Permit Support Document (20) FOR OFFICE USE ONLY-SITE ADDRESS: 03%4 ShI 1.O11SAA Ft SA
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
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: NictSMl 1I.J .`1 G''i LeZ-- MAR 0 8 2023
COMPANY: DUI LT 41O v S CITY OF TIGARD
r BUILDING DIVISION
PHONE: j t 1' ZS• '7 E`i 0 By._cT
EMAIL: re+.iie& 9eluil1-hump Lti • c owl
RE: g3g9 w LONIIsTRw ST rlH D 0151-70z2.-OC
/ (SSittee Address) U 1/a et, ZZ3 (Permit Number)
eR.CC
Lar
31
(Project name or subdivision name and lot nu 2
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.
j„ Other(explain):
REMARKS:
FO OFFjICE USE ONLY ^ ,/
Routed to Permit Technici : Date: '(Cr- 2 3 Initials: /` 7 J
Fees Due: ❑Yes No Fee Desc FT
Amount Due:
V $
is,...... .....t) ,,.....)
Special
Instructions: /
Reprint Permit(per Pp): ❑Yes I '" (((No ❑Done
Applicant Notified: I Date:A•1 • en Initials:WV •A
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc