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WA#DBENTBC865LD*OR#193429*CA#1007398*AZ#290112*ID RCE-36012 ZT;110‘785071-5t t • RECEIVED ENTLEY APR 01 2019 CONSTRUCTION LLC CITY OFTIGARD BUILDING DIVISION Taco Bell Scrape & Rebuild 13305 SW Pacific HWY Tigard, OR PSI Special Inspection Reports • Redmond Geotech Reports Building Permit #BUP2018-00211 • 10709 N.E. Coxley Drive,Vancouver, WA 98662 Phone: 360.695.9234 Fax: 360.695.9634 intertek • March 13, 2019 Jennifer Decker D.A.Bentley Construction LLC 1700 Washington Street Unit G Vancouver,Washington 98660 Subject: Final Summary Report 13305 SW Pacific Highway,Tigard, Oregon PSI Report No.07022277-13 Dear Ms.Decker: Professional Service Industries, Inc. (PSI) is writing this letter to document that, in accordance with Section 1704.1.2 of the State Building Code representatives from our firm performed special inspection during construction for the following project: Permit No: BUP2018-00211 Project Address: 13305 SW Pacific Highway,Tigard,Oregon Project Description: Taco Bell#15347 Renovation • Our project files indicate that PSI special inspection activities listed below were conducted as scheduled from January 25, 2019 through March 5, 2019. This letter represents a summary of work observed and reported by PSI representatives and the resolution of any documented noncompliance. • Cast-in-Place Anchors • Reinforced Concrete • Structural Wood Construction and Nailing To the best of our knowledge, the special inspections referenced herein were performed by our firm in general accordance with the requirements, approved plans and specifications, provided change orders that impacted plans and/or specifications,and applicable workmanship provisions of the State Building Code and Standards. If you have any questions or we can be of further assistance,please do not hesitate to call. Sincerely, Professional Service Industries,Inc. /,'/7 Mike Kath Joe Morrissey Project Manager Department Manager PSI Construction Services Department PSI Construction Services Department • Intertek-Professional Service Industries,Inc •6032 N.Cutter Circle,#480•Portland,OR 97217•Phone 503/289-1778•fax 503/289-1918•CCB#176269 intertek Professional Service Industries,Inc. Report No: FC:07022277-3 6032 N.Cutter Circle,Suite 480 Portland,OR 97217 Issue No: 1 CCB No.176269 0 Phone.(503)289-1778 These test results apply only to the specific locations and materials noted and may Fax:(503)289-1918 not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported Concrete FieId Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: JENNIFER DECKER LLC LINDSAY JOHNSTON 1700 WASHINGTON STREET, UNIT , V 1 �} 2 'e VANCOUVER, WA 98660 �'�-'�/ Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR Approved Signatory:Mike Kath(Project Engineer) Date of Issue: 1/29/2019 General Field Data Technician: Jose Alejandre Test Date: 1/28/2019 Weather: Overcast Test Results Set No. #Spec. Ticket Batch Time Unload Time Cubic Yards Slump(in) Plas.Slump Air Content Air Temp. Concrete Placed (in) (%) (°F) Temp.(°F) 07022277-3-C1 5 15668 06:56 07:50 35.0 5.00 5.00 1.60 46 72 Location & Remarks General Location: Footings and SOG: 1.5-9/B.2-E Set No. Location Remarks 07022277-3-C1 B.213.5 Mix#M40600001N Mix Data Set No. Supplier Mix Design Strength(psi) 0 07022277-3-C1 Wilsonville Concrete Products M40601004N 4000 • Notes Remarks 1.Applicable ASTM standards unless otherwise indicated:Sampling:C31(except sec.10.1.2); Slump:C143,Air Content:C231,Temperature:C1064;Sampling:C172;Unit Weight C138; Sampled from Revolving Drum Truck Mixer(ASTM C 172,5.2.3) Form No:18971,Report No:FC:07022277-3 ©2000-2018 QESTLab by SpectraQEST.com Page 1 of 1 tntertek Professional Service Industries,Inc. Report No: CTR:07022277-3-C1 6032 N.Cutter Circle,Suite 480 Portland,OR 97217 Issue No: 1 CCB No.176269 0 Phone.(503)289-1778 These test results apply only to the specific locations and materials noted and may Fax:(503)289-1918 not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported Concrete Test Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: JENNIFER DECKER LLC LINDSAY JOHNSTON 1700 WASHINGTON STREET, UNIT G VANCOUVER, WA 98660 I Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR Approved Signatory:Mike Kath(Project Engineer) Date of Issue: 2/6/2019 Mix Data Mix Submitted By: Wilsonville Concrete Products Material Source Amount Moisture Supplier: Wilsonville Concrete Products Plant: Mix Identification: M40601004N Specified Design Strength(psi): 4000 at age 28 days Design Unit Weight(pcf): Water Cement Ratio(lb/lb): Sample Details Date Sampled: 01/28/19 Date Received: 01/29/19 Specification: Mix Design General Location: Footings and SOG:1.5-9/B.2-E Measured Specified Sample Location: B.2/3.5 Slump(in): ASTM C 143 5 Curing Method: One day Field/Laboratory Cure Slump w/plasticizer(in): 5 Field Sample No.: Cl Field Cure Temp(°F)High: 63 Air Temp(°F): 46 Low: 45 Concrete Temp(°F): ASTM C 1064 72 Contractor: