SGN2020-00014 I
RECEIVED
FEB 1 8 2020 i
INCOMCity of Tigard CITY OF TIGARD
I
MUNITY DEVELOPMENT DEPARTMENT PLANNING/ENGINEERING
T> Sign Permit Application
`vim. ..,s^.. r _..n'.ZR`.K ...
-R"nY.A'Fr'•'"P�r.'.=5�"ST�..-454C•:'T'{Pe•.aewr<mY _ �w . n...riy�
SIGN LOCATION
Address: /,3.. 7�/D //51- Suite#: REQUIRED SUBMITTAL
City/state: y ELEMENTS
dip. 2 copies of elevations on R'/i'x]1"
Tenant or bus' ss: i
or 11"x (7"pages Mall sign
elevations must include dimensions
Property owner name: LA) S
A t T f/jt0� �/17� yt C of sign and wall face and show the
Address; t$ O S Uk t( 3T location of sign on the wall.
r` be drawn
sign elevations must
/
Ci state: _a_________________
Zip: � 2,2-� be rawn to sealer}
Phone:3�j_-1 ._ Email: „'c � - LOA 4fW 1&. [�2 copies of site/plot plan,drawn
( to scale,on8Ya"it1l"or11"x17"
Sign contractor: Q�/s �' pages(not required for wall signs)
�a
Address: fit//'7G .SuJ(�'or�t+,d ace
l�Listordiagram of all efoot g sign
City/State: 0 7, ore,/ /1 /^ 1 dimensions and square footage
/ .. Zip. �712 3 if l .Application Fee
Phonee4j3:2W- 3 Email:st'rdli a Weiss ate .4.5/7'�' u /
1 pis-
GCB License#: /y7'7p7ration date: NOTES:
Contact person: ;DI elf RUC//S • Freestanding signs over 6 ft,'in height'
and walls signs of which any element
weighs 20 lbs.or more required
SIGN DATA(Complete all items in this section) budding permit for construction.
If any element of a wall sign weighs
_/ TYPE(Check all that apply) 70 lbs.or more,plans must be prepared
L4S New sign by a structural engineer.
0 .Freestanding 0 Electrical
0 Alteration to • Building pemtitsrequire 2 sets of 1
❑ Freewayl? iall construction drawings and,ifsign
.� existing sign s n is
0 Roof 0 Other freestanding,2 copies of site/plot plan
and 2 sets of engineering must be
/1 / rrC Es: J Sign# : submitted with building permit
application. i
Sign dimensions; fro) x_(w) = /78 ti sq.ft:sign area
i
Newsiga-y-..o q. t.+ Existing sign aces 0 sq.ft.__Dotal
7'otalsign awn:yy,Y�sq.ft./83 iilding face sq.ft.=475%.of bldg face Case Nt IV u: - 00111 !
Height to top of sign;c.ZO ft.Projection from wall: in.
I' as,/ Related CaseeNo.(s):
Materials: % as,/ Z (Fee: -
9
Application accepted:
Ice the sign under 20 lbs.? Yes 0 No f `1
(BuildingPermit required ifPvr20lbs) /^� h)' f f'3 Date: L/�v
Direction wall faces(circle one): N S E W -NE l`�' SE SQL Application determinedn �osplcte:f `} i.
Will the sign have;dlumination? 0 Yes I'No Bp: !� Date. -L/ i t
If yes,what type: Q Internal ❑ External l:lCommunity Oevekamen nUnd Usa Appliationa\UZ_lorma and
—.�4 ""'-----•— _ Tem9alaa\tasd listM1pplirallona Nev1�l9/L017 f
o r-Vhh tax .dt... igsc !s 1sr7g..-ems.mail k
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wttnvtigatd-otgov. • 503-718.2121 • Page 1 of2
f
,
•
r
t
•
APPLICANTS n
NOTE: Person specifies!as"Applicant"shall be designated"Pertnittee"and shall provide financial assurance for work. j
',whenthe owner and the applicant are different pcnpk,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or all anent of the owner. The owner(s)must sign this application in the space provided on the back of this
fonn or submit a.written authorization with this application.
THE APPLICANT(S)SHALL CERTIFY THAT:
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. t
6
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and ,
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such t
statements are false.
•
The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
1
I hereby acknowledge that I have read this application,that the information given is correct,that I ant the owner
or authorized agent of the owner,and that plans submitted are in compliance with the City of Tigard,
SIGNATURES of garkowrter of the subject property required. E
/t� She!/ Wells - ia5i 5 '/ -22/a/.Za .o
Applican' gniiture Print net' e Date e
Q • )1, Go 1G-s Volt- yIL/2-a t.d j
Owner's signature Print name D I
i
Owner's signature Print name Date
k
I
i
l
i
1
gg
t
i
ti
I
.
