SGN2002-00061 C ITY OF TIGARD SIGN PERMIT
4
l DEVELOPMENT SERVICES PERMIT #: SGN2002 -00061
��'JI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/30/02
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: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18.5" X 14'3"
TOTAL SIGN AREA: 22 sq. ft.
WALL AREA: 1,020 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 0 ft.
PROJECTION FROM WALL: 12 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign. (Sign C)
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 •r• will be done in acco lance with approved plans. A sign permit shall expire 90
days from approval date. A to •orary sign shall expire • rays rom approval date. A balloon sign shall expire 10
riavc from annrnval date
/
APPROVED BY — -d
PERMITTEE SIGNATURE: /.1••• �, '
DATE: 4/30/02
,>,i 1l. 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
I _ i L � 40 , . , zk At:".:. ! ;01 ; ok �'I ►� e,,,,. " k ` ` ' � 7 F
Address/ Street Address , '" �+,y a Y� v1 s Y :m 4 u ,`.4"-',
_ ,� a r c .rat 1 x ; - '1 "i c 1
Location . .. t , y '' ' s r ,5
/S SO . u t'rf R $oo, ttkeL `,F say t: � a.� � �. �. � .
Suite /Bld # City/State Zip ' lq sit, ,� �``, " � 'rs ,, � r` r
� P, , ...7. - 1 -- !. .)1,-, 1 il l'i 6 4 . i r : ;' •., '' F t e a a ; � ' r
Name '1=1 - II� 1 � „ - se , ,, :,
Property ,Va 4.4 4-b.4 I.> /A-4 e*- , { .. , f
Owner Mailing Address Suite t tt - ,,,'
t o WO . TO 5 77 xr :i.,/, �
City/State Zip n .+ c��11A(� � `:— ' - ; _s : av „ �
r
(�1- 414, Ziga) 6 ¢i s "-- l ,�, b
k .
Tenant or Name ,, i #E -r I r,. 11� i , ,I u ,,:i v _ l3 , 6„1, A .11 o
Business &. tiZ \/L L L � '',;:1:1.,,,:'.,.,,,q,4-4, ' , �
° l
9 tLi 10 y ID9r.1i; , triFll: I x , m
Name k &.; . ' ` e - `'
Sign
�} 1. VArq e-e A . c-t. - "K -I¢,,`4-( s :1 . W Is V. r ��a ►..� .easT� s .z,
Contractor Mailing Address Suite
(Prior to permit
issuance, a is ;...0 .ar�r tit tt/Q
copy of all City /State Zip Phone 2 , 0 REQUIRED SUBMITTAL ELEMENTS
licenses are
required if k)��� a WA / 4- ...4.43 3 i / D (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) /US J .. "X / r _ - U�
i Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway
Sign n 2 Copies of Site /Plot Plan, Drawn to Scale
Si
g ❑ Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
a Check all that Other Billboard Balloon
pply) ❑ ❑ size requirement: 8' /2" x 11 ", or 11" x 17"
New sign? ID Alter to existing sign? [I] 2 copies of elevations, drawn to scale
Sign Dimensions: p? •i (3 copies, if a building permit is required)
�O� x. /it (•, , ize requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): [$50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) /O v
❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) Q S E W NE NW SE SW ♦ Wall signs do not need to be drawn to scale,
Height to top of sign (feet): /2 '6 but must include dimensions of wall face and j
Projection From Wall (inches): / .Z" sign placement.
Copy: ?c.t/c ♦ Wall signs do not require site /plot plans.
Materials: ,4-7_.L4 • - s4 / /S r L • Freestanding signs over 6 ft. required a
Will sign have illumination? 21..Yes ❑ 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 WILD
location, including wall signs that overlap a tenant space?
BECOME NULL AND VOID.
dE ge �v�
Y es ❑ No
If "yes ", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
, square footage must also be submitted.
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.
/� r N
DATED this �-'Z day of *xi L- , 20 0 z -
Signature of Owner /Agent
E60
enact P: son Name Phone No.
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