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HomeMy WebLinkAboutBLD20110815.pdf! ! G\y OF E� CITY. OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 ��c. 1890 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED Expiration Date: 12/14/2012 Parcel No: 00580700002208 EDMONDS MEDICAL BLDG. ASSOC. LLC DDG ARCHITECTS PENNON CONSTRUCTION CO INC 8129 LAKE BALLINGER WAY JIM WIEBEN 5303 1 St Ave South Ste 100 EDMONDS, WA 98026 16398 NE 85TH STREET Seattle, WA 98108 REDMOND, WA 98052 (425)329-0848 (425)289-5805 (206)418-0235 LICENSE #: PENNOCC013Q3 EXP:6/3/2012 3 STORY BUILDING CONTAINING OFFICES AND TWO FLOORS OF PARKING. SHELL AND CORE PERMIT - INCLUDES CIVILS. VALUATION: $7,534,799.56 PERMIT TYPE: Commercial PERMIT GROUP: 45 - New Commercial GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: Il -B RETAINING WALL ROCKERY: N OCCUPANT GROUP: B/S-I/S-2 OCCUPANT LOAD: see TI FENCE: N 0 X 0 FT.) CODE: 09 OTHER: N ----- OTHER DESC: ZONE: CG 2 NUMBER OF STORIES: 3 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 IST FLOOR: 27358 2ND FLOOR: 27358 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 27358 GARAGE: 0 DECK: 0 OTHER: 0 IRONTSETBACK SIDE SETBACK REAR SETBACK REQUIRED: W = 4' PROPOSED: 4' REQUIRED: N = 0' PROPOSED: 0' --TRE UIRED: E = 0' PROPOSED: 0720' HEIGHT ALLOWED:75 PROPOSED:50.87 I REQUIRED: S = 0' PROPOSED: 0' SETBACK NOTES: No more than 30 inches of eaves may project into 4' street setback. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. TIVS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND A1I9,FEES ARE PAID. 4-1 .: L -U - �ic�r Ste" 12./14 /?-cI I V'Mw Signature Print Name Date Released B Date ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109/ IBCI 10/ IRCI 10. = ONLINE = APPLICANT = ASSESSOR OTHER • • STATUS: ISSUED BLD20110815 • New and existing buildings shall have approved address numbers, building numbers or approved building identification placed in a position that is plainly visible from the street or road fronting the property. Address numbers shall be Arabic numerals or alphabet letters. Numbers shall be legible from the public way, at least 6 inches high with a 3/4 inch min, stroke width on a contrasting background. • If visible from 72nd Ave. W, rooftop equipment shall be screened from view or painted to match the building in a color approved by the Planning Division. • Conditions of approval of the design review decision located in File No. PLN20110063 shall be met. • Separate Permit Required For: Tenant Improvements, Plumbing, Mechanical/HVAC, L&I Boiler (for air compressor), L&I Electrical, Fire Connection Permit, Fire Sprinkler, Fire Alarm, Fire Protection Footprint. • REQUIRED SPECIAL INSPECTIONS FOR THIS PROJECT: • By the Geotech of Record: • 1) Excavation, grading, & site preparation • 2) Soil bearing verification/ Auger cast piles • 3) Placement of fill & compaction • 4) Footing drain • 5) Temporary Erosion Control • 6) Final Erosion Control • 7) General site monitoring • 8) Final letter from geotechnical engineer of record • Structural: • 1) Concrete • 2) Bolting in concrete • 3) Post Tension tendons • 4) Structural Steel including High Strength Bolting and Welding • 5) Seismic Attachments of mechanical and Electrical Components • 6) 8 inch Hollow Planks • 7) Exterior Cladding • 8) Structural Observation by Engineer of Record • Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309 • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure. Check the job card for all required City inspections including final project approval and final occupancy inspections. • Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable. • Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City """"s ability to enforce any ordinance provision. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) BUILDING (425) 771-0220 EXT. 1333 ENGINEERING (425) 771-0220 EXT. 1326 FIRE (425) 775-7720 PUBLIC WORKS 425 771-0235 PRE-TREATMENT 425 672-5755 RECYCLING 425 275-4801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. • B-Preconstruction meeting B -Setbacks • B -Footings • B -Foundation Wall • B -Foundation Drainage B -Structural Slab • B -Exterior Wall Sheathing • B -Roof Sheathing • B -Exterior Cladding • B -Fire Stopping • B -Framing • B-Insulation/Energy • B-Sheetrock Nail • B -Building Final • F -Fire Safety and Evacuation Plan • F -Fire Final • P -Planning Final °F EQ -4.1 Inspection Comments BLD20110815 45 - New Commercial Applied: 09/26/2011 ��Ic. 1 890 Issued: 12/14/2011 Expires: 12/14/2012 Address: 21401 72ND AVE W, EDMONDS INSPECTION DATE INSPECTOR ACTION 1000 - E -Pre -Con 12/19/2011 MCCONNELL CMP Comment: J.Lambert also in attendance. Sign -in sheet noting all others is attached. 1001 - E -Erosion Control/Mobilization 12/22/2011 LAMBERTJ PAR Comment: w/J.Zulauf - TESC adequate at this time 1001 - E -Erosion Control/Mobilization 02/07/2012 Z ULAUF COM Comment: tesc o k CMP Comment: Backflow report received and okay. 1001 - E -Erosion Control/Mobilization 11/26/2012 MCCONNELL CMP Comment: Project finaled. CMP Comment: Approved. Enclosure is within building, access from 72nd via alternate drive. 1013 - E -Storm Tightline 02/07/2012 ZULAUF COM Comment: tightline from building to detention vault. Ok to bury 1013 - E -Storm Tightline 11/26/2012 MCCONNELL CMP Comment: Project final approved. 1015 - E -Storm Detention System 02/07/2012 ZULAUF COM Comment: connection from west side of vault to control m/h, ok to b/f 1015 - E -Storm Detention System 11/26/2012 MCCONNELL CMP Comment: Approved for final. Mayes testing reports attached. 1017 - E -Footing Drain Connection Comment: 1018 - E-Oil/Water Separator 02/24/2012 MCCONNELL CMP Comment: Located in Parking garage. P.Lawler confirmed connection to sanitary sewer system. Pictures in Engineering file. 1037 - E -Remote Reader Installation 09/25/2012 MCMURPHY COM Comment: Need to install TRPL Sensus remote wall mounted meter on fire line. Drill hole on exterior wall for wall mount. 1037 - E -Remote Reader Installation 11/26/2012 MCMURPHY CMP Comment: Approved. 1039 - E-RPBA with HotBox 09/25/2012 MCMURPHY CMP Comment: Backflow report received and okay. 1051 - E -Pavement Striping 11/26/2012 MCCONNELL CMP Comment: Approved. 1075 - E -Trash Enclosure 10/08/2012 MCCONNELL CMP Comment: Approved. Enclosure is within building, access from 72nd via alternate drive. 1076 - E -Cross Connection Final 09/25/2012 MCMURPHY CMP Comment: Received backflow reports for fireline, domestic &irrigation systems - approved. 12/7/2012 9:24:45 AM 121 5th Ave, Edmonds Washington -Phone: (425) 771-0220 Page 1 of 5 INSPECTION DATE INSPECT0lk ACTION;; 1077 - E-Engineering Final 09/25/2012 MCCONNELL COM Comment: Spoke with Jeff, they're not quite ready. He will call back or email when they are. 1077 - E-Engineering Final 10/08/2012 MCCONNELL COM Comment: Need to stripe parking and install remote read on building for fire line meter. 1077 - E -Engineering Final 11/26/2012 MCCONNELL CMP Comment: Project approved for final. 1101 - B-Preconstruction meeting 12/19/2011 BJORBACK PAR Comment: At city hall with Jeff Still, Mac Sele, Scott Shanks, Jim Weiben, Todd Wirtz (Mayes Testing), E3RA Geotech, Donnybrook Excavating. City staff: PAt Lawler, Leif Bjorback, Jeanie McConnell, Jennifer Lambert, Jen Machuga, Mike Smith 1101 - B-Preconstruction meeting 03/27/2012 LAWLER CMP Comment: 1106 - B -Setbacks Comment: 12/03/2012 LAWLER 1108 - B -Footings 12/29/2011 LAWLER Comment: Just setting up auger, will return tomorrow CMP PAR 1108 - B -Footings 12/30/2011 LAWLER COM Comment: Observed sample auger operation, inspected typical cage which conformed with approved plans. 1108 - B -Footings 02/06/2012 LAWLER PAR Comment: Gridline 1A -H, A 1-10 and isolated footings in between. Special inspector to verify clearances and dewatering: 1108 - B -Footings 02/08/2012 LAWLER COM Comment: 6 line F -C, E&D line 6-7.2 1108 - B -Footings 02/10/2012 LAWLER COM Comment: D -A on 9,A6.3-9, C&5,7,&8, B-7 (pile caps 1108 - B -Footings 02/16/2012 LAWLER PAR Comment: Grade beams at elevator pit 1108 - B -Footings 02/17/2012 LAWLER CMP Comment: 1110 - B -Foundation Wall ,01/13/2012 LAWLER PAR Comment: detention facility 1110 - B -Foundation Wall 03/02/2012 LAWLER PAR Comment: Type A SW grid H Type Z1 & Z2 SW grid 1 North 1/2 columns 1110 - B -Foundation Wall 03/09/2012 LAWLER PAR Comment: Front Type A walls require (4)#5 rebars at ends 1110 - B -Foundation Wall 03/14/2012 MILLERC PAR Comment: SEE ATTACHMENT 1110 - B -Foundation Wall 03/19/2012 LAWLER PAR Comment: Elevator shaft, sw no. 1, GL A 6.75 to 7.25 12/7/2012 9:24:45 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 2 of 5 INSPECTION DATE ' INSPECTOR= AC�TION 1110 - B-Foundation Wall 04/09/2012 LAWLER PAR Comment: See mini's 1110 - B-Foundation Wall 04/13/2012 LAWLER PAR Comment: North wall and south stair tower 1110 - B-Foundation Wall 04/19/2012 LAWLER PAR Comment: Second floor complete pending special inspection approval 1110 - B-Foundation Wall 05/10/2012 LAWLER PAR Comment; Third floor walls, see mini's 1110 - B-Foundation Wall 05/15/2012 LAWLER PAR Comment: Third floor see on site minis for locations 1110 - B-Foundation Wall 05/17/2012 LAWLER PAR Comment: Third floor tall walls complete 1110 - B-Foundation Wall 05/18/2012 LAWLER PAR Comment: CMU first lift under ramp, elevator mechanical room 1110 - B-Foundation Wall 05/23/2012 LAWLER PAR Comment: CMU second floor first lift see mini's 1110 - B-Foundation Wall 06/04/2012 LAWLER PAR Comment: P-2 Gridline -2 1110 - B-Foundation Wall 06/11/2012 LAWLER COM Comment: P-2 car barriers grid lines G and 9 1110 - B-Foundation Wall 10/31/2012 LAWLER CMP Comment: 1114 - B-PT Slab 03/29/2012 LAWLER PAR Comment: Grid Feast of D to H 1-9 1114 - B-PT Slab 04/04/2012 LAWLER PAR Comment: Second floor phase II pending special inspection 1114 - B-PT Slab 04/27/2012 LAWLER COM Comment: Third floor east deck 1114 - B-PT Slab 05/07/2012 LAWLER CMP Comment: 1120 - B-Structural Slab 01/11/2012 LAWLER PAR Comment: Detention vault SOG and vertical rebars 1120 - B-Structural Slab 01/30/2012 LAWLER PAR Comment: Detention vault hollow core planking 1120 - B-Structural Slab 02/22/2012 LAWLER PAR Comment: 8" and 12" SOG 1120 - B-Structural Slab 03/01/2012 LAWLER PAR Comment: all but MRI slab 12/7/2012 9:24:45 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 3 of 5 INSPECTION DATE, INSPECTO`R ll_,. 1120 - B-Structural Slab 06/27/2012 LAWLER CMP Comment: MRI okay after Mayes' approval 1124 - B-Exterior Gypsum Sheathing 06/19/2012 LAWLER PAR Comment: Grid lines H,G,&9-G to F 1124 - B-Exterior Gypsum Sheathing 06/21/2012 LAWLER PAR Comment: Parapets complete 1124 - B-Exterior Gypsum Sheathing 07/03/2012 LAWLER PAR Comment: Penthouse mechanical room 1124 - B-Exterior Gypsum Sheathing 10/31/2012 LAWLER CMP Comment: 1132 - B-Exterior Wall Sheathing 10/31/2012 LAWLER CMP Comment: 1133 - B-Roof Sheathing 10/31/2012 LAWLER CMP Comment: 1134 - B-Exterior Cladding 10/31/2012 LAWLER CMP Comment: 1141 - B-Fire Stopping 08/03/2012 LAWLER COR Comment: Failed (again) 1141 - B-Fire Stopping 08/08/2012 LAWLER PAR Comment: Slab edge spray applied firestopping material applied 1141 - B-Fire Stopping 08/10/2012 LAWLER PAR Comment: Slab edge approved subject to engineering judgement from Hllti 1141 - B-Fire Stopping 08/13/2012 LAWLER COR Comment: Mineral not tightly packed 1141 - B-Fire Stopping 08/14/2012 LAWLER PAR Comment: Slab edge complete 1141 - B-Fire Stopping 10/31/2012 LAWLER CMP Comment: 1142 - B-Framing 06/14/2012 LAWLER PAR Comment: Pending RFI 3 Tek screws into 1/4" angle at parapet walls grid lines H and 9 1142 - B-Framing 06/19/2012 LAWLER PAR Comment: Grid lines 9 and H from E to 6 1142 - B-Framing 10/31/2012 LAWLER CMP Comment: 1146 - B-Insulation/Energy 08/01/2012 LAWLER PAR Comment: Exterior walls at PT zone 1146 - B-Insulation/Energy 10/31/2012 LAWLER CMP Comment: 12/7/2012 9:24:45 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220. Page 4 of 5 INSPECTION DATE;_ INSPECTOR ACTION'- CTION'1150 1150- B-Sheetrock Nail 10/31/2012 LAWLER CMP Comment: 1158 - B-Building Final 11/05/2012 LAWLER PAR Comment: Handrail dilemma discussion onsite 1158 - B-Building Final 12/03/2012 LAWLER COR Comment: Geotechnical final letter 1158 - B-Building Final 12/04/2012 LAWLER CMP Comment: 1905 - Fire Connection Partial 03/09/2012 WESTFALL CMP Comment: Inspected connection installation from bottom of riser approximately 10' UG towards street. Installation allowed for slab construction in sprinkler room. 1950 - F-Fire Safety and Evacuation Plan 12/03/2012 SMITHM CMP Comment: APPROVED 1985 - F-Fire Final 12/03/2012 SMITHM CMP Comment: APPROVED 2000 - P-Planning Final 11/28/2012 MACHUGA CMP Comment: Landscaping is consistent with approved plans. Landscape maintenance bond was submitted on 11/27/12. Signed off on 11/28/12. 12/7/2012 9:24:45 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 5 of 5 a Airgas Medical Services, Inc. Everett, WA 98201 (425)7418801 fax (425)968-0620 httplrwwwArgasmn Medical Gas Line Verification Report - Amended Date: 05 November 2012 Job Number: 2029531 QE# 7673 Contractor: All Phase Plumbing Date(s)1 Time(s) of Testing: 08 August 201210930 hrs 26 September 2012 11230 hrs 02 October 2012/0815 hrs 04 October 2012/1400 hrs 26 October 2012/0900 hrs Facility: Premier Orthopedics 21401 72^d Ave W Edmonds, WA Scope of Work: Verification testing and documentation of a new Level 1 Orthopedic Surgery Center — Medical gases (oxygen and nitrous oxide) and vacuum outlets and inlets, zone valves, master and area alarms, and,source equipment. Our firm certifies that the verifier named in the report is properly trained and certified to perform the activities required. All test and measurement equipment is properly calibrated and maintained. As a representative of Airgas Medical Services, Inc. the verifier named in this report has conducted testing and verification of medical gas piping systems and related equipment to certify the following on the above date. General Findings: A. Medical gases and vacuum are in compliance with NFPA 99 (2005ed): Level 1 Surgery Center B. No crossed lines were found in medical gas or vacuum systems in the tested areas on the day of testing. C. Medical gases meet minimum concentration. D. Medical gases meet minimum flow and are at normal pressure. E. Medical vacuum meets minimum flow and is at normal vacuum pressure. F. Medical gas system components in the area tested are in compliance with NFPA 99 (2005ed),. (See Note, Comments and Recommendations) G. Medical gas line purity: PASS [Lot # 095TUA1029-A / (AL)] H. Static Pressure Test: PASS (150# for 24 hrs) I. Permit Number: BLD 2011-0816 / City of Edmonds K. Attachments: Purity Report, Outlet Worksheets, Source Equipment Check Lists Note: Existing Equipment and Systems NFPA 99(2005ed) #5.1.1.4 — An existing system that is not in strict compliance with the provisions of this standard shall be permitted to be continued in use as long as the authority having jurisdiction has determined that such use does not constitute a distinct hazard to life. PREMIERORTHO-05.15.12-202953-amended Pg 1 of 3 r AI Airgas Medical Services, Inc. Everett, WA 98201 (425)741-W7 fax (425)968-4620 *Jiwv mairgm.com II. Medical Gases: A. Oxygen: 1. Static Line Pressure: 54 psi 2. Dynamic Outlet Free Flow: >3.5 scfm 3. Dynamic Outlet Free Flow: >6.0 scfm (for 3 seconds in 'Critical Care Area') 4. Oxygen Concentration: >99.0% 5. Delta Flow: PASS 6. Particulate Test: PASS 7. Odor: PASS B. Nitrous Oxide: 1. Static Line Pressure: 52 psi 2. Dynamic Outlet Free Flow: >3.5 scfm 3. Nitrous Oxide Concentration: >99.0% 4. Delta Flow: PASS 5. Particulate Test: PASS 6. Odor: PASS III. Vacuum: A. Medical — Surgical Vacuum 1. Static Line Vacuum: 23" HgV 2. Dynamic Inlet Free Flow: >3.0 scfm 3. Delta Flow: PASS B. WAGD (Waste Anesthesia Gas Disposal) (Not A Separate System) 1. Static Line Vacuum: 23" HgV 2. Dynamic Inlet Free Flow: >3.0 scfm . 3. Delta Flow: PASS IV. Outlets I Inlets: (New) A. Brand: Amico B. Quick Connect Style: DISS & Ohmeda QC V. Zone Valves: (New) A. Brand: Amico B. Down line gauges: Yes C. Labeled for Area Controlled: Yes VI. Alarms: A. Area Alarms: (New) 1 Brand: Amico 2. Labeled for Area Monitored: Yes B. Master Alarm: (New) 1 Brand: Amico 2. Number of Spare Signals: 2 3. Number of Spare Modules: 1 PREMIERORTHO-05.15.12-202953-amended Pg 2 of 3 Airgas Airgas Medical Services, Inc. Eywetl WA 98201 (425)7418807 fax (425)968-0620 http:/Avww.airgas.com 1 1 VII. Brazier: Wally Wampler A. Brazier Number: WAMPLW981JH ' B. Contractor: All Phase Plumbing VIII. Witness: Wally Wampler— All Phase Plumbing IX. Comments: A. There is only one master alarm located at the nurse's station in the recovery area. B Asper conversations 11-05-12 with Steve Pennington (WA, DOH) a second master alarm will not be required. ' X. Recommendations: A. None Tested By: Matthew R. Shyne, ASSE 6030 Verifier Airgas Medical Services, Inc. matt.shvne(a)air as.com Cell 425-248-7152 / Fax 425-968-4620 PREMIERORTHO-05.15.12-202953-amended Pg 3 of 3 Airgas MASTER ALARM PANEL Airgas Medical Services, Inc. 5600 Philip J Rhoads Ave. Bethany, OK 73008 Customer Information: Telephone: 800-732-9035 Facility: Premier Orthopedics Fax: 405-787-1146. Job # 202953 City: Edmonds State: Washington Test Date: October 26, 2012 Technician(s): M Shyne Panel Location: Nurse's Station -Recovery Serves: Entire Facility Number of Master Alarm Locations: 1 Green Power Light Operational: (EYES ONO Test Button Check Only. N Manufacturer. Amico Model: Alert Number of Spare Signals: 2 Number of Blank Modules: 1 SOURCE SIGNAL STATUS NORMAL ALARM FUNCTIONAL NOTE YES I NO I NT I N/A COMMENTS OXYGEN Primary Liquid Level Low ❑ I ❑ ❑ 11:111:11 Q Changeover to Reserve Q 1-1 F91 ❑ ❑ ❑ Reserve Liquid Level Low (#A) ❑ ❑ ❑ I ❑ ❑ 1 ❑Q ❑ Reserve Low Pressure ❑ ❑ ❑ ❑ 1011 0 11 BULK SITE ❑ MANIFOLD 02 Line Pressure High ❑ 0 1❑ ❑ ID 02 Line Pressure Low Q ❑ Q ❑ 1:11 ❑ ❑ ❑ ❑ ❑ ❑ I ❑ MEDICAL AIR Dew Point High ❑ ❑ ❑ ❑ ❑ I Q Carbon Monoxide High ❑ ❑ ❑ ❑ ❑ ❑� Compressor High Air Temp (#B) ❑ ❑ ❑ ❑ ❑ 19 Receiver High Water Level (#C) ❑ ❑ ❑ ❑ Q 0 Comp High Water Level (#D) ❑ ❑ ❑ ❑ ❑ 1 ❑■ ❑ COMPRESSORLag ❑ MANIFOLD Compressor Running ❑ ❑ ❑ ElElQ Changeover to Secondary ❑ I ❑ ❑ ❑ ❑ 9 Med Air Line Pressure High ❑I ❑ ❑ ❑ I ❑ I ❑� Med Air Line Pressure Low ❑ I ❑ ❑ ❑ I ❑ 19 ❑ ❑ ❑ ❑ 1 ❑ I ❑ VACUUM PUMP Lag Vacuum Pump Running Q ❑ 1110101 VAC Line Pressure Low (Al ❑ 1:111:1101 ❑ ❑ ❑ ❑ ❑ ❑ ❑❑ Nitrous Oxide MANIFOLD Changeover to Secondary Q ❑ ❑ ❑ N20 Line Pressure High © ❑ ❑ ❑ N20 Une Pressure Low Q ❑ ❑ ❑ ❑ ❑ ❑ ❑ JE Nitrogen MANIFOLD Changeover to Secondary ❑ ❑ ❑ 9 N2 Line Pressure High ❑ ❑ ❑ 9 N2 Line Pressure Low ❑ ❑ ❑ ❑�❑ ❑ ❑ ❑Carbon Dioxide Changeover to Secondary ❑ ❑ ❑ ❑EMANIFOLD CO2 Line Pressure High ❑ ❑ ❑ 02 Line Pressure Low ❑ p ❑ o❑ ❑ ❑ ❑ COMMENTS: # A. Not required for cylinder reserves. B. Not required for liquid ring. C. Not required for reciprocating compressor without water cooled heads. D. Not required for reciprocating compressor. Airgas Medical Services, Inc NOTES: # 1. Not wired to the alarm panel. 2. Red light burned out. 3. Green light burned out. 4. In need of service. 5. Visual alarm nonfunctional. 20110325 MAP Page 1 of 1 6. Audible alarm nonfunctional. 7. In need of calibration. 8. Required signal not present. NT = Not Tested N/A = Not Applicable (405) 787-1134 Airgas Piping Purity Test Reference: NFPA 99 (2005ed) #5.1.12.13.8 Airgas Medical Services, Inc. Event. WA 98201 (425)741-8807 fax (425)968.4620 h1tp:1Av w.a49a&com Job #: 202953 Facility: Premier 0rthopedics — Edmonds, WA Test Date: 10-26-12 Area Tested: Facility 5.1.12.3.8.1 These tests were performed using oil -free Nitrogen NF. 5.1.12.3.8.2 The tests shall be for total non -methane hydrocarbons (as methane), and halogenated hydrocarbons, and compared with the source gas. 51.12.3.8.3 This test shall be performed at the outlet most remote from the source. 