Report PIlALT 7409 S W Tech Center Dr,Ste. 145
V
w aYCFE7H REcEIVED Tigard,OR 97223
Ph:503-443-3799 Fax:503-620-2748
OILS FEB 14 2013
TESTING,INC
•503.443.3799 Special InspeccG®'OG T /GAR
Final Report DIVISION
Date: 2-12-2013 Job# 12-4016-D00
Permit# BUP2012-00060
Mail To: Project:
EMMETT PHAIR CONSTRUCTION DR. SCHWINDT MEDICAL AND
PO BOX 4722 DENTAL OFFICE
SALEM, OR 97302 14455 SW SUMMERFIELD DR
TIGARD, 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—Adhesive
Reinforced Concrete
Structural Steel
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.
- (131\Approved by:
Bob Brown/President
BB/hk
Proud to be Nationally Accredited by International Accrediting Service
ACCREDITED