SGN2002-00153 r .1 w
CITY TIGARD SIGN PERMIT
'll DEVELOPMENT SERVICES PERMIT #: SGN2002 -00153
" �. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 9/4/2002
EXPIRATION DATE:
BUSINESS NAME: CALVIN PRESBTERIAN CHURCH
SIGN LOCATION: 10445 SW CANTERBURY LN PARCEL: 2S111 BC 0280
APPLICANT /AGENT: ZONE: R - 3.5
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3 X 8
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary banner. Banner not to exceed 24 sq ft. Sign #1
Valid 9/4/02 thru 10/4/02
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will • - •one in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sit II expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval data
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APPROVED BY: ,
PERMITTEE SIGNATURE: �`-y "- -Ii " 2.4 '.1./
DATE: 9/4/2002
I" ,.,...., ..,
A
, SIGN PERMIT L I T
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name � Development/Project
C P �� „ FOR STAFF USE ONLY
Site ;�,
Address/ Street Address Permit No.: .S /V 2---0O � - - 0017
Location / 0 y y� S I A Expiration Date: ql � h Z /6 jy n Z
Suite /Bldg. # 9 /State
, J� Of 9 ?227 Receipt #: �- y 3,, J
Name ', Approved By: . J
�V
Property / 4 CG41-4 - Q r. Date: 97c/ vv
Owner Mailing Address Suite Map /TL #: .2-S ) I QC - 0 2` XLtZ
/0 'VV -t4/ Ceok Zoning: tC 3. 5
City/State Zip Phone
4&4f' 972 S o 3 " 6 39.3273
Y Electrical Permit Required? ❑ Yes 19
Business s N
Busis �,,,�app Building Permit Required? ❑Yes [9-14e
Name Rev. 01- Jul -02 is \curpin\masters \revised \sign permit app.doc
Sign 4.416 •
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
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 4 Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billb ❑ Balloon 111 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: 5 , i
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this `
section) N S E t / NE NW SE SW
e Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: a Wall signs do not require site /plot plans.
Materials: v. ' • Freestanding signs over 6 ft. required a
building permit.
Will sign have i umination? ❑ Yes ❑ No a 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 I___
square footage must also be submitted.
(OVER FOR SIGNATURES)
s a, IT\
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 � �` 0 �- day of , 20 (2_,_
A .CeAa (47A4 •
Signature of Owner /Agent
"Rte,„4.puz..._
Contact Person Name Phone No.
Receipt #: 27200200000000003304
Date: 09/04/2002
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00153 [SIGN] Temp Sign Perm 100- 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check DAVID VAN SCHEPEN KJP 4579 $15.00
TOTAL AMOUNT PAID: $15.00
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OiTY OF ;4
Approvaci ....... ..... ......... [c
Corldi•A-..,rtz,ly Approved ............................... [ I
Fo c:nly the work as tiescriked in:
l7RMIT NO. 5
l_etr to Follow__ ....... ............ .......
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