Report MAY -01 -2006 MON 03:26 PM CARLSON TESTING INC. FAX NO. 5036840954 P. 02
r. Main Office Salem Office Bend Office
P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918
Inc. + Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
C arlson Testing, 114 FAX (503) 684 -0954 FAX (503) 589-1 9 FAX (54 330-9163
Special Inspection
FINAL SUMMARY LETTER
May 1, 2008
T0509482A
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Bella Vista- Lot 5
12813 SW Rembrandt Lane - Tigard, OR
Permit# MST2005 -00272
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:
iInstallation of Adhe§ive Anchor)
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 th are any further questions regarding this matter, please do not hesitate to contact this office.
- = is •ctfully sub ed,
C • - LSON TE ING, INC. .
es F. Hietpas .
• - rations Manager
- Hilts
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