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Report (6) 8 tpf 0- -00 Bend Office (541) 330-9155 Geotechnical Office (503) 601-8250 Carlson Testing, Inc. Eugene Office (541) 345-0289 Salem en Offffiice ce (503) 589-1252 g� Tigard Office (503) 684-3460 Daily Report of Reinforced Concrete Client: ROGERS MACHINERY - FRANK WIERING Project: ROGERS MACHINERY - WAREHOUSE 3 UPGRADE CTI Job#: T1503525. Address: 14650 SW 72ND AVE PORTLAND OR Jurisdiction: TIGARD CTI representative J. BLACK OBOA 392 was on site this date Mar. 24, 2015 to perform Special Inspection for: Permit BUP2015-00048 DFS #(s) PO Number: 10121582 SCOPE OF INSPECTION CONCRETE 1. Checked in with superintendent or client representative. 1. Mix Design approved? ® Yes ❑ No ❑ N/A Name: FRANK WIERING Company: ROC3RRS MAC HTNF.RY 2. Monitored loads arriving at job site for correct: Mix#: KNIFE RIVER 40N17F00 2. Type of work: ® Concrete ® Reinforcing Slump 5" MAX % Air 3.5 TO 6.5 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 ❑ At precast shop 4. Inspected placing and consolidation of approx. 43 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? MIX WAS PLACED BY CHUTE AT WAREHOUSE (3) - R BRTnnp. CRANK corammL. POOTTNGS• A 1 9 rx, 7. 3. Type, grade, size, quantity, spacing and X condition conform? B 1. 4. 7: C ® 1.1. 4. 6: D 1.1. 3. 6. AND 4. Verified forms will nominally result in ALSO AT PERMIT BUP2015-00061 (AIR RECEIVER) . hardened concrete of the required X cross-sectional dimensions. 4,000 PSI MIX PLACED FOR A 3,000 PSI 5. Verified location of reinforcing steel, pipes, X SPECIFICATION. (1) SET OF CYLINDERS COVERS BOTH conduits and sleeves with respect to PERMITS. minimum concrete cover 6. Verified type and location of splices, length X 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 I steel in the forms. X 1. Work inspected was: [xi Completed ❑ In progress 8. Verified structural embedments in the forms with regard to fabrication, quality and type. X 2. Completed work inspected was in compliance with © Approved plans and specifications n Shop drawings 9. Verified structrual embedments in the forms with regard to weld inspection, quantity, and X ❑ RFI n Design change ❑ Submittal ❑ N/A permits issued. 10. Verified cast in place anchors. x Document #(s) MILLER ENGS Dated: 03/11/15 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 Fl No a N/A WAREHOUSE (3) - BRIDGE CRANE COLUMN 4. Noncompliance item(s) were reinspected this date, details FOOTINGS: A @ 1. 2. 5. 7 on following page(s). ❑ Yes ❑ No ® N/A B @ 1. 4, 7 ❑ Conform n Remain in progress C @ 1.1. 4. 6 D @ 1.1. 3. 6 Report(s) findings were discussed and left with FRANK WIERING 8 & 9/S801. of ROGERS MACHINERY 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. nSee additional report page(s). n Distribute attachments. Page 1 of 2 • Daily Report of Reinforced Concrete For: 03/24/2015 CTI Job#: T1503525. Project: ROGERS MACHINERY - WAREHOUSE 3 UPGRADE 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.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. Keith Gauvin Reviewed By: Project Manager Project Manager Review Date:04/02/2015 JB/CK CC: ROGERS MACHINERY - FRANK WIERING FRANK.WIERING@ROGERS-MACHINERY.COM CITY OF TIGARD BUILDING DIVISION - WALTER 'CHIP BARNETT FINAL/NCL ONLY MILLER CONSULTING ENGINEERS - PAUL ALBERTINE PAUL.ALBERTINE@MILLER-SE.COM US CRANE & HOIST INC - GEORGE BEAUDAN GEORGEB @USCRANEANDHOIST.COM ROGER LANGELIERS CONSTRUCTION CO (NORTH) - DAN MOTTA DAN @RLCGROUP.COM 8430 SW HUNZIKER ST,TIGARD OR-PO BOX 23814,TIGARD OR 97281 Page 2 of 2