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Report (4) 11/25/08 TUE 17:04 FAX 503 670 9147 CARLSON TESTING 2002 • Carlson Testa 1 at „gpi s�� Um/ Bend 17,07e, 9JJU -iknr 4060 ?Ardour y, RE 639_JnA Rd,. Rd u/ w .� Tigard. nit 9l:.1r Su(uiy OR 97.51/I Bold r7R 9770! / Ph,m, 017.9 614.1460 Ph.., 15119 in0. Flamm rnildrio-vl ConstructiOn Materiala Testing & rnspection Frn•rnu 0954 F °r:SlZSin 110'1 Fx i4li m cf67 Special Inspection FINAL SUMMARY LETTER November 25, 2008 T0807119 • City of Tigard • 13125 SW Hall Blvd • Tigard, OR 97223-8199 Attn: Building Department Re: Tigard Motorcycles — Remodel 10655 SW Greenburg Road — Tigard, OR Permit No.: BUP2008 -00033 • Dear Sir or Madam: • This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Installation of Adhesive Anchors Structural Steel All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. 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, CARLS N TESTING, INC. teven W. Le Gh Project Manager • • SWL /eah • cc: Concrete Structures LLC — Todd Gruneweld Axis Design Group Architecture & Planning — Nate Carter Lanphere Construction & Development — Bob Lanphere Carls ®n Testing Inc. ' � '�'`• Construction Inspections & Related Tests 9 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: TI GARD Contractor: CONCRETE STRUCTURES LLC — TODD GRUNEWALD Subcontractor: Cast By: S . HOPPE Concrete Supplier: GLACIER NORTHWEST Truck #: 85 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: I — I I 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 ❑ Distribute attachments. Average fc @ 28 days 6770 Please see reverse side for additional information. Job Number: T0807119. Register Number: 0085193 Date Molded: 07/15/2008 Project: TIGARD MOTORCYCLES — REMODEL <1 in. [25 mm] . 7 )' Type I 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: • 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 Toiler On 08/13/2008 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. Inc. onstruction In & Related Tests Carlson Testing, nc• 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 #: 6 5 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 @ 28 Days Slump: 2.000" % Air: N/T Mix Number: 7 65 Conc. Temp: 95 Cement Type: I —I I Max Agg: 3 / 4 Admix/Amt: Cubic Yards: s 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 28 07/16/2008 08/12/2008 56 07/16/2008 09/09/2008 ❑ Distribute attachments. Average fc @ 28 days Please see reverse side for additional information. Job Number: T0807119. Register Number: 00'85193' Date Molded: 07/15/2008 Project: TIGARD MOTORCYCLES — REMODEL < 1 in. [25 mm] ,..% A .., i Type I 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 I in. [25 mm] of through caps, no well - defined well - formed cones cracking through caps cone on other end \ , r / 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 I 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 Toiler On 07/23/2008 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. Math Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Inc. Tigard; Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Carlson Testing, nc. 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 Proprietary Anchors Client: CONCRETE STRUCTURES LLC - TODD GRUNEWALD Project: TIGARD MOTORCYCLES - REMODEL CTI Job #: T0807119. Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: TIGARD CTI representative C MANGINO OBOA 807 was on site this date Jul. 11, 2008 to perform Special Inspection for: Permit BUP2008 -00033 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: TODD HOLDDOWNS AT 8- 9 /B.8 -C PER RFI 5 Company: CONCRETE STRUCTURES LLC 2. Inspection was "IBC" © Continuous 0 Periodic 3. Work performed: ® In the field ❑ At precast shop 4. If shop inspection do they have fabrication and QC procedures? El Yes ❑ No © N/A PROPRIETARY ANCHORS REPORT SUMMARY Yes No N/A 1. Reviewed previous inspection reports? X 1. Work inspected was: ® Completed D In progress 2. Reviewed evaluation report? 3. Verified manufacturer's anchor use conforms x 2. Completed work inspected was in compliance with to acceptance criteria in report summary. ❑ Approved plans and specifications ❑ Shop drawings Verified following items meet manufacturer's © RFI ❑ Design change ❑ Submittal 0 N/A published installation instructions. 4. Verified minimum embedment depth of the Document #(s) RFI 5 Dated: anchors. x 3. Noncompliance item(s) were noted this date, details on 5.Verified installation of the anchors. x following page(s). ❑ Yes El No ® N/A 6. Verified anchor diameter. 