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Permit VOID City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 9/ ,/2-/ Ate IN Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ® City Staff Check(V)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): ® CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit #: BUP2020-00233 Site Address or Parcel#: 10900 SW 121ST Ave Project Name: Trinity Community Church Subdivision Name: Lot#: EXPLANATION: BUP2020-00233 was created for a sign that did not need a permit. PLEASE VOID / Signature: - i//•?'T Date: 11/12/2020 Print Name: Eggie Mal•onado Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date By Route to Records: Date 9 6 yt By 4:2_0} Refund Processed: Date 4// By 49_4 Invoice Processed: Date By Permit Canceled: Date 9/,�y" By -6) Parcel Tag Added: Date By I:ABuilding\Forms\ReyPermitAction_t 051 .doc City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: t3GIPZ020-0D233 Site Address: 10900 SW 121st Ave Suite/Bldg#: Project Name: Trinity Community Church (Name of commercial business occupying the space. If vacant,enter Spec Space.) Plannir _ eviety Proposal: Freestanding sign Existing Business Activity: n/a Proposed Business Activity: n/a • Verify site address/suite# exists and active in permit system. ® River Terrace Neighborhood: ❑ Yes ] No ® Zoning: R-4.5 ail Permitted Use: ❑ Yes ❑ No ❑ Spec Space • Confirm no land use required. a3 Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: SGN2020-00072 Approved by Planning: Vo,W Ofitfrtebeb Date: 11/3/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved $uildir1R Permit Submittal Original Submittal Date: l0/.Z/,�240 Site Plans: # Z Building Plans: # Building Permit#: R Enter building permit# above. Workflow Routing: LE—Planning ❑ Permit Coordinator C uilding Workflow Sign-off: ErSign-off for Planning(include notes from planning review) Route Application Documents: Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: j1//% / Date: /A 5/ZQZ(j 1:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx �• 't Coordinator-4e1i047 ❑ Cons i. • "Met"prior to issuance of building permit ❑ Approved,NO ' •leased: I ate: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applica • Revision Notice 2: Date Sent to A.- : ant Revision Notice 3: Date Sen . •pplicant ❑ SDC Fees Entered: sh Co Trans Dev Tax: ❑ Yes ❑ Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to sue Permit proved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx ---...,.. , . 5 14-e- Mcci9 1 i . rtlt 4 11711 I I I'llOWC11041(Well \ ;\ 171\ . UASI14)KR DIVIIMAII 1 .>..•\... \\ . o \ \ \ . 11 RECEIVED8 Fr":—#44%. 915iv'Sical . \ . ..•.•..,•.:, \ / ) CITY OF TIGARD - \ I OUILDING DIVISION .....f::...y*:....;"' ., i . . . . r_. .. \ \ \ 1 9 I \ , - :::. .;" ....___ ----7— -7-,,,-.7.71-::::;::•:.:.•,-- '••• \ ----.-.- ----- ------- • ',.. •-... '''',* i; ' - i . ,...., ; AfEhl fitdi tesed nod -... // /7 > . 41,4t**/ --.--- 1 1 i • . /' 11 I • • . . / / 1 1== till _____ .... . SILT FB•CE I \\\\1‘ .i... 1 37 f„ i 5 1 r / • -r- 1 / j .a ' ' u . :& \\'' \\ - :,1 —"\—\. •\N-N \ ,\1\\,,\___‘ \..• .. .1._ 1 1. STAGING AREA ,.- - ' I I• 1110-4111111 BAC , —........ 1 1 tilio.' I e 5Slib..,/\.,• \\,,, .-TCS ' 0111/4)k cmort rvittazi:: .- 1 r 1 /•••, , (0 9 0 .5 lg.> 1-2. 1$4- Ro _ i I . ____••._ , . ,, , „ „, , ... ( 1...,•,.5"1" Tr , , . \ —r-t5 era_. 0a- i i I 5 1 i 1 k I , _ 1 .___........_ 64 • .• • ' ' ' • - - - • .... . .. . . . . . “: I I I T _\ \ ?o , \ / - - I • I \ 411. k 6'• . \ // I • -__...... • - _ ‘ , I . # 11•' . '''. ..... I •• •'' .— . , s ..,.....e"... .... \s-Ns ''‘.'sLZ.:.'''. • .,... ,... (03-- SIL',IiCr1111 S1611S P.O.BOX 23636 .