Report (35) Bend Office (541)330-9155
Geotechnical Office (503)601-8250
•
Carlson TastingEugene Office (541)345-0289
, Inc. Salem Offiee (503)589-1252
Tigard Office (503)684-3460
Daily Report of Proprietary Anchors
Project: Pc1./ ?.:, `/VA/ /'' 7�?O
Address: /33`70 7-e� - � �� 7%�- - CTI Job#: 7/4 7-2 I, C
CTI representative -?/77 was on site this date 0_ 17`f> to perform
,7(Inspector Name&Cert.No.)
Special Inspection for apermit DFS#(s) ' ' -`�r r>_�".acaI9 jurisdiction 7
In some cases more than one box may be checked for a given item.
SCOPE OF INSPECTION Location of proprietary anchors inspected[to include grid
lines,elevations(floors)and drawing details]:
1.Checked in with superintendent or client representative. , •
C77L4-4-3 r,o . r / r /7 / "., kf7/ ; r' :
Terms:
Client recognizes that construction observation andlor testing services provided by Ulf are techniques
which may reduce the risk of construction defects, deficiencies, or omissions arising during or after con-
struction. Services performed by CTI do not constitute a warranty or guarantee of any type. f'..,ven.with
diligent construction monitoring and/or testing by Cl'!. construction defects, deficiencies, or omissions
in the Contractor's work.may exist. In all cases. Client and/or the Contractor shall assign the Contractor
the responsibility for the quality and completeness of the work and :for adhering to plans and speci.fica-
-tions. CTI's work or failure to perform same shall no in any way excuse any contractor, subcontractor,
or supplier from performance of its work in accordance with the contract documents.
CTI will provide its professional services to Client with that degree of care and skill ordinarily exercised
under similar circumstances by members of its profession. This representation is in lieu of other wanan-
ty or representation, either expressed or implied. It is also understood and agreed that statements made
in CTI reports are observations based on technical judgements, and should not be construed to be con-
clusive representations of fact. If conditions different from what are indicated in the reports come to
Client's attention after receipt of the reports, it is recommended that Client contact CTI immediately to
authorize further appropriate evaluation.
Cfl's work shall not include determining, supervising or implementing the means, .ntethods, techniques,
sequences, or procedures of construction CTI shall not be responsible.for evaluating or reporting job con-
ditions related to health, safety or welfare.
'1
C TRL ON TESTING, INC, [(Tigard Office(Main) ❑ Salem Branch Office 0 Bend Branch Office
INCOMPLETE ITEMS LIST (NCL) f?O Box 23814 4060 Hudson Avenue, NE P.O. Box 7918Tigard,OR 97223 Salem,OR 97301 Bend, OR 97708
Phone: (503) 684-3460 Phone:(503)589-1252 Phone:(541)330-9155
Fax: (503)684-0954 Fax:(503)589-1309 Fax:(541)330-9163
Project Name: ,> e, N!+r/ K i v 'y f ri`i f3
Project Address: i , r,,.�.;'4-c.,e .�
_7 r s c , r, ,„: t Date: /_ / 7
Building Permit#): 11 C 7 r;f 7 _ ' j a ;1
CTI Job #: / �;•°. r-- �f, f • C. G✓
Item Insp. Today's Signed off Date
Initials Date Item Description Compliance by Initials Corrected
3,_ ./
1 �—t f
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✓ >+.t'. d'— 'f..'�'/O./!. t rc_rp.. %.u/G+:,-. y
S-e , AI") ',It l�..�tlr.''U /� j,zo//d`e?4.!* i!,
r
1 j
. ... . .....
Terms:
Client recognizes that construction observation and/or testing services provided by CTI are techniques
which may reduce the risk of construction defects,deficiencies,or omissions arising during or after con-
struction. Services performed by CTI do not constitute a warranty or guarantee of any type. Even with
diligent construction monitoring and/or resting by CTI,construction defects, deficiencies, or omissions
in the Contractor's work may exist. In all cases, Client and/or the Contractor shall assign the Contractor
the responsibility for the quality and completeness of the work and for adhering to plans and specifica-
tions. CTI's work or failure to perform same shall not in any way excuse any contractor, subcontractor,
or supplier from performance of its work in accordance with the contract documents.
C_k I will provide its professional services to Client with that degree of care and skill ordinarily exercised
under similar circumstances by members of its profession.This representation is in lieu of other warran-
ty or representation, either expressed or implied. It is also understood and agreed that statements made
in CTI reports are observations based on technical judgments, and should not be construed to be con-
clusive representations of fact. If conditions different from what are indicated in the reports come to
Client's attentionafter receipt of the reports, it is recommended that Client contact CTE immediately to
authorize further appropriate evaluation.
CTI's work shall nor include determining,supervising or implementing the means,methods,techniques,
sequences or procedures of construction.CFI shall not be responsible for evaluating or reporting job con-
ditions relatedto health, safety or welfare.