Permit Support Document (5) FOR OFFICE USE ONLY—SITE ADDRESS:
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
,n i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 4 I it/g0)1 4.Yt ?SfOYI7 DATE RECEIVED:
DEPT: BUILD G DIVISION RECEIVED
FROM: 4/ USW) FEB 9 7.021
COMPANY: 1A/e.c oV d flvfr c LLG CITY OF TIGARD
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PHONE: �03 - 7/3 - 4Q 2 q41 IIl.DING nluic! $ni��
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EMAIL: Ait/sehl we S-j-rtiov d hongsLLC•C07"
RE: J205"0 51v a.ocres-i-cam: msTZa20 —0021'
(Site Address) (Permit Number)
AS1rn f
id & L-�
(Projec name or subdivision nam nd lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
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): ,, er a`
REMARKS: tpS-J;r t'� .5'h on/el-5- 01 .4,1 1
arrb Le SS
141 S a S�d �S have ,24,1 G'La_n-9ca' ro 69 ei
y*0 CI elm
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Routed to Pe echnician: Date: ( 'y Initials:
Fees Due: Yes ❑ No Fee Descnpti : Amount Due:
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑Done
Applicant Notified:fju-is-09 Date: 2/4,p_i Initials;,�c'
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