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Report Main Office ,Ailem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 C arlson Testing, Inc. In 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST Project: DARTMOUTH SQUARE CTI Job #: T0705186. Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD CTI representative W. WHITE OBOA 371 was on site this date Sep. 29, 2008 to perform Special Inspection for: Permit BUP2006 -00299 DFS #(s) PO Number: SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? lEl Yes No in N/A Name: LARRY Com an s • I • GRACE 2. Monitored loads arriving at job site for correct: P y Mix #: 0242 2. Type of work: © Concrete Reinforcing Slump N/A ° /o Air N/A 3. Work included: © Sampling 1=1 Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' El Continuous © Periodic Number of sets 2 Samples per set 4 5. Work performed: © In the field n At precast shop 4. Inspected placing and consolidation of approx. 120 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 SLAB -ON -GRADE CONCRETE PAVING N. SIDE OF condition conform? DARTMOUTH, WESTBOUND LANE FROM STA.25+94 TO 4. Verified forms will nominally result in 30 +50 . hardened concrete of the required x cross - sectional dimensions. 5. Verified location of reinforcing steel, pipes, conduits and sleeves with respect to 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. Work inspected in progress with regard to fabrication, quality and type. Approved plans and specifications 111 Shop drawings 9. Verified structrual embedments in the forms with regard to weld inspection, quantity, and x RFI fl Design change El 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). 1E1 Yes © No El N/A 4. Noncompliance item(s) were reinspected this date, details N/A on following page(s). El Yes 0 No © N/A Conform El Remain in progress Report(s) findings were discussed and left with LARRY of S.I. GRACE 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. El See additional report page(s). 1E1 Distribute attachments. Page 1 of 1 Daily Report of ReinforcedConcret. For: 09/29/2008 -� CTI Job #: T0705186. Project: DARTMOUTH SQUARE 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: 09/30/2008 WRW /SB DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS ARCHITECTS ASSOCIATIVE - JEFF LIGHTHEART S I GRACE LLC - JOE ESTES � 6.8��� ®� �������. Inc. !onstruction 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/C231/C143 Date Molded: 08/28/2008 Job Number: T0705186. Permit #: BUP2006 -00299 Cli DARTMOUTH SQUARE LLC — PATRICK PRENDERGAST Project: DARTMOUTH SQUARE Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD Contractor: S I GRACE LLC — JOE ESTES Subcontractor: RSV CONST . INC Cast By: W • WHITE Concrete Supplier: GLACIER NORTHWEST Truck #: 250 Load #: 1 Ticket #: 181874-16 Weather: CLEAR Test Time: 10:45 AM Air Temp. at Sampling Time: 65 Cylinders were cast for the following locations: RETAINING WALL FOOTINGS 30' ALONG 70TH ST, AND 80' ALONG DARTMOUTH Total Concrete Placement Location: RETAINING WALL FOOTINGS 30' ALONG 70TH ST, AND 80' ALONG DARTMOUTH Strength Requirement: 3500 psi f c@ 28 Days Slump: 4.000" % Air: 1. 70% Mix Number: 233 Conc. Temp: 74 Cement Type: 1 -II Max Agg: 1 Admix/Amt: Cubic Yards: 8.5/8.5 Register Number: 0086384 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By 7 08/29/2008 09/04/2008 42083 12.57 3350 2 BR 28 08/29/2008 09/25/2008 58700 12.49 4700 4 MEM 28 08/29/2008 09/25/2008 64300 12.49 5150 3 MEM 28 08/29/2008 09/25/2008 59100 12.49 4730 4 MEM ❑ Distribute attachments. Average f c@ 28 days 4860 Please see reverse side for additional information. Job Number: T0705186. Register Number: 0086384 Date Molded: 08/28/20'08 Project: DARTMOUTH SQUARE <1 in. [25 mm] .)\ g i i i 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 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS ARCHITECTS ASSOCIATIVE - JEFF LIGHTHEART S I GRACE LLC - JOE ESTES Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 09/29/2008 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. 