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
"III Transmittal Letter
TIGARD) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 111) i i 5 a,A.S. DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
4 A6 1 ain i OCT 19 2022
FROM:
D� CITY OF TIGARD
COMPANY: 15 to,qb i _ C P / if -�t� Pss� BUILDING DIV�SIfN
PHONE: ( �!'() oZ i C( 7 S ? rr By:
EMAIL: CQa r1 t C t f' Si a to 1 �T y cube ,cow
RE: S C+VVVIk .RUPZO22— 0D ► 78
?Site Address) (Permit Number)
l of I'fv► s5 r l ctrci
(Project name or subdivision name and lotlnumbeN
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. '& Revisions:
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 OFFICE USE ONLY
Rout to Permit Technician: Date: f p - aQ Initials:-k-ft
Fees Due-ND Yes ❑No Fee Description: Amount Due:
.�� pf av1, ,^cv'. .v. $
C-orY-s $ 7-iv
Special - S.D., .60
Instructions:
Reprint Permit(per PE): Yes 4] No ❑ Done
Applicant Notified: tr.- Date: �.6/,h.. Initials:t7i4
I:\Building\Forms\TransmittalLetter-Revvisions_073120.dor