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Report Main Office Salem Ogee Rend Office Carly ®n 1 esting, Inc. 84305'W /hm:iker 4060 //udsonSt NE 63025 OR 7 Rd #11 T 430 S Il 97 ? ?3 Salem OR 9730/ Rent OR 9770? Phone: (503) 684 -3460 Phone (503)589-1252 Phone (541)330-9155 Fns: (503) 684 -0954 For: (503)589 -1309 For (541) 330 -9163 Construction Materials Testing & Inspection Special Inspection FINAL SUMMARY LETTER March 6, 2009 T0807926.B City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 -8199 Attn: Building Department Re: Pacific Crossroads Corporate Center — Building B 7910 SW Pfaffle Street — Tigard, OR Permit No.: BUP2008 -00055 Dear Sir or Madam: This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Installation of Cast in Place Anchors and Adhesive Anchors Structural Masonry Structural Welding- Shop & Field All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Steven W. Leach Project Manager SW L/rc cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick City of Tigard Building Division Afghan Associates Inc — Craig Harris Mildren Design Group — Betty Sheppard Commercial Contractors Inc — Eric Money MAR -06 -2009 FRI 03:54 PM CARLSON TESTING INC, FAX NO. 5036840954 P. 02 Alain Wee Salon Oen QO1er Carlson Testing, Inc. x43051v101ntrn, dOdOlfudron Ai „NE 6n?30ll TigurJ, OR !7 ^:3 Sohn. OR3 58 6302 off 97702 Pharr: 0031 681,1441! Yh�.,u (iU3J 58417.f? Anne: (Aaq 37f }'JI71 Fa.r.: (3031681 -J S4 Fur (50313&1.131* Fn.. 041) 3311.9163 Construction Materials Testing & Ins•ection Special Inspection FINAL SUMMARY LETTER March 6, 2009 T0807926.B City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 -8199 Attn: Building Department Re: Pacific Crossroads Corporate Center - Building B 7910 SW Pfaffle Street Tigard, OR Permit No.: BUP2008 -00055 Dear Sir or Madam: This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Installation of Cast in Place Anchors and Adhesive Anchors Structural Masonry Structural Welding- Shop & Field All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. et . , . $431 (__ i Steven W. Leach Project Manager SW L /rc cc: Pfaffle Office LLC & PCCC LLC - Roger Stalick City of Tigard Building Division Afghan Associates Inc -- Craig Harris Mildren Design Group - Betty Sheppard Commercial Contractors Inc -- Eric Money Main Office Salem Office Bend Office P.O. Box 23814 . 4060 Hudson Ave., NE P.O. Box 7918 Carlsoii �j u Tigard, Oregon 97281 Salem. OR 97301 Bend, OR 97708 tl ,C���1l Inc. P4 0 P9 2 Testing Ji 9 FAX (503) 684 0954 FAX (503) 589 1309 FAX (541) 330 -9163 March 6, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: February 27, 2009 PROJECT: Pacific Crossroads Corporate Center — Building B ADDRESS: 7910 SW Pfaffle Street — Tigard, OR INSPECTOR: R. Andree — COP #763, ACI #048632, OSHD #42872 02 -27 -09 - Wood Moisture I As requested by John with Commercial Contractors, CTI representative was on site and performed wood moisture testing in plywood roof sheathing and the bottom chord of TJI's. CTI used a Delmhurst BD 2100 moisture meter to take readings. Location Plywood BTM Chord 1 1st bay in NWC of building 20.8% 18.8% 2 2 bay from W south side of bldg 21.5% 16.5% 3 3 bay from W north side of bldg 20.2% 16.0% 4 4 bay at SEC of building 18.6% 16.0% 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. Under all circumstances, 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. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Sf ev!en At Leacr Project Manager RA /ck cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick. Leal Ickcr,0comcas, .ner CO of Tigard Buildinc: Division Afghan Associates Inc Craig! Harris Mildre Ueslcri � (L;� -- 1 :7 it Commercial Contractors Inc — Eric Morey enc0cdgc.c<,m 02 -27 -09 ir1.doc zi . _ .. 49 f ..sKA ciocc-c,40( 1 E 't>icl. AS Main Office Salem Office ‘IBend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testing , nc. I 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) 5894309 Fax (541) 330-9163 Daily Report of Proprietary Anchors .....e......., /-74 1 C Project i : . f, 1 :_... , ./ / ' - s, ---.— ,.„,,, Address i1:-/ -7>i,".4-1 ' i . ./`-' e _ /7 --- CTI Job #: I ff-2A 7 Z.-gf:::_; ..- - ,, 7 , Fil ---- CTI representative ---- 91) i -; Was on site this date 4- t "' I to perform (Inspector Name & Cert. No.) ,--- , i fi . "2 -- 2 ,. ,.. . s, ict . Special Inspection for 111 permit LI DFS #(s) ,- ' - --," --' - juriuion i In some cases more than one box may be checked for a given item. SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (flocirs and drawing details]: 1. Checked. in,,with superintendent or client representative. /3. :5 i ;;`'5 " - - k ' `-' "; 7 '''''V ii- " /1-7 ...,...y- 0- ; !cm- ) 0 Name: 1 ■"."-'-79--t--1,J 1/14 7 , / .4-," Z .. i•-.', 5 „---' Company: ( 1-7 ,, -- 1 74. .v, '2 ” - — eli "2 -, 2. Inspection was "IBC" 12 "'Continuous 0 Periodic A V/71571 ''''' 3 ? . 2:›P'4;z;' 177.11; eik of PROPRIETARY ANCHORS V 1 ' Yes NoN/A 1. Reviewed previous inspection reports? 2. Reviewed evaluation repOrt? REPORT SUMMARY . Verified following items meet manufacturer's published installation instruCtions. „ 1. Work inspected was: IS - Completed - Ei In progress 3. Verified minimum embedment depth of the ./ 2. Completed work inspected is "Was El was not anchors. . . - 4.Verified installation of the anchors. t," in compliance with 5 Verified anchor diameter 1:: Approved plans and specifications 1:1 Shop drawings . . 6/ 6. Verified steel grade. .1," 1:::1 RFI 13 Design change D Submittal 1=1 N/A 7. Verified hole diameter. c" l'-e Document #(s) , , Dated: / - 9 8. Verified type of drill bit used. i..." 3. Noncompliance item(s) were noted this date, details on 9. Verified hole cleaning method. ,,," ,..--- following page(s). 0 Yes ii No D N/A 10. Verified adhesive application. ,..." 11. Verified edge distance. - 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. t,, ,,, - on following page(s). n Yes 11111'No 9 N/A 13. Verified installation torque. y" El Conform 9 Remain in progress Evaluation report number &date: .* Report(s) findings,were discussed and left with ,NIZ/A-i-r 4: ; / g..4 1 -1,-74.74 '- V -....— , '.., JO 1.........) . . of 0/7- / • , ,, i Name of product being installed N H < -- V _ 1 _..--- /...4f7 ci.,..2' 1 .-- r Batch Number i ,./ / ,0_, I. ,, ,. Expiration Date ),-/ q7'.1 7 r n - • Based on the Code, approval is r equired from thetBuilchng Official before the SPECIAL INSPECTED items noted above Can be covered. Carlson Testing haslio authority to directwork..of-colifiactors or subcontractors. r7 ic- - ---.' I - . Inspector Signature: .-i-- / ./ ,.. i El See additional report page(s). 1=1 Distribute attachments. Page l of / PropAnch 06/16/08 4/2 i 5 , 5 d,► "MN. et E4 d ptX /c m le • 0-1? RNC g_ 8z$ - . Too 57tofl:' S Per.f ft. 13/0 -ii fi 2 411$ e , Nor ION. NEW 5/0 1-iY - /50 - * I- Q ' Epoxy /WI (') Try. 1111 A- i f-ft 4 . 4 Ipti t 1-----1 t , • --- per view op m3 - S 0 0 4 ( t14 ' TYP . 0 , r. t ie Coup Gpou�` � � ,, Ptcow- ! . (Nov- cI w) ; I A PEN' p ( 2-1 t) r • Afore: Gpour B ` ; ♦* V coWMty pi+o2• 1 F t • you v 8tK r 4 tinr ' `cn /VATS. ftN61 e wm BE Ococd ur: ----- . 1 fAIr/ite EP 4/ .57 D ..1. 'i" t 1 "MIN CDAIr crags 6p "' To tills 45 $?fat v oP- ovr a-- f i ll 8A P1 C E - 4pECt" 'iv;' ofFp0' // 1 1o1 -t .Mm - ct-f6 Sr7 MI6 cur c!ttrAiNe6• Foie 4NG14i . 