Permit ry a • -CITY OF TIGARD BUILDING PERMIT
111
PERMIT #: BUP2007 -00593
COMMUNITY DEVELOPMENT DATE ISSUED: 12/3/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112AD -00900
SITE ADDRESS: 14800 SW SEQUOIA PKWY ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HOME DEPOT
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 3,410 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 95,000.00
Owner: Contractor:
HD DEVELOPMENT OF MARYLAND, INC LANKFORD CONSTRUCTION CO
POBOX 105842 1455 KARLENS WAY
ATLANTA, GA 30348 JOHNSBURG, IL 60050
Phone: Contact #: PRI 847- 343 -8445
FAX 847 - 497 -3300
Reg #: LIC 134718
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 11/15/2007 $378.76
[FLS] FLS Pln Rv 11/15/2007 $233.08
[BUILD] Permit Fee 12/3/2007 $582.70
[TAX] 8% State Surcha 12/3/2007 $46.62
Total $1,241.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:K
el
Call 503.639.4175 by 7:00 a.m. for an inspection that siness day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit ApplicatiE FOR OFFICE USE ONIa
City of Tigard ma /� / - gild I Permit No.: le %eV 7 _ 69 593
1111 . • 13125 SW Hall Blvd., Tigard, OR 97 Plan Reiew
Phone: 503.639.4171 Fax: 503.598 1 'J ' DateB v //49 Q Other Permit:
1I G n K D Inspection Line: 503.639 Date Ready/By: ® See Attached Checklist for
Internet www.tigard -or.gov CITYOF flUARD Notifi ethod: / , 07Mk /AdO � ,, Supplemental Information
BUILDINGDIVISIO^' � �ilr . //� �
TYPE OF WORK / ' QUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ N ew construction Permit fees* are based on the value of the work performed.
❑Demolition
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14800 SW Sequoia Parkway New dwelling area: square feet
City/ State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Home Depot 4002 Covered porch area: square feet
Cross street/directions to job site: SW Bonita Rd & SW Sequoia Pkwy Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Pacific Corporate Center l Lot no.: 4 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S112AD 00900 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remove out dated Kitchen & appliance Floor Displays & replace with new store sta Valuation: $$95,000.00
Replace old racking in Lighting Department with new Pallet Racking Deige Color Existing building area: 102,2 square feet
Replace Inbay Merchandise w /new New Store Standard Inbay Merchandise New building area: 48fl3' square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name: Home Depot Type of construction: Displays
Address: 2455 Paces Ferry Road Occupancy groups:
City/State/ZIP: Atlanta, GA 30339 Existing:
Phone: (714)269 -3768 Fax: (714)940 -3556 New:
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: Home Depot 4002 All contractors and subcontractors are required to be
Contact name: Mario Chiarani licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 14800 SW Sequoia Parkway jurisdiction in which work is being performed. If the
City/State/Z1P: Tigard, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (847 -) 343 -8445 I Fax: : (847) 497 -3300
E -mail: mchiarani @lcco.com
CONTRACTOR
Business name: Lankford Construction Company BUILDING PERMIT FEES*
Address: 1455 Karlens Way (Please refer (ofee schedule/
City/ State/ZIP: Johnsburg, IL 60050 Structural plan review fee (or deposit): 3 7 D . 7 ‘:)
Phone: (847) 343 -8445 I Fax: (847) 497 -3300 FLS plan review fee (if applicable): �? , d
CCB lic.: 134718 pjl[0 I Total fees due upon application:
6
Amount received: 708, S tr
Authorized signatuy,ri.../6e....7, This permit application expires if a permit is not obtained
Print name: M o D ate: 11 /15/ * within 180 days after it has been accepted as complete.
Fee methodoloev set by Tri-County Buildine Industry
CITY OF TIGARD
BUILDING DIVISION s PERMIT #: Bump-00593 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121312007
Phone: (503) 639 -4171 / x I,5 1;'�
Inspection Requests (24 Hrs.): (503) 639 -4175 W - —i
INSPECTION WORKSHEET FOR DATE: 2/2 008 TIME: 7 :00AM PAGE: 8
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: TI
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LANKFORD CONSlRUC CION CO PHONE #: 847 - 343 -8445
Inspection Request Scheduled For: Date: 2/220008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 0€;5499 -01 847-343-8431 N
Corrections /Comments /Instructions:
. L inf. :we. , — , ' ( v `4 %. I
gr i7 A --
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL !A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: Date: 2 Og Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1UP20I 7- 005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/200/
Phone: (503) 639 -4171 ag li
Inspection Requests (24 Hrs.): (503) 639 -4175 11..
INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7 :01AM PAGE: 12
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: TI
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LANKFORD CONSTRUCTION CO PHONE #: 841.343-W5
Inspection Request Scheduled For: Date: 1/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 063086-01 847- 343-8504
Corrections/Comments/Instructions:
LI t C Lk(C ff og._ E 6--
�--- o?S=-
❑ PASS iii: - ARTIAL AP= - • A ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION Of ADDITIONAL FEES ASSESSED
00e ----
li
Inspector: Date: rt 108 Phone #: (503) 718- `
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00593
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1221312007
Phone: (503) 639 -4171 l � 1 , I
Inspection Requests (24 Hrs.): (503) 639 - 4175±,
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 14000 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: TI
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LANKFORD CONSTRUCTION CO PHONE #: 041 -343 -8445
Inspection Request Scheduled For: Date: 1/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 062976-0/ 847.634 -3850 N
Corrections /Comments / Instructions:
P
e _ C.: 4 i 0--
t01r I1-->C_ i N(_-_-s _,q �--()
&-T - 4 Teo
❑ PASS - PARTIAL APPROV: ❑ CANCEL ❑ NO ACCESS
❑ FAIL . ' OR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: Date: ) 0 Phone #: (503) 718- 7-___16/0
CITY OF TIGARD -
BUILDING DIVISION r PERMIT #: BUP2007- O0583
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17312007
Phone: (503) 639 -4171 1mNll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 119/2008 TIME: 7 :01AIvi PAGE: 4
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
. DESCRIPTION: TI
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LANKFORD CONSTRUCTION CO PHONE #: 1347 343 - 8445
Inspection Request Scheduled For: Date: 1/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 062859-01 847- 343-8431 ,.61-1-6.)
Corrections /Comments /Instructions:
I 6 :---j........ 0
....._.....4...._ A " ■ — b ,
ctl A--F---/ 7 f
I ncb
V
❑ PASS PA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 14.cfe
1 Date: l '// 6 Phone #: (503) 718- 2 4 2—M
CITY OF TIGARD
BUILDING DIVISION PERMIT #: [3UP2007 -006 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/2007
Phone: (503) 639 -4171 tT,u,yi -�'�
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I ,
INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7:01AM PAGE: 9
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: i IOME DEPOT
DESCRIPTION: TI
OWNER: HD DEVELOPMENT OF MARYLAND. INC, PHONE #:
CONTRACTOR: LANKFORD CONSTRUCT CO PHONE #: 847 -343 -9445
Inspection Request Scheduled For: Date: 118/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess.. -
A1`
275 Framing 062778 -01 847- 343 -8431 41 App
Corrections /Comments /Instructions:
'to W a 6-t / 1,16,a-ors I,- - - o le__ ZA-C__K__
6 gl. Li -:S PD - rb `
❑ PASS 0 ' - IAL APPROV. ❑ CANCEL ❑ NO ACCESS
❑ FAIL a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
C G` Y
Inspector: Date: f e 6� Phone #: (503) 718- Z-- /
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: BUP2OC)7- 00593
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17J3/2001
Phone: (503) 639 - 4171 -��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/4/2000 TIME: 7 :01AM PAGE: 118
SITE ADDRESS: 14190(1 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: 11
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LANKFORD CONSTRUCTION CO PHONE #: B47- 3438445
Inspection Request Scheduled For: Date: 1/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 067595 01 847- 343-1431 Y A-11.
Corrections /Comments /Instructions:
t1ob. — • c - E} --1 zj!\ t✓�
I k
. i E
q Ta
❑ PASS • RTIAL APPROV ❑ CANCEL ❑ NO ACCESS
❑ FAIL j� y : . - SPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / e6 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: St)P2007 -00593
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17/3/2007
Phone: (503) 639 -4171 14u4* � 4\
Inspection Requests (24 Hrs.): (503) 639 - 4175 °'I
INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: TI
OWNER: HO DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LANKFORD CONSTRUCTION CO PHONE #: 847 343.8445
Inspection Request Scheduled For: Date: 11317008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa e
275 Framing Zji 062505 -01 847.343-8431 Y
Corrections /Comments /Instructions:
C-ig-tb Llr\t - T tit , 4 i c. TED
0 O.L 0
age _((: C i? ®/- AS pry c'Pr. _
- 5 ‘P��z ®4 R C
❑ PASS `!"; : . APPR• , ❑ CANCEL ❑ NO ACCESS
r
❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ �/
Inspector: - Date: // A Phone #: (503) 718 - ZS e-71
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: B(Jp2y)7 -00593
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/312001
Phone: (503) 639 -4171 to.