5.1.12.3.8.4 The difference between the two test shall in no case exceed the following: (1) Total hydrocarbons (excluding methane), 5 ppm (2) Halogenated hydrocarbons, 5 ppm 5.1.12.3.8.5 A test for dew point shall be at the outlet most remote from the source and the dew point shall not exceed 500 ppm or -12`C (10°F) at 345 kPa (50 psig). ❑ Sample testing conducted by third party analytical laboratory. (GC Analysis report results on file at Airgas Medical Services, Inc. offices) ® Sample testing conducted on-site using the appropriate analysis equipment. (Analysis report results o file at Airgas Medical Services, Inc. offices) Purity samples taken using Nitrogen NF: Lot #: 095TUA1029-A ( AL ) Gas Results Injection Point Collection Point Oxygen ®. PASS ❑ FAIL Source Equipment Outlet - Recovery Nitrous Oxied ® PASS ❑ FAIL Source Equipment Outlet — OR #3 ❑ PASS ❑ FAIL ❑ PASS ❑ FAIL ❑ PASS ❑ FAIL ❑ PASS ❑ FAIL ❑ PASS ❑ FAIL ❑ PASS ❑ FAIL Comments: Page 1 of.1 PREMI ERORTHO-05.15.12-202953-pur Airgas. Airgas Medical Services, Inc. 5600 Philip J Rhoads Ave. Bethany, OK 73008 Telephone: 800-732-9035 Fax: 405-787-1146 Job # 202953 Test Date: October 26, 2012 NITROUS OXIDE MANIFOLD SOURCE EVALUATION DATA 7nn5 STANDARD Customer Information: Facility: Premier Orthopedics City: Edmonds state: Washington Technician(s): M Shyne Location of source is P1 Parking Level - Medical Gas Storage Room Manufacturer. Amico Model: M2H-C3-D-U-N20 Serial: 20120629-B ENCLOSURE /.LOCATION Yes No N/A Ukn aa 1. The location is used ONLY for storage of non-flammable gases. [REF:_NFPA 99.2005: 5.1.3.2.3] PREF: NFPA 99,2005:5.1.3.4,10.11 2. The location is kept free of flammable materials, flammable gas cylinders, and flammable liquid containers. PREF: NFPA 99.2005: 5.1.3.2.4] 3. The location is separate from mechanical equipment (i.e. Air Compressors, Vacuum Pumps, Diesel Fuel Pumps). [REF: NFPA 99.2005: 5.1.3.3.1.4] Yes No N/A Ukn WF] F 7 4. Location access is restricted to authorized personnel only and adequately secured against tampering. [REF: NFPA 99, 2005: 5.1.3.3.2(2)] �■ 5. The location is free of open electrical contacts or transformers. PREF: NFPA 99,2005; 5.1.3.3.1.6(4)] FN F F .F 6. Electrical wall fixtures are at least 5 feet above floor. [REF: NFPA 99, 2005; 5.1.3.3.2(5)1 �■ 7. The location is protected from sources of heat exceeding 130 degrees F. PREF: NFPA 99.2005: 5.1.3.3.1.71 0 8. Supply systems for nitrous oxide and carbon dioxide are protected from temperatures lower than 20 degrees F. [REF: NFPA 99.2005; 5.1.3.3.1:81 Yes No N/A Ukn ❑ El 50-109. The cylinders are protected against accumulation of ice or snow or continuous exposure to direct rays of the sun. PREF: NFPA 99.2005:9.7.5.4 ❑■ 10. Indoor locations are constructed of materials with a minimum 1 -hour fire resistance rating. [REF: NFPA 99,2005:5.1.3.3.2(4) 11. The location is outdoors or vented to the outside. (REF: NFPA 99 2005; 5.1.3.3.3.1] a) For indoor medical gas storage less than 3000 cubic feet or medical air cylinder storage only, the location is vented outside by natural or mechanical ventilation. PREF: NFPA 99.2005: 5.1.33.3.101- E] F—] a F b) Natural ventilation does consist of two louvered openings, each consisting of at least 72 sq In free area, with one located within 1 ft of the floor and one within 1 ft of the ceiling. PREF: NFPA 99,2005; 5.1.3.33.1(E)] 20110325 Airgas Medical Services, Inc. MF Page 1 of (405) 787-1134 Yes No N/A Ukn 12. For indoor medical gas storage greater than 3000 cubic feet, the location is vented outside by means of a dedicated mechanical ventilation system. 0 ❑ ❑ ❑ a) The vent does draw air from within one foot of the floor. aR [:] b) The exhaust fan does operate continuously. a F� ❑ c) A means of makeup air has been supplied. [REF: NFPA 99.2005: 5.1.3.3.3.1(6)] AD F 013. The area is posted "CAUTION, Medical Gases, No Smoking or Open Flame". [REF: NFPA 99.2005; 5.1.3.1.91 MD F F (a) Locations containing medical gases other than oxygen and medical air are also posted "Room may have insufficient oxygen, open door and allow room to ventilate before entering". Yes No N/A Ukn IREF: NFPA 99.2005; 5.1.3.1.81 �. 0 � F 14. Manifolds located outside do.meet the'distance requirements to exposures called out in NFPA 99, figure 5.1.3.4.10.1 for wood frame buildings, flammable liquid storage, combustible materials, public assembly, sidewalks and vehicles. [REF: NFPA 99.2005; 5.1.3.4.10.1(1)1 EQUIPMENT 15. The cylinders are secured with racks, chains or other fastenings to prevent accidental dislocation. [REF: NFPA 99.2005: 5.1.3.3.2(7)1 FEl F1 16. The piping, valves and manifolds are protected against physical damage from movement of equipment or cylinders. [REF: NFPA 99.2005:5.1.10.10.2.1] FE 17. Final line regulators are duplexed with a manually operated shutoff valve upstream of each regulator and a shutoff valve or a check valve downstream to permit uninterrupted service. [REF: NFPA 99.2005.-5.1.3.4.5.11 Yes No N/A Ukn F[] F] F-� 18. Valves after the final line regulators are quarter -turn ball type with indicating handles. [REF: NFPA 99.2005: 5.1.4.31 aF F F] 19. There is a relief valve set at 50% above normal line pressure, located between each regulator and the source valve. [REF: NFPA 99.2005.5.1.3.4.6.31 a) Relief valves do vent to the outside, except for medical air systems less than 3000 cu ft. [REF: NFPA 99, 2005; 5.1.3.4.6.1(4)] b) Relief valves do avoid discharging into locations creating potential hazards. [REF: NFPA 99.2005: 5.1.3.4.6.1(7)] ac) The relief valve discharge is turned down and screened to prevent entry of rain, snow or vermin. [REF: NFPA 99.2005: 5.1.3.4.6.1(8)1 a d) Relief valve vent piping is ASTM B-819 medical gas tube. [REF: NFPA 99.2005; 5.1.3.4.6.21 a F� ❑ e) Joints in relief valve vent piping are brazed. [REF: NFPA 99,2005; 5.1.3.4.6.21 �j R ❑ f) Relief valve vent piping is labeled to distinguish it from medical gas pipelines. Yes No N/A Ukn [REF: NFPA 99,2005:5.1.3.4.6. D■ ❑ F F-1 20. Each cylinder bank does contain at least an average days (24 hours) supply with a minimum of 2 cylinders. [REF: NFPA 99.2005: 5.1.3.4.10.4(1)] M El E] El 21. Manifold changeover from primary to secondary is automatic. [REF: NFPA 99.2005; 5.1.3:4.10.5] a[] F� F� 22. There is an actuating switch present to indicate when changeover occurs from Primary to Secondary. A E] F� [] a) Visual Indicating local signal present? FJ F D b) Wired to master alarm panel? [REF: NFPA 99.2005: 5.1.3.4.10.61 20110325 ' Airgas Medical Services, Inc. MF Page 2 of 4 (405) 787-1134 Yes No N/A Ukn a❑ ❑ ❑ 23. The high pressure manifold does contain required check valves between each cylinder lead and manifold header. rREF: NFPA 99,2005:5.1.3.4.9(7) ❑ ❑ ❑ 24. Cylinder leads for high pressure oxygen only (above 300 psi) are constructed without polymeric materials (Teflon lining). rREF• NFPA 99.2005* 5.1 34.4(1)1 ❑ ❑ ❑ 25. Manifold is supplied/built by a reconized medical equipment supplier/manufacturer. [REF: NFPA 99.2005:5.1,3A.11 D❑ ❑ ❑ 26. Adequate operating and maintenance instructions are available. Yes No N/A Ukn [REF: NFPA 99,2005; 5.1.10.10.91 ❑ ❑ ❑ ❑■ 27. A periodic inspection and maintenance program does exist for source equipment and alarms. [REF: NFPA 99, 2005: 9.8.41 ❑ ❑ ❑ 28. The source piping is appropriately labeled for gas served with standard designation colors. [REF: NFPA 99,2005:5.1.11.1. Table 5.1.111 ❑ ❑ a ❑ 29. Buried piping does meet the requirements for depth, protection and marking. Yes No N/A Ukn [REF: NFPA 99, 2005: 5.1.10.10.51 Q❑ ❑ ❑ 30. There is a high/low line pressure master alarm pressure switch. FE ❑ ❑ ❑ a) The switch is wired to the master alarm panel(s). PREF: NFPA 99.2005: 5.1.9.2.4(7)1 101 ❑ ❑ ❑ b) The switch is located on the patient side of the main valve, or source valve if there is no main valve. [REF: NFPA 99.2005; 5.1.9.2.51 ❑■ ❑ ❑ ❑ c) The switch is connected with a demand check fitting. a ❑ ❑ ❑ d) The demand check fitting is gas specific. (REF: NFPA 99,2005:5.1.8.2.3 ❑ ❑ ❑ e) There is a gauge installed next to the switch. FREF: NFPA 99, 2005: 5.1.8.2.2(1)1 Location of switch: Directly above manifold. Yes No N/A Ukn ❑ ❑ ❑ 31. A 3/4" source valve is installed in the immediate vicinity of the source equipment. a ❑ ❑ ❑ a) The source valve is labeled. FIRER NFPA 99.2005:5.1 A.4 0 ❑ ❑ ❑ b) The source valve is located inside the building served. If not, a main valve Is required. a❑ ❑ ❑ c) The source valve is a three-piece ball valve with indicating handle and brazed extensions. FREF: NFPA 99,200515.1 A.3 ❑ ❑ 0 ❑ 32. When the source valve is located outside the building served, there is a main valve inside the building. ❑ ❑ ❑■ ❑ (a) The main valve is labeled. Main valve size: FREF: NFPA 99, 2005,5.1.4 Main valve location: Yes No N/A Ukn ❑■ ❑ ❑ ❑ 33. Manifold equipment has been leak tested and is free of leakage. FREF: NFPA 99, 2005; 5.1.12.2.6.6)1 [REF: NFPA 99.2005: 5.1.12.3.2)] 20110325 Airgas Medical Services, Inc. MF Page 3 of (405) 787-1134 MANIFOLD DATA 34. The area served by this equipment includes the ENTIRE FACILITY 35. Number of cylinders Left Bank 1 Right Bank: 1 Storage: 0 36. The source line pressure at the manifold is 52 psi. Gauge Range: 0 - 100 psi. 37. The manifold LEFT bank pressure is 600 psi. Gauge Range: 0 - 4000 psi. 38. The manifold RIGHT bank pressure is 500 psi. Gauge Range: 0- 4000 psi. rREF: NFPA 99, 2005: 5.1.8.1.3] 39. Primary to secondary changeover pressure: Left to Right: 125 psi. Right to Left: 125 psi. 4u. rnysical aericiencies ODservea were as .I.._.. 41. Location(s) of leakage identified and tagged (if any): COMMENTS — --- --- 1. One cylinder per bank during testing. Manifold is configured for 2 x 2. 20110325 Airgas Medical Services, Inc. MF Page 4 of 4 (405) 787-1134 AlMas Airgas Medical Services, Inc. 5600 Philip J Rhoads Ave. Bethany, OK 73008 Telephone: 800-732-9035 Fax: 405-787-1146 Job # 202953 Test Date: October 26, 2012 OXYGEN MANIFOLD SOURCE EVALUATION DATA 2005 STANDARD Customer Information: Facility: Premier Orthopedics. City: . Edmonds state: Washington Technician(s): M Shyne Location of source is P1 Parking Level - Medical Gas Storage Room Manufacturer: Amico. Model: M2H-C3-D-U-OXY Serial: 20120629-A ENCLOSURE / LOCATION Yes No N/A Ukn 0 ❑ ❑ ❑ 1. The location is used ONLY for storage of non-flammable gases. rREF: NFPA 99,2005:5.1.3.2.3 PREF: NFPA 99, 2005: 5.1.3.4.10.11 9 ❑ ❑ ❑ 2. The location is kept free of flammable materials, flammable gas cylinders, and flammable liquid containers. IREF: NFPA 99.2005: 5.1.3.2.41 A❑ ❑ ❑ 3. The location is separate from mechanical equipment (i.e. Air Compressors, Vacuum Pumps, Diesel Fuel Pumps). PREF: NFPA, 99, 2005; 5.1.3.3.1.41 Yes No N/A Ukn AD ❑ ❑ 4. Location access is restricted to authorized personnel only and adequately secured against tampering. rREF• NFPA 99.2005; 5.1.3.3.2(2)1 a ❑ ❑ ❑ 5. The location is free of open electrical contacts or transformers. PREF: NFPA 99.2005: 5.1.3.3.1.6(4)1 9 ❑ ❑ 176. Electrical wall fixtures are at least 5 feet above floor.. (REF: NFPA 99.2005: 5.1.3.3.2(5)1 ❑ ❑ ❑ 7. The location is protected from sources of heat exceeding 130 degrees F. PREF: NEPA 99.2005`5.1.3.3.1.7 a❑ ❑ ❑ 8. Supply systems for nitrous oxide and carbon dioxide are protected from temperatures lower than 20 . degrees F. PREF: NFPA 99, 2005; 5.1.3.3.1.81 Yes No N/A Ukn ❑ ❑ 17N ❑ 9. The cylinders are protected against accumulation of ice or snow or continuous exposure to direct rays of the sun. PREF; NFPA 99,2005:9.7.5. ❑ ❑ ❑ 1o, Indoor locations are constructed of materials with a minimum 1 -hour fire resistance rating. [REF: NFPA 99, 2005; 5.1.3.3201 a ❑ ❑ ❑ 11. The location is outdoors or vented to the outside. rREF• NFPA 99.2005: 5.1.3.3.3.11 ❑ ❑ ❑ a) For indoor medical gas storage less than 3000 cubic feet or medical air cylinder storage only, the location is vented outside by natural or mechanical ventilation. rREF• NFPA 99,2005:5.1.3.3.3.1 (D) ❑ ❑ . ❑ b) Natural ventilation does consist of two louvered openings, each consisting of at least 72 sq in free area, with one located within 1 ft of the floor and one within 1 ft of the ceiling. [REF: NFPA 99 2005 5.1.3.3.3.101 20110325 Airgas Medical Services, Inc. MF Page 1 of 4 (405) 787-1134 Yes No N/A Ukn ❑E F� F� ❑ 12. For indoor medical gas storage greater than 3000 cubic feet, the location is vented outside by means of a dedicated mechanical ventilation system. ❑■ F� F a) The vent does draw air from within one foot of the Floor. FE] b) The exhaust fan does operate continuously. c) A means of makeup air has been supplled. [REF: NFPA 99.2005: 5.1.3:3.3.1(6)1 13. The area is posted "CAUTION, Medical Gases, No Smoking or Open Flame". [REF: NFPA 99.2005; 5.1.3.1.91 (a) Locations containing medical gases other than oxygen and medical air are also posted "Room may have insufficient oxygen, open door and allow room to ventilate before entering". Yes No N/A Ukn. [REF: NFPA 99.2005: 5.1.3.1.81 ' �■ 14. Manifolds located outside do meet the distance requirements to exposures called out in NFPA 99, figure 5.1.3.4.10.1 for.wood frame buildings, Flammable liquid storage, combustible materials, public assembly, sidewalks and vehicles. FREF: NFPA 99.2005; 5.1.3.4.101(1)1 EQUIPMENT 15. The cylinders are secured with racks, chains or.other fastenings to prevent accidental dislocation. [REF: NFPA 99,2005:5.1.3.3.2(7)] F7 16. The piping, valves and manifolds are protected against physical damage from movement of equipment or cylinders. [REF: NFPA 99.2005: 5.1.10.10.2.11 FF F� 17. Final line regulators are duplexed with a manually operated shutoff valve upstream of each regulator and a shutoff valve or a check valve downstream to permit uninterrupted service. . [REF: NFPA 99.2005:5.1.3.4.5.11 Yes No N/A Ukn 9 Ej F F 18. Valves after the final line regulators are quarter -turn ball type with indicating handles. [REF: NFPA 99.2005: 5:1.4.31 a19. There is a relief valve set at 50°x6 above normal line pressure, located between each regulator and the source valve. FREF: NFPA 99; 2005:5.1.3.4.6.31 �■ F a) Relief valves do vent to the outside, except for medical air systems less than 3000 cu ft. [REF: NFPA 99,2005; 5.1.3.4.6.1(4)] ab) Relief valves do avoid discharging into locations creating potential hazards. [REF: NFPA 99, 2005; 5.1.3.4.6.1(7)] aF-� F c) The relief valve discharge Is turned down and screened to prevent entry of rain, snow or vermin. IREF: NFPA 99,2005; 5.1.3.4.6.1(8)1 ❑■ F F d) Relief valve vent piping is ASTM 0-819 medical gas tube. [REF: NFPA 99, 2005; 5.1.3.4.6.2] Fm�0 F] ❑ e) Joints in relief valve vent piping aie brazed. [REF: NFPA 99, 2005; 5.1.3.4.6.21 �■ f) Relief valve vent piping is labeled to distinguish it from medical gas pipelines. Yes No N/A Ukn IREF: NFPA 99,2005; 5.1.3.4.6.41 ❑■ D D 20. Each cylinder bank does contain at least an average days (24 hours) supply with a minimum of 2 cylinders. IREF: NFPA 99.2005; 5.1.3.4.10.4(1)1 R El R R 21. Manifold changeover from primary to secondary is automatic. [REF: NFPA 99.2005: 5.1.3.4.10.5 FEl F F 22. There is an actuating switch present'to indicate when changeover occurs from Primary to Secondary. R E] r-1 ❑ a) Visual indicating local signal present? 7 E:] F b) Wired to master alarm panel? FREF: NFPA 99, 2005: 5.1:3.4.10.61 20110325 Airgas Medical Services, Inc. MF Page 2 of 4 (405) 787-1134 Yes No N/A Ukn W ❑ ❑ ❑ 23. The high pressure manifold does contain required check valves between each cylinder lead and manifold header. [REF: NFPA 99.2005: 5.1.3.4.9(7)1 a❑ ❑ ❑ 24. Cylinder leads for high pressure oxygen only (above 300 psi) are constructed without polymeric materials (Teflon lining). [REF: NFPA 99,2005:5.1.3.4A(l) ❑ ❑ ❑ 25. Manifold is supplied/built by a reconized medical equipment supplier/manufacturer. [REF: NFPA 99,2005:5,1.3.4.1 ❑ ❑ ❑ ❑ 26. Adequate operating and maintenance instructions are available. Yes No N/A Ukn IREF: NFPA 99.2005: 5.1.10.10.91 ❑ ❑ ❑ a 27. A periodic inspection and maintenance program does exist for source equipment and alarms. IREF: NFPA 99.2005: 9.8.41 ❑ ❑ ❑ 28. The source piping Is appropriately labeled for gas served with standard designation colors. [REF: NFPA 99.2005; 5.1.11.1. Table 5.1.111 ❑ ❑ a ❑ 29. Buried piping does meet the requirements for depth, protection and marking. Yes No N/A Ukn IREF: NFPA 99.2005: 5.1.10.10.5 Q❑ ❑ ❑ 30. There is a high/low line pressure master alarm pressure switch. ❑ ❑ ❑ a) The switch is wired to the master alarm panel(s). rREF' NFPA 99,2005:5.1.9.2.4(7)] ❑ ❑ ❑ b) The switch is located on the patient side of the main valve, or source valve if there is no main valve. REF: NFPA 99,2005; 5 2 5 ❑ ❑ ❑ c) The switch is connected with a demand check fitting. ❑ ❑ ❑ d) The demand check fitting is gas specific. [REF: NFPA 99,2005e 5.1.8.2.3] a ❑ ❑ ❑ e) There is a gauge installed next to the switch. FREE: NFPA 99, 2005: 5.1.8.2.10 Location of switch: Directly above manifold. Yes No N/A Ukn ❑ ❑ ❑ 31. A 3/4" source valve is installedin the immediate vicinity of the source equipment. Fol❑ ❑ ❑ a). The source valve is labeled. [REF: NFPA 99,2005; 5.1.4.4) ❑p ❑ ❑ ❑ b) The source valve is located inside the building served. If not, a main valve is required. g❑ ❑ ❑ c) The source valve is a three-piece ball valve with indicating handle and brazed extensions. rRREF: NFPA 99, 2005# 5.1.4.37 ❑ ❑ ❑ 32. When the source valve is located outside the building served, there is amain valve inside the building. ❑ F-1, ❑o ❑ (a) The main valve is labeled. Main valve size: IREF: NFPA 99,2005:5,1.4, Main valve location: Yes No N/A Ukn ❑■ 00033. Manifold equipment has been leak tested and is free of leakage. rREF: NFPA 99,2005; 5.1.12.2.6.6)1 . IREF: NFPA 99„2005;5.1.12.3.2)1 20110325 Airgas Medical Services, Inc. MF Page 3 of 4 (405) 787-1134 MANIFOLD DATA 34. The area served by this equipment includes the ENTIRE FACILITY 35. Number of cylinders Left Bank 2 Right Bank: 2 Storage: 0 36..The source line pressure at the manifold Is 54 psi. Gauge Range: 0 - 100 psi. 37. The manifold LEFT bank pressure is 2400 psi. Gauge Range: 0 - 4000 psi. 38. The manifold RIGHT bank pressure is 2200 psi. Gauge Range: 0- 4000 psi. FREE: NEPA 99.2005:5.1.8.1.3 39. Primary to secondary changeover pressure: Left to Right: 125 psi. Right to Left: 125 psi: 40. Physical deficiencies observed were as follows: 41. Location(s) of leakage identified and tagged (if any): None COMMENTS None 20110325 Airgas Medical Services, Inc. MF Page 4 of (405) 787-1134 Airgas Medical Services. Inc. 5600 Philip J Rhoads Ave. Bethany, OK 73008 Telephone: 800-732-9035 Fax: 405-787-1146 Job # 202953 MEDICAL VACUUM SOURCE EVALUATION -DATA 2005 STANDARD Customer Information: Facility: Premier Orthopedics City: Edmonds State: Washington Test Date: October 26, 2012 Technician(s): M Shyne Location of source is P2 Parking Level - Mechanical Equipment Room System Vendor. EMSE Model: 1 DDR5T120V Serial: 37491205 PUMP # PUMP BRAND MODEL# SERIAL# H.P. RPM HOURS RUN #1 Baldor 55552016 36J235T846H3 3.0 1750 1.1 #2 Baldor 55552016 36J235T846H3 3.0 1750 1.2 The data on this sheet is for the following souirce(s): PRIMARY &BACKUP Lead Pump on at 19 inches Hg. Lead Pump off at 28 inches Hg. Lag Pump on at 16 inches Hg. Lag Pump off at 22 inches Hg. 1. The area served by this source is the Entire Facility. Yes No N/A Ukn 2. The pump type is oil lubricated rotary vane FE D F F 3. The room is adequately vented to prevent accumulation of heat. [REF: NFPA 99,2005; 5.1.3.3.3.2] A D F ❑ 4. There are two or more pumps. [REF: NFPA 99.2005; 5.1.3.6.1.2(1)1 �■ 5. Each pump does have a check valve to prevent backflow through off -cycle units. PREF: NFPA 99,2005:5.1.3,6.1.2(2 HHH 6. Each pump does have isolation valves on intake piping. [REF: NFPA 99.2005: 5.1.3.6.1.2(3)1 Mo (a) There is a means of isolation on common exhaust lines when a pump is removed for service. Yes No N/A Ukn [REF: NFPA 99,2005:5.1.3.6.7,6(2) a ❑ 11 ❑ 7. There is sufficient anti -vibration mounting. (If required by pump dynamics). PREF: NFPA 99, 2005; 5.1.3.6.2.21 8. There are sufficient flexible couplings installed in the piping to and from the equipment. PREF: NFPA 99.2005: 5.1.3.6.2.31 ■ 9. There is a receiver. ■ a) The receiver does have an ASME data plate. PREF: NFPA 99.2005: 5.1.3.6.3(2)1 ■ b) The receiver does have a sufficient manual drain. 