SGN2001-00036 CITY OF TIGARD
SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00036
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/9/2001
EXPIRATION DATE:
BUSINESS NAME: TIGARD FOURSQUARE CHURCH PARCEL: 2S102CC-0120
SIGN LOCATION: 13720 SW PACIFIC HWY
APPLICANT/AGENT: TIGARD FOURSQUARE CHURCH ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 34"X 89 3/8"
TOTAL SIGN AREA: 21 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of permanent 34"x 89 3/8"freestanding sign. Not to be placed in
public right-of-way or visual clearance area.
MATERIALS: CEDAR
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to t ulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. work II be done in ac rd nce with approved plans. A sign permit shall expire 90
days from approval date. A mp rary sign shall expire 0 d ys from approval date. A balloon sign shall expire 10
riavc from nnnmval rinta
APPROVED B
PERMITTEE SIGNATURE:
DATE: 2/9/2001
• w
!CITY OF TIGARD Sign Permit Application Recd
13125 SW HALL BLVD. Permanent or Temporary Date Ree
cd � 0
Permit No.
TIGARD, OR 97223 Commercial or Residential Permit Fee
(503) 639-4171 Receipt No. a
Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
Name of DevelopmeXo
oject Are there any existing freestanding or wall signs at this
location, includingwall signs that overlap a tenants ace?
Site / � �/9 f 5 c(d/(C'. K 9 P p
Address/ Street Address ❑ Yes pyo
3 �D If"yes", a list or diagram of all sign dimensions and
Location S �� C 14r"J square footage must also be submitted.
Suite/Bldg.# City/State Zip
7-Q d 3
Name NOTE: If work authorized under a sign permit has not
Property // a 4 -o uI-SQ Xrt N u Irl been completed within ninety days after the
Owner Maili Address Suite issuance of the permit,THE PERMIT WILL
/6 -4/,r7 Ice
ffi BECOME NULL AND VOID.
City/State Zip Phone I hereby acknowledge that I have read this application,that the
�7 l� information given is correct,that I am the owner or authorized agent of the
T` 4 r ��O`'?/ 03 —��O� owner,and that plans submitted are in compliance with the City of Tigard.
Tenant or Nafne
Business Ch u`t? Signature of Owner/Agent Date
Name 1 Q Pt �rK Y�S �LR���K 0/
Sign S>✓ -110 P/'Cit/i'i, Co act Person Name Phone / QQ
Contractor Mailing Address Suite
Prior to permit
issuance,a
copy City/State Zip Phone
of all licenses
are required if Required Submittal Elements
expired in Oregon Const.Cont.Board Exp.Date
C.O.T. License# ga-Completed;application form
database
i-£
Proposed copies of site/plot plan, drawn to scale
Permanent reestanding ❑ Freeway (3 copies, if a building permit is required)
Sign ❑ Temporary ❑ wall ❑ Electronic size requirement: 8-1/2"x 11", or 11"x 17"
Check all that ❑ Other ❑ Billboard ❑ Balloon
apply Note: Wall signs do not require site/plot plans.
ew sign? (3--Z copies of elevations, drawn to scale
Alteration to existing sign? (3 copies,if a building permit is required)
Sign Dimensions: „ size requirement: 8-1/2"x 11", to 24"x36"
3 9 " X 73�8 Note: Wall signs do not need to be drawn to
Total Sign Area(sq. ft.): scale, but must include dimensions.
Sign o? Z % 50.00 Fee (Permanent sign, any size)
Data Total Wall Area (sq. ft.) p $15.00 Fee (Temporary sign, any type)
Please
complete Direction Wall Faces (circle one):
each item
in this N S E W NE NW SE SW FOR OFFICE USE ONLY:
section
'IMI
.. O O04
Height to top of sign (feet): Zoning:
Notes
Projection From Wall (inches):
Electrical Permit Required? ❑ Yes No
.111
Copy: / Build' rmit Re' uiygd? es No
�r
Materials: p d By: Date of ro al:
C1
1 Q ✓--
Will sign have illumination? Yes No E piration Date:
Type: ❑ Internal@&-External
i:Wsts\forms\signapp.doc 12/17/98
Building.I ddrns: 13720 SW Pacific Highwav, Tigard, OR 9722.3 0.,'120100
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Building View: Front, from left
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Building View: Front, from right
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Receipt #: 27200100000000000582
_.... Date: 02/09/2001
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00036Sign Permit 100-0000-437000 . $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check TIGARD FOURSQUARE CHURCH 0 10561 $50.00
TOTAL AMOUNT PAID: $50.00
WELLS FA100BANK 10561
11760 SW Hall Boulevard
TIGARD FOURSQUARE CHURCH Tigard,OR 97223
16260 S.W.108th AVENUE 91-119/122111)
TIGARD,OREGON 97224
503-639-9203/503-624-8021 02/09/2001
PAY TO THE City of Tigard **50.00
ORDER OF
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DOLLARS
City of Tigard
13125 S.W.Hall Blvd.
Tigard,Oregon 97223
MEMO sign permit application fee
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CRAPHIC SCALE 1"=20'
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TIGARD FOURSQUARE CHURCH
PARCEL NO.: 2S102CC-01200 DESCRIPTION PROPERTY LAYOUT
SITE ADDRESS: 13720 S.W. PACIFIC HIGHWAY
SIZE: Q62 ACRES DATE MARCH 2000
SCALE 1"=20' (WHEN POTTED 11"x17")