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Report Main Office ,alem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 C arlson Testing Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Reinforced Concrete Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING C CTIJob #: T0807926.0 Address: 8050 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative D. SUMINSKI OBOA 340 was on site this date Sep. 29, 2008 to perform Special Inspection for: Permit BUP2008 -00162 DFS #(s) PO Number: SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. I . Mix Design approved? © Yes 0 No El N/A Name: JOHN Company: COMMERCIAL CONTRACTORS 2. Monitored loads arriving at job site for correct: Mix #: 33N17200 2. Type of work: © Concrete © Reinforcing 4 +/- 1 % Slump /o Air 5 +/- 1 3. Work included: © Sampling © Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' © Continuous Periodic Number of sets 1 Samples per set 3 5. Work performed: ® In the field 0 At precast shop 4. Inspected placing and consolidation of approx. 10 cubic yards of concrete. REINFORCING Yes No N/A Location of concrete placement [to include grid lines, elevations (floors) and drawing details]: 1. Reviewed previous inspection reports? X SAME AS REINFORCING. 2. Forms clear of debris? X 3. Type, grade, size, quantity, spacing and X condition conform? 4. Verified forms will nominally result in hardened concrete of the required X cross - sectional dimensions. 5. Verified location of reinforcing steel, pipes, conduits and sleeves with respect to X minimum concrete cover. 6. Verified type and location of splices, length X After samples are tested, results will follow on break report. of contact laps, and min. diameter of bends. REPORT SUMMARY 7. Verified support & anchorage of reinforcing X 1. Work inspected was: ® Completed 0 In progress steel in the forms. P P P g 8. Verified structural embedments in the forms 2. Completed work inspected was in compliance with with regard to fabrication, quality and type. ® Approved plans and specifications El Shop drawings 9. Verified structrual embedments in the forms with regard to weld inspection, quantity, and X 0 RFI El Design change J Submittal fl N/A permits issued. 10. Verified cast in place anchors. X Document #(s) S2. 1 Dated: 12 -13 -07 Description of structure inspected [to include grid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: following page(s). Yes El No © N/A STEM WALLS LINE 1 FROM B, 8 TO D, D FROM 1 TO 4. Noncompliance item(s) were reinspected this date, details 3, 3 FROM C. 6 TO D. on following page(s). Yes 0 No © N/A Conform Remain in progress "J" BOLTS WERE PLACED. Report(s) findings were discussed and left with JOHN Of COMMERCIAL CONTRACTORS Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. 0 See additional report page(s). 0 Distribute attachments. Page 1 of 1 Daily Report of Reinforced Concre, For: 09/29/2008 CTI Job #: T0807926. C Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING C Notes: In some cases more than one box may be checked for a given item on the front page. 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. Reviewed By: Steven W Leach Review Date: 09/30/2008 DS /CK PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY@MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM illOP Carls®n esting_ �� �.onstruction Inspections & Related Tests 9 V� Geotechnical Consulting OCV) Main • Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 0 Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 W 4' '` Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 o� et-AGF %rAA Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE c c TEST SPECIMENS B‘ Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 09/29/2008 Job Number: T0807926. C Permit #: BUP2008 -00162 Client: PFAFFLE OFFICE LLC & PCCC LLC — ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING C Address: 8050 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD Contractor: COMMERCIAL CONTRACTORS INC — ERIC MONEY Subcontractor: Cast By: D. SUMINSKI Concrete Supplier: KNIFE RIVER (METRO OPERATIONS) — QUALITY CONTROL Truck #: 192 Load #: 1 Ticket#: 3121033 Weather: CLEAR Test Time: 1:10 Air Temp. at Sampling Time: 84 Cylinders were cast for the following locations: LINES 1 AND B Total Concrete Placement Location: STEM WALLS LINES 1 FROM B.8 TO D, D FROM 1 TO D.3, 3 FROM C.6 TO D Strength