D.A.Bentley Construction Air Content(%) ASTM C 231 1.60 Ticket no.: 15668 Truck No.: 63 Sampled By: Jose Alejandre Unit Weight(pcf): ASTM C 138 N/A 0 Submitted By: Volume of Density Measure(ft'): N/A Weather: Overcast Batch Size(yd'): 9.5 Time Batched: 06:56 Est.Wind(mph): Est.Rh(%): Yd'Placed: 35.0 Time Sampled: 07:55 Water Added(gal)Before: 15 Time Placed: 07:50 After: 0 Time in Truck(mins): 54 Compressive Strength of Concrete Cylinders ASTM C 39 Specimen ID Date Tested Age Diameter Length Area Type of Maximum Load Fracture Compressive (Days) (in) (in) (in') Cap (lbf) Type(Remarks Strength(psi) 07022277-3-C1\1 02/04/19 7 4.00 8.00 12.57 U 58120 2 4630 07022277-3-C1\2 02/25/19 28 07022277-3-C1\3 02/25/19 28 07022277-3-C1\4 02/25/19 28 07022277-3-C1\5 Hold Average 28 Day Compressive Strength(psi) Required Strength(psi) 4000 • Notes Remarks 1.Sampling to ASTM C 172 Fracture Type:2=C39:Vert crack/cone opposite end;C1314:Cone&Shear 2.Specimen(s)prepared to ASTM C 31 Mix#M40600001 N 3.Capping B=Bonded ASTM C 617,U=Unbonded ASTM C 1231,C=Combined,G=Ground Sampled from Revolving Drum Truck Mixer(ASTM C 172,5.2.3) Form No:18947,Report No:CTR:07022277-3-C1 ©2000-2018 QESTLab by SpectraQEST.com Page 1 of 1 intertek Professional Service Industries,Inc. Report No: CTR:07022277-3-C1 6032 N.Cutter Circle,Suite 480 Portland,OR 97217 Issue No: 2 CCB No.176269 This report replaces all previous issues of this report signed on 02/06/2019 Phone:(503)289-1778 These test results apply only to the specific locations and materials noted and may • Fax:(503)289-1918 not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported Concrete Test Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC:JENNIFER DECKER LLC LINDSAY JOHNSTON 1700 WASHINGTON STREET, UNIT G 2- ---e VANCOUVER, WA 98660 Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR Approved Signatory:Mike Kath(Project Engineer) Date of Issue: 2/27/2019 Mix Data Mix Submitted By: Wilsonville Concrete Products Material Source Amount Moisture Supplier: Wilsonville Concrete Products Plant: Mix Identification: M40601004N Specified Design Strength(psi): 4000 at age 28 days Design Unit Weight(pcf): Water Cement Ratio(lb/Ib): Sample Details Date Sampled: 01/28/19 Date Received: 01/29/19 Specification: Mix Design General Location: Footings and SOG:1.5-9/B.2-E Measured Specified Sample Location: B.2/3.5 Slump(in): ASTM C 143 5 Curing Method: One day Field/Laboratory Cure Slump w/plasticizer(in): 5 Field Sample No.: Cl Field Cure Temp(SF)High: 63 Air Temp(°F): 46 Low: 45 Concrete Temp(°F): ASTM C 1064 72 Contractor: D.A.Bentley Construction Air Content(%) ASTM C 231 1.60 Ticket no.: 15668 Truck No.: 63 Unit Weight(pcf): ASTM C 138 N/A Sampled By: Jose Alejandre Volume of DensityMeasure ft' N/A • Submitted By: ( ) Weather: Overcast Batch Size(yd'): 9.5 Time Batched: 06:56 Est.Wind(mph): Est.Rh(%): Yd'Placed: 35.0 Time Sampled: 07:55 Water Added(gal)Before: 15 Time Placed: 07:50 After: 0 Time in Truck(mins): 54 Compressive Strength of Concrete Cylinders ASTM C 39 Specimen ID Date Tested Age Diameter Length Area Type of Maximum Load Fracture Compressive (Days) (in) (in) (in') Cap (Ibf) Type/Remarks Strength(psi) 07022277-3-C1\1 02/04/19 7 4.00 8.00 12.57 U 58120 2 4630 07022277-3-C1\2 02/25/19 28 4.01 8.00 12.63 U 76630 5 6070 07022277-3-C1\3 02/25/19 28 4.00 8.00 12.57 U 81410 3 6480 07022277-3-C1\4 02/25/19 28 4.00 8.00 12.57 U 81790 5 6510 07022277-3-C1\5 Hold Average 28 Day Compressive Strength(psi) 6350 Required Strength(psi) 4000 ipNotes Remarks 1.Sampling to ASTM C 172 Fracture Type:2=C39:Vert crack/cone opposite end;C1314:Cone&Shear,3=C39:Vert 2.Specimen(s)prepared to ASTM C 31 cracking/no cones;C1314:Cone&Split,5=C39:Side fracture-opposite ends;C1314: 3.Capping B=Bonded ASTM C 617,U=Unbonded ASTM C 1231,C=Combined,G=Ground Semi-Conical Break Sampled from Revolving Drum Truck Mixer(ASTM C 172,5.2.3) Mix#M40600001 N Form No:18947,Report No:CTR:07022277-3-C1 ©2000-2018 QESTLab by SpectraQEST.com Page 1 of 1 tntertek Professional Service Industries,Inc. Report No: FC:07022277-1 0 6032 N.Cutter Circle,Suite 480 Portland,OR 97217 Issue No: 1 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials noted and may • Fax:(503)289-1918 not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported ConcreteField Report noncompliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: JENNIFER DECKER LLC LINDSAY JOHNSTON 1700 WASHINGTON STREET, UNIT _ G 40 ` f _I VANCOUVER, WA 98660 / r� Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR Approved Signatory:Mike Kath(Project Engineer) Date of Issue: 3/t/2019 General Field Data Technician: Jose Alejandre Test Date: 2/26/2019 Weather: Cold,Overcast,Windy Test Results Set No. #Spec. Ticket Batch Time Unload Time Cubic Yards Slump(in) Plas.Slump Air Content Air Temp. Concrete Placed (in) (%) (°F) Temp.