Report Main Office Salem Office Bend Office
P.O. Box 23814 30 Hudson Ave., NE P.O. Box 7918
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
Carlson Testing Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155
FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163
Special Inspection
FINAL SUMMARY LETTER
May 5, 2006
T0601169
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Bella Vista Subdivision- Lot# 10
12876 SW DaVinci Street- Tigard, OR
Permit# MST2005 -00314
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
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.
c ck -- `a
Andrew M. Ewing
President
AME /ks
cc: Reese General Contractors Inc- Arnold Reese
CSA Consulting Engineers
McNaughton Associates Inc