Report a.\ Al
1A14)-1-
rfilll
1111\
11,11,4.1,4
111 . 7409 SW Tech Center Dr,Ste.145
Tigard,OR 97223
Ph:503-443-3799 Fax:503-620-2748
503.4413799 Special Inspection
Final Report
Date:June 05,2017 Job#17-7240
Permit#BUP2016-0035-1
Mail To: Project
GRAY CONSTRUCTION PINK#1806
5410 SW MACADAM AVE STE 150 9585 SW WASHINGTON SQ RD-
PORTLAND,OR 97239 SPACE H07
PORTLAND,OR 97223
JOB#17-5150
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:
Anchors-Expansion it
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.
Approved by:
Bob Brown/President
BB/KP
•rc
ugs
ACCREDITED