(°F) 7 2 0 0 2277-10 C1 5 16591 11:34 12:15 3.0 5.00 5.00 4.50 33 62 Location & Remarks General Location: Footings:Menu,canopy and Portland @ Drive thru curb Set No. Location Remarks 07022277-10-C1 Menu Footing, Mix Data I. Set No. Supplier Mix Design Strength(psi) 07022277-10-C1 Wilsonville Concrete Products 407001 WA 4000 0 Notes Remarks 1.Applicable ASTM standards unless otherwise indicated:Sampling:C31(except sec.10.1.2); Slump:C143;Air Content:C231;Temperature:C1064;Sampling:C172;Unit Weight:C138; Sampled from Revolving Drum Truck Mixer(ASTM C 172,5.2.3) Form No:18971,Report No:FC:07022277-10 ©2000-2018 QESTLab by SpectraQEST.com Page 1 of 1 Intertek Professional Service Industries,Inc. Report No: CTR:07022277-10-C1 6032 N.Cutter Circle,Suite 480 Portland,OR 97217 Issue No: 2 CCB No.176269 This report replaces all previous issues of this report signed on 03/01/2019 Phone:(503)289-1778 These test results apply only to the specific locations and materials noted and may • Fax:(503)289-1918 not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported ConcreteTest Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC:JENNIFER DECKER LLC LINDSAY JOHNSTON 1700 WASHINGTON STREET, UNIT ,__________ VANCOUVER, WA 98660 Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR Approved Signatory:Michael Hodge(Staff Engineer) Date of Issue: 3/5/2019 Mix Data Mix Submitted By: Wilsonville Concrete Products Material Source Amount Moisture Supplier: • Wilsonville Concrete Products Plant: Mix Identification: 407001 WA Specified Design Strength(psi): 4000 at age 28 days Design Unit Weight(pcf): Water Cement Ratio(Ib/Ib): Sample Details Date Sampled: 02/26/19 Date Received: 02/28/19 Specification: Mix Design General Location: Footings:Menu,canopy and Portland @ Drive thru curb Measured Specified Sample Location: Menu Footing, Slump(in): ASTM C 143 5 Curing Method: Two day Field/Laboratory Cure Slump w/plasticizer(in): 5 Field Sample No.: Cl Field Cure Temp(SF)High: 54 Air Temp(°F): 33 Low: 37 Concrete Temp(SF): ASTM C 1064 62 Contractor: D.A.Bentley Construction Air Content(%) ASTM C 231 4.50 Ticket no.: 16591 Truck No.: 68 Unit Weight(pcf): ASTM C 138 N/A Sampled By: Jose Alejandre Volume of Density Measure(ft'): N/A 0 Submitted By: Weather: Cold,Overcast,Wndy Batch Size(yd'): 6.5 Time Batched: 11:34 Est.Wind(mph): Est.Rh(%): Yd'Placed: 3.0 Time Sampled: 12:20 Water Added(gal)Before: 0 Time Placed: 12:15 After: 0 Time in Truck(mins): 41 Compressive Strength of Concrete Cylinders ASTM C 39 Specimen ID Date Tested Age Diameter Length Area Type of Maximum Load Fracture Compressive (Days) (in) (in) (in') Cap (lbf) Type/Remarks Strength(psi) 07022277-10-C1\1 03/05/19 7 3.99 8.00 12.50 U 53720 3 4300 07022277-10-C1\2 03/26/19 28 07022277-10-C1\3 03/26/19 28 07022277-10-C1\4 03/26/19 28 07022277-10-C115 Hold Average 28 Day Compressive Strength(psi) Required Strength(psi) 4000 • • Notes Remarks 1.Sampling to ASTM C 172 Fracture Type:3=039:Veil cracking/no cones;C1314:Cone&Split 2.Specimen(s)prepared to ASTM C 31 3.Capping B=Bonded ASTM C 617,U=Unbonded ASTM C 1231,C=Combined,G=Ground Sampled from Revolving Drum Truck Mixer(ASTM C 172,5.2.3) Form No:18947,Report No:CTR:07022277-10-C1 0 2000-2018 QESTLab by SpectraQEST.com Page 1 of 1 intertek Professional Service Industries,Inc. Report No: CTR:07022277-1 O-C1 6032 N.Cutter Circle,Suite 480 Portland,OR 97217 Issue No: 3 CCB No.176269 This report replaces all previous issues of this report signed on 03/05/2019 1111 Phone:(503)289-1778 These test results apply only to the specific locations and materials noted and may Fax:(503)289-1918 not represent any other locations or elevations.This report may not be reproduced, except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported ConcreteTest Report noncompliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: JENNIFER DECKER LLC LINDSAY JOHNSTON 1700 WASHINGTON STREET, UNIT GjIVANCOUVER, WA 98660 o Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR Approved Signatory:Mike Kath(Project Engineer) Date of Issue: 3/26/2019 Mix Data Mix Submitted By: Wilsonville Concrete Products Material Source Amount Moisture Supplier: Wilsonville Concrete Products Plant: • Mix Identification: 407001 WA Specified Design Strength(psi): 4000 at age 28 days Design Unit Weight(pcf): Water Cement Ratio(Ib/Ib): • Sample Details Date Sampled: 02/26/19 Date Received: 02/28/19 Specification: Mix Design General Location: Footings:Menu,canopy and Portland @ Drive thru curb Measured Specified Sample Location: Menu Footing, Slump(in): ASTM C 143 5 Curing Method: Two day Field/Laboratory Cure Slump w/plasticizer(in): 5 Field Sample No.: Cl Field Cure Temp(°F)High: 54 Air Temp(°F): 33 Low: 37 • Concrete Temp(°F): ASTM C 1064 62 Contractor: D.A.Bentley Construction Air Content(%) ASTM C 231 4.50 Ticket no.: 16591 Truck No.: 68 Unit Weight(pcf): ASTM C 138 N/A Sampled By: Jose Alejandre 0 Submitted By: Volume of Density Measure(ft'): N/A Weather: Cold,Overcast,Windy Batch Size(yd'): 6.5 Time Batched: 11:34 Est.Wind(mph): Est.Rh(%): Yd'Placed: 3.0 Time Sampled: 12:20 Water Added(gal)Before: 0 Time Placed: 12:15 After: 0 Time in Truck(mins): 41 Compressive Strength of Concrete Cylinders ASTM C 39 Specimen ID Date Tested Age Diameter Length Area Type of Maximum Load Fracture Compressive (Days) (in) (in) (in') Cap (lbf) Type lRemarks Strength(psi) 07022277-10-C1\1 03/05/19 7 3.99 8.00 12.50 U 53720 3 4300 07022277-10-C1\2 03/26/19 28 4.00 8.00 12.57 U 72270 5 5750 07022277-10-C1\3 03/26/19 28 4.00 8.00 12.57 U 73290 5 5830 07022277-10-C1\4 03/26/19 28 4.01 8.00 12.63 U 74320 3 5880 07022277-10-C1\5 Hold Average 28 Day Compressive Strength(psi) 5820 Required Strength(psi) 4000 11 • Notes Remarks 1.Sampling to ASTM C 172 Fracture Type:3=C39:Vert cracking/no cones;C1314:Cone&Split,5=C39:Side 2.Specimen(s)prepared to ASTM C 31 fracture-opposite ends;C1314:Semi-Conical Break 3.Capping B=Bonded ASTM C 617,U=Unbonded ASTM C 1231,C=Combined,G=Ground Sampled from Revolving Drum Truck Mixer(ASTM C 172,5.2.3) Form No:18947,Report No:CTR:07022277-10-C1 0 2000-2018 QESTLab by SpectraQEST.com Page 1 of 1 Uitertek - Professional Service Industries,Inc. Report No: SIDF:07022277-2 ri . 1 6032 N.Cutter Circle,Suite 480 Issue No:1 Portland,OR 97217 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials • Fax:(503)289-1918 noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a non- compliance appears on this report,to the extent that the reported Special Inspection Daily Field Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: LLC JENNIFER DECKER, �. �r f 1700 WASHINGTON STREET LINDSAY JOHNSTON � r40,41-1,7f UNIT G VANCOUVER,WA 98660 s Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR 97223 Approved Signatory: Mike Kath(Project Engineer) Date of Issue: 1/28/2019 General Details Date: 1/25/2019 General Contractor: D.A. Bentley Construction Permits: BUP2018-00211 Weather: 50s partly sunny Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing L Reinforcing Steel ❑ Soils ❑ Welding ❑ Other ❑J New Inspection ❑ Re-Inspection Standby Time: Field Observations&Comments (❑ Special Inspection LJ Continuous Periodic Location(s)/Item(s): 0 Reinforcing steel for slab and footing monopour Reference Details/Drawings: S1.0, S4.0 Remarks: PSI arrived on-site, as scheduled, to provide special inspection of reinforcing steel. Building slab-on-grade reinforcing of WWF 6x6 W1.4 x 1.4 was in-place. Perimeter and interior footings had (2)#5s continuous top and bottom with (1) extra#5 top bar and#4 hook curb bars at 24"o.c.; #4 bent bars atc48" o.c. at cooler; and (6)#5s each way top and bottom at shearwall. Holddowns were in-place per detail 6 on S4.0. To the best of PSI's knowledge,the work inspected to the approved construction documents are: LI Conforming H Non-Conforming 0 Inspector: Kristin Jensen Inspector Cert No.: W.A.B.O. #SI-01113 Jobsite Representative: ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1 intertek Professional Service Industries,Inc. Report No: SIDF:07022277-3 6032 N.Cutter Circle,Suite 480 Issue No:1 Portland,OR 97217 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials • Fax:(503)289-1918 noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a non- compliance appears on this report,to the extent that the reported Special Inspection Daily Field Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: LLC JENNIFER DECKER, 1700 WASHINGTON STREET LINDSAY JOHNSTON UNIT Gra- VANCOUVER,WA 98660 Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR 97223 Approved Signatory: Mike Kath(Project Engineer) Date of Issue: 1/29/2019 General Details Date: 1/28/2019 General Contractor: D.A. Bentley Construction Permits: BUP2018-00211 Weather: Overcast 45'f Type of Inspection Performed Ei Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing L] Reinforcing Steel ❑ Soils ❑ Welding ❑ Other p] New Inspection ❑ Re-Inspection Standby Time: Field Observations&Comments U Special Inspection ❑ Continuous ❑ Periodic Location(s)/Item(s): 11) Footings+ SOG: 1.5-9/B.2-E Reference Details/Drawings: S1.0 Remarks: Observed concrete placement for items listed above, prior to pacement verified surface was free of debri. Concrete was delivered by Wilsonville Concrete, using mix design #M40600001N One set of 4x8 cylinders were cast on site. To the best of PSI's knowledge,the work inspected to the approved construction documents are: ❑ Conforming ❑ Non-Conforming Inspector: Jose Alejandre Inspector Cert No.: ICC 8358169 Jobsite Representative: ©2000-2019 QESTLab by SpectraQEST.corn Page 1 of 1 tntertek Professional Service Industries,Inc. Report No: SIDF:07022277-5 6032 N.Cutter Circle,Suite 480 Issue No:1 Portland,OR 97217 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials • Fax:(503)289-1918 noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a non- compliance appears on this report,to the extent that the reported Special Inspection Daily Field Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: LLC JENNIFER DECKER, ,sf .