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MAYES TESTING ENGINEERS INC Portland 7911 NE 33rd Drive T 'ra.n`x h� �.t a ° a � Suite 190 ' �h, h r ' } x Portland OR 97211 oh 503.281.7515 CONCRETE LABORATORY TEST REPORT fax 503.281.7579 Project Name: Costco- Tigard #111 Racking Installation Project No: P08227 Site Address: 7850 SW Dartmouth Issued on: 03/10/09 Tigard, OR. Sample Set ID: 10987 . Client: Key Mechanical Co of WA Permit # (s): MEC 2008 -00474 Engineer: Original: p Revised: ❑ Contractor: Key Mechanical Co of WA FIELD DATA ASTM C31- and -C172 Air Temperature: 30 °F Actual I Mix Proportions: Weather: Inside Product: Concrete Ingredient Weight (per cu.yd) Supplier: Glacier Northwest NE Admix 1.5 oz Ticket Number : 208193 Cement —Type I & II 607.9 lbs MixDesign ID : 1750 Coarse Aggregate 1,847.6 Ibs Fine Aggregate 1,182.8 Ibs Sample Temp. Initial Storage Temp. Entrained Air PolyHeed 997 73.3 oz (ASTM C1064) (ASTM C31) (ASTM C231) Water 216.4 lbs 58 °F NR NR Water /Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: 0.356 6.5" 02/11/09 Required Strength (fc): Placement Location and Notes: 4000 psi © 28 days Column footings at grid 9/J & H. COMPRESSION TEST RESULTS (ASTM C39, C1231, and C617 when applicable) Type of Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Fracture 02/10/09 0001 1485 1 02/13/09 3 6 x 12 100090 5.99 28.18 3550 Type 3 * • 02/10/09 0001 1486 02/16/09 6 6 x 12 124840 6.00 1 28.27 4420 Type 5 * 02/10/09 0001 1487 - 02/17/09 7 6 x 12 126020 5.99 28.18 4470 Type 5 * 02/10/09 1 0001 1488 03/10/09 28 1 4 x 8 78900 3.99 1 12.50 6310 Type 3 * 02/10/09 11 0001 11 1489 1 03/10/09 1 28 4 x 8 11 76970 i 4.00 11 12.57 I I 6130 1 Type 3 , 02/10/09 i1 0001 11 1490 11 03/10/09 11 28 1 4 x 8 11 74420 11 4.00 ' 12.57 ji 5920 A .: 1 Type 3 H Remarks: � j Technician(s): Strobehn, Jr, D. Reviewed by: //� ;,�, - 0 : - Tested by: Zenger Jr, C. ark A. Galu h., P.E. Branch Manager NOTES Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of Type of Fracture. All testing performed in accordance with applicable ASTM's except C -31, 10.1.2 - "recording field temperature" MTE 1050 -1C. Rev 3.07/19/07 MAYES BESTING ENGINEERS, INC. Lynnwood Office 20225 Cedar Valley Road w. e f .t J e'14 1.r1 Suite 110 Lynnwood, WA 98036 ph 425.742.9360 fax 425.745.1737 Tacoma Office 10029 S. Tacoma Way MTE No: P08227 Suite E -2 Project: Costco- Tigard #111 Racking Installation Tacoma, WA 98499 ph 253.584.3720 Address: 7850 SW Dartmouth, Tigard, OR fax 253.584.3707 Permit No.: MEC 2008 -00474 City of Tigard Portland Office 7911 NE 33rd Drive Owner: Costco #111 Suite 190 Portland, OR 97211 Engineer: ph 503.281.7515 Architect: fax 503.281.7579 Contractor: Key Mechanical Page : - 1 — — — Date: October 27, 2008 Weather: Inside Inspection: Adhesive Anchors Samples: none MTE inspector arrived on site at 8:30 p.m. as requested to observe the installation of adhesive anchors. MTE observed the installation of (51) #4 rebar dowels total, in three plumbing /mechanical trenches in accordance with detail 3/A5.01.5 using Hilti HY 150 epoxy, batch #124226L2, and expiration 5/2009, ICC ES ESR 5193. The holes were observed cleaned using a nylon brush and compressed air with a minimum 5" depth. The dowels were installed in accordance with manufacturers recommendations and the project documents. To the best of our knowledge, items inspected this date are in accordance with approved plans and specifications. INSPECTOR: Gerry Mahar IOBOA # 253 4 0. 2__CD REVIEWED BY: , Galu - ha, P.E. c: Bill Zorne • — ••y Mechani - Building nff • al — Clackamas County Building Dept MAYE' r, T STI ENGINEERS, INC. Lynnwood Office y 20225 Cedar Valley Road 'L :fr MAWI . .. r te: * s : Suite 110 Lynnwood, WA 98036 June 9, 2009 ph 425.742.9360 fax 425.745.1737 City of Tigard Tacoma Office 13125 SW Hall Blvd 10029 S. Tacoma Way Suite E -2 Tigard, OR 97223 Tacoma, WA 98499 ph 253.584.3720 fax 253.584.3707 RE: FINAL SUMMARY REPORT Portland Office Costco- Tigard #111 Racking Installation 7911 NE 33rd Drive 7850 SW Dartmouth Suite 190 Tigard, OR Portland, OR 97211 ph 503.281.7515 Permit No.: MEC 2008 - 00474 fax 503.281.7579 BUP 2008 -00314 MTE Project No. P08227 Gentlemen: This is to certify that in accordance with Section 1701 of the State Building Code, we have performed special inspection on the below listed items per our daily reports, copies of which have been sent to you. Reinforced Concrete Adhesive Anchors Expansion Anchors Soil Density • To the best of our knowledge all work inspected was performed in accordance with, or corrected to conform to, the approved drawings or engineer approved changes and in conformance with the applicable workmanship provisions of the State Building Code and Standards. Respectfully, MAYES TESTING ENGINEERS, INC. ark Gal a, P.E. Branch M.nager cc: Bill Zornes — Key Mechanical MAYES TESTING ENGINEERS, INC. Lynnwood Office 20225 Cedar Valley Road _: .. Suite 110 Lynnwood, WA 98036 June 9, 2009 ph 425.742.9360 fax 425.745.1737 City of Tigard Tacoma Office 10029 S. Tacoma Way 13125 SW Hall Blvd Suite E -2 Tigard, OR 97223 Tacoma, WA 98499 ph 253.584.3720 fax 253.584.3707 RE: FINAL SUMMARY REPORT Portland Office Costco- Tigard #111 Racking Installation 7911 NE 33rd Drive 7850 SW Dartmouth Suite 190 Tigard, OR Portland, OR 97211 ph 503.281.7515 Permit No.: MEC 2008 -00474 fax 503281.75 9 BUP 2008 -00314 MTE Project No. P08227 Gentlemen: This is to certify that in accordance with Section 1701 of the State Building Code, we have performed special inspection on the below listed items per our daily reports, copies of which have been sent to you. Reinforced Concrete Adhesive Anchors Expansion Anchors Soil Density To the best of our knowledge all work inspected was performed in accordance with, or corrected to conform to, the approved drawings or engineer approved changes and in conformance with the applicable workmanship provisions of the State Building Code and Standards. Respectfully, MAYES TESTING ENGINEERS, INC. wry. ark Gal ' a, P.E. Branch M -nager cc: Bill Zornes — Key Mechanical