SGN2019-00135 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2019-00135
COMMUNITY DEVELOPMENT Date Issued: 12/09/2019
T 1[.ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1 S 134AA01900
Jurisdiction: Tigard
Name of Business: Burger King
Business Address: 10105 SW NIMBUS AVE
Applicant/Agent: Dodson, John
Work Description: New wall sign.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 16"x254"
Total Sign Area: 28.2
Wall Area: 1953
Wall Face(Direction): North
Sign Height: 12 ft.
Projection From Wall: in.
Illumination: Indirect
Materials: Aluminum
Electrical Permit Required: No
Building Permit Required:
Total Permit Fee: $228.00
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: //
Permittee Signature:
City of Tigard RECEIVED
iii
COMMUNITY DEVELOPMENT DEPARTMENT
:II ° 9
Sign Permit Application
2
DEC0901
TIGARD cDECITY 0F 9G01
fi pI
—.— RING
SIGN LOCATION REQUIRED SUBMITTAL
Address: 6CI OS STI Nj1MhvS Ate la Suite#: ELEMENTS
City/state: 1+yAr& O Zip: Cill123 ❑ 2 copies of elevations on 81/2"x 11"
Tenant or business: 130C .4— k (-‘(5 4 5215-L- or 11"x 17"pages(Wall sign
J elevations must include dimensions
A_ of sign and wall face and show the
Property owner name: IM�i S4-ti` ,6Sc►C,G S Wlocation of sign on the wall.
Address: °IOC WE. (SI,SGi. St. Freestanding sign elevations must
3 Y be drawn to scale.)
City/state: ROC-11 Gneolt , 1 � Ztp cr J
0-� !1'b Email: thetet1t Q ,ltx .P_u}O'�''C iv- ❑ 2 copies of site/plot plan,drawn
Phone: to scale,on 8'/"x 11"or 11"x 17"
,,
pages(not required for wall signs)
Sign contractor: SILOA " s,,,,, (./�d„1-kL.
❑ List or diagram of all existing sign
Address: l$25 F(Z7y+ 51- Nil , dimensions and square footage
City/state: SIttDNw r 0``' Zip:
�1736( ❑ Application Fee
Phone:11(-(o3 tot' Email: moti-1b e COM,�'a i ym•.46,v\-/
NOTES:
CCB License#: (62617 Expiration date:
426/20
• Freestanding signs over 6 ft.in height
Contact person: kick' 3011401v and walls signs of which any element
weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA(Complete all items in this section) If any element of a wall sign weighs
70 lbs.or more,plans must be prepared
TYPE (Check all that apply) by a structural engineer.
A New sign
❑ Freestanding . Electrical • Building permits require 2 sets of
❑ Alteration to ❑ Wall construction drawings and,if sign is
❑ Freeway existing sign 0 Roof X Otherfreestanding,2 copies of site/plot plan
and 2 sets of engineering must be
Sign#: submitted with building permit
application.
y Zsy,j
Sign dimensions: i tD (h) x_(w) = sq.ft. sign area
G FOR STAFF USE ONLY
New sign: Z D Zsq.ft.+ Existing sign area / sq.ft.=_Total
Total sign area:2. sq.ft. / 14 luilding face sq.ft. =.014/0 of bldg face Case No. /?-O01
Height to top of sign: 11-i ft. Projection from wall: /' in. Related Case No.(s):
Materials: AlAt k.,nVe•^, Fee: 9 078
Application accepted:
Is the sign under 20 lbs.? V Yes ❑ No By: ,j'W Date: IJ//fi
(Building Permit required if over 20 lbs.)
� Application determined complete:
Direction wall faces (circle one)t N)S E W NE NW SE SW
�✓
By: 'U/ Date:___144/1._
Will the sign have illumination? Llq Yes ❑ No
If yes,what type: ❑ Internal X External I:\Community Development\Land Use Applications\02_Forms and
Templates\Land Use Applications Rev 12/14/2017
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
APPLICANTS
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.
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,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 of 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 required.
i44A. ,, „ ,, /0/
Applicant's signature Print name DatI
1 ir ccs �, c -6/1/441A-11, W{e I /a 5//
'
Owner's signature E�� Pr' t name/ �,t,�j�p C/` `'issir. Date
16,
Owner's signature 'int name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
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SPECIFICATION: ilk
FACES• .177"#7328 WHITE PCB W/SILVER PERFORATED
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Burger King - 10105 SW Nimbus Ave Rd - Tigard, OR 97223