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Report • — �' r I Alain Office sn/e n off ee send Ofyee 0 Carlson Testing Inc. 84305N'Hun_lker 4060 /fud oa Sl AE Rend OB R,7r0 Rd q// Nord. 4 3 0 S OR 9I? 23 Salem OR 97301 Bend, OR 97702 Phone: (503)6,34-3460 Phone. (503) 589 -1252 Phone: (541)330 -9155 Far: (5031 084-0954 Far: 1503, 509 -1309 08,154/)330 -0/07 Construction Materials Testing & Inspection Special Inspection FINAL SUMMARY LETTER December 14, 2009 T0901252 RECEN City of Tigard AN 7 2010 13125 SW Hall Blvd Tigard, OR 97223 -8199 CI -� OF TIGNBD Attn: Building Department BUILDING DIVISION Re: Westgate Baptist Church — Stage Extension 1,0.730_SW 1.30t Avenue — Tigard, OR Permit No.: BUP2009 -00155 Dear Sir or Madam: This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Installation of Cast in Place Anchors Structural Welding 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. Under all circumstances, the information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Steven W. Leach C Project Manager SWL /rb cc: vDuttons Remodeling — Brian Dutton 503 524 -4560 City of Tigard Building Division Bradford Conrad Crow Engineering Co 503 213 -2018 Carlson Testing, Inc. Incompleted Items List (NCL) Dec 14, 2009 T0901252. Project Name: WESTGATE BAPTIST CHURCH - STAGE EXTENSION Project Address: 10730 SW 130TH AVENUE TIGARD OR Pertnit No: BUP2009 -00155 P.O. No: Project Manager: STEVEN W . LEACH Item # Insp. Date Item Description Compliance CTI Sign -Off Date Corrected 1 BT 10/23/2009 ALL WELDS FAB SHOP PAINTED FOR STAGE ASSEMBLIES ACCEPTABLE PER STEVEN W. LEACH 12/14/2009 TOP AND BOTTOM. ENGINEER'S LETTER DATED 11/17/2009. 2 BT 10/23/2009 NO MATERIAL CERTIFICATIONS AT TIME OF INSPECTION. ACCEPTABLE PER STEVEN W. LEACH 12/14/2009 ENGINEER'S LETTER DATED 11/17/2009. 3 BT 10/23/2009 NO FAB SHOP SPECIAL INSPECTIONS PERFORMED AT ACCEPTABLE PER STEVEN W. LEACH 12/14/2009 SCHUON MANUFACTUERING CO INC (SMCI), COEURD' ENGINEER'S LETTER DATED ALENE, ID. 11/17/2009. CC: DUTTONS REMODELING - BRIAN DUTTON CITY OF TIGARD BUILDING DIVISION BRADFORD CONRAD CROW ENGINEERING CO DUTTONS REMODELING - BRIAN DUTTON Page: 1 O Main Office Salem Office Bend Office Carlson Testing Inc. 8a30 SN'f /un_i.(er 4000 HO4 S�., AE Ben?, 01)97702 Phone H11 Two, 1p Ap 8430 S. fl 9 ri fl e Salem, OR 97301 Bend, OR V0? Phone: 003) 634 -3460 Phone (503) 539 -1352 Phone: (541) 330 -9155 Far: (5031604-0950 Far: (5031 509 -1309 Far /54/) 330 -9/63 Construction Materials Testing & Inspection 5) 2- - Special Inspection 60/5 FINAL SUMMARY LETTER December 14, 2009 T0901252 City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 -8199 Attn: Building Department Re: Westgate Baptist Church — Stage Extension 10730 SW 130` Avenue — Tigard, OR Permit No.: BUP2009 -00155 Dear Sir or Madam: This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Installation of Cast in Place Anchors Structural Welding 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. Under all circumstances, the information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Steven W. Leach 6 Project Manager SWL /rb cc: Duttons Remodeling — Brian Dutton 503 524 -4560 City of Tigard Building Division Bradford Conrad Crow Engineering Co 503 213 -2018 • Carlson Testing, Inc. Incompleted Items List (NCL) Dec 14, 2009 T0901252. Project Name: WESTGATE BAPTIST CHURCH - STAGE EXTENSION Project Address: 10730 SW 130TH AVENUE TIGARD OR Permit No: BUP2009 -00155 P.O. No: Project Manager: STEVEN W . LEACH Item # Insp. Date Item Description Compliance CTI Sign -Off Date Corrected 1 BT 10/23/2009 ALL WELDS FAB SHOP PAINTED FOR STAGE ASSEMBLIES ACCEPTABLE PER STEVEN W. LEACH 12/14/2009 TOP AND BOTTOM. ENGINEER'S LETTER DATED 11/17/2009. 