Report ,•ll 11 ,
SPECIAL INSPECTION ACS Testing, Inc
FINAL REPORT 7409 SW Tech Center Dr. Suite 145
Tigard. OR 97223
501443.3799 Phone. 503 -443 -3799 Fax: 503 -620 -2749
Date: 3 -9 -11
Job # 11- 3321 -D05
Permit # BUP 2011 -00042
Mail To: Project :
Norlift of Oregon, Inc. MIL 19 -04 Miller Paint
P.O. Box 68348 15951 SW 72nd Ave.
Portland, OR 97268 Portland, OR 97224
PO # 210050
To Whom It May Concern:
ACS Testing, Inc. attests that their inspectors performed special inspection(s) on a continuous and!
or periodic basis as required by the specific jurisdiction and /or IBC. Special inspection(s) were
performed for the following:
❑ Structural Steel Z Proprietary Anchors ❑ High Strength Bolts
❑ Structural Masonry ❑ Shotcrete ❑ Wood Nailing
❑ Reinforced Concrete
Other:
Based on personal observation, inspection and reports reviewed by me for the above project,
1 attest on behalf of ACS that work was performed to the best of my knowledge, in
accordance with approved plans, specifications, and the applicable codes and standards for
this jurisdiction.
Approved by: ,e
U
BOB Brown /President
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