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45 S.E. 102nd
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4F-T, CIVIL — STRUCTURAL ENGINEERS PH: (503) 254 -6292
FAX: (503) 254 -6761
FINAL PERIODIC INSPECTION REPORT
BEVELAND BUILDING •
g_5" l .SSW 68th Ave
Tigard, Oregon COPY
Permit # BUP2002 -00522 FILE
J.T. Roth Construction Co.
December 8, 2003
City of Tigard Building Dept.
13125 SW Hall Blvd
Tigard, Oregon 97223
Fax 503- 684 -7297
This is to certify that in accordance with the provisions of the State Building
Code, Section 307, and to the best of my knowledge, the work has been
done in accordance with the approved plans, specifications, approved change
order and applicable workmanship provisions of the State Building Codes
and Standards.
Special inspections were completed by Carlson Testing, Inc. and have been
reviewed and approved.
Respectfully submitted,
C 1M
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Payton Rowell, PE a. T&
cc: J.T. Roth @ 503-624-0239
cc: PDW @ 503- 257 -1892 (�; ,� . - . `�gy�3r
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Main Office Salem Office Bend Office
P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
Carlson Testing Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155
FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163
Special Inspection
FINAL SUMMARY LETTER
December 9, 2003
T0302948
City of Tigard
13125 SW Hall Blvd., FILE C
Tigard, OR 97223 -8199
Attn: Building Department
ias II
Re: Bevels Building
5 SW 68 Avenue - Tigard, OR
Permit No.: BUP2002 -00522
Dear Sir or Madam:
This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have
performed special inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
Installation of Epoxy Anchors
Structural Steel — Shop, includes verification of welder certifications, weld procedures and material certifications.
All inspections and tests were performed and reported according to the requirements of Project Documents
and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and applicable workmanship provisions of the State Budding Code
and Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
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.
James F. Hietpas
Operations Manager
Is
cc: JT Roth Construction Company — Richard Myrick
Rowell Engineering & Desigrinc
Pacific Design Works — Peter Waslil-
Northwest Construction Management-Inc