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Permit n CITY OF TIGARD MASTER PERMIT 1114 s • COMMUNITY DEVELOPMENT Permit #: MST2012 -00260 • T (GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/11/2012 Parcel: 2S102DC04900 Jurisdiction: Tigard Site address: 9200 SW EDGEWOOD ST Subdivision: 2006 -051 PARTITION PLAT Lot: 2 Project: Teny Project Description: Adding 16 x 24 patio cover and remodel existing house BUILDING Floor Areas Required Setbacks Required Stories 0 Bedrooms 0 First 0 sf Basement' 0 sf Left 0 Parking Spaces: 0 Height 0 Bathrooms 0 Second 0 sf Garage: 0 sf Front 0 Smoke Dwelling Units 0 Third 0 sf Right 0 Detectors: Total 0 sf Value. $0 00 Rear 0 PLUMBING Sinks 1 Water Closets 2 Washing Mach 1 Laundry Trays 0 Rain Drain 0 Urinals. 0 Lavatories 2 Dishwashers' 1 Floor Drains 0 Sewer Lines 0 SF Rain Storm Sewer 0 Tubs /Showers 2 Garbage Disp 1 Water Heaters 1 Water Lines 0 Drains 0 Catch Basins 0 Bckflw Prevntr 0 Footing Drain 0 Ice Maker 1 Hose Bib 1 Backwater Value 0 Drywell -Trench Drain: 0 Other Fixtures' 0 Other Fixture Units MECHANICAL Fuel Types Air Conditioning N Vent Fans' 3 Clothes Dryers' 1 Heat Pump N Hoods 1 Other Units: 1 Furn<100K: 1 Vents: 0 Woodstoves 0 Gas Outlets 4 Furn > =100K. 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less 0 0 -200 amp 1 0 -200 amp. 0 W/ Svc or Fdr 26 Ea add'I 500 sf. 0 201 -400 amp, 0 201 -400 amp 0 W/O Svc/Fdr 0 Mfd Home /Feeder /Svc 0 401 -600 amp 0 401 -600 amp 0 601 -1000 amp 0 601 +amp -1000v 0 1000 +ampNolt 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8, Stereo N HVAC N Security Alarm N Vaccuum System N Garage Opener. N All Other N Other Description: Ecompasing Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF 0 Owner: Contractor: TENY, GEORGE UT CONSTRUCTION 8 PLUMBING, INC Required Items and Reports (Conditions) 9210 SW EDGEWOOD ST 9210 SW EDGEWOOD ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: PHONE 503- 358 -7769 FAX Total Fees: $1,298.99 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done ' with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 day ATTENTION Ore q a requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 9 - 001 -0010 rough OA 2 -001 0 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344. I ued By: fX/'v� y Permittee Signature: 4)€0 Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential hole oI llcE usi oNI.v City of Tigard DateBy /% /A. ' Permit No iy. /p'� -(d p p a 13125 SW Hall Blvd , Tigard,OR 97223 Plan Review • Phone: 503 718.2439 Fax. 503.598.1960 Date/By. Other Permit TIC It p Inspection Line. 503 639 4175 Date Ready/By Juris ® See Page 2 for Internet' www tigard- or.gov Notified/Method Supplemental Information TYPE OF WORK REQUIRED DATA:1 -AND2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF CONSTRUCTION work indicated on this application. dwelling Valuation: $ ❑ I- and2 -famil 2-family g ❑ Commercial /industrial ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: OO SL tr�/ a oei,o ®d ( 7 New dwelling area: square feet City /State /ZIP: -- / - /W / 2D 0R q7-2,2.3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area 38 / square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION ,OF WORK work indicated on this application. C /ei 0 r'C //VD � /_ y At/ DA 'n ` o �j1EL .". Valuation: $ Me C b -I/ t° • � f! £L t sr, Did u lfirG Existing building area square feet m / New building area: square feet ❑ PROPERTY .OWNER ❑ TENANT Number of stories: Name: 4 e!jCr 723 V Type of construction: Address: 4 '12 0 0 S t e5dyeL& mod Ji Occupancy groups: City /State /ZIP: . 