SGN2012-00010 6 ,, CITY OF TIGARD SIGN PERMIT
I 7 t Permit #: SGN2012 -00010
COMMUNITY DEVELOPMENT Date Issued: 02/21/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136AD06000
Jurisdiction: Tigard
Name of Business: Carl's Jr.
Business Address: 11437 SW PACIFIC HWY
Applicant/Agent: Carl's Jr.,
Work Description: Installation of (1) one 69.4 s.f permanent freestanding sign.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 8'- 4 "x8' -4"
Total Sign Area: 69.4
Wall Area:
Wall Face (Direction): East
Sign Height: 20 ft.
Projection From Wall: in.
Illumination: Internal
Materials: Alum /PylonNinyl
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $165.00
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: ie
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Permittee Signature: ic [ .� %)
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42, SIGN PERMIT APPLICATIdig DEIVED
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 7297 SAN 2 7 2012
GENERAL INFORMATION ( 3u/ P � � ot PLANN� GO NGINEERING
Name of Develop
Street Addres �
Address/ r �
Location 9 37 5L-4 aQGI-FIC NINA/ I,> 4 b w ' .
Perm o� '
Suite /Bldg. # City /State Zip �f . : , . � r
Exp ion Da e � �
f O �
4
Name n ,. '*F`t ,,, «szaa s r ;.gp v..
Property I�(W �vo05 p ' v : eh,, , -
Owner Mailing Address suite Da ` N e � x '" _ '.
a , ' ' -rya 774,7 ' S b " + . '' y h' _;
City /State Zip Phone ° sZonlg ; s� r,.. jy .,. � a,
y P3 fi °.5: 4 ,:...=..::::::7.?„,,,,,,, . r 44,4..1
R : ; �
Tenant or Nam ,„ �� a �..� � ` � ���� - i ��t• ,
r
Ten Business t or
av ,. � ". i i' 3 �F � a t v,1 fi ,',.,8,,,;,;'.',7,'4,
CAckis �f L ulldih• Pe i q � • , f , � ,`; s fl o , , •
Nam h ex P, F �?'' 'c s `m 6 4 " 4 , y » � }`'; �'9 �. a #. r 4.,.
R 1 1 20 1 .Invn ers 'e sedtsi_n �- ' �` '`
Sign AJ'v &IrCTT C StC,NS
Contractor Mailing Address S uit e
(Prior to permit
�55o p
issuance, a ry xj111Vaf1 law
copy of all City /State Zip Phone 34,D REQUIRED SUBMITT
licenses are
required if W�p(A� V. 9 goy a15'68a6 (Note: applications will AL not be accepted ELEMENTS
e in the Oregon Const. Cont. Board Exp. Date without the required submittal elements)
City of Tigard's License # 205,405
database) 7� �9 �t y ❑ Completed Application Form
Proposed Z Permanent 4!. Freestandin. ❑ Freeway El 2 Copies of Site /Plot Plan, Drawn to Scale
Sign El Temporary LJ Wall ❑ El (3 copies, if a building permit is required)
(Check all that
Ill Other El Billboard ❑ Balloon size requirement: 812" x 11 ", or 11" x 17"
apply)
New sign? ❑Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
SEE (3 copies, if a building p ermit is required)
A 1 1 A I- (l ; � Sign Dimensions: Q � y� x I t q I� size requirement: 8' /z" x to ^ x 3s^
G Q
,5 �I Total Sign Area (sq. ft.): 9 ❑ $ 59-AA - Fee (P ermanent 11 sign any size)
ANh J Total Wall Area (sq. ft.) ❑ $15.00 Fee (Temporary sign, any type)
Sign Data it/7/4_
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N SE W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): aO but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • • Wall signs do not require site /plot plans.
Materials: /3.4 - AA. , f � • F signs over 6 ft. required a
Will sign have illumination? Yes ernal ❑ No building permit.
Type: Internal ❑Ext • If work authorized under a sign permit has not
been completed within ninety (90) days after
Are there any existing frees anding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, i ncludi ng wall signs that overlap a tenant space? 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.