0 /'1/"'� ll afghan asmdain, in 0(4/tP 1 N6 g By Ai Date: 1 1 d ENGINEERING /'�� 4875 SW Griffith DA* I Suite 380 1 eeavereon, OR 197005 tic. �f ����� Project No.: /1 2-02- 503.620.30301U 6031120.5539 1 fan www.aaleng.eom (4) / + / , t `� Sheet / of: Ciel . - o' Q \)-(Li 06( C f lA co --4- -.N.1_. Main Offi Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 u ( � c� • �s P hone (503) 684-3460 Phone (503) 589 -1252 Phone (541).330 -9155 arI o ti Testing, LnC o Fax (503) 684 -0954 Fax. (503) 589- 1309.: Fax (541) 330-9163 - • Special Inspection Page of DAILY HEM REPORT Project: ° °" "f,1Z T ? — `:) 4 Date: . 7 1 ' I . A; � c- - e, °° Job No. i 'w` Job Address: 2.r " CTI. r ,,, �� � -6 . af' Permit No.: ,I3 V\ 2 2--s;425 .,,. �:` : u 4' t Type of Inspection: Field ®`or Fab Shop Weather: Inspection Notes (include location, testing data, substitutions/deviations, materials - and methods of construction, non - conforming items, acceptance criteria, corrected non - conforming items, etc:): e ,...„7„ -- , t<c y • ;, 0 `' . .a .,,' v ? j � G d " +'o .. 7 r",---2 4- . ;i i'e' ;a ). R ZT ° � e j'�. -e %' E' t` i ,s`•' F t"_ �'"3" d {‘c4i ,, - ,,.:,,,,,,.3. a -4 „ a ,x.r, /: ) , V _ ill 7 '°'. .. ' , 5. dt. &/ p °•. :: ›. -re I . fix Pp..) c < f i 5 k ! . e- _ g`- ° # v, ** *CHECK ONE BOX ONLY * ** YES NO 1. This is a preliminary inspection. only. - "OR ❑ The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. Remaining portions of the work, which EKE] are not preliminary in nature, are to be considered as conforming. Inspector: f "'' 7 � ° r' Certification No.: ' . ` � ' , # r Use of the information contained in this report constitutes acceptance of all terms on the reverse of this form and Carlson Testing, Inc.'s General Conditions. Main Office Salem Office Bend Office P.O. Box 23814 - 4060 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 ��Carlson ���� ®� ����e �� I c. Phone (503) 684-3460 Phone (503) 589 -1252 Phone (541) 330 -9155 f FAX (503) 684 0954 FAX (503) 589 1309 FAX (541) 330 -9163 February 26, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: February 27, 2009 PROJECT: Pacific Crossroads Corporate Center - Building B ADDRESS: 7910 SW Pfaffle Street - Tigard, OR INSPECTOR: B. Baty - COP #728, WABO #BAT585126, OBOA#411, ICBO #5012760 -85 02 -27 -09 - Structural Steel • As requested, CTI representative was on site and met with John of Commercial Contractors for structural steel inspection. Inspected welding fix at grid A/2.5, 3.5, and 4.5 for base plate anchorage per SK1 dated 01/09/09, from AAI Engineer. Welding performed by Dennis Brown conforms with AWS and SK1. * ** CHECK ONE BOX ONLY*" YES NO 1. This is a preliminary inspection only. — OR — ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. ® ❑ Remaining portions of the work, which are not preliminary in nature, are to be considered as conforming. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. Under all circumstances, 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. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Steven W. Leach Project Manager BB /ck cc: Pfaffle Office LLC & PCCC LLC - Roger Stalick stalickco @earth1ink.net City of Tigard Building Division Afghan Associates Inc - Craig Harris era1nh2a�iena.Com Mildren Design Group - Betty Sheppard 17,tryp4 „dgpc.cw Commercial Contractors Inc - Eric Money ��,y..:n;, 02 -27 -09 ir.doc Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 `�° gg�� Testing, Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 C"`�` �� ®8A Inc. Phone (503) FAX (503) 684-0954 684-3460 Phone (503) FAX (503) 589-1309 589-1252 Phone (541) 330- -9 9155 FAX (541) 330 63 February 26, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: February 25, 2009 . PROJECT: Pacific Crossroads Corporate Center - Building B ADDRESS: 7910 SW Pfaffle Street - Tigard, OR INSPECTOR: R. Andree - COP #763, ACI #048632, OSHD #42872 02 -25 -09 - Wood Moisture As requested by John with Commercial Contractors, CTI representative was on site and took wood moisture readings in plywood and the bottom chord of TJ1. CTI took readings in 2 locations in building "A ". Readings indicated a high moisture %. Contractor canceled testing. CTI representative tested (1) location in building "B" to compare moisture levels; building "B" was also high (26.4 %). CTI took the temperature and humidity in each building. Building "A" was 45 °F with 57% humidity and building "B" was 45 °F and 60% humidity. 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. Under all circumstances, 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. If there are any further questions regarding this matter, please do not hesitate to contact this. office. Respectfully submitted, CARLSON TESTING, INC. Steven W. Leach Proiect Manager RA /ck cc: Pfaffle Office LLC & PCCC LLC - Roger Stalick stall ckco0earthlink. net City of Tigard Building Division Afghan Associates Inc - Craig Harris Mildren Design Group - Betty Sheppard hem v�rm�l_;pc.i�m Commercial Contractors Inc- Eric Money 02- 25- 09.doc Main Office Salem Office Bend Office PO. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Testing Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 �v/ �L l l � so 9 Inc. hone (503) 684-3460 Phone (503) 589 -1252 Phone (541) 330 -9155 ' �1. FAX (503) 684 -0954 FAX (503) 589 1309 FAX (541) 330 -9163 February 17, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: February 11, 2009 PROJECT: Pacific Crossroads Corporate Center — Building B ADDRESS: 8020 SW Pfaffle Street — Tigard, OR INSPECTOR: B. Gula — ACI #01141901 02 -11 -09 - Proprietary Anchors j As requested, CTI representative was on site at 8:55am for diamond fix epoxy. John with Commercial Contractors told this CTI inspector that they did not have epoxy ready and wanted to cancel inspection. 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. / 2 teven W. Leac Project Manager BG /ck cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick stalickco @earthlink.net City of Tigard Building Division Afghan Associates Inc — Craig Harris craigh @aaieng.com Mildren Design Group — Betty Sheppard natty @mdgpc.cor Commercial Contractors Inc — Eric Money eric@ccigc.com 02 -11 -09 fr.doc Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Testing Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 c p 1 S �91Y% ���� Phone (503) 684-3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Jl l ' FAX (503) 684 0954 FAX (503) 589 1309 FAX (541) 330 -9163 February 17, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: February 13, 2009 PROJECT: Pacific Crossroads Corporate Center — Building B ADDRESS: 8020 SW Pfaffle Street — Tigard, OR INSPECTOR: S. Stoner — COP#611, WABO #ST0707291, OBOA #337, ICBO #1060681 -84 02- 13 -09, Wood Moisture CTI representative was on site as requested, representative took wood moisture readings of the underside and bottom of the plywood roof decking, and bottom chord of the roof trusses. A Delmhorst model BD -2100 Wood Moisture Meter was used. Results: Location Plywood Chord B/2 18.5% 16.2% B/3 18.2% 13.0% B/4 17.7% 16.5% 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. ven W�. eachC Project Manager SS/arr cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick staickco @earthlink.net City of Tigard Building Division Afghan Associates Inc — Craig Harris craigh@aaieng.com Mildren Design Group — Betty Sheppard hett Commercial Contractors Inc — Eric Money eric @ccigc.com 02 -13 -09 fr Bend Office (541) 330 -9155 Geotechnical Office (503) 601 -8250 Carls • Salem Office (541) 345 -0289 6�1 �� ®� Testing, ���o Salem Office (503) 589 -1252 Tigard Office (503) 684 -3460 Daily Report of Proprietary Anchors Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B CTIJob #: 70807926.B Address: 7910 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTlrepresentative S. STONER WABO 3103 /OBOA 337 was on site this date Feb. 13, 2009 to perform Special Inspection for: Permit BUP2008 -00055 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. SK1 BASE PLATE ATTACHMENT AT A/2.25, 3.75, AND Name: JOHN 4.25. Company: CCI NOTE FOR SPECIFIED EPDXY. 2. Inspection was "IBC" ® Continuous ❑ Periodic PROPRIETARY ANCHORS Yes No N/A 1. Reviewed previous inspection reports? x 2. Reviewed evaluation report? x 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 2. Completed work inspected was in compliance with 4.Verified installation of the anchors. X 5. Verified anchor diameter. Approved plans and specifications Shop drawings X 6. Verified steel grade. X RFI ® Design change ❑ Submittal El N/A 7. Verified hole diameter. y Document #(s) SK1 Dated: 01/09/2009 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). Yes No N/A 1 l . Verified edge distance. X 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. X on following page(s). Yes ® No N/A 13. Verified installation torque. X 0 Conform ❑ Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with 5193 LEGACY (09/01/2008) JOHN of CCI Name of product being installed HILTI HY 150 Batch Number 15709 TT Expiration Date 05/2009 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 Proprietary Anchors - For: 02/13/2009 CTI Job #: T0807926. B Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 02/17/2009 SGS /ARR PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Carlson Testing, Inc. Incompleted Items List (NCL) Feb 12, 2009 T0807926.B Project Name: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B Project Address: 7910 SW PFAFFLE STREET TIGARD OR Permit No: BUP2008 -00055 P.O. No: Project Manager: STEVEN W. LEACH Item # Insp. Date Item Description Compliance CTI Sign -Off Date Corrected 1 RB 01/07/2009 WELDING OF THE PARTIAL PEN AND FLARE BEVEL WELDS WELDS WERE GROUND OUT R. RYAN 01/07/2009 WAS NOT MONITORED. THE PARTIAL PEN FIT -UP AND REWELDED WITH APPEARED TO BE ABOUT 1/8" BEVEL. CONTINUOUS INSPECTION. CC:PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS MILDREN DESIGN GROUP - BETTY SHEPPARD COMMERCIAL CONTRACTORS INC - ERIC MONEY Page: 1 Main Office .talem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 Ca.rlson Testing 9 hie Phone (503) 684-3460 0 Fax (503) 684-0954 P Phone (541) 330-9155 Fax (541) 330-9163 Special Inspection Page of DAILY FIELD REPORT 7 rl Z:keZ-1, ,4 Jr7 Project: 'P r Date: s-r '7 I ,47 Job Address: CTI Job No. Permit No.: f: - 4.94-W Type of Inspection: Field E 4 Or Fab Shop Weather: • Inspection Notes (include location, testing data,- substitutions/deviations, materials and methods of construction, non-conforming items, acceptance criteria, corrected non-conforming items, etc.): a y i" re.:=Ab. ef 4,9,77 /7-1 -)?L, • ZE7-5 t ; F -7 c. r2. (Ps ,e 4,4a 5k „. 9 57/1- j k *** CHECK ONE BOX ONLY **-* YES NO 1. This is a preliminary inspection only. — OR 2. The work inspected conforms to acceptance criteria listed above. If "No,” the portions of the work that are non-conforming items are clearly stated above and will be.added to the NCL. Remaining portions of the work, which p--ti are nOt preliminary in nature, are to be considered as conforming. • ."") 4' Inspector: v- , Certification No.: 1 - 1454 ''''''' ; Use of the information contained in this report constitutes acceptance of all terms on the reverse of this form and Carlson Testing, Inc.'s General Conditions. . . . . . . . . . . . O /472,P --., �rt MIN. etritg 0 fleKer t 1 O./41? 4 8 > Too s'ftoft: Sb D941L 1 c41/ n T1I'i& ' ' { _ - Nor uJN. NEW 5 /0'6 �y - / 1- Q IV 5/'oX y riiVCitv i l l t 1 " f 3 7 4 (.0 Pt Try. �- L IS l PLI'N mu) OF m3 it $ i apIP A- C t/¢ ryp • 1 I t .. 1 SOLffl 'U1W WOW - r" 1 1 _ 1 1z- 1+ Raw. (NON siterNx) i I Ay P 'D (2- 3'f t) J ��� f 1�1 ..., i Li. ... Nor: 61 7 REMO / i _ Go WWWMr M T ,5-41 I 411N" t4 j �� � --� ___ 1 Afore: /1N61- Sffm( BE 1 fivcrAtc EP 0/V(t) S/D om' . l y ►t - t I rf MrN Con/r'r - or3gC 6pj7oN ro l NST/I'L4 45' ClivtoN o,P- 0 taimiT 8 . / V gA �G c�1� E - 4•p -erg rivs of 3or� y j l 1nrsr>tc/fmw 1. • 671"4 - AINE 4 4/V6- f. 0 +` 4f 1� fJ/6 9 By: /t` Date: L [ r t 0" 1 � � ,�... `�61 astable:, etE. ENGINEERING Pte FIG oS's°, , /lilies' 4 gee. 4875 SW Gale' Dive Stifle am 1 B�u'.r tui4 OR 197005 f �' Project No.: 503.62 2030 Its! 503. W . , �� r �i rfriw.aalen � Fat om W it r v G Sheet: �" / of C� 1 J/ Main Office Salem Office Bend Office P.O. Box 23814 4b60 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 Carlson hone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Testing, Inc. Inc ° Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Special Inspection Page / of / DAILY FIELD REPORT Project: - ie/F /(1 e/? ✓ ? P5 /v 6 Date: 7 Job Address: 79/O 5 IFp� r rt.s. CTI Job No. 7 qZ 6 S Permit No ` O ' f — 0to 5 - Type of Inspection: (1225' ✓) MC/SruQ Field 0 or Fab Shop Weather: Inspection Notes (include location, testing data, substitutions /deviations, materials and methods of construction, non - conforming items, acceptance criteria, corrected non - conforming items etc.): AS r7 au /. , `! ,s (Wits - au Piz') , v� ,----- / /1)22 /S�r)LZ. - !? ff //L/ 'Aj/ 5- i , z-- r %?-ry,, C 7 1,i.e 7 /74( --7 0! f- rc ' (`/'Idb'C1 9/) 4 19 , f t' 0 ' ?;'; 1,4A0I)rr;, D - 7/e- 10400 ! Tet ,/ girl,. 04 /f)7, (1 )4 P ry , )-.< /-7.s Lit .7 . (. ��'�' „4-' rQ1U 1 ( ' /C. ,7 0/. '!- / - 08,x' /e7 /6 -Z% ?I.V3 , /13. 2, '../e? d i P/ 17, 7 '/';',2 !o , Sv '4 * ** CHECK ONE BOX ONLY * ** VA"—"-- YES NO 1. This is a preliminary inspection only. – OR – ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No,” the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. Remaining portions of the work, which ❑ ❑ are not preliminary in nature, are to be considered as conforming. • ! � Inspector r�r�f4/ Certification No.: / Use of the information contained in this report constitutes acceptance of all terms on the reverse of this form and Carlson Testing, Inc.'s General Conditions. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. Terms: Client recognizes that construction observation and/or testing services provided by CTI are techniques which may reduce the risk of construction defects, deficiencies, or omissions arising during or after con- struction. Services performed by CTI do not constitute a warranty or guarantee ofany'type. Even with diligent construction monitoring and /or testing by CTI, construction defects, deficiencies, or omissions in the Contractor's work may exist. In all cases, Client and /or the Contractor shall assign the Contractor the responsibility for the quality and completeness of the work and for adhering to plans and specifica- tions. CTI's work or failure to perform same shall not in any way excuse any contractor, subcontractor, or supplier from performance of its work in accordance with the contract documents. CTI will provide its professional services to Client with that degree of care and skill ordinarily exercised under similar circumstances by members of its profession. This representation is in lieu of other warran- ty or representation, either