� "f WASHINGTON STREET LINDSAY JOHNSTON UNI r� UNIT G VANCOUVER,WA 98660 Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR 97223 Approved Signatory: Mike Kath(Protect Engineer) Date of Issue: 2/5/2019 General Details Date: 1/31/2019 General Contractor: Permits: BUP2018-00211 Weather: Clear Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting [I] Fireproofing ❑ Reinforcing Steel ❑ Soils ❑ Welding Ei Other E New Inspection ❑ Re-Inspection Standby Time: Field Observations&Comments p Special Inspection Li Continuous ❑ Periodic Location(s)/Item(s): Structural Nailing inspection of Type 1 Shearwall at East interior side of the Front Tower Reference Details/Drawings: 20/S4.3 Front Tower Framing D/S2 Shearwall Schedule Remarks: The 1/", exterior grade CDX plywood was nailed with 10d gun nails at the specified 6" and 12" pattern. HDU4 holdowns were in-place and attached to boundary 6x6" Posts. Plate anchor bolt spacing was per Schedule. To the best of PSI's knowledge,the work inspected to the approved construction documents are: Li Conforming L] Non-Conforming Inspector: Samuel Stoner Inspector Cert No.: OBOA 337 Jobsite Representative: Richard Holmes with Bentley Construction ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1 intertek Professional Service Industries,Inc. Report No: SIDF:07022277-6 6032 N.Cutter Circle,Suite 480 Issue No:1 Portland,OR 97217 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials Fax:(503)289-1918 noted and may not represent any other locations or elevations.This IIreport may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a non- compliance appears on this report,to the extent that the reported Inspection J Da i ly Field Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: LLC JENNIFER DECKER, 1700 WASHINGTON STREET LINDSAY JOHNSTON - UNIT G VANCOUVER, WA 98660 Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR 97223 Approved Signatory: Mike Kath(Project Engineer) Date of Issue: 2/12/2019 General Details Date: 2/8/2019 General Contractor: Permits: BUP2018-00211 Weather: Partly Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing ❑ Reinforcing Steel ❑ Soils ❑ Welding ❑ Other pi New Inspection ❑ Re-Inspection Standby Time: Field Observations&Comments Special Inspection ❑ Continuous �j Periodic Location(s)/Item(s): Structural Nailing inspection of Roof Diaphragm Reference Details/Drawings: S3.0 Roof Framing Plan 13/S4.2 Remarks: Framing subcontractor blocked and nailed the 19/32" exterior grade plywood diaphragm per S3.0 and 13/S4.2. To the best of PSI's knowledge,the work inspected to the approved construction documents are: _] Conforming ❑ Non-Conforming . Inspector: Samuel Stoner Inspector Cert No.: OBOA 337 Jobsite Representative: Richard Holmes with Bentley Construction ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1 intertek Professional Service Industries,Inc. Report No: SIDF:07022277-7 6032 N.Cutter Circle,Suite 480 Issue No:1 Portland,OR 97217 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials • Fax:(503)289-1918 noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries,Inc.If a non- compliance appears on this report,to the extent that the reported Special Inspection Daily Field Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: LLC JENNIFER DECKER, 1700 WASHINGTON STREET LINDSAY JOHNSTON UNIT G 11 VANCOUVER, ra- WA 98660 Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR 97223 Approved Signatory: Mike Kath(Project Engineer) Date of Issue: 2/14/2019 General Details Date: 2/12/2019 General Contractor: Permits: BUP2018-00211 Weather: Overcast, 40 Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing Reinforcing Steel Li Soils ❑ Welding EI Other El New Inspection ❑ Re-Inspection Standby Time: Field Observations&Comments ,i Special Inspection U Continuous L ii Periodic Location(s)/Item(s): • Inspection of exterior shearwall nailing and strap placement Reference Details/Drawings: S2.0 Wall Framing Plan D/S2.0 SW Schedule Remarks: The'/", exterior grade CDX plywood was nailed with 10d gun nails at the specified 6" and 12" pattern. Simpson MSTA24 straps were placed and nailed per S3.0 Key Note 5. To the best of PSI's knowledge,the work inspected to the approved construction documents are: Li Conforming Li Non-Conforming • Inspector: Samuel Stoner Inspector Cert No.: OBOA 337 Jobsite Representative: Richard Holmes with Bentley Construction ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1 tntertek Professional Service Industries,Inc. Report No: SIDF:07022277-8 6032 N.Cutter Circle,Suite 480 Issue No: 1 Portland,OR 97217 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials • Fax:(503)289-1918 noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a non- compliance appears on this report,to the extent that the reported Special Inspection Daily Field Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: LLC JENNIFER DECKER, 1700 WASHINGTON STREET LINDSAY JOHNSTON F ¢ �^ r. UNIT G ``�•�'�. ra- VANCOUVER, WA 98660 Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR 97223 Approved Signatory: Mike Kath(Project Engineer) Date of Issue: 2/22/2019 General Details Date: 2/18/2019 General Contractor: D. A. Bentley Construction Permits: BUP2018-00211 Weather: 40s mostly cloudy Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing ❑ Reinforcing Steel Li Soils ❑ Welding E Other New Inspection ❑ Re-Inspection Standby Time: Field Observations&Comments L Special Inspection Li Continuous ❑ Periodic Location(s)/Item(s): Anchor bolts and A34 clips Reference Details/Drawings: S2.0, S4.3 Remarks: PSI arrived on-site, as scheduled, to provide special inspection of cast in place anchors. Anchor bolts for perimeter walls, cooler and freezer walls, and interior Shearwall were in-place at specified locations in compliance with the approved plans. A34 clips for blocking were in-place at norrh and south ends of building. To the best of PSI's knowledge,the work inspected to the approved construction documents are: Ld Conforming ❑ Non-Conforming Inspector: Kristin Jensen Inspector Cert No.: W.A.B.O. #SI-01113 Jobsite Representative: ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1 lntertek Professional Service Industries,Inc. Report No: SIDF:07022277-1 O 6032 N.Cutter Circle,Suite 480 Issue No: 1 Portland,OR 97217 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials • Fax:(503)289-1918 noted and may not represent any other locations or elevations.This report may not be reproduced,except in full,without written permission by Professional Service Industries,Inc.If a non- compliance appears on this report,to the extent that the reported Special Inspection Daily Field Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: LLC JENNIFER DECKER, 1700 WASHINGTON STREET LINDSAY JOHNSTON "1,7 � �� t UNIT G �Z-f•�_,, VANCOUVER, WA 98660 Project: TACO BELL#15347 (TIGARD, OR) TIGARD, OR 97223 Approved Signatory: Mike Kath(Protect Engineer) Date of Issue: 3/5/2019 General Details Date: 2/26/2019 General Contractor: D.A. Bentley Construction Permits: BUP 2018-00211 Weather: Clear 40's Type of Inspection Performed J Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing U Reinforcing Steel ❑ Soils ❑ Welding ❑ Other [] New Inspection ❑ Re-Inspection Standby Time: Field Observations&Comments ❑ Special Inspection U Continuous [j Periodic Location(s)/Item(s): Canopy, Portal and menu footings at drive thru curb. Reference Details/Drawings: Structural: Rodd Hansen#1279-03302017 (10-16-17) Ref: C1.0, C1.1 Remarks: Provided special inspections of reinforcing steel for items at locations listed above, all steel grade, size and spacing are per approved plans. Observed concrete placement for items at locations listed above, concrete was delivered by Wilsonville concrete using mix design #40701001A. One set of 4x8 cylinders were cast on site. To the best of PSI's knowledge,the work inspected to the approved construction documents are: • Conforming Li Non-Conforming Inspector: Jose Alejandre Inspector Cert No.: ICC 8359169 Jobsite Representative: ©2000-2019 QESTLab by SpectraQEST.com Page 1 of 1 U1tertek Professional Service Industries,Inc. Report No: SIDF:07022277-12 6032 N.Cutter Circle,Suite 480 Issue No:1 Portland,OR 97217 CCB No.176269 Phone:(503)289-1778 These test results apply only to the specific locations and materials Fax:(503)289-1918 noted and may not represent any other locations or elevations.This • report may not be reproduced,except in full,without written permission by Professional Service Industries, Inc.If a appears non- compliance on- com liance reported pon this report,to the extent that the Special Inspection Daily Field Report non-compliance impacts the project,the resolution is outside the PSI scope of engagement. Client: D.A. BENTLEY CONSTRUCTION CC: LLC JENNIFER DECKER, 1700 WASHINGTON STREET LINDSAY JOHNSTON � ��r�' `= " UNIT G VANCOUVER, WA 98660 Project: TACO BELL#15347(TIGARD, OR) TIGARD, OR 97223 Approved Signatory Mike Kath(Project Engineer) Date of Issue: 3/5/2019 General Details Date: 3/4/2019 General Contractor: Permits: BUP2018-00211 Weather: Clear Type of Inspection Performed ❑ Reinforced Concrete ❑ Structural Masonry ❑ High Strength Bolting ❑ Fireproofing LI Reinforcing Steel ❑ Soils ❑ Welding El Other ❑ New Inspection ❑ Re-Inspection Standby Time: Field Observations&Comments U Special Inspection U Continuous 0 Periodic Location(s)/Item(s): Structural Framing Inspection Reference Details/Drawings: S2.0 Wall Framing Plan D/S2.0 Shearwall Schedule Remarks: Inspected nailing of the West side of the two sided Mark 3 interior shearwall. The opposite side of this wall was covered with sheetrock. The general contractor's representative has a partial photograph showing what appears to be adequate nail spacing at the opposite side. The shearply on the West side of the wall does not extend to the top of the double-top- plate. The top shearply edge will need to be blocked and filled. Reinspection is required. To the