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Permit Support Document (42) FOR OFFICE USE ONLY—SITE ADDRESS: (>7 07 S I Vinci, LV\ 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 DEPT: BUILDING G DIVISION CD AUG 8 2023 FROM: C(3 6 r fe.l r-1ofalet_� CITY OF TIGARD COMPANY: J1O ca)eS COInsc-tfUc_-}-(Ori LLC BUILDING DIVISION PHONE: -. Q71- av Vv VL sy: EMAIL: I lO ) SCbn<S�'fvC--1Qn2j03rnall'Nt'n ,.�,�� RE: 12'7 )3 S& ft v \vci �n r45T20Z��3O 7 (Site Address) (Permit Number) °ccs ex•Ce (Project name or subdivision name and lot number) 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. Other(explain): REMARKS: 4/pewee," l t,t, . -4 v.t ccievee,A2ws FOR OFFICE USE ONLY Routed to Permit Technici : Date: Initials: Fees Due: ❑ Yes No Fee Description: Amount Due: ij (\i Special Instructions: Reprint Permit(per PE): / ❑ Yes o ❑ Done Applicant Notified: \/ Date: ?/1)--/a--3 Initials: