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10140 SW Riverwood Lane
Hue 07 02 09: 01p EARTH ANCHORS 5032354627 P. 2
AUG-06-02 TUE 05:02 PM P. 02
La VIELLE GEOT CNNICAL ! •�• M.?NF.Alameda
oMmd,Oregm 97:12
(SOi)187.0.111,Fax 242-7671
August 6, 2-002 Our ref: 02-1445.071
LZ13 Inc.
619 SE 12`t' Street
Portland, Oregon 97214
Attention:
RE. CUNS'TR_UCTION MONITORING
CNIMTJEY UNDERPINNIING
10140 SW RIVI:RWOOD LANE
TIGARD, ()Rr(i()N
Dear Mr Zumwalt:
We present a suunrnary of the installation and loading of the 2 anchors underp►ruung the
c.humiey. Thu nropr.14Y is located at 101040 SW Riverwood Lane, Tigard, Oregon.
The contractor LZB Inc. installed 2, A. B. Chance helical anchors to support the chitoney
The, underpiruting ancbors include 7, 8"-10" helix anchors. The 2 underpinning anchor.a
were tristalled to depths of 17.5 feet All of the anchors were insudl-Lt in accordance with
tine recorurnendations presented in our 7/10/02"Geotechnical l;valuintaon" The 2 anchors
were installed based OL the manufacturer's torqueNcitical capacity correlation to carry
23,000 pounds The chimney wc,s lifted a total of approximately 1 inch ut one attempt.
Ras:d on on.r review of the availn{tle record_q and onr observations on site it is our Opinion
the contractor has completed the installation of the underpinning anchors in substanntial
accordance with the project plans and specifications. We arc available, to discuss any
que,tions you may have concerning this report.
Sincerely,
LaPELLEGEOTECHNICAL, N.C.
.avow
Craig C. LaVicllc, P.G., Principal
BUILDING
CITY OF TIGAR®
PERMIT#t: BUP20Cz-00297
DEVELOPMENT SERVICES DATE ISSUED: 7/30/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S11413C-00900
s,ITE ADDRESS: 10140 SW RIVERWOOD LN
SUBDIVISION: PICKS LANDING NO.1 ZONING: R•4.5
BLOCK: LOT: 064 JURISDICTION: r1G
REISSUE: FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: `E: �►V
TYPE OF USE: COM SECOND: sf _ _ PROJECT OPENINGS?
TYPE OF CONST: NONE sf N:� S: E: W:
OCCUPP.ACY GRP: TOTAL AREA: 0 UO sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASFMENT: sf AREA SEP. RATED:
STOI?: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: READ SETBACKS ___ __ __ REC,'JIRED _
FLOOR LOAD: psf LEFT: ft RGHT:— ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT. ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IM►-1 SURFACE: PRO CORR: PARKING:
VALUE: $ 2,400.00
Remarks: Underpin existiny fireplace
Owner: Contractor:
MILLS, RONALD E + NINA GE NE LLB INC
10140 SW RIVERWOOD LANE 6'y SE 12TH AVENUL
TIGARD, OR 97224 PORTLAND,OR 97214
Phone: 503-624-1479 Phone: 503-235-4625
Reg#: LIC 76450
FEES _ REQUIRED INSPECTIONS
Type By Date Amount Receipt Piles/caissons final report
PRMT CTR 7/15/02 $72.10 27200200000 Structural observ. final repr
Final Inspection
5PCT CTR 7/15/02 $5.77 27200200000
PLCK CTR 7115/02 $46.86 27200200000
_ Total $124.73
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 160 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Nciification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Pemi!ttee `�
Issued By:
Call 639-4175 by 7 p.:n. for an inspection the next business day
CITY OF TIGAR13 24-Hour
;3UILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
Bup
Received _ __------ Date Requested— AM ._ PM BUP
Location41
Suite ___ MEC __-s-
Contact Person - Ph( ____ ) �� - S"4�4 PLM _—
Contractor __ ___ ---. Ph( _--___ ) -
_ .._.-__-- SWR _--
BUILDI_NG Tenant/Owner ____ —�__-- ELC ._--
Footing
ELS.
Foundation
Access:
Ftg Drain
Crawl Drain - - ---- - SIT
Slab Inspe ion Notes. -
Post&Beam - r_La, ------
Shear Anchors -- ---__ -
Ext Sheath/Shear -
Int Sheath/Shear Q
Framing
insulation
Drywall Nailing
FirewallFire Sprinkler
Sprinkler
Fire Alarm Ku
Susp'd Ceiling
Root
Other:
Final �r✓,e!lr�trs� �-_�rr.�_�„t..e.�,.�.� �,�.e►,,ri
PASS PAR r FAIL
Post&Beam --T_---
Under Slab
Rough-In
Water Service _. -_-.---------____-- -_--
Sanitary Sewer
Rain Drains ---------- ------.___.�
Catch Basin/Manhole
Storm Drain ---- — -------- -- —_-_.
