SGN2003-00022 A IV _ CIT Y OF TIGARD SIGN PERMIT
" DEVELOPMENT SERVICES PERMIT #: SGN2003 -00022
- 13125 SW Hall Blvd., T igard, OR 97223 (503) 6394171 DATE ISSUED: 2/3103
PARCEL: 2S103DC -01000
BUSINESS NAME: TIGARD ASSEMBLY OF GOD ZONE: R -3.5
SIGN LOCATION: 11265 SW GAARDE ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: EL
OTHER: BILLBOARD: BALLOON:
• SIGN DIMENSIONS: 3.5 X 3
TOTAL SIGN AREA: 10 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Pi c•-Q 4-) SIsfr)
S yn 1. Vet !3 '/03 3 A /0 3
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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 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: 14
P ERMITTEE SIGNATURE: d
DATE: 2/3/03
CITY OF TIGARD
SIGN PERMPERM •
�. _� . DEVELOPMENT SERVICES PERMIT N T-T3 -��Zz
�'�' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: e /- ® 3
EXPIRATION DATE: 0 .Z _3 — m J
BUSINESS NAME:
PARCEL:
SIGN LOCATION:
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3,5,x
TOTAL SIGN AREA: - sq. ft.
WALL AREA: /d 5 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
•
DESCRIPTION OF SIGN:
MATERIALS:
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval data
APPROVED BY
PERMITTEE SIGNATURE: I/'
DATE:
1
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A 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 FOR STAFF USE ONLY
19
Site e1. xic Choti "- Scit
Address/ Street Address Permit No.:_.S441 Zdnes'3-dl /
Location ((i (9S c at) 6 dJ- Expiration Date: i - 3 I 'O 3 " 3 I z/J 3
Suite/Bldg. # City /State Zip Z� �a�p -/
7i/14 d f • & fl) c. Receipt #:. d
sue Approved By;
/ f A SCekjb 111 -G4-. Date: es/ .3/- 8 3
Property g •
Owner Ma ling dress ite Map /TL #:
//���� "�
I' 1-4 S 51~) 6a.ctfrk Zoning:
City /State Zip Phone
1 0 1 LLy (0 3 t Di 5330 Electrical Permit Required? Yes No
Tenant or Nam
- S f g( , f2(PRj Budng Perm Required? ID Yes No
Business
j , _ _ Rev. 01 -Jul -02 hcurpin \masters \revised \sign permit app.doc
Name ��.S1 "
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
C
(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 # [11 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 x 11 ", or 11" x 17"
Sign [l} Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ B illboard ❑ Ba lloon 1:11 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: 3. 5 X 3 r ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): (0 5 ' ❑ $15.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) V
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): . sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes ❑ No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes 1$ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. _
(OVER FOR SIGNATURES)
44(
1 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 ( I day of �-v" , 20 v J
I
Signature f weer/ gen
1(1114 (2)-06 -0q `� was G S4 s33, Contact Perso Name Phone No.
CITY OF TIGARD 2/3/2003
13125 SW Hall Blvd. I :28:OOPM
M t Tigard, Oregon 9 72 23
. 6 114 , (503) 63 9-4 17 1
Receipt #: 27200300000000000407
Date: 02/03/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00022 [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 GAARDE CHRISTIAN SCHOOL MAS 2609 In Person 15.00
Payment Total: $15.00
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