7. Verified steel grade. x 4. Noncompliance item(s) were reinspected this date, details 8. Verified hole diameter. on following page(s). fl Yes 0 No ® N/A x 9. Verified type of drill bit used. x 0 Conform 0 Remain in progress 10. Verified cleanliness of hole and anchor. x 11. Verified adhesive application. x Report(s) findings were discussed and left with TODD Evaluation report number ESR1772 -2006 of CONCRETE STRUCTURES LLC Name of product being installed S IMPSON SET 22 Batch Number 311434PP Expiration Date 12/2009 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. L See additional report page(s). 0 Distribute attachments. Page 1 of 1 5 • Daily Report of Proprietary Anchors For: o/11/2008 CTI Job #: 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: 07/21/2008 CM /JAP 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 Inc. Construction Inspections & Related Tests Carlson Testing, nc. " . ' • • 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: 05/13/2008 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: M. LARSON Concrete Supplier: GLACIER NORTHWEST Truck #: 3 5 4 Load #: 1 Ticket#: 146770 Weather: CLOUDY /COOL Test Time: 7:25 AM Air Temp. at Sampling Time: 51 Cylinders were cast for the following locations: Total Concrete Placement Location: PIT FOOTING & SLAB, TRENCH INFILL WEST SIDE OF BUILDING Strength Requirement: 3500 psi t'c @ 28 Days Slump: 4.500" % Air: 1.80% Mix Number: 1233 Conc. Temp: 6 Cement Type: I Max Agg: 3/4 Admix/Amt: DCEM55 Cubic Yards: 8 Register Number: 0083442 Lab Location: T I GARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Recd Date Load PSI Fracture By 7 05/14/2008 05/20/2008 47699 12.56 3800 4 MEM - 28 05/14/2008 06/10/2008 59692 12.56 4750 3 DH 28 05/14/2008 06/10/2008 60968 12.56 4850 3 DH ❑ Distribute attachments. Average cc @ 28 days 4800 Please see reverse side for additional information. Job Number: T0807119. Register Number: 0083442 Date Molded: 05/13/2008 Project: TIGARD MOTORCYCLES — REMODEL , < 1 in. [25 mm] / 1 .l 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 I 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 Toiler On 06/13/2008 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. CarlS ®n Testing ���� Construction 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/C231/C143 Date Molded: 05/14/2008 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: LARUSSO CONCRETE Cast By: M. LARSON Concrete Supplier: GLACIER NORTHWEST Truck #: 7 342 Load #: 1 Ticket #: 14 6992 Weather: CLOUDY, WARM Test Time: 7 : 20 AM Air Temp. at Sampling Time: 59 Cylinders were cast for the following locations: NORTHWEST CORNER OF POUR Total Concrete Placement Location: SLAB ON GRADE MAINTENANCE BAYS Strength Requirement: 3500 p f @ 28 Days Slump: 6.750" % Air: 1. 60% Mix Number: 1233 Conc. Temp: 7 8 Cement Type: Max Agg: 1 Admix/Amt: DCEM55 + HOT WATER 10/185 Cubic Yards: Register Number: 0083474 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 05/14/2008 05/21/2008 44200 12.56 3520 3 MEM 28 05/14/2008 06/11/2008 60408 12.56 4810 3 DH 28 05/14/2008 06/11/2008 57558 12.56 4580 4 DH 0 Distribute attachments. Average f c@ 2 8 days 4 7 00 Please see reverse side for additional information. Job Number: T0807119. Register Number: 0083474 Date Molded: 05 /14 /2008 Project: TIGARD MOTORCYCLES — REMODEL , • <I in. [25 mm] V / \ i ('' r A / \ Type 1 Type 2 Type 3 Reasonable well - formed Well- Formed cone on one Columnar vertical crackin 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 \ r f \\ 7 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: 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 Toiler On 06/13/2008 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. ��rIS ®� ��S�lrl Inc. • . • . . Construction 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: 05/14/2008 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: LARUSSO CONCRETE Cast By: M. LARSON Concrete Supplier: GLACIER NORTHWEST Truck #: 7400 Load #: 11 Ticket #: 147087 Weather: CLOUDY, WARM Test Time: 9 : 3 5 AM Air Temp. at Sampling Time: 63 Cylinders were cast for the following locations: MIDDLE OF POUR NORTH SIDE Total Concrete Placement Location: SLAB ON GRADE MAINTENANCE BAYS Strength Requirement: 3500 psi f c@ 28 Days Slump: 5.750" % Air: 1.50% Mix Number: 1233 Conc. Temp: 74 Cement Type: Max Agg: 1 Admix/Amt: DCEM55 + HOT WATER 11/185 Cubic Yards: Register Number: 0083475 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By II 7 05/15/2008 05/21/2008 49500 12.56 3940 3 MEM 28 05/15/2008 06/11/2008 59388 12.56 4730 4 DH 28 05/15/2008 06/11/2008 58489 12.56 4660 4 DH Distribute attachments. Average f c@ 28 days 4700 Please see reverse side for additional information. Job Number: T0807119. Register Number: 0083475 Date Molded: 05/14/2008 Project: TIGARD MOTORCYCLES — REMODEL . < l in. [25 nun] / t ? ..y ? } A A / 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 • r J 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: 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 Toiler On 06/13/2008 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. Inc. , • .. Construction In & Related Tests Testing, 1 e5ting • 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: 05/14/2008 Job Number: T0807119. Permit #: BUP2008 -00033 Client: CONCRETE STRUCTURES LLC — TODD GRUNEWALD Project: TIGARD MOTORCYCLES — REMODEL Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: T IGARD Contractor: CONCRETE STRUCTURES LLC — TODD GRUNEWALD Subcontractor: LARUSSO CONCRETE Cast By: M. LARSON Concrete Supplier: GLACIER NORTHWEST Truck #: 7342 Load #: 1 Ticket#: 146992 Weather: CLOUDY, WARM Test Time: 7 :20 AM Air Temp. at Sampling Time: 59 Cylinders were cast for the following locations: NORTHWEST CORNER OF POUR Total Concrete Placement Location: SLAB ON GRADE MAINTENANCE BAYS Strength Requirement: 3 500 psi f c @ 28 Days Slump: 6.750" % Air: 1 . 60% Mix Number: 1233 Conc. Temp: 78 Cement Type: Max Agg: 1 Admix/Amt: DCEM55 + HOT WATER 10/185 Cubic Yards: Register Number: 0083474 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 05/14/2008 05/21/2008 44200 12.56 3520 3 MEM 28 05/14/2008 06/11/2008 28 05/14/2008 06/11/2008 Distribute attachments. Average f c @ 28 days Please see reverse side for additional information. Job Number: T0807119. Register Number: 0083474 Date Molded: 05/14/2008 Project: TIGARD MOTORCYCLES – REMODEL — 4 <lin.[25mm] f 1 / 3 J \ y 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: 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 Sy: Ty Toiler On 05/22/2008 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. Construction Inspections & Related Tests Inc. Carlson Testing, .. ' • • 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: 05/14/2008 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: LARUSSO CONCRETE Cast By: M. LARSON Concrete Supplier: GLACIER NORTHWEST Truck #: 7400 Load #: 11 Ticket #: 147087 Weather: CLOUDY, WARM Test Time: 9:35 AM Air Temp. at Sampling Time: 63 Cylinders were cast for the following locations: MIDDLE OF POUR NORTH SIDE Total Concrete Placement Location: SLAB ON GRADE MAINTENANCE BAYS Strength Requirement: 3500 psi f c@ 28 Days Slump: 5.750" % Air: 15.00% Mix Number: 1233 Conc. Temp: 7 4 Cement Type: Max Agg: 1 Admix/Amt: DCEM55 + HOT WATER Cubic Yards: 11/185 Register Number: 0083475 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By II 7 05/15/2008 05/21/2008 49500 12.5 3940 3 MEM 28 05/15/2008 06/11/2008 28 05/15/2008 06/11/2008 E Distribute attachments. Average f c @ 28 days Please see reverse side for additional information. Job Number: T0807119. Register Number: 0083475 Date Molded: 05/14/2008 • Project: TIGARD MOTORCYCLES — REMODEL <1 in. [25 mm] � r r � � 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 f i 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: 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 Toiler On 05/22/2008 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. %o Z • Main Office ,alem Office Bend Office • P;Q. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 ss�� �y c , Tigard, Oregon •97281 Salem, Oregon 97301 Bend, Oregon 97708 C arlson i ' esting 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: CONCRETE STRUCTURES LLC - TODD GRUNEWALD Project: TIGARD MOTORCYCLES - REMODEL CTI Job #: T0807119. Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: TIGARD CTI representative M. LARSON OBOA 240 was on site this date May. 13, 2008 to perform Special Inspection for: Permit BUP2008 -00033 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: TODD y Com an CONCRETE STRUCTURES 2. Monitored loads arriving at job site for correct: Company: Mix#: 1233 2. Type of work: Reinforcing ® ❑ Concrete Re g Slump 4.5 % Air 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 ❑ At precast shop 4. Inspected placing and consolidation of approx. 8 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 2. Forms clear of debris? X PIT FOOTING AND SLAB TRENCH INFILL, WEST SIDE 3. Type, grade, size, quantity, spacing and X OF BUILDING. condition conform? 4. Verified forms will nominally result in THE FOLLOWING NON- COMPLIANCE ITEM WAS ADDED: hardened concrete of the required X * NCL # 1: NO MIX DESIGN ON SITE - MIX 1233 USED cross-sectional dimensions. FOR INFILLS, PIT FOOTING AND SLAB. 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 7. Verified support & anchorage of reinforcing REPORT SUMMARY steel in the forms. X 1. Work inspected was: ® Completed ❑ In progress 8. Verified structural embedments in the forms with regard to fabrication, quality and type. X 2. Completed work inspected was not in compliance with ® Approved plans and specifications ❑ Shop drawings 9. Verified structrual embedments in the forms with regard to weld inspection, quantity, and X ❑ RFI ❑ Design change ❑ Submittal ❑ N/A permits issued. 10. Verified cast in place anchors. Document #(s) 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 REBAR AND EMBEDS WERE CHECKED ON 05/12/08 4. Noncompliance item(s) were reinspected this date, details on following page(s). ❑ Yes ❑ No ® N/A ❑ Conform ❑ Remain in progress Report(s) findings were discussed and left with TODD of CONCRETE STRUCTURES 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 Reinforced Concre, • For: 05/13/2008 CTI Job #: 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: 05/14/2008 ML /CK 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 Z .- w Carlson. Testing, Inc. Incompleted Items List (NCL) May 15, 2008 T0807119. Project Name: TIGARD MOTORCYCLES - REMODEL Project Address: 10655 SW GREENBURG ROAD TIGARD OR Permit No: BUP2008 -00033 P.O. No: Project Manager: STEVEN W. LEACH Item # Insp. Date Item Description Compliance CT1 Sign -Off Date Corrected 1 ML 05/14/2008 NO MIX DESIGN ON SITE - MIX 1233 USED FOR MIX APPROVED. M. LARSON 05/14/2008 INFILLS, PIT FOOTING AND SLAB. CONCRETE STRUCTURES LLC - TODD GRUNEWALD TO:CITY OF TIGARD BUILDING DIVISION AXIS DESIGN GROUP ARCHITECTURE & PLANNING - NATE CARTER LANPHERE CONSTRUCTION & DEVELOPMENT - BOB LANPHERE Page: 1�' • • Main Office ,alem Office Bend Office •: Box 23814 4060 Hudson Ave., NE P.O. Box 7918 s� �y pp Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Carls ®n Testing, Inc. Phone (503) 6$4 -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: CONCRETE STRUCTURES LLC - TODD GRUNEWALD Project: TIGARD MOTORCYCLES - REMODEL CTI Job #: T0807119. Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: TIGARD CTI representative M. LARSON OBOA 240 was on site this date May. 14, 2008 to perform Special Inspection for: Permit BUP2008 -00033 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: TODD Com an CONCRETE STRUCTURES 2. Monitored loads arriving at job site for correct: P y Mix #: 1233 2. Type of work: IN Concrete Reinforcing ❑ Slump 6.75 % Ai 1. 6/1.5 3. Work included: ® Sampling Inspection 4 3. Type of samples made? X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' ❑ Continuous IN Periodic Number of sets 2 Samples per set 3 5. Work performed: ❑ In the field ❑ At precast shop 4. Inspected placing and consolidation of approx. 185 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 2. Forms clear of debris? SLAB -ON -GRADE MAINTENANCE BAY. 3. Type, grade, size, quantity, spacing and x condition conform? NCL UPDATE: 4. Verified forms will nominally result in NCL #1, RPT OF 05/13/08 HAS BEEN CLEARED. MIX hardened concrete of the required X DESIGN 1233 IS NOW ON SITE AND APPROVED. 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 7. Verified support & anchorage of reinforcing REPORT SUMMARY steel in the forms. X 1. Work inspected was: n Completed n In progress 8. Verified structural embedments in the forms x 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) 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 REBAR CHECK 05/13/08 4. Noncompliance item(s) were reinspected this date, details on following page(s). IN Yes ❑ No N/A FRAMING HOLDDOWNS AND BOLTS WILL BE EPDXIED E r IN PLACE • Conform El Remain in progress Report(s) findings were discussed and left with TODD of CONCRETE STRUCTURES 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 Reinforced Concrt,, For: 05/14/2008 CTI Job #: 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: 05/14/2008 ML /CK 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 2 ��C Carlson•Testing, Inc. Incompleted Items List (NCL) 4 ' May 15, 2008 T0807119. Project Name: TIGARD MOTORCYCLES - REMODEL Project Address: 10655 SW GREENBURG ROAD TIGARD OR Permit No: BUP2008 -00033 P.O. No: Project Manager: STEVEN W. LEACH Item # Insp. Date Item Description Compliance CT1 Sign -Off Date Corrected 1 ML 05/14/2008 NO MIX DESIGN ON SITE - MIX 1233 USED FOR MIX APPROVED. M. LARSON 05/14/2008 INFILLS, PIT FOOTING AND SLAB. CONCRETE STRUCTURES LLC - TODD GRUNEWALD TO:CITY OF TIGARD BUILDING DIVISION AXIS DESIGN GROUP ARCHITECTURE & PLANNING - NATE CARTER LANPHERE CONSTRUCTION & DEVELOPMENT - BOB LANPHERE Page: I O Main Office Salem Office Bend Office ' • P:Q. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson p Testing, Tigard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 �6.��1�� Inc. Phone (503) 684 -3460 Phone (503Y589-1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Structural Steel Client: CONCRETE STRUCTURES LLC — TODD GRUNEWALD Project: TIGARD MOTORCYCLES — REMODEL CTI Job #: T0807119. Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: TIGARD CTI representative B . TATMAN OBOA 834 was on site this date May. 12, 2008 to perform Special Inspection for: Permit BUP2008 -00033 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: TODD Company: CONCRETE STRUCTURES 1) CTI ARRIVED TO INSPECT WELDS ON STUDS ON STEEL ANGLE. 2. Inspection was "IBC" El Continuous © Periodic 3. Work performed: IN In the field ❑ At fab shop 2) WELDS PER ACCEPTABLE CRITERIA D1.1, FIG. 5.4. HAND WELDED NELSON STUDS. 4. If shop inspection do they have fabrication and QC 3) MATERIAL BUILT AT ISLEY WELDING & SHOP procedures? Yes 1=1 No © N/A INSPECTED BY CTI PREVIOUSLY. INSPECTION Yes NoN /A 1. 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 installed as required. X REPORT SUMMARY 6. Verified high strength bolts and fasteners conform. x 1. Work inspected was: IN Completed E 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; IN Approved plans and specifications Shop drawings member locations, and application of joint details at each X connection are in compliance by random sampling. ® RFI Design change ❑ Submittal ❑ N/A Document #(s) 7/S5.0 Dated: 04 -17 -08 WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: ON FILE AT ISLEY WELDING page(s). following Yes No ® N/A Certification #: � 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). ❑ Yes ❑ No © N/A 1. Verified the contractor's Welding Procedure progress ro Conform Remain in 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 TODD employed during execution of the work. of CONCRETE STRUCTURES 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. El See additional report page(s). El Distribute attachments. Page 1 of Daily Report of Structural Steel For: 05/12/2008 CTI Job #: 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: 05/16/2008 BT /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 Main Office .,alem Office Bend Office , ' F.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon'97281 Salem, Oregon 97301 Bend, Oregon 97708 Carls ®n 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: CONCRETE STRUCTURES LLC - TODD GRUNEWALD Project: TIGARD MOTORCYCLES - REMODEL CTI Job #: T0807119. Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: TIGARD CTI representative M. LARSON OBOA 240 was on site this date May. 12, 2008 to perform Special Inspection for: Permit BUP2008 -00033 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: TODD Company: CONCRETE STRUCTURES 2. Monitored loads arriving at job site for correct: Mix #: 2. Type of work: ❑ Concrete ® Reinforcing Slump % Air 3. Work included: ❑ Sampling ® Inspection 3. Type of samples made? N/A 4. Inspection was 'IBC' ❑ Continuous ® Periodic Number of sets Samples per set 5. Work performed: ❑ In the field ❑ At precast shop 4. Inspected placing and consolidation of approx. 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 2. Forms clear of debris? X .3. Type, grade, size, quantity, spacing and x (NO CONCRETE POURED AT THIS TIME.) 