SGN2002-00062 CITY OF TIGARD SIGN PERMIT
A DEVELOPMENT SERVICES PERMIT #: SGN2002 -00062
DATE ISSUED: 4/30/02
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: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 50" X 72"
TOTAL SIGN AREA: 25 sq. ft.
WALL AREA: 1,428 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 10 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign. (Sign D).
MATERIALS: PLAST /ALUM
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 re• • lations contained in the Til and Municipal Code, State of OR. Specialty Codes
and all other applicable laws. A work ill be done in accord.. nce with approved plans. A sign permit shall expire 90
days from approval date. A to po ry •.ign shall expire 30 'gays ro approval date. A balloon sign shall expire 10
days from annrnval data 1
APPROVED BY: / Ali.'
PERMITTEE SIGNATURE: / / , 111 a � • ` f
DATE: 4/30/02
....----
I l . ,
A
,u.- 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 k` " 4—"U f - � ; , l., v l �,. E�� . d e „
Address/ Street Address ri ! , r * �
Location ',� o x , � i' • 4
Suite /Bldg. # City /State Zip , > s ,�, ' f � I , . , : g
� i ?lls lil le n 1 a. 1 <... < r � .. g.
Name : ' ii+ • Property Ora 4.4.4_,.4 'i› /&u.., :n ,, n
Owner Mailing Address Suite It ll .. 4p £
'
f��.
1°1 {i0. r1' 7-' .'l 101 . t "�:'
City /State Zip Phone
( ef-/1/4/ . 4./4-, k) 6 Y ¢ 1.s (
Tenant or Name ",;;, t�
E_ t,(0 ° .. {. 1, a i,i ,L. Ma S ` �•
Business �� Fell- L. E_ f ' K c ;
i " 1t,� ii d r� !I ,u c� y , ,,, m „.
Name n '7
a I? n e °t ,rr,t t L r ,yr Y ti f .
Sign ,4s vArq ..eA .ier... ' kb- ../q4,1_< � ���: s!; �Lt�. �L�L �1. C a. a.. l.. s ! IL:,. 'x >' �`
Contractor Mailing Address Suite
(Prior to issuance, armit i,....,... Jo.�h KttJz�
copy of all City /State Zip Phone 3(, O REQUIRED SUBMITTAL ELEMENTS
licenses are
required if k��R
, ',9a- 18611 .A.,6 3 3 q 7 D (Note: applications will nat be accepted
expired in the Oregon Const. Cont. Board Exp. Date without the required submittal elements)
City of Tigard's License # , U
database) /V S O _
- Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway
Sign � E3 Copies of Site /Plot Plan, Drawn to Scale
Si
g ❑ Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard
apply) 111 Other Balloon 1 ize requirement: 81/2" x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign? D/2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
g �p // y 7 2-17 ,size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 2 S $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) r 1_28 ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): / . but must include dimensions of wall face and
Projection From Wall (inches): /0 • ' sign placement.
Copy: 4NY& • Wall signs do not require site /plot plans.
Materials: ?c/tS rs /,QL41, 64 • Freestanding signs over 6 ft. required a
Will sign have illumination? 24.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
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
ovcA
Yes ❑ 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.
n T N
DATED this p_ z day of Aaxi L-- , 20 a 2 .-
Signature of Owner /Agent
//1 366
,,22-S 68
L
sact son Name
Tt P Phone No.
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