Permit Support Document (39) FOR OFFICE USE ONLY-SITE ADDRESS: \ Ma f ,l L 4 ur.
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
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: -ft 1IS* t Q4- DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM: LEI f5el&)-- JUL 25 2023
COMPANY: \(ALIfi(, Cann net LA VL`il// besTo CITY OFTIG43D
PHONE: --t;3- CH t -c40 1-4 BUILDING DIVISil ,l M)
EMAIL: �I..)C.I@ ?GCG{-&jL -C�rn YYIGt Y1111/j. �►'�'►
RE: tti YPN 7[" 94-ra ct -rtawvl C€vr+er 1,? SZU 3--0,0 22\
(Site Address) (Permit Number)
X ea -fte LoY-f1
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
ti 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.
Other(explain): 1,� -
REMARKS: Ye -AO CA�-G C- kD o vi �1 40k S t c
\au;t ke,ti y\c1 as drrt vt+ rr- -tZl +�s 12. cbrn vnfi,erls
FOR OFFICE USE ONLY
Rout to Permit Technician: Date: S a-a3 Initials.
Fees Due. Yes ❑No Fee Description: Amount Due:
O O ._c )-) r pl $ --
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes Ng No ❑ Done
Applicant Notified: J..e2_ Date: � 31r; Initials: /5 77)
I:\Building\Forms\Transmittal Letter-Revisi ons_073120.doc