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CITY OF TIGARD
C REVITV FOR CODE COMPLIANCE
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OTC:
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Address: R93,5 .s w ;(3 t,-heti ri
Suite#: -----
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G VALIDITY OF PERMIT
THE ISSUANCE OF A PERMIT
BASED ON CONSTRUCTION
DOCUMENTS AND OTHER
DATA SHALL NOT PREVENT
THE CODE OFFICIAL FROM
REQUIRING THE CORRECTION
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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
IN _ 111Transmittal Letter
r!( ;\k n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ) 0 AN- DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
MAR 13 2019
1
FROM: J era Il' IC/)0 ,�,--Q O CITY OFT ,ARD
BUILDIN c a MSION
COMPANY: ( V r '?
PHONE: ;6' 2 C)(7 -'"?3 1 Z By: =
RE: 612) (A) �1 n Cj1X, h n rn s i' Ecol l- vc�i to
( ite Address) Permit Number)
oy\ 5;
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: C, ties: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. i Wall bracing and/or lateral analysis.
Floor/roof framing. \ Basement and retaining walls.
Beam calculations. ' u '{ N� Engineer's calculations.
Other(explain): v
REMARKS: (Pre i)Ailko + i 0 rive INC 0/4(51 1 S iA (C 01( o\ 1 -
A!A (kA ) gP5 '6( Ik
FOR OFFICE USE ONLY
Routed to Permit •chnician: Date: 3/'3V 1`1 Initials: ,i /
Fees Due: ❑ -s g No Fee Description:ki /,)„r leG A.._ Amount .
S?'cial
structions:
Reprint Permit(per PE): ► Yes ;i! ► k ❑ Done
Applicant Notified: ,,5//,37`1 Date: /a/9 Initials: Q 77-,-
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I:\Building\Forms\TransmittalLetter-Revisions_061316.doc