SGN2002-00208 CITY OF TIGARD SIGN PERMIT
A llh DEVELOPMENT SERVICES PERMIT #: SGN2002 -00208
ocaolliki 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/24/02
EXPIRATION DATE:
BUSINESS NAME: CALVIN PRESBYTERIAN CHURCH PARCEL: 2S111 BC 02800
SIGN LOCATION: 10445 SW CANTERBURY LN
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X8'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 240 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 11 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one permanent 16 sq ft wall sign.
Banner must be enclosed with a frame
MATERIALS: VINYL &FRAME
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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 o . gn permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire 1 from ye it date.
APPROVED BY:
PERMITTEE SIGNATURE: Q l\-
DATE: 10/24/02
gr
,,,,,I. t•II± ,�,,, lf� 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
CI) t/ /fy PRESP y7 , f /44. cHuRcH FOR STAFF USE ONLY
Site 5 <
Address/ Street Address Permit No.: N I 2-4.1, Z— u.
Location /v v y S s ki c-PhA' 7-5/e/ Af/Py [ ,
Expiration Date:
- Suite /Bldg. # City /State Zip
T /6' D Of 92,42-y Receipt #: •.. --- " qO 5 l
Name Approved By: it---9r
Property 5 Date: / J /Z '', /dZ
Owner Mailing Address Suite Map /TL #: 2-5 1 l / 5 G- o Z$ c
Zoning: 7 S
City /State Zip Phone
Electrical Permit Required? ❑ Yes Ar No
Tenant or Name
Business Building Permit Required? El Yes r cj- No
Name Rev. 01- Jul -02 is \curpin\ masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City 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: 8 x 11", or 11" X 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon 111 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:
$30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): t S
Z �( � ( ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N fs) E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): (0 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 b,No
If "yes ", a list or diagram of all sign dimensions and I
square footage must also be submitted.
(OVER FOR SIGNATURES)
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.
.23
DATED this day of I-P� , 20 0 2--
L ui / Ol e
Signature of Owner /Agene�
S° 3 .
Contact Person Name Phone No.
0
3 '
CiTV OF 7131410
Apr_ voval XI
Approved I 1
Fo Ctnly the work , . as iiescriksel km:
F FtMIT NO. L .2..
Stic; LetiAr to Follow._ ...... _ I
JO^
9 s-cd .
z.
CITY OF TIGARD 10/23/2002
13 12 5 SW Hall Blvd. 2:07:04PM
lby,Noli Tigard, Oregon 9 72 23
' (503) 63 9-4 17 1
Receipt #: 27200200000000004051
Date: 10/23/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00207 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2002 -00208 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
Line Item Total: $45.00
Payments:
Method Payer User ID Check No. Approval No. How Received Amount Paid
CreditCard DAVID VANSCHEPEN KJ 058501 In Person 45.00
Payment Total: $45.00
Page 1 of 1 cReceipt.rpt