Report I
FOR OFFICE USE ONLY-SITE ADDRESS:
4
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.
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L.:1f .t City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
\ ?14g :-.; Transmittal s al Letter
li
Itts-.
s--.0% 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /U r'1 j-)0 -A c4074--Cie- DATE RECEIVED:
DEPT: BUILDING DIVISION iL,A; ;Li, i; s
NOV 4 9
FROM: Ge-a- 1-1-k)1.e.., elTY Of- i glt-kf5 .)
COMPANY: KPt-a 100,., vi
PHONE: SD 3 - 6) E( ' 5 I ®off.0-a 3 By: /II-
RE: ) ) ?-q-C) Sw 7-Z' 4,A2 AUP Z,C5( 5�DOZ3 )
(Site Address) (Permit Number)
(Project name or subdivision name and lot number) _/
ATTACHED ARE THE FOLLOWING ITEMS:
r
1 (}
Copies: Description: opies: 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. -'13 00°
Beam calculations. Engineer's calculations.
> Other(explain): D4, „ 5 ``-J" , ,
REMARKS: (rU. z,(,.s / ":�
FOR OFFICE USE ONLY
Routed to P rmit Te ician: Date: J ,.„S"-- ( N Initials:
Fees Due: Yes, ❑No Fee Description: Amount Duet "
$ J90
$
$
Special,
Instructions:
Reprint Permit(per PE): ❑Yes I 0 No ❑Done/I/L.__
Applicant Notified: 7-74.92-- Date: // /5/`4 Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012