Report (551) CITY OF TIGARD
A Program for Inspection Services and/or Material Tes __
City of Tigard: 7-4C Site Permit # BUP# 2000 -00268
Project Title: 72a Avenue Office Building
Address: 13535 SW 72"
Architect of Record: Mildren Design Group Phone: 245 -7100
Address: 6720 SW Macadam #100, Portland, Oregon
Structural Engineer of Record: Afghan Associates Phone: 2442450
Address: 9320 SW Barbur Blvd. Portland, OR. 97219
Geo- Technical Engineer of Record: Phone:
Address:
Provide the following Information for the testing agency chosen to provide inspection services and/or
testing.
* Testing Agency: d.. e ,"-.1 Phone: 6 g4- -3
Address: c3c4'30 ; u.Jzi K - r�a2 0, q -2Z3
Geo- Technical Agency: Phone:
Address:
The owner certifies that the above noted Agency has been employed to conduct the special
inspections or observations required herein.
` "Notice" Special Inspection reports shall not preclude the need to have City of Tigard inspection
approval on all re -bar placement
Signature of Owner:QC ,sy Phone No. Date:
Print Name: Qs `L- GC-c,vv' Company Name: '-s- t - CCo'a -t Q "
The following is a list of special inspection and/or services required by the 1998 Oregon Structural
Specialty Code and Tigard Municipal Code 14.06.010 through 14.06.040.
The special inspections and/or testing services required for this project to be provided by the Testing
Agency, Structural Engineer or Geo-Technical Engineer of Record are as follows:
As set out on drawing S2.1
• Special Inspectors for the Testing Agency shall be qualified, to the satisfaction of
the Building Official, for inspections of the particular type of construction or
operation.
' Special inspectors shall observe the work assigned herein for conformance with
the approved plans and specifications and, submit copies of all inspection reports
and, a final signed report in accordance with OSSC, Section 1701.3 to the building
official.
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