SGN2008-00152 CITY TIGARD SIGN PERMIT
IN
' DEVELOPMENT SERVICES PERMIT #: SGN2008 - 00152
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/15/2008
PARCEL: 1 S 126DC -00901
BUSINESS NAME: GETHSEMANE LUTHERAN CHURCH ZONE: R - 12
SIGN LOCATION: 09640 SW GREENBURG RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 4'
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 5 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign 2' X 4' (Banner) Valid 7/15/08 - 8/15/08 Sign
#1
MATERIALS: CANVAS
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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 10 days from validity date.
APPROVED BY: 41/66/Le-Yr
PERMITTEE SIGNATURE: r/ ` ✓z-f a t�
DATE: 7/15/2008
s
SIGN PERMIT APPLICATION
City of Tigc ni Peinit Center 13125 SW Hall Blzd, Tiga7r4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960 4) 4
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GENERAL INFORMATION p ! G ET
✓0 � j �
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Name of Development /Project 4 fN,, qt � 08
FOR STAFF USE O a 4
Site GeAVI5el -a, e Lu'�l^elc,v. C(tv'Cti ) 4 1 '�/)
Address/ Street Address Permit No.: S. ���' OD G.-� �c
Location 96 QC 5w 6 eev»Uf y Q, / �J
Suite /Bldg. a City/State Zip Expiration Date:
_ Ticj4cd e/7223 Receipt #: � 3 �`t 84 '
Name Approved Bye S - L
Property Date: -7 II S'Idg
Owner Mailing Address Suite Map /TL# : /5ta-(, 0050/
Zoning: 4._-1.7/
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes 3 No
Business Building Permit Required? El Yes [-No
Name Rev. 7/1/07
is \curpin \ trusters \land use applications \sign permit app.doc
Sign
Contractor.- Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License k Exp. Date
City of Tigard's
database) El Completed Application Form
Proposed ❑ Permanent El Freestanding El Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ® Temporary El Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other El Billboard ❑ Balloon size requirement: 8r /z" x 11 ", or 11" x 17"
apply) q
5 New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: f (3 copies, if a building permit is required)
2 X �� size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
.59 . E ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): 5/ • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy • Wall signs do not require site /plot plans.
Materials: C v,v c s 5 • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes 21 No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
1 1/s /o °th
f i
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 1 5 day of J \-)\ , 20 0 8
Signature of Owner /Agent
Trc0 r-055; 503 7 57- L /9‘5
Contact Person Name Phone No.
Ge-n4Cri4vte Loilner C �tJtc�
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II CITY OF TIGARD 7/15/2008
~ 13125 SW Hall Blvd. 3:06:15PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000002486
Date: 07/15/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2008 -00152 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2008 -00152 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check FRANK ROSSI ST 1264 In Person 19.00
Payment Total: $19.00
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