4 NFPA 99,2005:5.1.3.6,3(4 ■ c) The receiver is valved to allow draining or servicing without Interrupting the vacuum system. PREF: NFPA 99.2005: 5.1.3.6.5.21 RK 0 D 0 10. System is capable of automatically activating additional units to maintain vacuum. [REF: NFPA 99,2005; 5.13.6.6.11 ■ a) There is a local audible and visual signal when reserve or lag pump is in operation. ■ b) This signal does latch, requiring manual reset. PREF: NFPA.99, 2005: 5.1.3.6.81 ■ c) Wired to master alarm? PREF: NFPA 99.2005; 5.1.9.5.21 20110325 Airgas Medical Services, Inc. MV Page 1 of 2 (405) 787-1134 Yes No N/A Ukn 0 ❑ ❑ ❑ 11. There is automatic pump alternation to provide for even wear. ❑ ❑ ❑■ ❑ (a) If not, there is a manual alternation schedule established. [REF: NFPA 99.2005: 5.1.3.6.6.21 ■❑ ❑ ❑ ❑ 12. There are dedicated disconnect switches, motor starting devices and overload protection for each pump. [REF: NFPA 99.2005: 5.1.3.6.6.31 ❑ ❑ ❑ 13. Power is supplied bythe equipment branch of the essential electrical system. [REF: NFPA 99,2005:5.1.3.6.6.5 Yes No N/A Ukn 14. Vacuum Exhaust - POINT OF DISCHARGE: W❑ ❑ ❑ a) The exhaust is outdoors and at least 10 ft from any door, window, air intake or other opening in the building. [REF: NFPA 99.2005; 5.1.3.6.7.21 g❑ ❑ ❑ b) The exhaust ciNcharge Is turned down and screened or otherwise protected from vermin, debris or precipitation. [REF: NFPA 99,2005; 5.1.3.6.7.31 ❑ ❑ ❑ c) There is a trapped drip leg with valved drain on the exhaust line to discharge condensate or oil. rREF: NFPA 99,2005:5.1.3.6.7.5 ❑ ❑ ❑ d) The exhaust piping is considered to be of proper size to. minimize back pressure. IREF: NFPA 99,2005:5,113.6.7,60)] Exhaust Location: Roof Yes No N/A Ukn ❑ ❑ ❑ 15. Vacuum distribution piping is hard -drawn copper or stainless steel pipe. rREF: NFPA 99, 2005: 5.1.10.2.11 16. The source piping is appropriately labeled for Vacuum. PREF: NFPA 99,2005; 5.1.11.11 ■ ee e e (a) The label background color. is white. ■❑ ❑ ❑ ❑ 17. A 1 1/2" source valve is installed in the immediate vicinity of the source equipment. ❑■ ❑ ❑ ❑ (a) The source valve is labeled. rREF: NEPA 99.2005: 5.1.4.41 ❑ ❑ 0 ❑ 18. When the source valve is located outside the building served, there is a main valve inside the building. ❑ ❑ NO ❑ (a) The main valve is labeled. Main valve size: CREF: NFPA 99,2005; 5.1.4.51 Main valve location: Yes No N/A Ukn ❑ ❑ ❑ 19. There is a line pressure low master alarm Vacuum switch. ❑ ❑ ❑ a) The switch is wired to the master alarm panei(s).. IREF: NFPA 99.'2005:5.1.9.2.4(" ❑■ ■ ❑ ❑ ❑ b) The switch Is located on the patient side of the main valve, or source valve if there is no main valve. rREF: NFPA 99,2005; 5.1.9.2.51 ■ H❑ 1:1c) The switch is connected with a demand check fitting. ■ ❑ d) The demand check fitting is gas specific. rREF: NFPA 99.2005: 5.1.8.2.31 ■ ❑ ❑ ❑ e) There is a gauge installed next to the switch. rREF: NFPA 99-2005:.5.11.8.2.20 Location of switch: Directly above the vacuum pump. COMMENTS: 1. The means to isolate the common exhaust is to cap the union at the Flex connector. 20110325 Airgas Medical Services, Inc. MV Page 2 of 2 (405) 787-1134 AIRIEST Co., Inc. Preliminary Test and Balance Report FIRM: Airtest Co Inc PO Box 86 Issaquah, WA 98027 PHONE: 425-313-0172 FAX: 425-313-5735 PROJECT: Premier Orthopedic Group 21401 72nd Ave W Edmonds, WA 98026 . DATE: 11/20/2012 CONTACT: Sonny Dudoit 1►L9II*31111 Airtest Co Inc PROJECT #: 12-2045-1 AIRTEST issues preliminary TAB reports as a courtesy to contractors and building officials as verification that TAB is in progress. Any other use of this report should be carefully considered, as the document is PRELIMINARY and is not complete. It has NOT been reviewed for accuracy or compliance with project requirements. Engineering review of this document should not occur until the FINAL TAB report is issued. If it is necessary to conduct a thorough review of the report at this time please call AIRTEST to discuss what' information is ready for review before proceeding. Preliminary Test and Balance Report 1 of 60 AIRTEST Co., Nil .. Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -09 AREA: Clinic Unit Data Unit Manufacturer McQuay Unit Model Number MPS050FY4PVICYBV Unit Serial Number FBOU120400729 RTU -01 / Exhaust Fan x's 3 1140 RPM Fan Type I Class Prop RTU -01 / Supply Fan 208-230/460 Volts Fan Type / Class BC/1 Test Data Design External SP 2.00 in. we Actual Ext. SP Suction -0.02 in. we Actual Ext. SP Discharge 2.02 in. we Actual Total Ext. SP 2.04 in. we Fan SP In Actual -1.68 in. we Fan SP Out Actual 2.02 in. we Act. Tot. SP 3.70 in. we RTU -01 / Exhaust Fan x's 3 Motor Frame TSP Design 1.70 in. we. RTU -01 / Supply Fan Motor Phase Fan RPM Design N/A Fan RPM Actual 1584 RPM Motor RPM Actual 1783 RPM TSP Design 4.50 in. we. A. Tot. Inlet SP -1.68 in. we. A. Tot. Discharge SP 2.02 in. we. TSP Actual 3.70 in. we. Electrical Test Data RTU -01 / Exhaust Fan x's 3 Drive Type Final Operating Hz 60 Hz Motor Volts 1 479 Volts Motor Volts 2 478 Volts Motor Volts 3 476 Volts Motor Amps 1 5.8 Amps Motor Amps 2 5.8 Amps Motor Amps 3 5.7 Amps RTU -01 / Supply Fan Air Test Data , Final Operating Hz 57.7 Hz Motor Volts 1 479 Volts Motor Volts 2 478 Volts Motor Volts 3 477 Volts Motor Amps 1 17.5 Amps Motor Amps 2 17.8 Amps Motor Amps 3 18.2 Amps Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 12, 2012 Motor Data , RTU -01 / Exhaust Fan x's 3 Motor Manufacturer Marathon Motor HP 1 HP Motor RPM 1140 RPM Motor Frame 56Z Motor Rated Volts 208-230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor FL Amps 4.2-4.0/2.0 Amps Motor Service Factor 1.00 VFD Model McQuay RTU -01 I Supply Fan Motor Manufacturer Baldor Motor HP 25 HP Motor RPM 1770 RPM Motor Frame 284T Motor Rated Volts 230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor FL Amps 60/30 Amps Motor Service Factor 1.15 VFD Model McQuay Sheave Data RTU -01 I Exhaust Fan x's 3 Drive Type Direct Drive RTU -01 I Supply Fan Drive Type Belt Belt Size BP86 Number of Belts 3 Motor Sheave 6.4x38 Motor Sheave Bore 1 7/8 in. Fan Sheave 7.4x3B Fan Sheave Bore 1 11/16 in. Sheave Center Line 33 in. Air Test Data , Total CFM Design 17100 CFM Total CFM Actual 16605 CFM Design GRD Total CFM 16775 CFM Actual GRD Total CFM 16605 CFM Outside Air CFM Design 3340 CFM Outside Air CFM Actual 3564 CFM Return Air CFM Design 13435 CFM Return Air CFM Actual N/A OA Damper Pos Actual 19% Duct SP Setpoint 0.80 in. we Preliminary Test and Balance Report 2 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT M 12-2045-1 SYSTEM/UNIT: RTU -01 (Cont) AREA: Clinic * Notes Tested By: Sonny Dudoit Test Date: November 12, 2012 Filter Data N RTU -01 / Filter Bank VAV Type Filter Manufacturer Freudenberg Filter Type 95% 4" Mini -Pleat Filter Quantity 12 Filter Size 24x24x4 Inches RTU -01 / Filter Bank 125 CFM Filter Manufacturer AAF Filter Type Pleated Filter Quantity 12 Filter Size 24x24x2 Inches RTU -01 12 -Nov -12 Sonny Dudoit Unable to get an accurate measurement on the Return air. Plenum return. Airtest will test the Exhaust fans at 60HZ and record amps and volts. SYSTEM/UNIT: RTU -01 / VAV--101 AREA: Trans 331/Corridor 328 RTU -01 / VAV-101 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Unit Data VAV Type Series VAV Address 101 Box Inlet Size 6 RD K Factor 0.60 Heat Works Yes 125 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 286 CFM RTU -01 / VAV-101 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 300 CFM Act. Fan/Heat CFM 300 CFM Design Primary Max CFM 300 CFM Actual Max Primary CFM 300 CFM Design Primary Min. CFM 130 CFM Actual Primary Min. CFM 125 CFM System / Unit Area Served Outlet_ Type Size LxW ID Design CFM Prelim :` Reading, 'Final Reading % Final Outlet -01 Trans 331 CD 10 RD 240 215 240 100 Outlet -02 Corridor 328 CD 6 RD 60 50 60 100 Totals: - 300 266 300 100% * Notes Airtest Co Inc Preliminary Test and Balance Report 3 of 60 AIRTEST Co, Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV--102 AREA: Bill Office 329/Bill Mang. 332/Med Records 333 RTU -01 / VAV-102 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data" Des. Fan/Heat CFM 1190 CFM Act. Fan/Heat CFM 1205 CFM Design Primary Max CFM 1190 CFM Actual Max Primary CFM 1193 CFM Design Primary Min. CFM 290 CFM Actual Primary Min. CFM 295 CFM System / Unit Unit Data VAV Type Series VAV Address 102 Box Inlet Size 10 RD K Factor 0.625 Heat Works Yes 365 Test Data Fan Speed ADJ. Primary Air Capacity Test 1174 CFM RTU -01 / VAV-102 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data" Des. Fan/Heat CFM 1190 CFM Act. Fan/Heat CFM 1205 CFM Design Primary Max CFM 1190 CFM Actual Max Primary CFM 1193 CFM Design Primary Min. CFM 290 CFM Actual Primary Min. CFM 295 CFM System / Unit 'Area Served Outlet Type Size LxW ' / D Design CFM Prelim' ' Reading ' Final Reading % Final Outlet -01 Bill Office 329 CD 12 RD 365 300 370 101 Outlet -02 Bill Office 329 CD 12 RD 365 320 380 104 Outlet -03 Bill Mang. 332 CD 10 RD 245 295 240 98 Outlet -04 Med Records 333 CD 10 RD 215 285 215 100 Totals : - 1,190 1,200 1,206 ' ° '101% * Notes Airtest Co Inc Preliminary Test and Balance Report 4 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT; RTU -01 / VAV-103 AREA: X -Ray 335 RTU -01 / VAV-103 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 ,`Air Test Data Des. Fan/Heat CFM 700 CFM Act. Fan/Heat CFM 705 CFM Design Primary Max CFM 700 CFM Actual Max Primary CFM 700 CFM Design Primary Min. CFM 235 CFM Actual Primary Min. CFM 225 CFM System / Unit Unit Data VAV Type Series VAV Address 103 Box Inlet Size 8 RD K Factor 0.59 Heat Works Yes 500 Test Data Fan Speed ADJ. Primary Air Capacity Test 708 CFM RTU -01 / VAV-103 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 ,`Air Test Data Des. Fan/Heat CFM 700 CFM Act. Fan/Heat CFM 705 CFM Design Primary Max CFM 700 CFM Actual Max Primary CFM 700 CFM Design Primary Min. CFM 235 CFM Actual Primary Min. CFM 225 CFM System / Unit Area Served Outlet Type Size LxW ID , Design r CFM ''Prelim" ` Reading final Reading "% Final Outlet -01 X -Ray 335 CD 12 RD 500 485 510 102 Outlet -02 X -Ray 335 CD 8 RD 200 245 195 98 Totals : - - 700730 705 - 101 % * Notes Airtest Co Inc Preliminary Test and Balance Report 5 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV-104 AREA: Dexa 338, MA 340 RTU -01 / VAV-104 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data `_ ` Unit Data VAV Type Series VAV Address 104 Box Inlet Size 12 RD K Factor 0.70 Heat Works Yes 405 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 1699 CFM RTU -01 / VAV-104 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data `_ ` Des. Fan/Heat CFM 1685 CFM Act. Fan/Heat CFM 1640 CFM Design Primary Max CFM 1685 CFM Actual Max Primary CFM 1635 CFM Design Primary Min. CFM 415 CFM Actual Primary Min. CFM 405 CFM System / Unit Area Served Outlet Type Size LxW I D .� Design CFM Prelim 10Final Reading , Reading % Final Outlet -01 Dexa 338, MA 340 CD 12 RD 400 520 405 101 Outlet -02 Dexa 338, MA 340 CD 12 RD 375 450 360 96 Outlet -03 Dexa 338, MA 340 CD 12 RD 455 380 420 92 Outlet -04 Dexa 338, MA 340 CD 12 RD 455 405 455 100 Totals : 11685 1,755 1,640 97% * Notes Antest Co Inc Preliminary Test and Balance Report 6 of 60 AIRTEST Co, Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT.RTU-01 / VAV-110 AREA: PT Therapy 362 RTU -01 / VAV-110 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data`. Unit Data VAV Type Series VAV Address 110 Box Inlet Size 12 RD K Factor 0.60 Heat Works Yes 230 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 1212 CFM RTU -01 / VAV-110 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data`. Des. Fan/Heat CFM 1200 CFM Act. Fan/Heat CFM 1220 CFM Design Primary Max CFM 1200 CFM Actual Max Primary CFM 1200 CFM Design Primary Min. CFM 235 CFM Actual Primary Min. CFM 230 CFM System / Unit Area Served Outlet Type , Stze LxW 1'13 Design CFM Prelim Reading Final Reading % Final Outlet -01 PT Therapy 362 CD 10 RD 300 290 300 100 Outlet -02 PT Therapy 362 CD 10 RD 300 360 305 102 Outlet -03 PT Therapy 362 CD 10 RD 300 300 310 103 Outlet -04 PT Therapy 362 CD 10 RD 300 380. 305 102 Totals : - - 1,200 1,330 1,220 102% " Notes Antest Co Inc Preliminary Test and Balance Report 10 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT. RTU -01 / VAV-111 AREA: Massage 369 RTU -01 / VAV-111 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air -Test Data r Unit Data VAV Type Series VAV Address 111 Box Inlet Size 10 RD K Factor 0.59 Heat Works Yes 230 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 780 CFM RTU -01 / VAV-111 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air -Test Data r Des. Fan/Heat CFM 770 CFM Act. Fan/Heat CFM 800 CFM Design Primary Max CFM 770 CFM Actual Max Primary CFM 775 CFM Design Primary Min. CFM 235 CFM Actual Primary Min. CFM 230 CFM System / Unit Area Served Outlet. _ Type Size LzW • /:D Design ,'' 'CFM Prelim Reading ` final Reading "% Final Outlet -01 Massage 369 CD 10 RD 295 280 310 105 Outlet -02 Massage 369 CD 6 RD 100 100 110 110 Outlet -03 * Massage 369 CD 12 RD 375 490 380 101 Totals c. - 770 870 800 * Notes SYSTEM/UNIT: RTU -01 / VAV-112 AREA: MRI 373 RTU -01 / VAV-112 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 800 CFM Act. Fan/Heat CFM 810 CFM Design Primary Max CFM 800 CFM Actual Max Primary CFM 790 CFM Design Primary Min. CFM 50 CFM Actual Primary Min. CFM 50 CFM System / Unit Unit Data VAV Type Series VAV Address 112 Box Inlet Size 10 RD K Factor 0.60 Heat Works Yes 400 .: Test Data Fan Speed ADJ. Primary Air Capacity Test 837 CFM RTU -01 / VAV-112 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 800 CFM Act. Fan/Heat CFM 810 CFM Design Primary Max CFM 800 CFM Actual Max Primary CFM 790 CFM Design Primary Min. CFM 50 CFM Actual Primary Min. CFM 50 CFM System / Unit Ania Served " . - ': Outlet` :' Type ;`; Size LxW ; / D - .: Design CFM..Reading : Prelim f ` Final �. 'Reading . . . _ Pg - %Final :. Outlet -01 Outlet -01 MRI 373 CD 14 RD 400 230 400 100 Outlet -02 MRI 373 CD 14 RD 400 570 410 103 Totals 800 * Notes RTU -01 / VAV-112 6 -Nov -12 Sonny Dudoit Item 0020 : Diffusers are noisy due to the location of the take offs from main trunk. Airtest Co Inc Preliminary Test and Balance Report 11 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT M 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV--113 AREA: Cast Rms, Exam Rms RTU -01 / VAV-113 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Unit Data VAV Type Series VAV Address 113 Box Inlet Size 12 RD K Factor 0.56 Heat Works Yes 680 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 1322 CFM RTU -01 / VAV-113 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 1340 CFM Act. Fan/Heat CFM 1345 CFM Design Primary Max CFM 1340 CFM Actual Max Primary CFM 1330 CFM Design Primary Min. CFM 670 CFM Actual Primary Min. CFM 680 CFM System / Unit Area ServedOutlet Type Size LxW / D Design CFM Prelim Reading Final Reading `"% Final Outlet -01 Cast Rms, Exam Rms CD 8 RD 140 155 140 100 Outlet -02 Cast Rms, Exam Rms CD 8 RD 110 100 115 105 Outlet -03 Cast Rms, Exam Rms CD 6 RD 50 40 50 100 Outlet -04 Cast Rms, Exam Rms CD 8 RD 110 125 115 105 Outlet -05 Cast Rms, Exam Rms CD 8 RD 110 105 110 100 Outlet -06 Cast Rms, Exam Rms CD 8 RD 110 150 115 105 Outlet -07 Cast Rms, Exam Rms CD 8 RD 110 120 110 100 Outlet -08 Cast Rms, Exam Rms CD 8 RD 110 95 110 100 Outlet -09 Cast Rms, Exam Rms CD 8 RD 110 135 105 95 Outlet -10 Cast Rms, Exam Rms CD 8 RD 110 110 105 95 Outlet -11 Cast Rms, Exam Rms CD 10 RD 270 360 270 100 Totals : - 1,340 1,495 1,345 100 % * Notes Airtest Co Inc Preliminary Test and Balance Report 12 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV-114 AREA: Exam Rms RTU -01 / VAV-114 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 805 CFM Act. Fan/Heat CFM 810 CFM Design Primary Max CFM 805 CFM Actual Max Primary CFM 795 CFM Design Primary Min. CFM 385 CFM Actual Primary Min. CFM 385 CFM System / Unit Unit Data VAV Type Series VAV Address 114 Box Inlet Size 10 RD K Factor 0.61 Heat Works Yes 110 Test Data Fan Speed ADJ. Primary Air Capacity Test 843 CFM RTU -01 / VAV-114 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 805 CFM Act. Fan/Heat CFM 810 CFM Design Primary Max CFM 805 CFM Actual Max Primary CFM 795 CFM Design Primary Min. CFM 385 CFM Actual Primary Min. CFM 385 CFM System / Unit Area Served Outlet Type Size LxW _ ID 'Design CFM Prelim Reading Final - Reading % Final Outlet -01 Exam Rms CD 8 RD 110 105 115 105 Outlet -02 Exam Rms CD 8 RD 125 125 125 100 Outlet -03 Exam Rms CD 6 RD 70 30 75 107 Outlet -04 Exam Rms CD 8 RD 110 155 115 105 Outlet -05 Exam Rms CD 8 RD 110 95 105 95 Outlet -06 Exam Rms CD 8 RD 110 110 105 95 Outlet -07 Exam Rms CD 8 RD 110 100 110 100 Outlet -08 Exam Rms CD 6 RD 60 40 60 100 Totals : - 605 760 ,; 610 101% * Notes Aiftest Co Inc Preliminary Test and Balance Report 13 of 60 AIP.TEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT M 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV-115 AREA: ASC Seating, Goodbye Desk RTU -01 / VAV-115 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Unit Data VAV Type Series VAV Address 115 Box Inlet Size 10 RD K Factor 0.61 Heat Works Yes 490 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 949 CFM RTU -01 / VAV-115 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 995 CFM Act. Fan/Heat CFM 1005 CFM Design Primary Max CFM 995 CFM Actual Max Primary CFM 990 CFM Design Primary Min. CFM 495 CFM Actual Primary Min. CFM 490 CFM System / Unit Area Served Outlet Type Size LxW / D - Design ` CFM Prelim Reading , .Final Reading % Final Outlet -01 ASC Seating, Goodbye Desk CD 10 RD 230 310 230 100 Outlet -02 ASC Seating, Goodbye Desk CD 8 RD 185 135 190 103 Outlet -03 ASC Seating, Goodbye Desk CD 6 RD 90 70 90 100 Outlet -04 ASC Seating, Goodbye Desk CD 10 RD 230 325 235 102 Outlet -05 ASC Seating, Goodbye Desk CD 10 RD 260 305 260 100 Totals : - 995 1,145 1,005 101% " Notes Airtest Co Inc Preliminary Test and Balance Report 14 of 60 Inc. AIRTEST .�I� .� Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV-116 AREA: Clinic Waiting 306 RTU -01 / VAV-116 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Unit Data VAV Type Series VAV Address 116 Box Inlet Size 12 RD K Factor 0.60 Heat Works Yes 655 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 1299 CFM RTU -01 / VAV-116 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 1320 CFM Act. Fan/Heat CFM 1375 CFM Design Primary Max CFM 1320 CFM Actual Max Primary CFM 1340 CFM Design Primary Min. CFM 660 CFM Actual Primary Min. CFM 655 CFM System I Unit -Area Served Outlet Type Size LxW ID Design CFM ; Prelim Reading ` Final Reading " % Final - Outlet -01 Clinic Waiting 306 SWD 12 RD 390 500 400 103 Outlet -02 Clinic Waiting 306 SWD 12 RD 390 400 400 103 Outlet -03 Clinic Waiting 306 SWD 12 RD 390 365 415 106 Outlet -04 Clinic Waiting 306 CD 8 RD 150 240 160 107 Totals : - - 1,320 1,505 1,375 - 104% * Notes Airtest Co Inc Preliminary Test and Balance Report 15 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV-117 AREA: PT Exam RTU -01 / VAV-117 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data', Unit Data VAV Type Series VAV Address 117 Box Inlet Size 8 RD K Factor 0.61 Heat Works Yes 350 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 676 CFM RTU -01 / VAV-117 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data', Des. FanlHeat CFM 710 CFM Act. Fan/Heat CFM 715 CFM Design Primary Max CFM 710 CFM Actual Max Primary CFM 710 CFM Design Primary Min. CFM 355 CFM Actual Primary Min. CFM 350 CFM System I Unit Area Served Outlet Type Size LxW ID Design CFM Prelim Reading 'Final Reading,,, % Final Outlet -01 PT Exam CD 6 RD 90 105 90 100 Outlet -02 PT Exam CD 6 RD 90 95 95 106 Outlet -03 PT Exam CD 10 RD 230 410 230 100 Outlet -04 PT Exam CD 6 RD 100 110 100 100 Outlet -05 PT Exam CD 6 RD 100 105 100 100 Outlet -06 PT Exam CD 6 RD 100 105 100 100 Totals: - - 710 930: 715 101% * Notes Airtest Co Inc Preliminary Test and Balance Report 16 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV 118 AREA: Latte Bar 302, PT Waiting 356 RTU -01 / VAV-118 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 " Air Test Data Unit Data VAV Type Series VAV Address 118 Box Inlet Size 10 RD K Factor 0.575 Heat Works Yes 490 CFM Test Data' Fan Speed ADJ. Primary Air Capacity Test 1131 CFM RTU -01 / VAV-118 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 " Air Test Data Des. Fan/Heat CFM 1195 CFM Act. Fan/Heat CFM 1175 CFM Design Primary Max CFM 1195 CFM Actual Max Primary CFM 1175 CFM Design Primary Min. CFM 490 CFM Actual Primary Min. CFM 490 CFM System 1 Unit Area Served Outlet Type Size LxW / D Design CFM, Prelim Reading Final Reading % Final Outlet -01 Latte Bar 302, PT Waiting 356 CD 10 RD 235 275 230 98 Outlet -02 Latte Bar 302, PT Waiting 356 CD 10 RD 345 260 350 101 Outlet -03 Latte Bar 302, PT Waiting 356 CD 10 RD 345 300 330 96 Outlet -04 Latte Bar 302, PT Waiting 356 CD 6 RD 100 90 100 100 Outlet -05 Latte Bar 302, PT Waiting 356 CD 8 RD 170 150 165 97 Totals : - - 1,195 1,075 1,175 98% * Notes A# test Co Inc Preliminary Test and Balance Report 17 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT M 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV-119 AREA: MRI Control 375 RTU -01 / VAV-119 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 380 CFM Act. Fan/Heat CFM 380 CFM Design Primary Max CFM 380 CFM Actual Max Primary CFM 375 CFM Design Primary Min. CFM 110 CFM Actual Primary Min. CFM 105 CFM System / Unit Unit Data VAV Type Series VAV Address 119 Box Inlet Size 8 RD K Factor 0.61 Heat Works Yes 380 Test Data Fan Speed ADJ. Primary Air Capacity Test 388 CFM RTU -01 / VAV-119 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 380 CFM Act. Fan/Heat CFM 380 CFM Design Primary Max CFM 380 CFM Actual Max Primary CFM 375 CFM Design Primary Min. CFM 110 CFM Actual Primary Min. CFM 105 CFM System / Unit Area Served Outlet Type Size LxW / D Design CFM Prelim Reading Final Reading % Final Outlet -01 MRI Control 375 CD 12 RD 380 680 380 100 Totals : - 380. 