Permit Support Document (11) j, 5�-:r.. ���, t � ate.. �e .4 ;.:{ _ 4 �
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Site Address: ,,,
.�f Building Division
Y . T I CI A};D Deferred Submittal Transmittal Letter ,
TO: liwc. ._ ro.._._ DATE RECEIVED:
DEPT: BUILDING DIVISION . V ,;.I,,i ,
/+,,,,� CITY "TIGARD
COMPANY: LN,((i . ,.- _ BUILDING DI
r104-1 .1.
PHONE: ' � ( I37 ��� .. .a �.. ��_�
RE: litV
a eu zo _ 5
, , (site Address) JJ . urn )
kt, ki
(Project n me or su ivision nrne and lot number) :. ,
$` Valuation of Deferred Submittal: $ 7`73 tiV N 4
ATTACDED IS TETE FOLLOWING DEFERRED SUBMITTAL ITEM:
1, Copies: Description:
rAfrytri reinek, I ,
NOTE:Documents for deferred submittal items shall be submitted to the registered design professional in
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responsible charge who shall review them and forward them to the building official with a notation indicating that `; L = _`.
the deferred submittal documents have been reviewed and been found to be in general conformance to the design ofry -' <.
the building.The deferred submittal items shall not be installed until the design and submittal documents have been om Y .1
approved by the building official.Oregon Structural Specialty Code Section 106.3.4.2 .,ma„;
FOR OFFICE USE ONI..,'V
i Routed to Permit Technician: : Date: i 2, . i 1-23 Initials.
Fees Due: , Yes 0r No . Fee Description: Amount D e
Deferred Submittal Fee: $
Additional fee based/ on valuation: : ;
„ Total Fees e: - : .
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Special
Instructions:
. ...._ ,
Reprint Permit(per PE): Yes No ' a Done
Applicant Notified: (' Date: i iii 4„,)-,) Initials: .i ,
440. The fee for processing and eviewing deferred plan submittal shall be an amount equal to 65%of the building based
on the valuation of the particular portion or portions of the project with a minimum$200.00 fee.This fee is in
ftw addition to the project plan review fee based on the total project value.
t 8uildmg\Eonns Transmitta1Letter DefrdSubmtl doc 04/04/07 �- 5,
h Y.