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Report • Carlson T e s tin g I n c v 1 Construction 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: 09/04/2008 Job Number: T0807985. Permit #: BUP2008 -00167 Client: BNK CONSTRUCTION INC — RON NIELSEN Project: VISION WORLD @ PACIFIC PARK PLAZA — TENANT IMPROVEMENT Address: 9975 SW FREWING STREET TIGARD OR Jurisdiction: TIGARD Contractor: BNK CONSTRUCTION INC — RON NIELSEN Subcontractor: Cast By: M. LARSON Concrete Supplier: X Truck #: PB 3 Load #: 1 Ticket#: 4549 Weather: SUNNY Test Time: 2 : 15 PM Air Temp. at Sampling Time: 76 Cylinders were cast for the following locations: Total Concrete Placement Location: 4 FOOTINGS FOR TENENT IMPROVEMENT AND TRENCH INFILLS Strength Requirement: 3000 psi f'c @ 28 Days Slump: 4.000" % Air: 1.40% Mix Number: 3000 Conc. Temp: 76 Cement Type: Max Agg: 1.0 Admix/Amt: Cubic Yards: 4 Register Number: 0087198 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 32 10/06/2008 10/06/2008 61025 12.49 4890 3 RH2 32 10/06/2008 10/06/2008 63445 12.49 5080 4 RH2 32 10/06/2008 10/06/2008 58283 12.49 4670 3 RH2 0 Distribute attachments. Average f'c @ 28 days Please see reverse side for additional information. Job Number: T0807985. Register Number: 0087198 DateMolded: 09/04/2008 Project VISION WORLD @ PACIFIC PARK PLAZA —,TENANT IMPROVEMENT < 1 in. [25 mm] )\ g 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 \ . .i Type 4 Type 5 Type 6 Diagonal fracture with Side fractures at top or Similar to Type 5 but no cracking through bottom (occur commonly end of cylinder is pointed ends; tap with hammer to with unbonded caps) distinguish from Type 1 Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: BNK CONSTRUCTION INC - RON NIELSEN NIELSEN @BNKCONSTRUCTION.COM TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - TIM RIPPEY BEAVERTON VISION WORLD - DR KAMELIA MASSIH Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 10/08/2008 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. Main Office Jem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carls Tigard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 6AH �� ®� ���t��� 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: BNK CONSTRUCTION INC — RON NIELSEN Project: VISION WORLD @ PACIFIC PARK PLAZA — TENANT IMPROVEMENT CTI Job #: T0807985. Address: 99 SW FREWING STREET TIGARD OR Jurisdiction: TIGARD CTI representative M. BARNARD OBOA 806 was on site this date Sep. 16, 2008 to perform Special Inspection for: Permit BUP2008 -00167 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: CHAD CTI WAS ON SITE TO WITNESS THE WELDING OF Company: BNK FLARE BEVEL GROOVE WELDS BETWEEN THE TUBE STEEL COLUMNS AND BEAM BUCKETS PER DETAILS 2. Inspection was "IBC" © Continuous 1=1 Periodic 2/S3 AND 3/S3 AT THE 2ND FLOOR. 3. Work performed: ® In the field At fab shop (3) BUCKETS WERE COMPLETED, (1) LEDGER SEAT WAS COMPLETED, (1) ANGLE CLIP WAS COMPLETED. 4. If shop inspection do they have fabrication and QC procedures? 0 Yes El No © N/A ALL FIELD WELDING IN DETAILS 2 & 3/S3 WAS COMPLETED. INSPECTION Yes NoN /A - 1. 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: © Compieted fl 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, 111 Approved plans and specifications Shop drawings member locations, and application of joint details at each X RFI Ei Design change El Submittal 0 N/A connection are in compliance by random sampling. Document #(s) Dated: 05/03/08 WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: P. ASHBAUGH following page(s). 0 Yes in No El N/A Certification #: W10059 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). 0 Yes © No El N/A 1. Verified the contractor's Welding Procedure progress Remain in Specifications are in conformance with X p g AWS requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were X (THE REPORT WAS LEFT ON A LADDER) employed during execution of the work. of 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. 0 See additional report page(s). El Distribute attachments. Page 1 of Daily Report of Structural Steel For: 09/16/2008 CTI Job #: T0807985. Project: VISION WORLD @ PACIFIC PARK PLAZA - TENANT IMPROVEMENT 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: 09/22/2008 MB /CK BNK CONSTRUCTION INC - RON NIELSEN NIELSEN @BNKCONSTRUCTION.COM TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - TIM RIPPEY BEAVERTON VISION WORLD - DR KAMELIA MASSIH Main Office .Iem Office Bend Office P.d. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 ss�� 9 Tigard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Carlson Testing Inc. Phone '003) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: BNK CONSTRUCTION INC - RON NIELSEN Project: VISION WORLD 8 PACIFIC PARK PLAZA - TENANT IMPROVEMENT CTI Job #: T0807985. Address: 9975 SW FREWING STREET TIGARD OR Jurisdiction: TIGARD CTI representative A. NUNLEY OBOA 866 was on site this date Sep. 11, 2008 to perform Special Inspection for: Permit BUP2008 -00167 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. * PRODUCT INSTALLED: Name: CHAD SIMPSON STRONG TIE ANCHOR SYSTEM TITEN HD Company: BNK CONSTRUCTION 2. Inspection was "IBC" © Continuous Periodic OBSERVED THE INSTALLATION OF 15 VERT 5/8" X 5" TITEN HD SCREWS 5/8" DIA WITH 4" EMBEDMENT EPR DETAIL 1 /S3 FOUNDATION SECTION, LOCATION IS PROPRIETARY ANCHORS PHASE 1. Yes No N/A 1. Reviewed previous inspection reports? X 2. Reviewed evaluation report? Verified following items meet manufacturer's REPORT SUMMARY - - published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: © Completed In progress anchors. X 4.Verified installation of the anchors. 2. Completed work inspected was in compliance with X © Approved plans and specifications 1=1 Shop drawings 5. Verified anchor diameter. X 6. Verified steel grade. x ❑ RFI El Design change ❑ Submittal ❑ N/A 7. Verified hole diameter. X Document #(s) Dated: 07 -07 -08 8. Verified type of drill bit used. x 9. Verified hole cleaning method. x 3. Noncompliance item(s) were noted this date, details on 10. Verified adhesive application. X following page(s). El Yes No El N/A 11. Verified edge distance. X 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. X on following page(s). D Yes ❑ No ® N/A 13. Verified installation torque. X El Conform El Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ESR -1056 CHAD 01 -01 -08 of BNK CONSTRUCTION Name of product being installed * Batch Number N/A Expiration Date N/A 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). El Distribute attachments. Page 1 of 1 Daily Report of Proprietary Ancha._ For: 09/11/2008 CTI Job #: T0807985. Project: VISION WORLD @ PACIFIC PARK PLAZA - TENANT IMPROVEMENT 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: 09/17/2008 ALN /JWA BNK CONSTRUCTION INC - RON NIELSEN NIELSEN @BNKCONSTRUCTION.COM TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - TIM RIPPEY BEAVERTON VISION WORLD - DR KAMELIA MASSIH . 'gain Office sia1em Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 C ss�� 9 Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 6arls ®n Testing Inc. • Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Reinforced Concrete Client: BNK CONSTRUCTION INC - RON NIELSEN Project: VISION WORLD @ PACIFIC PARK PLAZA - TENANT IMPROVEMENT CTI Job #: T0807985. Address: 9975 SW FREWING STREET TIGARD OR Jurisdiction: TIGARD CTI representative M. LARSON OBOA 240 was on site this date Sep. 04, 2008 to perform Special Inspection for: Permit BUP2008 -00167 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: CHAD y Com an BNK CONSTRUCTION 2. Monitored loads arriving at job site for correct: Company: Mix #: 3000 2. Type of work: © Concrete ® Reinforcing Slump 4 % Air 1.4 3. Work included: © Sampling © Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' ® Continuous ❑ Periodic Number of sets 1 Samples per set 3 5. Work performed: 9 In the field ❑ At precast shop 4. Inspected placing and consolidation of approx. 4 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? FOOTINGS FOR TENANT IMPROVEMENT 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 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 REPORT SUMMARY 7. Verified support & anchorage of reinforcing x 1. Work inspected was: Completed In progress steel in the forms. P 9 P ❑ P g 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 ❑ RFI ❑ Design change ❑ Submittal ❑ N/A permits issued. 10. Verified cast in place anchors. X Document #(s) Dated: Description of structure inspected [to include grid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: following page(s). ❑ Yes ❑ No © N/A FOOTINGS FOR TENANT IMPROVEMENT 4. Noncompliance item(s) were reinspected this date, details on following page(s). ❑ Yes ❑ No © N/A 9 Conform ❑ Remain in progress Report(s) findings were discussed and left with CHAD Of BNK Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. ❑ See additional report page(s). ❑ Distribute attachments. Page 1 of 1 Daily Report of Reinforced Concrei. • - ' . For: 09/04/2008 CTI Job #: T0807985. Project: VISION WORLD @ PACIFIC PARK PLAZA - TENANT IMPROVEMENT 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: 09/10/2008 ML /CK BNK CONSTRUCTION INC - RON NIELSEN NIELSEN @BNKCONSTRUCTION.COM TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - TIM RIPPEY BEAVERTON VISION WORLD - DR KAMELIA MASSIH