Requirement: 3000 psi fc @ 28 Days Slump: 3.500" % Air: 4.10% Mix Number: 33N17200 Conc. Temp: 81 Cement Type: Max Agg: 3/ 4 Admix/Amt: AIR, WRDA64 Cubic Yards: 10 Register Number: 0870511 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 09/30/2008 10/06/2008 48326 12.49 3870 3 RH2 28 09/30/2008 10/27/2008 56953 12.49 4560 2 RH2 28 09/30/2008 10/27/2008 62530 12.49 5010 3 RH2 0 Distribute attachments. Average fc @ 28 days 4790 Please see reverse side for additional information. Job Number: T0807926.0 Register Number: 0870511 Date Molded: 09/29/2008 Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING C < 1 in. [25 mm] )\\\ a 1 / i Type 1 Type 2 Type 3 Reasonable well - formed Well - Formed cone on one Columnar vertical cracking cones on both ends, less end, vertical cracks running through both ends. no than 1 in. [25 mm] of through caps, no well- defined well - formed cones cracking through caps cone on other end Type 4 Type 5 Type 6 Diagonal fracture with Side fractures at top or Similar to Type 5 but no cracking through bottom (occur commonly end of cylinder is pointed ends; tap with hammer to with unbonded caps) distinguish from Type 1 Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 10/28/2008 Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. Main Office Jem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testing, Inc. Phone Oregon 97281 Salem, Oregon 97301 Bnd, 541) 330-9155 97708 Phone ne ( (503)03) 684-3460 Phone (503)589 -125125 589-1252 Phone (541)330 -915-915 5 . Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: PIKE AWNING COMPANY - KEVIN WIRTH Project: GERBER LEGENDARY BLADES - CANOPY CTI Job #: T0807307. Address: 14200 SW 72ND AVENUE TIGARD OR Jurisdiction: TIGARD CTI representative R. SCHULTZ was on site this date Jun. 12, 2008 to perform Special Inspection for: Permit BUP2008 -00162 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid 1. Checked in with superintendent or client representative. lines, elevations (floors) and drawing details]: Name: KEVIN DETAIL "C" 1/2" X 5" WEDGE WITH 4 "EMBEDMENT, Company: PIKE INSTALLER USED KB III TORQUED TO 25 FT /LBS P MARKED (I), (16) TOP AND (8) LOWER. 2. Inspection was "IBC" in Continuous ❑ Periodic 3. Work performed: © In the field ❑ At precast shop DETAIL "D" 3/8 W/ 2 3/4" EMBEDMENT, INSTALLER USED KB III TORQUED TO 25 FT /LBS, MARKED (I) 4. If shop inspection do they have fabrication and QC * SEE BACK PAGE FOR NON- COMPLIANCE ITEMS procedures? ❑ Yes ❑ No © N/A ... CONTINUED ... PROPRIETARY ANCHORS REPORT SUMMARY Yes No N/A 1. Reviewed previous inspection reports? X I. Work inspected was: ® Completed ❑ In progress 2. Reviewed evaluation report? X 3. Verified manufacturer's anchor use conforms 2. Completed work inspected was not in compliance with X A roved plans and specifications Shop drawings to acceptance criteria in report summary. © PP P P ❑ P s g Verified following items meet manufacturer's ❑ RFI ❑ Design change ❑ Submittal ❑ N/A published installation instructions. 4. Verified minimum embedment depth of the Document #(s) Dated: anchors. X 3. Noncompliance item(s) were noted this date, details on 5.Verified installation of the anchors. X following page(s). © Yes ❑ No ❑ N/A 6. Verified anchor diameter. x 7. Verified steel grade. x 4. Noncompliance item(s) were reinspected this date, details 8. Verified hole diameter. on following page(s). ❑ Yes ❑ No ® N/A X 9. Verified type of drill bit used. x ❑ Conform ❑ Remain in progress 10. Verified cleanliness of hole and anchor. x 11. Verified adhesive application. x Report(s) findings were discussed and left with KEVIN Evaluation report number ESR 1385 (01/01/07) of PIKE Name of product being installed HILTI KB III Batch Number N/A Expiration Date Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. © See additional report page(s). ❑ Distribute attachments. Page 1 of 2 Daily Report of Proprietary Ancho. For: 06/12/2008 1 -- CTI Job #: T0807307. Project: GERBER LEGENDARY BLADES - CANOPY Notes: ... CONTINUED ... THE FOLLOWING NON- COMPLIANCE ITEMS WERE ADDED: * NCL #1: NEED EOR TO APPROVE USE OF HILTI KB III * NCL #2: NEED EOR TO APPROVE USE OF 1/2" IN PLACE OF 3/8" WEDGE ANCHORS * NCL #3: SOME ANCHORS 2 1/2 TO 3 1/2" EMBEDMENT - NEED EOR TO APPROVE In some cases more than one box may be checked for a given item on the front page. 