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SGN2004-00279 CITY OF TIGARD SIGN PERMIT i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00279 -III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED; 9/30/2004 PARCEL: 2 S 103 D D -0 0600 BUSINESS NAME: LIFE & TRUTH WORSHIP CENTER ZONE: C -G SIGN LOCATION: 13770 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: LIFE & TRUTH WORSHIP CENTER BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 4' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 4 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one temporary, A -frame sign. (3' x 4') Sign #3. Valid from 12/3/04 through 1/2/05. MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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: `= A'l PERMITTEE SIGNATURE: 42.1-/<- G-. DATE: 9/30/2004 SIGN PERMIT APPLICATION CITY-QF T1:OA[ D. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project (+� /} / FOR STAFF USE ONLY Site 4 /,T� r1efl Woks kip Oerile/! Address/ Street Address Permit No.: GIV.:)ot,.)-I- -00A70 Location /377d, hrtheI /c HW,Y Expiration Date: I /- OS Suite /Bldg. # City /State Zip / i n�,p`) M Gr 7 9 2 Receipt #: . U 6 4 - '.-130 Name / ( / a �n � l M%/ /�/ / oCo� 3 Approved By: C C e -�tM�- / 7 & ,9 ,f. Property D (1/�A E # ,/41f Date: a - 3o - Oi( ' Owner Mailing Address 9360? Suite Map /TL #: a S 10 3 OD -- 00(c)O D , ? j 1 ; C Zoning: C - L City/State Zip q�.� Phone 7' �� ' et , ° �� Electrical Permit Required? ❑ Yes ❑ No Tenant or Name �� J l ptjm Building Permit Required? ❑Yes ❑ No Business �./ ie -�-fi/ r.,./ / Name Rev. 7/1/04 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 without the required submittal elements) copy of all Cit - e Zip Phone licenses are required if ❑ Completed Application Form expire. the Oregon Const. Cont. Board Exp. Date C , of Tigard's License # n 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 y 1 g Tem El wall ❑ Electronic n 2 copies of elevations, drawn to scale (Check aft that p apply) ❑ Other ❑ Billboard El Balloon (3 copies, if a building permit is required) X New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: 3 x n $32.00 Fee (Permanent sign, any size) -Total Sign Area (sq. ft.): JZsrf' n $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E 0 NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top o sign (feet): but must include dimensions of wall face and Projection From Wall (inches): sign placement. i Copy: • Wall signs do not require site /plot plans. Materials: ^n ©IIMPARME. , 4 ., • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes E No building permit. Type: El Internal El External • 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 ❑ YesNo i BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) * A 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 _,I, dJL 4 , 20 ,6 / Signature of Owner / 'gent Contact Person Na e / / Phone No. TXT