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
1111 _ ~ Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tieard-or.cov
TO: y, }}(Z d-Q��;t�►Cr, DATE RECEIVED:
DEPT: BUILDING �,�III--DIVISIONQQ RECEIVED
FROM: ) ui m /l{r.Jvv5 L Jol j�la,ce SEP 2 202i
COMPANY: C 1 OV reocr,5 11 CITY OF TIGARD
PHONE: 6 0 ,Q14_ 4. 86-44 BUILDING Dllll ,(ON
EMAIL: ; 4' sol-7- eci-014"/P-4Mi C,e'l-, c. .-
J
RE: S SLl! MY ; Loy
V\ST ,0�( — oo?Ob
( e Address) (Permit Number)
nO ,. - 42,,s.,c,� i c,9.1((Proj&t sme or subdivision name and lot numoer)
ATTACHED ARE THE FOLLOWING ITEMS:
I Copies: I Description: i;Copies: ` e ription: l
Additional set(s) of plans. ,2 Revisions: 1v7tXri'�1..'} fi e%
Cross section(s) and details. Wall bracing or laterrlIan ysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
2.. Other(explain): Al s Ac
REMARKS: __P42A49 cee f&I 91,4 ft Q.Ca 001NACA
-Z424-44*
.: t 4t V.04.OF CE USEmON , IR 7A
Routed to Pe ' Technician:: Date: 9 it OFFICE
Initials: AA-
Fees Due: r Yes No Fee Descitiptio Amount Due:
$ Li S— /
-,,H.1„ t 1> G p�) p
.•S ' 1c 'e .. trf }�'lN Sl L e L�
b 5n Yx:
Ee m*
C $
Special
Instructions: I
Reprint Permit (per PE): ❑ Yes I No Ill Done �/
/ k,_.Applicant Notified: ate: 7 7f) /A ( Initials: y /
i
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc