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Report (55) Date: July 7, 2017 Job#: T1702011.A Page 2 of 2 CTI's services did not include responsibilities related to determining, supervising, implementing or controlling the means, methods, techniques, sequences or procedures of the construction or evaluating or reporting job conditions related to health, safety or welfare. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are further questions regarding this matter please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING INC. OP r-ale Neil S. Shannon Project Manager NS/jng cc: Centrex Construction Co—Will Speakman WSPEAKMAN@CENTREXCONSTRUCTION.NET City of Tigard Building Division—Walter'Chip' Barnett 'f EMAILED/MAILED Hayden Consulting Engineers—Darron Hayden DHAYDEN@HAYDEN-ENGINEERS.COM Carlson Testing, Inc. Incompleted Items List (NCL) Jul 07,2017 T1702011.A Project Name: TERRAFIRMA - TENANT IMPROVEMENT Project Address: 7910 SW HUNZIKER ST TIGARD OR Permit No: BUP2017-00106 P.O.No: Project Manager: NEIL S. SHANNON Item# Insp. Date Item Description Compliance CTI Sign-Off Date Corrected 1 GP 06/21/2017 INSTALLER ACHIEVED 4-s" EMBEDMENT WITH HIS (2) APPROVED AS-BUILT PER NEIL S. SHANNON 07/06/2017 5/8" THREADED ROD ANCHORS. PLANS 3/S1 (04/12/17) REVISED DETAIL 3/S1 SPECIFIES 6" EMBEDMENT. DATED 06/09/17. CC:CENTREX CONSTRUCTION CO - WILL SPEAKMAN CITY OF TIGARD BUILDING DIVISION - WALTER 'CHIP' BARNETT HAYDEN CONSULTING ENGINEERS - DARRON HAYDEN Page: 1