SGN2005-00247 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00247
DATE ISSUED: 8/22/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S111 BC -02800
BUSINESS NAME: CALVIN PRESBYTERIAN CHURCH ZONE: R -3.5
SIGN LOCATION: 10445 SW CANTERBURY LN JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 s.f. banner. Valid 8/22/05 9/22/05. Sign #2
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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 tem sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
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APPROVED BY:
PERMITTEE SIGNATURE: • ' " -` '��
DATE: 8/22/2005
c ° 1 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
FOR STAFF USE ONLY
Address/ Street Address Permit No.: S 2 -Cza -S - (,-)Q Z `f 7
Location �� S u - � 4 2, os )__
Suite /Bldg. # City /State Zip Expiration Date: y
Receipt #:, • ZtL d — Zrz
Name Approved By:
�
Property (3 C / Date: 8 /Vt(
Owner Mailing Address Suite Map/TL #:
/a `/YS 5 w
Zoning:
City /State ' ��7(23 Phone
11 5 ° 3'639 -3.2)3
Tenant or a Electrical Permit Required? ❑ Yes (lo
Business Building Permit Required? ❑ Yes Jo
Name Rev. 7/1/05 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
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
database) 111 2 Copies of Site /Plot plan, Drawn to Scale
Pro osed (3 copies, if a building permit is required)
• Sign i P ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sig at that Temporary ❑ Wall ❑ Electronic
apply) ❑ Other ❑ Billboard ❑ Balloon 111 . 2 copies of elevations, drawn to scale
❑ New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 8
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.): 2
y ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City El Urb
(Complete all Direction Wall Faces (circle one
items in this NOTES:
section) N ' S E W NE NW :'sS�SW
Height to top of sign (feet): 7 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Copy: sign placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
tL5 have illumination? 111 Yes [ building permit.
4ign
� • 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 'N'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.
DATED this 0 2- day of / / 20 O S
0
Signature of Owner /Agent
Contact Person Name Phone No.
Y �
ji3O3 1 A 0 C_/ 7)19 T 1 '0..--? A
CITY OF TIGARD M I j
Approved ............................................
............ ................ ..........�...
Conditionally Approved - .................
For only
the w rk as describ in: Z`-' �_
PERMIT NO. N �
See Letter to: Follow ...........................................
.......... ........ .. ................
....- ........[ `7
Attach ...- ...... ... , 4�
Job Addre s: `/ pat _gl " --'