Permit Support Document (18)m.
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FOR OFFICE USE ONLY—SITE ADDRESS: QtlIO <iikt ,W nnskC �1 h
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
IIIIII
r Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RE, ,-
FROM: Q 1 r JAN 12 2022
COMPANY: i lLT TIolPi, LW CITY OF DMSIO
p� /1 BUILDING DIVISIO[ BY:• /�� /�
PHONE: q 11 " 25'01U �V <J"
EMAIL: \ IASpAlDJ ( SA6.E-OUL 1:r4ACMQPE��U-C•UV U cr i--� -Tr C�ZD
RE: (3LA giro , 13gg� q q c�lJ �'�a)u�,i'�s72z24-- 78 (1-ar 1-7
(Site Address) (Permit Number)/ __ 2_2022_oos7 2.
(ProjectKirk bler)c. `f t c.L S r 7- 2� 1n�1��5YTt,2(a22-ooS 7 rot�4
name or subdivision name and lot number) M S"T Z ZO 2_00521 Co(-I 9j 24
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. .x Revisions:Si-re ?(135
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 QFFIiCE USE ONLY `�
Routed to Permit Technician: Date: 3 /)q 123 Initials: r --
Fees Due: ❑Yes ❑No Fee Description:( Amount Due:
T t k t $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes o ❑ Done
Applicant Notified: j Date: 4 I t l Ill Initials:,Ap•IR
I:\Building\Forms\Trap smittalLetter-Revisions_073120.doc