SGN2002-00060 CITY OF TIGARD SIGN PERMIT
4��II DEVELOPMENT SERVICES PERMIT #: SGN2002 -00060
I DATE ISSUED: 4/30/02
F " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: BURGERVILLE #40 PARCEL: 2S112DD -0130
SIGN LOCATION: 15650 SW UPPER BOONES FERRYRD
APPLICANT /AGENT: BURGERVILLE #40 ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 11'4" X 85"
TOTAL SIGN AREA: 65 sq. ft.
WALL AREA: 0 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated freestanding sign. Not to be placed in
public right -of -way. (Sign B) Pre - existing sign, new sign is reduced in height and
sign face square footage.
MATERIALS: ALUM /STEEL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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. All work wil done in accordance . th approved plans. A sign permit shall expire 90
days from approval date. A temporary ign hall expire 30 day ro approval date. A balloon sign shall expire 10
days from annrnval riatr?
APPROVED BY: kfat-€ I
/
PERMITTEE SIGNATURE: .,// - • ' �� ' ..
DATE: 4/30/02
,•••••••-• 4Ib . , .
,i , 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
Site .'�-�' �.V 1 �L.. � t � , t ',It- f : :: i :. e -�1 ;`°I: r ? .` Y'
Address/ Street Address . i'.t � �. ;� } ZFo ''� p ,, � ' � , ,
Location /S6 So .5,4...), u r'ir .j300a -44I /G�� T r1 rg i f � . , � , L 4rRY.t v. gt a >
Suite /Bldg. # City /State Zip i r ` s , _'Vq: " s e "..1 ' * q � � ':',3.,3‘•,,'",, `
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Name
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Property /7O'..c. 4N /A-GC., 1 E '�` -..
Mailing Address Sui . ` tt , 1 ;.u.....
Owner g „
/04i to . 11 rn 5 .`s i i) / c1 ,, ' .„,
City /State Zip Phone V lc-IL o ..11p �
360 >
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Tenant or Name E, , . - ti , .
Business . ?>1.&.4-€:12,1./ i ii.. .?>1.&.4-€:12,1./ l., ti_ } � , f ¢ { p ° i
w ' ",!la a r ,r I i t lld u�T 1 i 't4 k : . `t
Name a 4 u
Sign
/-�{��lAI i I"' C4-7-141(--- r'd L I Via.' ....: , L: 14 a._a.,T.w..l.,,. °..-.sa!1 .(:.6.: .'.,r -;
Contractor Mailing Address Suite
i Prior c permit 4..C..5 o..ar, iv%1VZt
issuance, a
copy of all City /State Zip Phone 34, O REQUIRED SUBMITTAL ELEMENTS
licenses are
required if k 4!4. 7ed14- L-63 3 9 70 (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 #
database) /O.- 40 j `7— / i .— U d
ca Completed Application Form
Proposed Permanent Freestanding El Freeway i /
Sign [� 2 Copies of Site /Plot Plan, Drawn to Scale
Si
g L] Temporary Li Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard Balloon
apply) ❑ size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
Sign Dimensions: J 14 X c3:-C- // size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ❑ $50.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) ❑ $15.00 Fee (Temporary sign, any type)
Sign Data 2 (-
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): ,./. 0 but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: /ice/ ,/(%�Nyc • Wall signs do not require site /plot plans.
Materials: },y/ -17-5--4.__ • Freestanding signs over 6 ft. required a
Will sign have illumination? 1. Yes El No building permit.
Type: Internal ❑External • If work authorized under a sign permit has r
`
Are there any existing freestanding or wall signs at this been completed within ninety (90) days a
the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space?
To Ac N 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.
3
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 0 n ' r-11 day of *xi Z-- 20 a z-
Signature of Owner /Agent •
360
irirJ %t �� �/ - 6 8 a 6
e P son Name V Phone No.
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