680 380 100% * Notes Aiftest Co Inc Preliminary Test and Balance Report 18 of 60 AIRTEST Co., Inc.TN'�g Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -02 AREA: Atrium 'Unit Data Unit Manufacturer Trane Unit Model Number YSC092E4RLA16C Unit Serial Number 114812296L RTU -021 Supply Fan 1725/1425 RPM Fan Type ! Class FC/1 Test Data Design External SP 1.00 in. we Actual Ext. SP Suction -0.15 in. we Actual Ext. SP Discharge 0.98 in. we Actual Total Ext. SP 1.13 in. we RTU -02 / Supply Fan SheaveData ' Fan RPM Design N/A Fan RPM Actual 934 RPM Motor RPM Actual 1760 RPM Electrical Test Data RTU -021 Supply Fan Motor Sheave Motor Volts 1 478 Volts Motor Volts 2 475 Volts Motor Volts 3 477 Volts Motor Amps 1 3.3 Amps Motor Amps 2 3.2 Amps Motor Amps 3 3.0 Amps Aittest Co Inc Tested By: Sonny Dudoit Test Date: November 08, 2012 Motor Data: RTU -021 Supply Fan Motor Manufacturer G.E. Motor HP 3 HP Motor RPM 1725/1425 RPM Motor Frame 56HZ Motor Rated Volts 208-230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor FL Amps 9.4-9.2/4.6 Amps Motor Service Factor 1.15 SheaveData ' RTU -02 / Supply Fan Drive Type Belt Belt Size `" AX35 Number of Belts 1 Motor Sheave 1VL44 @ Min Motor Sheave Bore 7/8 in. Fan Sheave AK64 Fan Sheave Bore 1 in. Sheave Center Line 10 1/2 in. Air Test Data Total CFM Design 3000 CFM Total CFM Actual 3420 CFM Design GRD Total CFM 3000 CFM Actual GRD Total CFM 3420 CFM Outside Air CFM Design 300 CFM Outside Air CFM Actual 345 CFM Return Air CFM Design 2700 CFM Return Air CFM Actual 3075 CFM OA Damper Pos Actual 20% Filter Data RTU -02 / Filter Bank Filter Manufacturer Purolator Filter Type Polyester Filter Quantity 4 Filter Size 20x25x2 Inches Preliminary Test and Balance Report 19 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -02 (Cont.) AREA: Atrium RTU -02 Supply Outlet Summary POE _-_ DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 08, 2012 System 1 Unit Area Served Outlet Type. Size LxW DesignPrelim':': CFM ." Reading' " "Final Reading, % Final Outlet -01 Atrium SWD 18x14 780 780 680 87 Outlet -02 Atrium SWD 18x14 780 930 650 83 Outlet -03 Atrium SWD 18x6 330 340 270 82 Outlet -04 Atrium CD 10 RD 330 220 260 79 Outlet -05 Atrium SWD 12x12 390 650 840 215 Outlet -06 Atrium SWD 12x12 390 560 720 185 Totals': 3,000' 3,480. :,;-3,420 "' 114 °k... * Notes RTU -02 8 -Nov -12 Sonny Dudoit Motor sheave is at min. Unit is 14% over design. Unable to proportion 1st floor diffusers to the rest of the system due to no dampers except for OBD's. To minimize noise, OBD's were set so that noise was at a minimum.. The 3rd and 2nd floor are proportioned to one another. (OK per Larry Boyer with BML) A# test Co Inc Preliminary Test and Balance Report 20 of 60 AIRTEST Co., Inc.NES gg Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -03 AREA: MRI Equipment Unit Data Unit Manufacturer Trane Unit Model Number TSC048E4ROA19D Unit Serial Number 121011283L RTU -03 / Supply Fan 1725 RPM Fan Type / Class FC/1 Test Data Design External SP 0.50 in. we Actual Ext. SP Suction -0.13 in. we Actual Ext. SP Discharge 0.24 in. we Actual Total Ext. SP 0.37 in. we Fan SP In Actual -0.34 in. we Fan SP Out Actual 0.24 in. we Act. Tot. SP 0.58 in. we RTU -031 Supply Fan AX26 Fan RPM Design N/A Fan RPM Actual 875 RPM Motor RPM Actual 1771 RPM TSP Design N/A A. Tot. Inlet SP -0.34 in. wc. A. Tot. Discharge SP 0.24 in. wc. TSP Actual 0.58 in. wc. Electrical Test Data RTU -031 Supply Fan 1940 CFM Motor Volts 1 476 Volts Motor Volts 2 476 Volts Motor Volts 3 475 Volts Motor Amps 1 1.50 Amps Motor Amps 2 1.50 Amps Motor Amps 3 1.50 Amps RTU -03 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 20, 2012 .; Motor Data RTU -031 Supply Fan Outlet type Motor Manufacturer Marathon Motor HP 1 HP Motor RPM 1725 RPM Motor Frame 56 Motor Rated Volts 200-230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor FL Amps 4.0-5.0/2.5 Amps Motor Service Factor 1.5 Sheave Data RTU -031 Supply Fan 121 Drive Type Belt Belt Size AX26 Number of Belts 1 Motor Sheave 1 VL34 @ Min Motor Sheave Bore 5/8 in. Fan Sheave AK49 Fan Sheave Bore 3/4 in. Sheave Center Line 8 in. Air Test Data Total CFM Design 1600 CFM Total CFM Actual 1940 CFM Design GRD Total CFM 1600 CFM Actual GRD Total CFM 1940 CFM Outside Air CFM Design 100 CFM Outside Air CFM Actual 120 CFM Return Air CFM Design 1500 CFM Return Air CFM Actual 1820 CFM OA Damper Pos Actual 20% Filter Data . RTU -03 / Filter Bank Filter Manufacturer Purolator Filter Type Polyester Filter Quantity 2 Filter Size 20x30x2 Inches System 1 Unit Area Served Outlet type Size LxW D Design CFM Prelim •Reading'_ Final ;: .Reading ' % Final Outlet -01 MRI Equipment CD 14 RD 800 900 970 121 Outlet -02 MRI Equipment CD 14 RD 800 1260 970 121 Totals : ',1,600 ` . . 2,160 :` i;840 1Z1'�; Aiftest Co Inc Preliminary Test and Balance Report 21 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT M 12-2045-1 SYSTEM/UNIT: RTU -03 (Cont.) AREA: MRI Equipment * Notes Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 20, 2012 Preliminary Test and Balance Report 22 of 60 AIRTEST Co., Inc. Energy Recovery Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT.• HRU-01 AREA: Surgery Suite Unit Data Unit Manufacturer Xetex Unit Model Number XHS-40-84-RT-BP-HW-CW Unit Serial Number 124830512 Unit Type Air to Air HRU-01 I Exhaust Fan 215T Fan Type / Class BI/1 HRU-01 / Supply Fan x's 2 3 Fan Type / Class BI/1 Test Data HRU-01 / Exhaust Fan Motor Service Factor Fan RPM Design 1177 RPM Fan RPM Actual 1542 RPM Motor RPM Actual 1816 RPM TSP Design 2.65 in. we. A. Tot. Inlet SP -2.53 in. we. A. Tot. Discharge SP 0.15 in. we. TSP Actual 2.68 in. we. HRU-01 / Supply Fan x's 2 Motor Phase Fan RPM Design 2480 RPM Fan RPM Actual 1561 RPM Motor RPM Actual 1557 RPM TSP Design 4.96 in. we. A. Tot. Inlet SP -2.06 in. we. A. Tot. Discharge SP 1.26 in. we. TSP Actual 3.32 in. we. Electrical Test Data HRU-01 / Exhaust Fan Number of Belts Final Operating Hz 62.0 Hz Motor Volts 1 471 Volts Motor Volts 2 472 Volts Motor Volts 3 471 Volts Motor Amps 1 12.2 Amps Motor Amps 2 12.2 Amps Motor Amps 3 12.3 Amps HRU-01 / Supply Fan x's 2 Belt Size Final Operating Hz 52.80 Hz Motor Volts 1 418 Volts Motor Volts 2 419 Volts Motor Volts 3 418 Volts Motor Amps 1 9.2 Amps Motor Amps 2 9.1 Amps Motor Amps 3 9.2 Amps DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Motor Data HRU-01 / Exhaust Fan Motor Manufacturer A.O. Smith Motor HP 10 HP Motor RPM 1755 RPM Motor Frame 215T Motor Rated Volts 230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor FL Amps 25.2/12.6 Amps Motor Service Factor 1.15 V Model ABB HRU-01 / Supply Fan x's 2 Motor Manufacturer A.O. Smith Motor HP 10 HP Motor RPM 1755 RPM Motor Frame 215T Motor Rated Volts 230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor FL Amps 25.2/12.6 Amps Motor Service Factor 1.15 VFD Model ABB Sheave Data HRU-01 / Exhaust Fan Drive Type Belt Belt Size BX65 Number of Belts 2 Motor Sheave 2B55 Motor Sheave Bore 1 3/8 in. Fan Sheave 2B62 Fan Sheave Bore 1 11/16 in. Sheave Center Line 24 in. HRU-01 / Supply Fan x's 2 Drive Type Belt Belt Size BX53 Number of Belts 2 Motor Sheave 2B60 Motor Sheave Bore 1 318 in. Fan Sheave 2845 Fan Sheave Bore 1 3/16 in. Sheave Center Line 19 in. Test Pressures SF Fan SP In -2.06 in. we SF Fan SP Out 1.26 in. we EF Fan SP In 0.15 in. we EF Fan SP Out -2.53 in. we Airtest Co Inc Preliminary Test and Balance Report 23 of 60 AIRTESTCo., Inc.Ni-ro'.8- Energy Recovery Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT M 12-2045-1 SYSTEM/UNIT: HRU-01 (Cont.) AREA: Surgery Suite Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 20, 2012 Air Test Data SF Total CFM Design 11590 CFM SF Total CFM Actual 11860 CFM EF Total CFM Design 11590 CFM EF Total CFM Actual 11220 CFM , Filter,Data ' HRU-01 I EF Filter Filter Manufacturer FARR Filter Type Pleated Filter Quantity 20 Filter Size 20x24x2(16), 20xl6x2(4) Inc HRU-01 i SF Filter Filter Manufacturer FARR Filter Type Pleated Filter Quantity 8 Filter Size 24x24xl2 Inches Preliminary Test and Balance Report 24 of 60 . .I IIS �I' �`Co., Inc. Energy Recovery Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: HRU-01 (Cont.) AREA: Surgery Suite HRU-01 Return Inlet Summary Tested By: Sonny Dudoit Test Date: November 20, 2012 System / Unit _ Area Served Outlet Type Size LxW I D Design CFM %Prelim Reading Final .Reading % Final Inlet -01 OR 2 EG 16x26 960 50 890 93 Infet-02 OR 1 EG 16x26 960 470 930 97 Inlet -03 CorridorA317 EG 12x24 615 400 600 98 Inlet -04 Decontam A325 EG 12x24 295 195 280 95 Inlet -05 OR 1 EG 16x26 960 890 910 95 Inlet -06 Substerile UtilA324 EG 12x24 360 290 325 90 Inlet -07 Chng A328 EG 8x8 140 190 130 93 Inlet -08 Chng A327 EG 8x8 140 205 130 93 Inlet -09 OR Entry A321 EG Hood 360 605 325 90 Inlet -10 Chng A326 EG 8x8 140 195 125 89 Inlet -11 Ante Rm A322 12x24 50 75 45 90 Inlet -12 CorridorA329 24x24 785 780 720 92 Inlet -13 Nurse Manag. A332 UEG 12x24 85 120 80 94 Inlet -14 Recovery Rm A323 12x24 145 225 130 90 Inlet -15 OR 3 16x26 960 680 880 92 Inlet -16 Surgery Suite EG 12x24 150 270 135 90 Inlet -17 Corridor EG 12x24 250 305 225 90 Inlet -18 Corridor EG 24x24 785 645 740 94 Inlet -19 Surgery Suite EG 12x24 100 90 90 90 Inlet -20 Surgery Suite EG 12x24 100 65 95 95 Inlet -21 Surgery Suite EG 12x24 50 50 45 90 Inlet -22 Surgery Suite EG 12x24 610 365 530 87 Inlet -23 OR 3 EG 16x26 960 445 860 90 Inlet -24 Women's A310 EG 8x8 100 95 90 90 Inlet -25 Men's A312 EG 8x8 100 110 90 90 Inlet -26 OR 2 EG 16x26 960 280 890 93 Inlet -27 Soiled EG 12x24 250 180 230 92 Inlet -28 Equipment EG 12x24 180 120 160 89 71 Totals : - " -, ' ° 11,550 8,390 10,680. 92% " Notes HRU-01 / Exhaust Fan 20 -Nov -12 Sonny Dudoit External SP In= -0.79 Out= 0.08 Total= 0.87 HRU-01 / Supply Fan x's 2 20 -Nov -12 Sonny Dudoit External SP In= -0.03 Out= 0.42 Total= 0.45 Airtest Co Inc Preliminary Test and Balance Report 25 of 60 AIRTEST Co., Inc. Energy Recovery Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT.- HRU-01 /HC -01 AREA: OR 1 HRU-01 / HC -01 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 19, 2012 Air •Test Data Design Primary Max CFM 2120 CFM Actual Max Primary CFM 2285 CFM System / Unit Area Served Outlet Type Size LxW / D Design CFM :Prelim `, Reading ` Final Reading % Final Outlet -01 OR 1 HEPA 10 RD 265 215 270 102 Outlet -02 OR 1 HEPA 10 RD 265 200 285 108 Outlet -03 OR 1 HEPA 10 RD 265 320 285 108 Outlet -04 OR 1 HEPA 10 RD 265 280 290 109 Outlet -05 OR 1 HEPA 10 RD 265 210 285 108 Outlet -06 OR 1 HEPA 10 RD 265 225 290 109 Outlet -07 OR 1 HEPA 10 RD 265 215 290 109 Outlet -08 OR 1 HEPA 10 RD 265 300 290 109 Totals : - : = 2,120 1,985 2,285 108 % * Notes SYSTEM/UNIT: HRU-01 / HC -02 AREA: OR 2 HRU-01 / HC -02 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 19, 2012 Air Test Data Design Primary Max CFM 2120 CFM Actual Max Primary CFM 2230 CFM System / Unit Area Served Outlet Type Size LxW ID Design `CFM Prelim Reading Inai Reading Outlet -01 OR 2 HEPA 10 RD 265 285 290 109 Outlet -02 OR 2 HEPA 10 RD 265 285 275 104 Outlet -03 OR 2 HEPA 10 RD 265 260 285 108 Outlet -04 OR 2 HEPA 10 RD 265 245 270 102 Outlet -05 OR 2 HEPA 10 RD 265 225 265 100 Outlet -06 OR 2 HEPA 10 RD 265 280 270 102 Outlet -07 OR 2 HEPA 10 RD 265 220 285 108 Outlet -08 OR 2 HEPA 10 RD 265 240 290 109 Totals : - : = 2,120 2,040 2,230 105 % * Notes Airtest Co Inc Preliminary Test and Balance Report 26 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 I VAV-105 AREA: Exam 344 RTU -01 / VAV-105 Supply Outlet Summary Tested- By: Sonny Dudoit Test Date: November 12, 2012 A*krT" t '. es -Data Unit Data VAV Type Series VAV Address 105 Box Inlet Size 8 RD K Factor 0.60 Heat Works Yes 75 CFM 125 Fan Speed ADJ. Primary Air Capacity Test 574 CFM RTU -01 / VAV-105 Supply Outlet Summary Tested- By: Sonny Dudoit Test Date: November 12, 2012 A*krT" t '. es -Data Des. Fan/Heat CFM 575 CFM Act. Fan/Heat CFM 590 CFM Design Primary Max CFM 575 CFM Actual Max Primary CFM 570 CFM Design Primary Min. CFM 80 CFM Actual Primary Min. CFM 75 CFM system i Unit Area Served Ou'tlet Type Stze�LxW IM Disign- CFM Onillin- Residinj .=-Flfial .'Readirid -Final Outlet -01 Exam 344 CID 8 RD 155 125 160 103 Outlet -02 Exam 344 CID 12 RD 420 500 430 102 L _A" CD Z � _ I I - 575, :1�- '625"- ' _ ]��'S?b - -.1 _103 % Notes SYSTEM/UN/T. RTU -01 / VAV-106 AREA: Lab 348, Laundry 350 RTU -01 / VAV-106 SUDDIV Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 ''Air Test DatA Unit Dita'. VAV Type Series VAV Address 106 Box Inlet Size 8 RD K Factor 0.59 Heat Works Yes 170 CFM Jest DA4 Fan Speed ADJ. Primary Air Capacity Test 375 CFM RTU -01 / VAV-106 SUDDIV Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 ''Air Test DatA Des. Fan/Heat CFM 370 CFM Act. Fan/Heat CFM 380 CFM Design Primary Max CFM 370 CFM Actual Max Primary CFM 375 CFM Design Primary Min. CFM 175 CFM Actual Primary Min. CFM 170 CFM system I Unit Area SeiVbii 'outlit.' Type Size urw -411 Design, `� re `CFM ;.Readlrid' :F1 I Reading %'Flnal Outlet -01 Lab 348, Laundry 350 CD 8 RD 135 140 140 104 Outlet -02 Lab 348, Laundry 350 CID 6 RD 60 40 60 100 Outlet -03 Lab 348, Laundry 350 CD 8 RD 175 155 180 103 Totals ",370 _-].:,;-�335 j -103 % * Notes I Afitest Co Inc Preliminary Test and Balance Report 7 of 60 AIRTEST Co., Inc. Roof Top Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV--107 AREA: Staff Lounge 351 RTU -01 / VAV-107 Supply Outlet Summary _ yJjl I • • l � Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Unit Data VAV Type Series VAV Address 107 Box Inlet Size 8 RD K Factor 0.60 Heat Works Yes 315 CFM Test Data Fan Speed ADJ. Primary Air Capacity Test 725 CFM RTU -01 / VAV-107 Supply Outlet Summary _ yJjl I • • l � Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test Data Des. Fan/Heat CFM 740 CFM Act. Fan/Heat CFM 755 CFM Design Primary Max CFM 740 CFM Actual Max Primary CFM 745 CFM Design Primary Min. CFM 320 CFM Actual Primary Min. CFM 315 CFM System / Unit Area Served: Outlet Type SIze,LzW 16 Design ' CFM .',: Prelim". Reading ' : Final Reading ':% Final Outlet -01 Staff Lounge 351 CD 12 RD 370 275 380 103 Outlet -02 Staff Lounge 351 CD 12 RD 370 -400 375 101 Totals: 740 ` 676 765 102, "6 * Notes SYSTEM/UNIT: RTU -01 / VAV-108 AREA: Conference 352 RTU -01 / VAV-108 Suaaly Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test, Data Des. Fan/Heat CFM 500 CFM Act. Fan/Heat CFM 500 CFM Design Primary Max CFM 500 CFM Actual Max Primary CFM 500 CFM Design Primary Min. CFM 200 CFM Actual Primary Min. CFM 190 CFM System/ Unit -'Unit Data- ata"VAVlype VAV Type Series VAV Address 108 Box Inlet Size 8 RD K Factor 0.60 Heat Works Yes 250 Test Data Fan Speed ADJ. Primary Air Capacity Test 485 CFM RTU -01 / VAV-108 Suaaly Outlet Summary Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Test, Data Des. Fan/Heat CFM 500 CFM Act. Fan/Heat CFM 500 CFM Design Primary Max CFM 500 CFM Actual Max Primary CFM 500 CFM Design Primary Min. CFM 200 CFM Actual Primary Min. CFM 190 CFM System/ Unit Area Served Outlet Type Size L:W 1 D : `:Design CFM y Prelim'"; ` Reading , 'Final Reading %Final Outlet -01 Conference 352 CD 10 RD 250 225 245 98 Outlet -02 Conference 352 CD 10 RD 250 275 255 102 'Totals: 500 500: 500 x 100 % * Notes Airtest Co Inc Preliminary Test and Balance Report 8 of 60 AIRTEST Co., Roof Top Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: RTU -01 / VAV--109 AREA: PT Therapy 362 RTU -01 / VAV-109 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Tp— Des. eDes. Fan/Heat CFM Act. Fan/Heat CFM Design Primary Max CFM Actual Max Primary CFM Design Primary Min. CFM Actual Primary Min. CFM t Data 1200 CFM 1210 CFM 1200 CFM 1200 CFM 235 CFM 230 CFM System / Unit Unit Data VAV Type Series VAV Address 109 Box Inlet Size 12 RD K Factor 0.58 Heat Works Yes 300 Test Data Fan Speed ADJ. Primary Air Capacity Test 1142 CFM RTU -01 / VAV-109 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 12, 2012 Air Tp— Des. eDes. Fan/Heat CFM Act. Fan/Heat CFM Design Primary Max CFM Actual Max Primary CFM Design Primary Min. CFM Actual Primary Min. CFM t Data 1200 CFM 1210 CFM 1200 CFM 1200 CFM 235 CFM 230 CFM System / Unit Area Served Outlet Type Size LxW I D Design CFM Prellm Reading Final : " Reading ` % Final Outlet -01 PT Therapy 362 CD 10 RD 300 225 305 102 Outlet -02 PT Therapy 362 CD 10 RD 300 325 295 98 Outlet -03 PT Therapy 362 CD 10 RD 300 360 305 102 Outlet -04 PT Therapy 362 CD 10 RD 300 350 305 102 Totals : - 1,200 1,260 - 1,210 1101% * Notes Airtest Co Inc Preliminary Test and Balance Report 9 of 60 Inc. AIRTEST Co., Energy Recovery Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT.- HRU-01 /HC -03 AREA: OR 3 HRU-01 / HC -03 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 19, 2012 Air Test Data _ Design Primary Max CFM 2120 CFM Actual Max Primary CFM 2175 CFM System / Unit Area Served Outlet Type , Size LxW / D .. Design CFM Prelim Reading Final Reading . % Final Outlet -01 OR 3 HEPA 10 RD 265 255 270 102 Outlet -02 OR 3 HEPA 10 RD 265 270 290 109 Outlet -03 OR 3 HEPA 10 RD 265 235 290 109 Outlet -04 OR 3 HEPA 10 RD 265 230 265 100 Outlet -05 OR 3 HEPA 10 RD 265 220 285 108 Outlet -06 OR 3 HEPA 10 RD 265 240 270 102 Outlet -07 OR 3 HEPA 10 RD 265 270 250 94 Outlet -08 OR 3 HEPA 10 RD 265 250 1 255 96 Totals : - 2,120 1,970 2,175 * Notes SYSTEM/UNIT: HRU-01 / HC -04 AREA: Corridor A317 HRU-01 / HC -04 Supply Outlet Summary Tested By: Sonny Dudoit Test Date: November 19, 2012 Air Test Data Design Primary Max CFM 1125 CFM Actual Max Primary CFM 1125 CFM System / Unit Area Served Outlet Type Size LxW 'I D Design CFM Prelim Final ='' Reading ` Reading ` % Final Outlet -01 CorridorA317 CD 12 RD 375 520 370 99 Outlet -02 CorridorA317 CD 12 RD 375 530 380 101 Outlet -03 CorridorA317 CD 12 RD 375 680 375 100 Totals : 1,125 : _ 1,730: :1,125.100 % * Notes Airtest Co Inc Preliminary Test and Balance Report 27 of 60 A.I .TET Co., Inc. Energy Recovery Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT M 12-2045-1 SYSTEM/UNIT: HRU-01 / HC -05 - Branch -01 AREA: Surgery Suite HRU-01 / HC -05 - Branch -01 Supply Outlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 19, 2012 Air Test Data Design Primary Max CFM 3525 CFM Actual Max Primary CFM 3425 CFM System / Unit Area Served Outlet Type Size LxW ID Design CFM Prelim, Reading Final Reading % Final Outlet -01 Recovery Rm A323 CD 8 RD 145 230 145 100 Outlet -02 Nurse Station A301 CD 12 RD 505 500 480 95 Outlet -03 Nurse Station A301 CD 12 RD 505 590 500 99 Outlet -04 OR Entry A321 CD 10 RD 310 350 305 98 Outlet -05 Nurse Station A301 CD 12 RD 505 570 490 97 Outlet -06 Nurse Station A301 CD 12 RD 505 600 470 93 Outlet -07 Bulk Storage A304 CD 8 RD 150 200 150 100 Outlet -08 Surgery Suite CD 8 RD 100 125 100 100 Outlet -09 Corridor CD 10 RD 250 315 245 98 Outlet -10 Surgery Suite CD 6 RD 50 95 50 100 Outlet -11 Surgery Suite CD 6 RD 85 120 85 100 Outlet -12 Surgery Suite CD 6 RD 85 90 85 100 Outlet -13 Soiled CD 8 RD 150 190 145 97 Outlet -14 Equipment CD 8 RD 180 215 175 97 Totals : - 8,525 ,4,190 1 5,425 97% * Notes Airtest Co Inc Preliminary Test and Balance Report 28 of 60 AIRTEST Co., Inc. Energy Recovery Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: HRU-01 / HC -05 - Branch -02 AREA: Surgery Suite HRU-01 / HC -05 - Branch -02 Supply Outlet Summary �I 1013I, A - DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 19, 2012 Air Test Data Design Primary Max CFM 895 CFM Actual Max Primary CFM 620 CFM System / Unit Area Served Outlet Type Size LxW / D Design CFM Prelim - 'Reading Final Reading % Final Outlet -01 Nurse Manag. A332 CD 6 RD 85 160 85 100 Outlet -02 Ante Rm A322 CD 6 RD 50 130 50 100 Outlet -03 Substerile Util A324 CD 10 RD 310 490 295 95 Outlet -04 Decontam A325 CD 12 RD 195 305 190 97 Totals : - 640 1,085 620 97% * Notes Aiftest Co Inc Preliminary Test and Balance Report 29 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -101 AREA: Toilet 327 * Notes Airiest Co Inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Ceiling Unit Serves Toilet 327 Unit Manufacturer Greenheck Model Number SP-6150-QD Serial Number 33747694 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 739 RPM Fan RPM Actual 1050 RPM Motor RPM Actual 1050 RPM External SP Design .35 in. we SP In Actual -0.06 in. we SP Out Actual 0.08 in. we External SP Actual 0.14 in. we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 2.0 Amps * Notes Airiest Co Inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer GREENHECK Motor HP 129 Watts Motor RPM 1050 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.8 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 100 CFM Total Fan CFM Act. 165 CFM Preliminary Test and Balance Report 30 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -102 AREA: Toilet 338 * Notes 5 DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data ` Unit Data Unit Location Ceiling Unit Serves Toilet 338 Unit Manufacturer Greenheck Model Number SP-B150-QD Serial Number 33747694 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 739 RPM Fan RPM Actual 1050 RPM Motor RPM Actual 1050 RPM External SP Design .35 in. we SP In Actual -0.04 in. we SP Out Actual 0.06 in. we External SP Actual 0.10 in. we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 1.8 Amps * Notes 5 DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data ` Motor Manufacturer GREENHECK Motor HP 129 Watts Motor RPM 1050 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.8 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 100 CFM Total Fan CFM Act. 160 CFM Airtest Co Inc Preliminary Test and Balance Report 31 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION. Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -103 AREA: Toilet 343 * Notes DATE: 11120/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data _ Unit Data Unit Location Ceiling Unit Serves Toilet 343 Unit Manufacturer Greenheck Model Number SP-6150-QD Serial Number 33747694 Fan Type I Class FC/1 60 Hz Test Data Fan RPM Design 739 RPM Fan RPM Actual 1050 RPM Motor RPM Actual 1050 RPM External SP Design .35 in. we SP In Actual -0.05 in. we SP Out Actual 0.06 in. we External SP Actual 0.11 in. we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 1.8 Amps * Notes DATE: 11120/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data _ Motor Manufacturer GREENHECK Motor HP 129 Watts Motor RPM 1050 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.8 Amps Motor Service Factor 1.0 - Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 100 CFM Total Fan CFM Act. 160 CFM Airtest Co Inc Preliminary Test and Balance Report 32 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -104 AREA: Toilet 351 * Notes DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Ceiling Unit Serves Toilet 351 Unit Manufacturer Greenheck Model Number SP-8150-QD Serial Number 33747694 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 906 RPM Fan RPM Actual 1050 RPM Motor RPM Actual 1050 RPM External SP Design .35 in. we SP In Actual -0.04 in. we SP Out Actual 0.08 in. we External SP Actual 0.12 in. we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 1.8 Amps * Notes DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer GREENHECK Motor HP 129 Watts Motor RPM 1050 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.8 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 130 CFM Total Fan CFM Act. 175 CFM Aiitest Co inc Preliminary Test and Balance Report 33 of 60 i AIRTEST Co., N iki* Pf Fan Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -105 AREA: Toilet 356 * Notes Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Ceiling Unit Serves Toilet 356 Unit Manufacturer Greenheck Model Number SP-B150-QD Serial Number 33747694 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 739 RPM Fan RPM Actual 1000 RPM Motor RPM Actual 1000 RPM External SP Design .35 in. we SP In Actual -0.04 in. we SP Out Actual 0.05 in. we External SP Actual 0.09 in, we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 1.8 Amps * Notes Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer GREENHECK Motor HP 129 Watts Motor RPM 1050 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.8 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 100 CFM Total Fan CFM Act. 165 CFM Airtest Co Inc Preliminary Test and Balance Report 34 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -106 AREA: PT Shower 365 * Notes Aiftest Co Inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data' Unit Data Unit Location Ceiling Unit Serves Toilet 365 Unit Manufacturer Greenheck Model Number SP-A250-QD Serial Number 12811235 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 985 RPM Fan RPM Actual 1000 RPM Motor RPM Actual 1000 RPM External SP Design .35 in. we SP In Actual -0.05 in. we SP Out Actual 0.08 in. we External SP Actual 0.13 in. we Electrical Test Data Motor Volts 1 119 Volts Motor Amps 1 0.6 Amps * Notes Aiftest Co Inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data' Motor Manufacturer Fasco Motor HP 83 Watts Motor RPM 1000 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 0.8 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 210 CFM Total Fan CFM Act. 240 CFM Preliminary Test and Balance Report 35 of 60 Inc.AI C ., . Fan Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -107 AREA: Toilet 377 * Notes Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Ceiling Unit Serves Toilet 377 Unit Manufacturer Greenheck Model Number SP-13150-QD Serial Number 33747694 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 1032 RPM Fan RPM Actual 1050 RPM Motor RPM Actual 1059 RPM External SP Design .35 in. we SP In Actual -0.03 in. we SP Out Actual 0.04 in. we External SP Actual 0.07 in. we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 1.7 Amps * Notes Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer GREENHECK Motor HP 129 Watts Motor RPM 1050 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.8 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 150 CFM Total Fan CFM Act. 165 CFM Preliminary Test and Balance Report 36 of 60 AIP.TEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -108 AREA: Staff Lounge 353 * Notes Airtest Co inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data ; Unit Data Unit Location Ceiling Unit Serves Staff Lounge 353 Unit Manufacturer Greenheck Model Number CSP-A410-QD Serial Number 12816114 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 1000 RPM Fan RPM Actual 1110 RPM Motor RPM Actual 1110 RPM External SP Design .35 in. we SP In Actual -0.04 in. we SP Out Actual 0.08 in. we External SP Actual 0.12 in. we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 1.6 Amps * Notes Airtest Co inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data ; Motor Manufacturer Mcmillan Motor HP 1/16 HP Motor RPM 1110 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.7 Amps Motor Service Factor 1.0 ` _Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 300 CFM Total Fan CFM Act. 290 CFM Preliminary Test and Balance Report 37 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -109 AREA: Latte Bar 302 * Notes DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 14, 2012 Motor Data Motor Manufacturer Mcmillan Motor HP 1/16 HP Motor RPM 1100 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.7 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 300 CFM Total Fan CFM Act. 280 CFM Airtest Co Inc Preliminary Test and Balance Report 39 of 60 Unit Data Unit Location Ceiling Unit Serves Latte Bar 302 Unit Manufacturer Greenheck Model Number CSP-A410-QD Serial Number 12816115 Fan Type ! Class FC/1 Test Data Fan RPM Design 1000 RPM Fan RPM Actual 1100 RPM Motor RPM Actual 1100 RPM External SP Design .35 in. we SP In Actual -0.04 in. we SP Out Actual 0.09 in. we External SP Actual 0.13 in. we Electrical Test Data Motor Volts 1 119 Volts Motor Amps 1 1.70 Amps * Notes DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 14, 2012 Motor Data Motor Manufacturer Mcmillan Motor HP 1/16 HP Motor RPM 1100 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.7 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 300 CFM Total Fan CFM Act. 280 CFM Airtest Co Inc Preliminary Test and Balance Report 39 of 60 AIRTEST Co., Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -110 AREA: Toilet 303 & 305 EF -110 Exhaust Inlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: October 31, 2012 Motor Data Unit Data Unit Location Roof Unit Serves Toilet 303 & 305 Unit Manufacturer Greenheck Model Number GB -101-4-X Serial Number 12785629 1204 Fan Type / Class BI/1 60 Hz Test Data Fan RPM Design 1120 RPM Fan RPM Actual 1129 RPM Motor RPM Actual 1775 RPM External SP Design .50 in. we SP In Actual -0.13 in. we SP Out Actual 0.09 in. we External SP Actual 0.22 in. we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 4.3 Amps EF -110 Exhaust Inlet Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: October 31, 2012 Motor Data Motor Manufacturer GREENHECK Motor HP 1/4 HP Motor RPM 1725 RPM Motor Frame 48Y Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 4.6 Amps Motor Service Factor 1.35 Sheave Data Drive Type Belt Motor Sheave VP30 @ Min Motor Sheave Bore 1/2 in. Fan Sheave AK39 Fan Sheave Bore 3/4 in. Belt Size 3L190R Belt Quantity 1 Sheave Center Line 5 1/4 in. Air Test Data Total Fan CFM Des. 700 CFM Total Fan CFM Act. 725 CFM Tot. GRD CFM Des. 700 CFM Tot. GRD CFM Act. 725 CFM System / Unit Area Served Outlet Type Size LxW / D Design CFM ' Prelim Reading , Final '" Reading % Final Inlet -01 Women's 305 EG 10x10 300 375 310 103 Inlet -02 Janitor EG 12X24 100 210 105 105 Inlet -03 Men's 303 EG 10x10 300 375 310 103 Totals : I - 700 960 725 * Notes Airtest Co Inc Preliminary Test and Balance Report 39 of 60 AIRTEST Co., Inc. !E Fan Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -111 AREA: 3rd Flr Electrical * Notes Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 09, 2012 Motor Data Motor Manufacturer Mcmillan Motor HP 1/12 HP Motor RPM 1350 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.42 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 250 CFM Total Fan CFM Act. 305 CFM Preliminary Test and Balance Report 40 of 60 Unit Data Unit Location Ceiling Unit Serves 3rd FI Electrical Unit Manufacturer Greenheck Model Number CSP-A390-QD Serial Number 12819889 Fan Type / Class FC/1 Test Data Fan RPM Design 1350 RPM Fan RPM Actual 1350 RPM Motor RPM Actual 1350 RPM External SP Design .25 in. we SP In Actual -0.07 in. we SP Out Actual 0.01 in. we External SP Actual 0.08 in. we Electrical Test Data Motor Volts 1 120 Volts Motor Amps 1 1.40 Amps * Notes Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 09, 2012 Motor Data Motor Manufacturer Mcmillan Motor HP 1/12 HP Motor RPM 1350 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 1.42 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 250 CFM Total Fan CFM Act. 305 CFM Preliminary Test and Balance Report 40 of 60 AIRTEST Co, Inc. Fan Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT; EF -112 AREA: Lvl 1 Electrical * Notes Airfest Co Inc Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Ceiling Unit Serves Lvl 1 Electrical Unit Manufacturer Greenheck Model Number CSP-A510-QD Serial Number 12825089 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 1070 RPM Fan RPM Actual 1050 RPM Motor RPM Actual 1050 RPM External SP Design .35 in. we SP In Actual -0.07 in. we SP Out Actual 0.11 in. we External SP Actual 0.18 in. we Electrical Test Data Motor Volts 1 121 Volts Motor Amps 1 3.0 Amps * Notes Airfest Co Inc Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer Fasco Motor HP 217 Watts Motor RPM 1050 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 3.3 Amps Motor Service Factor 1.0 'Sheave Data' Drive Type Direct Drive Air Test Data Total Fan CFM Des. 420 CFM Total Fan CFM Act. 445 CFM Preliminary Test and Balance Report 41 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -113 AREA: Med Gas Storage * Notes Airtest Co Inc !_ r DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Ceiling Unit Serves Med Gas Storage Unit Manufacturer Greenheck Model Number CSP-A200-QD Serial Number 12809366 Fan Type / Class FC/1 60 Hz Test Data Fan RPM Design 900 RPM Fan RPM Actual 900 RPM Motor RPM Actual 900 RPM External SP Design .45 in. we SP In Actual -0.04 in. we SP Out Actual 0.01 in. we External SP Actual 0.05 in. we Electrical Test Data Motor Volts 1 119 Volts Motor Amps 1 0.4 Amps * Notes Airtest Co Inc !_ r DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer Fasco Motor HP 48 Watts Motor RPM 900 RPM Motor Frame N/A Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 0.54 Amps Motor Service Factor 1.0 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 100 CFM Total Fan CFM Act. 119 CFM Preliminary Test and Balance Report 42 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -115 AREA: Pump Room * Notes Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Roof Unit Serves Pump Room Unit Manufacturer Greenheck Model Number 6 -099 -A -X Serial Number 12785630 1204 Fan Type / Class BI/1 60 Hz Test Data Fan RPM Design 1585 RPM Fan RPM Actual 1725 RPM Motor RPM Actual 1725 RPM External SP Design .40 in. we SP In Actual -0.26 in. we SP Out Actual 0.14 in. we External SP Actual 0.40 in. we Electrical Test Data Motor Volts 1 118 Volts Motor Amps 1 4.7 Amps * Notes Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer Marathon Motor HP 1/4 HP Motor RPM 1725 RPM Motor Frame 48YZ Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 5.0 Amps Motor Service Factor 1.35 Sheave Data Drive Type Direct Drive Air Test Data Total Fan CFM Des. 1000 CFM Total Fan CFM Act. 1150 CFM Alrtest Co Inc Preliminary Test and Balance Report 43 of 60 AIRTEST Co., Inc. Fan Unit PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -116 AREA: Dumpster/Compactor Area * Notes DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Ceiling Unit Serves Dumpster/Compactor Unit Manufacturer Greenheck Model Number BSQ-100-4-X Serial Number 12785486 1204 Fan Type / Class BI/1 60 Hz Test Data Fan RPM Design 1224 RPM Fan RPM Actual 1205 RPM Motor RPM Actual 1760 RPM External SP Design .50 in. we SP In Actual -0.15 in. we SP Out Actual 0.13 in. we External SP Actual 0.28 in. we Electrical Test Data Motor Volts 1 121 Volts Motor Amps 1 4.5 Amps * Notes DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer GREENHECK Motor HP 1/4 HP Motor RPM 1725 RPM Motor Frame 48Y Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 4.6 Amps Motor Service Factor 1.35 Sheave Data Drive Type Belt Motor Sheave VP30 Motor Sheave Bore 1/2 in. Fan Sheave AK32 Fan Sheave Bore 3/4 in. Belt Size 3L390R Belt Quantity 1 Sheave Center Line 14 3/4 in. Air Test Data Total Fan CFM Des. 600 CFM Total Fan CFM Act. 650 CFM Airtest Co Inc Preliminary Test and Balance Report 44 of 60 AIRTEST Co., Inc. N! Fan Unit PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: EF -117 AREA: Elevator Machine Room * Notes Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Unit Data Unit Location Ceiling Unit Serves Elevator Machine Room Unit Manufacturer Greenheck Model Number BSQ-130-5-X Serial Number 12937162 1207 Fan Type / Class Inline/1 60 Hz Test Data Fan RPM Design 1051 RPM Fan RPM Actual 1353 RPM Motor RPM Actual 1745 RPM External SP Design .35 in. we SP In Actual -0.24 in. we SP Out Actual 0.05 in. we External SP Actual 0.29 in. we Electrical Test Data Motor Volts 1 119 Volts Motor Amps 1 6.1 Amps * Notes Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer Marathon Motor HP 1/2 HP Motor RPM 1725 RPM Motor Frame 48Y Motor Rated Volts 115 Volts Motor Phase 1 Motor Hertz 60 Hz Motor FL Amps 7.5 Amps Motor Service Factor 1.25 Sheave Data Drive Type Belt Motor Sheave 1 VP34 @ 3.5 Tums Motor Sheave Bore 1/2 in. Fan Sheave AK34 Fan Sheave Bore 3/4 in. Belt Size 4L440R Belt Quantity 1 Sheave Center Line 17 in. Air Test Data Total Fan CFM Des. 1650 CFM Total Fan CFM Act. 1702 CFM EF -117 5 -Nov -12 Sonny Dudoit Area= 19" 1/2"X38" AK=5.145 FPM=331 CFM=1702 Airtest Co Inc Preliminary Test and Balance Report 45 of 60 IITCo., Inc. n ACH / Pressurization PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: Change/Toilet A326 AREA: Toilet Room A326 * Notes SYSTEM/UNIT.Change/Toilet A327 AREA: Toilet Room A327 Unit Data To Area Corridor A329 Room Ft Sq. 70 Ft Sq. Ceiling Height 8 Ft Room Volume 560 Cubic Ft. * Notes SYSTEM/UNIT.Change/Toilet A327 AREA: Toilet Room A327 * Notes Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Unit Data To Area Corridor A329 Room Ft Sq. 70 Ft Sq. Ceiling Height 8 Ft Room Volume 560 Cubic Ft. * Notes Airtest Co Inc Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 10 ACH Design ACH 15 ACH Actual ACH 13.39 ACH Des. Supply CFM 0 CFM Act. Supply CFM 0 CFM Des. Exhaust CFM 140 CFM Act. Exhuast CFM 125 CFM Des. CFM Offset - 140 CFM Act. CFM Offset - 125 CFM Des. Gradient Negative Act. Gradient -0.003 in wc. Tested By: Sonny Dudoit Test Date: November 20, 2012 `Measured Data Req. ACH 10 ACH Design ACH 15 ACH Actual ACH 13.93 ACH Des. Supply CFM 0 CFM Act. Supply CFM 0 CFM Des. Exhaust CFM 140 CFM Act. Exhuast CFM 130 CFM Des. CFM Offset - 140 CFM Act. CFM Offset - 130 CFM Des. Gradient Negative Act. Gradient -0.004 in wc. Preliminary Test and Balance Report 46 of 60 AIRTEST Co., Inc. ACH / Pressurization PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT.Change/Toilet A328 AREA: Toilet Room A328 * Notes SYSTEM/UNIT: Clean Linen Storage A302 AREA: Clean Linen Storage A302 Unit Data To Area Corridor A329 Room Ft Sq. 70 Ft Sq. Ceiling Height 8 Ft Room Volume 560 Cubic Ft. * Notes SYSTEM/UNIT: Clean Linen Storage A302 AREA: Clean Linen Storage A302 * Notes Mtest Co Inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured .Data Unit Data To Area Corridor A306 Room Ft Sq. 90 Ft Sq. Ceiling Height 9 Ft Room Volume 810 Cubic Ft. * Notes Mtest Co Inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured .Data Req. ACH 10 ACH Design ACH 15 ACH Actual ACH 13.93 ACH Des. Supply CFM 0 CFM Act. Supply CFM 0 CFM Des. Exhaust CFM 140 CFM Act. Exhuast CFM 130 CFM Des. CFM Offset - 140 CFM Act. CFM Offset - 130 CFM Des. Gradient Negative Act. Gradient -0.003 in wc. Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 2 ACH Design ACH 8 ACH Actual ACH 7.41 ACH Des. Supply CFM 100 CFM Act. Supply CFM 100 CFM Des. Exhaust CFM 0 CFM Act. Exhuast CFM 0 CFM Des. CFM Offset + 100 CFM Act. CFM Offset + 100 CFM Des. Gradient Positive Act. Gradient +0.007 in wc. Preliminary Test and Balance Report 47 of 60 AIRTEST Co... Inc. ACH / Pressurization PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: Decontamination A325 AREA: Soiled Room A325 Unit Data. To Area Corridor A317/Clean WorkR Room Ft Sq. 198 Ft Sq. Ceiling Height 8.5 Ft Room Volume 1683 Cubic Ft. * Notes SYSTEM/UNIT: Janitors ClosetA313 AREA: Janitors Closet A313 * Notes Airtest Co inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Unit Data To Area Corridor A306 Room Ft Sq. 40 Ft Sq. Ceiling Height 9 Ft Room Volume 360 Cubic Ft. * Notes Airtest Co inc DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 6 ACH Design ACH 12 ACH Actual ACH 9.98 ACH Des. Supply CFM 195 CFM Act. Supply CFM 190 CFM Des. Exhaust CFM 295 CFM Act. Exhuast CFM 280 CFM Des. CFM Offset - 100 CFM Act. CFM Offset - 90 CFM Des. Gradient Negative Act. Gradient -0.001 in wc. Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 10 ACH Design ACH 19 ACH Actual ACH 15 ACH Des. Supply CFM 0 CFM Act. Supply CFM 0 CFM Des. Exhaust CFM 100 CFM Act. Exhuast CFM 90 CFM Des. CFM Offset - 100 CFM Act. CFM Offset - 90 CFM Des. Gradient Negative Act. Gradient -0.001 in wc. Preliminary Test and Balance Report 48 of 60 AIRTEST C ., N� -�:rE ii;013 ACH / Pressurization PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: Men's A312 AREA: Toilet Room A312 Unit Data To Area Staff Change A311 Room Ft Sq. 72 Ft Sq. Ceiling Height 8 Ft Room Volume 576 Cubic Ft. * Notes SYSTEM/UNIT: OR 1 A318 AREA: OR 1 * Notes Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Unit Data To Area CorridorA317/OR Entry 321 Treatment HEPA Room Ft Sq. 625 Ft Sq. Ceiling Height 10 Ft Room Volume 6250 Cubic Ft. * Notes Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 10 ACH Design ACH 10 ACH Actual ACH 11.46 ACH Des. Supply CFM 0 CFM Act. Supply CFM 0 CFM Des. Exhaust CFM 100 CFM Act. Exhuast CFM 110 CFM Des. CFM Offset -100 CFM Act. CFM Offset - 110 CFM Des. Gradient Negative Act. Gradient -0.009 in wc. Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 20 ACH Design ACH 20 ACH Actual ACH 21.94 ACH Des. Supply CFM 2120 CFM Act. Supply CFM 2285 CFM Des. Exhaust CFM 1920 CFM Act. Exhuast CFM 1840 CFM Des. CFM Offset + 200 CFM Act. CFM Offset + 445 CFM Des. Gradient Positive Act. Gradient +0.005 in wc. Airtest Co Inc Preliminary Test and Balance Report 49 of 60 AIRTEST Co., Inc* ACH/ Pressurization PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT M 12-2045-1 SYSTEM/UNIT: OR 2 A319 AREA: OR 2 * Notes SYSTEM/UNIT: OR 3 A320 AREA: OR 3 Unit Data To Area Corridor A314/OR Entry A32 Treatment HEPA Room Ft Sq. 625 Ft Sq. Ceiling Height 10 Ft Room Volume 6250 Cubic Ft. * Notes SYSTEM/UNIT: OR 3 A320 AREA: OR 3 * Notes Airtest Co inc Nei L x DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Unit Data To Area Corridor A314/OR Entry A32 Treatment HEPA Room Ft Sq. 625 Ft Sq. Ceiling Height 10 Ft Room Volume 6250 Cubic Ft. * Notes Airtest Co inc Nei L x DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 20 ACH Design ACH 20 ACH Actual ACH 21.41 ACH Des. Supply CFM 2120 CFM Act. Supply CFM 2230 CFM Des. Exhaust CFM 1920 CFM Act. Exhuast CFM 1780 CFM Des. CFM Offset + 200 CFM Act. CFM Offset + 450 CFM Des. Gradient Positive Act. Gradient +0.008 in wc. Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 20 ACH Design ACH 20 ACH Actual ACH 20.88 ACH Des. Supply CFM 2120 CFM Act. Supply CFM 2175 CFM Des. Exhaust CFM 1920 CFM Act. Exhuast CFM 1740 CFM Des. CFM Offset + 200 CFM Act. CFM Offset + 435 CFM Des. Gradient Positive Act. Gradient +0.006 in wc. Preliminary Test and Balance Report 50 of 60 AIRTEST Co., Inc. ACH / Pressurization PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: Soiled Hold A315 AREA: Soiled WorkRoom A315 * Notes SYSTEM/UNIT.Soiled Linen Sorting A307 AREA: Soiled Linen Sorting A307 Unit Data To Area Corridor A314 Room Ft Sq. 178 Ft Sq. Ceiling Height 9 Ft Room Volume 1602 Cubic Ft. * Notes SYSTEM/UNIT.Soiled Linen Sorting A307 AREA: Soiled Linen Sorting A307 * Notes DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Unit Data To Area Corridor A306 Room Ft Sq. 65 Ft Sq. Ceiling Height 9 Ft Room Volume 585 Cubic Ft. * Notes DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 10 ACH Design ACH 11 ACH Actual ACH 8.61 ACH Des. Supply CFM 150 CFM Act. Supply CFM 145 CFM Des. Exhaust CFM 250 CFM Act. Exhuast CFM 230 CFM Des. CFM Offset - 100 CFM Act. CFM Offset - 85 CFM Des. Gradient Negative Act. Gradient -0.002 in wc. Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 10 ACH Design ACH 11 ACH Actual ACH 9.74 ACH Des. Supply CFM 0 CFM Act. Supply CFM 0 CFM Des. Exhaust CFM 100 CFM Act. Exhuast CFM 95 CFM Des. CFM Offset - 100 CFM Act. CFM Offset - 95 CFM Des. Gradient Negative Act. Gradient -0.003 in wc. Airtest Co Inc Preliminary Test and Balance Report 51 at 60 AIRTEST Co, Inc. N E �� TT ACH / Pressurization PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: Sterile Processing A324 AREA: Clean WorkRoom A324 Unit Data To Area Decontamination A325 Room Ft Sq. 521 Ft Sq. Ceiling Height 8.5 Ft Room Volume 4428.5 Cubic Ft. * Notes SYSTEM/UNIT: Women's A310 AREA: Toilet Room A310 Unit Data To Area Staff Change A309 Room Ft Sq. 72 Ft Sq. Ceiling Height 8 Ft Room Volume 576 Cubic Ft. * Notes Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 6 ACH Design ACH 12 ACH Actual ACH 8.81 ACH Des. Supply CFM 620 CFM Act. Supply CFM 600 CFM Des. Exhaust CFM 720 CFM Act. Exhuast CFM 650 CFM Des. CFM Offset - 100 CFM Act. CFM Offset - 50 CFM Des. Gradient Positive Act. Gradient +0.001 in wc. Tested By: Sonny Dudoit Test Date: November 20, 2012 Measured Data Req. ACH 10 ACH Design ACH 10 ACH Actual ACH 9.90 ACH Des. Supply CFM 0 CFM Act. Supply CFM 0 CFM Des. Exhaust CFM 100 CFM Act. Exhuast CFM 95 CFM Des. CFM Offset -100 CFM Act. CFM Offset - 95 CFM Des. Gradient Negative Act. Gradient -0.011 in wc. Airtest Co Inc Preliminary Test and Balance Report 52 of 60 AIP.TEST Co., Inc. Duct Traverse PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: HRU Exhaust Branch - 01 Unit Data Traverse Location Exhuast Duct Type of Traverse Rectangular Test Instrument Used Pitot -Tube Inner Height 22 in. Inner Width 30 in. Duct Area 4.580 sq. ft. # of Rows (L -R) 5 Readings Per Row (T -B) 4 Total Readings 20 DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 Final Data,, Sum of Readings 23661 FPM Average Velocity 1183 FPM Design Total Flow (CFM) 5700 CFM Actual Total Flow (CFM) 5418 CFM Fan RPM 1542 RPM Static Pressure -0.41 in. wg. NOTES: Duct Traverse Data Points Row 1 Row 2 Row 3 Row 4 Row 5 Airtest Co Inc r N M @ O O O O U Cy U U 1124 t215 1215 1Ca$ 1329 t39fl 1342 532 13t4 13.54 1165 533 N 1315 Flan 1143 1206 Ft 240 1221 30 Preliminary Test and Balance Report 53 of 60 AIRTEST Co., Inc. Duct Traverse PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: HRU Exhaust Branch - 02 Unit Data Traverse Location Inlet Duct Type of Traverse Rectangular Test Instrument Used Pitot -Tube Inner Height 24 in. Inner Width 36 in. Duct Area 6.000 sq. ft. # of Rows (L -R) 6 Readings Per Row (T -B) 4 Total Readings 24 NOTES: J— Tested By: Sonny Dudoit Test Date: November 20, 2012 Final Data Sum of Readings 20232 FPM Average Velocity 843 FPM Design Total Flow (CFM) 6205 CFM Actual Total Flow (CFM) 5058 CFM Fan RPM 1542 RPM Static Pressure -0.73 in. wg. iRU Exhaust Branch - 02 15 -Nov -12 Sonny Dudoit Plus inlets #12-13. CFM = 740 Total = 5798 Row 1 Row 2 Row 3 Row 4 Row 5 Row 6 Airiest Co Inc Duct Traverse Data Points 828 890 868 807 833 666 845 824 857 818 FE77 0404 898 s29 a61 U7 73o 84S 8S9 877 822 862 835 849 36 Preliminary Test and Balance Report 54 of 60 AIP.TEST Co., Inc. Duct Traverse PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT M 12-2045-1 SYSTEM/UNIT: HRU Exhaust Inlet - 09 AREA: Hood Unit Data Traverse Location Exhuast Duct Type of Traverse Round Test Instrument Used Pitot -Tube Duct Diameter 12 in. Duct Area 0.790 sq. ft. # of Rows (L -R) 2 Readings Per Row (T -B) 10 Total Readings 20 DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 20, 2012 -Final Data Sum of Readings 8236 FPM Average Velocity 412 FPM Design Total Flow (CFM) 360 CFM Actual Total Flow (CFM) 325 CFM Static Pressure -0.03 in. wg. NOTES: Duct Traverse Data Points Hole 1 Airtest Co Inc N d O S 12 N r Preliminary Test and Balance Report 55 of 60 AIRTEST Co., Inc. Hydronic Pump PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: CHWP-01 AREA: Primary Pump Serving CH -01 Unit Data Location Mechanical Room Service CH -01 Pump Manufacturer Bell & Gossett Pump Model Number 1.56C 8.875BF 1510 Pump Serial Number PV3947-2 D21 Design GPM 114 GPM Pump Head 81 FT. H2O Final Test Data Final Dis. 14.50 PSI Final Suc. -2.40 PSI Final Press. Diff. 16.90 PSI Final Press. Diff. Actual 39.039 FT. H2O Final GPM Design 114 GPM Final GPM Actual 114 GPM Electrical Test Data Final Operating Hz 48 Motor Volts 1 368 Volts Motor Volts 2 368 Volts Motor Volts 3 368 Volts Motor Amps 1 4.5 Amps Motor Amps 2 4.5 Amps Motor Amps 3 4.5 Amps CHWP-01 Balance Valve Summary DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer Baldor Motor Frame 184T Motor HP 5 HP Motor RPM 1750 RPM Motor Rated Volts 208-230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor F.L. Amps 14-13.2/6.6 Amps Motor S.F. 1.15 Motor Seal Type Mechanical Pump Impeller Diam. 8.875 in Water Test Data Pump Off Pressure 21 PSI Blocktight D.P. 40.4 PSI Blocktight Suc. 0.50 PSI Blocktight Dis. 40.9 PSI Valve Open Dis. 21.8 PSI Valve Open Suc. -4.0 PSI Valve Open Diff. 25.8 PSI Valve Open GPM 168 GPM Actual Imp. Diam. 8.875 in. System / Unit Area Served MFG Model Size -' GPM Design Actual ' DP, GPM Actual CBV Setting HRU-01 Chilled Water Armstrong N/A 3" 114.0 3.30 114.0 5.0 Totals : - 114 114 - * Notes Airtest Co Inc Preliminary Test and Balance Report 56 of 60 Co.,AIRTEST Hydronic Pump PROJECT: Premier Orthopedic Group LOCATION: Edmonds, WA PROJECT #: 12-2045-1 SYSTEM/UNIT: CHWP-02 AREA: Primary Pump Serving CH -01 Unit Data Location Mechanical Room Service CH -01 Pump Manufacturer Bell & Gossett Pump Model Number 1.513C 8.875BF 1510 Pump Serial Number PV3947-1 D21 Design GPM 114 GPM Pump Head 81 FT. H2O Final Test Data Final Dis. 15.56 PSI Final Suc. -2.60 PSI Final Press. Diff. 18.16 PSI Final Press. Diff. Actual 49.949 FT. H2O Final GPM Design 114 GPM Final GPM Actual 114 GPM Electrical Test Data Final Operating Hz 48.0 Motor Volts 1 368 Volts Motor Volts 2 368 Volts Motor Volts 3 368 Volts Motor Amps 1 4.6 Amps Motor Amps 2 4.6 Amps Motor Amps 3 4.6 Amps " Notes T'l-, Pot i DATE: 11/20/2012 CONTACT: Sonny Dudoit Tested By: Sonny Dudoit Test Date: November 05, 2012 Motor Data Motor Manufacturer Baldor Motor Frame 184T Motor HP 5 HP Motor RPM 1750 RPM Motor Rated Volts 208-230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor F.L. Amps 14-13.2/6.6 Amps Motor S.F. 1.15 Motor Seal Type Mechanical Pump Impeller Diam. 8.875 in Water.Test Data Pump Off Pressure 22 PSI Blocktight D.P. 41.0 PSI Blocktight Suc. 0.30 PSI Blocktight Dis. 41.30 PSI Valve Open Dis. 23.56 PSI Valve Open Suc. -4.25 PSI Valve Open Diff. 27.81 PSI Valve Open GPM 158 GPM Actual Imp. Diam. 8.875 in. CHWP-02 5 -Nov -12 Sonny Dudoit CBV DP- 3.30 FT. H2O GPM - 114 Airtest Co Inc Preliminary Test and Balance Report 57 of 60 AIRT. I i �'�0 Hydronic Pump PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT: HWP-01 AREA: Secondary Pump Serving B-01 & B-02 Unit Data Location Pump Room Service B-01 & B-02 Pump Manufacturer Bell & Gossett Pump Model Number 1.25AC 7BF 1510 Pump Serial Number PV -3946-2 D21 Design GPM 52 GPM Pump Head 50 FT. H2O Final Test Data Final Dis. 20.74 PSI Final Suc. -2.31 PSI Final Press. Diff. 23.05 PSI Final Press. Diff. Actual 53.24 FT. H2O Final GPM Design 52 GPM Final GPM Actual 51.75 GPM Electrical Test Data Final Operating Hz 60 Motor Volts 1 442 Volts Motor Volts 2 442 Volts Motor Volts 3 442 Volts Motor Amps 1 2.2 Amps Motor Amps 2 2.2 Amps Motor Amps 3 2.2 Amps HWP-01 Balance Valve Summary Tested By: Sonny Dudoit Test Date: November 06, 2012 Motor Data Motor Manufacturer Baldor Motor Frame 145T Motor HP 2 HP Motor RPM 1750 RPM Motor Rated Volts 230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor F.L. Amps 5.8/2.9 Amps Motor S.F. 1.15 Motor Seal Type Mechanical Pump Impeller Diam. 7 in Water Test Data Pump Off Pressure 15 PSI Blocktight D.P. 25.43 PSI Blocktight Suc. 0.27 PSI Blocktight Dis. 25.7 PSI Valve Open Dis. 18.6 PSI Valve Open Suc. -3.0 PSI Valve Open Diff. 21.6 PSI Valve Open GPM 93 GPM Actual Imp. Diam. 7.00 in. System / Unit Area Served MFG Model Size GPM Design Actual DP,- GPM CBV Actual Setting HC -01 ' Heating Water HCI TB-BCRM 3/4" 3.6 2.02 3.5 HC -02 ` Heating Water HCI TB-BCRM 3/4" 3.6 1.78 3.4 HC -03' Heating Water HCI TB-BCRM 3/4" 3.6 1.84 3.4 HC -04' Heating Water HCI TB-BCRM 3/4" 2.7 2.05 2.5 HC -05' Heating Water HCI TB-CC2RM 1" 8.5 1.67 8.0 HRU-01 Heating Water HCI TB-EC2RM 1-1/2" 33.0 4.62 31.0 Totals Airiest Co Inc Preliminary Test and Balance Report 58 of 60 AIRTEST Co., Inc. Hydropic Pump PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEWUNIT. HWP-01(C.ont.) Tested By: Sonny Dudoit AREA: Secondary Pump Serving B-01 & B-02 Test Date: November -06, 2012 * Notes HWP-01 6 -Nov -12 Sonny Dudoit PSID Setpoint - 20 PSI HWP-01 / HC -01 6 -Nov -12 Sonny Dudoit 24.3 IN H2O HWP-01 / HC -01 31-Oct=12 Sonny Dudoit Venturi # 9 HWP-01 / HC -02 6 -Nov -12 Sonny Dudoit 21.4 IN H2O HWP-01 / HC -02 31 -Oct -12 Sonny Dudoit Venturi # 9 HWP-01 / HC -03 6 -Nov -12 Sonny Dudoit 22.1 IN H2O HWP-01 / HC -03 31 -Oct -12 Sonny Dudoit Venturi # 9 HWP-01 / HC -04 6 -Nov -12 Sonny Dudoit 24.5 IN H2O HWP-01 / HC -04 31 -Oct -12 Sonny Dudoit Venturi # 7.5 HWP-01 / HC -05 6 -Nov -12 Sonny Dudoit 20 IN H2O HWP-01 / HC -05 31 -Oct -12 Sonny Dudoit Venturi # 14.5 HWP-01 / HRU-01 6 -Nov -12 Sonny Dudoit 56.0 IN H2O HWP-01 / HRU-01 31 -Oct -12 Sonny Dudoit Venturi # 22 Airtest Co Inc Pretiminary Test and Balance Report 59 of 60 .I `' Inc. i 143 l- Hydronic Pump PROJECT: Premier Orthopedic Group DATE: 11/20/2012 LOCATION: Edmonds, WA CONTACT: Sonny Dudoit PROJECT #: 12-2045-1 SYSTEM/UNIT.HWP-02 AREA: Secondary Pump Serving B-01 & B-02 Unit Data Location Pump Room Service B-01 & B-02 Pump Manufacturer Bell & Gossett Pump Model Number 1.25AC 7BF 1510 Pump Serial Number PV -3946-1 D21 Design GPM 52 GPM Pump Head 50 FT. H2O Final Test Data Final Dis. 20.78 PSI Final Suc. -2.10 PSI Final Press. Diff. 22.88 PSI Final Press. Diff. Actual 52.85 FT. H2O Final GPM Design 52 GPM Final GPM Actual 51.75 GPM Electrical Test Data Final Operating Hz 60 Motor Volts 1 446 Volts Motor Volts 2 446 Volts Motor Volts 3 446 Volts Motor Amps 1 2.2 Amps Motor Amps 2 2.2 Amps Motor Amps 3 2.2 Amps * Notes Aiitest Co inc Tested By: Sonny Dudoit Test Date: November 06, 2012 Motor Data Motor Manufacturer Baldor Motor Frame 145T Motor HP 2 HP Motor RPM 1750 RPM Motor Rated Volts 230/460 Volts Motor Phase 3 Motor Hertz 60 Hz Motor F.L. Amps 5.8/2.9 Amps Motor S.F. 1.15 Motor Seal Type Mechanical Pump Impeller Diam. 7 in Water Test Data Pump Off Pressure 15 PSI Blocktight D.P. 25.86 PSI Blocktight Suc. 0.16 PSI Blocktight Dis. 26.02 PSI Valve Open Dis. 20.78 PSI Valve Open Suc. -2.10 PSI Valve Open Diff. 22.88 PSI Valve Open GPM 51.74 GPM Actual Imp. Diam. 7.00 in. Preliminary Test and Balance Report 60 of 60 MASON INDUSTRIES, Inc. Manufacturers of Vibrafion Control Products 350 Rabro Drive 2101 W. Crescent Ave., Suite D Hauppauge, NY 11788 Anaheim, CA 92801 Tel: 6311348-0282 Tel: 714/535-2727 Fax: 631/348-0279 Fax: 714/535-5738 Info@Mason-Ind.com Info@MasonAnaheim.com DETAILS FOR 3" DEFLECTION TYPE RSC Z SECTION ROOFTOP SPRING CURBS DATE: 12-09-04 DWG NO. A-21398-1 DETAIL "A" DETAIL "B" "RSC" CURB INSTALLED "RSC" CURB INSTALLED DIRECTLY STEEL ON ROOF DECK STEEL ON STRUCTURAL STEEL CHANNEL CHANNEL LOWER BASE SIDE STRUCTURAL MEMBER STEEL I CURB RESTING ON CURB RESIN PARTIALLY UPPER SECTIONON OF'W DECK OF"O"DECK ylr. ` SPRING LOCATION WOOD SPACER OR STEEL CHANNEL STRUCTURAL STEEL OQF DECK RUNNING ERPENDICULAR TO SIDE OF RSC CURB DETAIL "D" DETAIL "E" DETAIL "F" CORNER CONNECTION CORNER CONNECTION CROSSBRACE LOWER BASE MEMBER UPPER BASE MEMBER 24" CROSSBRACES r—[57] CRISS-CROSS AT CENTER OF BASE i SPRING SUPPORT REMOVED FOR / 2 BOLTS CLARITY J31"L� �•_ [89] Section "2 BOLTS SUPPLIED FOR EACH CORNER . X ASSEMBLY SEE DRAWING No. "P - Section 1891 DETAIL "H" DETAIL "J" DETAIL "K" WEATHER SEAL "RSC" CURB INSTALLED "RSC" ATTACHMENT CORNER ON ROOF DECK EPDM LOWER CORNER COVER PLATE. REMOVED MAIN SHEET METAL PIECE FOR SPRING ADJUSTMENT MEMBER SCREWS -ASSEMBLY WOOD OF RSC \ / / NAILER INSULATION BETWEEN _ ROOFING & = SCREW �! RSC CURB _-_:_ L3 3 [178] x x>I" x 1"[25] LONG TD. RSC CAULK ALL WELD AROUND CREWS PERIMETER PLACE EPDM CORNER ASSEMBLY SEAMS AFTER COVER PLATE o ROOF _ ON TOP OF WEATHER SEAL ADJUSTMENT INSTALLED STRUCTURE & AND CONNECT PIECES TOGETHER AND SCREW , AFIER ADJUSTMENT, WITH No.10 SELF DRILLING REPLACEMENT A-27033-5 SHEET METAL SCREWS X I" LONG SEE DRAWING No. SLIDE COVER UNDER WEATHER SEAL 11'i"�� PAGE 4 OF 4 l0 04 'Re0cr- MASON INDUSTRIES, Inc. Manufacturers of Vibration Control Products 350 Rabro Drive 2101 W. Crescent Ave., Suite D Hauppauge, NY 11788 Anaheim, CA 92801 Tel: 631/348-0282 Tel: 714/535-2727 Fax: 631/348-0279 Fax: 714/535-5738 Info@Mason-ind.com 'Info@MasonAnaheim.com EQUIPMENT TO RSC AND RSC STRUCTURE ATTACHMENT DETAILS TO WOOD, CONCRETE, AND STEEL (FOR USE WITH MASON IND. 3" DEFL. RSC) I DATE 08/22/05 DRAWING NO. A-27033-5 TOP ATTACHMENT ALTERNATE TOP ATTACHMENT SPONGE AIR SEAL t 1 WHERE ACCESS TO TOP OF— TUBE RAIL IS NOT POSSIBLE, - CONTRACTOR TO PROVIDE 16ga .SHEET METAL STRAP AS SHOWN BELOW EQUIPME I I I I . I I I I (4) # 12 SHEET METAL SCREWS TOP AND BOTTOM (8) TOTAL PER LOCATION 2" THICK INSULATION (BY OTHERS) 52' 1/2" ------------------------- 1 1/2" TYP. WOOD STRUCTURE (BY OTHERS) 2" THICK 518- DIA. x 4112" EMBEDMENT INSULATION HILTI KWIK BOLT T2 (BY OTHERS) (3) AT EACH SPRING LOCATION ESR REPORT ESR -1917/2007 (BY OTHERS) 3000 PSI HARDROCK 31 IT CONCRETE (BY OTHERS) o a 1-1/2" (TYP e 6" MIN ;. a CONC. a a. a o, 4. DEPTH #4 REBAR 1-1/2" (TYP) BETWEEN THE ANCHOR AND 5" MIN. CONCRETE EDGE 10' MIN. CONCRETE ATTACHMENT DWN: LD ICHKD: (SCALE: NONE (4) # 12 SHEV METAL SCREWS AT EACH S RING LOCATION (BY OTH S) #12 SHEET METAL SCREWS (4) PER ANCHORING LOCATION (12) TOTAL PER ANCHORING CLIP (BY OTHERS) 3 x 3 x 3/16" STEEL ANGLE ANCHORING CLIP 21" LONG AT EACH SPRING LOCATION FOR CONCRETE OR WOOD ATTACHMENT ONLY. 518" DIA x 5" EMBEDMENT t,�AG SCREWS (31AT EACH SPRING LOCATION ,j 2'1/4" 'I MIN. 7 1/4" MIN. - (4) 1/16" FILLET WELDS, 3" LONG ON BOTH SIDES SEPERATED BY 18' AT EACH SPRING LOCATION (BY OTHERS) 2' THICK INSULATION (BY OTHERS) STEEL ATTACHMIit 5-REV:AN I DWG: A-27033-5 MASON INDUSTRIES, Inc.. Manufacturers of Vibration Control Products _ 350 Rabro Drive 2101 W. Crescent Ave., Suite D t Hauppauge, NY 11788 Anaheim, CA 92801 _. Tel: 631/348-0282 Tel : 714/535-2727 Fax: 631/348-0279 Fax: 714/535-5738 RSC TO STRUCTURE ANCHORING CLIP FOR ATTACHMENT TO WOOD AND CONCRETE STRUCTURES (FOR USE WITH MASON IND. 3" DEFL. RSC) DATE 1116/01 DRAWING NO. A-27036 RSC ANCHORING CLIP MATERIAL: 3 x 3 x 3/16" STEEL ANGLE7-4 ca s 21'1 1 1/2" (1 1 1 /8" --� A A /All 9 3/8'1 1/4" DIA. 12 HOLES —93/811- 3/4" 93/8"- 3/4" DIA. 3 HOLES DWN: LAE CHKD: I SCALE: NONE MASON INDUSTRIES, Inc. Manufacturers of Vibration Control Products 350 Rabro Drive 708 N. Valley St., Suite K Hauppauge, NY 11788 Anaheim, CA 92801 I 516/348-0282 714/535-2727 FAX 516/348-0279 FAX 714/535-5738 TELEX 96-8464 CERTIFIED FOR JOB NAME Premier Orthopedics OSKINS CUSTOMER HCUSTOMER CUSTOMER P.C. JOB NO. MASON E.O. 27558 DWG. NO. WF -27558-10 REQUIREG TAG CH -1 TAG: CH -1 ISOLATOR REF. DWG.: SLRSOEBP-2" UNIT: BAC VFL-072-410 WEIGHTS: STEEL: 205 lbs EQUIPMENT: 3,208 Ibs SPECIFIED DEFLECTION: 2" CHILLER BASE TS 4x4x/4' TubeSteel Support TS4x4xY4" y6L 99" Plate Ys"x4x8 Long u d a 14 e e 41.. .d . ISOLATOR WELD DETAILS (4)SLRSOEBP-C2-1210 WF -27419-0 { OV ED4, �a SPECIAL INSPECTI®N AND TESTING AGREEMENT V N Permit #: Project: rgev' r. .d Prior to issrtaftee of a permit, this form »rust be completed in its entirety and returned to the Cityfor appr•ovaL The completed farm wast have signatures of acknowlerlgnrent by rill prn•ties. DUTIES AND RESPONSIBILITIES Special Inspection Firm and Special Inspectors'. The Special Inspection firm ofwill perforin special inspection for the following types of work (separate fors must be submitted if more than one firm is to be employed): ❑ Reinforced Concrete ❑ Bolting in Concrete ❑ Prestressed Concrete ❑ Shoterete ❑ Structural Masonry ❑ Structural Steel/Welding ❑ High Strength Bolting ❑ Spray applied Fireproofing ❑ Smoke Control Systems ❑ Lateral Wood ❑ Structural Observation by EOR >(Grading/soils ❑ Other ❑ Other All individual inspectors to be employed on this project will be WABO certified for the type of work they are to inspect. If inspection is for work that is not covered by the WABO categories, or the inspector is not WABO certified, a detailed resume of the inspector and film trust be submitted. The resume must show that the inspector and the firm are qualified by education and experience to perform the work and testing required by the project design and specifications. The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions and addenda sheets will not be used for inspection, unless they have been approved by the City. Inspection records shall include: a A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work shall be brought to the immediate attention of the contractor for resolution. C A weekly report shall be submitted to the City; detailing the inspections and testing performed, listing any nonconforming work and resolution of nonconforming items. G A final report shall be submitted to the building department prior to the Certificate of Occupancy being issued. This report will indicate that inspection and testing was completed in conformance with the approved plans, specifications and approved revisions or addenda. Any unresolved di W VED0 be detailed in the final report. �8 t.:\nuilding i CNN Polder 20101Fornr is\Speeial inspection form.doclG/25/201 I DEC - 9 2011 DEVELOPMENT CTR- CITY O EDMONDS Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by all parties. Thd special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered until approval is given by the City inspector. Buildint' Department: The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall be responsible for approving various stages of construction to be covered and for work to proceed. Design Professionals: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include a schedule for inspection and testing. The architect and/or engineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown on the revisions being performed in the field. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or firm to perform in keeping with the requirements of the IBC, the approved plans and this document, may void this agreement and the Building Official's approval of the special inspector. In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS I have read and agree to comply with the terms and conditions of flus agreement. Owner: EVM61 11W MEVKO%-BLV4r.&t� Signature Contractor: Date i 2%bl Zat I Date: z % �/ btu 4 e�3 If'e"�IS / Arch./Eng:�i 0 Signature Date: Speciallnsp. Signature Date: ACCEPTED FOR TI•IE CITY 0ONDS BUILDING DEPT. By: Date: LABuilding New Volder20 Mortm�Specicl inspection fonn.docl0/25/2011 9802 29h Ave. W #6102 Everett, WA 98204 425356-3372 425-3563374 fax December 5, 2012 El 1041 Mr. Scott Shanks First Western Development Services, Inc. 8129 Lake Ballinger Way, Suite 104 Edmonds, Washington 98026 Subject: Geotechnical Engineering Final Evaluation Edmonds Medical Office.Build ng(Premier Orthopedic 2140172` Ave West Edmonds, Washington Dear Mr. Shanks: MRA is pleased to submit this letter documenting the completion of the retaining wall constricted on the north property lure at 2140172 W Avenue West in Edmonds, Washington. The undersigned is the design engineer for the wall system and prepared the wall designs the project. As a result of this role, we -also-fimctioned -as the Special -Inspector: In accordance with .our -.responsibilities -as Special Inspector, we evaluated pile foundation construction, excavation stability for jackshafts and vaults, backfill placement and compaction, drainage installation, and temporary, and pennanent erosion control measures. We conducted periodic visits during the construction of the project. During our visits, we observed and documented the following: Augercast Piles — We were onsite on a full time basis to monitor the installation of the augercast piles which support the building. The piles were installed in accordance with the recommendations of our geotechnical reportfor the project and the approved structural engineering plans. Jackshaft Installation — E3RA monitored the installation of the elevator jackshafts for the project. The jackshafts were installed in accordance with the plans and do not adversely affect the support characteristics of the pile foundation system. Soil Compaction — Fill was placed and compacted around the vaults in accordance with the project specifications. Fill materials were approved and compaction monitored for fill materials placed in association with curbs, gutters and utility installations in 72nd Avenue West, as well as selected locations on the site. Compaction was also checked for slab -on -grade and generator pad construction and tests indicated that the project specifications were met. Subsurface Drainage Pipe — Perimeter drainage was installed in accordance with the project plans. Erosion Control -Temporary - TESC was completed in accordance with current Best Management Pracitces.for construction sites. Erosion Control-Pennanent — All permanent erosion 'control measures were it place at the time of the final engineering inspection by the undersigned. Page 2 December 5, 2012 Based on our observations, it is our opinion that the project has been constructed in general accordance with the approved plans, the geotechnical report prepared by our firm dated July 5, 2011 and industry practice for similar work. We appreciate the opportunity to be of service on this project If you have any questions regarding this report or any aspects of the project, please feel free to contact our office. Sincerely, E3RA, Inc. aU4-�'� - -(�e Dean A White, P.E. .Principal -Engineer enol: Daily Field Reports 41-50 1`L -!5--f Z DAILY FIELD REPORT _Tj,PO Box 44840, Tacoma WA 98448 `❑ 9802 29th Ave W #8102, Everett WA 98204 E3RA Phone: (253) 537-9400 FAX: 253-537-9401 Phone: (425) 356-3372 FAX: 425-356-3374 PROJECT NAME ���n !1 ri rn it r- ,�, ,l, :. Edt^noncASr�ai?� PROJECT NO. E I)CA) FIELD REPORT NO. I ADDRESS Z//0 / / GL.(/ �'V ` { / / aDAT/07 ! ' � PAGE OF r CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT E3RA PROJE jMANAGER/ PHONE NUMBER /�e'%yt GENERAL CONTRACTOR Pe E3RA REPRE J\TATIVE/ PHONE NUMBER SUBCONTRACTOR WEATHER .7 TYPE OF WORK PERF RMED (A) 2., ey `i- S-71/�e EQUIPMENT USED COMMENTS / /� / „'� Sc*>ry,-< <• �i ,tidy ���r•� n. � �/� s-�� lea �r�� / k / The contents of this field report were discussed With the contractor's on-site representative. f y��-"•-' A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD -RE RESENTATIVE , E3RA PROJECT MANAGER E3RA, Inc. DAILY FIELD REPORT ,Z�O Box 44840, Tacoma WA 98448 ❑ 9802 29" Ave W #13102, Everett WA 98204 E3RA Phone: (253) 537-9400 FAX: 253-537-9401 Phone: (425) 356-3372 FAX: 425-356-3374 PROJECT NAME lJ // Of&o , e mo (5, PROJECT NO. t:_� I FIELD REPORT NO. ADDRESS'' / 7 //7d t -7�[a 4vZ. A/6) DATE % Z yn 1/ PAGE / OF CITY OR COUNTY �--/ PERMIT NO. ARRI AL TIMI' 1.61115- DEPARTURE TIME / _V CLIENT E3RA PROJECT/M NAGER/ PHONE NUMBER f��'u�i GENERAL CONTRACTOR �i E3RA REPRESEN ATIVE/ PHONE)) .LV MBER �V e'v� SUBCONTRACTOR WEATHER C' TYPEOFWORK PERFORMED ©SC'l�"UCGI C•1.a1 ._ G�_ 5 ' ' / / C �9S � GL • EQUIPMENT USED ✓ / COMMENTS / Oit_S'• r ic' . c 6S dAr — s 4 el o a ,r o1 .� p 4 J«..; J.0017 . - C 4, 2-0 zz 3/� - / l r^G ✓n o / - 51— /2- The contents of this field report were discussed with the contractors on-site representative. • A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIE7REESENTATIy/ E3RA OJECT M ' GER E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 © 9802 291n Ave W #13102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME �� trrl �, C? r 1,c• pE ��r`c ADDRESS k1 PROJECT NO. i 10 y/1 DATE 1/3/11 FIELD REPORT NO. PAGE � OF CITY OR COUNTY W�2:F PERMIT NO. ARRIVAL TIME DEPARTURE TIME C' CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER GENERAL CONTRACTOR E3RA REPRESENTATIVE/ PHONE NUMBER q c.,E.1, (c. .r W:A -S SUBCONTRACTOR WEATHER TYPE OF WORK PERFORMED 01 se, ­r4 . a. er Cosv ih5lwll�E��E"1. EQUIPMENT USED . COMMENTS �r 4 e {�/d amgi +1.2 (�,–er,.r`e� —Prt �,, C.r- �j���-1�C�5� c cAs.,-, IN -9 4~\C�c1�E1� l`j rh St if40�rSic 11 �O�\�rno. d�1- c��4e� fuS{- r1c}�tS ,. ZU P `F.5 wrei2, coFrplQ+P� �� l�2 04" off- 1 n o, Q�rotl all �� ISS were i r5 Fce 1(ed a5 (]� �' r\�\ oiPV_Ci ("caA-(or.S i1` prow- e F �+IZ wrTS i r'u� i rnl�y D i^ 1 C/�r'� ``Ld� �(j C`E ��•}� o't' ��.C'� 7.S Lv hS CG\(tEE\ �'�•f'. \L� 1^F'r' �.5 1: ``•� 1 Eh-0y('C`• Gcr Y'C''f V'F ��`r r!(('•'�. 6cl-7,, 6.11, 66'7, c,,A (-*Ltq. lVoft: gltt # KS wo.S rrcre�sedt -,-vey,^ c, d1:eyo(-h of -LC) �'G o.cM-reeve vr. F7e olvne+^t r, c h e A o -,p pvv parr' -4-e �' rt^2 � o^ � l`� �.. S � 11 c 2 q N r5 w e rf o. t ex�s+�r� S\ Caye rj\5 The contents of this field report were discussed with the contractor's on-site representative. ® A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE �2 E3R,� OJEC AGER ' E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 R 9802 29" Ave W #8102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372- FAX: 425-356-3374 PROJECT NAME ' pf-e q t r Q v }he neo\ f'� PROJECT NO. f`-_ 1 I u Lv FIELD REPORT NO. '� . ADDRESS Z\ L -(Cl 1 �1ZY Je_ !Ui^/ DATE \ twiI PAGE \ OF \ CITY OR COUNTY CZ J, Y, -,o r.NS vel A PERMIT NO. ARRIVAL TIME -Z : CM DEPARTURE TIME 3 1 coo CLIENT --v,/tp`)f)2or: E3RA PROJECT MANAGER] PHONE NUMBER wVN� ti25—LdZS'?�S `1 GEpIERAL CONTRACTOR \ 2ry\c,r E3RA REPRESENTATIVE] PHONE NUMBER - o7 t h C 0.50 3 i,c, -1 S �6lU SUBCONTRACTOR Y'1 Dawe- WEATHER 4 `o ir— SCS TYPE OF WORK PERFORMED G V9- 1\ o\ ec CIS A- i l -e- 17251&" do EQUIPMENT USED rJCOMMENTS ����A OhS(�� +V Q`p Se O�U.G)2r C�Si- �I-c IY�Sir+.l�A�-toY,I rReRrPY'YY�o.il•�!� 0�� �-c1 �l'ert'hy U�ptru(?+fic*�'E. EY,-%•2�rrer� U,,•o,-.g 0.c1y�-2veJl o�.S I(�et���rnr�S Ft-�c•1 1 ` y •�Cci �i Cv-� on. -611,r\5t,\I -Z C) c��6LY*2%er. At��2Ir Cc,S �'�, ItS f COY*t�I2 � 1rj ( q(o/'10`l l 6Cick] (.51) _70-01 '761 i 611j 6kg� (� �(�r i, l(�I 60 q XCIJ2; i i\ -e:_ Z kwms rr,\�ia.11y .0hly rAra-e1,h crf3U�� whe,-•c 35"'wo,5 Co,\IBJ �ur. Wl�» 35t co.ye wc�v_lr�r��l �i I �.{ �uo,e, d'et-,.vv-�uA Arch \-v Ie we r, , %r2 �d�ri 1� eco we✓ -e p•er J -he j�06 p'la,.5 ,,re era pe r o oh,`ev-Q cA ® The contents of this field report were discussed with the contractor's on-site representative. A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE PROJECT,�ANAGFR E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 © 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX; 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME I(0t`cE Ui��ir5 PROJECT NO. t l\c(-(\ FIELD REPORT NO. 5 ADDRESS -2 ) (-I C% l `1 Z�`0` DATE \ 15/ll PAGE \ OF CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT E3RA PROJECT MAPt GER! PHON NUMBER �ecrw�`� GENERAL CONTRACTOR E3RA REPRESENTATIVE/ PHONE NUMBER 6' SUBCONTRACTOR \cam" N WEATHER ° TYPE OF WORK PERFORMED ' 6bsenre �•� c Car,� EQUIPMENT USED COMMENTS _ thr t�RA Y ��c'Fcer� }iVe- phSC �OUbScrVe• ovyerCc,,\Sjte4o.\)OJ6, 0\r 4-�0VeClty r. wc,5 vch�EJe�• �ppQC'eT�be�en�- o' ��aYhe�er o,Agpr �a tleS� w�al� Z\� hec`ry fntY`P�e}e� ��\1'heerd�y�.l-k�w( ��\e5 roa_p1aWl�' S95f b0g1 6051(o% '6�I�1� �So� (�Llol �y3i 6(�`t/ b3q, SSS, 587 -1(46 b 3�i -(z5 ibO'\ti,oS11�cA ��Z were ex4e,"NeA I c)\e9h l�'P5;r2J.er-he�m�� u. �rA �Z.) 318 'Do'r5 r,\5 5pVc-e-5 U;o,pprVLed kc, \D&,n - �c�r 1u0`� (OS4 ^?\ c,� Ufdu,� r�.e, r,.., 4o.l�+,bn�, c;) -d• wmS 4V P0 -CA rhe-ero-l1 0X f 0were t`rS�o l\� CAS per 2Y, tis alb 5�ecr'�rtaf rrd,�5 / — otoG�C1-neve �.,peroprio.\e ember�me+�F. V3RI� W.;11 ye4v.n- �o SI`c The contents of this field report were discussed with the contractor's on-site representative. ElPR A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE C d NAGER E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 29" Ave W #8102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 426-356-3372 FAX: 425-356-3374 PROJECT NAME Y`� U`liii3 ADDRESS 25L40t l?/�ve Aiw PROJECT NO. 11tto,4t DATE 4m FIELD REPORT NO. �0 PAGE i OF CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT !-W OS E3RA PROJECT MANAGER/ PHONE IJUMBER ear uh"fe �1Z5-ill$-7Z5w GENERAL CONTRACTOR 'Pe,,r,un E3RA REPRESENTATIVE/ PHONE NUMBER �ac_ht_t�gar� J6a•-f�8�1�5�td SUBCONTRACTOR VALoj�wCtk WEATHER dW.S-IAmC fsp,,-r5 Lido TYPE OF WORK PERFORMED Observe A-dec cx s+ Pi Lr sFall�.i ��� EQUIPMENT USED COMMENTS t RE(>YE'SPf\ii +1`v2 or- Ie +o 0h5c rve Ck .,Ze-r l,,c les ro r"e�� er\F wc�5 ach 'even' r { 1l herr con. (e f-� �auefl tS6h5r�� �o rnS�lfl 2d� �;aw�4F cu.9ereas�¢e wi !` 9 /� bi _ �I }►•.e erdaF�l,e�y Pt' IC5 cb►ra1e •led'• (,6 `1 630,1(8 / 151; 750 lye/ 586, 631, Gob, 6-llz. 62g 61 638, Eby, 1�?, (3� �2 6 •. �/ole5 - PI�25 5S6 fa3f were ex4•orrAd it-aep+h bh $1 }oochr'sv'2 6C5�roA er•hL'4mend- t.•rir,A �Z� — 5 ocS 5(?li ce5 0,5 x.1212toved lbj n ear\ W 1-11 If *t lei b$ was�w<k� 9 r ,l4 Ver I\. 1�,,5 vr,5 0\,c 'b yT•oyen.enF o�U qef �wtir� dr�1\�� Reo tw�i�red� �ecY� w�� t l whd r� uV� ar ccrS� l i r r5 `�� S 4 rv� F+s •tel eKcsikeer ti-ecyg^er6k-4 J_�� �O ean5e 01hoA `�orjY' US,-% ��or,�Mel�1l`�7ned1 c�liCe Zh (�er�er01 'f pelt eile5 Wale err54,-ited o�5P•er 01 -It— o\rs� S�Gxi �ca ��or Sr oAVl&� CchiEu�✓1 ���rio,+e eMbec?t^en�• �`t� iCrro,lly f PCL ok _. CUVNVeJS1�Y�cte_I- 1Dcrri-t�_- �1_ 7e� d r Po.+Pr` eie,041.0` o� 3t(¢ C-At•�f'u\ 40-jus54ed ir�S�e.��•IQr c5i4•c.� `nyrlol�ip 91A. R2..n 'j r spec.Aero C-nA A e.5i,A 01 4� (>rob . a.awh ib 16'94k) �e i t`,� °�f?r5e ccY�.i irrn.) �y Ovf ogir�dh 46k Flus AYt&, i 5 Very �or col'trIe t'- , . © The contents of this field report were discussed with the contractor's on-site representative. F] A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE / E3RA OJEC AN E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 © 9802 29" Ave W ##B102, Everett WA 98204 Phone: 253-537-9400 FAX: 253-537-9401 Phone: 4 25-356-3372 FAX: 425-356-3374 PROJECT NAME PROJECT NO. k- j kc, FIELD REPORT NO. ', ADDRESS Z ► 40 z"� /v U% DATE/I ,ISI It PAGE l OF CITY OR COUNTY CC L rl`Yrv"'rd-� PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT - E3RA PROJECT MANAGER/ PHONE NUMBER GENERAL CONTRACTOR Pe rUr E3RA REPRESENTATIVE/ PHONE NUMBER -2C Lk (uyc.n 76u--6SS1-S531� "SUBCONTRACTOR �CbGtu,Pq1 WEATHER " TYPE OF WORK PERFORMED ^r GFSETue gr (c,54+p'le 1Y`s�rn 1� '•r EQUIPMENT USED COMMENTS SRA IZ2pfe_5P,1,47,VQ_- oh 54-e- 4v ebS�-Y'ue oL ge,-crns :�cr Ireri Iyro�vt� p h^�P�rr.en� wc�5 arhl PVe� 1M C kre-lr�.Ib.IrF_ 4eI?r lei a.1' 4A 1t) I;el Efe colyyei-e-� 10-1 er�ka:. -o\f co01 5,,, � ice' r a\\ fel, N-,5 I,M4_rn119_ o,c \IEves` —PPr&P-I'aJ-e elr keAIrer) f�3�A t,iil� le�vm+o s/ -e x/10/iI The contents of this field report were discussed with the contractor's on-site representative. n t� A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE R9 F♦?OJECT MANAGER 4 C E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-"3374 PROJECT NAME ctrl\ R PROJECT NO. G I I Vf ) FIELD REPORT NO. ADDRESS Zl -L DATE 111 It PAGE \ OF I CITY OR COUNTY =pI�Y+ O rJ�S CLIENT WOS PERMIT NO. ARRIVAL TIME DEPARTURE TIME E3RA PROJECT MANAGER/ PHONE NUMBER -Z�c� �nojah 36a -b$5-5410 GENERAL CONTRACTOR t t`t`U7� E3RA REPRESENTATIVE/ PHONE NUMBER ' )ecf-h Why 2 `-t2 S �[Zg'iL Sr1 SUBCONTRACTOR IM ,.1-e.11 WEATHER TYPE OF WORK PERFORMED EQUIP NT USED COMMENTS A R� prese� �«-live c,y� Si 4 e AD cbb cy-v-c 0,1-Aer C`94I- 12 / 1-2 j y.S+o, l la4l ah, n �v v er i ;6 4 V-*- roper p x- f-ok rent -worms e„c h I'eve d� T Pi les Cgmp)e_-ex _ Tr r�er�rc 1i n.\l ��� uFrE I1►^5+c, Heck a -c. Der ��o.r�g a�►-,d� SY��cc-tttAi t�r5 0,,/-cK 0,,0( r -t> -p ► o,iQ e�, -bO, r, e h Wrf Lkrr +0 5,'te jIZ ® The contents of this field report were discussed with the contractor's on-site representative. ' ® A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE 3R ROJPVr MANAG 1�c E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 © 9802 29`h Ave W #13102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425,356-3372 FAX: 425-356-3374 PROJECT NAME c%vrorcJ�S �U PROJECT NO. �-_ I\Cfrlt' FIELD REPORT NO. °I ADDRESS `tat `7 /V 4) DATE i111Z PAGE OF j CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT r --U! 0 5 E3RA PROJECT MANAGER/ PHONE NUMBER Year W �.� �e LA2 S -L-7 --I 2 S 9 GENERAL.CONTRACTOR r(e'nhtsh E3RA REPRESENTATIVE/ PHONE NUMBER �achl� aye 36u-�$a-Sglo SUBCONTRACTOR C'Dow ckl WEATHER TYPE OF WORK PERFORMED EQUIPMENT USED COMMENTS 'Ret2rP5er\+tA1v-P IS bv, gl'{_e Jo Gh5Prve a,,,,ger Ccxsi I21.1a5 ,'V�Saulluf/'un1 o.hCn "(a ��ri�y ��� �Ybn2Y• i°L,�h-Prah�ev.-�yx�5 UCI�1ili2ot - 4�fbeweli 15 NY S1�Q �G rY`$�C\II O IwC� Pr iGS� (>1 �Ps� CErh-P Q (\hCG Q Y-Ck a O -L, . . p0e5 cv1-nPke.leA �3(cll1SQ�7 Sq', -1 Got/ 6oZ/ (,Z3 6Z -Z/ ?53 11r ojPr�yal I 0\0 of\F.5 WPt,2 1'r�51n ll2ct �S122Y /plc ns arrA Sp4,6-t,'cu•4 1'61,5 L,,tl rrP �2 Y0.0t-1 G.l to t'r,f n`C i1t PVPdI,. L -3n FXJ The contents of this field report were discussed with the contractor's on-site representative. ❑F(A'PR A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE JECT 1P N E3RA, Inc. DAILY FIELD REPORT E3RA ❑ PO Box 44840, Tacoma WA 98448 Phone: (253) 537-9400 FAX: 253-537-9401 9802 291h Ave W #B102, Everett WA 98204 Phone: (425) 356-3372 FAX: 425-35673374 PROJECT NAME d� j 1r\trlj PROJECT NO. 1;�1\0,1\ FIELD REPORT NO. I U ADDRESS -2,k4ol-t1Vc"Ave'U DATE N!vz-Ikl PAGE \ OF CITY OR COUNTY �Yra�J� 5 PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER opo r. GENERAL CONTRACTOR perY�oY� E3RA REPRESENTATIVE/ PHONE NUMBER _I a�.<i� toc;far\ 3ba-�tsR-su\o . SUBCONTRACTOR WEATHER TYPE OF WORK PERFORMED 0�%Yve- A`^ of (-5A �i�e Tri}c.l\ai iuh EQUIPMENT USED COMMENTS ,�31ZJk V�t�reSa�.},ni-ivy O\^ S�ie .I.c G'175crve, cn•..ye�-chsfYr,�l•e i't�Sf�•llwi-I'oh c\:vXA 1-0 *1--`^,._-A4- Y�y "'i7er .Q rrbeol Y„en't" was a k- evert. %�GV�v✓ell iSul^S�ie EG IhSi°\i1 Gv9ev cagrin11c5 I tUN^Vje�I '\.1 -iYo\ P.0'es rvnl�tel P�;. (p�1U �' `I 15, T2�/ 121'1 666�16ia /-tfi-/'l-3o/-7(,S,Joe\1 7Z�1�`lIC /`111 J, -I IC\. i, -dere �1 cel\ �i1ej wPv.e C,%f)ef {7I�,�Stnvtil 5�ietl`Ir2wdl�r\5l w�}h �nwpr\a4e �n.5e�or- er, . t7eir� c_- \tevp A S% was C.- t i 14w 4 �k 666 wo.ovZ V.JgS '(•f'1�.�Y('.�� �' Z.S h-ta�`y.'t^ �1'1<- In�US S•I�11 0^14c1I1Pti� 'Q•} cul^ fPu'eyQy\ i>r/ j�Ulr '(?�i�Vc/.i �t�I�S . -Toy- C VV Vw+•cJl" r i i- W,/, C.j ("f1^\rCh\ Uf 51'1'0 w� e\ o.c 1v.s1•et\ \'�t�-F I�t1�Ni1�s UCtOt"C1lY�yl`�1' I-1 �-C`j (� 1 s `� `lot a,4iar w,eyc , },, 1 .re,� spilt 1'rSl�Ilgdi r �u o C{U\ hUFiv�j �U o li�i i�✓Q Cv!lec\ ��c•t" Qr-�ec\„^Pr�4•. i71ICS t>fEr < hnlotrl r�rrn v f FY I.t.I o.rJ`. Wile I'f )n If i h� r ' The contents of this field report were.discussed with the contractor's on-site representative. A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELP REPRESENTATIVE i E3 P •JECT NAG E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 0 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: (253) 537-9400 FAX: 253-537-9401 Phone: (425) 356-3372 FAX: 425-356-3374 PROJECT NAME �d\murc� U10 _ PROJECT NO. CII.Gu1 FIELD REPORT NO. ADDRESS 7-t` ut I Z"\ ve W DATE 110112 PAGE t OF CITY OR COUNTY C PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT E3RA PROJECT MANAGER) PHONE NUMBER GENERAL CONTRACTOR �er�r� E3RA REPRESENTATIVE/ PHONE NUMBER �ac,11 l.o�,aY.. 3bU-cn4�°I'S�dty. SUBCONTRACTOR WEATHER G 3& TYPE OF WORK PERFORMED 0 h5eyw•e A el, C�.S � i 1e Zr,sl ail Fil6 � EQUIPMENT USED COMMENTS ir\sk) ),4h, r\ py\V\ wus �r h,'e✓? I(NA � �uvJe.11 1'S o\--, sire �a .iy�s °�1� o.v.�e1r C,•cA.64— ��S 1 coI-Y.p ai-)'r� � 0 b`� 91,11P-5 ump)"11 1 I01/ 1 "lZ?t `1,23/ by3 io/-11-') ::'2:;«r;;;. 1~r• �er,Era1 w ere i r.s�hlteA , G `> t�e.t' yJiwht �hG\ ShQc{ %i tcci lchy , ^:i:-.�,i•7 � m�>rc��rI,�et r;, Qch,eved 0 The contents of this field report were discussed With the contractor's on-site representative. QE3RA A preliminary copy of this Feld report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE r- BOJ CT NAGE E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 ® 9802 29`h Ave W #13102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME Ej�,r,or,A5 Mae' PROJECT NO. L 1\() FIELD REPORT NO. 12 ADDRESS 21 LA c) 1 7-Z 1i�e Wes{ DATE \ I z 3 111 PAGE \ OF 1 CITY OR COUNTY ��mer.dS PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT ���I�'i5 E3RA PROJECT MANAGER/ PHONE NUMBER Ipec�11 W1�,,•+C �1?5-c118-1ZSGI GENERAL CONTRACTOR I7e.hlwi'\ E3RA REPRESENTATIVE/ PHONE NUMBER �G.C.h Cc•,�o�l� 310 -(fl84 �S S'(O SUBCONTRACTOR V-NCV)oWe0 WEATHER U C_lev t't ' S TYPE OF WORK PERFORMED EQUIPMENT USED COMMENTS C3�.