Report (18) ain Office Salem Office Bend Office
P.O. Box 23814 0 Hudson Ave., NE P.O. Box 7918
O'k Tigard, Oregon 97281 alem, OR 97301 Bend, OR 97708
Carlson Testing, n c® Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155
FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163
Special Inspection
FINAL SUMMARY LETTER'
February 6, 2006
T0509771
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Phelps Residence Remodel
15305 SW Bull Mountain Rd- Tigard, OR
Permit# MST2005 -00335 - - - - - To Whom It May Concern:
This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have performed
special inspection of the following item(s) per our inspection reports only:
Structural Concrete
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,
CARLSON TESTING, INC.
C }�
-
Neil S. Shannon
Project Manager
NSS /ks
cc: Rainer Pacific Development LLC- Ed Valik
Sherman Engineering Inc
FEB -06 -2006 MON 01:23 PM CARLSON TESTING INC. FAX NO. 5036840954 P. 02/02
�y Main -_
.... .' P 0: Box 2381
'''''''4.-050 Salem Office Bend Office
Hudson Ave., NE P.O. Box 7918
C 1 Testing, �� �{ C ligard, Oregon 97281 Sa!am, OR 97301 Bend, OR 97708
1 , ` e Phone (503) 884-3460. Phone (503) 589 -1252 Phone (541) 330-9155
'
�� ,. • FAX (503) 684 -0954 FAX (503) 589 -1309 , FAX (541) 330 -9
Special inspection
FINAL SUMMARY LETTER ,
February 6, 2006
T0509771
City 'of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department /e .
Re: Phelps Residence Remodel
15305 SW Buff Meuntdin Rd- Tigard, OR ,
Permit# MST2005 -00335
To Whom It May Concern:
This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have performed
special inspection of the following item(s) per our inspection reports only:
Structural Concrete
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,
CARLSON TESTING, INC.
( • i ,;.' .o i'
C V
Neil S. Shannon
Project Manager
NSS /ks .
cc: Rainer Pacific Development LLC- Ed Valik
. Sherman Engineering Inc
FEB -06 72006 MON 01:23 PM CARLSON TESTING INC, FAX N0. 503F840954 P. 01/02
Carlson Testing, Inc.
Fax Transmittal
Tigard Office (Main) 0 .Salem Branch Office ❑ Bend Branch Office
8430 SW Hunziker 4060 Hudson Avenue, NE
P.O. Box 7918
Tigard, OR 97223
Salem, OR 97301 Bend, OR 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
Date 2 U Number of Pages: (Including ng Couer Sheet)
Please deliver this fax transmittal information to the following person.. If you have received this information in
error, please destroy it.
To: . / 1 A t IV ./ A1'./
Company: PA /, /. /.,
Fax #: I ; Telephone #:
From: J
Comments:
IA 11 _ 01 -- 00
Information contained herein is not to be reproduced, except in full, without prior authorization from this office.
If you did not receive all pages please contact our office at your earliest convenience.
Thank You
Main Office Salem Office Bend Office
P.O. Box 23814 S0 Hudson Ave., NE P.O. Box 7918
¢ , Tigard, Oregon 97281 Salem,. OR 97301 Bend, OR 97708
Carlson Testing, Info Phone (503) 684 -3460 Phone.(503) 589 -1252 Phone (541) 330 -9155
b FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163
January 3, 2006
T0509771.CTI
Permit No. MSTL2Q05, 00335_. 7
FIELD INSPECTION REPORT
DATES COVERED: December 19, 2005
PROJECT: Phelps Residence- Remodel_,
ADDRESS: Tt 5305'SW Bull Mountain - Road= Tigard, OR
INSPECTOR: T. Kornowski — COP#681/WABO #KOR683452 /OBOA #236 ICBO #0867040- 88, -84
12- 19 -05: CTI representative was site and`the following was noted: -
Provided special inspection of rebar, bolts and holddown for all new footings and walls. Rebar,
bolts and holddowns placed per city approved plans stamped November 8, 2005.
Soils for footings approved by others prior to today.
Observed placement and vibration of 150 cubic yards of Wilsonville concrete mix #
305001 WAH, for the above mentioned footings and walls. Cast 1 set of 4 cylinders.
•
"' CHECK ONE BOX ONLY **' YES NO
1. This is a preliminary inspection only. — OR — ❑
2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the
work that are non - conforming items are dearly stated above and will be added to the NCL.
Remaining portions of the work, which are not preliminary in nature, are to be considered as ® ❑
conforming.
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.
Id ja/VANIAMA/ im
Neil S. Shannon
Project Manager
TK/ja
cc: Rainier Pacific Development LLC — Ed Valik
City of Tigard Building Dept
Sherman Engineering Inc
�truction In & Related Tests
Carlson Testing nc. Geotechnical Consulting
9
Ma in 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 6 X 12 CONCRETE TEST SPECIMENS
Test. Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143
Date Molded: 12/19/2005 Job Number: T0509771.