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. James Hietpas Reviewed Project Manager Review Date: 06/16/2008 RS /CK PIKE AWNING COMPANY - KEVIN WIRTH TO: CITY OF TIGARD BUILDING DIVISION NORDLING STRUCTURAL ENGINEERS - JOHNATHAN WALTERS Carlson Testing, Inc. Incompleted Items List (NCL) Jun 17, 2008 T0807307. Project Name: GERBER LEGENDARY BLADES - CANOPY Project Address: 14200 SW 72ND AVENUE TIGARD OR Permit No: BUP2008 -00162 P.O. No: Project Manager: JAMES F. HIETPAS Item # Insp. Date Item Description Compliance CTI Sign -Off Date Corrected 1 RS 06/12/2008 NEED EOR TO APPROVED USE OF HILTI KB III 2 RS 06/12/2008 NEED EOR TO APPROVE USE OF 1/2" IN PLACE OF 3/8" WEDGE ANCHOR 3 RS 06/12/2008 SOME ANCHORS 2 1/2 TO 3 1/2" EMBEDMENT - NEED EOR TO APPROVE PIKE AWNING COMPANY - KEVIN WIRTH TO:CITY OF TIGARD BUILDING DIVISION NORDLING STRUCTURAL ENGINEERS - JOHNATHAN WALTERS Page: 1 Carlson Testing, Inc. _onstruction In & Related Tests Geotechnical Consulting Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 09/29/2008 Job Number: T0807926.0 Permit #: BUP2008 -00162 Client: PFAFFLE OFFICE LLC & PCCC LLC — ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING C Address: 8050 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD Contractor: COMMERCIAL CONTRACTORS INC — ERIC MONEY Subcontractor: Cast By: D. SUMINSKI Concrete Supplier: KNIFE RIVER (METRO OPERATIONS) — QUALITY CONTROL Truck #: 192 Load #: 1 Ticket#: 3121033 Weather: CLEAR Test Time: 1:10 Air Temp. at Sampling Time: 84 Cylinders were cast for the following locations: LINES 1 AND B Total Concrete Placement Location: STEM WALLS LINES 1 FROM B.8 TO D, D FROM 1 TO D.3, 3 FROM C.6 TO D Strength Requirement: 3000 psi f c @ 28 Days Slump: 3.500" % Air: 4.10% Mix Number: 33N17200 Conc. Temp: 81 Cement Type: Max Agg: 3 / 4 Admix/Amt: AIR, WRDA64 10 Cubic Yards: Register Number: 0870511 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 09/30/2008 10/06/2008 48326 12.49 3870 3 RH2 28 09/30/2008 10/27/2008 28 09/30/2008 10/27/2008 28 09/30/2008 10/27/2008 E Distribute attachments. Average f'c @ 28 days Please see reverse side for additional information. Job Number: T0807926. C Register Number: 0870511 Date Molded: 09/29/2008 Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING C <1 in. [25 mm] ..)\\ 1, Type 1 Type 2 Type 3 Reasonable well - formed Well- Formed cone on one Columnar vertical cracking cones on both ends. less end. vertical cracks running through both ends, no than 1 in. [25 mm] of through caps, no well - defined well- formed cones cracking through caps cone on other end Type 4 Type 5 Type 6 Diagonal fracture with Side fractures at top or Similar to Type 5 but no cracking through bottom (occur commonly . nd of cylinder is pointed ends: tap with hammer to with unbonded caps) distinguish from Type 1 Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY@MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 10/07/2008 Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CT1 has distributed this report shall be entitled to use or rely upon the information contained in this document. Main Office llem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Carlson ° Tigard. Oregon 97281 Salem. Oregon 97301 Bend, Oregon 97708 ������� Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Structural Steel Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING C CTI Job #: T0807926.0 Address: 8050 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative B . TATMAN OBOA 834 was on site this date oct. 03, 2008 to perform Special Inspection for: Permit BUP2008 -00162 DFS #(s) PO Number: SCOPE OF INSPECTION Location of steel inspection [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent, client or shop rep. Name: DENNIS y Com an PORTABLE WELDING A) CTI ARRIVED TO VT (4) EA. HSS COLUMNS. Company: 2. Inspection was "IBC" Continuous © Periodic B) INSPECTED 2A -R (1) EA. 3. Work performed: 0 In the field © At fab shop 2B -R (1) EA. PORTABLE WELDING 2A -L (1) EA. 2B -L (1) EA. 4. If shop inspection do they have fabrication and QC 1B -L (1) EA. procedures? © Yes ❑ No ❑ N/A 1C -L (1) EA. 1B -R (1) EA. INSPECTION 1C -R (1) EA. Yes NoN /A 1. Reviewed previous inspection reports? X 2. Verified steel materials are in compliance by reviewing C) PER DETAILS 13/S4.1 & 9/S5.1. random samples of the mill test reports, steel ID X markings or other documentation. D) WELDS MEET ACCEPTABLE CRITERIA D1.1 TABLE 6. 