SGN2013-00057 n CITY OF TIGARD SIGN PERMIT
Permit #: SGN2013 -00057
COMMUNITY DEVELOPMENT Date Issued: 05/02/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136DB02400
Jurisdiction: TIGARD
Name of Business: George's Giant Hamburgers
Business Address: 11640 SW PACIFIC HWY
Applicant/Agent: Champion, Roberta
Work Description: Permit existing wall sign, 3' x 8', on the west side of the building. Located at 11642 SW
Pacific Hwy.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3' x 8'
Total Sign Area: 24
Wall Area: 1435
Wall Face (Direction): West
Sign Height: 12.5 ft.
Projection From Wall: 10 in.
Illumination: Internal
Materials: Metal
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $171.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: , C(—
Permittee Signature: not- pre
_,
..
RECEIVED
APR 2 9
• City of Tigard c�rY o� asr'Al�D
Sign Permit Application P►ANNINGJEt �;IN ERING
TIGARD
SIGN 2 e
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: S6N2o 13 -- C'C 7
Location I I Goo 0 SW PACs FIC H WY /
Suite /Bld # City/State Zip U Approve d By: l �
l,At� , OR 97223 Date: 4121! 13
Name Receipt #: , I I tp 7
Property RON 4 RoBE2 -TA CHPIMPIOt4 Map /TL #: ISI3(O D(3024C0
Owner Mailing Address Suite Zoning: C _�
I eo449 LEX(NGTd l CoO2.T Allowable Total Area: 2.15
City/State Zip 9 7034 Phone CASEY
LAKE oSw EGo oz 503- so3- 997-1608
Tenant or Name Electrical Permit Required? El Yes [3 N
Business C FA RGE. ea t P'•T H P.M43U2GEQ,S Building Permit Required? ❑ Yes No
Name Rev. 7/1/12
is \curpin \masters \Land use applications \sign permit app.doc
Sign SYLVAN iA eL.ECTR -1 c LL C.
Contractor Mailing Address Suite
5 328 SE. IO9T''
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
P o2.. - n P D, 02 97 Z(o, 503.358 -7986 (Note: applications will not be accepted
Oregon Const Cont. Board License # Exp. Date
without the required submittal elements)
CC f3* I fo'7 14(o 7 -1 1 4 Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway [ - 3 - )fA 2 copies of site /plot plan, drawn to scale
Sign Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that W Wall El Other
apply) size requirement: 81/2" x 11 ", or 11" x 17"
p copies of elevations, drawn to scale
❑ New sign? 66 Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 31% 8 I size requirement: 8 x 11 ", to 24" x 36"
IJ /
Total Sign Area (sq. ft.): 24 SF $171.00 Fee (Permanent sign, any size)
Si Data Total Wall Area (sq. ft.) = 2. ❑ $54.00 Fee (Temporary sign, any type)
Sign 1, 435 SF
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E 0 NE NW SE SW
Height to top of sign (feet): I 2'- C is • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials: pt.eXl GI.A METAL • Wall signs do not require site /plot plans.
Will sign have �ill Yes ❑ No • Freestanding signs over 6 ft. required a building
Type: 1151 Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes No
If "yes ", a list or diagram of all sign dimensions and square
(OVER FOR SIGNATURES)
foota . e must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I Page I of 2
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back of
this form or submit a written authorization with this application
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
Ale At
Applicant Signature Date
PP �
Signature of Owner /Agent Date
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 503- 718 -2421 j www.tigard - or.gov Page 2 of 2
CITY OF TIGARD RECEIPT
g . 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 191167 - 04/29/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00057 Sign Permit - LRP 100 - 0000 -43117 $22.00
SGN2013 -00057 Sign Permit 100 - 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 22583P CCAINES 04/29/2013 $171.00
Payor: Roberta Champion
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
Wall Area = 672 SF SIGN #1
_ (56' Tong x 12' high) ujoal
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NORTH ELEVATION
Existing Awning Sign : George's Giant Hamburgers (sign area = 192 SF)
New sign: Amazing Auto detail (sign area = 3'x8' = 24 SF)
;i ry OF TIGARD
Approved r>"
Conditionally Approved i , SI614 OMA
For only the work as described in:
PERMIT NO. =1`113 —cX
See Letter to: Follow I I
Attach , [ l
Mt1.1' i■
Job A•dress: 0'1• . IL � Wall Area = 1,435 SF
By: AvAlli j_ ■■ .: Date:
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WEST ELEVATION
New signs: (sign area = 3'x8' = 24 SF)
Typical of 4, this side