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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