1 Main Office ,,alem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 C arlson igard, Oregon 97281 Salem. Oregon 97301 Bend, Oregon 97708 6�1t �S ®� ����° ��� 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 Structural Steel Client: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST Project: DARTMOUTH SQUARE CTI Job #: T0705186. Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD CTI representative R. CANALES OBOA 637 was on site this date Sep. 15, 2008 to perform Special Inspection for: Permit BUP2006 -00299 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: LARRY REVIEWED FLAGGED REPORTS IN JOB FILE & WENT OVER Company: S I GRACE ITEMS WITH SUPERINTENDENT, LARRY, AT THE JOB SITE. INSPECTED EXPOSED ITEMS FOR COMPLETENESS. 2. Inspection was "IBC" 0 Continuous © Periodic 3. Work performed: © In the field ❑ At fab shop ITEMS WERE COMPLETED. THE WORK DONE CONFORMS TO THE VISUAL ACCEPTANCE CRITERIA OF AWS D1.1, TABLE 6.1. 4. If shop inspection do they have fabrication and QC procedures? ❑ Yes No © N/A 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 DOCUMENT #(S) = STRUCTURAL DETAILS markings or other documentation. DATED = 11 28 - 06, REVISION 4 3. Verified weld filler materials conform. 4. Checked steel members to see they were fabricated and erected in accordance with the workmanship and X tolerances required. 5. Checked welded studs and structural connections were REPORT SUMMARY installed as required. X 6. Verified high strength bolts and fasteners conform. X 1. Work inspected was: © Completed 0 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, © Approved plans and specifications El Shop drawings member locations, and application of joint details at each X e RFI Design change Submittal N/A connection are in compliance by random sampling. g g Document #(s) SEE NOTES Dated: SEE NOTES WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: CURRENT CERTS ON FILE AT JOB SITE following page(s). El Yes 0 No ® N/A Certification #: 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). Yes 0 No © N/A 1. Verified the contractor's Welding Procedure progress Re main 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 LARRY employed during execution of the work. o f S I GRACE 3. Verified the weldability of reinforcing steel Based on the Code, approval is required from the Building Official before the other than ASTM A706. X SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. ❑ See additional report page(s). 0 Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 09/15/2008 CTI Job #: T0705186. Project: DARTMOUTH SQUARE 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: 09/19/2008 RC /JWA DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS ARCHITECTS ASSOCIATIVE - JEFF LIGHTHEART S I GRACE LLC - JOE ESTES Main Office 4 alem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 C • Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 d��°lS ®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 Structural Steel Revised 06/26/2008 Client: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST Project: DARTMOUTH SQUARE CTI Job #: T0705186. Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD CTI representative R . M . TAYLOR OBOA 772 was on site this date Jun. 23, 2 0 0 8 to perform Special Inspection for: Permit BUP2006 -00299 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: GARY A MERICAN METALS VISUAL INSPECTION WAS COMPLETED ON THE FOLLOWING: Company: 2. Inspection was "IBC" Continuous © Periodic MK #'S 103E (X2) , 103C (X2) , 105A (X2) . 3. Work performed: ❑ In the field © At fab shop AMERICAN METALS 3/16" & 1/4" FILLETS 4. If shop inspection do they have fabrication and QC PROCESS: FCAW -G W /CO2 SHIELDING & E71T -1 . 045" procedures? © Yes El No N/A WIRE . INSPECTION THIS IS A REVISED REPORT. THE FOLLOWING HAS BEEN Yes NoN /A 1. Reviewed previous inspection reports? ADDED TO THE PREVIOUS ISSUE OF THIS REPORT: 2. Verified steel materials are in compliance by reviewing random samples of the mill test reports, steel ID X WELD PROFILES ARE IN CONFORMANCE WITH AWS D1.1 & markings or other documentation. THE SHOP DRAWINGS. 3. Verified weld filler materials conform. 