SGN2010-00148 ,, CITY OF TIGARD SIGN PERMIT
Permit#: SGN2010-00148
COMMUNITY DEVELOPMENT Date Issued: 09/14/2010
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S110DCO2100
Jurisdiction: Tigard
Name of Business: Carl's Jr
Business Address: 15520 SW PACIFIC HWY
Applicant/Agent: Sams, Dave
Work Description: Placement of one(1)permanent wall sign 36"x 8'7"+ 18"x 5'5"
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 36"x 8'7"+18"x 5'5"
Total Sign Area: 33.25
Wall Area: 384
Wall Face(Direction): West
Sign Height: 21 ft.
Projection From Wall: 8 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $164.00
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: JL -1.
A l,(�( (k-C .
Permittee Signature: inn—, cL `tLI CD►A--,
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°,,4-:I SIGN PERMIT APPLICR,P4VED
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (50.778ar
AUG 2 4 2010
GENERAL INFORMATION CITY OF TIGARD
Name of Development/Project
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Site ��p1�.l.J.� Jr�. `,° , i„� rf�, ; 9 exw.
Address/ Street Address p ,�: ?t ,,,,,,„,,,i,,7‘. t1,s-'-'” 4'" ' ''`'".:."
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Location �'5 a0 I Q 1 14WTr
Suite/Bldg.# City/State Zip z a'��: 1.:::::::::::::
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Name sir ''' cr� . `. i 'sf rat +r, . x ,f'"„:�'4e:•.:,4,r
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� s � i �Owner ail Address Suite „:L - ' 4 ; � �,4:-*44 "�
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City/State Zip Phone •" ; � „s %' ,a�
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Tenant or Name ;, ,
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Businessepic ;:,- '` 2 r •
Name
' t,tt gi b.''Yk 4 a '1% ism w t .t . 4.r ' .h ,- '-
Sign ADVANc,f__EICLTK.IC IVNS
Contractor Mailing Address , Suite
(Prior to permit
issuance,a 550 ��WNt�vrlR W
copy of all City/State Zip Phoney REQUIRED SUBMITTAL ELEMENTS
licenses are n
required if woopu ' r, WI (7/ ' .S-68'fo (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# I tio5 '7
database) ro 1{O.,,J /��t� ,
0 Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway
wall ❑ Electronic ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
Sign ❑ Temporary
Check all that (3 copies,if a building permit is required)
apply)
El Other Billboard ❑ Balloon size requirement: 8'h"x 11",or 11"x 17"
®. New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: y� (3 copies,if a building permit is required)
5�E�=" MAAr,i e Dsize requirement: 81/2"x 11",to 24"x 36"
34,`'e $a•t 19,`,c13-,4) .
Total Sign Area (sq. ft.): ❑ 30'170Fee (Permanent sign, any size)
Total Wall Area (sq, ft.) 33, L S ❑ $1 �5.00 Fee (Temporary sign, any type)
Sign Data 3,i? y
(Complete all Direction Wall ces (circle orie):
items in this NOTES:
section) N S NE NW SE SW • Wall signs do not need to be drawn to scale,
I Height to top of sign (feet): '2_I ' but must include dimensions of wall face and
I Projection From Wall (inches): RP sign placement.
I Copy: • Wall signs do not require site/plot plans.
I Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? LIYes I=1No building permit.
Type: III 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
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes ❑ No
If"yes", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must also be submitted.
08725/2014 04:48 13602258299 ADVANCED ELECT SIGNS PAGE 02
08/24/2010 10:48 503E981950 CITY OF TIGARD PAGE 02/13
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.
Qc `
DATED this __ .____ day of AO' 20 It)
--/-:" .Signature of Owner/Agent ---
3co - 211-?97L'l
Contact Person Name Phone No.
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CITY OF TIGARD RECEIPT
11111 � 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 179432 - 09/14/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010-00148 Sign Permit 1003100-43115 $143.00
SGN2010-00148 Sign Permit-LRP 1003100-43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 01403D STREAT 09/14/2010 $164.00
Payor: Susan M Slack
Total Payments: $164.00
Balance Due: $0.00
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