SGN2004-00075 CI TY OF TIGARD SIGN PERMIT
° DEVELOPMENT SERVICES PERMIT #: SGN2004 -00075
'4 II DATE ISSUED: 4/22/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 110 D C -02100
BUSINESS NAME: CARL'S JR (SUZANNE GALLAGHER) ZONE: C -G
SIGN LOCATION: 15520 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32" X 48"
TOTAL SIGN AREA: 10 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 10.6 sq. ft. sign. Sign must be placed on private
property and not in the public right -of -way or visual clearance area. Political sign
for Suzanne Gallagher. Valid 4/22/04 thru 5/22/04. Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 fro validity date.
APPROVED BY: /<.
PERMITTEE SIGNATURE: Cry `'
DATE: 4/22/2004
04/19/2004 08:52 FAX 5035981960 CITY OF TIGARD 11002
�, �i,,l 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 FOR STAFF USE ONLY
Site CA6 S-,Ig
Address/ Street Address Permit No.: q / 7.--2-k) ` . `f"' 6 / 5
Location / - 6 S Z D - . , . - ! P L Expiration Date:_ f(2.4 vti — 5 17- _/c y
Suite/Bldg. it City /State ZIP q i 2 eA
— 1 - / C9A - ,PO D 0 ! "� Receipt #:
Name Approved By: /gyp ,
Property -fin /1W:i / L -D c-1 - ;,) , 0 b, Ct Date: 4/2,2- 2- I . o 4
Owner Mailing Address Suite Map/TL #:
3 2S7- / cid j C t Z Z Zo ning: C
City /State // __ Zip / Phone
4��A C/ � � Electrical Permit Required? ❑ Yes El--No
Tenant or Name
�� I Building Permit Required? ❑ Yes 0-No ie Business d
Name / Rev, 8/7/2003 i:�curpinlmester9Uevised■sign permit apD.dOC
Sign 4"O !; CA Contractor Meiling Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
Issuance, a without the required submittal elements)
copy of all City/State zip Phone
lic
re quires are Completed App
Form
required it 13 P PP
expired in the Oregon Const. Cont. Board Exp. Date
City of Tlgard's License # - g 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed 0 Permanent ❑ Freestanding ❑ Freeway size requirement 81/f x 11 ", or 11" x IT
Sign E. Temporary ❑ Wall ❑ Electronic
(Check all that other ❑ Billboard ❑ Balloon copies of elevations, drawn to scale
apDav) (33 copies, if a building permit is required)
IEL New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
Sign Dimensions: 32// X 4 g u ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /0.6 S r p $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data {� Jurisdiction: 0Cit El Urb
(Complete all. Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
Height to top of sign (feet): 6 r7 • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches) : --- r sign placement.
Copy: c) ?^D/4���,q6/- M��O�P ' X 1 0 Wall signs do not require site/plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
issuance of the permit, THE PERMIT WILL
location, including wall signs.that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
sic uare footage must also be submitted. •
(OVER FOR SIGNATURES)
04/19/2004 08:52 FAX 5035981960 CITY OF TIGARD II 003
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 4 L 20 O C�
/ 9 ,7DeV
Sig =ture of Owner /Agent
5- ¢ 6- Sg 41
Contact Person Name one No.
CITY OF TIGARD 4/22/2004
13125 SW Hall Blvd. 9:41:56AM
�,�. M �i Tigard, Oregon 97223
U__,, (503) 639 -4171
Receipt #: 27200400000000001667
h ate: 04/22/2004
Line Items: _
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00073 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2004 -00075 [SIGN] Temp Sign Perm 100 -0000- 437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check JOHN & SUZANNE GALLAGHER KJP 284 In Person 30.00
Payment Total: $30.00
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� `4 First American Title Insurance Company of Oregon
- . • An assumed business name of TITLE INSURANCE COMPANY OF OREGON
` 1700 SW Fourth Avenue Portland, OR 97201 -5512
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�� ��� Phone: (503) 222 -3651
This map is provided as a convenience in locating property
First American Title Insurance Company assumes no liability for any variations as may be disclosed by an actual survey
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