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Report
Carls®n Testing Inc _'onstruction Inspections & 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/C143 Date Molded: 07/15/2008 Job Number: T0807119. Permit #: BUP2008 -00033 Client: CONCRETE STRUCTURES LLC - TODD GRUNEWALD Project: TIGARD MOTORCYCLES - REMODEL Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: TIGARD Contractor: CONCRETE STRUCTURES LLC - TODD GRUNEWALD Subcontractor: Cast By: S . HOPPE Concrete Supplier: GLACIER NORTHWEST Truck #: 65 Load #: 1 Ticket#: 171436 Weather: SUN Test Time: 3 : 42 Air Temp. at Sampling Time: 80 Cylinders were cast for the following locations: FOOTING AT SHOWROOM Total Concrete Placement Location: FOOTING AT SHOWROOM Strength Requirement: 5000 psi f c@ 28 Days Slump: 2.000" % Air: N/T Mix Number: 765 Conc. Temp: 95 Cement Type: 1-II Max Agg: 3/4 Admix/Amt: Cubic Yards: 3 Register Number: 0085193 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 07/16/2008 07/22/2008 66700 12.56 5310 2 BAS 28 07/16/2008 08/12/2008 80800 12.50 6460 3 MEM 28 07/16/2008 08/12/2008 88400 12.50 7070 4 MEM 56 07/16/2008 09/09/2008 89741 12.50 7180 5 RH2 ❑ Distribute attachments. Average f c@ 28 days 6770 Please see reverse side for additional information. I. Job Number: T 0807119 . Register Number: 0085193 Date Molded: 07 / 15 /2008 Project: TIGARD MOTORCYCLES — REMODEL <1 in. [25 mm] )\\\ i i t, , / ► 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 7— / l 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 .tnd 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: CONCRETE STRUCTURES LLC - TODD GRUNEWALD FAX /503 -266 -1842 TO: CITY OF TIGARD BUILDING DIVISION AXIS DESIGN GROUP ARCHITECTURE & PLANNING - NATE CARTER FAX /503- 546 -9276 LANPHERE CONSTRUCTION & DEVELOPMENT - BOB LANPHERE Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 09/11/2008 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 alem Office Bend Office s� �+ e Phone ( P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testing, Inc. I ce h Oregon 97281 Salem, Oregon 97301 Bend, 541) 330-9155 97708 6r Phone (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 cli CONCRETE STRUCTURES LLC - TODD GRUNEWALD Project: TIGARD MOTORCYCLES - REMODEL CTI Job #: T0807119. Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: TIGARD CTI representative A. FIELDING OBOA 815 was on site this date Sep. 03, 2008 to perform Special Inspection for: Permit BUP2008 -00033 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. PER S2.0 & RFI 5, 1/2" ALL THREAD BOLTS FOR Name: TODD INTERIOR SHEAR WALL HOLDDOWNS WITH 4 -1/4" Company: CONCRETE STRUCTURES EMBEDMENT. 2. Inspection was "IBC" © Continuous El Periodic * (2) AT C/8 -9 * (8) AT 3 -4 /C -B (10) ANCHORS TOTAL. PROPRIETARY ANCHORS NOTE: RFI CALLS FOR SIMPSON "AT" EPDXY. PER YesNoN /A PHONE CONVERSATION, OK TO USE SIMPSON SET WITH CORRECT HOLE SIZE (5/8 "). 1. Reviewed previous inspection reports? X 2. Reviewed evaluation report? x Verified following items meet manufacturer's REPORT SUMMARY published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: © Completed In progress anchors. x 4.Verified installation of the anchors. 2. Completed work inspected was in compliance with © Approved plans and specifications 0 Shop drawings 5. Verified anchor diameter. X 6. Verified steel grade. X © RFI © Design change fl Submittal 0 N/A 7. Verified hole diameter. X 8. Verified type of drill bit used. X Document #(s) RFI # 5 Dated: 9. Verified hole cleaning method. x - 3. Noncompliance item(s) were noted this date, details on 10. Verified adhesive application. x following page(s). Yes No N/A 11. Verified edge distance. X 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. X on following page(s). ❑ Yes ❑ No ® N/A 13. Verified installation torque. x 0 Conform 0 Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ESR -1772 TODD 12/2004 of CONCRETE STRUCTURES Name of product being installed SIMPSON SET Batch Number 137280RR Expiration Date 05/2010 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 Proprietary Anchok For: 09/03/2008 CTIJob #: T0807119. Project: TIGARD MOTORCYCLES - REMODEL 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: 09/10/2008 AMF /SB CONCRETE STRUCTURES LLC - TODD GRUNEWALD FAX /503 266 - 1842 TO: CITY OF TIGARD BUILDING DIVISION AXIS DESIGN GROUP ARCHITECTURE & PLANNING - NATE CARTER FAX /503 546 - 9276 LANPHERE CONSTRUCTION & DEVELOPMENT - BOB LANPHERE