Inspection Requests (24 Hrs.): (503) 639 -4175 '''I I..
INSPECTION WORKSHEET FOR DATE: 12/27/2007 TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 14800 SW SEQUOIA PI(WY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: TI
OWNER: I-ID DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: L.ANKFORD CONSTRUCTION CO PHONE #: 847- 343 -8445
Inspection Request Scheduled For: Date: 12727/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 062216.01 17 -313 -8431 N
Corrections /Comments /Instructions:
I____±t,___q_CE:j2grl_nj 4 l'Q iTh 1, - -11 '%/ (-------) CA e
E - r - z_ 5
S Pte- A-c_ 1 iv c rof� o f 2t .
111 PASS t,��l �� : ,'TIAL AePfislf�i ❑ CANCEL ❑ NO ACCESS
❑ FAIL FALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ Z �/
Inspector: Date: / 7, CJ Phone #: (503) 718 -
■
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: BI1P2007.00593
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/2007
Phone: (503) 639 -4171 � •w / t' r
Inspection Requests (24 Hrs.): (503) 639 -4175 J L L J.
INSPECTION WORKSHEET FOR DATE: 12119/200 TIME: 7 :00AM PAGE: 8
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: TI
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LANKFORD CONSTRUCTION CO PHONE #: 847 -343 -8445
Inspection Request Scheduled For: Date: 12/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess. •e
275 Framing 061857 -01 8147- 343.6431
411, ......"--
Corrections/Comments/Instructions:
❑ PASS ,- ' - ❑ CANCEL ❑ NO ACCESS
❑ FAIL IN CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r
Inspector: - Date: 1 Z ///09 Phone #: (503) 718- Z
/r� 6032 North Cutter Circle Suite #480
, Information . . (hewn egon 97217
To Build On , . Phone:503-289-1778
m
Engineering • Consulting • stlng Qaity Fied Report Fax:503- 289 -1918
CCB # 176269 age 1 of 1
Client: Permits: Date:
Langford Construction BUP- 2007 -00893 12/19/2007
Project: Address: PSI Number:
Home Depot Store # 4002 14800 SW Sequoia Ave. Tigard, Or 702 -new
General Contractor: Langford Const. I Inside building
Location(s)/Item(s): 38 Wedge anchors for rack base plates at grids B to C / 6.5 to 7 for 2ea. 0 New Inspection
anchors per plate. ❑ ReInspection
Type(s) of Observationsffesting Performed & General Checklist 0(verified)
In Special Inspection ❑ AWS QC1 /ASNT VT I ir2 At Completion 0 In- Progress ❑ Post - Completion* p Continuous ❑ Periodic ❑ Other
Structural Welding Structural Bolting Steel Erection Post - Installed Anchors Fireproofing
❑ Shop ❑ Field ❑ Pretension ❑ Shear Brg ❑ Shop ❑ Field ❑ Chemical 2 Mechanical ❑ Spray ❑ Intumescent
Weld Process ❑ Bolts Specified ❑ Joint Details ❑ ICBO Report No: Eg Speeded Product ❑
Electrode ❑ Turn-of-Nut ❑ Erection Dwgs ❑ Anchor Type ❑ VT Ambient Temp ❑
Weld Prof-le(a) ❑ Cal. wrench ❑ Inspection Rpts ❑ Adhesive Type ❑ Substrate Temp ❑
Welder Cert(s) ❑ Tension Control ❑ Mark Nos ❑ Hole Diameter in 1/2 Substrate Prep ❑
❑ Snug Tight ❑ Anchor Bolts ❑ Embed Depth in 6' Km. Thickness ❑
Mill Cerl(s) ❑ Hard Washers ❑ Columns ❑ Manuf. Instructs ❑ Ave. Thickness ❑
Prep & F -Up ❑ lighten Sequence ❑ Beams ❑ Clean & Dry [3 Fe ish/Patch ❑
Preheat Temp ❑ Faying Surfaces ❑ Metal Deck/Studs ❑ Adequate Adhes. ❑ Density Test ❑
❑ UT ❑ MT ❑ RT ❑ PT Skidmore Tests ❑ , X- Bracing ❑ 1 Torqued/Tight El 40# Bond Test ❑
Box Definitions: X= Attached; N/A =Not Applicable; NC= Nonconformance (see below). `Describe Limitations Below or Contact Bldg Dept.
Detailed Observations, Materials, Workmanship & Procedure Descriptions
Referenced Details/Drawings: 4/NS4 Base plate detail # 4
PSI arrived on this job site as requested for special inspection of wedge anchors.
Observed installation of wedge anchors into predriiled hates at the above Locations. 2 each anchors at each base
plate at B to C / 6.5 to7, .
Checked hole size and anchor ID then toruqed nuts to 40 foot pounds. Same evaluation report as used on Friday
12/14/07.
Bolt installation was as per approved drawings.
Anchors: Hilti KB -TZ 1/2" X Sand 1/2 "; ICC # ESR - 1917.
Non - Conformance #_
Parties Notified: IS General Contractor ❑ Subcontractor [Architect In Engineer el Owner ❑ Other: ❑ Standby lime:
To the best of my knowledge, the work inspected above was in accordance with the building department approved design drawings, specifications and applicable
workmanship provisions of the International Building Code:
❑ Except As Noted 0 Not Applicable 0 Unapproved Drawings/Plans/Materials
❑ NCR Issued ❑ Non - Compliance ❑ Requires Engineers Acceptance (RFI) ❑ Reinspection Required
Inspector (print): ID Number Reviewed By:
Alfred N. Seaton COP 664
Inspector Signatu : Jobsite
1 c - Representative Signature:
Such inspection ng shall not relieve the contractor of its obligations to the construction contract, approved permit documents and the State Building Code.
T
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00593
13125 SW Hall Blvd., Tigard, OR 97223 . j� DATE I' UED: 12/3/2007
Phone: (503) 639 -4171 Q. ��lii 0
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_—
INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7 :01 PAGE: 6
SITE ADDRESS: 141300 SW SLOUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: TI
OWNER: }HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: LANKFORD CONSTRUCTION CO PHONE #: 847- 343 -8445
Insp Request Scheduled For: t y Date: 12!14/2007 ! Pour Time:
Cospection Descr• o Confirm # Contact # Me- age
27ff Framing 061572 -01 847-343-8431 Y
Correc ions/ 4t L L ents/ tructions:
�ks
0 ( LC, 20 0 7- 00 g .e
l� n (2- V -6o14 3") A-
0 -C e. g1/4
(4 ' . g---- Cc"." 3 1 ,� =r Ce D 2_ ..---- V
❑ PASS [ABIIAL.APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V(/1 Date:' i/ 4/�-7 Phone #: (503) 718- --z,y2ff
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00503
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3/2007
Phone: (503) 639 -4171 i,m '
Inspection Requests (24 Hrs.): (503) 639 -4175 `''f L.
INSPECTION WORKSHEET FOR DATE: 12/ 13/2007 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 14800 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HOME DEPOT
DESCRIPTION: TI
OWNER: HD DEVELOPMENT OF MARYLAND, INC, PHONE #:
CONTRACTOR: L.ANKFORDD CONSTRUCTION CO PHONE #: 847-343-8445
Inspection Request Scheduled For: Date: /7/1312007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 061472 -01 847 343.8431 N
Corrections /Comments /Instructions: �� ��•
Clr fa o../
( r A-Ge___ 111 W (4 / t`/
0 t = - / - ®'
❑ PASS 4 rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL �/ CALL FO PECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
qb Date: /2 /5/07 Phone #: (503) 718- a___,W
6032 Nort Cutter Circle Suite #480
� -ar Information Portland, Oregon 97217
/ Build On Phone:503- 289 -1778
Engineering • Consulting • Testing Daily field Report Fax:503- 289 -1918
CCB # 176269 age 1 of 1
Client: Permits: Date:
Langford Construction BUP- 2007 -00893 12/14/2007
Project: Address: PSI Number:
