Correspondence VA.5iZ'
Main Office Salem Office Bend Office
P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918
C arlson Vesting Inc • Phone , (5 684 -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
July 23, 2004
T0405239.CTI
•
13125 SW Hall Blvd. FILE
COPY
Tigard, OR 97223 -8199
Attn: Building Department
Re: Haack Residence
—� 9585 SW 69 Avenue Tigard, OR
Permit No.: MST2004 -00092
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:
Installation of Adhesive Anchors
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 Building 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.
Andrew M. Ewing
President
AME /ks
cc: K K Construction — Kevin Kolin
City of Tigard Building Dept — Rick Boland
Conlee Engineers Inc — Douglas Gannett
RAR Architects Inc — Thomas Elliott