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FINAL SUMMARY LETTER
April 8, 2009
CT1 Job #T0908942
City of Tigard Building Division
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Dutch Brothers Coffee — New Construction
11746 SW Pacific Highway — Tigard, OR
Permit No.: BUP2009 -0007
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
Structural Welding
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 TEST , INC
1 �
Neil S. Shan on
Project Manager
NSS /Ih
cc: Daike Construction Co. Inc. — Scott Dalke
City of Tigard Building Division
Multi Tech Engineering Services Inc. —Jeff Bolton
Ryan Hawkins
•