SGN2001-00160 CITY OF TIGARD SIGN PERMIT
a'l DEVELOPMENT SERVICES PERMIT #: SGN2001 -00160
- ref �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/05/2001
EXPIRATION DATE:
BUSINESS NAME: CARL'S JR. RESTAURANT PARCEL: 2S110DC -0210
SIGN LOCATION: 15520 SW PACIFIC HWY
APPLICANT /AGENT: CARL'S JR. RESTAURANT ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 15'7" X 4'4"
TOTAL SIGN AREA: 6.923 sq. ft.
WALL AREA: 1,392 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) non - illuminated wall sign.
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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. • • k will be done in .ordance with approved plans. A sign permit shall expire 90
days from approval date. A t- pora , sign shall ex• - 1 d . ys from approval date. A balloon sign shall expire 10
riays from annmval data ,
i 1
APPROVED B �/g,grA0111117/1111111F`_
PERMITTEE SIGNATURE: �, f
DATE: 0 05/2001
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g*ty,1:1 <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 Qevelopoje
� 1 V I V FOR STAFF USE ONLY
Site }} `` ,�
Address/ Street Addre s Permit No. l�► aCO _ eo ( I
Location eafla4 Expiration Date: ' /� 1 � �� r\ J ,
Suite /Bldg. # City /State Zip
-/ris,(A,4 /' K q7201 Receipt #: . l � ��
Name V Approved By; ( r
Property Date: (9c O f
Owner Mailing Address Suite MapITL #: of J I 1,0 . 1C 1 ' co-1 Exj
Zoning: C
City /State Zip Phone
Electrical Permit Required? ❑ Yes ONo
Tenant or
Business N711. (,() Building Permit Required? ❑Yes No
Name Rev. 30 -Jul -01 is \cumin \masters\revised\sign permit app.doc
Sign
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 Tigard's License # 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ermanent ❑ Freestanding ❑ Freeway size requirement: 8' /z" x 11 ", or 11" x 17"
Sign Temporary 121 ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other El Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36"
❑ New sign? ❑ Alter to existing sign? ` $50.00 Fee (Permanent sign, any size)
Sign i �n o�ns: I r 1/# j
P�� x = _ ` L, L� . ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Qree, (,sp t ; ( -I l ,�
I NOTES:
Sign Data Total Wall Area (sq. ft.) ! • • Wall signs do not need to be drawn to scale,
Si
9 1 1 c3 a but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S E D �` NE NW SE SW • Wall signs do not require site /plot plans.
S 14 I • Freestanding signs over 6 ft. required a
�
Height to top of sign (feet): 1� building permit.
Projection From Wall (inches): O • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: Q Q, ,pskAke--- the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes in No
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this Not a jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? Visa MasterCard
Credit card number / /
❑ Yes Expires
If "yes ", a list or diagram of a sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(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.
l ,, / 414 DATED this !',%! of .. -'- '"%, ;,,,....11. 20
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Signature of Owner /Agen
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Contact Person Name Phone. No.
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Receipt #: 27200100000000003626
�, �..6, Date: 09/05/2001
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001 -00160 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00k
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash CARL'S JR 0 0 0 $50.00
TOTAL AMOUNT PAID: $50.00
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