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
N I al Transmittal Letter
T I t1 A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.eov
TO: AIIy n A-Rm'1cina DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: of A(om° Alookihac SEP 9 20V
COMPANY: 104 tog jfarrilfOrN CITY OF TIGARD
{� 3UILDING DIVISIOf
PHONE: '40 �l 4.N 5G � I- By.
EMAIL: 614lt�rni,Ohou/7[ p ,C-2,&,nrn,m:s9,,. u,„
RE: I.()6 75 Sw Totunsvil e Si' 1151- Aoki — 00 9.6k
(Site Address) I (Permit Number)
l3td PM_ t9r Pak 9R$. e k /,/53
(Ptt name or subdivision name and lot nunitrlerY
ATTACHED ARE THE FOLLOWING ITEMS:
I Copies: C Description: I Copies: F Description:
Additional set(s) of plans. '3 Revisions: A 4 uv dEaItsi ded-
Cross section(s) and details. Wall bracing an lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Play SPC flet/ AT.: I/en/i t3 C Lt*s NP t I
Co 1/ 150
FO OFFICE USE ONLY
Routed to Permit Techniciap Date: 1'i(Z I Initials: 4-A--
Fees Due: 1 1 Yes ) 'Nov Fee Descifiption: Amount Due:
y5y � $
X1111 y3 >I C 4I ��
$ 221‘
Special 1 /
Instructions: 1 G i /
Reprint Permit(per PE : IllYes I o ElDbne
Applicant Notified: ate: 7// 7 2 ( Init ls:
I:\B uil ding\Forms\Transmittal Letter-R ev i s ions_073120.doc