SGN2009-00009 ,!.= ii;ll " Flb '' CITY OF TIGARD �� R® SIGN PERMIT
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' g • ` DEVELOPMENT SERVICES PERMIT #: SGN2009 -00009
i':.1 'Rq 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/9/2009
PARCEL: 2S110AC -01700
BUSINESS NAME: CHRIST THE KING LUTHERAN CHURCH ZONE: C -G
SIGN LOCATION: 11305 SW BULL MOUNTAIN RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary freestanding sign (A- frame) 2' X 3' Must be on
private property, not in public right of way. Must meet visual clearance area
requirements. Valid 1/16/09 - 2/16/09 Sign #1
MATERIALS: WOOD
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: -�'
PERMITTEE SIGNATURE:
DATE: 1/9/2009
' l l IlIl -9 1, SIGN PERMIT APPLICATION
City of Tigani Pernitt Center 13125 SW Hall Blzd, Ti y ra OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
I ) fikt � k FOR STAFF USE ONLY
Site O W i . r - ` ke p
Address / treetAddress 2 / I,� Permit No.: 6 IN) q — (7 7
Location /1 5 - i3 t!( 11/IF (i 1 / / / - / (b jo
Exp Date: f
Suite /Bldg. # City/State Zip
h A �'7-? Z C Receipt # : ° O fi' ��O (o
Name d •t / Approved By �� 3 }' n
Property Date: I /9 /o el
Owner Mailing Address Suite Map /TL# : 2 . Ifu AA. 0 V1 °J
Zoning: C
City/State Zip Phone
Tenant or Nature _ / Electrical Permit Required? El Yes ['�No
Business C S r r .�>� Building Pernut Required? El Yes EJ—o
Name Rev. 7/1/07
is \ cumin \ =stets \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 # Exp. Date
City of Tigard's
database) - ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign f Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other oar Balloon 1
appl) � ❑ Billboard ❑ size requirement: 8 /z" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: _ / 3 / (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Da Total Wall Area (s ft
Si g ❑ $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): 3 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
spy placement.
Materials: c a cQ • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes allo permit.
Type: ❑ Internal ❑ Exte al • 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)
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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.
DA' I D this day of , 20
r , ,
.,,,,
Sig sir o Owne '/Agen " Mc. Lem 5 3 -6 7--5
0 et Contact Person N ame Phone No.
I
i
1 =. x r CITY' OF TIGAR® 1 !)/2009
a IN ... , 13125 SA‘ Hall Islvd. 1 :08:40PN
" " e Tigard. oR 97223 503.639.4171
aVA
Receipt #: 27200900000000000061
Date: 01/09/2009
Line Items:
Case No Tran Code Description Re\enue Account No amount Paid
SGN2009 -00009 [SIGN] Temp Sinn Perm 100 - 0000 - 437000 1 7.00
SGN2009 -00009 [LRPL] LR PlannintL Surcharge 100- 0000 - 438050 2 .00
Line Item Total: $19.00
Payments:
Method Paver User II) Acct. /Check No Approval No. Hoc Received Amount Paid
CreditCard CATI -IY J MCLEAN CHRIST THE kjp 046273 In Person 19.00
KING PRESCHOOL
Payment Total: $19.00
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