1 . 3. Verified weld filler materials conform. X 4. Checked steel members to see they were fabricated and E) ADDITIONAL: INSPECTED (2) EA. COLUMNS MARKED erected in accordance with the workmanship and X tolerances required. 1A. GLU — LAM BEAM COLUMN, DETAIL 5/S5.1. 5. Checked welded studs and structural connections were REPORT SUMMARY installed as required. x 6. Verified high strength bolts and fasteners conform. x 1. Work inspected was: © Completed 0 In progress 7. Verified the quality of welds produced by welders, 2. Completed work inspected was in compliance with welding operators, and tackers conform. X P P P 8. Verified steel frame joint details for bracing, stiffening, Approved plans and specifications Shop drawings member locations, and application of joint details at each X RFI Design change Submittal N/A connection are in compliance by random sampling. Document #(s) S4.1/s5.1 Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: ON FILE following page(s). E Yes 0 No is N/A Certification #: 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). Yes 0 No © N/A 1. Verified the contractor's Welding Procedure progress i R Conform Remain n C Specifications are in conformance with X p g AWS requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were DENNIS employed during execution of the work. o f PORTABLE WELDING 3. Verified the weldability of reinforcing steel Based on the Code, approval is required from the Building Official before the other than ASTM A706. X SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. ❑ See additional report page(s). ❑ Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 10/03/2008 CTI Job #: T0807926. C Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING C Notes: In some cases more than one box may be checked for a given item on the front page. 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. Steven W Leach Reviewed Project Manager Review Date: 10/08/2008 BT /SB PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC -ERIC MONEY ERIC @CCIGC.COM Main Office .,alem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson o Tigard, Oregon 97281 Salem, Oregon 97301 Bend. Oregon 97708 Testing, Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503)684 -0954 Fax (503) 589 -1309 Fax (541)330 -9163 Daily Report of Structural Steel Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING C CTIJob #: T0807926.0 Address: 8050 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative R. CANALES OBOA 637 was on site this date Oct. 14, 2008 to perform Special Inspection for: Permit BUP2008 -00162 DFS #(s) PO Number: SCOPE OF INSPECTION Location of steel inspection [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent, client or shop rep. Name: DENNIS PERIODIC VT INSPECTION OF 1/4" FILLET WELDS OF Company: PORTABLE WELDING THREADED ROD TO STEEL TUBE PER STRUCTURAL DTL 7/S5.1 - COMPLETED. 2. Inspection was "IBC" Continuous © Periodic 3. Work performed: 0 In the field © At fab shop WORK DONE CONFORMS TO ENGINEER DETAILS AND THE PORTABLE WELDING VISUAL ACCEPTANCE CRITERIA OF AWS D1.1, TABLE 6.1 - (4) PIECES COMPLETED. 4. If shop inspection do they have fabrication and QC procedures? © Yes ❑ No El N/A INSPECTION Yes NoN /A I. Reviewed previous inspection reports? X - 2. Verified steel materials are in compliance by reviewing random samples of the mill test reports, steel ID X markings or other documentation. 3. Verified weld filler materials conform. X 4. Checked steel members to see they were fabricated and erected in accordance with the workmanship and X tolerances required. 5. Checked welded studs and structural connections were REPORT SUMMARY installed as required. X 6. Verified high strength bolts and fasteners conform. X 1. Work inspected was: ® Completed In progress 7: Verified the quality of welds produced by welders. 2 Completed work inspected was in compliance with welding operators, and tackers conform. X P P P 8. Verified steel frame joint details for bracing, stiffening, El Approved plans and specifications Shop drawings member locations, and application of joint details at each X e RFI Design change Submittal N/A connection are in compliance by random sampling. g g Document #(s) 7/S5.1 Dated: 03/21/08 WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: CURRENT CERTS ON FILE AT SHOP OFFICE following page(s). 