--\ 1 40 . ... J • — rigard,Oregon 97231 \ , 8 I' , 7 I . . c13 . , 1 . CK1 1 , ! -------- -------- . ..... END VIEW - 62 in - 12 in 12 in Mg N m ri).....) TrinityJobNa Coe: munity Churchm Fri n' 1.5"retainers 10900 SW 121st Ave Community Church Tigard OR 97223 o 3 LINES OF oo Extruded Aluminum cabinet 4IN ZIP CHANGE - Date : 10/16/2020 ,. ®' ,� 0 3/8"x3.5"anchors into concrete CLIENTAPPROVAL 10900 ,,,. .. r. li_:S COLORS.SPELLING ARTWORK ftrl ,.sue.- ._ .., C (.1D FAUX ' Rock Base 70 in '"'+�: Please initial: ;- 16 In c - 16 in Please date. o Concrete .... ... _. ,. x f X �„..,_.„-. -! } '- t �.o.� ' r FOOTING . . - 24 in G These plans are the exclusive property of �-� T �jj (`� SignCraft Signs,LLC.and the result u #;* '� , , ,. ". a' - \� ©ZU of the original work of its employees. They are submitted wvq ;• a to your company for the sole purpose of your consideration .p. 't^ { f '_' -x.5 Q v D of whether to purchase these plans or to purchase from R Si nCraft Signs LLC.a sign manufactured .r t `- Vr : : s a ,.7-.4 '" �.-'C,G C,o^1 9 9 p ''� `�''c t z�P` - "� hF -"s '� � \� J 5`� accordin to these plans. Distribution or exhibition of these '. '�, "ems-.',ly, .lr,f =. i ' yt^- ---.: G%% ♦— D,"� plans to anyone other than employees of your company,or use *'4i`'e , -X"`' ;�, vi ^' ■ U�D of these plans to construct a similar sign is expressly forbidden. 2 ' h ,1r _ x '�"� Sign S q Ft17 0 2 g , In the event exhibition occurs,SignCraft Signs LLC. �' a ■ expects to be reimbursed$500.00 for time and effort in creating Trinity lacthese plans. .. .t. �omm�r,ESOFrC„ Sign weight 501bs 3 LINES OF �. , �" �; y 4IN ZIP CHANGE -, - ..- - Frontage: 500 ft 1 10900 Manufacture & Install ONE non-illuminated double faced SignCraft Signs 1 _--, . .. i....., cabinet sign with acrylic faces and vinyl copy. „R 3 lines of 4 in zip change letters. r Rock base to be concrete pour with faux rock exterior 8900 SW Burnham St. Tigard, OR 97223 ' _ "t, -- ~u Address numbers to be 6" white 3/16"acrylic attached with ph:503-639-4910 fax: 503 620 9568 `: E-Mail: info@signcraftpdx.com - stud mounts into base. } e. END VIEW 62 in 12 in 12 in JobTrinity Name: Community Church , 1.5"retainers 10900 SW 121st Ave Community Church Tigard OR 97223 3 LINES OF -4- Extruded Aluminum cabinet 4IN ZIP CHANGE Date : 10/16/2020 3i8"x3.5°anchors into concrete CLIENTAPPROVAL co 10900 J INCLUDES COLORS.SPELLING ARTWORK r C c to CO FAUX ' Bock Base + Please Initial. n . ' . 16in 16 in Please dateCx Concrete ^ �`' _,. . .. , _ . FOOTING 1G V _ ;• • 5) ,. -.,..,.,,.!5‘,, ,f7.40).,, ..;,, -... ,73.4-:..- , • oy} These plans are the exclusive property of 24 in °� 9 9 ' T 4` �� Si nCraft Signs,LLC and the result 9F, L r of the original work of its employees. They are submitted , `,4 �.rA _'°'x�' ,-_ . F.R� to your company for the sole purpose of your consideration p�T n r? " `,ti ` '-; - CITY OV 1 `'45TOt' of whether to purchase these plansa or to purchase from V 1 S` Si nCraft Signs LLC a sign manufactured w �`- { y °; ..,.L�+: BUILDING D according to these plans. Distribution or exhibition of these :+*- - - plans to anyone other than employees of your company,or use ' ' ` �' a�;^�: of these plans to construct a similar sign is expressly forbidden. - , t "` In the event exhibition occurs,Si nCraft Signs LLC. -- -- Sign S q Ft17.02 expects to be reimbursed$500.00 for time and effort in creating s rt1 Trinity - these plans. I Community Church .. iik" Sign weight 501bs 3 LINES OF jr 41N ZIP CHANGE es , Fron g 500 ft to e• " Manufacture & Install ONE non-illuminated double faced SignCraft Signs ._ cabinet sign with acrylic faces and vinyl copy. 3 lines of 4 in zip change letters. Rock base to be concrete pour with faux rock exterior 8900 SW Burnham St. Tigard, OR 97223 - Address numbers to be 6" white 3/16"acrylic attached with ph: 503-639-4910 fax:503-620-9568 E-Mail: info@signcraftpdx.com stud mounts into base. .., F