Home Depot Store # 4002 14800 SW Sequoia Ave. Tigard, Or 702 -new
General Contractor: Langford Const. subcontracto (weather Inside Building
Location(s)/Item(s): 86 Wedge anchors for rack base plates at grids B to D / 7 for 2 anchor D New Inspection
per plate and A.5 / 6 to 7 for 1 bolt per plate, ❑ Re-Inspection
Type(s) of Observations/Testing Performed & General Checklist ❑ (verified)
Special Inspection ❑ AWS QCI /ASNT VT 1 e At Completion eg In- Progress ❑ Post - Completion* ID Continuous ❑ Periodic ❑ Other
Structural Welding Structural Bolting Steel Erection Post - Installed Anchors Fireproofing
❑ Shop ❑ Feld ❑ Pretension ❑ Shear Brg ❑ Shop ❑ Field ❑ Chemical 12 Mechanical ❑ Spray ❑ Intumescent
Weld Process ❑ Bells Specified ❑ Joint Details ❑ ,CBO Report No: 151 Speeded Product ❑
Electrode ❑ Turn - of-Nut ❑ Erection Dwgs ❑ Anchor Type ❑ 1/2' Ambient Temp ❑
Weld Profile(s) ❑ Cal. Wrench ❑ Inspection Rpts ❑ Adhesive Type ❑ Substrate Temp ❑
Welder Cert(s) ❑ Tension Control ❑ Mark Nos ❑ Hole Diameter 0 1/2' Substrate Prep ❑
❑ Snug Tight ❑ Anchor Botts ❑ Embed Depth gi 6° Nun. Thickness ❑
Mill Cert(s) ❑ Hard Washers ❑ Columns ❑ Manuf. Instructs ID Ave. Thickness lj
Prep & Fit-Up ❑ Tighten Sequence ❑ Beams ❑ Clean & Dry ❑ Fmish/Patch ❑
Preheat Temp ❑ Faying Surfaces ❑ Metal Deck/Studs ❑ Adequate Aches. ❑ Density Test ❑
❑ UT ❑ MT ❑ RT ❑ PT Skidmore Tests ❑ �X- Bracing ❑ Torqued/Tight is 40# Bond Test ❑
Box Definitions: X= Attached; N/A =Not Applicable; NC= Nonconformance (see below). `Describe Limitations Below or Contact Bldg Dept.
Detailed Observations, Materials, Workmanship & Procedure Descriptions
Referenced Details/Drawings: 4/NS-4 Base plate detail # 4
PSI arrived on this job site as requested for special inspection of wedge anchors.
Observed installation of wedge anchors into predrilled holes at the above locations. 2 each anchors at each base
plate at B to D / 7 and one bolt per plate at A.5 / 6 to 7, one hole had to be relocated and drilled which was done.
Checked hole size and anchor ID then toruqed nuts to 40 foot pounds. Contractor brought up the evaluation report
on the computer to read.
Bolt installation was as per approved drawings.
Anchors: Hilti KB -TZ 1/2" X Sand 1/2 "; ICC # ESR - 1917.
Non - Conformance #_
Parties Notified: MI General Contractor ❑ Subcontractor MI Architect tg Engineer en Owner ❑ Other: ❑ Standby lime:
To the best of my knowledge, the work inspected above was in accordance with the building department approved design drawings, specifications and applicable
worionanship provisions of the International Building Code: 0 As Noted ❑ Not Applicable 0 Unapproved Drawings/Plans/Materials
❑ NCR Issued ❑ Non - Compliance ❑ Requires Engineers Acceptance (RFI) ❑ Reinspection Required
Inspector (print): ID Number By:
Alfred N. Seaton COP 664 IReviewed
Inspector Signature: Jobsite Representative Signature:
Such inspection and testing shall not relieve the contractor of its obligations to the construction contract, approved permit documents and the State Building Code.
• 6032 North Cutter Circle Suite #480
��''�� Information Portland Oregon 97217 •
L/' r�To Build On , L Phone:503- 289 -1778
Engineering • Consulting • Testing ' D ai l y field Report Pax:503- 289 -1918
. Page / of I
Client: Permits: Date:
t -4 .."alms PO e 0 ( iii F; GAP 2,3 :3 ._ () :3 1 X ci 71, I a•-• 1 ,
Project: Address: (:4-2 ()C ,S ..C5.,".4 (.,/ UOI A .s 0...l PSI Number:
t a - Y ' .-a; i2 ;( cry ,e.1.-1.- 4i. 4'f�`.3
.;r 11 (si re _1 DZ.
