Report 12/09/04 THU 10:21 FAX 503 684 0954 CARLSON TESTING a004
' Main Office Salem Office Bend Office
P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918
Tigard, Carlson Testing, Inc. Phone 684-3460 Oregon 97281 Salem, 97301 Bend, OR 97708
Phone (503) 84 -0954 Phone (503) 589 -11 252 Phone (541) 330-9155
FAX (503) 684-0854 FAX (503) 589 -1309 FAX (541) 330 -9163
Special Inspection
FINAL SUMMARY LETTER
December 9, 2004
T0406521.A
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199 CP
Attn: Building Department
Re: Kessler Subdivision — Lot #14
9295 SW Sather - Tigard, OR
Permit No.: MST2004 -00168
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 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 . e any further questions regarding this matter, please do not hesitate to contact this office.
Resp: tfully submi - • ;
CAR, ON TE • G, INC.
J
' es F. Hiet a
ps
0 p -tions Manager
JFH /mbw
c c: Buena Vista Custom Homes — Mark Bartholemy
•
Butler Consulting Inc
Barry R Smith Architect