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Report 1 4 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 FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163 Special Inspection FINAL SUMMARY LETTER January 20, 2004 T0303636.CTI City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 -8199 Attn: Building Department Re: Community Church of Christ Addition 13855 SW Pacific Highway Tigard, OR Permit No.: BUP2003 -00391 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: Installation of Cast -In -Place and Adhesive Anchors Reinforced Concrete 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. • Respec f Ily submitted, CARLS N TESTING, INC. �� F. Hetpas c aerations Manager /mbw cc: Tuality Community of Christ — Ann Short Nicoli Engineering Inc Moreland Community Builder — Mike Moreland