77 - . 4 1 - ,RP 6 2E g7223 Existing: Phone: ( c7) ,70 / Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Ad dress: Total fees due upon application: City /State /ZIP: Amount received: --& Phone:( ) Fax::( ) E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -to • mounted Photo Voltaic Solar Panel Syst •• . Business name: 777 C...,9Zi I ,e.ue. , cp ti )? ?/p /-r,. Submit • 2) sets of roof plan with conn- 'on details and fire dep. • . ccess, alon _ , • 1 e.2010 Oregon Address: 9 z/0 s' et 6 dyere-d2o, S % Solar Installation Spec', , ea .e checklist. City /State /ZIP: Tie; A e p Oe 97.u3 Permit Fee (i • a es plan re $180.00 . administrative fees): Phone: ( ) q 7 0 -/1 /I Fax: ( ) State arge (l2% of permit fee): 1.60 CCB lie.: /80363 Total fee due upon application: $201.61 Authorized signature: q` PA /7 G s - This permit application expires if a permit is not obtained �/ within 180 days after it has been accepted as complete. Print name: c6 D Qt` 6 7 /C /C/ I/ Date: * Fee methodology set by Tri -County Building Industry Service Board l RESPermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) Building Permit Application Checklist One- and Two - Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No 111 u 1 3125 SW Hall Blvd., Tigard,OR 97223 Associated ' 0 Phone: 503 718.2439 Fax: 503.598.1960 Associated permits "1 IGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electncal ❑ Plumbing ❑ Mechanical Internet: www tigard-or.gov ❑ Other. THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW N es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ El 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schcmatic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore l on and shall be shown to be a . . licable to the . ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three (3) site plans are required for Item 11 above. Site plans must he 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 1:\ ButldingWermmits \BUP- RESPermitApp doc 02/24/2011 440- 4613T(1 1/02 /COM/WEB) _ 5 g - ' b ' • A i1Wi1dd •IYl01 c - e ' /7» lag! 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[3 MOM 10 UAL 200-07-24 MI6 'IPmxtad putts ue is memo ono mgB +VP alkP 09I PIMP lor wand rpauldEOaagialft mud Mt pmseseNding . t wow Poo Wand A•110 C;19 °19-1711C7,--1A1 :'Wi1"ki » N O AFai 83/11/7401;0111/13 IWO.* I�u I I .1 1 71111 j9l M •ertin CRS P 1/1 mow SOP aMPIDernieRINORNPOW antio-pa l'aute asazciaq u WQf••sos orrl 00• n 096116VCS :1104 613281L'(OS mon . EZZL6 UQ1 PIG 11 MS RLlf l Walt io £43 uo a day #1uuAd 1 631 . 1 tn3Ia ' Plumbing Permit Applica "° i‘n City of Tigard JUN 2 0 2012 Received Penult No.: /`///70/ , q 13125 SW Hall Blvd., Tigard, OR 97223 Da1e1By: l��r /9' a - � a Phone: 503.718.2439 Fax: 503.5 T ()F TIGP 1D Plan Review Date/By: Other Permit No.. 1 I G n I: I) Inspection Line: 503.639.4175 p� BURP-DING �����`G� Date Ready/By. runs I ® See Page 2 for Internet: www tigard- or.gov v ' Notified/Method: Supplemental Information TYPE OF WOR FEE* SCHEDULE ❑ New construction ❑ Demolition For spedal information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ❑ I- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 building SFR (3) bath 500.32 ❑ Accessory g ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: t ao $� ,fd i'ec ood s r Catch basin or area drain 18.76 City/State/ZIP: 714 RD og q W.?..; Drywall, leach line, or trench drain 1 8.76 Footing drain (no. linear ft.: Page 2 Suite/bldgJapt. no.: I Project name: acceS9oty Z/ia r. Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Main drain connector 18.76 Sanitary sewer (no. linear ft.: _, Page 2 Storm sewer (no. linear ft.: _) Page 2 Water service (no. linear ft.. _) Page 2 _ Subdivision: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 - DESCRIPTION OF WORK Backwater valve 12.51 Cloth r `, 25.02 o f 5 _ Nit Dishwasher / 25.02 a O')-- Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: 6. C'O,�i 6 TEA /V Fixture/sewer cap 25.02 Address: ay s a 4cd (,Gf J T Floor drain floor si1i1/hu 25.02 Garbage disposal 25.02 AS 1 City /State /ZIP: 774 /too one g71.'3 Hose bib _L 25 02 as .0A Phone: ( c03) 9 7 - all I Fax: ( ) Ice maker __-_f 12.51 /9. 51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: Medical gas (value: $) Page 2 777 con /tam 43 P / Um d /hs /kt • Primer 12.51 Contact name: *j 2 i / C--WV (/ "Woof drain (commercial) 12.51 Address: 90? 10 5 IA' I Writ/ ep/f x Sink/basin/lavatory l s l a - C 3 25.02 75 •� City/State/ZIP: T/ 4 � P J � o E 97Ze 3 Solar units (potable water) 62.54 Phone: (f03) 358- 7769 I Fax: : ( ) Tub/shower /shower pan 01 12.51 .2'5 0 2 E-mail: Urinal 25.02 CONTRACTOR Water closet A 25.02 50, ° _ $ 't Water heater I 37.52 3 7. S Business name: 7 e oh !/Ruur0.v $ P / di v / Water piping/DW V 56.29 Address: 9,2 /O S L C f Z(.e.006/ Sr V Other: 25.02 City/tate/ZIP: ' T % C/4 OE_ g7-e.3 Subtotal 4 xi Phone: ( ,fQ) 3.r8 - 776 `'J Fax: ( ) Minimum permit fee: $72.50 Plan review (25% of permit fee) CCB Lic.: /B 0363 Plumbing Lic. no.: P85/0 WI g State surcharge (12 %of permit fee) 34 .(.? Authorized signature: agp re-----7-- TOTAL PERMIT FEE 3 3l07, , AeP Print name: 47 G okV / 6.4 V I Date: This permit application expires If a permit is not obtained within Igo days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board IlauildingWennitoPt .MU- PennitApp 10/01/09 44046167(10 /02/COM/WFB) Mechanical Permit Applicatio I:Ou OITICI: list: ()NIA' r i 1,1 City of Tigard 1 ° ' � ; D � � Ved �o �� �� Permit No. i ya= CO 6 q 13125 SW Hall Blvd., Tiga rd,OR 97223 t� " R ' C Plan Review Phone: 503.718.2439 Fax: 503.598.1960 2 Other Permit: • I t; ci l� Inspection Line: 503.639.4175 JUN ` O 2012 Dale/BY' Ready/By Juan. ® See Page 2 for Internet: www.tigardor.gov Notified/Method Supplemental Information CITY OF TIG ['SID TYPE OF WORK'If DING DIVISION COMMERCIAL FEE• SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction El Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value. $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Forspecioi Information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �" XJ 5t Ed e X00/ 1 7 Air conditioning Job site address: — 90100 (requires site plan showing placement) 46.75 7 11 , a�� Furnace 100,000 BTU (ducts/vents) r 46.75 4 /4i. 75 City /State/ZIP: 77 4 a Cf D O Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldgJapt. no.: Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 1 23.32 3.3 7- Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 _ Unit heaters (fuel -type, not electric), in -wall, in-duct, suspended, etc 46.75 Subdivision: l Lot no.: Flue/vent for any of above 23.32 Other. 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplact/insert 33.39 PO tie /0001, C /O 4iei d r ye• QK hull Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insen 23.32 l PROPERTY OWNER I ❑ TENANT $'Chimney/liner /flue /vent 23.32 Name: (COE t- 7 /UV Environmental 23.32 EBViroomental e:hauat and ventilation: Address: 9a Op f a FG/f ei&ooe/ t / Range hood/other kitchen equipment / 33.39 33• I 9 f City / State/ZIP: e n 4 fi-Q D OE. Q7Z.Z.3 Clothes dryer exhaust _/ 33 39 _ 33. 39 Single -duct exhaust (bathrooms, /,, Phone: ( 9 70 ^ /g11 Fax: ( ) toilet compartments, utility rooms) 3 23.32 lP r • 90 1 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23 32 Business name: Other: 23 32 Fuel piping: Contact name: $14.15 for first four, $4.03 for each additional Address: Furnace, eta / Gas heat pump City/State/ZIP: Wall /suspended/unit heater Phone: ( ) l Fax: : ( ) Water heater / ' Fireplace E -mail: Range CONTRACTOR Barbecue Business name: San S •N% n Q He n 7 /9 /t Y 0.0,1 ei� /7 4 Clothes dryer (gas) J r Other: Address: /4,28g J C Lk/ y /e /e S T MECHANICAL PERMIT FEES• City/State/ZIP: Happy 714 / /,�y o, 2 q7o�6 Subtotal � • 9 � P e: ( ) (69 - 1-6.25- ( F ax: ( ) Minimum permit fee ($90.00) — �} Plan review (25% of permit fee) CCB lic.: /o( 7/4r State surcharge (12% of permit fee) A4.52 -, TOTAL PERMIT FEE Authorized signature: de rat T This permit application expires if a obtained is not obtaed within ISO �'� J / - O days after It has been accepted as complete. Print name: ( 7f 4 s- T-- 4/ (/ I Date: 1 • Fee methodology set by Tn- County Building Industry Service Board I tBudding\PenrotsMEC•PermitApp doe 03/07112 44046177 (I I /o7/COMIWEB) Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9200 SW EDGEWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 06/20/2013 00:00 MST2012-00260 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9200 SW EDGEWOOD ST, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final 06/20/2013 00:00 MST2012-00260 PASS Violation Summary: Inspector Contractor FOR OFFICE USE ONLY — SITE ADDRESS: ' G el This form is recognized by most building departments in the Tri -Count area for tran��rtittin information. g Y g p Y g 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 v h a : Transmittal Letter . r I C,.ARC). 1 3125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www igard- • /gov TO: %DAT ' C IvED: DEPT: BUILDING DIVISION EIVED .. r JAN 0 8 2013 FROM: CF02G i /EN Y CITY OF TIGARD COMPANY: BUILDING DIUISI PHONE: 5 % — By: RE: �1'Z'c2 5 ct Fe/crewed" , . 7/ -/m.) }-153' do 0 -02). (Site Addr s) (Perm umber) . (Prof , ct name or subdivision name and lot nu ber) �, \ V k ATTACHED A" TH FOLLOWING ITE e S: \, Copies: Des P ription: opies: Description: Ad+itional set(s) f plans. Revisions: C r• ss section(s) an etails. Wall bracing and/or lateral analysis. F oor /roof framing. Basement and retaining walls. Beam calculations. e -9-,. Engineer's calculations. Other (explain):. REMARKS: L00. .0 1, - .AA-e4ct— b3-ee , 111 q I CS FOR FF} CE USE ONLY Routed to Permit Teclmici Date: ( ((p (I �J Initials{ Fees Due: 111 Yes I 10 Fee Description: Amount t ue: $ $ $ . $ Special Instructions: Reprint Permit (per P ): ❑ Yes ❑ No ❑ Done Applicant Notified: S Date: it f ((/3 Initials: S. I: \Building\ Forms \TransmivalLetter - Revisions.doc 05/25/2012