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
FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163
Special Inspection
FINAL SUMMARY LETTER
February 7, 2005
T0407121.CTI
City of Tigard Building Department
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Hap Watkins
Re: King City T- Mobile
13680 SW Pacific Highway - Tigard, OR
Permit No.: BUP2004 -00135
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 Cast -in -Place 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 -- y further questions regarding this matter, please do not hesitate to contact this office.
Respectf (submitted,
CARLS• TESTING, INC.
Hietpas
O . tions Manager
/mbw
c: D & D Concrete & Utilities Inc — Don Nienke
Miller Consulting Engineers
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