Report 7409 SW Tech Center Dr,Ste.145
C„,Wt:.t Tigard,OR 97223
Ph:503-443-3799 Fax:503-620-2748
503.443.3799 Special Inspection
Final Report
Date:12/28/12 Job# 12-3757-D25
Permit# BUP2012-00242
Mail To: • Project:
NORLIFT OF OREGON, INC ST JUDE MEDICAL, INC
PO BOX 68348 16125 SW 72ND AVE
PORTLAND,OR 97268 PORTLAND,OR 97224
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:
Proprietary Anchors
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 the jurisdiction.
_11?-4)(3,4 . •
Approved by
Bob Brown/President
BB/hk
Proud to be Nationally Accredited by International Accrediting Service
ACCREDITED