Report 12/06/06 WED 08:14 FAX 503 670 9147 CARLSON TESTING 008
Carlson Testing, Inc. N� 63 7702 d61!
Tigad OR 9722 .C,$rn Oh YfJUf fiend OR 97702
PRuvc: /303/ 63/.3460 hA,w� (Su51 5C6.1252 P6666 041 )330.9333
F 0031 6.44 -0054 136: 000- 569 -1309 F (5411330-9163
GorsStsuction Materials Testing & Inspection
Special M SUMMARY LETTER SU TER O FIC j COPY
MRY LET
December 5, 2006
T0509633N
City of Tigard Building Department RECEDVED
13125 SW Hall Blvd DEC ®6 200
Tigard, OR 97223 -8199
CITY OF TIGARD
Attn: Hap Watkins BUILDING DIVISION
Re: Canterbury Place Phase 1C- Building 11
/ s 74, 7 -48683'SW Canterbury Lane - Tigard, OR
Permit# BUP2005 -00291
Dear Mr. Watkins:
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:
Concrete Sampling
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.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
- F- 1C
Steven W. Leach
Project Manager
SWLIks
cc: Polygon Northwest Co- Dana Hunt
CT Engineering- Todd Eaton
Milbrandt Architects- Bob Watkins