Loading...
Report Carlson Testing Inc• Construction 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: 09/28/2007 Job Number: T0704907 . Permit #: BUP2007 -00258 Cli HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN Project: TIGARD TOWN SQUARE - PAD BUILDING Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD Contractor: S D DEACON ENTERPRISES- INC - CHANA FREDERICK Subcontractor: Cast By: C. STASCH Concrete Supplier: WILSONVILLE CONCRETE PRODUCTS Truck #: 5 0 Load #: 1 Ticket#: B107828 Weather: SUNNY Test Time: 12 : 30 Air Temp. at Sampling Time: 60 Cylinders were cast for the following locations: TRASH ENCLOSURE SLAB ON GRADE. Total Concrete Placement Location: TRASH ENCLOSURE SLAB ON GRADE. Strength Requirement: 4 000 , f @ 5 6 Days Slump: 4.000" % Air: 5. 50% Mix Number: 30500111A Conc. Temp: 66 Cement Type: I Max Agg: 3/4 Admix/Amt: Cubic Yards: 6.5 Register Number: 0076897 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By 7 10/01/2007 10/05/2007 28680 12.57 2280 4 MEM 28 10/01/2007 10/26/2007 44350 12.57 (53)4 • BAS 56 10/01/2007 11/23/2007 p , , /A4 6 ci i\O ( fri 0 Distribute attachments. Average t'c @ 56 days • • Please see reverse side for additional information. Job Number: T0704907 . Register Number: 0076897 , Date Molded: 09/28/2007 Project: TIGARD TOWN SQUARE — PAD BUILDING —4 < 1 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 J 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 I Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN - TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK Project Manager: STEVEN W. LEACH -- Reviewed By:. .T,y Toller On 10/26/2007 Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. lam 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 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: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN Project: TIGARD TOWN SQUARE - PAD BUILDING CTI Job #: T0704907. Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD CTI representative C. STASCH WABO 3011 /OBOA 331 /WABO SI 01132 was on site this date Oct. 12, 2007 to perform Special Inspection for: Permit BUP2007 -00258 DFS #(s) PO Number: SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? ® Yes ❑ No 0 N/A Name: FRED Company: SD DEACON 2. Monitored loads arriving at job site for correct: Mix #: 4 011BVR 2. Type of work: © Concrete © Reinforcing Slump 4 . 5 " % Air 5.6 3. Work included: © Sampling © Inspection 3. Type of samples made? 4 X 8 CONCRETE CYLINDERS 4. Inspection was 'IBC' © Continuous Periodic Number of sets 1 Samples per set 3 5. Work performed: ® In the field 0 At precast shop 4. Inspected placing and consolidation of approx. 20 cubic yards of concrete. REINFORCING Yes No N/A Location of concrete placement [to include grid lines, elevations (floors) and drawing details]: 1. Reviewed previous inspection reports? X 2. Forms clear of debris? X 3. Type, grade, size, quantity, spacing and X SAME AS REINFORCING condition conform? 4. Verified forms will nominally result in hardened concrete of the required cross - sectional dimensions. 5. Verified location of reinforcing steel, pipes, conduits and sleeves with respect to X minimum concrete cover. 6. Verified type and location of splices, length After samples are tested, results will follow on break report. of contact laps, and min. diameter of bends. X • 7. Verified support & anchorage of reinforcing REPORT SUMMARY steel in the forms. X 1. Work inspected was: ® Completed ❑ In progress 8. Verified structural embedments in the forms x 2. Completed work inspected was in compliance with with regard to fabrication, quality and type. 9. Verified structrual embedments in the forms © Approved plans and specifications El Shop drawings with regard to weld inspection, quantity, and X fl RFI El Design change ❑ Submittal N/A permits issued. 