Correspondence (3) FOR OFFICE USE ONLY—SITE ADDRESS: .&.€A 0/3 -- 0 0,202.5
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
114 • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
t ,A tR I, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION MAY 1 2014
b rl a,n e s e a- I If 'C o nil C1T F TIGARD
FROM: c'\c \ PAc L-s -- C�/LI S BU DING DIVISION
COMPANY: S c o A o.�`o�S AtVlkiTF.dt t.-C-
PHONE: CS03 ;2,6 - 36 17 -
RE: lyg S Go a
rte ress / 1iii-,.t ,um.er
(Project name or 1 idivision name anu t ber) ilrf jii'
1
i ATTACHED ARE THE FOLLOWING ITE S:
Copies: Description: ' o,'e Description:
1
Additional set(s)of plans. 3 Revisions: ,� , -4
Cross section(s) and details. Wall bracing and/or lateral analysi .
■
r Floor/roof framing. Basement and retaining walls. n `
Beam calculations. 3 Engineer's calculations. C�rpr Jn
Other(explain):
REMARKS: id,c74nry. / riCe-iI,a>r\ r
e Ga _,,\
and 1--)Le— ,• OC q /n4,i1 7 n T SC.cryia icv r
FOR OVFICE1USE ONLY
Routed to Perm' echnician: Date: =-7 '7O t (k Initials! �'v j
Fees Due: Ig es ❑No Fee Description: Amount Due:
4 l-i0-0r25 t- -/k--1L\ _V( rte) $ ?�,,()
# a2 S r"C2/t1T,2.EY/S/QNS $ p
74 ''
secial MO 6— I -c E. / cif/9^/Gj /2E—S-c.c 2— � {,
Instructions: //V/ � 2 ,/1� 1'
Reprint Permit(per PE): es I ❑ No ❑ Done
Applicant Notified: ate: X722`/y /!2/1A\/ Initials:Aft/
I
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Building Permit Number: ,et1/0 2p/3 -Q 002.25-
71 " Building Permit Review
Commercial Projects with Approved Land Use
-IIGARD
Site Address: 17/yf SA) 6 1 24.96/J
ElVerify site address is valid.
Project Name : 7W-&--- /E /i C
Planning Review
❑ Land Use Case Number: Q7/ c e/3 -97
Plans Match Approved Land Use:
Site Plan .0-Landscape Plan
Urban Forestry Plan Elevation Plan
,Building Height: Maximum Height Actual Height
Conditions Met: Prior to Permit Submittal ❑ Prior to Permit Issuance
Approved by: ,p)
Date: 5"--lz'/
. 2 -Lt
Notes: g�F�• • 1 � 0�.1 �'12l ° q�p�� /. . 1�... ��..1 -- il�i'L.:6_t 1' -
070 /1y1,' • S U er 7 ' /2 - '/ H-
!/.`- ' J. ....t.:1"-. /� 1��� _ ► 4 PDD .fir
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved El
Revision 3 Approved ❑ Not Approved ❑
Building Permit i Submittal
DiSeigiww►l Plan Submittal: Date: -5//02//V By:
_
F Site Plans: # ii//49-
Building Plans: # 3 f- 3 STlLtc e r 1. -c_. e<f-t-CS
Create Case Record#: Enter case# above for Building Permit Number.
Workflow Routing: [ 1hl inning g--Engineering E1Permit Coordinator erBuilding
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: El Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes: �c'7//S/cNS 7V 19-2s6 200r 6-1972,6E-Ai Co/J1/E72_7
0) / /b- 7-74-4._ u#4,-7- 0,./ 2— _Pi , rn C F7-----/c6- ,S-n4Le-c.
it/ 7, "144.A' /rCG- A y/T /9DR. dc 0, 6"/2-A Ek-if /e-ceo"-L CIL L/9-776v./
0 S iS C c TZ2_ T3 T- / , 7 X S / .S E.2t1 C72_ •
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_I 23013.docx
Engineering Review— reviewed by: 7.___d_tc,..)
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes: r^J 0 L Ci I rJ s— 4., r r•J G r S.S v •S
Approved by: Date: C• 4.0 • j
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Per. it Coordinator Review
if onditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Ap.licant
Revision Notice 3: Date Sent to 'f:. .c. _
S--
O
A-)//4
kay to Issue Permit- /e Date: J
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx