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Report = NI = NI = NI = n IIII = El MI, =n;IIII0Ewo N INSPECTION TYPE ,s1 �, Report of Inspection 4>'1STALC EV: ' �: : ?, Department of Consumer & Business Services . "7,' `4) Building Codes Division • Elevator Safety Program ELEVATOR INSP u DOCUMENT 8581 PIt` 2 t cf 1. " ! ''f ' 1 535 Edgewater NW, Salem, OR ° ' I ' ' k Mailing address: P.O. Box 14470, Salem, OR 97309 -0404 Information: (503) 373 -1298, Fax: (503) 378 -4101 AREA 1 INSP DUE BY i LAST INSP BY Web site: bcd.oregon.gov 0 12. ''! " AME AND ADDRESS J INSPECTION RESULTS SEE REVERSE SIDE 3e5A I::7 •SATISFACTORY INSPECTION . fhCYS Llf:P'T STOR S Tilt' /'1, -CIS wAS4f043IN S!NAci: ® UNSATISFACTORY INSPECTION Hil Vitt '''9 `.' 441 i CD WRITTEN VERIFICATION ACCEPTED 77 iT - .'`)' - -• K= , lir: t7+' OR C?' ??_;..MVI! CD PROVISIONAL: EXPIRES I f CINC)NrA . '` +`:24'.' ® REQUIRED BY NEXT INSPECTION FlitliihI ® REMOVED FROM SERVICE • lAi' :. _ 'lA TOR INFORMAII 0.0 'Pie ° , "test Is overdue (8.11.2.2.8) . NF.. SERIAt. HONER F2957 SCH 3384' ® Annual safety test is overdue (8.11.2.2.2) ® CID ® ® ® ® CAPACITY i,980 L fi?ft51 NGE ® Full load safety test overdue (8.11.2.3.1) ® (D CD ® CD CD CODE "ATE ttd: PF $00E'11:: E It Keep M/R access doors closed & locked (8.6.4.8.4) (® CD CD ® CD m ?4A:c`E 'S: C® Test & seal pressure relief valve (8.11.3.2.1) ® ® ® ® ® CD) ® Maintain min. illumination level in M/R (8.11.2.1.2/8.11.3.1.2) (® CD ®® ® Provide proper signage; see below (8.6.1.6.7) ® CD ® ® CID ® SPECIAL INSTRUCTIONS ,. ® Emergency light/bell is inoperative (8.11.3.1.1) (D!) CE ® (i") ® CD CO 'T : 1 e ) `6'-. ' CO 24 -hour communication device is inoperative (8.11.2.1.1/8.11.3.1.1) MD CD m It Cr CD (D Verify /reduce kinetic energy on doors (8.6.4.13.2) o;1 CH) ® at C$) Ci) A:7 7 : (3) Provide /update record of oil usage (8.6.5.7) CU CH) CD) Cif ® C$) ® Me!intaln a clean & dry elevator pit (8.11.2.1.5/8.11.3.1.5) C13) ID Cif Elevator M/R has unrelated storage (8.11.2.1.2/8.11.3.1.2) ® Maintain min. illumination level in pit (8.11.2.1.5/8.11.3.1.5) :;!;u ?l1 INSPF_CT I r: , -{F I.I1: N r CM Bldg. and/or M/R not accessible (ORS 460.135) ' ,i1 : "1 `l CID Seismic tests overdue (OR amendments 8.11.2.2.10) , , _ ; • 'ie " ) 0 C� Maintain/provide M/R fire extinguisher (8.6.1.6.5) 611/97°5 �- ® Anti - egress device requires repair or adjustment (8.6.4.13.1) CS //171a1 i !NF. ECTION DATF n;s I ab CID A ® a 66 l) S p CD CD v CD COD P CD ED ® • m E: Ci) E a) ® ® m® C Cp CD L (D ® C CD (i9 ® CID CR O® CD 1M C)® ® CTS) u::+ ® ($) Ci) CD CD i CD ® T CD ® (D H C) . M ® M Ci) ® C$) (.,a c i, OD CID E CID E CID ® ® $ ' ft F �I�'E DATE ® E E t a w. r "Ll.%t S C/ (c.: iA, 1'L-. `.' " _L_/...2.4L-25_ a 440 -2635 (11/07/COM) AN ELEVATOR WHICH HAS CAUSED AN INJURY SHALL NOT BE OPERATED UNTIL APPROVED BY THE ELEVATOR SECTION, PER ORS 460.045(7) CUSTOMER COPY SEE REVERSE SIDE FOR INSTRUCTIONS 000 ICJ 00000 Ill onoLI o RFC! oo . INSPECTION TYPE • � \ Report of Inspection Department of Consumer & Business Services •E ELEVATOR # I INSP # I DOCUMENT ;� � B uilding Codes Di v i s i on • S a f e t y P rogram UMENT � �? ;' . 1535 Edgewater NW, Salem, OR `- 59 Mailing address: P.O. Box 14470, Salem, OR 97309 -0404 Information: (503) 373 -1298, Fax: (503) 378 -4101 AREA I INSP DUE BY I LAST INSP BY Web site: bcd.oregon.gov ■ RESPONSIBLE PARTY NAME AND ADDRESS I SITE NAME AND ADDRESS 1 INSPECTION RESULTS - SEE REVERSE SIDE a SATISFACTORY INSPECTION CID UNSATISFACTORY INSPECTION CD WRITTEN VERIFICATION ACCEPTED CfFD PROVISIONAL: EXPIRES ____/_/ CAD REQUIRED BY NEXT INSPECTION ;s - CAM REMOVED FROM SERVICE INSPECTION REQUIREMENTS (M /R = MACHINE ROOM) I NO LOAD FULL LOAD' ELEVATOR INFORMATION ® Fire service test is overdue (8.11.2.2.6) mo! year mo year () Annual safety test is overdue (8.11.2.2.2) ® CD CO ® OD aD - ® Full load safety test overdue (8.11.2.3.1) ® OD CD O) OD CD ® Keep M/R access doors closed & locked (8.6.4.8.4) (} CD q) ®© ® () Test & seal pressure relief valve (8.11.3.2.1) ® CD CD ® (7 O ® Maintain min. illumination level in M/R (8.11.2.1.2/8.11.3.1.2) ® CD CD ® CD CD ® Provide proper signage; see below (8.6.1.6.7) ® CD CD ® © © SPECIAL INSTRUCTIONS ® Emergency light/bell is inoperative (8.11.3.1.1) ® ® co) ® C) (i) ® 24 -hour communication device is inoperative (8.11.2.1.1/8.11.3.1.1) ® (7 C) ® CD CD ® Verify /reduce kinetic energy on doors (8.6.4.13.2) ® COD ® ® CD CP (U) Provide /update record of oil usage (8.6.5.7) CO CD OO ® (1) CI) OD Maintain a clean & dry elevator pit (8.11.2.1.5/8.11.3.1.5) CO ® Elevator M/R has unrelated storage (8.11.2.1.2/8.11.3.1.2) CR Maintain min. illumination level in pit (8.11.2.1.5/8.11.3.1.5) PRIOR INSPECTION REQUIREMENTS CID Bldg. and /or M/R not accessible (ORS 460.135) PERiREPCITSt tf3Ni ® Seismic tests overdue (OR amendments 8.11.2.2.10) (i_) Maintain /provide M/R fire extinguisher (8.6.1.6.5) 1 ® Anti - egress device requires repair or adjustment (8.6.4.13.1) F IECE/ ® AUG 1 INSPECTION DATE I NO T hrs mins 1 hrs mins mo day yea S op CJ A a) S m ® CD 00 p CD CD .v CD 00 p O® CZ CD D o© E CD CD E © E ® OT CD CD TT C CD CD L C D C CD ® ® CD (ref T T O ® CI) CD GD ® CD QM R 3 CD CD MI C)® ® C5) () OD Cc ® ® ® CID CD CD ©@S (7) IS CD (m) Unless otherwise noted on this report and pursuant to ORS 460.126(3), you are hereby notified that all worit - OD (I) M (]8 M GD 04) ® (0) r oiled on this report shall be completed within 60 ❑ 120 ❑ Other days from date;t this inspection or the unit may be remove from service. I OD ® E (D E (3) CONTACT'S SIGNATURE INSPECTORS SIGNATURE DATE CD X ___ -J 440 -2635 (11/07/COM) AN ELEVATOR WHICH HAS CAUSED AN INJURY SHALL NOT BE OPERATED UNTIL APPROVED BY THE ELEVATOR SECTION, PER ORS 460.045(7) CUSTOMER COPY SEE REVERSE SIDE FOR INSTRUCTIONS O El O 1E3 LE O O '1E1 5 al 1E1 = D O en D INSPECTION TYPE • Report of Inspection , k41_ L :,r ` Department of Consumer & Business Services ' 1 •) Building Codes Division • Elevator Safety Program ELEVATOR # I INSP # I DOCUMENT .:`0 F 1535 Edgewater NW, Salem, OR ` i '2v...77,5 ` c ' f Mailing address: P.O. Box 14470, Salem, OR 97309 -0404 Information: (503) A REA INSP DUE BY ) 373 -1298, Fax: (503) 378 -4101 I LAST INSP BY Web site: bcd.oregon.gov t ,., RESPONSIBLE PARTY NAME AND ADDRESS I SITE NAME AND ADDRESS I INSPECTION RESULTS — SEE REVERSE SIDE =s W`�3�< _a ! m SATISFACTORY INSPECTION air.: Y3 ')E ti _ 'L' 1 P`?: `>'iA v' GD UNSATISFACTORY INSPECTION (' 4 I*41CfE. nP s `. ?f > "' x rf 1 CD WRITTEN VERIFICATION ACCEPTED s v `z '3? - * Fi • z r. : ' s , 4 ? ^` @,x?, ® PROVISIONAL: EXPIRES_____t_l___ '',t [;?we': , _:f.t Y70: CD REQUIRED BY NEXT INSPECTION k' fi °6 e9 -av k* &A Cif REMOVED FROM SERVICE INSPECTION REQUIREMENTS (M /R = MACHINE ROOM) I NO LOAD FULL LOADI ELEVATOR INFORMATION CB Fire service test is overdue (8.11.2.2.6) mo I year mo l year $i3 , SEP 144t, ft# t44, c ,c:,39: SCH i `:t!' c ® Annual safety test is overdue (8.112.2.2) C ® (2 CD Cl) CID T';^ K-) T , E` . t ens ri > ' ® Full load safety test overdue (8.11.2.3.1) 011 CD CD ® (D CD COE ' OE a T E 4, ; f, $ a Keep M/R access doors closed & locked (8.6.4.8.4) ® m co ® (2) CD ';', ® Test & seal pressure relief valve (8.11.3.2.1) ® CD CID 01 CD CD oI. Maintain min. illumination level in M/R (8.11.2.1.2/8.11.3.1.2) IS O CD ® CD GD ® Provide proper signage; see below (8.6.1.6.7) ® CD CD ® CD CD SPECIAL INSTRUCTIONS ® Emergency light/bell is inoperative (8.11.3.1.1) OD CC CD ® Cc CID CAC ` t (',. - ® 24 -hour communication device is inoperative (8.11.2.1.1/8.11.3.1.1) e > CD CD Et CD CD Ca) Verify /reduce Kinetic energy on doors (8.6.4.13.2) ® C0) CD ® CD CD ,': - ^' ©) Provide/update record of oil usage (8.6.5.7) ® CD CO ® CD CL) ® Maintain a clean & dry elevator pit (8.11.2.1.5/8.11.3.1.5) m (11) ® Elevator M/R has unrelated storage (8.11.2.1.2/8.11.3.1.2) ® Maintain min. illumination level in pit (8.11.2.1.5/8.11.3.1.5) PRIOR INSPECTION REQUIREMENTS ® Bldg. and/or M/R not accessible (ORS 460.135) r' ..Pr E : NtIri' a Seismic tests overdue (OR amendments 8.11.2.2.10) GM Maintain/provide M/R fire extinguisher (8.6.1.6.5) ® Anti-egress device requires repair or adjustment (8.6.4.13.1) R EcEI Y E f'1 AUG 1 2008 �,J G ITYOPT >GAAD P LANNING/ENGINEERING INSPECTION DATE I NO T hrs mins 1 hrs mins mo day year S C47 A S ® CD C4? CID` p CD CD v CD (0) p CD ® OM CD CD OM E CD CD -E C3.) E C) MM CD C3) CD C CD CD L CD _____ C CL) ® ® CD CIR CD CD CD OD (D CD II R CD CD C$) ® QP ® OD C5D ('I OD CD CD CD ® CD OD {D Cl) CD ® I CD CO (� ;) co m �'� t•.§ �.:: � � , .,Y < -y �s �,. � rf -'s¢� : s q a� �,� car a^ WI E CID CBI CP CONTACTS SIGNATURE INSPECTORS SIGNATURE_ / DATE (fl • 440 -2835 (11/07 /cOM) AN ELEVATOR WHIG" ' CAUSED AN INJURY SHALL NOT BE OP ' • .TE 1 UNTIL AP:PAOVED BY THE ELEVATOR SECTION, PER ORS 460.045(7) CUSTOMER COPY SEE REVERSE SIDE FOR INSTRUCTIONS J 15050 S.W. Koll Parkway, Suite L KL EINFEL DER Beaverton, OR Bright People. Right Solutions. 97006 -6028 P1 503.644.9447 f I 503.643.1905 kleinfelder.com August 19, 2008 Project No. 94847 Mr. Tom Howard Macy's Incorporated PO Box 12510 Seattle, Washington 98111 SUBJECT: SATISFACTORY COMPLETION OF WORK REQUIRING SPECIAL INSPECTION PROJECT: MACY'S NORTHWEST WASHINGTON CIRCLE PLAZA 9006 SW HALL BOULEVARD, TIGARD, OREGON BUILDING PERMIT NO.: BUP2008 -00047 Dear Mr. Howard: During construction for the subject project, special inspectors and certified personnel of our firm have provided on -site special inspection and laboratory materials testing services in general conformance with Chapter 17 of the International Building Code (IBC). The special inspections observed by our firm for the subject project include: • Observation of the placement of reinforcing steel for concrete and structural masonry; • Observation, testing, and sampling of the placement of concrete; • Observation, testing, and sampling of mortar, grout, and concrete masonry units; • Observation of structural steel, field welding; and shop welding; and • Observation of adhesive anchors Special Inspection observations provided by our firm were generally perforrrred on a periodic basis in accordance with the Special Inspection schedule provided in the project plans. Full -time special inspection observations were provided where required by the project documents and applicable