Report ANE: 11 Information
r To Build On
Engineering • Consulting • Tatting
December 14, 2012
Jim Brusse
Material Flow and Conveyor Systems
PO Box 550
Donald, Oregon 97020
Subject: Final Summary Report
12970 SW Hall Blvd, #110, Tigard, Oregon
PSI Report No. 07021043 -3
Dear Mr. Brusse:
Professional Service Industries, Inc. (PSI) is writing this letter to document that, in accordance with Section
1704.1.2 of the State Building Code a representative from our firm performed special inspection during construction
for the following project:
Permit No: BUP2012 -00227
Project Address: 12970 SW Hall Blvd, #110, Tigard, Oregon
Project Description: Tigard Win Supply
Our project file indicates that PSI special inspection activities listed below were conducted as scheduled on
December 12, 2012. This letter represents a summary of work observed and reported by a PSI representative and
the resolution of any documented noncompliance.
♦ Expansion Anchors
To the best of our knowledge, the special inspections referenced herein were performed by our firm in general
accordance with the requirements, approved plans and specifications, provided change orders that impacted plans
and/or specifications, and applicable workmanship provisions of the State Building Code and Standards.
If you have any questions or we can be of further assistance, please do not hesitate to call.
Sincerely,
Professional Service Industries, Inc.
fr-
J kman can Fischer
Project Manager Technical Director
PSI Construction Services Department PSI Construction Services Department
Professional Service Industries, Inc. • 6032 N. Cutter Circle, #480 • Portland, OR 97217 • Phone 5031289.1778 • Fax 503/289 -1918 • CCB #176269