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 7. Verified support & anchorage of reinforcing REPORT SUMMARY steel in the forms. X 1. Work inspected was: ❑ Completed In progress 8. Verified structural embedments in the forms x 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. Document #(s) 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 SLAB -ON -GRADE NEW SLAB 4. Noncompliance item(s) were reinspected this date, details PIT AREA & THICKENED FOOTING FOR FRAMED WALL on following page(s). 0 Yes ❑ No IN N/A IEMS 8 & 9 ABOVE: EMBEDS NOT IN YET FOR P.T. Conform Remain in progress WALLS. Report(s) findings were discussed and left with of CONCRETE STRUCTURES 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 1 • Daily Report of Reinforced Concrei_ For: 05/12/2008 CTI Job #: 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: 05/16/2008 ML /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 F ' Main Office .alem Office Bend Office P.O •, Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Ca �+ TM Testing, Oregon 97281 Salem. Oregon 97301 Bend. Oregon 97708 rlson Tes ing, Info 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 Proprietary Anchors Client: CONCRETE STRUCTURES LLC - TODD GRUNEWALD Project: TIGARD MOTORCYCLES - REMODEL CTI Job #: T0807119. Address: 10655 SW GREENBURG ROAD TIGARD OR Jurisdiction: TIGARD CTI representative M. LARSON OBOA 240 was on site this date May. 12, 2008 to perform Special Inspection for: Permit BUP2008 -00033 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: TODD Company: CONCRETE STRUCTURES (3) #4 REBAR EMBEDDED 4" AT NE CORNER OF NEW SLAB. 2. Inspection was "IBC" ® Continuous 0 Periodic 3. Work performed: ® In the field ❑ At precast shop 4. If shop inspection do they have fabrication and QC procedures? ❑ Yes ❑ No © N/A PROPRIETARY ANCHORS REPORT SUMMARY Yes No N/A 1. Reviewed previous inspection reports? X 1. Work inspected was: ® Completed ❑ In progress 2. Reviewed evaluation report? X 3. Verified manufacturer's anchor use conforms 2. Completed work inspected was in compliance with X A roved plans and specifications Shop drawings acceptance criteria in report summary. ® PP P P ❑ P s 5 Verified following items meet manufacturer's ❑ RFl ❑ Design change © Submittal ❑ N/A published installation instructions. 4. Verified minimum embedment depth of the Document #(s) AXIS DRAWING Dated: 05-06-08 anchors. X 3. Noncompliance item(s) were noted this date, details on 5. Verified installation of the anchors. X following page(s). ❑ Yes • . 0: _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). El Yes El No El 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. Report(s) findings were discussed and left with TODD Evaluation report number ER -1772 of CONCRETE STRUCTURES Name of product being installed SIMPSON SET Batch Number 255432DD Expiration Date 09 -30 -09 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 1 • Daily Report of Proprietary Anchor For: 05/12/2008 CTI Job #: 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: 05/16/2008 ML /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 Carls ®n Testing, Inc. . • � Construction 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/C231/C143 Date Molded: 05/13/2008 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: M . LARSON Concrete Supplier: GLACIER NORTHWEST Truck #: 3 5 4 Load #: 1 Ticket#: 146770 Weather: CLOUDY /COOL Test Time: 7 : 25 AM Air Temp. at Sampling Time: 51 Cylinders were cast for the following locations: • Total Concrete Placement Location: PIT FOOTING & SLAB, TRENCH INFILL WEST SIDE OF BUILDING Strength Requirement: 3 5 00 psi fc 28 Days Slump: 4.500" % Air: 1.80% Mix Number: 1233 Conc. Temp: 6 Cement Type: I Max Agg: 3/4 Admix/Amt: DCEM55 g Cubic Yards: Register Number: 0083442 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By 7 05/14/2008 05/20/2008 47699 12.56 3800 4 MEM 28 05/14/2008 06/10/2008 28 05/14/2008 06/10/2008 ' ❑ Distribute attachments. Average f @ 28 days Please see reverse side for additional information. Job Number: T0807119 . Register Number: 0083442 Date Molded: 05/13/2008 Project: TIGARD MOTORCYCLES – REMODEL • , . • —4 ' 1 < 1 in. [25 mm] y I y / \ .7 -?\./C ...1, ,. i \ / \ 3/ \ • 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 l in. [25 mm] of through caps, no well- defined well - formed cones cracking through caps cone on other end rJ 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: 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 Toiler On 05/21/2008 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.