATERIALS: PLAS /ALUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 37.00 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: PERMITTEE SIGNATURE: DATE: 5/3/2005 T ., A � a SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project .1-�-,r —Z rs Z Site �L � f<1 K.:3 -}1—� �/ FOR STAFF USE ONLY Address/ Street Address Permit No.: _'N Zzo.5 --civi 2 .45 Location /O/C' , Si.42' ti ! ILI eS Suite /Bldg. # City /State Zip Expiration Date: --f r`t -wt rU q.- -nz,� Receipt #: s nom( 9 33 Name Approved By: p Property KIA- 1'Z-�i'i■. 12. �(ia- i,t1Z•U ' S Date: /,3KN5 i Owner Mailing Address t3Zr/r / Suite Map/TL #: S Gt ti' L Zoning: City /State Zip Phone Tenant or Name Electrical Permit Required? 1:9'}-Yes ❑ No Building Per mit Required? Business(,,L42 �L-t42 g ❑ Yes Eh No Name Rev. 1/3/05 is \curpin \masters\revised\sign permit app.doc Sign `- 45CafL C f ontractor Mailing Address I., • Suite (Prior to permit `�`� REQUIRED SUBMITTAL ELEMENTS issuance, a U-?`f 5 5 /'f 1. (Note: applications will not be accepted • copy of all City /State Zip Phone without the required submittal elements) • licenses are required if i L`Z't iC 7 z Z- (1 expired in the Oregon Const. Cont. Board Exp. Date El Completed Application Form City of Tigard's License # •.� � c,�� database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Proposed (3 copies, if a building permit is required) Sign ❑ P ermanent El Freest ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign all that El Temporary Wall ❑ Electronic apply) ❑ Other ❑ Billboard El Balloon ❑ 2 copies of elevations, drawn to scale MI:Jew si n? (3 copies, if a building permit is required) g ❑ Alter to existing sign? , size requirement: 8 x 11", to 24" x 36" Sign Dimensions: z / 6 5t / �Ci /. ❑ $37.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft): q.5 . s, ❑ $17.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City el- C ti y ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W 0 NW SE SW Height to top of sign (feet): / 3 L • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and sign placement. Copy: +'z{w$-L. k cc.-- • Wall signs do not require site /plot plans. Materials: p�...i %;4.Lr ♦ 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: ErInternal ❑ 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 10 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 -t. aci , 20 m. Signature of Owner /Ag nt w � 5 C ntact Person Name Phone No. • • CITY OF TIGARD 5/3/2005 13125 SW Hall Blvd. 12:00:20PM Akt Tigard, Oregon 97223 .. (503) 63 9-4 17 1 Receipt #: 27200500000000001950 Date: 05/03/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00125 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00125 [LRPF] LR Planning Surcharge 100 - 0000 - 438050. 5.00 SGN2005 -00126 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00126 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $74.00 Payments: Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid Check TUBEART SIGNS & SPORTS KJP 2411 In Person 74.00 DISPLAY Payment Total: $74.00 cReceipt.rpt Page 1 of 1 BURGER KING ATTACHMENT . NTS MOEN - Maw' [AiII 2 of g/9rEngli g Op ©n 11 3/8u 10 011 t t 4 NM MOIL OIL -1 11 Q EACH POINT new' e�w SIGN WT. 300LBS TEINMEW