4. Checked steel members to see they were fabricated and erected in accordance with the workmanship and X tolerances required. 5. Checked welded studs and structural connections were REPORT SUMMARY installed as required. X 6. Verified high strength bolts and fasteners conform. X 1. Work inspected was: © Completed 0 In progress 7. Verified the quality of welds produced by welders, 2. Completed work inspected was in comp liance with El welding operators, and tackers conform. X p p p 8. Verified steel frame joint details for bracing, stiffening, Approved plans and specifications 131 Shop drawings member locations, and application of joint details at each X ❑ RFI 1=1 Design change Submittal 0 N/A connection are in compliance by random sampling. Document #(s) S HOP Dated: 06-2008 WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: HENDRICKS, TRISTEN following page(s). Yes E No © N/A Certification #: C -2262, C -984 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). 0 Yes E No © N/A 1. Verified the contractor's Welding Procedure Specifications are in conformance with X Conform 0 Remain in progress AWS requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were X GARY employed during execution of the work. of AMERICAN METALS 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. E See additional report page(s). Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 06/23/2008 CTI Job #: T0'705186. Project: DARTMOUTH SQUARE 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: 06/28/2008 RMT /SB DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Main Office ialem Office Bend Office P.O. Box 23814 4Oo0 Hudson Ave., NE P.O. Box 7918 s� ® ° � Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 ��IS ®� Testing, Ill.• 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 Structural Steel Client: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST Project: DARTMOUTH SQUARE CTI Job #: T0705186. Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD CTI representative R.M. TAYLOR OBOA 772 was on site this date Jun. 17, 2008 to perform Special Inspection for: Permit BUP2006 -00299 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: GARY A MERICAN METAL WORKS VISUAL INSPECTION WAS COMPLETED ON THE FOLLOWING:_ Company: — — — 2. Inspection was "IBC" 0 Continuous © Periodic ENTRY FRAMES - 1/4" & 3/16" FILLET WELDS MK #'S 3. Work performed: 0 In the field © At fab shop 1-1A & 1-2A . AMERICAN METAL WORKS WELDS PROCESS - FCAW -G WITH CO2 SHIELDING GAS & 4. If shop inspection do they have fabrication and QC E71T -1 .045" WIRE. procedures? © Yes 0 No El N/A WELD PROFILES ARE IN CONFORMANCE WITH AWS D1.1 & INSPECTION THE SHOP DRAWINGS. Yes NoN /A 1. Reviewed previous inspection reports? 2. Verified steel materials are in compliance by reviewing random samples of the mill test reports, steel ID X markings or other documentation. 3. Verified weld filler materials conform. 4. Checked steel members to see they were fabricated and erected in accordance with the workmanship and X tolerances required. 5. Checked welded studs and structural connections were REPORT SUMMARY installed as required. X 6. Verified high strength bolts and fasteners conform. X 1. Work inspected was: © Completed ❑ In progress 7. Verified the quality of welds produced by welders, welding operators, and tackers conform. 2. Completed work inspected was in compliance with X 8. Verified steel frame joint details for bracing, stiffening, Approved plans and specifications © Shop drawings member locations, and application of joint details at each X RFI Design change Submittal N/A connection are in compliance by random sampling. Document #(s) SHOP Dated: 05-08 WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: HENDRICKS /TRISTAN following page(s). 0 Yes El No © N/A Certification #: C- 2262/C -984 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). El Yes No © N/A 1. Verified the contractor's Welding Procedure Conform Remain in progress Specifications are in conformance with X AWS requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were X GARY employed during execution of the work. of AMERICAN METAL WORKS 3. Verified the weldability of reinforcing steel Based on the Code. approval is required from the Building Official before the other than ASTM A706. X SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. ❑ See additional report page(s). Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 06/17/2008 CTI Job #: T0705186. Project: DARTMOUTH SQUARE 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: 06/24/2008 RMT /JWA DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Main Office ,1em Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 C ss�� �v • 9 , Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 arlson 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST Project: DARTMOUTH SOUARE CTI Job #: T0705186. Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD CTI representative R. GOUTHRO OBOA 646 was on site this date Jun. 11, 2008 to perform Special Inspection for: Permit BUP2006 -00299 DFS #(s) PO Number: SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? ❑ Yes 0 No © N/A Name: LARRY Company: S I GRACE LLC 2 Monitored loads arriving at job site for correct: p y Mix #: NO CONCRETE 2. Type of work: 0 Concrete © Reinforcing Slump % Air 3. Work included: 0 Sampling © Inspection 3. Type of samples made? N /A 4. Inspection was 'IBC' 0 Continuous IN Periodic Number of sets Samples per set 5. Work performed: © In the field 0 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 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 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 0 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 0 Shop drawings with regard to weld inspection, quantity, and X RFI 0 Design change 0 Submittal 0 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). 0 Yes 0 No © N/A STAIRWAY WALLS ON SW CORNER OF BUILDING NOT ON 4. Noncompliance item(s) were reinspected this date, details STRUCTURAL DRAWINGS REFERENCE TO ASI #11 on following page(s). 0 Yes 0 No IN N/A COMPLETE AT THIS TIME. 0 Conform 0 Remain in progress Report(s) findings were discussed and left with LARRY of S I GRACE LLC 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. 0 See additional report page(s). El Distribute attachments. Page 1 of 1 Daily Report of Reinforced Concrt For: 06/11/2008 CTI Job #: T0705186. Project: DARTMOUTH SQUARE 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: 06/12/2008 RFG /TEM DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 igard, Oregon 97281 Salem, Oregon 97301 Bend. Oregon 97708 Carlson Inc. I 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 Structural Steel Client: DARTMOUTH SQUARE LLC — PATRICK PRENDERGAST Project: DARTMOUTH SQUARE CTI Job #: T0705186. Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD CTI representative J. KING OBOA 416 was on site this date May. 19, 2008 to perform Special Inspection for: Permit BUP2006 -00299 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: LARRY Com an SI GRACE EAST & WEST STAIR WELDED & BOLTED CONNECTIONS. P y 2. Inspection was "IBC" 0 Continuous © Periodic 3. Work performed: © In the field 0 At fab shop 4. If shop inspection do they have fabrication and QC - procedures? 0 Yes 0 No ® N/A INSPECTION Yes NoN /A 1. Reviewed previous inspection reports? 2. Verified steel materials are in compliance by reviewing random samples of the mill test reports, steel ID X markings or other documentation. 3. Verified weld filler materials conform. X 4. Checked steel members to see they were fabricated and erected in accordance with the workmanship and X tolerances required. 5. Checked welded studs and structural connections were REPORT SUMMARY installed as required. X 6. Verified high strength bolts and fasteners conform. X 1. Work inspected was: © Completed 0 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, © Approved plans and specifications El Shop drawings member locations, and application of joint details at each X RFI Design change 0 Submittal El N/A connection are in compliance by random sampling. g Document #(s) Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: ON FILE following page(s). 