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Report December 16, 1994 CITY OF TIGARD OREGON Carlson Testing Company Inc. PO Box 23814 . Tigard, OR 97223 Dear Lauri O'Conner. The owner has notified us that he /she will retain your services to perform Special Inspections in accordance with the provisions of the State Building Code, permit documents, and special inspection requirements. The owner or the owner's agent must also confirm with you that they have authorized you to do the special inspection work. As the regulatory agency, the City requires that you do the following: 1. Submit copies of all inspection reports promptly to the Building Division, architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you inspect. (See U.B.C. 7015 for soils special inspection final report requirements). If you fail to comply with the above requirements, there may be cause for the City to revoke your authority as special inspector for this job. Should you have any questions, please call the Building Division at (503) 639 -4171. PERMIT NO: Bup94 -0336 and Sit94 -0045 OWNER: BC Northwest PROJECT ADDRESS: 13935 SW Pacific Highway PROJECT DESCRIPTION: New Boston Chicken Restaurant TYPES OF SPECIAL INSPECTION: Reinforced Concrete, Structural Steel, Welding, Reinforcing Steel, and Regular Grading. Sincerely, Mark Burrows Building Division c: notifisi.doe • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 1 Construction Inspection & Related Tests Carlson Testing, Inc. Geotechnical Consulting REPORT OF 6X12 CONCRETE TEST SPECIMENS P.O. Box 23814 ASTM C172/C1231/C39/C31/C1064/C143 Tigard, Oregon 97281 Test Methods: Phone (503) 684 -3460 FAX # 684 -0954 Date Molded: 03/31 : 19 95 Job No. 95 -3088 Permit No: BUP94- 0336/S I T94— 0045 Client: BOSTON CHICKEN — CHRIS LIND Project: BOSTON CHICKEN — TIGARD Address: 13935 SE PACIFIC HWY TIGARD OR Contractor: JOSEPH HUGHES CONSTRUCT I O Sub Contractor: Concrete Supplier: WILSONVILLE CONCRETE PRODUC _ 38 Ticket No. G -00138 Cast By: K K. BARNETT Cu. Yds. 28 Load No. 1 OVERCAST 62 42 Weather: Temp. High: Temp. Low: WALLS Location of Placement: 1 :40 62 Test Time: Concrete Temp: 3000 28 5 1/4"* I Strength Requirement: PSI @ days Slump Cement Type 554 3 / 4 " Mix NoJNo. Sacks Air Content Max. Aggregate Admix. Amount: Brand: - Admix. Amount Brand: Set Test@ Register Date Date Total Area Unit Report Tested rea No. Days Number Rec'd Test Load PSI No. By 7 1061 04/03 04/07 59,464 28.34 2100 2 JB 28 1061 04/03 04/2E HOLD 1061 04/03 Remarks: cc :JOSEPH HUGHES CONSTRUCTION INC CITY OF TIGARD *NOTIFIED FINISHER AND TRUCK DRIVER OF HIGH SItiMP Information contained herein is not to be reproduced, except in full, without prior authorization from this office. . Construction Inspection & Related Tests Carlson Testing, Inc. Geotechnical Consulting REPORT OF 6X12 CONCRETE TEST SPECIMENS P.O. Box 23814 Tigard, Oregon 97281 Test Methods: t bi • • _ • _ • - Phone (503) 684 -3460 FAX # 684 -0954 Date Molded: 03/28 , 19 95 Job No. 9S— :31)AA Permit No: B11P94-0336/SIT94- 0045 Client: BOSTON CHICKEN — CHRIS LIND Project: BOSTON CHICKEN — TIGARD Address: 13935 SE PACIFIC HWY TIGARD OR Contractor: JOSEPH HUGHES CONSTRUCT I O Sub Contractor: Concrete Supplier: WILSONVILLE CONCRETE PRODUC TruckNo. 31 Ticket No. E - 10601 Cast By: S . LEACH Cu. Yds. 7 Load No. 1 Weather: CLEAR Temp. High: 68 Temp. Low: 42 Location of Placement: EXTERIOR FOOTINGS Test lime: 11 = 15 Concrete Temp: 64 Strength Requirement: 2500 PSI @ 28 days Slump 4 Cement Type I Mix No/No. Sacks 2500 Air Content Max. Aggregate 3/4 • Admix. Amount: Brand: Admix. Amount: Brand: Set Test@ Register Date Date Total Area Unit Report Tested No. Days Number Rec'd Test Load PSI No. By 7 0982 . 