Report Inc. Mary 6 Satan Office Bead Off
Carlson Testing, Inc. Phone- (503) 4060 Nadmn 9, NF 63075 OB Rile Rd 411
Tigard. OR 97 ?73 Salem, OR 9730 / Bend OR 97702
Phone: (503) 684 -3160 Phone 589 -1 ?5? Phone: (541) 330 -9155
F : (5031 684-0954 F .(5031589 -1309 Par (5411330 -9163
Construction Materials Testing & Inspection
Special Inspection
FINAL SUMMARY LETTER
October 18, 2006
T0601169C
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Bella Vista Subdivision- Lot #5
15655 SW Greenfield Drive- Tigard, OR
Permit# MST2005 -0381
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 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 ar- any further questions regarding this matter, please do not hesitate to contact this office.
Respe• illy submitted,
CARL:* TESTING, .
i
Jam:- . Hietpas
O.er..lons Manager
JF
c• Ree Generto Inc- Arnold Reese
CSA Consulting Engineers
McNaughton se Associates al Conract
Inc rs