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Report Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 '. Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 Carlson Testing, Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 9155 g FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163 Special Inspection FINAL SUMMARY LETTER May 25, 2005 T0507491.CTI City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 -8199 Attn: Building Department Re: Crown Carpet Building - Remodel � 12330 - SW reet - Tigard, OR . Permit No.: BUP2005 -00001 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Installation of Anchor Bolts and Adhesive Anchors Structural Masonry Structural Steel- Fabrication & Erection, Includes verification of welder certifications, weld procedures and material certifications Installation of High Strength Bolts 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. Respect, y submitted, CARLS' TESTING, INC. • / -s F. Hietpas • •erations, :Manager JFH /mbw V cc: Integrity Investments — Doug Lepper CIDA Incorporated — Jennifer Johnson Yorke & Curtis — Dave Curtis • •