best of PSI's knowledge,the work inspected to the approved construction documents are: U Conforming Li Non-Conforming Inspector: Samuel Stoner Inspector Cert No.: OBOA 337 Jobsite Representative: Richard Holmes with Bentley Construction ©2000-2019 QESTLab by SpectraQEST.corn Page 1 of 1 DAILY FIELD REPORT REDMOND GEOTECHNICAL SERVICES, LLC PO Box 20547 PORTLAND,OR 97294 TEL:(503)285-0598 Fax:(503)286-7176 Permit#SIT 2018-00021 PROJECT NAME CLIENT OR OWNER JOB NUMBER SEQUENCE NO Tigard Taco Bell at Hwy 99W Weber Coastal Bells 1141.010.0 7 LOCATION OF WORK OWNER OR CLIENT REPRESENTATIVE DATE DAY OF WEEK 13305 SW Pacific Hwy,Tigard, OR Lindsay Johnston 3/20/19 Wednes GENERAL CONTRACTOR GRADING CONTRACTOR WEATHER PAGE OF D.A. Bentley HPS Sunny 1 1 TYPE OF WORK CONTRACTOR'S REPRESENTATIVE PROJECT ENGINEER Parking Area Base Rock Richard Holmes All County Surveyors SOURCE AND DESCRIPTION OF FILL I TECHNICIAN Import 3/4-inch minus crushed rock (Knife River) Dan Redmond PRESENT AT SITE Richard Holmes MOISTURE DRY %OF MAXIMUM TEST TEST LOCATION ELEVATION CONTENT DENSITY MAXIMUM SOIL DRY REMARKS NUMBER % (PCF) DENSITY TYPE DENSITY • 10 Handicap Parking Area FBG 6.6 130.9 95.2 1 137.5 { DESCRIBE EQUIPMENT USED FOR HAULING,SPREADING,WATERING,CONDITIONING AND COMPACTING Small Tandem Wheel Smooth Drum Roller,Vibratory Plate Compactor As requested, arrived on-site this morning to check the compaction of a small area of aggregate base rock located in the handicap parking area just south of the storm water basin. A field density test taken at this time indicates that the aggregate base rock materials are compacted to at least 95 percent of the maximum dry density as determined by the ASTM D-1557 (AASHTO T-180)test procedures. As such, the area will be paved with HMAC later this morning. • COPY GIVEN TO:City, Contractor,Architect, Engineer SIGNED ,,_'1I DAILY FIELD REPORT Date Job No. February 22, 2019 1141.010.0 IZEDMOND Project Tigard Taco Bell at Highway 99W Location GEOTECHNICAL SERVICES, LLC 13305 SW Pacific Hwy, Tigard, OR PO Box 20547 PORTLAND, OREGON 97294 Contractor Owner TEL: (503) 285-0598 FAX: (503) 286-7176 D.A. Bentley/HPS Weber CB Weather Temperature Report # 6 (Permit#SIT 2018-00021) Cloudy, showers 40's Present at Site To: Weber Coastal Bells Richard Holmes The Following Was Noted: As requested, arrived on-site this morning to check the conditions and suitability of the canopy footing excavation as well as other sidewalk base rock grades. Observations made of the canopy footing excavation • located to the SE of the new building and along the west side of the existing drive through lane found the footing excavation to be firm and suitable. However, finish grading and compaction still remains to be completed on other sidewalk grades to the east and west of the new building. 7) Copies To: City, Contractor, Architect, Engineer Signed g g Daniel M. Redmond, P.E., G.E. DAILY FIELD REPORT • REDMOND GEOTECHNICAL SERVICES, LLC PO Box 20547 PORTLAND,OR 97294 TEL:(503)285-0598 FAx:(503)286-7176 Permit#SIT 2018-00021 PROJECT NAME CLIENT OR OWNER JOB NUMBER SEQUENCE NO Tigard Taco Bell at Hwy 99W Weber Coastal Bells 1141.010.0 4 LOCATION OF WORK OWNER OR CLIENT REPRESENTATIVE DATE DAY OF WEEK 13305 SW Pacific Hwy,Tigard, OR Lindsay Johnston 2/06/19 Wednes GENERAL CONTRACTOR GRADING CONTRACTOR WEATHER PAGE OF D.A. Bentley Prtly sunny 1 1 TYPE OF WORK CONTRACTOR'S REPRESENTATIVE PROJECT ENGINEER Site Sidewalk Grade Richard Holmes All County Surveyors SOURCE AND DESCRIPTION OF FILL TECHNICIAN Import 3/4-inch minus crushed rock (Knife River) Dan Redmond PRESENT AT SITE I MOISTURE DRY %OF MAXIMUM TEST TEST LOCATION 1 ELEVATION CONTENT DENSITY MAXIMUM SOIL DRY REMARKS NUMBER % (PCF) DENSITY TYPE DENSITY • 7 North Sidewalk FG 7.7 127.5 92.7 1 137.5 H 8 West Sidewalk 8.1 127.2 92.5 t i I DESCRIBE EQUIPMENT USED FOR HAULING,SPREADING,WATERING,CONDITIONING AND COMPACTING Vibratory Plate Compactor As requested, arrived on-site this morning to check the compaction and suitability of the crushed aggregate fill materials placed for support of the concrete sidewalk along the north and west sides of the new restaurant building. Field density tests taken at this time indicate that the gravel fill materials are well compacted and greater than 92 percent of the maximum dry density as determined by the ASTM D-1557(AASHTO T-180)test procedures. However, some work remains to place and compact structural fills at the NW corner of the sidewalk grade as well as along the entire lout idewalk grade. III (I? COPY GIVEN TO:City, Contractor,Architect, Engineer SIGNED: -6 DAILY FIELD REPORT REDMOND GEOTECHNICAL SERVICES, LLC PO Box 20547 PORTLAND,OR 97294 TEL:(503)285-0598 FAx:(503)286-7176 Permit#SIT 2018-00021 PROJECT NAME CUENT OR OWNER I JOB NUMBER SEQUENCE NO Tigard Taco Bell at Hwy 99W Weber Coastal Bells 1141.010.0 3 LOCATION OF WORK OWNER OR CUENT REPRESENTATIVE DATE DAY OF WEEK 13305 SW Pacific Hwy, Tigard, OR Lindsay