SGN2003-00266 v
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CITY OF TIGARD SIGN PERMIT
I'� DEVELOPMENT SERVICES PERMIT #: SGN2003 -00266
✓� fl l 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/22/03
PARCEL: 25111 BC -02800
BUSINESS NAME: CALVIN PRESBYTERIAN CHURCH ZONE: R -3.5
SIGN LOCATION: 10445 SW CANTERBURY LN JURISDICTION: TIG
APPLICANT /AGENT: CALVIN PRESBYTERIAN CHURCH
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X'8
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 16 sq ft banner. Valid 10 -22 -03 thru 11 -2 -03.
Sign #3
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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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 12 -d�ys from validity date.
APPROVED BY: (
PERMITTEE SIGNATURE: )( 0../eu-c (/
DATE: 10/22/03
�,,, i l i t 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
Site a JO op P lfESB y 4N reei eh',€c 11 FOR STAFF USE ONLY
Address/ Street Address Permit No.: :5 44 (-00 3 — O b 7.-- (o,(,
Location 1 .S YS L.) G A4NTIE/PC4lley 4./V /V Expiration Date: / v Z- - 3 - !
t ( /03
Suite /Bldg. # City /State Zip
r/G- 09RA 2 y Receipt #: `S•- 3 y 7
Name Approved By: 7
Property ---14-1-V1 Q. Date: 16 /2 2/o3
Owner Mailing Address Suite Map /TL #:
Zoning:
City /State Zip Phone
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Tenant or Name Electrical Permit Required? ❑ Yes [fl—No
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Business S / -b Building Permit Required? • ❑ Yes L —Pdb
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign - Cam'` s_.
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 ❑ Completed 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)
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign emporary ❑ Wall
❑ Electronic
(Check all that ❑ Other El Billboard ❑ Balloon ❑ 2 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: a! '
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): / se a F ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): .
items in this NOTES:
section) N S E W NE NW SE SW
Height o top of sign (feet): . Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: S - d-J ..J o Wall signs do not require site /plot plans.
Materials: 8 a. o Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: ❑ Internal ❑ External o If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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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 0 • 20 03
Signature of Owner /Agent
1
Contact P sr on Nam: Phone No.
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CITY • F TIGARD
Approved ....... ................. ................_.............. [ X l
Conditionally Approved " "" " " " " °. �
For only the work described
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PERMIT NO. [ ]
See Letter to: Follow ......................... y [
Attach ..................... o
Job Add _Date: _ /
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By: ®
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CITY OF TIGARD 10/22/2003
13125 SW Hall Blvd. 1:39:20PM
Aototliojii Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200300000000004674
Date: 10/22/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00266 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CALVIN PRESBYTERIAN KIP 23798 In Person 15.00
CHURCH
Payment Total: $15.00
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