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
4 II _ Transmittal Letter
r I G n R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Samedy KKernMAR 14 2022
COMPANY: ri Y OF TIGAR1
PHONE: 971.563.0552 3UILDING DIVISIC�I�y: "
EMAIL: samedy@kem-consultant.com
RE: 15732& 15730 SW 76th Ave (, Y MST2022-00006&00008
(Site Address) C (Permit Number)
k 1/rcic5 �5y��-r7'7c
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 2 Revisions: 1
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:
FORO FICE USE ONLY q/
Routed to Pe - Technician: Date: 3 7��U Initials: J
Fees Due: Ye- ❑ No Fee Description:c Amount Due:
ib, i AI\ r��t.ems $ S
P $
Special
Instructions:
Reprint Permit (per PE): ❑ Yes o ❑ Done �� _
Applicant Notified: } � Date: ,7/,,� 6%l11 Initials y