SGN2002-00063 A CITY OF TIGARD SIGN PERMIT
l Ait DEVELOPMENT SERVICES PERMIT #: SGN2002 -00063
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/30/02
EXPIRATION DATE:
BUSINESS NAME: BURGERVILLE #40 PARCEL: 2S112DD -0130
SIGN LOCATION: 15650 SW UPPER BOONES FERRYRD
APPLICANT /AGENT: BURGERVILLE #40 ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 50 "X 72"
TOTAL SIGN AREA: 25 sq. ft.
WALL AREA: 1,428 sq. ft. •
WALL FACE (DIRECTION): E
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 10 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign. (Sign E).
MATERIALS: PLST /ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All wo ll be done in accord. - e with approved plans. A sign permit shall expire 90
days from approval date. A temp' - • ign shall expire 30 from approval date. A balloon sign shall expire 10
days frnm annrnval riata
APPROVED BY: _
1 A'-- 4
PERMITTEE SIGNATURE: A
' 7`
DATE: 4/30/02
Mi j i,:i.p 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
vL ,i.7,KV / L L �'C n 21 r xa �
Site `� � � i r � ��ti s i..,t � : J 3 k r j� '1
Address/ Street Address ;4 a r ' , `� ' '' ti ,
, 1 " .� i r :, i t s ',^ <_ •• a'
Location ird S"o St,), u r�irLR Zoo.�t�: -t t &f / � :e [ ,, I ` � t',":::-,:':',
• , :N '
Suite/Bldg. . # City/State Zip e. c 9 ia `"' ( '
x � '':,-.7"4,..t.‘,7#. �
9 Y p .2.4 F lilcf649 " t 4 / '' . , ' ''
Name ��_ii��d 12 . :` _ �� -�
purxa a °
Property No c..c.A-N' i..) /i .U.,
f ,,,,..,,,, s e l �'r, r
Owner Mailing Address Suite )I q"
loft WO . ? r# 5 7T , : v , 1 7 !t i _ .a;
City /State Zip Phone' t
3.400 „ r
//4--N, A% 7O 6`t ¢/S� - 1 : Tenant or Name ;l t,,� i� �° _:1 ,iii s "bl i� ti i . __ -4 m o '
Business �� C.t'Z�14- L � ? k
iti l ima i , r,,, tro,lid{ �e 1,1:. f E ` y a' h ' '
Name a 4 2 � _ ;v,�L . a � eq .• :
Sign I}1VArNi .iA .t&- Z"_K
Contractor Mailing Address Suite
(Prior to permit
/S-S 0.0/4 K IVCe„._
issuance, a
copy of all City /State Zip Phone 36 0 REQUIRED SUBMITTAL ELEMENTS
licenses are � 9
required if �9a4Rn4 A '.JA. ..0.611,_ - .6 3 't 7 ti (Note: applications will not be accepted
expired in the Oregon Const. Cont. Board Exp. Date without the required submittal elements)
City of Tigard's License # ,_ ,
database) /0,3 - 1 . V =1.— / — U_._ /
L Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway
Sign ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Si
g g 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)
4. New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: ( copies, if a building permit is required)
g �p `t X ? Z �� ize requirement: 8' /f x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 2 S - $50.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) ❑ $15.00 Fee (Temporary sign, any type)
Sign Data / 4 Z a
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E db NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 76 but must include dimensions of wall face and
Projection From Wall (inches): /0 sign placement.
Copy: /,., yz._ • Wall signs do not require site /plot plans.
Materials: A. r! /4L11Ns A/ r • Freestanding signs over 6 ft. required a
Will sign have illumination? 71., Yes ❑ No building permit.
Type: Internal ❑External • If work authorized under a sign permit has r' `
Are there any existing freestanding or wall signs at this been completed within ninety (90) days a
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
l ° .6e:ti Er'tuvipaYes ❑ No
If "yes ", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must also be submitted.
•
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 Z% /NTH day of 641 Z-- 1 20 0
Signature of Owner /Agent
j i F / a ,z S�` d 8 a
_� /L_ , Phone No.
enact P son Name
•
•
THE
} Holland, INC.
THE HOLLAND CORPORATE OFFICES (360) 694 -1521
- .i AND BURGERVILLE U.S.A. 109 WEST SEVENTEENTH STREET
RESTAURANTS VANCOUVER, WASHINGTON 98660
To Whom It May Concern:
This will introduce Mr. Steve Slack. Mr. Slack is a designated signee for The Holland,
Inc. in matters of signage at all of our locations. If you require any additional
confirmation please feel free to contact us at 1- 360 - 694 -1521
Thank You
•r
/ //e
Bill Moore, Construction Manager
Receipt #: 27200200000000001571
__..° Date: 04 /30/2002 - gi intE c TIDEMARK
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00059 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2002 -00060 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2002 -00061 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2002 -00062 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2002 -00063 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check ADVANCED ELECTRIC SIGNS, INC. DCP 1149 0 $250.00
TOTAL AMOUNT PAID: $250.00