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SGN2004-00221 C ITY OF TIGARD SIGN PERMIT 'I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00221 AL �.I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/30/2004 PARCEL: 2S1 11 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: 24" X 10' 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 (1) one 24 sq ft temporary banner. Valid 8/30/04 - 9/29/04. Sign #1 MATERIALS: CANVAS &VINYL EXISTING SIGNS: ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 datror si permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from lidity date. APPROVED BY: r f � ! `�� PERMITTEE SIGNATURE: x j '- - ��_At// DATE: 8/30/2004 n R �`jli 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 FOR STAFF USE ONLY Site C LV t /' p f2 — S By'T iz1 /J Address/ Street Address Permit No.: 4/ 9 - 60 2- Z/ Location /0445 Z (/l-i C :~772/213L1 r2'/ L14J Expiration Date: 3/3 / G ti -- ?/6 y'' Suite/Bldg. # City /State Zip Receipt #: � - g f 77 C5 Name Approved By: /cy Property C P12t3y7 - =/ €l Date: �t Owner Mailing Address .Seta- MapITL #: 2.3 I I / 6C o ^ �.�1 / 0145 S LL.) Ci -to "c / LA. Zoning: /'LJ. S City /State Zip Phone o Ti O l) 639 °.22-7 3 Electrical Permit Required? ❑ Yes ' ►1 ' No Tenant or Name Business Building Permit Required? ❑ Yes l► No LIJIti' V R 13 2/ Name Rev. 30,1u1-01 i:lcurpinlmasterstrevisedtsign permit app.doc Sign C--P Sic -t. CJ I fS Ti `-S Contractor Mailing Address - suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit a ° © (Note: applications will not be accepted issuance, a - 7800 .&1,L\ 1b iARI-Naiii without the required submittal elements) i copy of all City /State Zip Phone s® licenses are required if `l' / c 97223 & 3 9 °SOS _ V Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ,, /� L ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) -] - 7 (3 copies, if a building permit is required) size requirement: 8 x 11 °, or 11" x 17" Proposed ❑ Permanent ❑ Freestanding ❑ Freeway Sin .g Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check ail that ❑Other ❑Billboard ❑ Balloon (3 copies, if a building permit is required} apply) size requirement 8 x 11 ", to 24" x 36" y i New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: 4,, / a ` X ab A $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): NOTES: Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale, Sign Data but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items in this section) N S E W NE NW SE SW Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a Height to top of sign (feet): building permit. . Projection From Wall (inches): ELLS i-f : ® if work authorized under a sign permit has not Copy: .S E r✓ ft 7 C i-t &D been completed within ninety (90) days after Materials: vvv 4. V i N y (. - the issuance of the permit, THE PERMtt WILL Will sign have illumination? ❑ Yes No BECOME NULL AND VOID. Type: x/4 ❑ Internal 0 External Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more infamration, location, including wall signs that overlap a tenant space? O Visa Q MasterCard Credit card number i r lgi Yes ❑ No Expires If "yes ", a list or diagram of all sign dimensions, and Name of cardholder as shown on credit card square footage must also be submitted. 1'�J ``. $ ` -4-e t y ` p LCL Cardholder signature Amount ff1VFR Ff7R SiGNATUURES i hereby acknowledge that f have read this application, that the information given is correct, that t am the owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard. .. DATED this 30 day of IA, 20 6 y Signature of Owner /Agent LLB), / ti ontact Person Name Phone No. • • CITY OF TIGARD 8/30/2004 13125 SW Hall Blvd. 1 I :03:53AM 44 Tigard, Oregon 9 72 23 -'1 1 (503) 63 9-4 17 1 Receipt #: 27200400000000003861 Date: 08/30/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00221 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check CALVIN PRESBYTERIAN KJP 24793 In Person 15.00 CHURCH Payment Total: $15.00 * 4 " Le SEPT. (l ot v A 5 — 8 pm x g9 vr /0 CITY OF TIGARD Approved ry Conditionally Approved [ For only the work gs describedin: PERMIT NO. GAP(A1 fy) See Letter to: Follow Attach Job Address: ZeJ Date 8/5 tj)e