Report Main Were titian Office Bend Office
Carlson Testing, Inc. 3430571'Humeke 3060 BudmnS NE
Bend OR Rd k //
T 430 S OR 97223 Calem. OR 97301 Bcn4 Oft 97701
Phone: (503) 694 -3460 Phone: (503)589-1252 Phone: (531) 330 -9155
F : (503) 684-0054 F (503) 589 -1309 Fax (5411 330-9163
Construction Materials Testing & Inspection
Special Inspection
FINAL SUMMARY LETTER
June 19, 2006
T0601169A
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Bella Vista Subdivision- Lot# 8
15615 SW Greenfield Drive- Tigard, OR
Permit# MST2005 -00379
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 are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
Ag
b en W. Leach
Project Manager
SWL/ks
cc: Reese General Contractors Inc- Arnold Reese
CSA Consulting Engineers
McNaughton Associates Inc