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SGN2006-00113 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 -00113 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/13/2006 PARCEL: 25111 BC -02800 BUSINESS NAME: CALVIN PRESBYTERIAN CHURCH ZONE: R -3.5 SIGN LOCATION: 10445 SW CANTERBURY LN JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 6' TOTAL SIGN AREA: 18 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary sign 3' X 6' Place on private property, not in public right of way. Valid 7/17/06 - 8/17/06 Sign #1 MATERIALS: VINYL EXISTING SIGNS: ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 19.00 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. APPROVED BY: / 611-61—( PERMITTEE SIGNATURE: f1 I 1 ' t �� DATE: 7/13/2006 SIGN PERMIT APPLICATION City of Tigard Pemit Center 13125 SW Hall Blul, Tigard OR 97223 Phone 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION 1 Name of Develop t/Proiect C i c. vi f i, e tsbyT6 j h1 e fr ' FOR STAFF USE ONLY Site Address / Street Address G k 9 A / T 4 , 4 / C. A/ Permit No.: Q F L (' -6°113 Location / 0 VY6 5 bti Expiration Date: Suite /Bldg. # City/State Zip a- 2 � ,T/ (i 19i90 9222y Receipt # : l Name Approved By £ .1 TI2.0 P1 Property G f4tv I/ /// / SQ G y' /j4 /4/ C # V e. // Date: .1 I f 316* Owner Mailing in IS t,�� v „ , Suite Map /TL# : S/1 /1�L' SH 10 y Zoning: ' - 3.5 City/State Zip Phone T/6 X..D g71z t/ 639 -32 ;J Tenant or Name Electrical Permit Required? ❑ Yes [610 Business Building Permit Required? ❑ Yes pe'No Name Rev. 7/5/06 i \ctupin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, a copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted required if without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign ) emporary El Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other El Billboard El Balloon size requirement: 8 /z” x 11", or 11" x 17" ew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: 3 x- w (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): D / ❑ $39.00 Fee (Permanent sign, any size) Si Sign Data Total Wall Area (sq. ft.) g I ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N © W NE NW SE SW Height to ep of sign (feet): • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign GDP' placement. Materials: 1)114 (, • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a building Will sign have illumination? El Y—la permit. Type: ❑ Internal Fsrtemal • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME ❑ Yes ❑ No NULL AND VOID. 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. DA 1 D this day of / , 20 ‘ Lt/t) ,t274 Signature of Owner/Agent 3223 Contact Person Name Phone No. • H i 1 1 F s i � I s e ff j 4 1Rz E I } r -', 4: -- ,..1 ( Pr ,, . A , , , t ,,. , .. , T : ' : Val it - EX PLO •-?' I N C ' * - - - I, ; ' E q; , -4, ri / � k 'GOD :0 : i i , ;. * Qv T it, �� �} ,Si':ta :'�� i , t 1;,' „ 's7 z S . .' i'T AI ' �,, t .fir' t Fill in dates and times Size: 58 inches wide by 34 inches high (use waterproof marker) Full Color CITY OF TIGARD / Words: Approved (! m o FOR INDOOR OR OUTD(, : i; roved ..._.....___ w _ _ [ Date S O y t wos des gdjrt� 13 _n a) PERMIT NO. k-/ (aE' -- o- See Letter to: Follow --- ...... _•.__ [ , Time Attach w , J ress: W Dj 1 1iori Bible School o -� 5, Date:? %� co ke s b u r Order No. 0- 687 - 49654 -3 m = o ti o Resources for the Christian Journey tir H 1, Q) CITY OF TIGARD i 7/13/2006 " 13125 SW Hall Blvd. 2:33:53PM Tigard, Oregon 97223 TIGARD (503) 639 -4171 Receipt #: 27200600000000003528 Date: 07/13/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00113 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2006 -001 13 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 Line Item Total: $19.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check CALVIN PRESBYTERIAN st 26891 In Person 19.00 CHURCH Payment Total: $19.00 • cReceipt.ipt Page 1 of 1