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
•
Transmittal Letter
T l c,n 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 Kern MAR 14 2022
COMPANY: CITY OF TIGARD
PHONE: 971.563.0552
3UILDING DIVISIOb' By •
EMAIL: samedy@kem-consultant.com
RE: 15726& 15728 SW 76th Ave 2 DIAI09 c i z zz-000 t Q
(Site Address) L (Permit Number)
Lot t / /✓1-k 6f,' � %�/!/G
(Pro* 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:
FOR OF ICE USE ONLY
Routed to Perm' e h ' tan: Date: �j/v?�-vim- Initials:
Fees Due: es No Fee Description: Amount Due:
$ aoz_____,7
1, 2 -curt, e_. l/ $ S -
Special
Instructions: l/
Reprint Permit(per PE): El Yes No El Done
Applicant Notified: ' -___ _ Date: -� ii/i).- Initials:
U