expressed or implied. It is also understood and agreed that statements made in CTI reports are observations based on technical judgments, and should not be construed to be con- clusive representations of fact. If conditions different from what are indicated in the reports come to Client's attention after receipt of the reports, it is recommended that Client contact CTI immediately to authorize further appropriate evaluation. CTI's work shall not include determining, supervising or implementing the means, methods, techniques, sequences or procedures of construction. CTI shall not be responsible for evaluating or reporting job con- ditions related to health, safety or welfare. • 4 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 Carlson Testing, Inc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Project: / / (7 C ( ) 71 s Po/4-'5 - ' o z') //U 0 eg Address: 19/0 CTI Job #: Ogh 7V CTI representative -51> f was on site this date 7 to perform (Inspector Name & Cert. No.) Special Inspection for ©p rmit ❑ DFS #(s) &/f 7 0-0 - 4 ' S' jurisdiction / In some cases more than one box may be checked for a given item. SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: _ 1. Checked with superintendent or client representative. / / 56 1 � 7 77 " /J- Name: 0/4- E.//4- JT , /4--7 f_ ` 7 7 7 5 ,, Company: r' a t/, 2. Inspection was "IBC" ErContinuous ❑Periodic N,41-/11. P /X, I fhts: PROPRIETARY ANCHORS Yes No N/A 1. Reviewed previous inspection reports? 2. Reviewed evaluation report? REPORT SUMMARY Verified following items meet manufacturer's published installation instructions. 1. Work inspected was: © Completed ❑ In progress 3. Verified minimum embedment depth of the 2. Completed work inspected l" was ❑ was not anchors. 4.Verified installation of the anchors. in compliance with 5. Verified anchor diameter. ❑ Approved plans and specifications • El Shop drawings 6. Verified steel grade. ,,s ❑ RFI 'Design change ❑ Submittal ❑ N/A 7. Verified hole diameter. Document #(s) "0" l Dated: / " 9 "A? 8. Verified type of drill bit used. c/ 3. Noncompliance item(s) were noted this date, details on • 9. Verified hole cleaning method. following El Yes No El N/A g 10. Verified adhesive application. 11. Verified edge distance. ' 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. on following page(s). ❑ Yes ©' No El N/A 13. Verified installation torque. ❑ Conform ❑ Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with Rtric 4/ (74 C. .7;.,f. ° ( -4 &) of / Name of product being installed Al,, i .1 ) V i Batch Number / Expiration Date 4/ a1 Based on the Code, approval is:required from the/Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing haslio authority to direct work sof co ors or subcontractors. Inspector Signature: ���• . ❑ See additional report page(s). ❑ Distribute attachments. Page / of / PropAnch 06/16/08 Terms: Client recognizes that construction observation and /or testing services provided by CTI are techniques which may reduce the risk of construction defects, deficiencies, or omissions arising during or after con- struction. Services performed by CTI do not constitute a warranty or guarantee of any type. Even with diligent construction monitoring and /or testing by C; l'I, construction defects, deficiencies, or omissions in the Contractor's work may exist. In all cases, Client and /or the Contractor shall assign the Contractor the responsibility for the quality and completeness of the work.and for adhering to plans and specifica- tions. CTI's work or failure to perform same shall not in any way excuse any contractor, subcontractor, or supplier from performance of its work in accordance with the contract documents. CTI will provide its professional services to Client with that degree of care and skill ordinarily exercised under similar circumstances by members of its profession. This representation is in lieu of other warran- - ty or representation, either expressed or implied. It is also understood and agreed that statements made' in CTI reports are observations based on technical judgments, and should not be construed to be con- clusive representations of fact. If conditions different from what are indicated in the reports come to Client's attention after receipt of the reports, it is recommended that Client contact CTI immediately to authorize further appropriate evaluation. CTI's work shall not include determining, supervising or implementing the means, methods, techniques, sequences or procedures of construction. C;l'I shall not be responsible for evaluating or reporting job con- ditions related to health, safety or welfare. Main Office Salem Office Bend Office P.O. Box 23814 -24060 Hudson Ave., NE P.O. Box 7918 1� , Oregon 97281 Salem, OR 97301 Bend, OR 97708 car1sori ��5�a �� Inc. �,(+® Phone (503) 684-3460 Phone (503) 589 -1252 Phone (541) 330 -9155 9 `1• FAX (503) 684 0954 FAX (503) 589 1309 FAX (541) 330 -9163 February 10, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: February 3, 2009 PROJECT: Pacific Crossroads Corporate Center — Building B ADDRESS: 8020 SW Pfaffle Street — Tigard, OR INSPECTOR: G. Gillman, COP #813, ACI #01073484, OBOA #751 02 -03 -09 - Veneer Anchors As requested, CTI representative was on site for periodic inspection of veneer anchors at wall faces over storefront canopies on D line at 1.5 to 2.5 and 3.5 to 4.5. The anchors installed, including seismic clips and wire; the Hohmann & Bernard DW -10HS with Seismiclip Interlock System, are approved for use by engineer of record's submittal response and by specifications section 04210:2.2:B.7. Note that the manufacturer's published installation instructions require the clips to be anchored on the studs. Specification 04210:3.1:F.2 calls for anchor spacing of 16" on center vertically and horizontally. The horizontal spacing is at 15" O.C. the face of the wall, however the studs are 16" O.C. only to the top of window and door openings and 24" O.C. above that — the vertical spacing of ties is 24" O.C. above the storefronts. Since this is requisite of the approved system, no non - compliance is noted. Inspected work was completed and done in conformance to approved construction documents, manufacturer's published installation instructions and the special inspection requirements of OSSC 2007, sections 1704.4 and 1704.13. * ** CHECK ONE BOX ONLY*" YES NO 1. This is a preliminary inspection only. — OR — ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. ® ❑ Remaining portions of the work, which are not preliminary in nature, are to be considered as conforming. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. venom. Leach Project Manager GG /ck cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick t,tlickco @e City of Tigard Building Division Afghan Associates Inc — Craig Harris aioh(��at�ierui.c�,in Mildren Design Group — Betty Sheppard beety@mdgpc.com Commercial Contractors Inc — Eric Money eric @ccigc.com 02 -03 -09 fr.doc Main Office Salem Office Bend Office - P.O. Box 23814 X60 Hudson Ave., NE P.O. Box 7918 a Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 Carls®n �St111 Inc. P4 0 P9 2 P(1) 330 5 Ad. ' FAX (503) 684 -0954 FAX (503) 589 1309 FAX (541) 330 -9163 January 30, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: January 26, 2009 PROJECT: Pacific Crossroads Corporate Center — Building B ADDRESS: 8020 SW Pfaffle Street — Tigard, OR INSPECTOR: C. Stasch — COP#485, WABO #STA767001, OBOA #331, ACI #023754 r 0126 -09 - _ Masonry Ties As requested, CTI representative was on site to inspect brick veneer tiers east side of building 13 to top of wall. Ties were 15" on center and conformed to plans and specifications. ** *CHECK ONE BOX ONLY*** YES NO 1. This is a preliminary inspection only. — OR — ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No." the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. ® ❑ Remaining portions of the work, which are not preliminary in nature, are to be considered as conforming. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Steven W. Leach Project Manager CS /ck cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick stalickco @earthlink.ner City of Tigard Building Division Afghan Associates Inc — Craig Harris cra;gh @aaienq.com Mildren Design Group — Betty Sheppard hettyc @r,dgpc.com Commercial Contractors Inc — Eric Money eric6cc;gc.com 01 -26 -09 fr.doc Main Office Salem Office Bend Office P.O. Box 23814 J0 Hudson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 Carls ®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 January 28, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: January 22, 2009 - PROJECT: Pacific Crossroads Corporate Center — Building B ADDRESS: 8020 SW Pfaffle Street — Tigard, OR INSPECTOR: C. Stasch — COP#485, WABO #STA767001, OBOA #331, ACI #023754 01 -22 -09 - Masonry As requested, CTI representative was on site to inspect brick veneer ties, east side of building B, first 4' of wall. Ties were 15" on center and conformed to approved plans. ** *CHECK ONE BOX ONLY*** YES NO 1. This is a preliminary inspection only. — OR — ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. ❑ Remaining portions of the work, which are not preliminary in nature, are to be considered as conforming. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. .4 Steven W. Leach Project Manager CS /ck cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick stalickco @earthlink.net City of Tigard Building Division Afghan Associates Inc — Craig Harris craigh @aaieng.com Mildren Design Group — Betty Sheppard hettOmdoc.com Commercial Contractors Inc— Eric Money enccicc;yc. cam 01 -22 -09 fr.doc T vn 1)pc cl i' 1!2we,, Main Office Salem Office Bend Office P.O. Box 23814 -.u60 Hudson Ave., NE P.O. Box 7918 T u Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 C�] r ®� �9 �tl o Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 �A 111►7 1 9 A FAX (503) 684 0954 FAX (503) 589 1309 FAX (541) 330 -9163 January 21, 2009 T0807926.B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: January 16, 2009 PROJECT: Pacific Crossroads Corporate Center — Building B ADDRESS: 8020 SW Pfaffle Street — Tigard, OR INSPECTOR: C. Stasch — COP#485, WABO #STA767001, OBOA #331, ACI #023754 01- 16 -09: CTI representative was on site to inspect brick veneers north side of building, `A' line 3 to 5 line, 12' level to top of wall. Ties were at 15" on center & conformed to plans. * ** CHECK ONE BOX ONLY*** YES NO 1. This is a preliminary inspection only. — OR — ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. Remaining portions of the work, which are not preliminary in nature, are to be considered as ® ❑ conforming. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. (r i li teven -) W - Project Manager CS /ja cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick stalickco @earthlink.net City of Tigard Building Division Afghan Associates Inc — Craig Harris cra;gh@ a;eng.con, Mildren Design Group — Betty Sheppard bett nc Commercial Contractors Inc — Eric Money er,c@cc;gc.com Main Office } Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 e Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708 Car s ®� �� "1.111 A 1741 Phone (503) 684 -3460 P9 ' Inc. A A O.. FAX (503) 684 0954 FAX (503) 589 -1309 FAX (541) 330 -9163 January 20, 2009 T0807926. B Permit No. BUP2008 -00055 FIELD INSPECTION REPORT DATES COVERED: January 14, 2009 PROJECT: Pacific Crossroads Corporate Center— Building B ADDRESS: 8020 SW Pfaffle Street — Tigard, OR INSPECTOR: J P Haynes, COP #864, ACI #1087712, ICC #53098881 -84,86 01- 14 -09: As requested by Gary with Parker Masonry, CTI representative J Haynes arrived on site for a periodic inspection. CTI representative observed contractor installing HB DW -10 series veneer anchors /tie system per submittal dated 11- 07- 08 -AAI Engineering. HB DW -10 ties being placed at every stud & vertically at every 15" on center on brick veneer wall, approximately A/5 -3.2 to 48 ". Plan #A07202, dated 12- 13 -07, reference S1.0 & S2.1. * ** CHECK ONE BOX ONLY*" YES NO 1. This is a preliminary inspection only. — OR — ❑ 2. The work inspected conforms to acceptance criteria listed above. If "No," the portions of the work that are non - conforming items are clearly stated above and will be added to the NCL. Remaining portions of the work, which are not preliminary in nature, are be considered as ® ❑ conforming. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. f ,< teven W. Leac Project Manager JPH /ja cc: Pfaffle Office LLC & PCCC LLC — Roger Stalick stalickco @earthlink.net City of Tigard Building Division Afghan Associates Inc — Craig Harris craigh @aaleng.com Mildren Design Group — Betty Sheppard betty @ndgpc.con, Commercial Contractors Inc — Eric Money eric @ccigc.com, Main Office alem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Carlson Testing, igard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 . +° ��� Inc. ��C• Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Structural Steel Client: PFAFFLE OFFICE LLC & PCCC LLC — ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B CTI Job #: T0807926.B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative R. BATY OBOA 411 was on site this date Jan. 16, 2009 to perform Special Inspection for: Permit BUP2008 -00055 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: JOHN MONITORED WELDING OF FLARE BEVELS AND INSPECTION COm an COMM. CONTRACTORS OF FILLET' WELDS. THIS WAS FOR (2) CANOPIES ON P y GRIDS LINE C PER DETAILS 11 +14/S5.1. 2. Inspection was "IBC" © Continuous Periodic 3. Work performed: © In the field 0 At fab shop 4. If shop inspection do they have fabrication and QC procedures? n Yes n 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 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 n Shop drawings member locations, and application of joint details at each X El RFI Design change ❑ Submittal n N/A connection are in compliance by random sampling. Document #(s) Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: JACOB S . Certification #: W02960 following page(s). n Yes ❑ No © N/A 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 progress ro i i R Conform Remain n C 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 JOHN employed during execution of the work. Of COMM. CONTRACTORS 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). Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 01/16/2009 CTI Job #: T0807926. B Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 01/20/2009 RB /ARR PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Main Office ..alem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 C611ss�� rls®n Testing, Inc. Tigard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 �, JL 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: PFAFFLE OFFICE LLC & PCCC LLC — ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B CTI Job #: T0807926. B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative R. RYAN OBOA 808 was on site this date Jan. 13, 2009 to perform Special Inspection for: Permit BUP2008 -00055 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: DENNIS CONTINUOUS FLARE BEVEL WELDS AND VISUAL Company: PORTABLE INSPECTION OF 1/4" FILLETS PER 7/S5.1 ON 2 TS HEADER. ALL WELDS APPEAR TO COMPLY TO DETAILS. 