Permit #: MST2005 -00335
Client: RAINIER PACIFIC DEVELOPMENT LLC — ED VALIK
Project: PHELPS RESIDENCE — REMODEL
Address: 15305 SW BULL MOUNTAIN ROAD TIGARD OR Jurisdiction: TIGARD
Contractor: RAINIER PACIFIC DEVELOPMENT LLC — ED VALIK
Subcontractor: J & S CONCRETE Cast By: T . KORNOWSKI
Concrete Supplier: WILSONVILLE CONCRETE PRODUCTS
Truck #: 63 Load #: 5 Ticket#: W108199
Weather:
RAIN /COOL Test Time: 12 : 12 PM Air Temp. at Sampling Time: 35
Cylinders were cast for the >following 'locations: -
ALL FOOTINGS & STEM WALLS
Total Concrete Placement Location:
Strength Requirement: 3000 psi Pc 28 Days Slump: 4.500" % Air:, 5. 8 0%
Mix Number: 3 0 5 0 01 WAH Conc. Temp: 7 0 Cement Type: i - i I Max Agg:
Admix/Amt: Cubic Yards:
Register Number: 005704'2- Lab Location: TIGARD
Set Test @ Date Test Total Area Unit Type Of Tested
No. Days Rec'd Date Load PSI Fracture By
7 12/20/2005 12/26/2005 70840 28.26 2510 5 LC
28 12/20/2005 01/16/2006 rillimil
28 12/20/2 -. 005 01/16/2006 -
28 12/2 01/16/2,006
,
Please see reverse side for additional information.
Job Number: T0509771. •egisterNumber: 0057042 •DateMoided: 12/19/2005
Project: PHELPS RESIDENCE — REMODEL
<1 in. [25 mm]
, )\ g
. ,3/c
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 ( *) unit PSI test results did not meet listed acceptance criteria.
Remarks:
The area of the cylinders are measured in acordance with ASTM C39.
CC CITY OF TIGARD BUILDING DEPT •
SHERMAN ENGINEERING INC
.:. 'u S,V$
2
:...,,,,.„../.------;,•••„ - .."
Project Manager: N. SHANNON -- ���
Reviewed By:
T y Toller
Our report pertains to the material tested only. The information contained in this r o rt 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.
DEC -05 -2005 08:33 AM P.02
LaVIELLE GEOT C NICAL P.C. 2313 NE Alameda
Portland, Oregon 97212
(503) 287 -0511, lox 282 -7671
December 2, 2005 Our ref: 03- 1512.028
Rainier Pacific Development , LLC,
4297 NW Front Street
Portland, Oregon 97210 7 0 03 3 s
RE; BEARING CONFIRMATION
PROPOSED ADDITION
15305 SW 153 AVENUE
TIGARD, OREGON
Sir:
In accordance with your request we visited (12/2/2005) the site at 15305
Southwest 153 Ave., in Tigard, Oregon. Our observations at and conclusions are
presented below.
The foundation excavations have exposed a medium stiff to stiff brown Clayey
Silt (Weathered Basalt Bedrock) as the proposed foundation bearing material,
This Clayey Silt is consistent with the recommendations presented in a
geotechnical engineering report dated August 26, 2003. The foundation
excavations appeared ready to receive concrete at the time of our site visit.
We are available to discuss the project.
Sincerely,
LaVI LLL (11 OJLCHNICAL PC..
Z ei A 1
:Craig C. LaVielle, PE /GE
Main Office Salem Office Bend Office
P.O. Box 23814 ,00 Hudson Ave., NE P.O. Box 7918
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
Carlson 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
January 18, 2006
T0601023.CTI x335
Permit No. MST2005i3a
FIELD INSPECTION REPORT
DATES COVERED: January 10, 2006
PROJECT: Residence @ 15305 SW 153 Avenue — Remodel
ADDRESS: 15305 SW 153 Avenue — Tigard, OR
INSPECTOR: J. Hall — COP #735, ACI #920156, OBOA#428, ICBO #1031868 -49
01- 10 -06: CTI representative was on site and the following was noted:
Witnessed epoxied of (11) 7/8" A307 all- threaded anchor rods for seismic holddowns a
minimum of 10" of concrete embedment depth were obtained. Simpson SET22 Epoxy Tie,
batch # 231264GG, with expiration date of July 2007 where the epoxy adhesive was used. All
of the holes were cleaned and the anchor rods were installed as per manufacturing installation
instructions and refers to the ICC ES # ER 5279 report.
All of the installed anchor rods were in general compliance with the Simpson holddown
schedule. The concrete sub - contractor, J & S Concrete Inc were advised of the inspection
results.
*** CHECK ONE BOX ONLY*** YES NO
1. This is a preliminary inspection only. — OR — ❑
2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the
work that are non - conforming items are clearly stated above and will be added to the NCL.
Remaining portions of the work, which are not preliminary in nature, are to be considered as ® ❑
conforming.
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.
/j
Neil S. Shannon
Project Manager
JH /ja
cc: J & S Concrete Inc (Dundee) — Jeff Conklin
City of Tigard Building Dept
Sherman Engineering Inc
Rainier Pacific Development LLC — Ed Valik