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Report Main Office •lem Office Bend Office Carlson Phone Oregon 93 1 P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Testing, Inc. Tigard, 684-3460 Phone Salem, Oregon 589-1252 97301 Bend. 2 Ph Oregon 0 Phone- -915 - (503) )684 -346ho (503.)5125o (541)330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: THE MORSE COMPANY LLC - BILL MORSE Project: WILBERDING RESIDENCE - REMODEL CTI Job #: T0806634. Address: 9600 VENTURA COURT TIGARD OR Jurisdiction: TIGARD CTI representative A. NUNLEY was on site this date Apr. 02, 2008 to perform Special Inspection for: Permit MST2007 -00214 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid 1. Checked in with superintendent or client representative. lines, elevations (floors) and drawing details]: Name: T IMOTHY Company: FRANKLIN CONCRETE OBSERVED THE INSTALLATION OF (2) HORIZ. (13) P VERT. #4 DOWELS, 5/8" DIA. WITH 6" EMBED, FOR 2. Inspection was "IBC" ® Continuous ❑ Periodic NEW CONCRETE WALL EXTENSION. 3. Work performed: ® In the field ❑ At precast shop JOB #07156.01 / SHT. SK1 OF SK2 4. If shop inspection do they have fabrication and QC procedures? ❑ Yes n No ® N/A PROPRIETARY ANCHORS REPORT SUMMARY Yes No N/A 1. Reviewed previous inspection reports? x 1. Work inspected was: ® Completed ❑ In progress 2. Reviewed evaluation report? 3. Verified manufacturer's anchor use conforms 2. Completed work inspected was in compliance with X A roved plans and specifications Shop acceptance criteria in report summary. ® PP P P ❑ P drawings Verified following items meet manufacturer's ❑ RFI ❑ Design change ❑ Submittal ❑ N/A published installation instructions. 4. Verified minimum embedment depth of the Document #(s) Dated: 1/24/08 anchors. X 3. Noncompliance item(s) were noted this date, details on 5.Verified installation of the anchors. X following page(s). ❑ Yes ❑ No ® N/A 6- Verified anchor diameter. - - x 7. Verified steel grade. 4. Noncompliance item(s) were reinspected this date, details x on following page(s). ❑ Yes ❑ No n N/A 8. Verified hole diameter. x 9. Verified type of drill bit used. x ❑ Conform ❑ Remain in progress 10. Verified cleanliness of hole and anchor. x 11. Verified adhesive application. X Report(s) findings were discussed and left with TIMOTHY Evaluation report number ESR 1772 of FRANKLIN CONCRETE Name of product being installed SIMPSON SET 22 Batch Number 255432DD Expiration Date 9 Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. ❑ See additional report page(s). ❑ Distribute attachments. Page 1 of 1 Daily Report of Proprietary Anchoo For: 04/02/2008 CTI Job #: T0806634. Project: WILBERDING RESIDENCE - REMODEL Notes: In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Reviewed By: James Hietpas Review Date: 04/03/2008 ALN /KJ THE MORSE COMPANY LLC - BILL MORSE TO: CITY OF TIGARD BUILDING DIVISION ALLSTRUCTURE ENGINEERING - RYAN HARDIE Main Office Salem Office Bend Office Geotechnical Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 7185 SW Sandburg Rd Ste 110 o Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Tigard, Oregon 97223 Carlson l n T I : I Phone (503) 68 4 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Phone (503) 601 -8250 y Inc. Fax (503) 6 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Fax (503) 601 -8254 Report Of In -Place Density Tests 03/28/2008 T0806634. Date: Job Number: Permit #: MST2007 -00214 Client: THE MORSE COMPANY LLC - BILL MORSE Project: WILBERDING RESIDENCE - REMODEL 9600 VENTURA COURT TIGARD OR Address: 3/4" - 0 ROCK FROM TIGARD SAND & GRAVEL Material Description: Maximum Dry Density: 133 lbs. /cu. ft. Optimum Moisture: 12 . % Required Compaction: 94 Standard Count for Gauge Serial # Troxler 28976 Method of Test: ASTM D2922, D3017./ ASTM D1557 Source of Value Dated 03/19/2008 is project specific. Standard Counts - Density: 2321 