Report Main Office Salem Office Bend Office
P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
Carlson Testing, Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155
FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163
Special Inspection
FINAL SUMMARY LETTER
August 6, 2004
T0304524.CTI
City of Tigard FILE COPY
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
•
Re: Willowbrook — Building F
11565 SW Durham Tigard, OR
Permit No.: BUP2003 -00445
Dear Sir or Madam:
This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have
performed special inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
Installation of Cast -in -Place and Adhesive Anchors
Structural Steel- Fabrication, includes verification of welder certifications, weld procedures and material certifications
All inspections and tests were performed and reported according to the requirements of Project Documents
and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and applicable workmanship provisions of the State Building Code
and Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be
reproduced, except in full, without prior authorization from this office.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
•
Andrew M. Ewing
President
mbw
cc: Carpenter Homes Inc — Merrill Carpenter
•
°z)3 — OD 1/Y5 -
■ `! RECEIVED
AUG 2 8 2003
Fire Marshal's Offices
i.► ! ,� o CRY OF TIGARD
A North Division - 14480 SW Jenkins Rd., Beaverton, OR 97005 • PH (503) 3 • ';+, o,, . , filteMMUSH 4
tin valley $oath Division - 7401 SW Washo Ct., Ste. 101, Tualatin, OR 97062 • PH (503) 612 -7000 • Fax (503) 612 -7003
Past Division 624 7 on
Fire & Rescue on - St., O re9 City, OR 97045 • PH (503) 657 -1365 • Fax (503) 657 -7913
Building Survey Report q
FMZ : (to be filled out by TVF &R) Code Edition: 17 O g S C
Name of Facility: Willow l m1,4 I��► - ti•p,( (s&t4' -
Name of Building: __ t ?tJ % ' f.
Address: I (SGS 740 Ott-IA tLeA,
Owner: FY13 Telephone No. ( 5 07 ) 3+1 2,3-3
Architect: 1v1Let b L Dat‘l■. arotiV Telephone No. ( Sol) - 0 55 2.
Architect Address: _ZS Sew Scve(44,-L S f SAC (-2*‘' . - ( - ��a,�� O . 1 11"1":3
...: , . :. _..... __.
RIPTION • ; - ,
1. Occupancy Type Use c u Capacity
2. Construction Type _ V N Year Built .z
3. Area (Sq. Ft.) Total
S'i � � L argest Floor Basement
4. Stories No. Height 2 4' .k, High Rise ❑Y Jf91i
5 a. Exterior Wall Construction N--'N p / 6 - ( - LuP/tv N- r �6u — F
b. Opening Protection 6%04, r� \ CUP
6. Interior Wall Construction Gg o .. V J
7. Floor Construction
C
8. Roof Construction COIIGI-C-4C - Oti Pt o U )T
9. Attic Draft Stops No. hOPt 1'e r1 • 1
10a. Occ. Sep. Wall Construction No. h °Kt, Ireb p(
b. Opening Protection
OUP
V
11a. Area Sep. Wall Construction N host p.,4ts,t _
b. Opening Protection C V Q V
12a. Smoke Barrier Wall Construction No. `A ir'ae _
b. Opening Protection , iQ
13a. Corridor Wall Construction 0Ke,,
b. Opening Protection
cur
14a. Corridor Ceiling Construction y 1 r`t
b. Opening Protection
c rP
15a. Shafts No. tone ray/ . Type I
b. Opening Protection �P ray/
•
bullainq Jurvey Keport
FMZ • (to be filled out by TVF &R)
Name of Facility:
