SGN2020-00072 CITY OF TIGARD SIGN PERMIT
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Permit#: SGN2020-00072
COMMUNITY DEVELOPMENT Date Issued: 11/4/2020
T IC'AAL) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 1 S134BD07200
Jurisdiction: Tigard
Name of Business: Trinity Community Church
Business Address: 10900 SW 121ST AVE
Applicant/Agent: Scott, Debi
Work Description: New freestanding sign, approximately 17.5 square feet per side, located at 10900 SW
121st Ave.The sign will no be illuminated.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 40"x 62"
Total Sign Area: 17.2
Wall Area: 0
Wall Face (Direction):
Sign Height: 4.6 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials: Aluminum,Acrylic,Vinyl
Electrical Permit Required: No
Building Permit Required: Yes
Total Permit Fee: $231.00
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: 161.NO Xtit'W.b/b
Permittee Signature: See application
City of Tigard RECEIVED
IIIII Ie COMMUNITY DEVELOPMENT DEPARTMENT OCT 2 9 2020
'I'IGARD Sign Permit Application CITY OF TIGARD
PLANNING/ENGINEERING
to
SIGN LOCATION
REQUIRED SUBMITTAL
Address: 10 106 St,: i 2I A V i- Suite#: ELEMENTS
City/state: -"C 15 nr Z _Ca- Zip: eI 7 ,? 3 0 2 copies of elevations on 81/2"x 11"
Tenant or business: "Tr in t},� C� h,r„�u,n,-I C,�.rc:f. or 11"x 17"pages(Wall sign
elevations must include dimensions
of sign and wall face and show the
Property owner name: Trent} Cie,rvy mur,l .N4,,/'e.�
'3< � C location of sign on the wall.
Address: 10i cs c Ai.., 1211 S;- 14 a 7 e_ Freestanding sign elevations must
City/state: T t.ea i 04:.. Zip: 'Al a c)3 be drawn to scale.)
❑ 2 copies of site/plot plan drawn
Phone:St3-5`lv-CieS3 Email: StophiAv-irtn, e,ari
to scale,on 81/2'x 11"or 11"x 17"
snot re uired for wall signs)
pages 9 gs'
i contractor: r -� L L
Sign /� J� l�n C a k S��n 5 L
1 X o�,3103� ❑ List or diagram of all existing sign
Address: O 0 dimensions and square footage
City/state: ligarat OR_ Zip: 17a'1 ❑ Application Fee
Phone:93'39-Who Email: M-foe 3 inn cra4-i-pdi. cow,
NOTES:
CCB License#: ISS`ia 0 Expiration date: (i(zz(21
• Freestanding signs over 6 ft.in height
Contact person: De.b Stti* and walls signs of which any element
weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA(Complete all items in this section) If any element of a wall sign weighs
701bs.or more,plans must be prepared
TYPE (Check all that apply)
V. New sign by a structural engineer.
IX Freestanding 0 Electrical • Building permits require 2 sets of
❑ Alteration to 0 Wall construction drawings and,if sign is
0 Freewayfreestanding,2 copiessite/plot of plan
existing sign ❑ Roof ❑ Other
and 2 sets of engineering must be
Sign#: i submitted with building permit
I application.
%)c 5L 4- i...:bj i n t2-t 0\fr tJ..1 L..'I tl•-t'
j Sign dimensions:ti tlyl�t (h) Ott:) = i-7,°25q.ft sign area
San C flt k '+ ', 4i0t' (et!. _ FOR ',IA!. I I_S): OALV
1 New sign: sq.ft.+ Existing sign area �sq.ft.=_Total CC�� yy��
j Total sign area:17.C� sq.ft./ building face sq.ft._ %of bldg�fa a Case No.:S(7 N 2-D 2D -OO(0�Z
Height to top of sign: y,lol,ft.Projection from wall:/ in. Related Case No.(s):
Materials: c:Aks_.r.t,.,t..+h 1 c cty I.e, i inyi Fee: 'l3I
"xs-r< 1
- ,
l. - c . Application accepted:
Is the sign under 20 lbs.? Yes tiri No By -- Date: I0'Z9 I
(Building Permit required if over 20lbs)
Application determined complet :
Direction wall faces (circle one): N S E. W NE NW SE SW By: /�q 1'' Date: l I I3 ZO
Will the sign have illumination? ❑ Yes V No
If yes,what type: ❑ Internal 0 External l:\cpmm•nay ee weant\a d Use Applications w2jams end
Templates\land Use Applications Rev 32/14/2037
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of2
APPLICANTS
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.
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,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 or 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 required.
Q .0 LA, 5(5;1Cfc,-c - Sens
Applicant's si a Print name Date
8RvcF b. P1412E01,1 1012212020
Owner's signature • Print name Date
Owner's signature Print name Date
•
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SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2
END VIEW
62 in 12 in
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Job Name:
(J Trinity . 1.5"retainers Trinity Community Church
Community Church 10900 SW 121st Ave
._ Tigard OR 97223
3 LINES OF
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4 -tv"*w 4 Ka tr y.. d p' . 24 In These plans are the exclusive property of
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these plans or to ctu purchase from
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A,..tkA >r^sY T4 - according Mlhese plans. Nistnhutian or exhibition of Mere
s•A� plans to anyone other Man employees of your company,or use
. � 1 a� � y��t j ratr yy. - of these plans to construct a similar sign is expressly forbidden.
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