Moisture: 676 Calibration Data: 12!07 In -Place Density Date Of Test Code Test Density Moist. Mode Depth Elev. Field (Ibs /cu. ft.) Test No. Location Count Count Ft. Moist. Wet Dry Comp. 1156 134 DT 8" -11' 7.3 133.9 124.8 03 -19 1 SF 9'S OF HOUSE 9600 3' FROM SW CORNER OF HOUSE 94 1 1328 1 111 I DT 1 8" 1 -11' 1 6.1 1 128.4 1 121.0 03 -19 2 SF 8'S OF HOUSE 9600 20' FROM SW CORNER OF HOUSE 91 1 1 1 I 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 I I I I I f Please see reverse side for additional information. ❑ Distribute attachments. Job Number: T0806634. Date Of Test: 03/19/2008 • - • In -Place Density Date Of Test Code Test Density Moist. Mode Depth Elev. Field (lbs /cu. ft.) Test No. Location Count Count Ft. Moist. Wet Dry Comp. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Asterisked ( *) percent compaction test results did not meet listed acceptance criteria. Conformance statement cannot be made because lab test results are pending. Contractor needs to understand that proceeding with cover is at their own risk. Remarks: • • NEED TO RUN D1557 FOR RESULTS • THE MORSE COMPANY LLC - BILL MORSE TO: CITY OF TIGARD BUILDING DIVISION ALLSTRUCTURE ENGINEERING - RYAN HARDIE Typist: AS Test By: C . LOGUE Reviewed By: James Hietpas On 03/27/2008 Test results were discussed and left with BILL Of MORSE CO Code Descriptions NC - No code (general fill areas and backfill /original ground /not fil BC - Base course (Rock Only) ET - Electrical trench SF - Structural fill (Buildings Non - Residential) RW - Retaining wall backfill GT - Gass line trench LF - Residential lot engineered fill WT - Water line trench CT - Cable, phone trenches RF - Roadway engineered fill (Soil Only) ST - Sanitary sewer trench PS - Pavement subgrade DT - Storm drain trench Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. • • Main Office Salem Office Bend Office P .O. Box 23814 0 Hudson Ave., NE P0. Box 7918 Tigard, Oregon 97281alem, OR 97301 Bend, OR 97708 C arls.ori Te5t1 Inc. P4 FAX (503) 684 0954 FAX (503) 589 1309 FAX (541) 330 -9163 Moisture - Density Relationship . Client: The Morse Company LLC - Bill Morse Project: Wilberding Residence - Remodel 03/25/08 Job Number: T0806634 Material Type: 3/4" - 0 Rock Location: Onsite stockpile Test Method: ASTM D -1557 C, C -136, D -2216 Date Sampled: 03/19/08 Sample Method: ASTM D -75 Date Tested: 03/20/08 Preparation Method: Moist • Oversized Material: Removed Compacting Method: Mechanical Hammer Type: Pie Wedge I I 134 -- — i 133 132 — — — — . -- 131 — — -- N 130 � I � 0 129 — - -- – –._i I � 128 • — -- - — �I 127 - -_ -- --- - - -� –– � _ 9 10 11 12 13 14 15 16 Moisture Content ( %) Coarse specific gravity used in adjusted max density computations: 2.536 Optimum Moisture: 13.2% Max. Dry Density: 130.9 Ibs /ft' Adjusted Opt Moisture: 12.4% .Adjusted Max Densi,y 133.2 Ibs /ft' as Percent Passing 3/4" Sieve: 89.9% CC: The Morse Company LLC - BiII Morse City of Tigard Building Division Allstructure Engineering - Ryan Hardie / Reviewed By: c mes F. Hietpas - Project Manager • Test results pertain to the specific material tested /inspected only and may n • - representative of other locations or elevations. Information contained herein is not to be reproduced, except in full, without pr'•r authorization from Carlson Testing, Inc. *The remaining sample material will be discarded in two wee from the date the test was completed. Main Office Salem Office 10 Bend Office Geotechnical Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 7185 SW Sandburg Rd Ste 110 • Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Tigard, Oregon 97223 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Phone (503) 601 -8250 Carlson ��5���� Inc. Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Fax (503) 601 -8254 Report Of In -Place Density Tests 03/28/2008 T0806634. Date: Job Number: Permit #: MST2007 -00214 Client: THE MORSE COMPANY LLC — BILL MORSE Project: WILBERDING RESIDENCE — REMODEL • Address: 9600 VENTURA COURT TIGARD OR 3/4" — 0 ROCK FROM TIGARD SAND & GRAVEL Material Description: 133.2 12.2 94 Maximum Dry Density: lbs. /cu. ft. Optimum Moisture: % Required Compaction: Standard Count for Gauge Serial # Troxler 28976 Method of Test: ASTM D2922,D3017/ ASTM D1557 Source of Value Dated 03/19/2008 is project specific. Standard Counts - Density: 2353 Moisture- 671 Calibration Data: 12/07 Date Of Test Test Density Moist. Elev. Field In -Place Density . .) Code Y Mode Depth Field (lbs /cu. ft.) cyo Test No. Location Count Count Ft. Moist. Wet Dry Comp. 1034 124 DT 8" —11' 6.5 139 130.5 03 -21 2A SF 8'S OF HOUSE 9600 20'E OF SW CORNER OF HOUSE 98 (RETEST OF TEST #2 3/19/08) 1 1 1 1 1 1 1 I I I 1 1 1 1 • • 1 • 1 1 1 I 1 1 1 1 1 1 1 1 I I I I 1 1 1 I I 1 1 1 Please see reverse side for additional information. Distribute attachments. • Job Number: T0806634. Date Of Test: 03/21/2008 • /U In -Place Density Date Of Test Code Test Density Moist. Mode Depth Elev. Field (Ibs /cu. ft.) Test No. Location Count Count Ft. Moist. Wet Dry Comp. 1 1 1 1 i i 1 1 1 1 1 1 i i i 1 1 1 1 1 1 1 1 1 1 I 1 1 1 Asterisked ( *) percent compaction test results did not meet listed acceptance criteria. • Remarks: • • THE MORSE_COMPANY.LLC - BILL MORSE TO: CITY OF TIGARD BUILDING DIVISION • ALLSTRUCTURE ENGINEERING - RYAN HARDIE Typist: AS Test By: C. LOGUE Reviewed By: James Hietpas On 03/27/2008 Test results were discussed and left with BILL of MORSE CO Code Descriptions NC - No code (general fill areas and backfill /original ground /not fil BC - Base course (Rock Only) ET - Electrical trench SF - Structural fill (Buildings Non- Residential) RW - Retaining wall backfill GT - Gass line trench LF - Residential lot engineered fill WT - Water line trench CT - Cable, phone trenches RF - Roadway engineered fill (Soil Only) ST - Sanitary sewer trench PS - Pavement subgrade DT - Storm drain trench Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CT1 has distributed this report shall be entitled to use or rely upon the information contained in this document. AO Main Office Salem Office - rt(Office Geotechnical Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 7185 SW Sandburg Rd Ste 110 Tigard, Oregon 97281 Salem, O regon 97301 Bend, Oregon 97708 Tigard. Orego 97223 Carls s11 ��� ® �A E' e 4-4) A Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330-9155 Phone (503) on s 1211 c� I��� Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Fax (503) 601 -8254 Report Of In -Place Density Tests 05/02/2008 T0806634. Date: Job Number: Permit # M'ST2 � 0 "Or24 Client: THE MORSE COMPANY LLC - BILL MORSE Project: WILBERDING RESIDENCE - REMODEL Address: 96'00 UNTURA OURT, TIGARD OR 3/4" - 0 ROCK FROM TIGARD SAND & GRAVEL Material Description: Maximum Dry Density: 133 lbs. /cu. ft. Optimum Moisture: 12 % Required Compaction: 90 • Troxler 28976 Standard Count for Gauge Serial # Method of Test: ASTM D2922, D3017/ ASTM D1557 Source of Value Dated 03/19/2008 is project specific. Standard Counts - Density: 2288 Moisture: 673 Calibration Data: 12/2007 % In -Place Density Date Of Test Code Test Density Moist. Mode Depth Elev. Field (Ibs /cu. ft.) "A) Test No. Location Count Count Ft. Moist. Wet Dry Comp. 1740 171 DT 8" +8" 9.8 134 122.6 04 -22 7 LF 3'S OF N WALL / 5'W OF E WALL 92 1 1972 I 130 I DT I 8" I +8" I I 129 I 120.1 04 -22 8 LF 4'N OF S WALL / 4'E OF W WALL 90 1223 I 117 I DT I 8" I +16" 16.4 I 131.1 I 123.2 04 -22 9 - LF 4'S OF N WALL / 6'W OF E WALL 93 1 1161 I 142 I DT I 8" I +16" I8 I 133.1 I 123.3 04 -22 10 LF 5'S OF N WALL / 5'E OF W WALL 93 1 1319 1 109 I DT I 8" I +24" _ 16 128.1 I 120.8 04 -22 11 LF 2'E OF W WALL / 4'N OF S WALL 91 1202 I .93 I DT I 8" I +24" I4.8 I 131.9 I 125.9 04 -22 12 LF 6'S OF N WALL / 6'W OF E WALL 95 I 120/ I 101 I DT I 8" 32" 15. 