Report (47) Atti
March 31, 1999
CITY OF 11G�
Carlson Testing OREG
PO Box 23814
Tigard, OR. 97281
PERMIT NO: SIT # 99 -0006
OWNER: John Duncan
PROJECT ADDRESS: 16135 SW 74th
PROJECT DESCRIPTION: Site Development
TYPES OF SPECIAL INSPECTION: Engineered Grading and Compaction of Fill
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,
Ro 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
Date: a- - 2- — ,19X7
City of Tigard: Plan Ck. No. 2 _ y C Bup No. Sit No. 79 - ,9 e v/
Project Title: D n 4 Address /Z / 3 S r' 2v
Architect of Record Ph.
address: ))
•
Structural Engineer of Record: 72< ce // Ph.
address: v lj ve< 7• 37.V v % r"
I
Geo- Technical Engineer of Record: Ph.
address:
Provide the following information for the testing agency chosen to provide inspection services and/or testing.
Testing Agency: Calzty,,:1• T1�S'['INCh iNG. Ph. C84 (084- DY S , t{
address P. b 3r)x 9.' SIA � TI 6A-R-0 t L
Geo- Technical Agency: w.t.4 e As 1 Ph. Fax.
address
The owner certifies that the above noted Agency has been employed to conduct the
special inspections or observations required herein.
,•. $07-1135 3.1.1'1
Si ature of Owner Phone No. Date
Print name Company name
The following is a list of special inspection and/or services required by the 1996 Oregon
Structural Specialty Code and Tigard's 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:
• 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.
♦ i
Category Desca of Ser�dces
Required Provided By
Y ! No
1. Footings adjacent to slopes steeper than 33 -1/3 % OSSC, Section 1806.4
a. Confirm building footings are properly set back from descending slope
b.
2. Grading OSSC, Section 3309
a. Regular grading [less than 5,000 cu. yds. but considered unusual] * *
Requirements for engineered grading apply.
b. Engineered grading [exceeds 5,000 cu. yds.]
Submit: 1. Geo-technical engineers report and,
2. a engineering geology report.
3. an as -built grading plan and,
4. a fmal report prepared by the soils engineer and,
5. the fmal report prepared by the geologist.
C. Corl�iYr� c�a .c� 7 4 /vti el 9 4 /d
3. Fills OSSC, Section 3313
a. Preparation of ground. for fill on slopes exceeding 1 to 5 (20 %)
Includes benching and proper termination at the toe of the slope
b. Acceptance of fill materials
C. Compaction of fill material to minimum 90% of maximum density.
13125 SW Hall Blvd., Tigard, OR 97223 [503] 639 -4172 FAX [503] 684 -7297
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