SGN2004-00277 CITY TIGARD SIGN PERMIT
a I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00277
Aut.A. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/30/2004
PARCEL: 2S 103 D D -00600
BUSINESS NAME: LIFE & TRUTH WORSHIP CENTER ZONE: C -G
SIGN LOCATION: 13770 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: LIFE & TRUTH WORSHIP CENTER
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary, A -frame sign. (3' x 4') Sign #1. Valid from 10/2/04
through 11/1/04.
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: (21 `
PERMITTEE SIGNATURE: 6
DATE: 9/30/2004
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 4 i ft I7i'fl7i frv4e5yip(€n4'i
x Address/ Street Address Permit No.: S GN a 00 4 - 003.-t 7
Location /3 7 7 O
/377t4/1/ G Hwy Expiration Date: 11///04
Suite /Bldg. # City /State Zip
T1 be qua Receipt #: x2004 -
Name Approved By: C - C'ex4.. �
Property 7leli/f22 &AA/6E °.11-1I Date: 9 - 3 o - D cl
X ' Owner Mailing Address aG ��52 Suite Map/TL #: a? S i b 3D D _ Dv (o 00
?, D , ?j>>( Zoning: G -
City/State � �, Zip q�.� Phone
it
1 /g3 ,), Gant �� Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
X Business ./ --�� ,--;r Ptio p Building Permit Required? El Yes ❑ No
Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name
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 Ci - - e Zip Phone
licenses are
required if ❑ Completed Application Form
expire.. the Oregon Const. Cont. Board Exp. Date
C 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: 81/2" x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other El Billboard El Balloon 111 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
A New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
X Sign Dimensions: 3 x L1 ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /ZS6 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E 1' NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top o 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: ^ 4,►IIIWcIIrj2! • Freestanding signs over 6 ft. required a
Will sign have illumination? El Yes No building permit.
Type: CI Internal CI 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
1=I 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)
1
� r r
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 02 day of , 20
•
i // /I ' 14 i 4 �LL % ri�∎
Signature of Owner / gent
/ VEY
Contact Person N. e / / Phone No. 7/t7 /43