provisions of Chapter 17 of the IBC. L:\2008 \Projects \94847 \POR8L076.doc Page 1 of 2 August 19, 2008 Copyright 2008 Kleinfelder 15050 S.W. Koll Parkway, Suite L Beaverton, OR 97006 -6028 P1503.644.9447 f I 503.643.1905 kleinfelder.com Kleinfelder declares under penalty of perjury that, to the best of our knowledge, the work listed above requiring special inspection, material sampling, and testing is in general conformance with the approved project documents and the applicable workmanship provisions of the IBC. We have performed our services in a manner consistent with the level of care and skill ordinarily exercised by inspection and testing firms practicing in the same locality under similar conditions. No other representation, expressed or implied, and no warranty or guarantee is included or intended. Our services have been completed within the responsibilities, authority and legal protection of an approved Testing Agency. If you have any questions regarding the contents of this report or require additional information, please contact this office. Respectfully submitted, KLEINFELDER WEST, INC. evin R. Wells Materials Operations Manager cc: Rick Bolen, City of Tigard Building Official Jerry Hine, Sletten Companies William Polk, William Polk Architect Greg Munsell, WDY Engineering L:\2008 \Projects \94847 \POR8L076.doc Page 2 of 2 August 19, 2008 Copyright 2008 Kleinfelder 08/18/2008 09:26 5032038122 WDY INC PAGE 02/02 r August 15, 2008 RECEIVED AUG 18 2008 To: William Polk Architect CITY OFTIGARD BUILDING DIVISION Attn: Michael Stapleton RE: Macy's Washington Circle Ti — 9009 SW Hall Blvd, Tigard, Oregon Permit No. BUP2008 -00047 Summary Structural Observation Report A representative from this office provided periodic observation of the construction work. Structural observations occurred at the following stages during construction: 1_ After removal of existing finishes to observe as -built conditions. 2. During construction of elevator pit an concrete bearing walls. 3. During placement of second floor infill structural steel. 4. During removal of existing prestress floor system at new elevator shaft. 5. After installation of micro pile foundations at entry. 6. After installation of escalators, rug racks and partition walls. 7. During erection of entry structural steel. To the best of our knowledge, non - conforming structural items noted in our reports have been resolved in general conformance with structural contract documents, specifications, or our instructions. Special Inspection reports submitted to our office by Kleinfelder were reviewed for the structural requirements. Observations by WDY, Inc. are performed to determine if the work is being performed in general conformance with the contract documents. The fact that any particular work has been observed does not waive the contractor's responsibility for the means and methods of construction, job site safety, or to comply with the contract documents. Structural observations performed by this office are not in lieu of special inspection requirements required by the governing code, building official or noted on the drawings. • u C Fjj WDY, Inc. ' ��'�� Ott f S 711 Greg G. Munsell, P.E., S.E. c %" 18,V1 0p G. M EXPIRES: 12-31-20061 cc: Sietten Construction, Jim Howell City of Tigard, Hap Watkins Kleinfelder 6443 SW Beaverton - Hillsdale Hwy, Suite 210 • Portland, OR 97221 • ph: 503.203.8111 • fx: 503.203.8122 • www.wdyi.com