Report (20) JAN - 14 -2011 FRI 01:42 PM CARLSON TESTING INC. FAX NO. 5036840954 P. 02
Bend Office (S41) 330 -9155
Geotechnical Office (503) 601-8250
Carls nn T es n Inc. Slem Eugene Office (541) 345 -0289
`� 1 ►7 V it 1 ►7 i� Salem Office (503) 589 -1_52
Tigard Office (503) 684 -3460
Special Inspection •
FINAL SUMMARY LETTER
Date: January 14, 2011
Job*: T1002730
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Project Name: The Brake Team — Wall Reconstruction After Partial Demo
Address: 12035 SW Pacific Highway — Tigard, OR
Permit#: BUP2010 -00125
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:
Installation of Adhesive Anchors
Installation of Screw Anchors
Reinforced Concrete
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.
Kerth R. Gauvin
Project Manager
KRG /eah
cc: Joseph Hughes Construction Inc — Tom Rue true@joehughes.com
City of Tigard Building Division
CIDA Incorporated — Curtis Gagner
Joseph Hughes Construction Inc — Don Rue druo0joehughes.com