Report (34) "� � l W6(/07`-s7`
824 SE 12th Avenue
Portland,Oregon 97214 FIELD OBSERVATION REPORT 22-
WMTS
Tel(503)616-9425
www.gcnweb.com
PROJECT ID DATE REPORT NO.
1062 -Summit Ridge July 18, 2016 24
OWNER/CLIENT OWNER/CLIENT REPRESENTATIVE DAY OF WEEK PAGE
D R Horton (DRH) Don Durst Monday 1 of 1
GENERAL CONTRACTOR GENERAL CONTRACTOR REPRESENTATIVE ARRIVAL TIME DEPARTURE TIME
DHI Todd Kurilo 1300 1400
GRADING CONTRACTOR GRADING CONTRACTOR REPRESENTATIVE WEATHER/TEMPERATURE PERMIT
G-Cam Excavation Sergey Cloudy, 75' F Project# 1062
TYPE OF WORK SOURCE AND DESCRIPTION OF FILL MATERIAL GCN REPRESENTATIVE
Structural Subqrade NA Bob Pendell
LOCATION OF WORK CONTRACTORS EQUIPMENT OBSERVED IN USE
Lot 1 51
CONTRACTOR ACTIVITY,OBSERVATIONS,CONCLUSIONS,RECOMMENDATIONS:
I made this visit at the request of Don Durst to observe the excavated structural subgrade for lot 151. I used a Y2 inch
diameter steel foundation rod to probe footing subgrade.
During the probe I observed the structural subgrades to be stiff soil and dense rock.
In our opinion the building pad has been prepared in general accordance with our recommendations and will support
expected foundation for a single family home.
A Preliminary report is provided solely as evidence that the field observation was performed. Observations,and/or conclusions,and/or recommendations
FINAL ❑ PRELIMINARY conveyed in the final report may vary from and shall take precedence over those indicated in a preliminary report. A final report is an instrument of
professional service. Any condusions drawn from this report should be discussed with and evaluated by the professional involved.
ITEMS TO OBSERVE,CHECK,OR TEST DURING NEXT VISIT
FIELD REPRESENTATIVE SIGNATURE DATE
Bob Pendell July 18, 2016
GCN's professionals are represented on site solely to observe operations of the contractor identified,to form opinions about the adequacy of those operations,and to report those opinions to our dient.
The presence and activities of our field representative do not relieve any contractor from its obligation to meet contractual requirements.We rely on the contractor to comply with the plans and
specifications throughout the duration of the oroiect.irrespective of the presence of our representative.The contractor retains sole responsibility for site safety and the methods.operations.and sequences.
III►
M.S7;2m'
I, SHAUN P. FIDLER HEREBY
CERTIFY HUB & TACK STAKING
WAS PERFORMED ON 7/20/16
AND THAT THE STAKES WERE
SET IN THE LOCATIONS SHOWN
S88'32'31"E 40.00' F4 ON THIS MAP AND MEET THE
•
REQUIRED SETBACKS PER THE
SITE PLAN PROVIDED BY THE
CLIENT.
REGISTERED
40.52' PROFESSIONAL
ND SURVEYOR
x80
- G
OZZ r v221 0 JULYORE12,ON 2005
$ s2� 27"' , i o �• SHAU50333P. 1DLER
`1rn� RENEWAL DATE DECEMBER 31, 2017
r
151 r
2 g g
5.00•
--� 7.25' -N--
61Z '� _27 ' 9z4
• STAKEOUT
8218
LOT 151 SUMMIT RIDGE NO. 5
20.65'
SE 1/4 SEC 9, T2S, R1W, W.M.
N88'32'31"W 40.00' '5101 CITY OF TIGARD
WASHINGTON COUNTY, OREGON
.aas.fio JULY 22, 2016
IBM DRAWN:RAR/RLMc CHECKED: SPF
SCALE 1"=20' ACCOUNT # 144
SW BLACK WALNUT ST Y:\144-598\DWG\L151SR.DWG
NOTE: CMT SURVEYING AND CONSULTING
THIS DRAWING IS NOT INTENDED TO BE USED FOR 9136 SE ST HELENS
SUITE J
THE PURPOSES OF A MORTGAGE LOAN INSPECTION CLACKAMAS, OR 97015
PHONE (503) 850-4672 FAX (503) 850-4590