General Contractor: f / A. mac✓ f , , ( 11,,,, ,.. s7 .. Subcontractor: !Weather: i p,j $ 0 _
Location(s)/Item(s): 144- ,)r (40 , r , f t pp C r . 1 2:; . 4 . 5, L :-.7.' f .❑ New Inspection
r I2 I0 > 1 In '1.3 ) I) 2- To l" C-ar: 0 4,-t a. - ❑ Re- Inspection
Type( of:ob ions Resting' Performed &.General Checklist _ : ❑ (Nerif9ed),
Special Inspection ❑ AWS QC1 /ASNT VT ❑ At Completion ❑ In- Progress ❑ Post- Completion* ]..Continuous ❑ Periodic ❑ Other
Structural Welding Structural Bolting Steel Erection Post - Installed Anchors Fireproofing
❑ Shop ❑ Field ❑ Pretension ❑ Shear Brg ❑ Shop ❑ Field ❑ Chemical i :Mechanical ❑ Spray ❑ Intumescent
Weld Process ❑ Bolts Specified ❑ Joint Details ❑ ICBO Report No: El i Cf i 7 Specifed Product ❑
Electrode ❑ Turn- of-Nut ❑ Erection Dwgs ❑ Anchor Type I'1Q Ambient Temp ❑
Weld Profile(s) ❑ Cal. Wrench ❑ Inspection Rpts ❑ Adhesive Type ❑ Substrate Temp ❑
Welder Cert(s) ❑ Tension Control ❑ Mark No.s ❑ Hole Diameter E / Substrate Prep ❑
Weld Prcdr(s) ❑ Snug Tight ❑ Anchor Bolts ❑ Embed Depth,,' Min. Thickness ❑
Mill Cert(s) ❑ Hard Washers ❑ Columns ❑ Manuf. Instructs . 0 Ave. Thickness ❑
Prep & Fit -Up ❑ Tighten Sequence ❑ Beams ❑ Clean 8 Dry ' ❑ Finish/Patch ❑ . .
Preheat Temp ❑ Faying Surfaces ❑ Metal Deck/Studs ❑ Adequate Adhes. ❑ Density Test ❑
❑ UT ❑ rr ❑ RT ❑ PT Skidmore Tests ❑ X- Bracing ❑ Torquedmght I3 ..- ;L, Bond Test ❑
Box Definitions: X= Attached; N/A =Not Applicable; NC= Nonconformance (see below). 'Describe Limitations Below or Contact Bldg Dept.
Detailed Observations, Materials, Workmanship Procedure,, Descriptions
Referenced Details /Drawings: ,4-„,<A, J 3 — : ,;1. -- •
0 /. r°,G 1JI:� A7 j t-- ;'1 p 1. t r7 ., ( /3 -if E.q l ,w: !- A r•.. -n. 4± 5 , i ..AJ ;"_t - 1 ,?tom ` „ ,ar -. 1 a..c r:_ <:)
a t - i - ,d S A 7 A0 -")k/ °. L.. t~, 9 ! 3 ” . J e C + i . A . , c6 r " A I * ?' 15 3_5 �i �. iii A i
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i.: ( JA I.. f-;A ) 7 a iA .� te.f � / -. f� f(J r.1 el A -) ..A P l � PT l,'l `. ) °' 7. x.- 1.4„,4 77 0 A__,, . /' [ AA'
/ e,1 AA c_ -t:3. 7 A A-16 e: ) I 7' ! ',a,' d)/ . :. -4 I/ -- . 4. A.s , wI 0. 4,P,Ff k e "I'1.1 AV /7 c
f , eA:tea ~ ,,:� r }� -.7-2 � _ ±' � ...C.. - .= -=," i t `
i
Non-Conformance # .
Parties Notified: ❑ General Contractor. ❑ Subcontractor ❑ Architect ❑ Engineer ❑ Owner ❑ Other: ❑ Standby Time:
To the best of my knowledge. the work inspected above was in accordance with the building department approved design drawings, specifications and applicable
workmanship provisions of the International Building Code: ❑ Except As Noted ❑ Not Applicable ❑ Unapproved Drawings /Plans /Materials
❑ NCR Issued . • ❑ Non - Compliance ❑ Requires Engineers Acceptance (RFI) ❑ Reinspection Required
ID Number 'Reviewed By:
Inspector (print): / C A `f' / - 1...3I c• f ...� •
Inspector Signature: f/� c�• 1 jobslte Representative Signature:
f t he --
Such inspection and testin shall n 'relieve the contractor
of its obligations to the construction LJ
contract, approved permit documents and the State Building Code.
I
0 Alfn.l . i `..0 L - y<- `Zi". '