0 Yes 0 No © N/A Certification #: 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). 0 Yes El No © N/A I. Verified the contractor's Welding Procedure progress ro i i R Conform Remain n C Specifications are in conformance with X P g AWS requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were X DENNIS employed during execution of the work. of PORTABLE WELDING 3. Verified the weldability of reinforcing steel Based on the Code, approval is required from the Building Official before the other than ASTM A706. X SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. 0 See additional report page(s). Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 10/14/2008 CTI Job #: T0807926.0 Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING C Notes: In some cases more than one box may be checked for a given item on the front page. 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. Reviewed By: Steven W Leach Review Date: 10/24/2008 RC /CK PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Main Office ,alem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 C arlson Testing, Inc Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 •7 � Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Reinforced Concrete Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING C CTI Job #: T0807926. C Address: 8050 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative A. LEWIS OBOA 750 /WABO SI 01737 was on site this date sep. 23, 2008 to perform Special Inspection for: Permit BUP2008 -00162 DFS #(s) PO Number: SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? © Yes ❑ No ❑ N/A Name: JOHN Company: COMMERCIAL CONTRACTORS 2. Monitored loads arriving at job site for correct: Mix #: 141246KN15000 2. Type of work: © Concrete © Reinforcing o % Slump 5 Air N/A 3. Work included: © Sampling © Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' © Continuous ❑ Periodic Number of sets 1 Samples per set 4 5. Work performed: ® In the field ❑ At precast shop 4. Inspected placing and consolidation of approx. 90 cubic yards of concrete. REINFORCING Yes No N/A Location of concrete placement [to include grid lines, elevations (floors) and drawing details]: I. Reviewed previous inspection reports? X 2. Forms clear of debris? SAME AS REINFORCING 3. Type, grade, size, quantity, spacing and X condition conform? 4. Verified forms will nominally result in hardened concrete of the required X cross - sectional dimensions. 5. Verified location of reinforcing steel, pipes, conduits and sleeves with respect to X minimum concrete cover. 6. Verified type and location of splices, length After samples are tested. results will follow on break report. of contact laps, and min. diameter of bends. X REPORT SUMMARY 7. Verified support & anchorage of reinforcing X 1. Work inspected was: Completed In progress steel in the forms. P ® p ❑ P g 8. Verified structural embedments in the forms 2. Completed work inspected was in compliance with with regard to fabrication, quality and type. 9. Verified structrual embedments in the forms © Approved plans and specifications ❑ Shop drawings with regard to weld inspection, quantity, and X ❑ RFI ❑ Design change ❑ Submittal ❑ N/A permits issued. 10. Verified cast in place anchors. X Document #(s) TYP. DET. ON S4.1 Dated: Description of structure inspected [to include grid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: following page(s). ❑ Yes © No ❑ N/A 4. Noncompliance item(s) were reinspected this date, details BUILDING C SLAB -ON- GRADE. CONTINUOUS FOOTING on following page(s). ❑ Yes © No ❑ N/A WITH CAST -IN -PLACE ANCHOR BOLTS FOR SHEAR WALLS/ ❑Conform ❑ Remain in progress SILL PLATES INSPECTED ALSO. WATERSTOP STRIP INSTALLED INTO WET CONCRETE AT PERIMETER WHERE Report(s) findings were discussed and left with REQUIRED. JOHN of COMMERCIAL CONTRACTORS Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. ❑ See additional report page(s). ❑ Distribute attachments. Page 1 of Daily Report of Reinforced ConcreL For: 09/23/2008 CTI Job #: T0807926. C Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING C Notes: In some cases more than one box may be checked for a given item on the front page. 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. Reviewed By: Steven W Leach Review Date: 09/26/2008 AFL /SB PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY@MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM