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SGN2002-00207 C ITY OF TIGARD SIGN PERMIT iiA DEVELOPMENT SERVICES PERMIT #: SGN2002 -00207 r 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/24/02 EXPIRATION DATE: BUSINESS NAME: CALVIN PRESBYTERIAN CHURCH PARCEL: 2S111 BC 02800 SIGN LOCATION: 10445 SW CANTERBURY LN APPLICANT /AGENT: ZONE: BUSINESS TAX NO: JURISDICTION: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 1' X8' TOTAL SIGN AREA: 8 sq. ft. WALL AREA: 240 sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: 11 ft. PROJECTION FROM WALL: in. ILLUMINATION: DESCRIPTION OF SIGN: Placement of 8 sq ft temporary banner. Valid 10 -25 -02 thru 11- 24 -02. Sign #2 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 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 1 p ays from validity date. APPROVED BY: X. PERMITTEE SIGNATURE: DATE: 10/24/02 illir t ��ay �i, SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project C 141- 1 /IM II/ PESffyT4: /t4 A/ C MgRc // FOR STAFF USE ONLY Site Address/ Street Address Permit No.: 54 n1 -c10 • o Q Z-O 7 Location /6 VV 5 W C iai y 4 /I' Expiration Date: Suite /Bldg. # City /State Zip 1 /tr!?/QD t oe c/?2 . y Receipt #: . Z — f l A Name Approved By: ,� /C--5 # Property S /9 Date: tgL34 z_ Owner Mailing Address Suite Map /TL #: D.S f I I bC - 0 vj Zoning: 3 City /State Zip Phone Electrical Permit Required? ❑ Yes No Tenant or Name Business Building Permit Required? ❑ Yes o Name Rev. 01- Jul -02 is \curpin \masters\revised\sign permit app.doc Sign 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 ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign J Temporary ❑ Wall ❑ Electronic (Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) ZekNew sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: / , ff ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): c' ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) vo (Complete all Direction Wall Faces (circle one): NOTES: items in this section) © E W NE NW SE SW • 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): / t'' sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes .No building permit. • 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 01 No 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. 23 day i DZDATED this day of , 20 Dfr itzt„, Signature of Owner /Agent (/ 5 °3 ( 3?-3,73 Contact Person Name Phone No. 1 . c m, w iff c ifew t= r 1 /9 / /' OF ri Ap, f:. :y Approved :.1■y the wor:. as ',escri!cefil WIT NO. 3...s.4./.2,n) 1C' rfillOW ' .44-1A) 6 4---..44134-tAy Y • , LIl Y Ur 11tJAJ.U) 13125 SW Hall Blvd. 2:07:04PM itsiot Tigard, Oregon 97223 I (503) 639 -4171 Receipt #: 27200200000000004051 Date: 10/23/2002 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2002 -00207 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 SGN2002 -00208 [SIGN] Sign Permit 100- 0000 - 437000 30.00 Line Item Total: $45.00 Payments: Method Payer User ID Check No. Approval No. How Received Amount Paid CreditCard DAVID VANSCHEPEN KJ 058501 In Person 45.00 Payment Total: $45.00 Page 1 of 1 cReceipt.rpt