Permit Support Document (19) FOR OFFICE USE ONLY—SITE ADDRESS: (0D b S14k) LopiaT[ Si.
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
.D t DIVISION RECEIVEDFROM: /I M I I J fi �+ iez
COMPANY: S e IAA LT }.10(Y1C-S MAR 0 8 2023
PHONE: 97( '325' le q0 BUILDING DIVISION I BY:��
EMAIL: k a,+ie e- Q.9$11,v t14-V14r w-s.U.C •ecm
RE: 9 T0Y SL) LtwavrAfr $f TT E1 1 D °j-j ZZ.3 77ST2oZ2-OO- t9
(Site Ad ress) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description: y__
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.
1.— Other(explain): kU STS'b 41Zt i Q. 'F t(; ON Si re ?LPN
REMARKS:
FO OF ICE USE ONLY
Routed to Permit Technic' : Date: 3 t Li Initials: ,Fees Due: ❑ Yes No Fee Descnptio Amount Due:
$
Al oV $
9'
Special
Instructions:
Reprint Permit(per PE): ❑ Yes Io ❑ Done
Applicant Notified: , Date: 4111 113 Initials: Ap• ,is
I:\Building\Forms1TransmittalLetter-Revisions_073120.doc