Shower Pan
Other __—_- - ----.-- -- -- ---
Final
PASS PART FAIL
MECHANICAL _
Post&Beam
Rough-In ---- -
Gas Line
Smoke Dampers
Final
PASS PART FAIL - - _--
ELECTRICAL
Service _ - --
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final _ Reinspection fee of$ re uired before n t'inspection. Pa Ci Hall, 13175 SW Hall Blvd,
PASS PART FAIL q Y at City
SITE [ Please call for reinspection RE:-------___ _ Fj u Unable to Inspect-no access
Fire Supply Line
ADA Q Z O Z
Approach/Sidewalk Date ---- �_ Inspractot - --""" __ Ex!
Other:
Final 00 N!,f REMOVE this Inspbction rocory from the job s.<e
PASS PART FAIL
Building Permit Application
Date received: A, C% Permit no.: �p
Cit of Tigard City � ProjecUappl.no.: AHke date:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
Cirr n('►7�and
Phone: (503) 639-4171 _ Date issued: By j• R,ceiptno.:
Fax: (503) 598-1960 Case file no.: Payment type: Y
Land use approval: 1&2 family:Simple Complex: 1
JU
I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U DemolitionAddition/alteration/replacement U Tenant improvement _j I it ,prinUciialant ❑Other:
t '
Job address: ,, Bldg.no.: Suitc no.:
fit; Block: Subdivision: _- _ ..ax map/tax lot/account no.:
Proiect name: —
Description and location pf work on premises/special conditions: _— -
Name:
Mailing address: 1 &2 family d"elling:
City_ State: ZIP: Valuation of work........................................ $
Phone: Fax: E-mail, No.ofbedrooms/baths..............................
Owuer'.s representative: Total number of floors..........................
Phonc: c 4U11 ` I ax: I n,til New dwelling area(sq.ft.) .......................... --
Garage/carport area(sq.ft.).........................
Covered porch area(sq.ft.) .........................
Name:
Deck area(sq.fl,) ........................................
Mailing address:
Stale 7.IP: Other structure area(sq. ft.).........................
City: Commercial/industriallmulti-family:
Phone: I a I ncul.
Valuation of work........................................ $--
I_ 7 � � �L, Existing bldg.area(sq.ft.) ..........................
Business name: LL ((ll }�""�' New bldg.area(sq.ft.)
Address: krfa,:. - tf h O r__ Number of stories........................................ _.-
City: State: i'd f7.IP:c! Type of construction....................................
Phone: 2• c Fax: t Email: —� Occupancy group(s): Existing: --
CCB New: -- .
City/metro lie.no. Notice:All contractors and subcontractors are required to be
1111MV-7,11 Z Mal licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed In the
jurisdiction Wicre work is being performed.If the applicant is
Address: _. exempt from licensing,the following reason applies.
City: State: ZIP:
Contact person: Plan no.: —
Phone: FaXE-mail:
OM lei t�
Name: l ( Ctmtact person: L Fces due upon application ........................... $_ --
Address: "k.")ta` Date received:
City: � State: ' Amount received ......................................... $
Phone: t Fax: E-mail:
Please refer to fee schedule,
hereby certify I have read and examined this application and the Not all jurisdictions accept credit tarda.plena coil jurisdiction for rnorr inlormailon
attach-rI checklist.All provisions of laws and ordinances•p-werni g th s C]Credit
c u MasterCard
Credit cab number _
work will be complied with,w ther` titled he t. �-�+'_ "
�M _ v Nameofcardholder u shownoncredit cardAuthorized signature: �� e: _ $Print namC: y G° J; ( Cardholder sisnature Amount
Notice:This permit application expires if a permit is not obtained within Igo days atict it has been accepted as complete.
4404613((YtXN('OMI
Commercial Plan Submittal
Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL #of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must Include location of all accessible parking)
Plumbing - Site Utilities 2
Building �*
Fire Protection System 3**
Mechanical 2
Plumbing - Building Fixtures 2
Electrical � 2 —�
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over-the-counter commercial tenant improvements, :submit 2 sets of plans.
**"New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level 1" technicians.
1:Wstslformatcom-matrix.doe 5/24/01