Correspondence (10) ov cr CY)C ZI
July 7, 2000 •
CflY OF T1G�
Carlson Testing O REG ON
POBox23814 • -
Tigard, Oregon 97223
PERMIT NO: SIT #2000 -00029
OWNER: 72 Office Building
PROJECT ADDRESS: 13535 SW 72
PROJECT DESCRIPTION: Office Shell
TYPES OF SPECIAL INSPECTION: As setout on the.enclosed form
The owner has notified us that he /she will retain your services to perform Special
Inspections in accordance with the provisions of the State Building Code, permit
documents and special inspection requirements.
The owner or the owner's agent must also confirm with you that they have
authorized you to do the special inspection work.
As the regulatory agency, the City requires that you do the following:
1. Submit copies of all inspection reports promptly to the building division,
Architect, engineer, and the contractor.
2. Maintain one copy of each field report at the job site.
3. Submit a final report at the completion of each category of work that you
Inspect. (See UBC Appendix Chapter 13 for soils special inspection final
report requirements.)
If you fail to comply with the above requirements, there may be cause for the City to
revoke your authority as special inspector for this job.
Should you have any questions, please call me at (503) 639 -4171 X 392.
Sincerely,
o rt D. Poskin, C.B.O.
Senior Plans Examiner
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
•
CITY OF TIGARD
A Program for Inspection Services and/or Material Testing
City of Tigard: 6-36C Site Permit # 2000 -00029 BUP#
Project Title: 72o Avenue Office Building '
Address: 13535 SW 72n
Architect of Record: Mildren Design Group Phone: 245 -7100
Address: 6720 SW Macadam #100, Portland, Oregon
Structural Engineer of Record: WRG Design Phone: 603 -9933
Address: 10450 SW Nimbus, Suite RA Portland, OR.
Geo- Technical Engineer of Record: Geo Design Phone: 968 -8787
Address: 17400 SW Upper Boones Ferry Road, Suite 230 Portland, OR.
Provide the following information for the testing agency chosen to provide inspection services and/or
testing.
* Testing Agency: G L o! TEST /^l Phone: 6, 84 _ tf (
Address: 17 6. w Z 28 14-
°
Geo - Technical Agency: 72 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: C n Phone No.(o/1e 3Sc Date: (, -24.- -er-)
Print Name: p � Company Name: p . ip
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:
1. Fill
2. Compaction
•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 17013 to the building
official.