Correspondence (151) • 5) i/ 7
June 9, 1997 CITY OF TIGARD
ft-A- OREGON
Carlson Testing d, _
P.O. Box 23814
Tigard, OR 97281
PERMIT NO: SIT 97 -0013
OWNER: McDonald's
PROJECT ADDRESS: 1 >P_acific - Hwy.
PROJECT DESCRIPTION: McDonald's
TYPES OF SPECIAL INSPECTION: Soils special inspections.
Dear Mr. Leach:
The owner has notified us that he/she wiU 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
U.B.C. 3318 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 the Building Division at (503) 639 -4171.
Sincerely,
Jim Funk
Building Division
Enclosure
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13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
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Cate 474 /? CITY OF TIGARD
OREGON
Sods Special inspections
This forth snarl be signed by the Cwner, Engineer or architect of Record and returned to tfte Budding Oivision prior to
issuance of Tie permit. PteaSe note that a separate structural sumo in specDan font may be required.
Project AddruslIc r9d Pee A i 71 •.. Project Name: ,77e X0 t 0!
Architect of Record (F ): .Tt! it . 77 i o L o e- of Phan: G 30 •% 2 ? t Z
Engineer at Record (Frm): I ¢ N 7e Ai v A/ y r/ 4.4. P1wn
G70 -"K z3 —r2. Se L
Sofa Engineer: 1,0■Y t 7 f fNd, f rrtn: Phonic
Lot Subdivision:
The iolaw erj idebections shall be performed according to tl+e State 8urlttng Code and Cry of Tigard's Municipal
Code Chapter 14.06010 - 14.06.040:
Seed Grading ( >5.000 cubic yards ) - U.H.C. 3309.4
Regular Grading - U.9.C. 3309.3
Coms7actien Reports (per AS standards sated in U.H.C. 3305)
Testing Agency: C,s4.L -Tt i.i c,
Pews= 3— 4- 5
❑ Corer
he owner hereby agrees ire above sob engineer for ire above.noted special inspections.
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5 SW 3Ma. i r d. CR 97223 (SC 3) 639 -4171 (5C3) 684 -2772