Report SPECIAL INSPECTION ACS Testing. Inc
7409 SW rech Center Di , Sung 145
FINAL REPORT Tsard.OR 9722;
503.44.3.3799 Phone 503 -443 -3799 Fax 503 -e)20 -2748
Date: Jun 22, 2012
Job # 12-3757-D11
Permit 44111111111111111111111111111111*
Mail To: Project :
NORLIFT OF OREGON, INC i CL003 -02 EVENTS UNLIMITED LLC 1
PO BOX 68348 6830 BONITA ROAD
PORTLAND OR 97268 i PORTLAND, OR 97224
PO #211031 REF #12034099
To Whom It May Concern:
ACS Testing, Inc. attests that their inspectors performed special inspection(s) on a continuous and/
or periodic basis as required by the specific jurisdiction and /or IBC. Special inspection(s) were
performed for the following:
❑ Structural Steel ® Proprietary Anchors ❑ High Strength Bolts
❑ Structural Masonry ❑ Shotcrete ❑ Wood Nailing
❑ Reinforced Concrete
Other:
Based on personal observation, inspection and reports reviewed by me for the above project.
1 attest on behalf of ACS that work was performed to the best of my knowledge, in
accordance with approved plans, specifications, and the applicable codes and standards for
this jurisdiction.
Approv by:
BOB Brown/President
BB:sa