Report 06/13/07 WED 09:54 FAX 503 670 9147 CARLSON TESTING 1 002
Carlson Testing, ° ° ��� Off= �'°
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P72 dflyJ! {Winr.9.. NF. 9!U.! RI1q Rd :II
7T,�aI Il 97L3 Sale,. °F 9730! 6cnd OR 9770.
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construction Materials Tescing & Inspection F 603, M4.11 Fnr IfUU +ry 110 F /l+n 1fU 9l6!
Special Inspection
FINAL SUMMARY LETTER
June 12, 2007
T0704203
City of Tigard V
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Forever 21 Washington Square FILE copy
�p 189 Washington Square Road — Tigard, OR
Permit No.: BUP2006 -00503
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:
Reinforcing Steel
Installation of Adhesive Anchors
Installation of Expansion Anchors
Structural Masonry
Structural Steel
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.
• 1/ //
Neil S. Shannon
Project Manager
NSS /tm
cc: J R Lennen Construction Inc — Jack Lennen