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
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Transmittal Letter
TIGAR17 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Ath3SO4 1 izv i 5i-Cdns DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM: Qlrn.ot A-LOW: A-60ijho js OCT 6 2021
COMPANY: ��0,1,62 N plc;S&i- 6ITY OF TIGARL)
PHONE: 6 J `3 iA (0 iUILDING f1IVISIOR. -
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EMAIL: 944 i A ,lS (( r Corenno ,(e.. Cam
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RE: 16.151i stAJ r/ heikii ) Loop N\ST .2o2I - 00342
(Site Address) /� (Permit Number)
oVOvi ..ai— i t'l_r��� RiiAr hE (90
P t name or subdivision name and lot nu be
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
4 Additional set(s) of plans. / Revisions: s te_ p(Qn
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): A- / 1
REMARKS: AHCheoN °I I east A ReUSed St_. ) ctroU UKFU0 CS
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FOR OF�ICE USE ONLY
Routed to Pe Tec tan: Date: 1 ( Cj Z( Initials: /motes
Fees Due: J Y No Fee Description: Amount Due:
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Special
Instructions: /
Reprint Permit(per PE): [' Yes
Y II] Done
Applicant Notified: Date: 5 72 )) Initials:/L
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I:\Building\FormslTransmittalLetter-Revisions_073120.doc
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