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Report f ' Bend Office (541) 330 -9155 Carlson Geotechnical Office (503) 601 -8250 • � s t i Inc. s Eugene Office (541) 345 -0289 7 Salem Office (503) 589 -1252 Tigard Office (503) 684 -3460 January 14, 2011 T1103682 Permit No. BU P2011-00004 FIELD INSPECTION REPORT DATES COVERED: January 12 2011 PROJECT: Washington Square (Space T19) — Pan Deck Replacement ADDRESS: 9355 SW Washington Square Rd — Tigard, OR INSPECTOR: B. Baty— COP #728, WABO #BAT585126, OBOA#411, ICBO #5012760 -85 01/12/11 — NCL Review CTI representative received and reviewed Skyline Steel wps and welder Frederick Conrad's #W06786 SMAW certifications. This information clears item #1 on the Incompleted Items List (NCL). See attached list. 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. Under all circumstances, 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. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TES ING, INC. t Neil S. Shannon Project Manager BB /rb cc: BNK Construction Inc — Todd Rocha rocha@bnkconstruction.com City of Tigard Building Division Parkin Engineering Inc Fax: 360 694 -3376 NW Precision Design — Darin Bouska darin @nw- precision.com Carlson Testing, Inc. Incompleted Items List (NCL) Jan 14, 2011 T1103682. Project Name: WASHINGTON SQUARE (SPACE T19) — PAN DECK REPLACEMENT • Project Address: 9355 SW WASHINGTON SQUARE RD TIGARD OR Permit No: BUP2011 -00004 P.O. No: Project Manager: NEIL S. SHANNON Item # Insp. Date Item Description Compliance CTI Sign -Off Date Corrected 1 RB 01/11/2011 THE SKYLINE WELDER (NAME UNKNOWN) SMAW CERTS WERE RECEIVED AND REVIEWED R. BATY 01/12/2011 NOT AVAILABLE. FREDERICK CONRAD'S SMAW CERTS. • CC: BNK CONSTRUCTION INC — TODD ROCHA CITY OF TIGARD BUILDING DIVISION PARKIN ENGINEERING INC NW PRECISION DESIGN — DARIN BOUSKA Page: 1 Bend Office (541) 330 -9155 Geotechnical Office (503) 601 -8250 Carlson ° Eugene Office (541) 345 -0289 Testing, Into Salem Office (503) 589 -1252 Tigard Office (503) 684-3460 Daily Report of Structural Steel Client: BNK CONSTRUCTION INC - TODD ROCHA Project: WASHINGTON SQUARE (SPACE T19) - PAN DECK REPLACEMENT CTI Job #: T1103682. Address: 9355 SW WASHINGTON SQUARE RD TIGARD OR Jurisdiction: TIGARD CTI representative R . BATY OBOA 411 was on site this date Jan. 11, 2011 to perform Special Inspection for: Permit BUP2011 -00004 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: RUSTY MADE FINAL WELD INSPECTION OF (3) NEW BEAMS. Company: BNK CONSTRUCTION INC SHEAR CONNECTION PLATE PER PARKIN ENGINEERING SK -2. 2. Inspection was "IBC" 0 Continuous © Periodic 3. Work performed: ® In the field ❑ At fab shop THE FOLLOWING NCL WAS OBSERVED: #1: THE SKYLINE WELDER (NAME UNKNOWN) SMAW CERTS WERE NOT AVAILABLE. 4. If shop inspection do they have fabrication and QC procedures? ❑ Yes No ® N/A INSPECTION Yes NoN /A 1. Reviewed previous inspection reports? 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, welding operators, and tackers conform. X 2. Completed work inspected was not in compliance with 8. Verified steel frame joint details for bracing, stiffening, ® Approved plans and specifications 0 Shop drawings member locations, and application of joint details at each X E RFI 0 Design change Submittal n N/A connection are in compliance by random sampling. Document #(s) Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: UNKNOWN (ISLEY WELDING) following page(s). © Yes No 0 N/A Certification #: 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). 0 Yes n No ® N/A 1. Verified the contractor's Welding Procedure C Remain in progress Specifications are in conformance with X AW S requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were X RUSTY employed during execution of the work. of BNK CONSTRUCTION INC 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: 01/11/2011 CFI Job #: T1103682 . Project: WASHINGTON SQUARE (SPACE T19) - PAN DECK REPLACEMENT 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. Infoiuiation contained herein is not to be reproduced, except in ft without prior authorization from this office. Under all circumstances, 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. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Reviewed By: Neil Shannon Review Date: 01/14/2011 RB /RMB BNK CONSTRUCTION INC - TODD ROCHA ROCHA @BNKCONSTRUCTION.COM TO: CITY OF TIGARD BUILDING DIVISION PARKIN ENGINEERING INC FAX /360- 694 -3376 NW PRECISION DESIGN - DARIN BOUSKA DARIN @NW- PRECISION .COM Carlson Testing, Inc. Incompleted Items List (NCL) Jan 17, 2011 'I' 1 1.03682. Project Name: WASHINGTON SQUARE (SPACE T19) - PAN DECK REPLACEMENT Project Address: 9355 SW WASHINGTON SQUARE RD TIGARD OR Permit No: BUP2011 -00004 P.O. No: Project Manager: NEIL S. SHANNON Item # Ins p. Dale Item Description Compliance CTI Sign -Off Date 1 Corrected 1 RB 01/11/2011 THE SKYLINE WELDER (NAME UNKNOWN) SMAW CERTS WERE RECEIVED AND REVIEWED R. BATY 01/12/2011 NOT AVAILABLE. FREDERICK CONRAD'S SWAM CERTS. BNK CONSTRUCTION INC - TODD ROCHA TO :CITY OF TIGARD BUILDING DIVISION PARKIN ENGINEERING INC NW PRECISION DESIGN - DARIN BOUSKA Page: 1