SGN2010-00117 CITY OF TIGARD SIGN PERMIT
Permit d: SGN2010 00117
COMMUNITY DEVELOPMENT
Date Issued:
T i G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101 CA00200
Jurisdiction: Tigard
Name of Business: Agilyx
Business Address: 7904 SW HUNZIKER RD
Applicant/Agent: Hayden, Melissa
Work Description: Installation of one (1) permanent wall sign 14.9 x 4.9
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 14.9 x 4.9
Total Sign Area: 73
Wall Area: 8640
Wall Face (Direction):
Sign Height: 25 ft.
Projection From Wall: .25 in.
Illumination: No Illumination
Materials: Aluminum
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $164.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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 va ' ate.
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Appro By • I % ' r
✓l�f
Permittee Signature: i
V
• 1, .
SIGN PERMIT APPLICAFIIORVED
. . , .
Cihy of Tig,nr1 Petrnit C.entrr I3125 S1f' Ha /I B /rd, Tigard, OR 97223
Nom: 503,639.4 171 Fax: 50.3.598.1960 JUL 2 3 2010
TIGARD CITY OF TIGARD
GENERAL INFORMATION
PLAN f G /ENGINEERING
Name of 1)ccclnpment /Pn�jcct �. .
Site A 9` / /) � • FOR STAFF USE
Address/ Stmt :\d G Permit No.: - -- ?Olt) - (J 2 I ( I
Location 794 j W. NunlikCr 6 reef
Expiration Date:
Suite /Bldg. # (:iry /Smte i Zip
T jorr,L., 9 7223-) Receipt #:
44/
Name /�� Approved B\':
Property gal s t I(_, kkei Date:, .//n � �-r� 1 ,,�'
Mailing Address Suite � l v f v �/ a- c'
Owner R Nlap /TI_ #: �-p�
790o s. W. 7�1t✓r2: ke r .5 rcet Zoning. :f L I J 7o
Cite /State lip Phone
77r arcIL , 97221J 60,E - 597-242.
) Electrical Permit Required? ❑ Yes
Tenant or Name
Business /
7;/ �/ Building Permit Required? ❑ Yes ❑ No
Nam ( l / A Rm.7 /l /0l
c \ cork' \nustcn \Lund UK' apPftcations \mg" Penn t app.doc
Sign Security Signs
Contractor rt,t'tins Address Suite
(Prior to permit 2424 SE Holgate Blvd
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licences are (Note: applications will not be accepted Portland, OR 97202 503.546
without the required submittal elements)
expired in the Oregon Ctmst. Cont. liter d License # Exp. Date
Cite of'lipid's
database) 1 809 ❑ Completed Application Form
Proposed ❑ ❑ ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
P Ptcnn:mctn Freestanding !Teem ,
Sign ❑ 'temporary ,❑i' wall ❑ l lean onic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement 8' /z" x 11", or 11" x 17"
apply) ze rC 9
21 New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: ij q ' t ' 4 (3 copies, if a building permit is required)
— I • v size requiremenn 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): ,
�� ❑ . ee (Permanent sign, any size)
Si Total Wall Arta (sq ft 4 2
Sign Data ❑ g) N31;ee (Temporary sign, any type)
(o.mpletc all Direction Wall Faces (circle one):
items in this NOTES:
•nti,n) N S E W NE NW SI'. MX'
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): �' must include dimensions of wall face and sign
Co y: placement.
P M1n • Wall signs do not require site /plot plans.
Materials: � • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ,'No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Arc there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes �No NULL AND VOID.
If "yes", a List or diagram of all sign dimensions and 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.
DATED this Z z day of j d Q , 20 ID
Signature f Owner /Agent
Melissa Hayden 503.546.7114
Contact Person Name Phone No.
Wall Display
0
, Non- Illuminated SECURITY
1 � �� v Manufacture and install (1) one wall display SIGNS
1 Quality Since 1925
Construction: Routed FCO letters 2424 SE Boulevard
— ' N 5 0 3 -2 2- Oregon 9 20
03-2
30 -1861
\ - - ° S www.s curitys gns. 503-230-1861
+ Material: 1/4 aluminum painted TM Pantone
OR CCBa 122809 WA SECURS1020CF
260C Blue and 376C Green
00 .
1' T NA � Installation SIGNASSOCI °A
NOI NW� ESTSION COUNCIL
I Wall y pe: C orrugated Metal
I
PROJECT MANAGER
Mounting: Stud mount flush to wall. Add spacers Joseph Plate
— # , where required DESIGNER
f J. Ford
N� Colors PROJECT NAME
■ Blue Pantone 280C ® Green Pantone 376C
�'
c c
I J I Y o
Iiir - FOCC C O
"` ` l CITY CODE 1 5% of building wall • � i a
T i ALLOWANCE 658 sq ft max allowance 6
• II F,
U
iz.
$6.-'--- METAL WALL PAGE DESCRIPTION
O BUILDING ELEVATION ` C �� X = 6� _ 9 j Buil ding
Scale: not to scale � Identificati
ut%mama au REVISIONS
THREADED STUD IN Q Reduce OAS by 75%
14' -11 " �a '7
()(/ ¢ u vU ,---- BACK OF LETTERS 07.14
�:,,� 1/4" ALUMINUM - - ®`°°y' � ` ,+�;°.N.; g " ..' " `
i.--, Unauthorized use, reproduction, and/or
_ - display shall render the Infdngar IiaWa
for up to $150,0110 m Statutory Damages,
O -r? plus attomeya fees and costs, fo r each a g I I y
N frTgement under the US. Copyright
Act (17 U.SG 412 &504)
d'
APPROVALS
HOLES DRILLED IN WALL Client Signature
j CITY OF TIGARD FOR STUDS SECURED WITH
Approved 4 .1 1T�uH BOND ADHESIVE L andlord Signature
illa
Conditionally Approved l
O WALL DISPLAY - 72.72 SQ FT For only the w%r� d ribed
SCALE: 3/8" = 1' -0" PERMIT NO. � 1 ��� DATE: 07/09/10
Sep Letter to: Follow 1 r
/, -
Ch . _ ..� _ -- T - i I PAGE #: 1 of 1
I Job Add ss: mg,
I B v__ Date: 9...7//./.2......______. DRAWING #:
10 -J F546r1
?`"±
14 tYt CITY OF TIGARD RECEIPT
0 ; 13125 SW Hall Blvd., Tigard OR 97223
_§ 503.639.4171
T[U ,R_
Receipt Number: 178971 - 08/05/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00117 Sign Permit 1003100 -43115 $143.00
SGN2010 -00117 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 19948S DADAMSKI 08/05/2010 $164.00
Payor: Melissa Hayden - Security Signs
Total Payments: $164.00
Balance Due: $0.00
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