SGN2002-00081 CITY OF TIGARD SIGN PERMIT
o'I DEVELOPMENT SERVICES PERMIT #: SGN2002 -00081
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'll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/21/02
EXPIRATION DATE:
BUSINESS NAME: CALVARY CHURCH OF TIGARD
SIGN LOCATION: 13599 SW PACIFIC HY PARCEL: 2S102CC -0070
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APPLICANT /AGENT: CALVARY CHURCH OF TIGARD ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 23' X 2'
TOTAL SIGN AREA: 46 sq. ft.
WALL AREA: 375 sq. ft.
WALL FACE (DIRECTION): NE
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) non - illuminated wall sign.
MATERIALS: SYNTHETIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 wprk"Vvill be done in accorqnce with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30,'d from approval date. A balloon sign shall expire 10
Hays from annroval data / �2
APPROVED BY: v v4
PERMITTEE SIGNATURE: " `r " �'
DATE: 5/21/02
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_;it4p. 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 ,,CC�� �� �
Address! Street Address Permit No.S� M LJ
d - - _L__
LocatiorS /3.51/ SW P4C /fiC Huy
Expiration Date:
Suite /Bldg. # City /State Zip
& -7 6tv'G ai `17Z23 Receipt #: i te, 1 `C�
b
Name t� ll Approved By: 0�
Property DLV►V4�/ 14ov-to Vt Date: S ( n
Owner Mailing Address/ Suite Map/TL #: (D C- — W 7 tD
/35` 9 SW IGa6C Zoning:
City /State Zip Phone
. TGltt� -p v� q 722 3 Electrical Permit Required? [II o
Tenant or Name
1 l 1
�/
I Business Ca W/ j Ct vc i of - c wd Building Permit Required? El Yes No
Name d Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app doc
Sign 5 � vi5 Nlow -
Contractor Mailing Kddress • - Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit /6-1467 Sw 7Zt-ve (Note: applications will not be accepted
issuance,
copy of ll City /State Zip Phone without the required submittal elements)
licenses are 1 av S3 6L} g
i 070
required if / Completed Application Form
expired in the Oreg 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 ❑ g ❑ size requirement: 81/2" x 11 ", or 11" x 17"
Freestanding Freeway
Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon / (3 copies, if a building permit is required)
apply) + size requirement: 8'/2" x 11 ", to 24" x 36"
[d New sign? ❑ Alter to existing sign? [�" $50.00 Fee (Permanent sign, any size)
Sign Dimensions: �
23 X Z I , ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): if
, St. F4 O K NOTES:
Si n Data Total Wall Area (sq. ft Ft_ 375 • Wall signs do not need to be drawn to scale,
g 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 lE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): 2' building permit.
Projection From Wall (inches): 1 fo 2 +Nees • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: SyntieiC Ma'fw4 4 )S- the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes ("No BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this i Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ❑MasterCard
Credit card number / —
1
❑ Yes �N0 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. s
Cardholder signature Amount
(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.
DATED this / 7 t day of 44 , 20 6 Z
Ja7424
Signature of Owner /Agent
- 701-(Pc - f1-,�k. a��e .5 3 6.9
Contact Person Name Phone No.
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Arc e0 • I I
Codi— i. iy Approved — -- 1 1
i-: (wily thea§ in:
MIT
ST.: Ler to Follow - - i I
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All -
De' r-,110
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4 25 feet •
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Tigard
Chiropractic Accounting Firm eiCalvary Church 2 112 feet
of Tigarci
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$“,'•'.),': :-: .., Pt. 'n
,
Receipt #: 27200200000000001842
---� Date: 05/21/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No.
Amount Due
SGN2002 - 00081 [SIGN] Sign Permit 100- 0000 - 437000
$50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check CALVARY CHURCH OF TUALITAN DCP 1032 0 $50.00
TOTAL AMOUNT PAID: $50.00
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