3 I 131.7 I 125.1 • 04 -22 13 LF 2'W OF E WALL / 3'N OF S WALL 94 1 1025 I 114 I DT I 8" 132" I 5.9 I 138.3 I 130.6 04 -22 14 LF 3'E OF W WALL / 3'N OF S WALL 98 Please see reverse side for additional information. ❑ Distribute attachments. Job Number: T0806634. Date Of Test: 04/22/2008 •-• o In -Place Density Date Of Test Code Test ensity Moist. Mode Depth Elev. Field (Ibs /cu. ft.) Test No. Location Count Count Ft. Moist. Wet Dry Comp. 1228 104 DT 8" +40" 5.6 131 124.1 04 -22 15 LF 3'S OF N WALL ON CNTR 93 1150 I 123 I DT I 8" I +40" 16.7 133.6 I 125.2 04 -22 16 LF 3'N OF S WALL ON CNTR 94 1156 I 123 I DT I 8" +48" 16.7 133.4 I 125.0 04 -22 17 LF 3'S OF N WALL / 3'W OF E WALL - 94 1 1274 I 84 I DT I 8" I +48" 14.3 1 129.6 I 124.2 04 -22 18 LF 6'E OF W WALL / 6'S OF N WALL 93 1 1384 I 97 I DT I 8" I +56" 15.3 1 126.2 I 119.8 04 -22 1,9 _LF„ 2' N OF S WALL ON CNTR 90 • 1 1392 I 95 I DT I 8" I +56" 15.2 I 126 119.8 04 -22 20 LF 2'S OF N WALL ON CNTR 90 Asterisked ( *) percent compaction test results did not meet listed acceptance criteria. Remarks: 8" INCREASE ON EACH LIFT THE MORSE COMPANY LLC - BILL MORSE TO: CITY OF TIGARD BUILDING DIVISION ALLSTRUCTURE ENGINEERING - RYAN HARDIE Typist: AS Test By: C . LOGUE Reviewed By: James Hietpas On 05/01/2008 Test results were discussed and left with BILL of Code Descriptions • NC - No code (general fill areas and backfill /original ground /not 01 BC - Base course (Rock Only) ET - Electrical trench SF - Structural fill (Buildings Non - Residential) RW - Retaining wall backfill GT - Gass line trench LF - Residential lot engineered fill WT - Water line trench CT - Cable, phone trenches RF - Roadway engineered fill (Soil Only) ST - Sanitary sewer trench • PS - Pavement subgrade DT - Storm drain trench Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTl has distributed this report shall be entitled to use or rely upon the information contained in this document. fa Main Office Salem Office ak., Bend Office Geotechnical Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 7185 SW Sandburg Rd Ste 110 a Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Tigard, Oregon 97223 C arlso� Testing Inc o Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Phone (503) 601 -8250 �l O. 9 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Fax (503) 601 -8254 Report Of In -Place Density Tests 04/25/2008 T0806634 Date: Job Number: MST2 0 ,'-- O 624:4 Permit #:, Client: THE MORSE COMPANY LLC - BILL MORSE Project: WILBERDING RESIDENCE - REMODEL Address: 9600 VENTURA COURT TIGARD OR 3/4 "- 0 ROCK FROM TIGARD SAND & GRAVEL -- Material Description: 133.2 12.2 90 Maximum Dry Density: lbs. /cu. ft. Optimum Moisture: . %o Required Compaction: Standard Count for Gauge Serial # Troxler 28976 Method of Test: ASTM D2922,D3017/ ASTM D1557 Source of Value Dated 03/19/2008 is project specific. Standard Counts - Density: 2359 Moisture: 666 Calibration Data: 12/2007 In -Place Density Date Of Test Code Test Density Moist Mode Depth Elev. Field (lbs /cu. ft.) Test No. Location Count Count Ft. Moist. Wet Dry Comp. 1305 105 DT 8" +64" 5.8 129.8 122.7 04 -23 1 LF 4'S OF N WALL / 9'W OF E WALL 92 1 1288 1 119 I DT 1 8" 1 +64" 6.7 1 130.2 1 122.1 04 -23 2 LF 3'E OF W WALL / 3'N OF S WALL 92 1 1341 1 99 1 DT 1 8" 1 +72" 1 5.4 1 128.7 1 122.1 04 -23 3 LF 2'S OF N WALL / 4'W OF E WALL 92 1 1362 1 101 1 DT 1 8" 1 +72" 15.6 1 128.1 1 121.3 04 -23 4 LF 6'S OF N WALL / 4'E OF W WALL 91 1 1233 1 112 1 DT 1 8" I +80" 6.1 1 132.1 1 124.5 04 -23 5 LF 6'W OF E WALL / 6'N OF S WALL 93 1 1268 1 133 1 DT 1 8" 1 +80" 7.6 1 130.8 1 121.6. 04 -23 6 LF 3'N OF S WALL / 7'E OF W WALL 91 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Please see reverse side for additional information. 