Johnson 1/24/19 Thursday GENERAL CONTRACTOR GRADING CONTRACTOR WEATHER PAGE OF D. A. Bentley Cloudy 1 1 TYPE OF WORK CONTRACTOR'S REPRESENTATIVE PROJECT ENGINEER Building Pad Base Rock Richard Holmes All County Surveyors SOURCE AND DESCRIPTION OF FILL TECHNICIAN Import 3/4-inch minus crushed rock (Knife River) Dan Redmond PRESENT AT SITE Richard I MOISTURE DRY % MAXIMUM I TEST TEST LOCATION ELEVATION CONTENT DENSITY MAXIMUM SOIL DRY REMARKS NUMBER % (PCF) DENSITY TYPE DENSITY 5 North End of Pad FBG 7.7 132.8 96.6 1 137.5 6 South End of Pad 8.2 131.9 95.9 " DESCRIBE EQUIPMENT USED FOR HAULING,SPREADING,WATERING,CONDITIONING AND COMPACTING Jumping Jack, Vibratory Plate As requested, arrived on-site this morning to check the compaction and suitability of the interior floor slab base rock grade for the new building. Field density tests taken at this time indicates that the base rock is well compacted and greater than 95 percent of the maximum dry density as determined by the ASTM D-1557 ()AASHTO T-180)test procedures. As such, the base rock grade was approved for the placement of the vapor barrier and reinforcing steel. • 1f ' r! COPY GIVEN TO:City, Contractor, Architect, Engineer SIGNED DAILY FIELD REPORT • REDMOND GEOTECHNICAL SERVICES, LLC PO Box 20547 PORTLAND,OR 97294 TEL:(503)285-0598 FAX:(503)286-7176 Permit#SIT 2018-00021 PROJECT NAME CLIENT OR OWNER JOB NUMBER SEQUENCE NO Tigard Taco Bell at HWY 99W Weber Coastal Bells 1141.010.0 2 LOCATION OF WORK OWNER OR CLIENT REPRESENTATIVE DATE DAY OF WEEK 13305 SW Pacific Hwy, Tigard, OR Lindsay Johnston 1/15/19 Wednes GENERAL CONTRACTOR GRADING CONTRACTOR WEATHER PAGE OF D.A. Bentley Cloudy 1 1 TYPE OF WORK CONTRACTOR'S REPRESENTATIVE PROJECT ENGINEER Footing excavation backfill Richard Holmes All County Surveyors SOURCE AND DESCRIPTION OF FILL TECHNICIAN Import 3/4-inch minus crushed rock(Knife River) Dan Redmond PRESENT AT SITE MOISTURE DRY % MAXIMUM TEST TEST LOCATION ELEVATION CONTENT DENSITY MAXIMUM SOIL DRY REMARKS NUMBER _ % (PCF) DENSITY TYPE DENSITY 1 West Perimeter Footing FG 7.2 _ 126.8 92.2 1 137.5 I 110 2 South Perimeter Footing 7.6 128.0 93.1 " DESCRIBE EQUIPMENT USED FOR HAULING,SPREADING,WATERING,CONDITIONING AND COMPACTING Large vibratory plate compactor As requested, arrived on-site today to check the work in progress with the removal of the old Taco Bell structures foundations and site improvements and preparation of the new building foundation and floor slab grades, Observations made at this time found the site contractor filling the excavations made to remove the old westerly and southerly concrete foundations.The fill consists of a well graded crushed aggregate which is being compacted in lifts with a large vibratory plate compactor. Field density tests taken on the north and east perimeter footing grades indicate that the structural fills are well compacted and greater than 92 percent of the maximum dry density as deter 'ned by the AS D-1557 (AASHTO T-180)test procedures. Work continues on the floor sI.b base r,ck : ade. • wait �: COPY GIVEN TO:City, Contractor, Architect, Engineer SIGNED: '' 1 DAILY FIELD REPORT 1111 REDMOND GEOTECHNICAL SERVICES, LLC PO Box 20547 PORTLAND,OR 97294 TEL:(503)285-0598 FAX:(503)286-7176 Permit#SIT 2018-00021 PROJECT NAME CLIENT OR OWNER JOB NUMBER SEQUENCE NO Tigard Taco Bell at HWY 99W Weber Coastal Bells 1141.010.0 1 LOCATION OF WORK OWNER OR CLIENT REPRESENTATIVE DATE DAY OF WEEK 13305 SW Pacific Hwy,Tigard, OR Lindsay Johnston 1/08/19 Tuesday GENERAL CONTRACTOR GRADING CONTRACTOR WEATHER PAGE OF D.A. Bentley Cloudy 1 1 TYPE OF WORK CONTRACTOR'S REPRESENTATIVE PROJECT ENGINEER Footing excavation backfill Richard Holmes All County Surveyors SOURCE AND DESCRIPTION OF FILL TECHNICIAN Import 3/4-inch minus crushed rock (Knife River) Dan Redmond PRESENT AT SITE MOISTURE DRY % MAXIMUM TEST TEST LOCATION ELEVATION CONTENT DENSITY MAXIMUM ; SOIL DRY REMARKS NUMBER % (PCF) DENSITY I TYPE DENSITY _ • 1 East Perimeter Footing FG 7.7 127.5 92.7 1 137.5 2 North Perimeter Footing 11 7.4 128.3 93.3 i. ,, i DESCRIBE EQUIPMENT USED FOR HAULING,SPREADING,WATERING,CONDITIONING AND COMPACTING Large vibratory plate compactor As requested, arrived on-site today to check the work in progress with the removal of the old Taco Bell structures foundations and site improvements and preparation of the new building foundation and floor slab grades. Observations made at this time found the site contractor filling the excavations made to remove the old concrete foundations.The fill consists of a well graded crushed aggregate which is being compacted in lifts with a large vibratory plate compactor. Field density tests taken on the north and east perimeter footing grades indicate that the structural fills are well compacted and greater than 92 percent of the maximum dry density as determined by the ASTM D-1557 (AASHTO T-180)test procedures. • i~� / COPY GIVEN TO:City, Contractor, Architect, Engineer SIGNED: ,0,14-