SGN2005-00203 1
- A CITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERM IT #: SGN2005 -00203
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/14/2005
PARCEL: 25111 BC -02800
BUSINESS NAME: CALVIN PRESBYTERIAN ZONE: R -3.5
SIGN LOCATION: 10445 SW CANTERBURY LN JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 58X34
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary sign ( #1) banner.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval sate or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 11 • :ys from validity date.
APPROVED BY: 7 1 A 1 , - _
PERMITTEE SIGNATURE: " 'ez
DATE: 7/14/2005
i
. 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
�pp � FOR STAFF USE ONLY
Site Cafivr.; f v�, ac
Address/ Street Address Permit No.: 56.4w?,9oswo
Location /B yys S W C ante 44 7 Expiration Date: 7`) 5705 6//5/05
Suite /Bldg. # City /State Zip
eT LOP P2 z Receipt #: ��,��
Name 4 p/ot...x._ Approved By: '`%`u/
Property Date: 7//c/ d5
Owner Mailing Address Suite Map /TL #: 2- j 11 13- -" 02-000
Zoning: g-3.5
City /State Zip Phone
Tenant or Name
Electrical Permit Required? ❑ Yes 2
Business Building Permit Required? ❑ Yes No
Nam Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign ��L �
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements)
copy of all City /State Zip Phone q
licenses are
required if 12 Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
Oa
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ,,-Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon El' copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 ' y 5 '
❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 7S 18.00 Fee (Temporay sign, any type)
Total Wall Area (sq ft ?
Si g n Data � , Jurisdiction: ity ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W SE
Height to top of sign (feet): /D ' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): p ` but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: b(M'4L • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes X building permit.
No / • If work authorized under a sign permit has not
Type: ❑ Internal External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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.
DATED this -- ( 7 -6.9 C day of 7 ' ( - 6.-/) , 20
O R 4.Az - 1",or '
Signature of Owner/Agent
O. � 3 3
Contact Person Name 7 Phone No.
CITY OF TIGARD 7/14/2005
13125 SW Ha11 Blvd. 2:17:27PM
Tigard, Oregon 97223
'I� (503) 63 9-417 1
Receipt #: 27200500000000003292
Date: 07/14/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00203 [SIGN] Temp Sign Perm 100- 0000 - 437000 18.00
Line Item Total: $18.00
Payments:
Method Payer User ID AcctJCheck No. Approval No. How Received Amount Paid
Check CALVIN PRESBYTERIAN MET 25813 In Person 18.00
Payment Total: $18.00
cReceiXrpt Page 1 of 1
/.
'y 4 ff •
Jo r
i
- : , - ' f i t Ell II IISE KIDS
'..-1, t _
`
D1BLES
+ 1 /.)
J
C.: :' Date \% aOQ� - �
;`(« D
- t "se e ' - . - 9T1'HEw ' : )
15
T %. - 1� 44D ( v
00
C .1 Where God is at the center Knock and the door
w i ll be o ened to ou. M dt th ew 7
.y
et- 44. and the love never ends. p y
r. -- c . •-' -� ' 4, (.1.: t 1 r y e .. e _ . _. 1 - i'- i~;-:? y. ` o. T - s" r - ...ot 7 t ♦ '._� - r..1. -*- { • • .
Fill in dates and times Size: 58 inches wide by 34 inches high
(use waterproof marker) Full Color
Words: o
FOR INDOOR OR OUTDOOR USE Date
ch
co
Time [.. A
CO co
_ Az
Vacation Bible School _� co
C okesbur)/ Order No. 0 -687- 34089 -6 co
a