0 Distribute attachments. Job Number: T0806634 . Date Of Test: 04/23/2008 mik .z. AP Ilk In -Place Density Date Of Test Code Test Density Moist. Mode Depth Elev. Field (lbs /cu. ft.) % Test No. Location Count Count Ft. Moist. Wet Dry Comp. I I I 1 1 I I I 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 I Asterisked ( *) percent compaction test results did not meet listed acceptance criteria. Remarks: THE MORSE COMPANY LLC - BILL MORSE TO: CITY OF TIGARD BUILDING DIVISION ALLSTRUCTURE ENGINEERING - RYAN HARDIE Typist: AS Test B C . LOGUE Reviewed By: James Hietpas On 04/24/2008 Test results were discussed and left with of Code Descriptions NC - No code (general fill areas and backfill /original ground /not fil BC - Base course (Rock Only) ET - Electrical trench SF - Structural fill (Buildings Non - Residential) RW - Retaining wall backfill GT - Gass line trench LF - Residential lot engineered fill WT - Water line trench CT - Cable, phone trenches RF - Roadway engineered fill (Soil Only) ST - Sanitary sewer trench PS - Pavement subgrade DT - Storm drain trench Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. • Main Office •lem Office Bend Office s� �+ .O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testing, Inc. I Tigard, Oregon 97281 Salem, 503) 589-1252 9 125 Bnd, 541) 330-9155 97708 Phone (503)03) 684-3460 Phone (503)589 -1252 Phoone (541)330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: THE MORSE COMPANY LLC - BILL MORSE Project: WILBERDING RESIDENCE - REMODEL CTI Job #: T0806634. Address: 9600 VENTURA COURT TIGARD OR Jurisdiction: TIGARD CTI representative R. SCHULTZ was on site this date Feb. 22, 2008 to perform Special Inspection for: Permit MST2007 -00214 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid 1. Checked in with superintendent or client representative. lines, elevations (floors) and drawing details]: Name: BILL PER PLAN SK1 DETAIL 1, 1/2" ROD WITH 4 -1/4 Company: MORSE COMPANY EMBEDMENT USING SIMPSON SET (33) AT FACE OF HOUSE BASE OF GARAGE. HOLES BLOWN, BRUSHED, 2. Inspection was "IBC" ® Continuous 0 Periodic BLOWN. 3. Work performed: © In the field 0 At precast shop 4. If shop inspection do they have fabrication and QC procedures? 0 Yes 0 No © N/A PROPRIETARY ANCHORS REPORT SUMMARY Yes No N/A 1. Reviewed previous inspection reports? X 1. Work inspected was: is Completed 0 In progress 2. Reviewed evaluation report? x 3. Verified manufacturer's anchor use conforms x 2. Completed work inspected was in compliance with to acceptance criteria in report summary. © Approved plans and specifications 0 Shop drawings Verified following items meet manufacturer's D RFI 0 Design change 0 Submittal 0 N/A published installation instructions. 4. Verified minimum embedment depth of the Document #(s) Dated: anchors. x 3. Noncompliance item(s) were noted this date, details on 5.Verified installation of the anchors. X following page(s). 0 Yes ® No 0 N/A 6. Verified anchor diameter. x 7. Verified steel grade. x 4. Noncompliance item(s) were reinspected this date, details 8. Verified hole - diameter. - on followingpage(s). 0 Yes 0 No E] N/A x 9. Verified type of drill bit used. x 0 Conform ❑ Remain in progress 10. Verified cleanliness of hole and anchor. 11. Verified adhesive application. x Report(s) findings were discussed and left with BILL Evaluation report number ESR 1772 of MORSE COMPANY Name of product being installed S IMPSON SET Batch Number 07714600 08115400 Expiration Date 07/31/2009 07/31/2009 Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. 0 See additional report page(s). 0 Distribute attachments. Page 1 of 1 Daily Report of Proprietary Anch• 410 For: 02/22/2008 CTI Job #: T0806634. Project: WILBERDING RESIDENCE - REMODEL Notes: In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Reviewed By: James Hietpas Review Date: 02/27/2008 RS /JN THE MORSE COMPANY LLC - BILL MORSE TO: CITY OF TIGARD BUILDING DIVISION ALLSTRUCTURE ENGINEERING - RYAN HARDIE