10. Verified cast in place anchors. X Document #(s) Dated: Description of structure inspected [to include grid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: following page(s). ❑ Yes ❑ No ® N/A 4. Noncompliance item(s) were reinspected this date, details TWO IMPACT PADS on following page(s). J Yes El No © N/A Conform ❑ Remain in progress Report(s) findings were discussed and left with FRED • Of SD DEACON 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 Concrete For: 10/12/2007 CTI Job #: T0704907 . Project: TIGARD TOWN SQUARE - PAD BUILDING Notes: In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Reviewed By: Steven W Leach Review Date: 10/18/2007 CDS /EF HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO: CITY OF TIGARD BUILDING DIVISION • T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK v Carlson Testing estin `, Inc. .Construction Inspections & Related Tests g, 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: 10/12/2007 Job Number: T0704907 . Permit #: BUP2007 -00258 Client: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN Project: TIGARD TOWN SQUARE - PAD BUILDING Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD Contractor: S D DEACON ENTERPRISES INC - CHANA FREDERICK Subcontractor: Cast By: C. STASCH Concrete Supplier: ROSS ISLAND SAND & GRAVEL Truck #: 88 Load #: 1 Ticket#: A-415406 Weather: OVERCAST Test Time: 11:44 AM Air Temp. at Sampling Time: 60 Cylinders were cast for the following locations: TWO IMPACT SLABS Total Concrete Placement Location: TWO IMPACT SLABS Strength Requirement: 4000 psi Pc @ 28 Days Slump: 4.500" % Air: 5. 60 % Mix Number: 4 011 BVR Conc. Temp: 6 9 Cement Type: I Max Agg: 3 / 4 Admix/Amt: Cubic Yards: 9 Register Number: 0077 . Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By 7 10/15/2007 10/19/2007 43275 12.69 3410 3 BR 28 10/15/2007 11/09/2007 28 10/15/2007 11/09/2007 0 Distribute attachments. Average Pc @ 28 days Please see reverse side for additional information. • • Job Number: T0704907. Register Number: 0077305 Date Molded: 10/12/2007 Project: TIGARD TOWN SQUARE — PAD BUILDING < 1 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 .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: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK • Project Manager: STEVEN W. LEACH Reviewed By: Ty Toiler On 10/23/2007 Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. G4i Carlson Testing Inc. .construction 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 9 Salem, Oregon 97301 Bend, Oregon 97708 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 09 - Job Number: T0704907 . Permit #: BUP2007 -00258 Client: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN Project: TIGARD TOWN SQUARE - PAD BUILDING Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD Contractor: S D DEACON ENTERPRISES INC - CHANA FREDERICK Subcontractor: Cast By: C. STASCH Concrete Supplier: WILSONVILLE CONCRETE PRODUCTS Truck #: 5 0 Load #: 1 Ticket#: B107828 Weather: SUNNY Test Time: 12 : 30 Air Temp. at Sampling Time: 60 Cylinders were cast for the following locations: TRASH ENCLOSURE SLAB ON GRADE. ` 5 Tot Concrete Placement Location: TRASH ENCLOSURE SLAB ON GRADE. Strength Requirement: 4000 psi f c @ 28 Days Slump: 4.000" % Air: 5. 50% Mix Number: 30500111A Conc. Temp: 66 Cement Type: I Max Agg: 3/4 Admix/Amt: _ _.... _ - Cubic Yards:- , - =5 —_ Register Number: 0076897 Lab Location: TIGARD / 7 Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By 7 10/01/2007 10/05/2007 28680 12.57 2280 4 MEM 28 10/01/2007 10/26/2007 • 28 10/01/2007 10/26/2007 ❑ Distribute, attachments. Average Pc @ 28 days Please see reverse side for additional information. Job Number: T0704907 . Register Number: 0076897 Date Molded: 09/28/2007 Project: TIGARD TOWN SQUARE – PAD BUILDING —11• < I 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 !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: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK Project Manager: STEVEN W. LEACH Reviewed By: Ty Toiler On 10/05/2007 Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. • Main Office .,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 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: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN Project: TIGARD TOWN SQUARE - PAD BUILDING CTI Job #: T0704907 . Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD CTI representative C. STASCH WABO 3011 /OBOA 331 /WABO SI 01132 was on site this date Sep. 28, 2007 to perform Special Inspection for: Permit BUP2007 -00258 DFS #(s) PO Number: SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? 0 Yes © No 0 N/A Name: ERIC Company: S D DEACON 2. Monitored loads arriving at job site for correct: Mix #: 305001WA 2. Type of work: © Concrete © Reinforcing % Slump 4 " /o Air 5.5 3. Work included: © Sampling © Inspection ? 4 X 8 CONCRETE CYLINDERS 3. Type of samples made? 4. Inspection was 'IBC' © Continuous El Periodic Number of sets 1 Samples per set 3 5. Work performed: ® In the field 0 At precast shop 4. Inspected placing and consolidation of approx. 