Permit (31) FOR OFFICE USE ONLY—SITE ADDRESS: (7 9 di') 4014
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
IN = r Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
RECi v1J!
TO: .044A/ DATE RECEIVED:
DEPT: BUILDING DIVISION JAN 6
CITY i TIGARD
FROM: 5-b/0,_Q__ ALJp
DUI, i NG DIVISION
COMPANY: L.0 C S L (--f_e [ 6+
PHONE: "S7)3 3 a'O -a- l 0 c--> By: �.77..--
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RE: “ ‹w , Lao .. . �.. t ST-an 6�
_
( ite ess) (Permit Num er)
tocrmi-4. t*.&(-tee4
roject name or subdivision name and lot num,
ATTACHED ARE THE F 0 LOWI ; : - S:
Copies: Description: Copies: Description:
Additional set(s If p AO Revisions:
Cross section(s) . ,. s - . s. Wall bracing and/or lateral analysis.
Floor/roof framm�� Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: ( Q )[l C.-g-f-:
FOR ICE USE ONLY
Routed to 'ermit chnici : Date: ( 7 / 75--- Initials•
Fees D -: ❑ Y IN o Fee Description: Amount ue:
$
$—CD
$$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes � El Done
Applicant Notified: Date: 0//b to/ _ Initials: Q
L:\Buil ding\Forms\TransmittalLetter-Revisions.doc 05/25/2012