2. Inspection was "IBC" ® Continuous 0 Periodic 3. Work performed: n In the field ® At fab shop PORTABLE 4. if shop inspection do they have fabrication and QC procedures? ® Yes n No El 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 l . Work inspected was: ® Completed El In progress 7. Verified the quality of welds produced by welders, 2 Completed work inspected was in compliance with welding operators. and tuckers conform. X P P P 8. Verified steel frame joint details for bracing, stiffening, 11 Approved plans and specifications Shop drawings member locations, and application of joint details at each X 0 RH 0 Design change Submittal N/A connection are in compliance by random sampling. Document #(s) Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: ON FILE following page(s). Yes ® No ❑ N/A Certification #: 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). n Yes No ® N/A 1. Verified the contractor's Welding Procedure progress ro i Conform Remain C n Rema 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 DENNIS employed during execution of the work. of PORTABLE 3. Verified the weldability of reinforcing steel Based on the Code. approval is required from the Building Official before the other than ASTM A706. ` SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. n See additional report page(s). n Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 01/13/2009 CTI Job #: T0807926. B Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 01/15/2009 RR /ARR PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO@EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Main Office .,,alem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Ca y � �� ®� Testing, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Y ���' ! l �• 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: PFAFFLE OFFICE LLC & PCCC LLC — ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B CTI Job #: T0807926. B Address: 8020 • SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTl representative R. BATY OBOA 411 was on site this date Jan. 09, 2009 to perform Special Inspection for: Permit 5092008 -00055 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: JOHN MONITORED FIT —UP AND WELDING OF MULTI PASS FLARE Com an COMM ERCIAL CONTRACTORS BEVEL WELDS. ALSO INSPECTED THE 1/4" FILLET p y WELDS. THIS WAS PER DETAIL 14/S5.1 HSS 12 X 4 2. Inspection was "IBC" © Continuous El Periodic HEADER AT HSS 5 X 5 COLUMN. THIS IS LOCATED AT 3. Work performed: ® In the field At fab shop A /1.5, 2.5, 3.5, AND 4.5. 4. If shop inspection do they have fabrication and QC procedures? n Yes D 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 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 n In progress 7. Verified the quality of welds produced by welders. welding operators. and tackers conform. X 2. Completed work inspected was in compliance with 8. Verified steel frame joint details for bracing, stiffening. 111 Approved plans and specifications n Shop drawings member locations, and application of joint details at each X RF1 El Design change El Submittal n N/A connection are in compliance by random sampling. Document #(s) Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: DENNIS BROWN following page(s). D Yes 0 No ® N/A Certification #: C -819 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 n 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 JOHN employed during execution of the work. of COMMERCIAL CONTRACTORS 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 Daily Report of Structural Steel For: 01/09/2009 CTI Job #: T0807926. B Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 01/14/2009 RB /ARR PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Main Office ,alem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Carlson ��s�° � l 4 g, 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: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B CTI Job #: T0807926. B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative R. BATY OBOA 411 was on site this date Jan. 07, 2009 to perform Special Inspection for: Permit BUP2008 -00055 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: DENNIS INSPECTED WELDING OF (2) EACH OF COLUMNS PC /MK 7A • COm an PORTABLE LEFT AND 7A RIGHT. P y 2. Inspection was "IBC" ® Continuous n Periodic NCL #1 - WELDING OF THE PARTIAL PEN AND FLARE 3. Work performed: I In the field ® At fab shop BEVEL WELDS WAS NOT MONITORED. THE PARTIAL PEN PORTABLE FIT -UP APPEARED TO BE ABOUT 1/8" BEVEL. 4. If shop inspection do they have fabrication and QC procedures? n Yes n No 0 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 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 0 Design change 0 Submittal n N/A connection are in compliance by random sampling. Document #(s) DWG 7 REV 0 Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: ON FILE AT SHOP following page(s). ® Yes 0 No N/A Certification #: 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). fl Yes 0 No ® N/A 1. Verified the contractor's Welding Procedure progress Conform Remain in Specifications are in conformance with X p AWS requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were RALPH employed during execution of the work. of PORTABLE 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 1 Daily Report of Structural Steel For: 01 / 0 7 / 2 0 0 9 CTI Job #: T0807926.13 Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 01/12/2009 RB /RMC PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY@MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Carlson Testing, Inc. Incompleted Items List (NCL) Jan 13, 2009 T0807926.B Project Name: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B Project Address: 8020 SW PFAFFLE STREET TIGARD OR Permit No: BUP2008 -00055 P.O. No: Project Manager: STEVEN W. LEACH Item # Insp. Date Item Description Compliance CTI Sign -Off Date Corrected 1 RB 01/07/2009 WELDING OF THE PARTIAL PEN AND FLARE BEVEL WELDS WELDS WERE GROUND OUT R. RYAN 01/07/2009 WAS NOT MONITORED. THE PARTIAL PEN FIT -UP AND REWELDED WITH APPEARED TO BE ABOUT 1/8" BEVEL. CONTINUOUS INSPECTION. PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK TO :CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS MILDREN DESIGN GROUP - BETTY SHEPPARD COMMERCIAL CONTRACTORS INC - ERIC MONEY Page: 1 Main Office a.lem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson igard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 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 Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B CTIJob #: T0807926.B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative R. RYAN OBOA 808 was on site this date Jan. 07, 2009 to perform Special Inspection for: Permit BUP2008 -00055 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: DAVE CONTINUOUS INSPECTION OF PJP WELDS ON (4) TS Com an PORTABLE COLUMNS PART# 7A LEFT, 7A RIGHT (2) OF EACH. P Y 2. Inspection was "IBC" © Continuous Periodic NCL #1 NOTED ON REPORT DATED 1/7/09 HAS BEEN 3. Work performed: 0 In the field ® At fab shop CLEARED. THE WELDS WERE GROUND OUT AND REWELDED PORTABLE WELDING WITH CONTINUOUS INPSECTION. 