6.5 cubic yards of concrete. REINFORCING Yes No N/A Location of concrete placement [to include grid lines, elevations (floors) and drawing details]: 1. Reviewed previous inspection reports? X 2. Forms clear of debris? X 3. Type, grade, size, quantity, spacing and x SAME AS REINFORCING condition conform? SEE NCL ATTACHED. 4. Verified forms will nominally result in NCL 1: MIX DESIGN FOR TRASH ENCLOSURE SLAB ON hardened concrete of the required X GRADE NEEDED TO BE 4000 PSI. MIX USED WAS 3000 cross - sectional dimensions. PSI FROM WILSONVILLE CONCRETE MIX #305001WA. 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. REPORT SUMMARY 7. Verified support & anchorage of reinforcing steel in the forms. X 1. Work inspected was: ® Completed 0 In progress 8. Verified structural embedments in the forms X 2. Completed work inspected was not 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 E RFI 0 Design change 0 Submittal 0 N/A permits issued. 10. Verified cast in place anchors. x Document #(s) Dated: Description of structure inspected [to include grid lines, 3. Noncompliance item(s) were noted this date, details on elevations (floors) and drawing details]: following page(s). ® Yes 0 No El N/A 4. Noncompliance item(s) were reinspected this date, details TRASH ENCLOSURE on following page(s). 0 Yes El No IN N/A SLAB-ON-GRADE Conform 0 Remain in progress Report(s) findings were discussed and left with ERIC Of S D DEACON Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. 0 See additional report page(s). 0 Distribute attachments. Page 1 of 2 Daily Report of Reinforced Concre. For: 09/28/2007 CTI Job #: T0704907 . Project: TIGARD TOWN SQUARE - PAD BUILDING Notes: In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. Information contained herein is. not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Reviewed By: Steven W Leach Review Date: 10/02/2007 CDS /SB HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK Carlson Testing, Inc. Incompleted Items List (NCL) Oct 03, 2007 T0704907. Project Name: TIGARD TOWN SQUARE - PAD BUILDING Project Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Permit No: BUP2007 -00258 P.O. No: Project Manager: STEVEN W. LEACH Item # Insp. Date Item Description Compliance CTI Sign -Off Date Corrected 1 CDS 09/28/2007 MIX DESIGN FOR TRASH ENCLOSURE SLAB -ON -GRADE NEEDED TO BE 4000 PSI. MIX USED WAS 3000 PSI FROM WILSONVILLE CONCRETE MIX #305001WA. HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO:CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK Page: 1 Main Office alem Office Bend Office . P.O. Box 23814 4i rludson Ave., NE P.O. Box 7918 Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 P hone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Carlson Testing Inc. Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Masonry Client: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN Project: TIGARD TOWN SQUARE - PAD BUILDING CT1 Job #: T0704907. Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD CTI representative S . FOX OBOA 177 was on site this date Sep. 25, 2007 to perform Special Inspection for: Permit BUP2007 -00258 DFS #(s) PO Number: SCOPE OF INSPECTION SAMPLING 1. Checked in with superintendent or client representative. 1. Grout mix design approved? ❑ Yes 0 No ® N/A Name: ERIC Mix # KPB3011 Company: SD DEACON CONSTRUCTION 2. Type of grout samples made? N/A 2. Type of work: Grout Mortar Number of sets Samples per set Prism Reinforcing Solid Grout Partial Grout 3. Mortar mix design approved? ® Yes ❑ No El N/A 3. Work included: 0 Sampling © Inspection Mortar Type S 4. Type of mortar samples made? N/A 4. Inspection was "IBC" ® Level I 0 Level II 0 N/A Number of sets Samples per set 5. Work performed: © In the field 0 At precast shop 5. Type of prism samples made? ■/A INSPECTION Yes No N/A Number of sets Samples per set 1. Reviewed previous inspection reports? x Location of material placement [to include grid lines, elevations 2. Verified material stored properly, appropriately, x (floors) and drawing details]: and meet the requirements of the project? SAME AS INSPECTION LOCATION. 