SGN2011-00003 a CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 -00003
COMMUNITY DEVELOPMENT Date Issued: 01/07/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S110AC01700
Jurisdiction: TIG
•
Name of Business: CHRIST THE KING LUTHERAN CHURCH
Business Address: 11305 SW BULL MOUNTAIN RD
Applicant/Agent: Christ The King Preschool,
Work Description: Placement of one (1) temporary freestanding sign (A- frame) 2' X 3' Must be on private
property, not in public right of way. Must meet visual clearance area requirements.
Valid 1/9/11 - 2/9/11 Sign #1
Permanent: No Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 2' X 3'
Total Sign Area: 6
Wall Area:
Wall Face (Direction): E
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: NON
Materials: WOOD
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
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.
/ l
Approved By:
Permittee Signature: / 4 Ad!
M City o f Tigard •
: Sign Permit App
GENERAL INFORMATION
Name of Development /Project
/� 1 % FOR STAFF USE ONLY
Site K .(.( C
Address/ Street Address Permit No.: c� C' /) 2.4.3 1 I - 0 (
Location /I l G �/ I
Suite /Bldg. # City/State Zip Approved By:
c 7Y Date: / f (II — 2 /l7
Name ( , �� ��
Receipt #:
Property = j ", "" .f Map /TL #:
Owner Mailing Address Suite Zoning: G �
Allowable Total Area:
City /State Zip Phone
Electrical Permit Required? ❑ Yes g'lo
Tenant or Name „//,,
Business C/� i ✓ S B u ilding Permit Required? El Yes
T r ' /r 7 / .e5Jo
Name / Rev. 7/1/10
is \ cumin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
❑ Completed Application Form
Proposed n „Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that
apply)
El Wall ❑ Other size requirement: 81/2” x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
❑ New sign? El Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: size requirement: 81" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ❑ $164.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft I = % ❑ $52.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): __7, • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials: tA ; c, ( . 3 • ♦ Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes [ ,No ♦ Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ Exteliial permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
Eq.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 1 www.tigard- or.gov 1 Page 1 of 2
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 day of ( , 20
1 /
/ ,I.f
S e of Own -r/ ' g - t
t.1
Contact Person Name Phone No.
/61
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard - or.gov 1 Page 2 of 2
CITY OF TIGARD RECEIPT
2 :: 13125 SW Hall Blvd., Tigard OR 97223
- 503.639.4171
.T [,G.ARD
Receipt Number: 181014 - 01/07/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00003 Temporary Sign Permit 1003100-43115 $45.00
SGN2011 -00003 Temporary Sign Permit - LRP 1003100-43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 070116 070116 KPEERMAN 01/07/2011 $52.00
Payor: Cathy McLean
Total Payments: $52.00
Balance Due: $0.00
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