1
ITEM COMM. DESCRIPTION
16a. Stair Enclosure No. r oM
b. Opening Protection C UP
17. Stairs No. rlior(,
18. Ramps No. p/Ohq,
19. Interior Finish Class Room GF Sp Corridor (J)k4 Exit Enclosure y p
20. - Exits No. " Total Width i r
• O
21. Exit Hardware Type Ns(Abttf 1 tN 0-4t c ( off, (ei-o .t fyopt4.
22a. Exit Signs/Illumination ' +. t w+ .ea • (t 1F f a " d-oot►
b. Emergency Lighting tyt •
23. Auto Sprinkler Coverage h01%e rett /I
24. Standpipe Class/Locations kowt_ rized
25. Fire Alarm Type/Coverage Notre N A„ tit,
26. Heating, Ventilation & Air Conditioning Type .f Fuel Ga
27. Electrical Installation
28. Stage/Platform 15A
29. Hazardous Area IIA.A54" Nam
30. Other r» -iti-e tem....perigee r that a e
Comments: f KSf ltt A f v -40%414% - Spdcte a
•
V `(
Alternate Materials & Methods
TVF&R Use Only
Inspected By:' I Date No. Attachments
Reviewed By: I Date
Updated
Fire Marshal's Offices
)! / North Division - 14480 SW Jenkins Rd., Beaverton, OR 97005 • PH (503) 356-4700 • Fax (503) 644 -2214
Tualatin Valley South Division - 7401 SW Washo Ct, Ste. 101, Tualatin, OR 97062 • PH (503) 612 -7000 • Fax (503) 612 -7003
Fire & Rescue gust Division — 624 7 St., Oregon City, OR 97045 • PH (503) 657 -1365 • Fax (503) 657 -7913
Building Survey Report 9/055C.
FMZ : (to be filled out by TVF &R) Code Edition:
Name of Facility: W Ill ow torr cI ?y-e t'p4' (�K
Name of Building: __ 12fAit M' f.
Address: I (SLS nG• -1^ a h, 1 1 a.,-y(,
Own er:DO1A1 Telephone No. ( 50') ) •
Architect: _Miter KL D�) Telephone No. ( Sol) I-1+ o55 2-
Architect Address: _ZSIeS• S PI;'da- ._ S f�•- SfC ( • 1 lc i.-k 02- q'l
1. Occupancy Type Q Use Capacity S Q ..
2. Construction Type v N Year Built .7,
3. Area (Sq. Ft.) Total Si C7 Q S Largest Floor Basement
4. Stories No. I Hei 2 `' 4 . . ro A k , Hi Rise D Y
5 a. Exterior Wall Construction
N- - u F / 6 - 1.A.)if /6- P / u -W F
b. Opening Protection (rp reAdi, c u.p
6. Interior Wall Construction G4 . o SF v
7. Floor Construction
C
8. Roof Construction GaACi 'kb Dk PGii oh WT
9. Attic Draft Stops No. POh, •
10a. Occ. Sep. Wall Construction No. honk, reU1�( .
b. Opening Protection o u p V
11 a. Area Sep. Wall Construction No. rdY%A.' Vot -
b. Opening Protection C V
12a. Smoke Barrier Wall Construction N vt,01,4 (� � _ I
b. Opening Protection cup
13a. Corridor Wall Construction hah+C.
b. Opening Protection cur
14a. Corridor Ceiling Construction
' NO
b. Opening Protection e kre
15a. Shafts No. rtey.t PQ- Type
b. Opening Protection cup v
buiiainq burvey rcepon
FMZ • (to be filled out by TVF &R)
Name of Facility:
- ITEM COMM. DESCRIPTION
16a. Stair Enclosure No. rotit
b. Opening Protection cup
17. Stairs No. Ivo VA,
18. Ramps No. N ot.,
19. Interior Finish Class Room 612 Sp Corridor NbkL Exit Enclosure yb 1\C
20. Exits No. ' Total Width 1 a
O
21. Exit Hardware Type j5(A/loyl l W 1d4t e t ese , (f-oPr -ivo .4.
22a. Exit Signs/Illumination .+ -es. . �� (4-
b. Emergency Lighting As 1 - - 0 -.6•
23. Auto Sprinkler Coverage ho,e retY •
24. Standpipe Class/Locations r`4.- P4241646f
25. Fire Alarm Type/Coverage NOt• -e
26. Heating, Ventilation & Air Conditioning Type ri .� Fuel C_et S
27. Electrical Installation
28. Stage/Platform .,#t •
29. Hazardous Area Yl.t7Pt.
30. Other rofr 4-41 41-e t)44% itoV hL,' r ht.91 �C
Comments: I ks- 1.411, f t. 4G,ai►4- Traccc et P-Th'S •
Alternate Materials & Methods
TVF&R Use Only
Inspected By:' Date No. Attachments
Reviewed By: Date
Updated