2 BT 10/23/2009 NO MATERIAL CERTIFICATIONS AT TIME OF INSPECTION. ACCEPTABLE PER STEVEN W. LEACH 12/14/2009 ENGINEER'S LETTER DATED 11/17/2009. 3 BT 10/23/2009 NO FAB SHOP SPECIAL INSPECTIONS PERFORMED AT ACCEPTABLE PER STEVEN W. LEACH 12/14/2.009 SCHUON MANUFACI'UERING CO INC (SMCI), COEURD' ENGINEER'S LETTER DATED ALENE, ID. 11/17/2009. CC: DUTTONS REMODELING - BRIAN DUTTON CITY OF TIGARD BUILDING DIVISION BRADFORD CONRAD CROW ENGINEERING CO DUTTONS REMODELING - BRIAN DUTTON Page: 1 DEC -15 -2009 TUE 10:33 AM CARLSON TESTING INC, FAX NO 5036840954 P. 02/03 ®n ti + Afrin . Offla V SYrkxr Office Mid OM, i. S4411511' llo_IACr 41 /gerla�nn )c. NI? Ado -'s OR no Rd 41 Tipxril, OH P722 Strhm. Pl( U7 r17! &O. OR U77Ir? ()J11.I JIM11. plmru; WV) P4-3460 Phone. (M.1).10.12.12 (M.1).10.12.12 (M.1).10.12.12 /'hnrrr': Construction Materials Testing & Inspection fn: l.f2i1 -OUS4 fn,; (30.11.1119 -130V Rd 11J/l.i.ill -U/AJ a 2&,0 7 Special Inspection FINAL SUMMARY LETTER December 14, 2009 T0901252 City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 -8199 Attn: Building Department Re: Westgate Baptist Church — Stage Extension 10730 SW 130 Avenue — Tigard, OR Permit No.: BUP2009 -00155 Dear Sir or Madam: This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Installation of Cast in Place Anchors Structural Welding 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. Under all circumstances, the information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Leven W. Leach Project Manager S W L /rb cc: Duttons Remodeling -- Brian Dutton 503 524 - 4560 City of Tigard Building Division Bradford Conrad Crow Engineering Co 503 213 - 2018 Carlson Testing, Inc. Incompleted Items List (NCL) Dec14,2009 c) T0901252. csi RD Project Name: WESTGATE BAPTIST CHURCH - STAGE EXTENSION CD CD Project Address: 10730 SW 130TH AVEhuE TIGARD OR 00 Permit No: BTUP2009 -00155 r C P,O. No: Project Manager: STEVEN to . LEACH _ CD Date co Item # Insp. Date Item Description Compliance CTI Sign -Off Corrected m> 1 BT 10/23/2009 ALL WELDS FAB S OP PAINTED FOR STAGS ASSEMBLIES ACCEPTABLE PER STEVEN i4. LEACH 12/14/2009 TOP AND BOTTOM. ENGINEER'S LETTER DATED n 11/17/2009. L- CD O 2 BT 10/23/2009 NO MATERIAL C9RTIFICATIONS AT TIME OF INSPECTION. ACCEPTABLE PBR STEVEN W. LEACH 12/14/2009 ENGINEER' S LETTER DATA m UD 11/17/2009. : 3 II_ 10/23/2009 NO FAB SHOP SPECIAL INSPECTIONS PERFORMED AT ACCEPTABLE PER S3'NVRN W. rLE&D4 12/14/2009 SCHUON MANU CO INC (SMCJ) , COEURD ' ENGINEER'S LETTER DATED cD ALENE, ID. 11/17/2009. CM CD CO CD CO 0 CO 01 .rte CC:DUTTONS REMODELING - BRIAN DUTTON CITY OF ! IGARD BUILDING DIVISION -p BRADFORD CONRAD CROW ENGINEERING CO CD DDTTONS REMODELING - BRIAN DUTTON CD Page: 1 w DEC -15 -2009 TUE 10:33 AM CARLSON TESTING INC, FAX NO. 5036840954 P. 01/03 CARLSON TESTING, INC. Phone: 503 - 684- 3460/Fax 503 -684 -0954 PO Box 23814 - Tigard, OR 97223 FAX TRANSMITTAL To: City of Tigard Attn: Building Department Fax; 503- 624 -3681 From: Carlson Testing, Inc. — Rachel Barnett Date: December 15, 2009 Re: FINAL SUMMARY LETTER Total Pages: 3 This is the Final Summary Letter for: Project: Westgate Baptist Church — Stage Extension Permit # BUP2009 -00155 Please call if you have any questions. 503- 684 -3460, Thank You, Rachel Barnett Office Assistant