0 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 Conform Remain in Specifications are in conformance with X progress AWS requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were X LARRY employed during execution of the work. Of SI GRACE 3. Verified the weldability of reinforcing steel Based on the Code, approval is required from the Building Official before the other than ASTM A706. X SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. See additional report page(s). Distribute attachments. Page 1 of 1 • Daily Report of Structural Steel For: 05/19/2008 CTI Job #: T0705186. Project: DARTMOUTH SQUARE 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: 05/21/2008 JK /KJ DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Main Office Salem Office Bend Office A P.O. Box 23814 ,__.d0 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 C arlc ®n Testing, Inc. Phone (503) 684 -3460 Phone (503) 589 1252 FAX (503) 589 1309 Phone (541) 330 9155 FAX (503) 684 -0954 FAX (541) 330 -9163 March 26, 2008 T0705186 Permit No. BUP2006 -00299 FIELD INSPECTION REPORT ti DATES COVERED: March 17, 2008 6 PROJECT: Dartmouth Square ADDRESS: 11945 SW 70 Street — Tigard, OR INSPECTOR: S. Hoppe, COP #835, OBOA #791 03- 17 -08: CTI representative arrived on site & was informed by In -Line foreman that incorrect Nelson studs had been installed & the pour was cancelled at this time. No inspections were done this date. This is a show -up only. j� c/ 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. teven W. Lead Project Manager ---- - SH /ja - - -- - cc: Dartmouth Square LLC — Patrick Prendergast City of Tigard Building Division Froelich Consulting Engineers Myhre Group Architects S I Grace LLC — Joe Estes • At ^T� ;kiti -C .i _onstruction Inspections & Related Tests arlson ' Testing - Inc. nc. GeotechnicalConsulting 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: 09/07/2007 Job Number: T0705186. Permit #: BUP2006 -00299 Client: DARTMOUTH SQUARE LLC — PATRICK PRENDERGAST Project: DARTMOUTH SQUARE Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD Contractor: S I GRACE LLC — JOE ESTES Subcontractor: Cast By: R. VIRTS Concrete Supplier: GLACIER NORTHWEST Truck #: 252 Load #: 7 Ticket#: 87700 Weather: SUNNY Test Time: 1: 00 Air Temp. at Sampling Time: 87 • Cylinders were cast for the following locations: 8 ON D Total Concrete Placement Location: FOOTING 7 -11 ON D LINE Strength Requirement: 4000 psi f c@ 28 Days Slump: 6.000" % Air: 5.00% Mix Number: 0242 Conc. Temp: 76 Cement Type: Max Agg: 3/4 Admix/Amt: Cubic Yards: Register Number: !00761.311 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I I 7 09/10/2007 09/14/2007 42555 12.57 3390 2 MEM 28 09/10/2007 10/05/2007 54750 12.57 4360 3 MEM 28 09/10/2007 10/05/2007 52840 12.57 4200 3 MEM 28 09/10/2007 10/05/2007 53215 12.57 4230 4 MEM El Distribute attachments. Average fc @ 28 days 4260 / / Please see reverse side for additional information. Job Number: T0705186. Register Number: 0076311 - Date Molded: 09/07/2007 Project: DARTMOUTH SQUARE <1 in. [25 mm] , 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 \ . 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Project Manager: STEVEN W. LEACH Reviewed By: Ty Toiler On 10/09/2007 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. -� _ ����� ®� Testing, � Inc. Construction In & Related Tests Geotechnica! 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: 09/07/2007 Job Number: T0705186. Permit #: BUP2006 -00299 Client: DARTMOUTH SQUARE LLC — PATRICK PRENDERGAST Project: DARTMOUTH SQUARE Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD Contractor: S I GRACE LLC — JOE ESTES Subcontractor: Cast By: R. VIRTS Concrete Supplier: GLACIER NORTHWEST Truck #: 400 Load #: 3 Ticket#: 87563 Weather: SUNNY Test Time: 10 :15 Air Temp. at Sampling Time: 67 Cylinders were cast for the following locations: 1ST LIFT Total Concrete Placement Location: GRIDS A —E WALL ON LINE 7, ELEVATOR PIT WALLS Strength Requirement: 4000 psi f c@ 28 Days Slump: 7.000" °A Air: 4.00% Mix Number: 1242 