Report Main Office ' Salem Office Bend Office
• P.O. Box 23814 ,0 Hudson Ave., NE P.O. Box 7918
d' • '/ Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
Carlson Testing, hone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155
ng, Inc. Inc• Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163
Special Inspection Page of
DAILY FIELD REPORT .
Project: A/ ( ✓‹,e,i im 1 r 1 % ( 3 Date: p.1 /8 — D S -----
c� 6 v i CTI Job No. " "5 - O C/4 '
Job Address;/ � 9 2o I � �
Permit No.: /15 2e ° S - O O 29 7 . Type of Inspection: g �: & • e - –7
Field or Fab Shop . - Weather: i Y)
Inspection Notes (include location, testing . data, substitutions /deviations, materials an methods of construction, non - conforming items,
acceptance criteria, corrected non - conforming items, etc.):
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* ** CHECK ONE BOX ONLY * * *- YES NO
1. This is a prelimin. ' pection only. — OR — 0
2. The work inspeoe - orms t o acceptance criteria listed above. If "No," the portions of the work that are i non- conformin are clearly stated above and will be added to the NCL. Remaining portions .of the work, which_❑
are not prey • ary in , are to be considered as conforming.
•
Inspector: Pl^ 1.,..., Certification No.: ..1�' 2/
Use of the informati n contained in this report constitutes acceptance of all terms on the reverse of this form and Carlson Testing, Inc.'s General Conditions.
Information contained herein is not to be reproduced, except in full, without prior authorization from this office.
Nov 21 05 11:17a Froelich Consulting Eng 507 -624 -9770 p.1
FROELICH
CONSULTING
ENGINEERS INC
MAIN OFFICE 0 CENTRAL OREGON 0
6969 SW Hampton Street 231 SW Scalehouse Loop, Suite 101
Tigard, Oregon 97223 Bend, Oregon 97702
503.624-7005/503.624-9770 FAX 541.383 - 1828/541.383 -7696 FAX
FAX COVER SHEET
Date: November 21, 2005
Transmittal To: Wyatt
FAX Number: 503 - 524 -4403
Transmittal From: Mike Young
Pages: 1
Comments:
Arbor Summit, Lot 13 — McKinley — FCE #05 -T187
Anchor bolt withdrawl testing. Design load on the pony wall anchor bolts is a max of 2400# - test
bolts for a withdraw) load of 3000 #.
Thanks,
Mike
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