Permit Support Document (9) FOR OFFICE USE ONLY—SITE ADDRESS: 1_0 -2 05 lnl —7 I °'t. AVG
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.
PrCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 4A50,1, 4141 s" v DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: / 136Y ( / a FEB 0 9 2023
COMPANY: /o 70 5 �w 7l s" fie' ``2' BU LDING IGARD
PHONE: ��63) 02 0^ O .G 2Z By. 93-
EMAIL: ijCu"0.4v- . Poi l Co,
RE: /0705 -Se,) 4ve C1P r'si 20Z.` X 170
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
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/t92licatning. ' Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
�
REMARKS: , S0✓1 SUS-vii /c- - /l,
FOR OFFICE USE ONLY
Routed to Permit Technici Date: 12j(/23 Initials: f���
Fees Due: ❑ Yes No Fee Description. Amount uD e:
$
Q-6 r)
$ „c21
Special
Instructions:
Reprint Permit(per PE): ❑ Yes _ No ❑ Done
Applicant Notified:}}R1ck.tr F Date: ,Dl i Si>7) Initials: ; 7
I:\Building\Forms\TransmittalLetter-Revisions 073I20.doc