Report et AVO (JT,
Main Office Solent Office Benr! Office
Carlson Testing, Inc. 8430 flun_ker 1060 Hudson .Sr ,ME Bend, OB 7 7 0 Rda //
Bend, OR 9
Tigard, OR 97 ? ?3 Salem, OR 9730/ 770?
Phone 654 -3460 Phone. (503) 589 -1252 Phone - (541)330 -9/55
Fan (503) 684.0954 Far. (5031589-1309 Far 15 411 33 0 -9163
Construction Materials Testing & Inspection
Special Inspection
FINAL SUMMARY LETTER
October 22, 2010
T1003223
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Healthnet of Oregon — Remodel (Job No. 57120)
13221 SW 68 Parkway — Tigard, OR
Permit No.: BUP2010 -00156
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:
Installation of Screw Anchors
Structural Welding- Shop Inspections Only
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.
(-X i lA sutzu. jet
Neil S. Shannon
Project Manager
NSS /rb
cc: R & H Construction — J B Skopil
City of Tigard Building Division
Group Mackenzie — Tim Schweitzer
Group Mackenzie — Jane Chambliss