Report • • ' Inc. Alen ()Q Sdan v ,,..: Bend Of
Carlson Testi c 8430 4060 Hudson 5Y, NR 630.5 OR Riley Xd /l
Tigard, OR 97223 Salem, OR 97301 Bend OR 97702
Phone: (503) 684 -3460 Phare: (503) 589 -1252 Phase (541) 330 -9155
Far 1503) 684 -0954 Ear: (503) 589 -1309 Far 1541)330-9163
Construction Materials Testing & Inspection
Special Inspection
FINAL SUMMARY LETTER
July 14, 2006
T0601169B
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Bella Vista Subdivision- Lot 16
12755 SW Da Vinci Lane- Tigard, OR
Permit# MST2005 -0316
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:
Pull Testing on Installed 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.
Respectfu submitted,
CARLS/'� TESTING, INC.
Ja FA: . Hietpas
Ic C aerations Manager
4 FH /ks
c: Reese General Contractors Inc — Arnold Reese
CSA Consulting Engineers
McNaughton Associates INc