SGN2005-00136 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005-00136
A4
C DATE ISSUED: 5/13/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102DA-00401
BUSINESS NAME: FIRST CHURCH OF CHRIST, SCIENTIST ZONE: CBD
SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: \ WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 26" X45'
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) 26 "W X 45 "H temporary sign. Sign must be on private property
and not in the public right -of way or visual clearance area. Valid 5/13/05 - 6/13/05.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 17.00
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 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.
R VED BY:
ex_v APP O �
PERMITTEE SIGNATURE:
DATE: 5/13/2005
1
11/22/2004 16:18 FAX 5035981960 CITY OF TIGARD Z002
• ..,:..:., ,. .. . SIGN PERMIT :APPLICATION
CI.TiOF•11GARD. 13125 SW Hall Blvd., Tigard, OR 972713 (503) 6394171 FAX: (503) 684 -7297
GE NE RAL INFORMATION
Name of DevelopmanUProJeu FOR STAFF USE ONLY
Site T/ c• A k a L 8 tZ " -`J • I
Address/ Street Address 11/ L < Permit NJ ` /t Lc d V 13 (O
Location H it L 1- 131-v ID Expiratio Date: . 44 t l/ . 310 5--- Suite/BIdg. # City /State • Zip
71 Gr H 61 `I 7gs; --- Receipt : I U 2 -3 S
Name Approve. BY —..•L. ...f
I
Date: ! CA
Property C L -r y o r [/ 6t c) n .
Owner Mailing Address Suite Map/TO, .
Zoning:
City /State Zip Phone
E lectrical Permit Required? ❑ Yes 4o
Tenant or Nams Building Permit Required? ❑ Yes g No
Business • Rev. 7 /1/04 l:lcurpinlmaeters\revleed\elgn permit app.doc
Name
Sign I
Contractor MailingAddrsss Suite i REQUIRED SUBMITTAL ELEMENTS
(Prier topermt (Note: applications will not be accepted
issuance, a ,_. without the required submittal elements)
copy of all - City /State Tip Phone
licenses are
required if V Completed Application Form
expired in the Oregon Const Cont Board Exp. Date
City of Tigerd's License # 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent I Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17"
Sign @ Temporary. ❑ Walt ❑ Electronic ❑ 2 Copie of elevations, drawn to scale
(Check all that El oar 0 Billboard ID Balloon
aPPIY)
(3', copies, if a building permit is required)
_ _
❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions; , , X � ; �_ 11 532. ee (Permanent sign, any size)
Total Sign Area (sq. ft.): 1i $1'00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.) . Jurisdiction: ❑ City ❑ Urb
Sign Data I
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E . W NE NW SE SW
Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but ust include dimensions of wall face and
Projection From Wall (inches): 1 sign placement.
Copy C NE')Sr, ANi 5ci <<✓Ce LEC7u /� r1, Wall signs do not require site /plot plans.
Materials: .L..0 cdo *i Free to ending signs over 6 ft. required a
Will sign have illumination? ❑ Yes ,® No buil ing permit.
Type: ❑ Internal ❑ External .' If Vi rk authorized under a sign permit has not
Are there any existing freestanding or wall signs at this bee Completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the i suance of the permit, THE PERMIT WILL
CI Yes El No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and I
square footage must also be submitted. .
(VER FOR SIGNATURES)
�
1
1 1
11/22/2004 16:17 FAX 5035981960 CITY OF TIGARD 1 003
I hereby acknowledge that I authorized agent o application,
o and that plans information
ubmg
correct, that I am the owner or submitted are
9
in compliance with the City of Tigard.
DATED this day of 20 `'
Signature of Owner /Agent
Lc3 7Og- g g
• 3 - VD-5-1110
Contact Person Name Phone No.
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