Permit Support Document (23) ttA
FOR OFFICE USE ONLY-SITE ADDRESS: ( I -5 `k�7 W c7 5— c
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
i I Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: o>n Nyto.S vt9 DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM: k -eztk ran JI N 15 2023
CITY OF TIGARD
COMPANY: Atmke vVWL1 Kt�tti b4 1 UDC BUILDING DIVISION
PHONE: (2 S, Ioc1 - ZIOS% By:�" .
EMAIL: a(t vi /IDWI tIvowI'i a kGLI .LD ill
RE: 11 `i3 SWqC4i K P/ MS1- 2023-00s ( t)
(Site Address) (Permit Number)
1512,C, GA- 63900
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: if Pd ol+e-c1 la kitS
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
X, Other(explain): IA p1 LCtt'i
REMARKS: 1- 11iW S - 0f ptat'iS 1'>,ptace' pve/vi°Vs p(ak 5E-I-
WAWA- 1S ho tovlger aI'+ ADu , Iii Sit ad
0vive'vcm/ of- awage/ 1VI wJ cpaCb
2 • N Ap h ccrvi+ `P e-i i adds 1v p I41/ s
FOR OFFICE USE ONLY
Routed to Permit Technici Date: 7/o-/7r3 Initials:
Fees Due: ❑Yes [�No Fee Descnption: Amount Due:
$ ICJ
1 $ /
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Fonns\TransmittalLetter-Revisions_073120.doc