Report Main OJfre Salem Office Ben! Quire e l<
Carlson Testing Inc. AdiO SW l8ur_4c Pho - rclwn 5 12 63 OB Rae) #I1
gnrd. OR 972:5 Sn /rm ON 97101 Rend OR 9770'
Phone. I50i4 631 -5460 /'Bone: I =Oi/ iy9 -1: i^ Phone. 1:414 330.9155
Pa, n 1503) 634 -0954 Fin 1503, 580 1309 pat 154113311 -9163 •
Construction Materials Testing & Inspection
Special Inspection
FINAL SUMMARY LETTER
April 13, 2007 /0715 C /
T0509634.N 64 Paws 00 ? -1 '7
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Canterbury Place Phase 2C — Building 19
p 7 /S 4057-3 Canterbury Lane — Tigard, OR
Permit No.: BUP2005 -00299
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
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.
even W. Leach
Project Manager
SW L /tm
cc: Polygon Northwest Co — Dana Hunt
CT Engineering — Todd Eaton
Milbrandt Architects — Bob Weible
„e'J/°o7or.95- CIO 2c1q
\ io 7/5 l; -e ry Ls,
Polygon Northwest Company
109 East 13 st.
Vancouver Washington 98660 o PY
DEERE C
Quality Assurance Summary Letter:
Building #19 HGGH
Canterbury Woods
This letter is to confirm that all Polygon Northwest Quality Assurance inspections have
passed in accordance with all engineering and plan specifications.
Thank you
/
Date: 4/16/07
�I
Json Bellar
Quality Assurance Manager
RECEDED
APR 1.6 2007
CITY OF TIGARD
BUILDING DIVISION