Report A y C y■�. Testing, Marn Office Salem Office Bend Office C �6 i l 1J ®il Inc. 8430 SW llrm:iker 4060 Hudson St., NE 63025 0E 770 #ll
' 8430 S , OR 97223, Salem, OR 97301 Hem OR 97705
Phone: (503) 684 -3460 Phone: (503) 589 -1251 Phone: (541) 330.9155
Construction Materials Testing & Inspection Par. (507)684 -0954 Fax: (503)3891309 1�(541)3309f63
Special Inspection
FINAL SUMMARY LETTER
March 11, 2008
T0706251
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Lucys Active Style @ Washington Square — Tenant Improvement
9302 SW Washington Square Dr
Tigard, OR
Permit No.: BUP2007 -00496 •
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
Structural Welding
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.
/
teven W. Leach
Project Manager
SW L/rc
cc: Elder Jones — Amy Shanks
City of Tigard Building Division
Randall Nelson PE
• Epoch Design Group Inc — Bradon Banquet
Barry Bray Construction — Joe Saurini