Report Bend Ofiici.
Carlson pry -B�y y y g� 3001eCitillla I'. i'
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Tigard Office (503) 684 -3460
Special Inspection
FINAL SUMMARY LETTER
Date: October 20, 2011
Job*: T1105177
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Division
Re: Project Name: California Pizza Kitchen @ Bridgeport Village - Canopy
Address: 7315 SW Bridgeport Road - Tigard, OR
Permit #: BUP2011 -00158
This is to ceitfy that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the f +citcwing item(s) per our inspection reports only:
Installation of Adhesive Anchors
Structural Steel (Field Erection Only)
kti inspections and tests were performed and reported according to the requirements of Project Documents end, to the
blast of our knowledge, the work was in conformance with the approved plans and specifications approved change orders
id applicable workmanship provisions of the State Building Code and Standards, as well as the str't:ctura) engineer's
changes, approvals and verbal instructions.
Our r. orts pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office. Under all circumstances, the information contained in this report is
provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No
party ot,ar than those to whom CTI has distributed this report shall be entitled to use or rely upon the information
coned !n t s document.
If there are any 1w W regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, I C.
.r
e n IA/Ieach (-.„
SWUeah
cc: Coyote Commercial Construction LLC - Jill Lacy jillicoyotecotmierci
City of Tigard Building Division
Nicoll tnainr:eriFfg Inc -- Jim Andrews jandrews@ni col iengi need ng.cam
T -Squ ;e UesiG ns Inc - T odd V aabnu1 toddQtsquaredesi gnsi nc. com
P: \Projecta\Generai120111T1105177 \10.20 -11 Final Letter,doc Updated 7122/11
Bend Office (541) 330 -9155
Geotechnical Office (503) 601 -8250
Carlson Testing, Inc. Eugene Office
Salem Office (541) 345 -0289
(503) 589 -1252
Tigard Office (503) 684 -3460
•
Special Inspection
FINAL SUMMARY LETTER RECEI Date: October 20, 2011
Job #: T1105177 OCT 2 5 2011
City of Tigard CITY 0F �'iG
13125 SW Hall Blvd BU D!ViSIO, ^ d
Tigard, OR 97223 -8199
Attn: Building Division
Re: Project Name: California Pizza Kitchen @ Bridgeport Village — Canopy
Address: 7315 SW Bridgeport Road — Tigard, OR
Permit #: BUP2011 -00158
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 Steel (Field Erection Only)
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. Under all circumstances, the information contained in this report is
provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No
party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information
contained in this document.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, I C.
e en WTeach (--
Project Manager
SWL/eah
cc: Coyote Commercial Construction LLC —Jill Lacy jill @coyotecommerci
City of Tigard Building Division
Nicoli Engineering Inc — Jim Andrews jandrews @nicoliengineering.com
T- Square Designs Inc — Todd Vasabhuti todd @tsquaredesignsinc.com
P:\ Projects \General\2011 \T1105177 \10 -20 -11 Final Letter.doc Updated 7/22/11