Report (10) �f�f Information
LP.2MTo Build On
Engineering•Consulting•Testing
August 6,2014
Rev. August 12,2014
Mr. Eric Evenson
Wal-Mart Stores, Inc.
2001 SE 10`h Street
Mail Stop 5570
Bentonville,AR 72716-5570
Subject: Final Summary Report
Wal-Mart Store No. 5935
7600 SW Dartmouth Street,Tigard,OR
PSI Project No.0654138
ao/-.0Q p?O
Dear Mr. Evenson:
Professional Service Industries, Inc. (PSI) is writing this letter to document that, in accordance with Section
1704.1.2 of the State Building Code representative(s) from our firm has performed special inspections during
construction of the limited remodel for the following project:
Permit No: City of Tigard,OR—BUP2012-00067
Project Address: 7600 SW Dartmouth Street,Tigard,OR
Project Description: On-Site Trench Backfill
Our project file(s) indicate that PSI special inspection activities listed below were conducted as scheduled
between June 10, 2013 and August 6, 2014 for the above referenced project. This letter represents a
summary of work observed and reported by PSI representative(s) and the resolution of any documented non-
compliance.
• Soil Testing—On-site Trench Backfill including ADS pipe in traffic rated areas
To the best of our knowledge,the special inspections referenced herein were performed by our firm in general
accordance with the requirements, approved plans and specifications, provided change orders that impacted
plans and/or specifications,and applicable workmanship provisions of the State Building Code and Standards.
If you have any questions or we can be of further assistance,please do not hesitate to call.
Sincerely,
Professional Service Industries,Inc.
Deborah Priest,P.E. Joe Morrissey
Project Engineer Special Project Manager
Professional Service Industries,Inc.•6032 N.Cutter Circle,#480•Portland,OR 97217•Phone 503/289-1778•Fax 503/289-1918•CCB#176269