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back
of this form or submit a written authorization with this application
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
♦ If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
♦ The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
G t—t 546/4 VD -j •
Applicant Signature Date
Signature of Owner /Agent Date
j ' ;6 6.rta6.
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 www.tigard- or.gov I Page 2 of 2
Li
FIELD SURVEY LOCATION REQUIRED PRIOR TO MANUFACTURE
TO MAKE SURE SIGN FITS INSIDE LANDSCAPE AREA
Specifications:
CABINET: ALUMINUM FABRICATED SIGN, RETAINERS AND RETURNS TO BE
PAINTED BLACK.
8 - 4" --I - 2' 1 POLE COVER: (OPTIONAL) FABRICATED ALUMINUM, 14" DEEP WITH TEXCOTE
FINISH AND PAINTED BLACK.
■ 11 !
. . ■ : FACES; NEW WHITE PANAFLEX WITH FIRST SURFACE APPUED
CUT/REVERSE CUT TRANSLUCENT VINYL GRAPHICS AS
ILLUSTRATED.
1 ILLUM.• INTERNAL KO. FLUORESCENT LAMPS
. 7- 1
ALL WIRING & COMPONENTS TO MEET U.L. STANDARDS
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-- - 11.1111111 dlACK
111111.11 REU ViklYL 3fel
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L --- _ __; YELLM VINYL 3V4610415
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69.44 SQ FT
2' RETAINERS -- - 4 CITY OF TIGARD
v. ;9 ,, [ i<
C'3!:ditionally Approved [ ]
For only the work described in:
PERMIT NO. 5a ,x4ta - mei 0
See Letter to: Follow ._ 1 1
Attach [ 1
Job Add e s: 4 Ilke
E3y:
Date:/ ,..
cip NEW D/F ILLUM. PYLON SIGN
END VIEW
CARL'S JR. - NEW DIF ILLUMINATED PYLON SIGN
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r & MARKETING CORPORATION
13580 5th St., Chmo, CA 91710
Tel 909.591.4742 Fax 909.591.9792 Di
( National Sign
e-mail • sales gnsmc.com
Lic# 745030 - Exp. 01/31/13 ____.
Project: Carl's Jr. / Green Burrito /Mew ( Client Approval: R tr .F. F A IP MD Revillow .......
Address: . 1143 SW Pacific Hignffla_.V. TIV/SLOR 9 1. 2 21. - CONSTRUCTION
Phone: _._ __ l Ni Account Mgr. _.. tioenblooni
esgner: ..PAIV,.5.:. Scae: ptcI__ Datc11/9.7/2411_
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a 0 NEW 3'-6" ILLUM. 'CARL'S JR." CLOUD SIGN
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National Sign
APPROVED A Rov _=_____...: _ = Drawing Number
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& MARKETING CORPORATION
13580 5th St., Chino, CA 91710 Phone: A uM 5. o
Tel 909.591.4742 Fax 909.591.9792
e : sales tgmemc.com 'APdrellreect : Ca lw rl'6 5 J 6 r. v r i G r z i ezn m4. ur ity_ rit: y # .564 New i..:0 ,.. K : Client Approval:
_______ otont gr. Kfser •
-
, Designer: .D.AIY...ficaledIgle&i__. Date:11/127/2011... claw RELEASED FOR
CONSTRUCTION
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, ELECTRONIC SIGNS
LIc# 745030 - Exp. 01/31/12
CITY OF TIGARD RECEIPT
.,', 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIQARD.
Receipt Number: 185585 - 02/21/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00010 Sign Permit 100 - 0000 -43115 $144.00
SGN2012 -00010 Sign Permit - LRP 100 - 0000 -43117 $21.00
Total: $165.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1074 KPEERMAN 02/21/2012 $165.00
Payor: ADVANCED ELECTRIC SIGNS, INC.
Total Payments: $165.00
Balance Due: $0.00
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