Correspondence 1/444141„
May 26, 2000 CM' OF TM)
Carlson Testing OREGO
PO Box 23814
Tigard, Oregon 97223
PERMIT NO: Site #2000 -00018
OWNER: Delta Fire
PROJECT ADDRESS: 14795 SW 72
PROJECT DESCRIPTION: Retaining Wall Fill/Compaction
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,
/(24
Ro Ro ert 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: Plan Ck. No. 5 -37C SITE# 2000 -00018
Project Title: Delta Fire (Retaining Wall)
Address: 14795 SW 72 "
Architect of Record: Phone:
Address:
Structural Engineer of Record: Kramer Gehlen Associates Phone: 693 -1621
Address: 400 Columbia Street, Vancouver, WA. 98660 -3117
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: Carlson Testing Phone: 684 -3460
Address: 8430 SW Hunzik re
Tigard, OR 97224
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 acement.
Signature of Owner % �!r 'hone No. 620 -4020 Date 5/25/00
Andy Cartal IlP1ta Firp,
Print name Company name
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 Carlson Testing
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 1701.3 to the building official.