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SGN2005-00344 • CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2005 -00344 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/9/2005 PARCEL: 2S 103 D D -00900 BUSINESS NAME: COMMUNITY OF CHRIST ZONE: C -G SIGN LOCATION: 13855 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: COMMUNITY OF CHRIST BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 48" X 36" TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one A -frame sign. Sign #1. Valid from 11/10/05 through 12/10/05. 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 • PERMITTEE SIGNATURE: /�� DATE: 11/9/2005 l I I 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 p FOR STAFF USE ONLY Site �'O�Jyvliit4 OT ee1,7,5 L Address/ Street Address Permit No.: S G IQ-2 o oS - 0 0 3 4 4 Location /, S"S 5W AC/f/ - A Expiration Date: I Suite /Bldg. # City/State Zip 7182.trel d k q?dc21y Receipt #: a o 5-75"" 5 Name Approved By: C Property p Date: / / - 9 O 5 Owner Maili Add ess Suite Map /TL #: ,p s /c.,3 OD — 00 r oD Zoning: C - G City /State Zip Phone Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business Building Permit Required? El Yes ❑ No 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 City /State Zip Phone 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 /2" x 11", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that Other ❑ 2 copies of elevations, drawn to scale apply) ❑ Billboard ❑ Bauoon (3 copies, if a building permit is required) ❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: q?" X 36 ,, 111 $32.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): O N / ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City El Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E . W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes X No building permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL ❑ Yes No BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard. DATED this o2 day of AV , 20 �A 7 Y 409 4111/ �' Signature of Owner /Agent ag,t, / (1/4 o af — mac 7 q7$ Contact Person ame Phone No. 3d" 4 ■•■•••■ •••••••........ I _ j \ ( ■ ( 7 7 \ ' V 1 ( \-- 1 0 ( +it L 1 __ j 1 r 1 ) \ It■A Z A■ X , i 7------) ) ...,..,...........—. +as," , s.. 6 7 , ,...,...........1... , ......,...... - , .......-wa•.... , ..k.....rat..v..44 , ....T. , ,OW................-1,•Ares4.....••••••-...... ............. .....,--. .Y. .....,.....-...,........., , ........ N , . e -....,......., - so•As., n , .....,...........1k.,,n. , ..p.... . ..c........ ‘ 1 Q... i \I\ . 1 L > t 0 , . , 1 ........... _ . _ _ 1 „ • . Signs &D ispia . - Uri ,, A•a/ y Desi c ......„. k, . il GNs. pi LAYS • I ] PROCESS ■`, ApPrOVed 654 SCREEN . i.....• • Ln ../- described in: . •■ 76 70 € _ , , _.... -,,t:,_, ., :, sGNA 00 s — (..,c7.344 .• ..00.H .,_. p.„„ .-.LouGH,,,,. 1 1 ,....: trtFt 43);' ---,!;., -,...- ...„.. .„...----L ., - H • .. f: .;: ...J=iter t c: Follow :.,.: ND, oRE 972 . 6 17D, 1 ,i • . s-H..i I: ili1X1 A,„ off 7.:::: - ..., 7 . .:.; -7 -= . ,, - L , si n. , ... , : . 13655 s‘..) r. 4,...)- ______. ..,. ,... .. ._., Dato:_. .. ,,A Y MARTE . .. • c .,..4: ........„ ___ niit •.,'• •-<: .. rvl tY -.I[piry-CF-CHRIBT_ . .4 1`• u '"" , . _ ......................,. .........A.....r..............,...er--Armo-r-1 .f.r .• „........ ,., .,, ,...4 „... r ,..; .... •-•,...;.,-,s : %.,,,,, .......,-,.:.4. ..;,.;• , Zia...tifr.:‘,..A.. w..0'.....■: . ..{ • ••‘-•;:•;- .4 •":*: - : - ' , :-. ..7.: . .••";■ .t. 7> •■-5:-:: 4 , - . z• ' - •'• .4 . 1,1 - - ...••-- ' - . 2. -- -... -: .- ..r.. .- • e -. r :,:•.- "--: ..-. ;: . r'',1,-;,... t••••:<. . i . •;-",--: -- - ,..,.- - • ,.. . , if ‘•:•ir- : - 4: . - "'-:-.. • --` — • ". • - ' - - ' ' '''" . • - • ' • ' ' ' 7 N.'- 4 •-• - r :'-'kfiv. i : 1 ::' - ' , i- ''''''.1:• $:•r '•".t •I _ .. ,.. . . CITY OF TIGARD 1 "7"""' . 13125 SW Ha11 Blvd. 11:15:47AM A ■ „ io , j /i� Tigard, Oregon 97223 (503) 63 9-417 1 Receipt #: 27200500000000005759 Date: 11/08/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00344 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00 SGN2005 -00344 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 Line Item Total: $18.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check MICHAEL /ANN SHORT CAC 2390 In Person 18.00 Payment Total: $18.00 cReceipt.rpt Page 1 of 1