4. If shop inspection do they have fabrication and QC procedures? D Yes n 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 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 ❑ 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. II Approved plans and specifications Shop drawings member locations, and application of joint details at each X connection are in compliance by random sampling. n RFI Design change n Submittal ❑ N/A Document #(s) Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: ON FILE following page(s). ❑ Yes © No 0 N/A Certification #: 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). ® Yes n No n N/A 1. Verified the contractor's Welding Procedure ®Con Remain i Specifications are in conformance with X n n progress AWS requirements. 2. Verified the essential variables outlined in the Report(s) findings were discussed and left with Welding Procedure Specifications were X DAVE employed during execution of the work. of PORTABLE 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. n See additional report page(s). 0 Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 01/07/2009 CTI Job #: T0807926. B Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 01/12/2009 RR /RMC PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Carlson Testing, Inc. Incompleted Items List (NCL) Jan l3, 2009 T0807926.13 Project Name: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B Project Address: 8020 SW PFAFFLE STREET TIGARD OR Permit No: BUP2008 -00055 P.O. No: Project Manager: STEVEN W. LEACH Item # Insp. Date Item I)escription Compliance CTI Sign -Off Date Corrected 1 RB 01/07/2009 WELDING OF THE PARTIAL PEN AND FLARE BEVEL WELDS WELDS WERE GROUND OUT R. RYAN 01/07/2009 WAS NOT MONITORED. THE PARTIAL PEN FIT -UP AND REWELDED WITH APPEARED TO BE ABOUT 1/8" BEVEL. CONTINUOUS INSPECTION. PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK TO:CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS MILDREN DESIGN GROUP - BETTY SHEPPARD COMMERCIAL CONTRACTORS INC - ERIC MONEY Page: 1 construction Inspections & Related Tests Carlson Testing, Inc. 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: 11/25/2008 Job Number: T0807926.B Permit #: BUP2008 -00055 Client: PFAFFLE OFFICE LLC & PCCC LLC — ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD Contractor: COMMERCIAL CONTRACTORS INC — ERIC MONEY Subcontractor: Cast By: S . HOPPE Concrete Supplier: KNIFE RIVER (METRO OPERATIONS) — QUALITY CONTROL Truck #: 228 Load #: 3 Ticket#: 3200871 Weather: RAIN Test Time: 8 : 20 AM Air Temp. at Sampling Time: 40 Cylinders were cast for the following locations: SAME AS BELOW Total Concrete Placement Location: SLAB ON GRADE AT BUILDING B, A —D/1 -5 Strength Requirement: 3500 psi re 28 Days Slump: 5.000" 'Yo Air: 1.40% Mix Number: 6KN15000 Conc. Temp: 65 Cement Type: I /II Max Agg: 3/4 Admix/Amt: Cubic Yards: 10 Register Number: 0088540 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 11/26/2008 12/02/2008 61924 12.49 4960 2 RH2 28 11/26/2008 12/23/2008 81000 12.50 6480 4 MEM 28 11/26/2008 12/23/2008 79200 12.50 6340 4 MEM 28 11/26/2008 12/23/2008 79900 12.50 6390 3 MEM 0 Distribute attachments. Average f'c @ 28 days 6400 Please see reverse side for additional information. • Job Number: T0807926. B Register Number: 0088540 Date Molded: 11/25/2008 Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING 8 - _ < l in. [25 mm] ( / \ / \ 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: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY@MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 12/29/2008 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. Main Office SIalem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 • Tigard, Oregon 97281 Salem. Oregon 97301 Bend, Oregon 97708 lA C r p Testing, I nc. Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 L8 O� Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Reinforced Concrete Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B CTI Job #: T0807926.B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative K. THRALL OBOA 347 was on site this date Nov. 13, 2008 to perform Special Inspection for: Permit BUP2008 -00055 DFS #(s) PO Number: SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? in Yes ❑ No ❑ N/A Name: JOHN Company: COMMERCIAL CONTRACTORS 2. Monitored loads arriving at job site for correct: Mix #: 33K217200 2. Type of work: © Concrete ® Reinforcing Slump 4 • 5 % Air 1. 6 3. Work included: ® Sampling ® Inspection 3. Type of samples made? 4 K 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. 19 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 SAME AS REINFORCING 3. 'Type, grade, size, quantity, spacing and X condition conform? PER REVISION 7/24/2008 DETAIL 5/S4.1, 10/54.1 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 E 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 n RFI n Design change 0 Submittal El 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 n No ® N/A STEM WALLS AT 1/B.25 -A; A/1 -4.5; FOOTING AT 4. Noncompliance item(s) were reinspected this date, details A/4.5-5, 5/A -A.25 on following page(s). ❑ Yes El No © N/A 0 Conform ❑ Remain in progress Report(s) findings were discussed and left with JOHN of COMMERCIAL CONTRACTORS 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). Distribute attachments. Page 1 of 1 Daily Report of Reinforced ConcrAIND For: 11/13/2008 CTI Job #: T0807926. B Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 11/20/2008 KRT /ARR PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM o Mk onstruction Inspections & Related Tests Carts ®n 'Testing, Inc. 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 °- X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 11/13/2008 Job Number: T0807926. B Permit #: BUP2008 -00055 Client: PFAFFLE OFFICE LLC & PCCC LLC — ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: T IGARD Contractor: COMMERCIAL CONTRACTORS INC — ERIC MONEY Subcontractor: SMC Cast By: K. THRALL Concrete Supplier; KNIFE RIVER (METRO OPERATIONS) — QUALITY CONTROL Truck #: 192 Load #: 1 Ticket #: 3200645 Weather: SUNNY Test Time: 1 : 30 PM Air Temp. at Sampling Time: 54 Cylinders were cast for the following locations: Total Concrete Placement Location: STEM WALLS 1 /B.25 —A; A/1 -4.5; FOOTINGS A/4.5 -5, 5/A —A.25 Strength Requirement: 3000 psi f c @ 28 Days Slump: 4.500" % Air: 1.60% Mix Number: 33KN17200 Conc. Temp: 64 Cement Type: I /II Max Agg: 3/4 Admix/Amt: Cubic Yards: 10/19 Register Number: 0088198 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 11/14/2008 11/20/2008 51881 12.50 4150 2 RH2 28 11/14/2008 12/11/2008 72600 12.49 5810 4 MEM 28 11/14/2008 12/11/2008 66000 12.49 5280 2 MEM 28 11/14/2008 12/11/2008 66600 12.49 5330 4 MEM ❑ Distribute attachments. Average f'c @ 28 days 5470 Please see reverse side for additional information. Job Number: T0807926.B SSisterNumber: 00$8198 te Molded: 11/13/2008 Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B <1 in. [25 mm] \ 1 C s'� \ / i f rti Type 1 Type 2 Type 3 Reasonable well - formed Weil - 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 \ N i 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: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Project Manager: STEVEN W. LEACH Reviewed By: Ty To11er On 12/12/2008 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 Lalem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Carlson Testing, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 61v��� 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: PFAFFLE OFFICE LLC & PCCC LLC — ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B CTI Job #: T0807926.13 Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative R. CANALES OBOA 637 was on site this date Nov. 18, 2008 to perform Special Inspection for: Permit BUP2008 -00055 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: DENNIS PERIODIC VT OF FILLET WELDS PER 13/S4.1, 3/S5.2 Com an PORTABLE WELDING AND RFI 44 ON (2) 7A — COMPLETED. P y 2. Inspection was "IBC" El Continuous ® Periodic THE WORK DONE CONFORMS TO ENGINEER DETAILS AND 3. Work performed: 0 In the field © At fab shop VISUAL ACCEPTANCE CRITERIA OF AWS D1.1, TABLE PORTABLE WELDING 6.1. 