Conc. Temp: 75 Cement Type: Max Agg: 3/4 Admix/Amt: Cubic Yards: Register Number: 0076310 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 09/10/2007 09/14/2007 45845 12.57 3650 5 MEM 28 09/10/2007 10/05/2007 56495 12.57 4490 3 MEM 28 09/10/2007 10/05/2007 56165 12.57 4470 3 MEM 28 09/10/2007 10/05/2007 55810 12.57 4440 3 MEM ❑ Distribute attachments. Average f c@ 28 days 4470 Please see reverse side for additional information. / i Job Number: T0705186. Register Number: 0076310 f Date Molded: 09/07/2007 -. Project: DARTMOUTH SQUARE —10 < l in. [25 mm] / X g !i N 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 J \ rr 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 10/09/2007 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. ti Main Office .- alem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 ss�� 9 Tigard. Oregon 97281 Salem, Oregon 97301 Bend. Oregon 97708 C arlson Testing Into 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST Project: DARTMOUTH SOUARE CTI Job #: T0705186. Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD CTI representative S. HOPPE OBOA 791 was on site this date Oct. 03, 2007 to perform Special Inspection for: Permit BUP2006 -00299 DFS #(s) PO Number: SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? © Yes 0 No ❑ N/A Name: EDGAR y Com an LEVEL CONCRETE 2. Monitored loads arriving at job site for correct: Company: Mix#: 233 2. Type of work: © Concrete © Reinforcing Slump 4 +�- 1 " % Air 1. 3. Work included: © Sampling IN Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' © Continuous ❑ Periodic Number of sets 1 Samples per set 4 5. Work performed: ® In the field 0 At precast shop 4. Inspected placing and consolidation of approx. 7 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 SAME AS REINFORCING 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 0 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 El Shop drawings with regard to weld inspection, quantity, and X 0 RFI ❑ Design change ❑ Submittal 0 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 pi N/A 4. Noncompliance item(s) were reinspected this date, details FOOTING FOR RETAINING WALL AT EAST STAIRWAY, on following page(s). 0 Yes ❑ No ® N/A NORTHEAST RETAINING WALL ❑ Conform ❑ Remain in progress Report(s) findings were discussed and left with EDGAR of LEVEL CONCRETE 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. 0 See additional report page(s). 0 Distribute attachments. Page 1 of 1 Daily Report of Reinforced Concre For: 10/03/2007 _ . CTI Job #: T0705186. Project: DARTMOUTH SQUARE 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: 10/09/2007 SH /SB DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Main Office ,alem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 ss�� Tigard. Oregon 97281 Salem. Oregon 97301 Bend. Oregon 97708 C arlson 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST Project: DARTMOUTH SQUARE CTI Job #: T0705186. Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD CTI representative M. LARSON OBOA 240 was on site this date Sep. 19, 2007 to perform Special Inspection for: Permit BUP2006 -00299 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: HECTOR Com an S I GRACE 2. Monitored loads arriving at job site for correct: P y Mix #: 1242 2. Type of work: ® Concrete ❑ Reinforcing Slump 4 % 3.0 /o Air 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 4 5. Work performed: ® In the field ❑ At precast shop 4. Inspected placing and consolidation of approx. 46 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 WALLS E/7 -11 AND 11 /C -E. 3. Type, grade, size, quantity, spacing and X 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. ® Approved plans and specifications ❑ Shop drawings 9. Verified structrual embedments in the forms with regard to weld inspection, quantity, and X fl RFI 0 Design change E 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 0 No © N/A ALL ANCHOR BOLT BASE PLATES IN BEFORE THIS POUR. 