3. Verified placement of masonry units and x construction of mortar joints. NOTE: CTI ARRIVED AS REQUESTED, AT 12:30 PM. 4. Verified size & location of structural elements. x 5. Verified cleanouts provided. X GROUT ARRIVED AT 2:10 PM. GROUT PLACEMENT WAS COMPLETED AT 3:00 PM. 6. Verified welding of resteel was inspected. Confirmed by: x 7. Verified protection of masonry during cold x (below 40F) or hot (above 90F) weather. REPORT SUMMARY 8. Resteel size, grade, spacing, splices, and clearances conform? x 1. Work inspected was: © Completed ❑ In progress 9. Verified test prisms contain the same masonry x 2. Completed work inspected was in compliance with units, grout, and mortar as the building. ® Approved plans and specifications 0 Shop drawings 10. Verified structural embedments in the forms with regard to weld inspection, quantity, and x ❑ RFI El Design change ❑ Submittal Li N/A permits issued. TMR #6181 07 -09 -07 Document #(s) Dated: 11. Verified type, size and location of anchors. x 12. Verified minimum dimensions of spaces 3. Noncompliance item(s) were noted this date, details on provided for placement of grout. x following page(s). 0 Yes © No 0 N/A 13. Verified grout space clean. x 4. Noncompliance item(s) were reinspected this date, details 14. Verified consolidation by mechanical on following page(s). 0 Yes © No ❑ N/A vibration & reconsolidation after loss of x water. 0 Conform El Remain in progress Description of structure inspected [to include grid lines, Report(s) findings were discussed and left with elevations (floors) and drawing details]: ERIC 8" CMU WALLS FOR NEW TRASH ENCLOSURE, FROM of SD DEACON CONSTRUCTION FOOTINGS UP TO FULL 7'4" HEIGHT OF WALLS. 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 Masonry For: 09/25/2007 CTI Job #: T0704907. Project: TIGARD TOWN SQUARE - PAD BUILDING Notes: In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Reviewed By: Steven W Leach Review Date: 10/02/2007 SF /CK HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK Main Office 1lem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Carlson Testing Inc. Tigard, 03) 68 684 -346 Salem, (503) 589-1252 Bend, 5 Oegon 97708 Phone -915 hone (503)-3460 Phone (503)581252 Phone (51)3-9155 Fax (503),684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 Daily Report of Proprietary Anchors Client: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN Project: TIGARD TOWN SQUARE - PAD BUILDING CTI Job #: T0704907. Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD CTI representative R. TAYLOR was on site this date Aug. 31, 2007 to perform Special Inspection for: Permit BUP2007 -00258 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid 1. Checked in with superintendent or client representative. lines, elevations (floors) and drawing details]: Name: ERIC *PER DETAIL 5/2.1 "FOUNDATION PLAN" 5/8" SCREW Company: S D DEACON WITH 4" EMBEDMENT AND NOTE: S D DEACON HAS INSTALLED 8" SCREWS. 2. Inspection was "IBC" © Continuous ❑ Periodic 3. Work performed: © In the field El At precast shop *GRID A /1 -4 HAS (17) SCREWS F /1 -4 HAS (14) SCREWS 3 /A -F HAS (14) SCREWS 4. If shop inspection do they have fabrication and QC 4/D.1 HAS (6) SCREWS procedures? Yes ❑ No © N/A 4/B.9 HAS (6) SCREWS / TOTAL = 57 PROPRIETARY ANCHORS REPORT SUMMARY Yes No N/A 1. Reviewed previous inspection reports? X 1. Work inspected was: ® Completed E In progress 2. Reviewed evaluation report? X 3. Verified manufacturer's anchor use conforms X 2. Completed work inspected was in compliance with to acceptance criteria in report summary. ® Approved plans and specifications ❑ Shop drawings Verified following items meet manufacturer's fl RFI E Design change 0 Submittal El N/A published installation instructions. 4. Verified minimum embedment depth of the Document #(s) Dated: anchors. X 3. Noncompliance item(s) were noted this date, details on 5.Verified installation of the anchors. X following page(s). El Yes No El N/A 6. Verified anchor diameter. _ - — 7. Verified steel grade. X 4. Noncompliance item(s) were reinspected this date, details 8. Verified hole diameter. on following page(s). ID Yes ® No 0 N/A X, 9. Verified type of drill bit used. X ❑ Conform ❑ Remain in progress 10. Verified cleanliness of hole and anchor. X 11. Verified adhesive application. X Report(s) findings were discussed and left with ERIC Evaluation report number ESR 1056 of S D DEACON Name of product being installed SIMPSON TITEN HD Batch Number N/A Expiration Date N/A Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. See additional report page(s). El Distribute attachments. Page 1 of 1 , Daily Report of Proprietary AnchL._ - For: 08/31/2007 CTI Job #: T0704907 . Project: TIGARD TOWN SQUARE - PAD BUILDING Notes: In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. • Reviewed By: Steven W Leach Review Date: 09/10/2007 RT /MAB HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO: CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK 'C a Inspections & Tests rlson Testing Inc. nc• - - �'onstruction In s Geotechnical Consulting Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.. NE P.O. Box 7918 Tigard, Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 08/06/2007 Job Number: T0704907 . Permit #: BUP2007 -00258 Client: HARSCH INVESTMENT PROPERTIES LLC — COLLEEN DUNCAN Project: TIGARD TOWN SQUARE — PAD BUILDING Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD Contractor: S D DEACON ENTERPRISES INC — CHANA FREDERICK Subcontractor: Cast By: M. WAGONER Concrete Supplier: ROSS ISLAND SAND & GRAVEL Truck #: 216 Load #: 11 Ticket#: T- 4 05666 Weather: OVERCAST Test Time: 05: 30 Air Temp. at Sampling Time: 66 Cylinders were cast for the following locations: E/1 Total Concrete Placement Location: A —F/1 -3 Strength Requirement: 3000 psi f @ 28 - Days Slump: 5.000" % Air: 1.20% Mix Number: 4011B Conc. Temp: 7 6 Cement Type: Max Agg: 3 / 4 " Admix/Amt: . - _ . _ -- .. - - -- - - - • - - - -- -- - Cubic Yards: 1.21 / 150 Register Number: 0075291 Lab Location: TIGARD Set Test @ Date Test - Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By II 3 08/07/2007 08/09/2007 36910 12.56 2940 3 MEM 28 08/07/2007 09/03/2007 81120 12.57 6450 3 AF 28 08/07/2007 09/03/2007 77105 12.57 6130 2 AF 28 08/07/2007 09/03/2007 79770 12.57 6350 2 AF ❑ Distribute attachments. Average fc @ 28 days 6310 Please see reverse side for additional information. Job Number: T0704907 . Register Number: 0075291 Date Molded: 08/06/20C•7 , Project: TIGARD TOWN SQUARE – PAD BUILDING — 1 1 •< 1 in. [25 mm] X )\ Type l Type 2 Type 3 Reasonable well - formed Well- Formed cone on one Columnar vertical cracking cones on both ends, less end, vertical cracks running through both ends, no than I in. [25 mm] of through caps, no well - defined well - formed cones cracking through caps cone on other end \ „ / 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 I Asterisked ( *) average unit PSI test results did not meet listed acceptance criteria. Remarks: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO : CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK Project Manager: STEVEN W. LEACH Reviewed By: Ty Toiler On 09/05/2007 Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. Inc. 4. onstruction In & Related Tests Carlson Testing, nc• Geotechnical Consulting Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave., NE P.O. Box 7918 Tigard. Oregon 97281 Salem, Oregon 97301 Bend, Oregon 97708 Phone (503) 684 -3460 Phone (503) 589 -1252 Phone (541) 330 -9155 Fax (503) 684 -0954 Fax (503) 589 -1309 Fax (541) 330 -9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods: ASTM C31 /C172/C192/C617/C1064/C231/C143 Date Molded: 08/06/2007 Job Number: T0704907 . Permit #: BUP2007 -00258 Client: HARSCH INVESTMENT PROPERTIES LLC — COLLEEN DUNCAN Project: TIGARD TOWN SQUARE — PAD BUILDING Address: 16230 SW PACIFIC HIGHWAY TIGARD OR Jurisdiction: TIGARD Contractor: S D DEACON ENTERPRISES INC — CHANA FREDERICK Subcontractor: Cast By: M. WAGONER Concrete Supplier: ROSS ISLAND SAND & GRAVEL Truck #: 216 Load #: 4 Ticket#: T-405639 • Weather: OVERCAST Test Time: 03: 30 Air Temp. at Sampling Time: 65 Cylinders were cast for the following locations: B/1 Total Concrete Placement Location: A —F /1 -3 Strength Requirement: 3000 psi f @ 28 Days Slump: 4.500" % Air: 1.00% Mix Number: 4011 B Conc. Temp: 7 5 Cement Type: Max Agg: 3/4" Admix/Amt: Cubic Yards: 44/150 Register Number: 0075290 Lab Location: TIGARD Set Test @ Date Test Total Area Unit Type Of Tested No. Days Rec'd Date Load PSI Fracture By I 7 08/07/2007 08/13/2007 53135 12.56 4230 3 MEM 28 08/07/2007 09/03/2007 75855 12.57 6030 3 AF 28 08/07/2007 09/03/2007 82565 12.57 6570 3 AF 28 08/07/2007 09/03/2007 81260 12.57 6460 3 AF p Distribute attachments. Average fc @ 28 days 6350 Please see reverse side for additional information. Job Number: T 0704907 . Register Number: 0075290 Date Molded: 08/06/2007 Project: TIGARD TOWN SQUARE — PAD BUILDING < 1 in. [25 mm] /)\, i a 11 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: HARSCH INVESTMENT PROPERTIES LLC - COLLEEN DUNCAN TO :CITY OF TIGARD BUILDING DIVISION T M RIPPEY CONSULTING ENGINEERS - JOSH WETTERLIN BAYSINGER PARTNERS ARCHITECTURE PC - JENNIFER RINKUS S D DEACON ENTERPRISES INC - CHANA FREDERICK Project Manager: STEVEN W. LEACH Reviewed By: Ty Toiler On 09/05/2007 Our report pertains to the material tested only. The information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document.