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Construction Materials Testing & Inspection
Special Inspection
FINAL SUMMARY LETTER OFFICE COPY
December 5, 2006
T0509633M
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City of Tigard Building Department
ECF VF
13125 SW Hall Blvd DEC 0 6 21
Tigard, OR 97223 -8199
CITY OF TIGA.-
Attn: Hap Watkins BUILDING DlVISi:;,
Re: Canterbury Place Phase 1C- Building 10
( U7.25 1'0663 SW Canterbury Lane- Tigard, OR
Permit# BUP2005 -00289
Dear Mr. Watkins:
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 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.
Or
- - ven W- Le ch
Project Manager
SWUks
cc: Polygon Northwest Co- Dana Hunt
CT Engineering- Todd Eaton
Milbrandt Architects- Bob Watkins
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� PAGE # 1 oF1
MATERIALS /
REV. DATE 2/6/06
TESTING &
INSPECTION C: \DOCUME-1 \DANN \LOCALS -1 \TEMP \060011RP
T(2.1.06) (3).DOC
o Environmental Services o Geotechnical Engineering o Construction Materials Testing o Special Inspections
Dana Hunt
Polygon Northwest Homes Project: Canterbury Woods (CT #04196, MA #04 -34)
109 E. 13th St. Inspector: Phil Jacques AWS /CWI #91010571
Vancouver, WA 98660 Ski Harris AWS /Cw1#03080431
Dan Colby AWS /CW1 #00050471
Inspection Date: February 1, 2006
MTI #: 0-60011c
STRUCTURAL STEEL WELDING INSPECTION REPORT
On the above dates, our representative arrived at Pacific Steel Fabricators, Middleton, ID to perform work on the referenced project as
reported below. Work was in progress and performed by two welders and one welder helper for clean up, pick up and staging
procedures. Weldments consisted of complete joint penetration, single /multi -pass fillet welds on continuity plates and connection
plates for wide flange moment columns and beams.
The in- progress work had material identification checked. All phases of work was monitored, inspected and documented with
approval per AWS D1.1 and contract specifications and approved structural drawings.
Note: Work was inspected without plans marked "approved ". Work is also in progress at this time, all cjp weldments on piece marks
3,7,8 has been completed and ultrasonic non- destructive testing performed. There were no relevant indications. Some fillet welds still
to be completed on above mentioned items.
Work inspected was in compliance with project plans, shop drawings and specifications, except as noted.
If you have questions concerning this report, please call us at (541) 889 -3602.
Respectfully submitted,
MATERIALS TESTING & INSPECTION, INC.
e r,„4/4.77,
Reviewed by: Phil Jacques
Northwest Regional Manager
110 SE 2 " Avenue, Ontario, OR 97914 541 889 -3602 Fax 541 889 -3605
E -Mail mtior @mti- id.com www.mti - id.com