Report 7409 SW Tech Center Dr, Ste. 145
Tigard, OR 97223
Ph: 503-443 -3799 Fax: 503 -620 -2748
503.443.3799 Special Inspection
Final Report
Date: January 26, 2012 Job # 12- 3757-002
Permit # BUP2012-00006
Mail To: Project:
NORLIFT OF OREGON, INC NOR11 -01
PO Box 68348 NORTHWEST ENGINEERING
PORTLAND OR 97268 SERVICES, INC.
7000 SE REDWOOD LANE BLDG 6
PORTLAND, OR 97224
To Whom It May Concern:
ACS Testing, Inc. attests that their inspectors performed special inspection(s) on a continuous and/or
Periodic basis as required by the specific jurisdiction and/or IBC. Special inspection(s) were performed
For the following:
Proprietary Anchors — Wedge Anchor
Based on personal observation, inspection and reports reviewed by me for the above project, I attest on behalf
of ACS that work was performed to the best of my knowledge, in accordance with approved plans,
specifications, and the applicable codes and standards for the jurisdiction.
-1 (3,4 Akk----
Approved by:
Bob Brown/President
BB/sa
. .•.� � Proud to be Nationally Accredited by International Accrediting Service
ACCREDTTE D