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 of S I GRACE 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 Concre— For: 09/19/2007 . CTI Job #: T0705186. Project: DARTMOUTH SQUARE 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: 09/21/2007 ML /MAB DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Carlson Testing, Inc. `onstruction In & 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/C231/C143 Date Molded: 09/19/2007 Job Number: T0705186. Permit #: BU ?2006 -00299 Client: DARTMOUTH SQUARE LLC — PATRICK PRENDERGAST Project: DARTMOUTH SQUARE Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD Contractor: S I GRACE LLC — JOE ESTES Subcontractor: Cast By: M. LARSON Concrete Supplier: GLACIER NORTHWEST Truck #: 7 Load #: 1 Ticket #: 91410 Weather: CLEAR /WARM Test Time: 11:20 AM Air Temp. at Sampling Time: 61 Cylinders were cast for the following locations: WALLS 1ST LIFT ABOUT 3' Total Concrete Placement Location: WALL 11 /C —E AND E /7 -11 Strength Requirement: 4000 psi fc @ 28 Days Slump: 4.750" % Air: 3.00% Mix Number: 1242 Conc. Temp: 7 2 Cement Type: 1 Max Agg: 3/4" Admix/Amt: AEA AND D —CEM 55 Cubic Yards: 10.5 / 46 Register Number: 0076631 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By 7 09/20/2007 09/26/2007 54105 12.57 4300 3 MEM 28 09/20/2007 10/17/2007 28 09/20/2007 10/17/2007 HOLD 09/20/2007 E Distribute attachments. Average fc @ 28 days Please see reverse side for additional information. Job Number: T0705186. Register Number: 007 6631 Date Molded: 09/19/2007 Project: DARTMOUTH SQUARE < 1 in. [25 mm] )\\\ 1 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 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Project Manager: STEVEN W. LEACH Reviewed By: Ty Tolier On 09/27/2007 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. Carlson Testing, Inc. .- "onstruction Ins pections & 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: 08/31/2007 Job Number: T0705186. Permit #: BUP2006 -00299 Client: DARTMOUTH SQUARE LLC — PATRICK PRENDERGAST Project: DARTMOUTH SQUARE Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD Contractor: S I GRACE LLC — JOE ESTES Subcontractor: LEVEL ONE Cast By: K. THRALL Concrete Supplier: GLACIER NORTHWEST Truck #: 235 Load #: 3 Ticket#: 85726 Weather: SUNNY Test Time: 2:00 Air Temp. at Sampling Time: 79 Cylinders were cast for the following locations: FOOTING @ 6C; 4C; ELEVATOR PIT. Total Concrete Placement Location: WALL A —B & 1 -7; 7& A —E; D —E & 1 -7; A & A —E Strength Requirement: 4000 psi Pc @ 28 Days Slump: 5.250" % Air: 6.20% Mix Number: 1242 Conc. Temp: 7 8 Cement Type: 1 /1 1 Max Agg: 3/4 Admix/Amt: Cubic Yards: 40 Register Number: 0076162 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By II 7 09/04/2007 09/07/2007 55830 12.57 4440 2 MEM 28 09/04/2007 09/28/2007 76500 12.63 6060 3 MEM 28 09/04/2007 09/28/2007 72000 12.63 5700 3 MEM 28 09/04/2007 09/28/2007 67000 12.63 5300 4 MEM ❑ Distribute attachments. Average Pc @ 28 days 5690 Please see reverse side for additional information. Job Number: T0705186. Register Number: 0076162 Date Molded: 08/31/2007 Project: DARTMOUTH SQUARE < 1 in. [25 mm] )\ g I 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 10/01/2007 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. Carly ®n Testing _Inc. .:onstruction 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: 08/31/2007 Job Number: T0705186. Permit #: BUP2006 -00299 Client: DARTMOUTH SQUARE LLC — PATRICK PRENDERGAST Project: DARTMOUTH SQUARE Address: 11945 SW 70TH STREET TIGARD OR Jurisdiction: TIGARD Contractor: S I GRACE LLC — JOE ESTES Subcontractor: LEVEL ONE Cast By: K. THRALL Concrete Supplier: GLACIER NORTHWEST Truck #: 146 Load #: 5 Ticket#: 85583 Weather: SUNNY Test Time: 11 :45 Air Temp. at Sampling Time: 76 Cylinders were cast for the following locations: BRACE FRAME FOOTING Total Concrete Placement Location: BRACE FRAME FOOTING Strength Requirement: 4000 psi Cc @ 28 Days Slump: 4.500" % Air: 4.70% Mix Number: 242 Conc. Temp: 8 Cement Type: I/II Max Agg• 3/ 4 Admix/Amt: 51/125 Cubic Yards: Register Number: 0076169 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 09/04/2007 09/07/2007 46950 12.57 3740 3 MEM 28 09/04/2007 09/28/2007 60100 12.63 4760 3 MEM 28 09/04/2007 09/28/2007 63100 12.63 5000 3 MEM 28 09/04/2007 09/28/2007 62400 12.63 4940 4 MEM ❑ Distribute attachments. Average Cc @ 28 days 4 900 Please see reverse side for additional information. Job Number: T0705186. Register Number: 0076169 Date Molded: 08/31/2007 Project: DARTMOUTH SQUARE --1b < l in. [25 mm] )\, g 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 / 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 . 