4. if shop inspection do they have fabrication and QC procedures? © Yes D No 0 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 DOCUMENTS : STRUCT DETAILS (12/13/07) markings or other documentation. RFI 44 (08/29/08) 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. X 2. Completed work inspected was in compliance with 8. Verified steel frame joint details for bracing, stiffening. ® Approved plans and specifications 0 Shop drawings member locations, and application of joint details at each X © RFI Design change Submittal n N/A connection are in compliance by random sampling. Document #(s) SEE ABOVE Dated: WELDER INFORMATION 3. Noncompliance item(s) were noted this date, details on Welders Name: CURRENT CERTS ON FILE AT SHOP OFFICE following page(s). El Yes n No ® N/A Certification #: 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s). n Yes ❑ No ® N/A 1. Verified the contractor's Welding Procedure Specifications are in conformance with x 1=1 Conform ❑ 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 DENNIS employed during execution of the work. o f PORTABLE WELDING 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). n Distribute attachments. Page 1 of 1 Daily Report of Structural Steel For: 11/18/2008 CTIJob #: T0807926.B Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 12/01/2008 RC /CK PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM ����� ®� Testing, I nc. ‘ ' �onstruction Inspections & 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: 10/28/2008 Job Number: T0807926.B Permit #: GET PERMIT Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD Contractor: COMMERCIAL CONTRACTORS INC - ERIC MONEY Subcontractor: Cast By: Y. VITRUK Concrete Supplier: KNIFE RIVER (METRO OPERATIONS) - QUALITY CONTROL Truck #: 192 Load #: 2 Ticket #: 3200281 Weather: CLEAR Test Time: 3: 30 PM Air Temp. at Sampling Time: 62 Cylinders were cast for the following locations: CONTINUOUS FOOTING GRIDS A/2 -5.5 Total Concrete Placement Location: CONTINUOUS FOOTINGS AND SPREAD FOOTINGS GRIDS 1 -6 /A -E AND B /3, 4, 5 - EXCEPT NORTH -EAST CORNER GRIDS 5.5 -6 /A, A -A.5/6 Strength Requirement: 3000 psi fc 28 Days Slump: 6.000" % Air: 5.2 0% Mix Number: 3 3N 17 2 0 0 Conc. Temp: 7 0 Cement Type: 1/ 1 1 Max Agg: 3/4 Admix/Amt: Cubic Yards: 20 OF 38 Register Number: 0087769 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 10/28/2008 11/04/2008 51600 12.56 4110 4 RH2 28 10/28/2008 11/25/2008 64706 12.56 5150 3 WR 28 10/28/2008 11/25/2008 66558 12.56 5300 2 WR 28 10/28/2008 11/25/2008 66798 12.56 5320 3 WR E Distribute attachments. Average f @ 28 days 5260 Please see reverse side for additional information. Job Number: T0807926 .B AegisterNumber: 00'87769 Date Molded: 10/ 28/2008 Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B <1 in. [25 mm] r' 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 r 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: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Project Manager: STEVEN W. LEACH Reviewed By: Ty Toller On 12/01/2008 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. Construction Inspections & Related Tests Cams® ' T'esti ` g, Into 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: 11/25/2008 Job Number: T0807926 .B Permit #: BUP2008 -00055 Client: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD Contractor: COMMERCIAL CONTRACTORS INC - ERIC MONEY Subcontractor: Cast By: S . HOPPE Concrete Supplier: KNIFE RIVER (METRO OPERATIONS) - QUALITY CONTROL Truck #: 228 Load #: 3 Ticket#: 3200871 Weather: RAIN Test Time: 8 : 20 AM Air Temp. at Sampling Time: 40 Cylinders were cast for the following locations: SAME AS BELOW Total Concrete Placement Location: SLAB ON GRADE AT BUILDING B, A -D/1 -5 Strength Requirement: 3500 psi f c@ 28 Days Slump: 5.000" % Air: 1.40% Mix Number: 6KN15000 Conc. Temp: 65 Cement Type: I /II Max Agg: 3/4 Admix/Amt: Cubic Yards: 10 Register Number: 0088540 Lab Location: TIGARD Set Test @ Date Test Total A rea Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 11/26/2008 12/02/2008 61924 12.49 4960 2 RH2 28 11/26/2008 12/23/2008 28 11/26/2008 12/23/2008 28 11/26/2008 12/23/2008 0 Distribute attachments. Average f @ 28 days Please see reverse side for additional information. Job Number: T0807926.B Register Number: 00'88540 Date Molded: 11/25/2008 Project: PACIFIC CROSSROADS CORPORATE CENTER — BUILDING B < 1 in. [25 mm] r ff \ f 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: PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM Project Manager: STEVEN W. LEACH Reviewed By: Ty Taller On 12/03/2008 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 .ialem 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. 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 PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B CTIJob #: T0807926.B Address: 8020 SW PFAFFLE STREET TIGARD OR Jurisdiction: TIGARD CTI representative S. HOPPE OBOA 791 was on site this date Nov. 25, 2008 to perform Special Inspection for: Permit BUP2008 -00055 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: JOHN Company: COMMERCIAL 2. Monitored loads arriving at job site for correct: Mix #: 6KN15000 2. Type of work: © Concrete X Reinforcing Slump 4 +- 1 % Air 1.35 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 El At precast shop 4. Inspected placing and consolidation of approx. 95 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 SAME AS REINFORCING 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 n 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 Shop drawings with regard to weld inspection, quantity, and X El RF[ Design ch ange ❑ Submittal n N/A permits issued. 10. Verified cast in place anchors. X Document #(s) Dated: Description of structure inspected [to include Arid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: V following page(s). El Yes 0 No © N/A BUILDING B SLAB ON GRADE AT GRID LINES A -D /1 -5 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 JOHN of COMMERCIAL 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: 11/25/2008 CTI Job #: T0807926. B Project: PACIFIC CROSSROADS CORPORATE CENTER - BUILDING B 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: 12/08/2008 SH /ARR PFAFFLE OFFICE LLC & PCCC LLC - ROGER STALICK STALICKCO @EARTHLINK.NET TO: CITY OF TIGARD BUILDING DIVISION AFGHAN ASSOCIATES INC - CRAIG HARRIS CRAIGH @AAIENG.COM MILDREN DESIGN GROUP - BETTY SHEPPARD BETTY @MDGPC.COM COMMERCIAL CONTRACTORS INC - ERIC MONEY ERIC @CCIGC.COM