Report Main Office Salem Office Bend Office
P.O. Box 23814 4060 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
January 6, 2006
T0509389
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Waugh Residence Addition
(136 SW Wh ite edar_Place- \Tigard, OR
Permitit[M 2T 0� 05 -00223 r)
Dear Sir or Madam:
This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have performed
special inspection of the following item(s) per our inspection reports only:
Install 'on o€ Adhesi -Ancho
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.
Andrew M. Ewing
President
AME/ks
cc: Robs Home Improvement Co- Rob Domzalski
Sherman Engineering Inc.
The Whitehouse Collection LLC- Richard White
Main Office Salem Office Bend Office
P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155
Carlson Testing, Inc. Fax (503) 684 -0954 Fax (503) 589 1309 Fax (541) 330 -9163
Special Inspection Page / of /
DAILY HELD REPORT
I/
Project: l��'G! tiq A J i9 ,i e Date: /c) - / - d
Job Address: /.3.3 - r ' S t m t / G t / / I / Y ? / / .9 / . 1; CTI Job No. f - // 93 g
Permit No.: MS To7O6S a a 3 Type of Inspection:
Field NI or Fab Shop Weather: 4///
Inspection Notes (include location, testing data, substitutions /deviations, materials and methods of construction, non - conforming items,
acceptance criteria, corrected non - conforming items, etc.):
C
A bt/G<s () /1 S. "' e6T �✓ ) / ) / ,'P��+ 1/410 /4J Y / ) /199.e6 - 17 V(1
0,4 f Any ��YI p/ove irr »O ,
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S //)/1 /r,i(4 , /2),V 1 >, 7 ;) /k y /,'mot �� ;/:� �ir/�2��J 7
Cm / /Grr:'v /k i �/ �i / s �� ) /t/ C w '� - �C
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-/ 77 D ,�k1d e'P ►7 C /rte W , I Y11
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•
* ** CHECK ONE BOX ONLY * ** YES NO
1. This is a preliminary inspection only. - OR - ❑
2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are
non - conforming items are clearly stated above and will be added to the NCL. Remaining portions of the work, which / q��( ❑
are not preliminary in nature, are to be considered as conforming.
Inspector: t /4d j. , 1 Certification No.:
Use of the information contained in this report constitutes acceptance of III 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.
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•
•
Terms:
• •
Client recognizes that construction observation and/or testing services provided by CTI are techniques
which may reduce the risk of construction defects, deficiencies, or omissions arising during or after con-
struction. Services performed by CTI_ do not constitute. a warranty or guarantee of any type. Even with
diligent construction monitoring and /or testing by CTI, construction defects, deficiencies, or omissions
- - -- in the Contractor's work-may exist. In -all cases, Client and /or-the Contractor shall assign the Contractor - - - - - - --
the responsibility for the quality and completeness of the work and for adhering to plans and specifica-
- - - - - - - -- -- - - -
tions: CTI's work or failure to per orm same shall not in any way excuse any contractor, su contractor,
or supplier from performance of its work in accordance with the contract documents. _
- -- CTI. will provide its professional services to Client with that degree of -care -and skill - ordinarily exercised -- - - - —
under similar circumstances by members of its profession. This representation is in lieu of other warran-
ty orrepresentation, either expressed or implied. It is also understood and agreed that statements made
in CTI reports are observations_ based on technical judgments, and should not be construed to be con-
clusive representations of fact. If conditions different from what are indicated in the reports come to
Client's attention after receipt of the reports, it is recommended that Client contact CTI immediately to _ _ _ __. _- _
authorize further appropriate evaluation.
CTI's work shall not include determining, supervising or implementing the means, methods, techniques,
- - sequences or procedures of construction. CTI shall not be responsible for evaluating or reporting job con- - -'
ditions related to health, safety or welfare.