Correspondence (5) 016] Office alem Office Bend Office
Carlson ® � �'1 1`J� �0 � Inc. � g9 � 84 Nun_iker +060 Hudson Sc, NE Bend. OR Ri NI!
EY'1 JFIl Ti d OR s ik Salem. OR 97 -i0/ Bend. OR 9770? 702
Phone: 15 031 684-3460 Phone: (503) 589 -1252 Phone: (541)330 -9155
Construction Materials Testing & Inspection Far: 150316R4 -0954 Far: /50315R9 -/3/19 Far 0411 330-9163
Special Inspection
FINAL SUMMARY LETTER
March 3, 2010
T0901332
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Plas2fuel - New Tank Pad
7904 SW Hunziker Street - Tigard, OR
Permit No.: BUP2009 -00167
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
Installation of Adhesive Anchors
,. — _All inspections - and tests were performed and reported according to `"the requirements of"Project Documents and;`to the
best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's
design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office. Under all circumstances, the information contained in this report is
provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No
party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information
contained in this document.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
to en W. Leach
Project Manager
SWL /rb
cc: Vial Pham LLC - Nicolas Vial
City of Tigard Building Division
Emerald Design
MAR -03 -2010 WED 11 13 AM CARLSON TESTING INC. FAX NO. 5036840954 P. 01
6°f 2 `'' G- 1 .
CARLSON TESTING, INC.
Phone: 503-684-3460/Fax 503- 684 -0954
PO Box 23814 - Tigard, OR 97223
FAX TRANSMITTAL.
To: City of Tigard
Attn: Building Department
Fax: 503 -624 -3681
From: Carlson Testing, Inc. — Rachel Barnett
Date: March 3, 2010
Re: FINAL SUMMARY LETTER Total Pages: 2
This is the Final Summary Letter for:
Project: Plas2fuel — New Tank Pad
Permit # BUP2009.00167
Please call if you have any questions. 503-684-3460.
Thank You,
Rachel Barnett
Office Assistant
MAR -03 -2010 WED 11 13 AM CARLSON TESTING INC. FAX NO. 5036840954 P. 02
7�H® Testing, Afd. OJJJn Salm Ora &M OM.
Carlson �esti Inc. MO SIR Niur -Iki�r WAR Mut,. S[, NF 6111_30 &R1Iay AJ N!!
i■ 11`!.'.��77 6�II1 IIHYY pY/- 7fAurrl, OR U7:;.7 S n), OA UI,101 Dc,al, 08 070.:
9 Am,. /Sfiil (164.540 P1 nna: (,(115( .SAV 1:.1: Ann: (341)),10 -Y135
Construction Materials TesCing & Inspection
Far. (50.11 Oki fnr: 1, Furcl/b 1.11 1.515.1
Special Inspection
FINAL SUMMARY LETTER
March 3, 2010
T0901332
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Plas2fuel — New Tank Pad
7904 SW Hunziker Street Tigard, OR
Permit No.: BUP2009 -00167
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
Installation of Adhesive Anchors
All inspections and tests were performed and reported according to the requirements of Project Documents and, to the
best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's
design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office. Under all circumstances, the information contained in this report is
provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No
party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information
contained in this document.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
t n W. Leach
Project Manager •
SWL /rb
cc: Vial Pham LLC — Nicolas Vial •
City of Tigard Building Division
Emerald Design
Carlson Testing, Inc.
Incompleted Items List (NCL)
Mar 02, 2010
T0901332. w
no
Project Name: PLrlS2FOF_'L - NEW TANK PAD
Project Address: 7904 SW HDNZIKLR STREET TIGAZD OR
Permit No: BUP20 09 -0 016 7
P.O. No: Project Manager: STEVEN W. LEACH
•
Item V Insp. Date Item Description Compliance CTI Siw -Off
Date
Corrected
1 KP 10/16/2009 MIX USED NOT YET EOR APPROVED MIX 6D8D01WAP
1 ) MIX DESIGN APPROVED PER STEVISN W. I,EAC -? 03/01/2010
ENGINEER'S LETTER DATED
113/27/2009 cr
CD
2 CDS 11/19/2009 (2) 3/4" THREAD RODS FOR WASTE GAS TOWER - THE ACCEPTABLE PER STEVEN W. LEACH 03/02/2010 m
EDGE DISTANCE WAS ONLY 1 -3/4 ', NEED EOR APPROVAL. ENGINEER'S EMAIL DATED CO
3/1/2010 --
3' YV 12/04/2009 3/4" DIAMETER ALL THREAD RODS REQUIRED FOR THIS ACCEPTABLE PER STEVEN W. LEACH D3/02/2010 n
INSTALLATION. ENGINEER'S EMAIL DATED -
3/1/2010.
D>
cn
w
OD
m
o
JII co
01
CC' VIAL PHAN LLC - NICOLAS VIAL
CITY OF TIGARD BUILDING DIVISION ■)
EMERALD DESIGN
VIAL PHAM LLC - NICOLAS VIAL
Page: 1 tr---