Report SPECIAL INSPECTION ACS Testmg.Inc
7409 SW Tech Center Dr . Srntc 145
FINAL REPORT
tigard. OR 47223
503.443.3799 Phnne.503 -443 -3799 Fax 503 -620 -2748
Date: May 1, 2012
Job # 12- 3757 -D08
Permit # BUP2012 -0031
Mail To:
NORLIFT OF OREGON, INC CON01 -02 CONSUI*ER CELLULAR
-P&80X 68348 15605 SW 72ND AVE
PORTLAND OR 97268 TIGARD, OR 97224
PO #210915
REF #12033533
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,
I 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.
Approved by:
BOB Brown /President
BB:sa
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