Permit Support Document FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1 " Transmittal Letter
r t,,.\i<nn 13125 SW Hall Blvd.•Tigard,Oregon 97223 • 503.718.2439•www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: D A-V l b N o L ES
JU! 2 2021
COMPANY: 14-0►u OW NE it ,�_
PHONE: S�3 514 Lk — q 2 4( CITY OF T)G [i r
euiLoinc r)!ti sjaAo
EMAIL: in e (Es c[-pa k lawsrJ c a*4
RE: 10630 6 W PARK sr WST7O2_(- DO 1.5
(Site Address) (Permit Number)
rA-NTAS Y If/ tLt_5 Le)T If
(Project name or subdivision name and lot number)
ATTACIILD ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s)anrl details. }C Wahl bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. x Engineer's calculations.
Other(explain):
REMARKS: f2F V 151 o N Fo k A-A D a=b W t tv 00 u)
i �,'- JO 0 Itl e ms- . pJ t a,I1c
-I-I> t rl s-.C-i. Y"ai-. . "T1.e.s-c- n , 'i-' pvt-d- Di- t
FO CE USE ONLY / *Z
Routed to Permit Technician: Date: Li 2i a--- Initials:
Fees Due: El Yes Jo Fee DescnptiJJ : jz:::1 Amount Due:
r� $
$ G�
(75:
Special .
Instructions:
Reprint Permit(per PE): , ❑Yes No ❑Done
Applicant Notified: et-- Date: ( '//o w I Initials:
//�G�"p