Permit Support Document FOR OFFICE USE ONLY—SITE ADDRESS:
1 This form is recognized by most building departments in the Tri-County area for transmitting information. 1
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
IN Transmittal Letter
TIC.,A i;p 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 • •a ti,v,.:i g:+ni- .)20 y.
TO: 4LLt(c,.CJ 4LYl( r_YV' DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: A< / fit/&2/C/'o/(/ JUN 2 9 Z021
COMPANY: /1/4 CITY OF TIGARU
PHONE: b.-3— ?/O- Ca..,?S" BUILDING DIVISION
EMAIL: Yol.?c3 //2 a) 44 J U 6,/vl
RE: AS.v-?lam SG(J 1/,‘,, `Crpti,4 fir, 4 -t ec61-6L-- 5-
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. / Revisions: j„rC& 2 7iby
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: WE 4721 440 r4/6 l4././e.re-V "/e 7 4Z
FO OF 10E USE ONLY
Routed to Permit Technician: Date: ‘-'1Ltf2( Initials: /
Fees Due: ❑Yes Desc ptio Amount Due:
Div $$
7.75"---
Special
Instructions: 1
Reprint Permit(per PE): ❑ Yes [No/// - n Done pi< ,....--
Applicant Notified: L -s Date: 7/7 Z J Initials: