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14090 SW Ridgefield Lane
CITYOF TIGARD -.- MASTER PERMITPERMIT PERMIT#: MST2002-00253
DEVELOPMENT SERVICES DATE ISSUED: 6/4102
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 14090 SW RIDGEFIELD L.N PARCEL: 2S109AA-05800
SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7
BLOCK: LOT:036 JURISDICTION: TIG
REMARKS: New SF detached residence, Path 1.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1132 of BASEMENT: 59400 sl LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECONDS 1,358 of GARAGE: 440 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 51 RIGHT: 18
VALUE: S 292A25.20
OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 2.49000 of REAR: 28
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 6 DISHWASHERS 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 SCKFLW PREVNTR: i GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<TOOK: BOIL/CMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1
GAS FURN>-100K. 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: Ulu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICF.FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIOATION: PER INSPECTION:
EA ADD'L SOOSF: e, 201 •400 amp: 201 400 amp: 1st WIO SVC/FDR: 00 SIGNIOUr LIN LT: PER HOUR:
LIMITEn ENERGY: 401 600 amp: 401 - 000 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HMISVC/FDR: 601 • 1000 amp: 601+amps•1000v: MINOR LABEL:
1000+emplvolt: PLAN REVIEW SECTION
Reconnect only: >-4 RES UNITS: SVWFDR>•226 A.: >600 V NOMINAL: CLS AREAISPC OCC
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT'.
BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATNTELE COMM: NURSE CALLS TOTAL 0 SYSTEMS:
'TOTAL FEES: $ 8,114.69
Owner: Contractor: This permit is subject to the regulations contained In the
BAUMANN,JOSH&TARA LEGACY HOMES LLG Tigard Municipal Code,State of OR. Specialty Codes and
13456 SW HAWKS BEARD#1114 PO BOX 446 all other applicable laws. All work will be done In
TIGARD,OR 97223 SHERWOOD,OR 97140 accordance with approved r"ns. This permit will expire If
work is not started within 180 uays of Issuance,or if the
work Is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg N: LIC 84687 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, WIT Proofing Bsm't Wa Fooling/Foundation Dr; Electrical Rough In Gas Line Insp Water Line Insp
Grading Inspection Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Appr/SdWk Insp
Sewer Inspection post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
Footing Insp Underfloor Insulation Plumb Top Out Exterior Sheathing Insf Gyp Board Insp Plumb Final
Foundation Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Final Inspection
Issued By : ` `" .� r�/ !' Permittee Signatures -
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD _SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2002 00168
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/4/02
SITE ADDRESS; 14090 SW RIDGEFIELD LN PARCEL: 2S109AA-05800
SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7
BLOCK: LOT: 036 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached.
Owner: _ - — — _ _FEES
BAUMANN, , OSH & TARA Type By Date Amount Receipt _
13456 SW HAWKS BEARD #1 114 _— ---
1IGARD, OR 97223 PRMT CTR 6/4/02 $2,300.00 27200200000
INSP CTR 6/4/02 $35.00 27200200000
Phone: 503-579-4992 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
fhis Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The perm�t expires
180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copiEs of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued by: Permittee Signature: �Lr�C1--
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
z3 o z f3 T
Building Permit Application
11)�atcre�ccivcd:,. !,o171,e16 Permit no.:
'. ^•t� .`
�,'loY.h�-0bn.
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: 5mikedate:
City nfTignrd
Phone: (503) 6394171 I)ate issued: Byl,j Reccipt no.:
Fax: (503) 598-1960 Casc file no.: _ Payment type:
Land rise approval: :c - 1&2 family:Simple Complex:
OF PERMIT
U I &2 family dwelling or accessory 0 Commercial/industrial U Multi-Ianuly U New construction U Demolition
U Adclition/alteration;rcplaccmcnt U Tenant improvement U fire sprinkler/alarm U Other:
Job address: _ Bldg.no.: Suite no.:
L ex: G Blcxk: Subdivision: El HO Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
1FOWSPECIAL INFORMATI ON, USE CHECKLIST
{ .
Name: g (Floodplain, t -�.
Mailing address: 12jqSG SWlRWKS A� )ll - 1 &2 family dwelling:
City: State: ZIP: ZZ5 Valuation ofwork �.......q .. c� r1 �21
Q '
................
Phone: 15lq-q J9 Z jFax:9Z5-()99jGnlail: No.of bedrooms/baths............,,1..................
Owner's representative: 1BO.A0 M"p. Total number of floors........ ........... .. /
New �1y - f
Phone: 97.!5-05C* fax: li mail: Garage/carport arca(sq.ft)),. 2Z Y
dwelling ( q
Name: Covered porch area(sq.ft.) ..........: ...........
--
-_ __.__� Deck area(s ft.) Z-G
Mailing address: O�jt7X_�_ _ q. ................... .. . _------
City: pp _ stale: zlr:glt p Other structure arca(sq. ft.).........................
III Z5-0SOC, Fax:g25.Mail E-mail ('ommercial/industrial/multi-family:
1 1 Valuation of work................................. ..
Business name: q A AP ► Existing bldg.area(sq,ft.) .�......I.........
Address: New bldg.area(sq.ft.)................ ...........
City: State: ZIP: Number of stories.......... r....'..
..Z
Type of construction........ ................. —
Phone. I ax. _ -_-- E_mail:
CC II no.:(pq(pb"1Occupancy group(s): Existing:
New: _
City/metro tic.no.: Notice:All contractors and subcontractors are required to be
ARCHITECTIDESIGNERlicensed with tire Oregon Construction Contractors Board under
Name: •`1-0M (�1i I=_u��.tLEA.JL.I provisions of ORS 701 and may be required to be licensed in the
Address: p AA14G jurisdiction where work is being performed.If the applicant is
Cit cjjjFltW002 IStatc:67- zm:9-1 P exempt from licensing,the following reason applies:
Contact rwrson:TDM I Plan no.:
- -...--------------
Name: l"EF- Ipll l;Q C'onlact Person:J�E,V IN M , fees due upon application ........................... $
Address: u Date received:
City: State: 7.IP: Amount received ......................................... $
Phone: (p. fax: I E-mail: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,please call Jurisdiction for tnnre inhrtnatinn
attached checklist. All provisions of laws and ordinances governing this U Visa U Mastercard
work will he complied 'th,whether specirWd herein or not. Credit card number -
1:spnes
Allthorited signatu��} _Date: �•11*02. Name of cardholder as shown on credit card
Print name: �/ Q HILLEe- Cardholder signature s Amount
Notice:'lids permit application expires if a permit is not obtained within 180 days eller it has been accepted as complete. 4404613 1tyW OM)
Plumbing Permit ApplicationM, 0, MW 0=0
Ceity of Tigard Dat
received: 7 0�0 permit no.;}�.,�L�1.;: ry i'
Address: 13125 SW Hall Blvd,Tigard,OR 9723 Sewer permit no.: Building permit no.:
06,n/Tigard Address:
(503) 6:394171 Project/appl.no.: rxpirt:date:
r Fax: (503) 598-1960 Date issued: By: Receipt nn.:
Land use approval: Case file no.: Payment type:
U I=constructio:n
ng or accessory U Cotnrnercial/industrial U Multi-family U'ft run nni n,�,„i,•t,i
U U Addition/alteration/replacement U Food service _j t hl'cl
Job address: RIC)GEF --� I/uscriptlon 0",i' Fectca.) I ,lal
Bldg.no.: Suite no.:
-- Nrvr I-and 2-fatmmi1 d"cllinf;s unly:
Z 5109AR 0 (iy 100 ft.for each utilitycoanrction)
Tax map/tax lot/account no.: ncludt7 SIR(I)bath
Lot: Block: Subdivision: ELKdD&M F, E SPR(2)bash
Protect name: _ —_`___ SFR(3)bath
City/county: I ZIP: tach additional bath/kitchen
Description and location of work on premises: 4heutilhles: --
Catch basin/area drain I-
Est.date of completion/inspection: Drywells/Ieacti line/trench drain }
PLUMBING
CONTRACTOR Footing drain(no,lin ft.)
Manufactured home utilaies
Business name: Fj anholes
Address: —" Rain drain connector
City: 11+11� State:0� Z11':9 I Sanitary sewer(no.lin. 1't.)
Phone:x59.3 5 Fax: 254-34511 E-mail: Storm sewer(no.lin.ft.)
CCB no.: 2 Plumh.bus,reg.na: .1 9 Water service(no.lin. ft.)
City/metro lic.no.: Fixture or Item:
Contractor's representative signature: Absorption valve
Print name- Back Ilow reventer
EPJCtc Date:S• Backwater valve
Basins/lavatory
Name.: [3QgD MILd,E2 Clothes washer
Address:Po 150 X yyG Dis washer
Drinking fountain(s)
City: SH&CWcop Stlue:C)z 'LIP: �114U F.jecturs/sump
t'hone:9 pgp Fax:925-D99`1 F-mail• I'xpansion tank
Fixture/sewer cap
Name(fifinty JOSH ��1R Iloor drains/Iloor sinks/huh
Mailing address: 13'I'S�o `JW H V,0, R �I11'� Garbage disposal
Hose bibb
City: "� _ State:�R 7.11':q"1 y ice maKer
Phone: � Fax:9Zs.099'� F-mail: Interceptor/grease trap
Owner installation/residential maintenance only: 'rhe actual installation Printer(s)
will he made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's signature: Date: Sum
Tubs/shower/shower pan
Name: Urinal
Address: -- Water closet
Cit : Water heater
Y — _ State: ZIP: Other:
Phone: Pax: E-mail: Total
Not all jurisdictions accryn credit card%,please call jurisdiction fon more information. Notice:This permit application 1`4initnum fee................$
O Visa 0 Mastercanl expires if a permit is not obtained Plan review(at _ %) $ _
Credit cud number —_ within I RO days after it has been State surcharge(9%)....$ _
%:spier%
None otcardholder asshown oncredit card accepted aScomplete. TOTAL ••••••••••••••••••••••
Cadholdet sijnatute
�" 440J616(fittmlV('OM)
I4dlectricai Permit Application
Date received: i7 C i permit no.-. f -
Cit of Tigard City g projecUappl.no.: Expire date:
Ci(ygTignrd Address: 13125 SW I lall Blvd,Tigard,OR 97223 Date issued: LY
�r Phone: (50.x) 639-4171 YReccipl no.:
f rax: (503) .598-1960 Case file no.: payment type:
Land use approval: OF
U I &2 ramify dwelling or accessory U Commercial/intlu,,inal U Multi-family U Tenant improvement
Ncw construction U Addition/alteration/replacement U Other:_ _ U Partial
301111 SITE INFORMATION
Job address: L�Qq Q1 C b I _ liltlg.no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: Subdivision: LMO&W ZIOGE _2.-51014il;li0Pr;i Zpq
Project name. Description and location of work on premises:
I"stimated date orcompletion/inspeclion:
tNTRACI'OR APPLICATION FEE SCHEDULE
Job no: _ tee Max
Business name: — — IC, -- - nryertptinn 0". (ex) total no.hrgt
- Ne"mshirntial-single or mulli fumlly Ix•r
Address: >< dwelling unit,Inchntev attuelrotil gurage.
CTI—tynALEM I Slate:0[L ZIP:9
-7 303 Senicelncluded:
Phone:393-U rax: E-mail: I(xx)sq.ft.orless 1
CC Ii nr Elec.bus.lic.no; 7-4-354c, Each additional 500 sq.ft,or portion thereof ---
Limited energy,residential 2
C't / Ir c. Limited energy,non-residential 2 --
- »C102, Goch manufactured home or modular dwelling
signature ol'supervis rg el^curcian(required) _ I to Service an(Vor feeder 2
Still elect.name(print): AiiliN G�HDA 1.I Lickseno: •�s G Serrlcesorfeeders-•Inctrlldlon,
OWNER 41-1.110Or relocation:
200 amps or less 2
Name(print) amps to 400 amps 2
6 1 S YV R .KS et III 401 amps to 600 loops Mailing address: G01 amps to 1000 on ps z
City: ( A Stale: Zll': Q?3 Over I(xxl amps or volts 2-
Phone: '1 -14 qj Z rax:425.099 E-mail:' Reconnectonly I
Owner installation:The installation is being made on property I own Tempomryservices orfeeders-
which is not intended for sale,lease,rent,or exchange according to ln+lallation,rtterrtlon,orrelocation:
ORS 447,455,479,670,701. 200 amps or less
201 amps to 40x1 amps --- -- — - -- —
Owner's si mature: - — --- -
6 Date; 401 ur 6O0 mit s 2
' Bunch circuits-new,alteration,
or extension per panel:
Name: _ A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit
City: trate: alp; a Fre fur hranch circuits without purchase
of seryice or feeder fee,first branch circuit: 2
Phone: rax 1:-mall Bach additional branch citcuit
Misc.( rvice or feeder not Included):
U Service over 225 amps-comniercial U Health-care facility Each pump or irrigation circle 2
U Service over 320 timps•rating of I k' U Hazardous location Foch sign or outline lighting - 2
familydwell ings U Iluilding over 10,000 square feet four or Signal circuil(s)or a limited energy panel,
U System over600 volts nominal more residential units in one structure alteration,or extension* 2
U Iluilding over three stories U Feeders,400 maps or more rlkscri tion:
U Occupant load over 99 persons U fvinnufactured structures or RV park rich additional Inspection over the allowable M any of the above:
U Epress/lightinaplait U l)drer ��. perinspection r�—T'�--
Submit—sets of plans with any of the above. Investigation fee
The alcove are not applicable to temporary construction service. Other �—
Not all ju oidictionv accept emlit cods,pie&%e call jutiulictio n for more Inf«motion. Notice:This pem'.it application Permit fee.....................$
U Visit U MasterCard expires if a permit is not obtained plan review(at _.__ %) $
t'trdit card number- within 180 days alter it has been Stale surcharge(8%)....
Name of codhahlrr as shown on credit cod
1."pit`s accepted as complete. TOTAL $
-- ----
_ S _
Cwdl%J1 ei signature Amount 4404615(600000M)
Mechanical Permit Application
Dalereceived: / /P. Permit no•j7��r •25-
City of Tigard Project/appl.no.: Expire date:
city„1 Tigaid Address: 13125 SW Hall Blvd,Tigard,OR 97223
01 Phone: (503) 639A 171 Date issued: It Receipt no.:
Fax: (503)598-1960 Case file no,: Payment type:
Land use approval: - Building permit no.:
1
U I &2 family dwelling or accessory 0 Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Olher
COMMERCIAL.1011 SI I'll"INI;OIC%IA I ION 1SCHEDULE
Joh address: 1 LTc SW Ric)GmLLp LAQE. Indicate cquthnlent quantities in boxes below. Indicate the dollar
Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no,: x.5109 aA 0 5 U 209 profit.Value$ _
Lot: Block: Subdivision: CLK60ILiiJ RIpGE *See checklist for important application information and
Project name: iurisdictinn's fee schedule for residential hermit fee.
City/county: ZIP:
Description and location of work on premises:
-- hce(ea.) 'Total
Est.date ofcomplelion/inspection: Ikscription Qly. Res.only Res.only
'I enant improvement or change of use:
ng
Is existing space heated or conditioned?U Yes O No Air Air
unit CFM
ircon iuontng(site plan required)
Is existing space insulated?U Yes U No Alteration of existing IlVAC system _
3oi er compressors
Business name: CI.RSS A F�fsA1tNG Stale boiler permit no.:
__ HI' P •tons BTU/11
Address: 50 I Tir • mersi u
smo act smoke detectors
City: oreltJGState: 7-IP: 97Qp eatpuntp(site plan required)
Phone: Fax:Col�,3-MI E-mail: Install/replace I,irnaccBurner /
GO °l Including duetwork/vent liner U Yes U No
CCB no.: assnIi/replace/relocate eaters-suspen e , - --
City/metro lic.no.: vall,or floor mounted
Name(please print): MUG C• STOKES ens for appliance of er t an furwice
CONTACU 1 e gent on:
Absorption units
Chillers '
Name: IiZpl MIu.6Q -- ------- III _J
Address: PO o Tri - Com ressors � III'
— - nv ronmenta ex aunt an ventilation:
City: N Slate:Q LII':� )1 O Appliancevent
Phone:'125 OSQ Fax: E-mail: )ryerex taust ----
rn s, ype res.k tic he tazmaI
hood fire suppression system
Name: TAutMq�'4Q , Exhaust fan with single duct(hath fans) _
Mailing address: 134% 5W HAcaixhaust system apart from heating or AC
City: `(j Att,p State:�RrlP:q'1
oe piping a Ltr rut on up to outlets)
-- Type! __ l�)__-- NO Oil
Phone: -
�q•�{qy^ I�ax:�Z5•C>997 1:-nntil: TuTi l�ill�,c.i.li a�oitionTver out ccs
Process piping(sc ernaticrequue )
Nance: - Number of outlets
tersi{led appliance or eye-lhmenl:
Address.-- �^ __�nuul: oot stove/pe et stove_ Dmorativefireplace
City: Slalc: L.II'-- Insert-type
Phone: Fax: [? _
_ _--
Otler. -
Applicant's signature: i UatcY` _ ter:
Name (print): - --
Nig all limullchom i:celN credit cruds•please call jorlphcUgl hN m(He InhN111a11"11 _— Permit fee.....................$ _
U Visa U MasterCard Notice:'Phis permit application
Minimum fcc................$ _
Credit cmd number _ __ _ I.__- / expires if a perntit is not obtained plan review(at _ %) $
Fq'i,'5 within 180 days tiller it has been State surcharge(8%,) ....$
Name of cardlmlr t as shown on cteXt cud accepted as complete. TO'1'M, $
s ......................
CodholTei signature ��— — Amount 4104617(bt10ICOM)
SEE 35MM
ROLL #20
FOR
OVERSIZED
DO -CMEN
T
SUN 11�tOr-`3
GeoP 'eific
Engineering,Inc.
7312 5N1Durham Road
r'ortland,Oregon 97224
June 11, 2002 I'd(503)598-H445 • Fax(503)59H-8705
Job Number 02-7740
Legacy Homes
P.O Box 442
Sherwood, OR 97140
Fax No. (503)636-2994
GEOTECHNICAL ENGINEER'S REVIEW
ELKHORN RIDGE LOT 34
TIGARD, OREGON :?? S%r� 4)U
At your request, we have reviewed the Lot 34 at Elkhorn Ridge Estates in Tigard, Oregon.
The purpose of our review is to make conclusions regarding the existing soil subgrade
conditions. The subject lot slopes gently at about a 10 percent grade until the grade
steepens to 40 to 60 percent just beyond the back of the house.
The excavation was deepened 3 to 4 feet to get below existing fill and expose competent
native soils with the exception of the front of the garage, which has an estimated 2 feet of
very compact fill that appears to have been placed over adequately prepared natural ground.
The southeast corner of the house foundation layout was modified to avoid a landscape
rockery retaining wall and adjacent slope. The footing was excavated to a depth of 8 feet to
reach adequate native soils and achieve a proper footing-to-slope setback and sufficient
setback from the rockery wall. In our opinion, this footing need not be designed as a
retaining wall because it is a short stretch that is tied with reinforcing steel at both ends from
lateral movement to the extension of the footing on ground that is riot affected by a
dnwnslope condition. In other words, the footing extension can be assumed as a deepened
pier that is more longitudinal than usual.
In conclusion, it is our opinion that the observed soils are adequate for spread foundation
support to a maximum allowable bearing pressure of 1,500 psf, provided adequate horizontal
steel is incorporated into the foundation. Footing-to-slope setbacks at the rear of the House
are adequate and at least 8 feet horizontal. No deck footings were observed at this time.
We anticipate that footing settlements will be less than one inch total and one half inch
differential.
Job Number 02-7740
June 11, 2002
Page 2
We trust this information meets your needs. Our review was performed to the standards of
practice of geotechnical engineering. No warranty is herein expressed or implied. Please
call if you have any questions.
Sincerely,
GeoPacific Engineering Inc.
PED PR0
14743
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OREGON
v �
James D. Imbrie, P.E.
Principal Engineer
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP _
Received u c� Date Requested—_ _ AM _.. _... PM -_._. .__-____ BLIP -
Location 2YJ Suite MEC
61
Contact Persony� Ph( —.) -5'y Y --3 PLM
Contractor_____ — Ph(—) SWR
4 4UILDING Tenant/Owner FLC _
ELC
Foundation Access:1 ( r `l i✓ ELR
FtgDrain i""
Crawl Drain _ F�- G
Slab Inspection Notes, SIT
Post&Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Inswation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: ---- - ---
Fi
ASS PART FAIL ---� -----_ — _— —
P
Na - — --- --- ------
Post& Beam
Under Slab ---.�_ --- ------- — - —
Hough-In
Water Service ------ ---- - -- --
Sanitary Sewer
Rain Drains - --- ---
Catch Basin/Manhole
Storm Drain -- — — --
Shower Pan
Other;_ -- --� —'
Finalz z
SS _ T FAIL —� —
Ali ANIC_
Post Beam —
Rough-In --- --- --
Gas Line
Smoke Dampers -- - — -- - ---- —
Final
_ RT_ FAIL — —_—_----------___ �— — _
TRICA
Roug In —
UG/Slab
Low Voltage --
Fire Alarm
PART FAIL
Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S
S) Please call for reinspection RE: — _ F-] Unable to inspect--no access
Fire Supply Line
ADA /�
Approach/Sidewalk Data � Z�tl Inspector —
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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