Report Carlson Testing, Inc. 8' 3460;sl 6 p7or13309155
Bend OR 97702
Fm: (5031 684-0954 For /503)3894309 Fen 15411330.9163
Construction Materials Testing 6 Inspection
Special Inspection
FINAL SUMMARY LETTER
ember - 2006
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Mikame Residence Remodel
9955 SW 65`" Avenue- Tigard, OR
Permit# MST2006 -00003
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:
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 are I y further questions regarding this matter, please do not hesitate to contact this office.
Respectf , submitted,
CARLS• TESTING,..INC.
Jam - : ' . Hietpas
0 . - r . . • ns Manager
JF /
• : Girard Construction- Brian Girard
Cascade Design Professionals Inc- Paul Kluvers
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SEP -05 -2006 TUE 05:04 PM : CARLSON TESTING INC. FAX NO. 5038840954 P. 02/02
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Special Inspection
FINAL SUMMARY LETTER
September 5, 2006
T0601764
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Mikame Residence Remodel
9955 SW 65 Avenue - Tigard, OR
Permit# MST2006 -00003
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:
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 engineers
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.
Respec • , submitted,
CARLS • TESTING,. INC.
i
Jam - : ietpas
O• - r • � ins Manager
JF / -
• : Girard Construction- Brian Girard
Cascade Design Professionals Inc- Paul Kluvers
•