Permit Support Document (2) FOR OFFICE USE ONLY-SITE ADDRESS: (t 57 7 y 77 ' ATV'e
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
III Transmittal Letter
r,c;A F,n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: t4l(ysa) ( fl1 S*I? DATE RECEIVED:
DEPT: BUILDING DIVISION / t, , I.,1 1.5
FROM: P;c &i' -/ r { litel/ igple.2449...
COMPANY: C[ 0 T
str , 6
PHONE:
EMAIL: - r y
RE: j 113 71 6 v�1 ` Av-e //1�1--- -Oc3--1 - 0 O. -
(Site Address) (Permit Number)
roject name or subdivigion name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description; Copies: Description:_
Additional set(s) of plans. 3 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: 1-4`. e v' f I ‘ Zc
FO 0 FICE USE ONLY
Routed to Permit Technic' Date: (Z Z� Initials:
Fees Due: Yes No Fee Des ti n: Amount Deie:
❑ � p
(---' $
$ fi
-
N\
Special (
Instructions:
Reprint Permit(per PE): ❑ Yes 10 No ❑ Done
Applicant Notified: // Date: Q in 'LO/1,- •,rn(1,\\e,d, V )(() j\ • Initials: IVO
I:\Building\Forms\TransmittalLetter-Revisions_073120.doc