03/30 04/04 79,299 28.36 2800 1 JB 28 0982 03/30 04/2E . 28 0982 03/30 04/2E Remarks: cc = JOSEPH HUGHES CONSTRUCTION INC CITY OF TIGARD . I Information contained herein is not to be reproduced, except in full, without prior authorization from this office. Construction Inspection & Related Tests Carlson Testing, Inc. Geotechnical Consulting 6X12 CONCRETE REPORT OF TEST SPECIMENS P.O. Box 23814 ASTM C172/C1231/C39/C31/C1064/C143 Tigard, Oregon 97281 Test Methods: Phone (503) 684 -3460 04/17 95 95 -3088 BUP94- 0336 /SIT4* # 684 -0954 Date Molded: , 19 Job No. Permit No: 0045 BOSTON CHICKEN — CHRIS LIND Client: BOSTON CHICKEN — TIGARD Project: 13935 SE PACIFIC HWY TIGARD OR Address: JOSEPH HUGHES CONSTRUCTIO X Contractor: Sub Contractor: WILSONVILLE CONCRETE PRODUC 48 D - 10381 Concrete Supplier: Truck No. Ticket No. K. THRALL 7 1 Cast By: Cu. Yds. Load No. RAINY Weather: Temp. High: Temp. Low: SLAB ON GRADE Location of Placement: 10:15AM 62 Test Time: Concrete Temp: G�VV Ct� 4 1/4 .I. Strength Requirement: PSI @ days Slump Cement Type • 3000 3/4 Mix NoJNo. Sacks Air Content Max. Aggregate Admix. Amount: Brand: _ _ Admix. Amount: Brand: Set Test® Register Date Date Total A Unit Report Tested Area No: Days Number Rec'd Test Load PSI No. By 7 1389 04/18 04/21 68,126 28,24 2410 38 28 1389 04/18 05/15 28 1389 04/18 05/15 • • cc:JOSEPH HUGHES CONSTRUCTION INC Remarks: CITY OF TIGARD Information contained herein is not to be reproduced, except in full, without prior authorization from this office. Construction In & Related Tests Carlson Testing, Inc. Geotechnical Consulting P O. Box 23814 Tigard, Oregon 97281 Phone (503) 684-3460 April 24, 1995 FAX (503) 684 - 0954 95 - 3088 Permit No. BUP94 0336/SIT94 -0045 SHOP INSPECTION @ Full Tilt DATES COVERED: April 20, 1995 PROJECT: Boston Chicken ADDRESS: 13935 SE Pacific Hwy -- Tigard, OR INSPECTOR: S. Smith #544 04 20 - 95: CTI representative visited Full Tilt shop this date to discuss fabrication requirements for full penetration column base plates welds. Small amount of visual on column beam buckets completed minor repair required. 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, C.' Sp E TIN NC. Do glas W. Leach P sident SS:ak cc: Boston Chicken -- Chris Lind Joseph Hughes Construction, Inc. City of Tigard L Construction In & Related Tests Carlson Testing, Inc• Geotechnical Consulting P.O. Box 23814 Tigard, Oregon 97281 Phone (503) 684 -3460 FAX (503) 684 -0954 April 24, 1995 95 -3088 Permit No. BUP94- 0336/SIT94 -0045 FIELD INSPECTION REPORT DATES COVERED: April 21, 1995 PROJECT: Boston Chicken ADDRESS: 13935 SE Pacific Hwy -- Tigard, OR INSPECTOR: S. Smith #544 04- 21 -95: CTI representative visited site this date to complete visual examination of columns and base plate fit up (4). Visual examination of beam buckets also performed. Work appeared to conform to AWS D1.1 structural steel code standards. 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 submitt-d, SO T T NG, '1/ C v 'o glas W. Leach P esident SS:ak cc: Boston Chicken -- Chris Lind Joseph Hughes Construction, Inc. City of Tigard f Construction Inspection & Related Tests C arlson Testing, Inc. Geotechnical Consultin3 REPORT OF 12 CONCRET TEST SPECIMENS P.O. Box 23814 Tigard, Oregon 97281 Test Methods: ASTM C172/C1231/C39/C31/C1064/C143 Phone (503) 684 - 3460 FAX # 684 -0954 Date Molded: 03/31 19 95 Job No. 95 - 3088 Permit No: BUP94 0336/S ] I ;'4 — 0045 Client: BOSTON CHICKEN — CHRIS LIND Project: BOSTON CHICKEN — TIGARD Address: 139:35 SE PACIFIC HWY TIGARD OR Contractor: JOSEPH HUGHES CONSTRUCTIO Sub Contractor: Concrete supplier: WILSONV ILLE CONCRETE PRODUC Truc No. 38 Ticket No. G -00138 Cast By: K K. BARNETT T T Cu. Yds. 28 Load No . OVERCAST 62 42 Weather: Temp. High: Temp. Low: WALLS Location of Placement: Test Time: 1 40 Concrete Temp: 62 3000 28 5 1/4 "* I Strength Requirement: PSI @ days Slump Cement Type Mix NoJNo. Sacks 554 3/4" Air Content Max. Aggregate Admix. Amount: Brand: _ Admix. Amount: Brand: Set Test@ Register Date Date Total Area Unit Report Tested rea No. Days Number Rec'd Test Load PSI No. By 7 1061 04/03 04/0/ 59,464 28.34 2100 2 _1B 28 1061 04/03 04/28 101,540 28.28 3590 JB 28 1061 04/03 04/28 100,450 28.28 3550 JB Remarks: cc:JOSEPH HUGHES CONSTRUCTION INC CITY OF TIGARD *NOTIFIED FINISHER AND TRUCK DRIVER OF HIGH SLUMP Information contained herein is not to be reproduced, except in full, without prior authorization from this office. 4 Construction Inspection & Related Tests Carlson T esting , Inc. Geofechnical Consulting 6X12 CONCRETE • REPORT OF TEST SPECIMENS P.O. Box 23814 ASTM C172/C1231/C39/C31/C1064/C143 Tigard, Oregon 97281 Test Methods: Phone (503) 684 -3460 FAX # 68 -0954 03/28 95 95 -3088 BUP94-0336/SIT94 Date Molded: , 19 Job No. Permit No: 0045 Client: BOSTON CHICKEN — CHRIS LIND BOSTON CHICKEN — TIGARD Project: 13935 SE PACIFIC HWY TIGARD OR Address: JOSEPH HUGHES CONSTRUCTIO Contractor: Sub Contractor: WILSONVILLE CONCRETE PRODUC 31 E - 10601 Concrete Supplier: Truck No. Ticket No. S. LEACH 7 1 Cast By: • Cu. Yds. Load No. CLEAR • 68 42 Weather: Temp. High: Temp. Low: EXTERIOR FOOTINGS Location of Placement: 11 :15 64 Test Time: Concrete Temp: 2500 • 28 4" I Strength Requirement: PSI @ days Slump Cement Type 2500 - 3/4" Mix NoJNo. Sacks Air Content Max. Aggregate Admix. Amount: Brand: _ Admix. Amount: Brand: Set Test@ Register Date Date Total Area Unit Report Tested rea No. Days Number . Rec'd Test Load PSI No. By 7 0982 03/3C 04/0 79,299 28.36 2800 1 .JB 28 0982 03/3C 04/2, 109,650 28.38 3860 JB 28 0982 ' 03/3C 04/2-3 102,430 28.38 3610 JB Remarks: cc :JOSEPH HUGHES CONSTRUCTION INC CITY OF TIGARD • c Information contained herein is not to be reproduced, except in full, without prior authorization from this office. Construction Inspection & Related Tests Carlson Testing, Inc. Geotechnical Consultin3 REPORT Or- 12 CONCRETE TEST SPECIMENS P.O. Box 23814 Tigard, Oregon 97281 Test Methods: ASTM C172/C1231/C39/C31/C1064/C143 Phone (503) 684-3460 FAX # 684 -0954 Date Molded: 04/17 19 95 Job No. 95 -3088 Permit No: BUP94- 0336/SI T94— 0045 • Client: JOSEPH HUGHES CONSTRUCTION INC Project: BOSTON CHICKEN — TIGARD Address: 13935 SE PACIFIC HWY TIGARD OR JOSEPH HUGHES CONSTRUCTIO Sub Contractor: X Contractor: Concrete Supplier: WILSONVILLE CONCRETE PRODUC Truck No. 48 Ticket No. D -10381 Cast By: K . THRALL Cu. Yds. 7 Load Not Weather: RAINY Temp. High: 55 40 Temp. Low: SLAB ON GRADE Location of Placement: Test Time: = 15AM Concrete Temp: 62 2500 28 4 1/2 I Strength Requirement: PSI @ days Slump Cement Type Mix NoJNo. Sacks 3000 Air Content Max. Aggregate 3/4 Admix. Amount: Brand: _ Admix. Amount: Brand: Set Test@ Register Date Date Total Area Unit Report Tested rea No. Days Number Rec'd Test Load PSI No. By 7 1389 04/18 04/24 68,126 28.24 2410 JB 28 1389 04/18 05/15 98,679 28.30 3490 JB 28 1389 04/18 05/15 107,870 28.30 3810 JB Remarks: cc:BOSTON CHICKEN — CHRIS LIND CITY OF TIGARD Information contained herein is not to be reproduced, except in full, without prior authorization from this office.