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: DARTMOUTH SQUARE LLC - PATRICK PRENDERGAST TO: CITY OF TIGARD BUILDING DIVISION FROELICH CONSULTING ENGINEERS MYHRE GROUP ARCHITECTS S I GRACE LLC - JOE ESTES Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 10/01/2007 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. Main Office S,.. Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testlng Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Inc. Phone (503) 684-3460 Phone (50 589-1252 Phone (541) 3 35 9 Fax (5503) 684-0954 Fax (5503) 589-1309 Fax (541) 330 -910 -91 63 Daily Report of Reinforced Concrete Project: il- rfry, .S 44/ Address: �Q S � / 19 �� 70 L4 Sr CTI Job #: S /\1 t ' 0 4.5. " Aje ^ ! / L ` �Z ' was on site this date 7 y U ' to perform CTI representative f (Inspector Name & Cert. No.) 7 Special Inspection for ,permit DFS #(s) i!� 14407 p 6 — eO Z <? / jurisdiction 7-; 6 / e d In some cases more than one box may be checked for a given item. SCOPE OF INSPECTION CONCRETE 1. Checked in wit,14 superintendent or client representative. 1. Mix Desiz approved? El Yes 0 No D N/A Name: b e, S ..� ( A r- c e . . 2. Monitored loan arriving at job site for correct: Company: Mix #: 2. Type of work: Concrete r� Reinforcing Slump % Air 3. Work included: 0 Sampling ,Inspection 3. Type of samples made? 4. Inspection was "IBC" El Continuous „Periodic Number of sets amples per set 5. Work performed: ri In the field 0 At precast shop 4. Inspected placing and consolid ion s .pprox. Shop name: cubic yards of concrete. 6. If shop inspection do they have 0 Yes El No Location of concrete placemen [to include grid lin- - elevations fabrication and QC procedures? (floors) and drawing details]: REINFORCING Yes No N/A e� 1. Reviewed previous inspection reports? L 2. Forms clear of debris? •r "F" 3. Type, grade, size, quantity, spacing and condition X " '"'� conform? ( 4-.S / / i 4 t /T�t l6v) ., /71 / s S, 4. Verified forms will nominally result in hardened concre , 7 U I C C" C � 7 t/f 5 , ) ` P ff) / /4 of the required cross - sectional dimensions. � 5. Verified location of reinforcing steel, pipes, conduits and >c J Aft samples r l 4. on break report. sleeves with respect to minimum concrete cover. 6. Verified type and location splices, length of contact REPORT SUMMARY be laps, and min. diameter of bends. 1. Work inspected was: Completed 0 In progress 7. Verified support & anchorage of reinforcing steel in the 2. Completed work inspected was was not forms. 8. Verified structural embedments in the forms with regard N in compliance with to fabrication, quality and type. i n Approved plans and specifications 0 Shop drawings 9. Verified structural embedments in the forms with regard RFI Design change Submittal N/A to weld inspection, quantity, and 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 eley3tions (floors) and drawing deta Is]: following page(s). 0 Yes 0 No 12 N/A p� /a I j 4-}c� C- Aj // , , - �Vii fi � Cl S 4. Noncompliance item(s) were reinspected this date, details / 0 ""N on lo !` G- � % S �r p r FRO 11‘-0(* f / on following pag 0 Yes I n No Cr td 7 0 Il /°`f d " e t 7 -Syr/ Conform Remain in progress R 0 6 7 e CAer 4 I A s r`rik C' r t+iAii A/ I ( I ./) /� Report(s G itlgs were discussed and left with A r 7 ` S / 7 / 0 f�, r , - , t t d. i / d' of ` 6 A..' P-- Based on the Code, approval is required fro c the Build g Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testi has no authority to direct wor sf c,' tract or su tractors. / Inspector Signature: • J A..1.La 1 Page (/ of 0 See additional report page(s 0 Distribute attachments. Ver. 2 Recoil 04 /20/2006