I 9
3
ri
ly
E
SIGN PERMIT APPLICATION I
City of Tigard • 13125 SW liallBlvd. • Tigard,Oregon 97223 • wu4imtigard-orgov • 503-718-2421 • Page 2 of 2
1
l
t
PROOF #2 FASTS/GNS
FIRST EACHAHRfEPROOFSARE EVISIOEOWATHIIRDER. More than fast. More than signs:
EACH ADDITIONAL PROOF REVISION IS AN AUDInONAL$f O.
Order/Estimate# 10821 12176 Garden Place
Customer:Agilyx Tiggard,OR 97223
PHONE 503.244.8813
Project Lead: Shelly PROJECT SIZE: 36.3"H x 178"W 314@tastsigns.com
c_
211111,11111111111111111111111.11111111111111111111111111
9
,W REGENYX N REGENYX
•
7111"1"1"1"1"4"11:Att- j"-
- :a-
` _ 'p
T
3,$DREGENYXT. = TGARD
1
NEW LOGO `, �°' ` .£ /P Wing
IMAGE:DIE-CUT VINYLPRINT'te. - /
LETTERING:PAINTED BLACK jaiS. I/V (5
MATERIAL(S):Acrylic 1/2"Clear,Stud Mounted to Banding CV'3 ud ) DATE 1.29.20 Proofed By: DR
ANPLEASE ZOOM IN TO ENSURE ALL ARTWORK IS CORRECT
ADDITIONAL NOTES:Studs-Installed 3(x38) APPROVAL: Is analGNS SIB oat a NOW
ons ProlUk M errors err der Mina after your pool
kadstrarB.p5FIESE NDTF:ng Is&rnplIMa ceder yomtil cot! all
Unlinks am apMara0.PrONIpR Is desiFnad In bedpce your final cost.
PTEASF esaaine Oran carekpy la any errors.Skala you t.qulle a waffle
color ukase stratify a Panlene Cabo IPNISI at vase WOW siwnranm and
c noose a Padua.cater Irem car cob/palette.
y�Y'�� THIS DES/ON AND ENSINEERMD ISSN MRIED SOLELY AS PARTOT OUR
-` # PROPOSAL Am,IS TO REMAIN PROPERTT OF FASHIONS 1CARP MOONY
OTHER USE MEREST IS PROHIBRED AND SUBJECT 10 DESIGN AND USE CHANGES.
=
9
S
•ca* 4+
-WA*:
IpAgilyx Corporation
9 Agpyr44...
•
e,-
40
,‘.°
j."‘ic pi la c a 6i1,14/
CITY OF TIGARD RECEIPT
i I •• 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TI(lAR.I)
Project Name: Agilyx Sign Permit
Site Address: 13170 SW WALL ST
Receipt Number: 428244 - 02/18/2020
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2020-00014 New or Modification to Existing Sign 100-0000-43115 $228.00
Total: $228.00
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 4803 MBILODEAU 02/18/2020 $228.00
Payor: Fast Signs Tigard
Total Payments: $228.00
Balance Due: $0.00
Page 1 of 1
PROOF #2 FASTSIGNS
FIRST THREE PROOFS ARE INCLUDEDTH 'RDER. More than fast. More than signs:
EACH ADDITIONAL PROOF REVISIONIONIS IS AN ADDLTIONAL$10.
Order/Estimate# 10821 12176 Garden Place
Customer Agilyx Tiggard,OR 97223
PHONE 503.244.8818813
314@fastsigns.com
Project Lead:Shelly PROJECT SIZE: 36.3"H x 178"W
imiummmuniiiiitimmummumolo
91.
•.,REGENYX
tr, REGENYX
s,
I
lr4p
i
HP
i REGENYXYGr ;;u,���
NEwLoco ;,ad by Ptannil
IMAGE: DIE-CUT VINYL PRINT ate: �$ ��p
LETTERING:PAINTED BLACK 'Itials: .... 3.3,
MATERIAL(S):Acrylic 1/2"Clear,Stud Mounted to Building ev"c5 $) DATE:1.29.20 Q Proofed By: DR
1 l PLEASE ZOOM IN TO MST/REAL!ARTWORK IS CORRECT
ADDITIONAL NOTES:Studs-Installed 3(x38) APPROVAL: FASIMDNSPAID.,ts.ra,paa,bk tor or,ar,orNal„rans*Har„p,Israel
Is apposed.PLEASE NOTE:Produdoon of IM,order MInot start MI
eE
Wools ale approval,.Proofing Is destAnad la roduce your 11.1 castSt.
PLUME auralae pad careful,,IN any errors.51ould you raeahr a ape ogle
color pleas*$psslfr a Panlme Color IPMSI or come ey our slgraopm and
.Am,a a POST,..calor Tram vur color pektle.
*-- - — MIS MIS DESIGN ANTIENGINEERING ISSUOMUIED SOLD-TMPARTOF OUR
PROPOSAL AND IS TO REMAIN PROPERTY°,F451 MONS TIGARD ASO ANY
DINER USLNEDEOI IS PROMS IMP AND SUSPECT TO DE 5I CD AVD USE CHANGES.
a-b..;
ipAgilyx Corporation
9 Agt•y44.
0 4.e
4./ ZO C a ti,:f IA/