� E17f'fSE'1�ih\eve. or OVb vv.,e C)r;1\�`r� E r ar>2a15 CG i E\Fv��o� c.rec ; we,g{- Cera-+'�1 o•�-y �•�-•e wild. �1�2 v.tes�'arr�rrr�5+ ci�� 7\^s 1-c,\e �S � �e oi•r�IIP� �ry ao\epi-ice C3� 3Z� beluk, Cn.S (�. 4� i i S ,bgrnr) e `1�ve}, C,.rd. be V r�e ernctiyE. �c�r aZ c�iah eiPr She e 5 �Ac,wr ��e \e,�i'`� crF\`rs �`ESI� �1.`�� P�c�SS S�c•Ce y p�r✓1,r�lhtl \72�weE1-\ cd,s�'�CI 6"Y4\ 1-01� i5 ►o\,eb�.cti=�1\a�l �.SI', �oec,�I����I \M C- QDa ,--\1 b,1.r�Uiw� J- -�x'rs� hole I�tC�dlorr. e.(� S1a��ed�-�C•�111'rc� C, 3�`'Ir�� 1 . y�\cl�uwel► erccw,+erc\ 1a�'gE Chut�h5y o!ncxrlti ebri� �,,�rll^ir fi1�e �vst 1i1` o rTrill,�rc' aver f -v 3�t� -%O C1`5,�� nr9nr,'<S C�OY� CC)y-,PV'01�.�5e t�PiY u17i11I 4V S2A CC7S1`r� �rOpP,^I.�. 1'`C bwFl�CohFiF4C� y.C)�Y'o, 310 .i �r�i! •1-1,e rSSed ?oho cr{' C,ro.t-I'c,, fd 3cl" W\CnoW-e Il b� uc.t- �o cAr� I\ c1�.eF�Pt- \j,r�fo hole �jP(J�r ��.IiliZire\ Ci��e1t�1'>,c, `,�nC{ZP4- fe1.�aVQ Cne(�tr�vle.IiYr� {h\Ilrf��� l,t^�1� re I- v. c ``OY-i1"'1•e ll-vVJ 'tiOtv-p_ of + �cxJSer S(rr�• 1-i.e.. �.r�1�•e�\ {-iy-vv.c11� weYe 5\clwt� cc.trirt� Ir �rc•rr•I1-•c S,'e\•ew,�l� of `goY�eS GF ovei — vo I'L 4 lro. I ttAc 7vw•z 11 WcJv \� C. P I +- f lho 1-E rny_o\ y -,-iv l�� ir,r�rrvc.r „yl'Fl. j 1-�' eq`^`I(�trenl 4o ./Jo`1 eY' rart'jl 1-�- 4.v �e • rTM yt) �D�} h o� hole -,,y- } he .c'i�u� t,, -5 Zo`, The contents of this field report were discussed with the contractor's on-site representative. ` A preliminary copy of this field report was left on site. All recommendations contained herein aresubject to change pending review by the E3RA project manager. E3ELQREPRESENTATI VE PROJECT Ma ASE FF �/ [1/ r tN E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 f 9802 29" Ave W'#B102, Everett WA. 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME - PROJECT NO. FIELD REPORT NO. ADDRESS�� _ 2\ q u '[ Avg Ul DATE \ I 'NI i i PAGE \ OF -1 CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER lvhlie �t5 4l$`�fZ55 GENERAL CONTRACTOR er\ E3RA REPRESENTATIVE/ PHONE NUMBER L � h Co,)a\t, 3 6u t7c?9 SUBCONTRACTOR �(WOwt.A\ WEATHER 1(�Cnl� t" (up TYPE OF WORK PERFORMED EQUIPMENT USED ' COMMENTS E3 1z IlHo,resVr\k-04 vQ- ,yL Si � e A -u u bgerv,e o,CY2- sho\�=15 lc`cu.}Ccs I- elEriD.IUrpi1 rnre�; w2SA7C-er+rV0 OF Sire. C lbo we It S �U1� wur� ON-\ 1^e 5 flGOY c\1 , rxc 5 �`O. i UC i I c� �h�i r 1_ocAri 1 W {�\ C.. 3Q` �11r\re\f.I` h• f' �5 W I�h ,I�e �rvI0u5 to.114ro\r�ari'c Ghv.ckZ we\r2 ercoukn ewech a\+ c,v--M Oo rr p�hS� jju� Y\ OF bars- ntcj—t � ��c��I-he �`ve.rlual Se�rl r-� rn;1'r-') -la ha C0lr- ror/\AP-cl So 1�ey Coh}ir�ve�1 40 below sl,bgro,J.e Veyp-Ir loose O�IPihh�eO.�vra�\Ec\ fir �\ W0 5�1iSi CanCou l iereo� cClkr`4`� Zk WqS o.i-�`�1,5e0,, + '`Mr i3DIue.11 S-FC�rj-•C'A'USi,,b �1`2 WOL{-er hAod, O'\rl,ill,v, 4 1�M1 �-ecl�ri qv,� � ��2`� �r� i•et/� '}�Q. � 0�'e- W �� 1\ Wv�'F'21� iC•PC� W 1 i'i� gl�vr•e in o�.c tt � . CuYn�avhcA d�e5' �I�ecA. -4•u ir[rpo-SC' ire Ui 5CGSi� yv�� I he W(;,A-err T1.Q d.eSr'1'eCk P%FecAr '� �Y 9 n�S }i\�tEt2^eJ` tJ.1tl�}-CY �V GD,�,M �W�ng1, '�G`22• �0 5-i D.dIiI�LQ- �{`�' gif�Qw0.11 groi revere cau�rEj• W1 et � 'y ��1\eDl 1�2 ?mole w��h wo ier- V'Nctbw-ell 0\.(so sw14,6Kedk, 4c3 c� rltr�l\iY`t� ba.�it2-}- �}-�'(� � V`•ei'+^t)`R. a�•ceSS Se�l'lr"ret- wh;l�e c�rll�t'ry . AA e.� x,Acpvuwe.\l reQ\cae-srec� &,PIP4 rJF d\iil\I'ro1,'`� 3?th2low SuUgrwdle 1•e \.r-ei a i is y 5wi� ched 1-0 C, CNV 1 � 1`0I b v.c 2 \aj �b a e F �U q �' r� p itl +(e r­c,vCck loos,- S1?di`11�Eni 7Kuti� {i•S i�l> ()rce 1GOSt 5u�lYhe1\F �e�F\S we�� IOrc�gl,} cl.Uwn1 t0 •j'1•.a yr$It�r• tTi l•e eI�P_ya}Ibn1• 4nk`1 0. -CVeu/ �1,e�e ret �,•1 e ot- c,^21�Dg11 Flan GT y en-WINi wl 52Qt1 r�^l5 i h'\ �F`2 �c) ie- 14 . �i�o h bec�tlrc etriCj\.ey`1- + cJ\,05pii-e vrofier }�eDrl� �r�'liih� .5or�e sac+io,� of }he slime wv\tI w�S cy�� M G�v�C �U rayl, �eposl'Fl�r ��+e S/ o rcl\ (�o55�bly �e rheyDl'oks were er-ec.ie� I`ve - •V -e pIroceSS aF Vy\Gpawell o 1'er1P �'eA Cieo rl'�^y 0v.1- 1 !•.e ba0C., n. of The contents of this field report were discussed with the contractor's on-site representative. ©�E A preliminary copy of this field report was left on site: All recommendations contained herein are.subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE 1R ROJY,MAN2R j E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 EZ 9802 291h Ave W #B102, Everett WA 98204 Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME &\,("-Y)Sr6)� PROJECT NO. EItaL.(( FIELD REPORT NO. I ADDRESS -1) 12.0 A V e U-) DATE + /LSI/IZ PAGE OF Z CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT - f-�,vi�5 E3RA PROJECT MANAGER/ PHONE NUMBER �e�►-t�h,'�-e L(25-YT9--7zs GENERAL CONTRACTOR Pei -\--or E3RA REPRESENTATIVE/ PHONE NUMBER t -t 1\ (�5t-LIQ SUBCONTRACTOR c�uw�lt 'WEATHER r lQ`� TYPE OF WORKPERFORMED G j�Se _\i r u�1Z g1 �5 EQUIPMENT USED COMMENTS -n ern5urirot o��(�Q5t'}�'tsh >rQkeS• Zi $e r cstr� ty�iT�r�d o� Jera �Pu1.fr a15 �`c�� c� e1�n5�♦ t h fa}es vfPr� •1-oi S\Ou.,i`�l Ora\ {+i^cwl 1-1�P ] 01•e (`s4oc, U��9j uhiC �-o -,-eA- cas Cr- cry .�,e5;t-2 � a e p f h ., r / 0 X1.2 ri le �� t^�sr 1 1l i r.e� w r' fh Secl r'irer � • fi F �,w,5 &p�ErMjrC�' {-�.� �i-e �1e ..J;11 �Z ];) I ) e ,v S�'r� C b I` i �.-e•p,avr'rry excessy,�'ce� orJ� Se�it���r�( 0.rd� Ct'll�ptq or'1 possible va�d`_S �r,QlA�-eC1\ 2 v. }\..w dna,) c,vre11 wi 11 o N ey�_P+ aa. dr�'I) vV- i ),P_ CACtZ o-5o,,,Nt pity S}o.b�`li'L� S�`���✓c� 11 2hotn.w t� �Ut�cc`s'ry �o V) © The contents of this field report were discussed with the contractor's on-site representative. �•--� A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3Ry.fiIELD REPRESENTATIVE NEVA P ECT M AO E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 0 9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 -Phone: 425-356-3312 FAX: 425-356-3374 PROJECT NAME J--0\Y'NOY`� t ►3 PROJECT NO. EI lcv`\1 FIELD REPORT NO. } `f ADDRESS � Ave.q i t, -IO I 1 L^\l`l DATE Z.�� r� PAGE OF Z CITY OR COUNTY tack 5 PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT �__WDS E3RA PROJECT MANAGER/ PHONE NUMBER' Qe,l— k&A,iAe y2.5 -c17$--125`1 GENERAL' CONTRACTOR V_r UY, E3RA REPRESENTATIVE/ PHONE NUMBER 4-c^,,!, loci c., r. 60-b99581(D SUBCONTRACTOR VJ\�_DoLis'l� WEATHER L b\(A51 �t3d TYPE OF WORK PERFORMED ObSecV,P_ b.T,ir e err �?2S%�i i EQUIPMENT USED COMMENTS i3Q� 12PDiPStl�ic^ii'�!0 5i'.+2 12 0�S nfe Col^�i,1U.2ri d•Yi?It r`5 rCif J- I?-%- P_112ktk•t0+' 5-E- r eV -\+N,?,.\ C3 A +he eve �� ��C`E ,�>yQ�s�uS � �� �r; Iii ✓�y � ear �erh Vb\_1z +JJuS C'� 1 \Z G, 4-c,+— A, }, -l� Y,c�le, a�i0) V1, O d�ht�.�Q• lhcl �l i ���� T i we•a ` C-cl- CAI_C3aiOlc\5 u.e ��`r�+.\,•rr� �h� 4Y'0v_ #i ��-Q CU1� wi+lam eir 3l��iaYY,�}�r 2Z cc,Sr'r2 hi}• Qrcf 't\.e_ cd�il`(�� �i Lvc� ; ot\rI t��� �F E,�� Qr-v,A 1 f C, \ \^ � c- c.e , U`� C Ooyi E t N C,, 5 cc's` i �' -C ck <i' l � i r'r� h k&c t'?_ e 4-c lre n -o VL' vY`rrA+e Y-1 ern l Y-dty. Oje M\4\ �,y,-21\b' o- mc, Y,, C�Y`CE• ?f_r� �FYIC4� \n/fn`� I%G�Mo(if'r��1(brl� r�YDr— 2 �(? �P1��r e'1 c,,c, 1�Y,y��►� ���d {�2 1J2 ) W1k� ��/`� Icae �`e1�, ti4- 4t, SeCurz A -he S,rTt�ru\I p4h-e WFve -f•t/F ;-t,-e -�v 5+-er,-\. -pYauv), cc c,,1YNy) y,/'as Sei- t'r� Oc.C'e , Wlcnowail Coh4-\'y\\,, Q4> -6 drill . 4cgY }\-2 rXepf)_ 0f ".Vc; 1•e ayrl, trgtrove Godll Irer+-wf a ri l \t'lr� h v.,--iee S cQr+-l'n+,.ecl1 % v, r �;) U`4 ooW-elYv-t cA i-ke t't- EI'r0 bvc)2e+Ft/.l o I' 9tArok M w I'I:� i•- loo r- p 1�2 rcj\Q UCa�j coh� Yym1"Serol i 4�-e"� S fcw der% . wowielr }�ed.d� c�Y-+'? ('tij i�"�5 Ccih�-I.1'�ue� 5 �tnll r'i-i � �•� %�n_c.oI'd Pr\ i- ' l V aeS5 `� In QThe contents of this field report were discussed with the contractor's on-site representative. ® A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. 61, E3RA FIELD REPRESENTATIVE ! E3R ^'Rb TfvrA E /' E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 29" Ave W #8102, Everett WA 98204 Phone: 253-537-9400 Phone: 425-356-3372 E3RA FAX: 253-537-9401 FAX: 425-356-3374 -err A.- , FIELD REPORT NO. irA PROJECT NAME Yro rjI^�Q PROJECT NO. I (\ U q I ADDRESS q `Z 11-lU I I � h"'Aue- W DATE ( 1Zt. t/ l2 PAGE Z OF 2 CITY OR COUNTY _ GAY7,0 PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT j--wpS E3RA PROJECT MANAGER/ PHONE NUMBER �eo�r Wh13-e —y7 V-72 s� GENERAL CONTRACTOR nyv h E3RA REPRESENTATIVE/ PHONE NUMBER �h C��.�, 3 6 a `6 �► S S cCc,V@ SUBCONTRACTOR 1Mc'(b ur e I WEATHER G� S i v YPE OF WORK PERFORMED TYPE V 5,Q i-Ve \Y I II ` -�'' G`.0 }L.. Cj EQUIPMENT USED COMMENTS }-�i.� a� 1c�r9e SPc Il�r�v� Thr iroke cellaP5&d1 C_T(-car4c.{2r'/^� �Pu�iro, {^der �x�yc\^ �P1i%iteo.lidr\ �� LvGS nhecI'd PCA 4�a1- �I,e h� p r )1 I/, i ► l P� w i -I I C jp i� , o� ✓�o� a• �4 yr �4 eo1 r, i' h .r 5� c ��711l� Jai i e ;,,leu l� �y iprc� �h �•� }� ko le G()F- v r�.g n�(G,cev� �5i �, d. 12LA.r f, C- vac% G 30� IGr�i .2 I��ro rv.4fler I AcDc nrei\ <3�c r+-p-�, a rc..U.4-- a + � �•e� air o'� Y1^ay -L r.` F h e t e wn. y 5 luy,••; l y 1� c• 4-0 10 c, -` e v -r e S I -e r -I-. f�c, I e 4-v o 4 z Iy�o•�i�c7 of C 'co. /`1^q + l\ 4+\,Q V-9-LAre r0— (o.rr� f t LA y� 1 CAc'P w2 r,e Vy r.o LA� I �� �t' (t2eA The contents of this field report were discussed with the contractors on-site representative. ❑E3RA A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE PROJECT MANAGER E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 E].9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME CJ vr�r\�5 IMo ADDRESS -11�-l6k _W PROJECT NO. E (tall l DATE FIELD REPORT NO. 2 PAGE OF CITY OR COUNTY PERMIT NO. ARRNAL TIME DEPARTURE TIME . CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER pEwr• Nzs-L(�r GENERAL CONTRACTOR - P e 11\1110 r\ E3RA REPRESENTATIVE/ PHONE NUMBER � w - (,W-1- S f, 1,0 SUBCONTRACTOR WEATHER TYPE OF WORK PERFORMED �bgErvr✓ T)rilli for r!rh Sh4T't EQUIPMENT USED COMMENTS _3"RR ?epreSet,f i4'\1e Us 5 ii2° i -o ob;erye co•v\J-i„u clrr(lin�j ��r'�Jo�c� ihaf�S tet+ C(evutoY P + CGr.ea.9 \_.ores+ cevx-1 ro,l J—.14 ­e C VtIL1rD I( l�ii (I 5'1G✓a �rJel n i�,i �� i he eaSlernr�asl ;c�clt s�af(I�o ri��i r nl h ¢r\Str;ry iY\+e-iY-iof-+( ,e (MGIC''. l 'b �iHlf,4 gl'1.c9Sa ` rr )•„�1111E O\'rl(�tr.9. Yh&�j Y�0.�QL.[$�.%iaW\Gi-g r, t -t. lor� CASiI^oj 6;+ W(�,Ch .T{�Cy L�rt`I scsf�r, 12\cALC to Sec'-krP �^e %p 5eC+• 7/` Qr 1-1-•e hof¢,a.3b a _,mer.., 'ZZ lord cc,-,; 41 ey 4-v Sec,_ ¢-1,e b,i oh\ \,ibl he r}\,-i"t- rw l IK acyy^ C. n c.ertc r_� S — JS5;10Ie 10 cnS c.,c (Ir�I leI- V 1r 0o Welt rJitir�yyw; -k L(Ql, cAtl 5o i , �Y14(l ��c` o_v�o\� c(e __r, ('r, c, Uk 4" sL,j05rcwle leveo J k,2 j. Swdcko� do •{'(tee ug �•uS/ny o�t-d- d\r,` l�e,� ctl0 VY, `Fo `Vckr tl .es-1 ra-1 rievr.6le Ae(p i h j A, -d` s Q, } r: �(<.ce . 0m,7 -C L{�'`. - cctn'Si�rj wu5 �P,+ l/1r�uwall Ipoch ill�d cnrocrrdU�i4 �v11{h 54crfzpr).eck slam( 1rrovYovQA it- "C�d4•r W`oy(,.r� !�v„i^irq Cu r\� i •\urs �fi(ti �Y1. 1P�•c�Juw2.\i -1 �^�"!� Swl'1'/.�i\2./� f� �, 3�`\ v.,�ger I - 1 \,\U Ve WlS A-h-eLv-e- v-\ . �.•r�\\i1^c�, r� cil,•\- '\�ai'clvgl-.. LIK r-r�\Ss �� T/ 11\Y'� E�.a=�` C Ic�y,l'r y Aa.olP-Po C)4-- 1S` beln\� Sv�3�ov1\e 1/�c�varelV S\a`�ed\ car�viry 36,, Auwy, i�,p �, le . T\1i5 wo,5 <I + 41 1))iry srTrer �•vwr �1,e I�Gt�A �.�I''!�\ -(, e/ X01` a�e�P,- ��.or, �,,,;�}ciiVal �rnerL �o �•i�t? L)bl\ (CA .11rcl Gv�r�Cl1/vr'rt) /'•-es.'�LL' Vt I Co - ,I -e,5 w R ve Q,}�c\e h� C)\` b.e c o S % r115 S oG heti % /' 4 wr�5 51-1'1\ �-e -(-rievo.bl,e. �„� j e "' h ei in S ek-t 11 Y,IG.ce E3RAFIELD REPRESENTATIVE ® The contents of this field report were discussed with the contractor's on-site representative. © A preliminary copy of this field report was left on site. All recommendations contained J;jA GER . herein are subject to change pending review by the E3RA project manager. E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 ® 9802 29" Ave W #B102, Everett WA 98204 . E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME 15c'tYrnYdtS ma b PROJECT NO. �I�v�I� FIELD REPORT NO. Zi ADDRESS -z l old , � 2 � fi. V� W DATE l /3 D >• t Z PAG OF CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT C) E3RA PROJECT MANAGERI PHONE NUMBER Q w h, 4 e Q2 5-9-7 I� W 0 eo-r, GENERAL CONTRACTOR E3� R�R� NTAT�CPHONE NUC � � CC 3 7S 1 e r1 vv r, SUBCONTRACTOR V -.\C r)C>tt.rell WEATHER O O,CaS���O"I^ Cls TYPE OF WORK PERFORMED J h5Vry-e ( tri l li EQUIPMENT USED COMMENTS c�ept\I r� ry bo ICeye Ami - he - k,,J ,\rK b e c b 12 �c, oc h i'e v- r)^ -e 5, re o\ Aeri 1- h -,(o,, ('45 ens- I v -e %h e b �k-UIt etTp i edt C -,N w6nv3 5 e ��v�S Co's i C�� t,J U\ ` qo 1e►� lU ir�eec v reCA 1 �c1 YeY` \�' �`r,Ie ti�or,'� 6eet1 �Yi;1ed�� �c\zp�?��i-�3` a.rdk'l/t'1c%oujP_ .J } %r/-Ok 'I'0 cl C .ho LL! ,•eo\\evels �u -5 4fA6i F.e 6\tiern t-eck ��5� �k v.SI` �ri IIIA l�,�cn o 1 1-o (-errrv.e .excess from hale . A Vier lQve.15 Caere A,bPP+•r)/ •bt/.t %avi't�j also be�a�le P�vl' �,� irorT^!he_ bo-Nor1ys df -4>f hale . 2er� ' t' -��� 1•..er ���w+^ •)�� %� lie 1 rnv>� �'l-.f'•S ��tm2 tv.Ev'•� `jv�C�eSSTV.I 3b�t c0, C, V/G5 S P 1 l V, plc SCLU.r't Yc� t1�i're I�Y`g�h JVS ial�y l�� �1^C� C•y� �I n2n O� �2crelr'I�c� -s 0, S Co 5 t' rrc) w a.5 s e A- , VAc. Y-'� o,--je 11 V�-) l e C-1--\ vl e&�, 0 t k"• T' yl ,mac) rV\-crc)\ s�Ard }I.e pm,cPIS S,-cr2 i Vlov lal 5,'h1?_ . PI C6 /, 1 i- 41^-c it dlr,'(1 d.Vb\ CO -{-e-7 , r, A0 k -J \T_ F.�-A d��L 1�^S+rne f.i5 wove r CkOto -�o✓ (uCo ���c�V� Gtr ./Jlumr�ess. o^rr� f1 -pr, �4-n� herlAr bActt ill w;Iho)Pr��ial dree S'1oi� v1os 3���r�IZeo'�f CU5i2w015 5ltrwly f-errmoyP��bc.th�'i'111'r� CA,VQ.;,A dCir*fr`1 ),)I 9m1Y'>z (rUc P9S 4,Or j 1- e L� SSt e�-S' rv) iy ri i I �p t t' Si^o^i 1 �uGS Sa�-Itr��u�c e o�Y�` �v.11 ba�ct2�i`Ile \• E3RA FIELD REPRESENTATIVE ® The contents of this field report were discussed with the contractor's on-site representative. A preliminary copy of this field report was.left on site. All recommendations contained E3 J M/jN ER herein are subject to change pending review by the E3RA project manager. E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJF�T NAME PROJECT NO. FIELD REPORT NO. ADDRESS -21%-01 -7 h� A,,,21l/ DATPAGE l 3� jl� 3 OF CITY OR COUNTY r Yro rdl PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT Fv�PS. E3RA PROJECT MANAGER/ PHONE NUMBER GENERAL CONTRACTOR Pe>,rc,r� E3RA REPRESENTATIVE/ PHONE NUMBER c 0, 1—, 36 r!-6 mot -S d t d SUBCONTRACTOR V\C bowel l WEATHER 6cc 5+/A LAi'I, TYPE OF WORK PERFORMED �ril�iry EQUIPMENT USED COMMENTS �i r�,l �r'c-rs.S,.,rc�r�en+5 g1�c�.✓ems` �lv,�.,�'r.1.os� �,-�d� lvca � �'o+. -F� b>° h/tel �U�cy.11 5�uu�r� 5�i1) IJe o.b),2 4--c, �i�.{- 0rayocrly. yfn�.l�1 f�Icrn�e �1 0�I- ,try c'yer_.exc�ya ��, �eD vh'5 e4kt&Ah \/0i ao C d0' \/0i Cyor�� lar ur rerk L-)4'n�) oo�o.`� S tri N r,.c) o` 1'32 A • The contents of this field report were discussed with the contractor's on-site representative. ❑F �C. A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE E3RAJY MANAGE . E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-940.1 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME E mu -f ?. 00 PROJECT NO. FIELD REPORT NO. 2a ADDRESS .�_kqU\ DATE 1 3 i Z PAGE OF. Z CITY OR COUNTY ` .. PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT - vV E3RA PROJECT MANAGER/ PHONE NUMBER peC�v� wiin4ie- LA*2S-(-IZY'-1ZSv, GENERAL CONTRACTOR 'Pewc�r�`n E3RA REPRESENTATIVE/ PHONE NUMBER 77 Lc,gc. •r, 3 &n -bit SUBCONTRACTOR WEATHER. TYPE OF WORK PERFORMED EQUIPMENT USED COMMENTS L3R ',,e —PeCiLVkk��ye C)r,5 •}0 C'))D5f!Iyz ccv��rrv`e�t f�, gir�u.'t�i5 1dLrn�Eli +NQS-CeY�-jvb-1 G�-5i�� �CYJ0We. \` w;\k i -ow or ��' �\\� � �� w t-et-�c� yrn 7E- � cx.� SY�c��-3- uS+`� '� h� 5�r� ��s Ya•,U\�. �s •1-�z `i �A /`c� err,y,,,D., t'►1rf.1-' �v.\�.>� h C .S� h� l e r�9 h aF 4�� F� le draw ;� a 5--CL,,re idewct.�l � air-d�.5 c Y�Yr •cl�� r-�.�rai-h r I l i o, G(eckr," G v j L� Uslo,,, 5,&btlraclz Te -Uel Ltr+' O,e- C.'n ^V-5 e � V 0 -re. • g,,ro\ �.A j kcp w . Cke p `Ii o y,A 12 e,.-hN �e\�.�`ve.lyyv.�ti�e- (�Le •iy �-h�•S{ :U"lc�o•.�,eI1 �wi�-chi\ i -O. �-1^e C�c3�` cas,my (� L9G�e h>J k -e- t- h �`r cie1C, V �l rrF v-nc;h i c Vi, (9 C W y-1Z�. VA, be, w et( 134c,,_ eco. { l� e voce ��5� � 0,3� o��-��r t � (� SS r'�.e j 6'• Cc�51`r�� �` F F\.� J\,e p1 -ti\ cf •i -4-,e_ e r 0,5 i r`!� b t i cy A -\Y- CX► 6 v_ r- '}t3 Ci.ec�.r d N�' � S Nonc`ra^enT �? t^�� Setvrc� C' a.Si 1� c �5 Se-(- r`v.p lae� 1 iMe YJe, w•e f t i,,c�•er* C),,7 byes` i� Y2 mire y-em0.�hi r� 5eclt�"meat totr\� �t rew Y,y i. -t -i-•. 1.Qv-� �-h v� Fa 1•e � �c �.r� �.,•�� s-��� ire a lMc �aLv�. i \ wc� 5 ldy�'t� �.ch s��,��•1.� 51-b.-��- we,5 The contents of -this field report were discussed with the contractors on-site representative. • © A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the BRA project manager. E3RA FIELD REPRESENTATIVE ' FE3rRql�T MANA � E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: 25,3-537-9400 FAX: 253-537-9401 Phon e: 425-356-3372 FAX: 425-356-3374 PROJECT NAME - oar w^�`j 1 u�o'l3 PROJECT NO., 91 IJ -4 FIELD REPORT NO. 2 9 ADDRESSDATE Z1`tC \ 7zAve Vv t 05) h2 PAGE ' Z OF Z CITY OR COUNTY •� c1�'r'/'e v� 5 PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT C) WP ' E3RA PROJECT MANAGER/ PHONE NUMBER 04o,,r, \L)K1 - _ -l'z5 GENERAL CONTRACTOR .� k_)_Y"GY� E3RA REPRESENTATIVE/ PHONE NUMBER SUBCONTRACTOR VA (. �Y�- W WEATHER TYPE OF WORK PERFORMED C -,,�,5Y-\,,,,-ck c,ri l t`rq .''r Jr,,4_ L S ,tri 5 EQUIPMENT USED COMMENTS �+rWea'er% t'�•►rra1.� Fw(� u��I'r�, +heLaclrr`1t, 1c:c e�'t i lac z Mg 1'M WeAg'Qc; beer SJt^li � 0% LnpM-errro5'1-CcLS,It, 3 . �`:�,LFt.•�r`1( o`rvw-e� �G.c1`. ��.-�+- 'ern � `�1-• •e v- t-av�( •ei► �1 r�l� rerccza-er �trt'�vrrn ►° -y b,t� -e cl, a f'—w--k t` g -aV 1- o aF Re" grrALre( v�rc�.�, �tctcec� Wt�naW�it Jecdo�r: h� 1r-.err,c,vc-J c 1 y,rar trcSi-��,.5,t}� • Level b,� bc,.c�rr`t1 wc�s FLep[ E7.{,e lig lerl� 1 4-c ire-veI-i-nr� I�ossl`hte �c�v.l`ro, �ro>.� s jlciw ce vy.p t o_ -eck !.te t m 2 p j� c 55 w'VC_5U en 20, -V eck r H e- rearcy-e A ci.roA Ytrly f�}^y� ���a? �.r,dt 4,Al(l, j�u.citf/`(l¢c4 • -SRA �e�re5er��ca t1,R b�)1`eve5 �l.e r�t^t11,'ro, Y o.i^c� se_Ror•(i T\,, ro d\ewro.ckoL4)61) �C) b g trip 5 0 The contents of this field report were discussed with the contractor's on-site representative. ®E3 A preliminary copy of this field report was left'on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE PR ECT MANAGE E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 ® 9802 29`h Ave W #8102, Everett WA 98204 E3RA Phone: (253) 537-9400 FAX: 253-537-9401 Phone: (425) 356-3372 FAX: 425-356-3374 PROJECT NAME - ., w�r�LS IMC9N7 PROJECT NO. L [1Vtlt FIELD REPORT NO. � G' ADDRESS 21,01 -72""\ A ve NF DATE 2 z(tZ_ PAGE 1 OF'3 CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT vW t) C) E3RA PROJECT MANAGER/ PHONE NUMBER tnMt}e x(2.5-V7g-?289 GENERAL CONTRACTOR E3RA REPRESENTATIVE/ PHONE NUMBER C"Ach (O� c w 3�c�_(�4{01-S�tPo SUBCONTRACTOR VAf,0QVJett WEATHER P4— j A L4 Lt °. TYPE OF WORK PERFORMED EQUIPMENT USED COMMENTS F 3kA 5t e_ -4-0 �L's` r^ rr. i h tnita.cQ ��er�S i` �2Sir 5 a P� �,e,��i•lUt� VC\v.1�- t7r�L-t•��`11 � 1✓v`s"t'r'1 C•�xCOa/`�i-t`(a�l� �Gy- 'VC��Ii �`c�CatrCtt� 1 �n� p+�y^I'Yr.e•�p;- \JJ S 01tzr-e,cCy\W�vd 4-yymUlmr o.Cc�S5 `t(�I-\/C��n(� Gyt,SiY f-tClf� 11-\E' 1S c\+'\ `5 d peE\ crew.y-rClvY�r1\ ��r lrna (fi'Y .cJ�ycry tF1 \1�/1�t�� j 5 v�4�if @iw.on �cc tz-� %teA o n �-hz h r�vi•� 42 (ace v\ OLS 1`S 4v -,e '2XCt7�tJca;;Pc}� O`-t•F fti� vr;',G1F f.�Iv.tPr.1¢t1'G1� v� �[`y\e Sai^�-^r` wl:.i-t1 \,r�'1'�riYSrt1'• ��`%ec'76.5 -clM b3?i^t/eo1 ytictiS �� ?�t Re�U�5 .1, nLv.c e rti�F\� o.v.ck CCn1hPC-\r�161,\ CieP"S { C` Ve i K1J Vy\C y\ i IYtylm VeC 10 �,re Py\ee,74a� �\ so�1 ic,\�-�n c c a ry t� W121.5 1 �a re w e v e L31 5�� �c.•Ce. �-1•c�c ii p i l -e S G� h-•a-�- e rl �� *� S 2� ��" ban ft cr' I l �. circ 5 W Q� vn�.t� o,� �}h�r o9�Jre�fil� SAFyc�,v�,^l� 1 o r� 4i�e lug 'p"`i'\lr•r1 Pto,,cer..eI_+ df-hr�ef)_V' , 0,\O •• ,e .7 51`t�L� cif- +L.rPyzC _\,``v Cyr�eld -Fjw& .$4CdL pi`( -e VX -VS •4 -C -V' c0ry 4v ueh�ev� tr,r'>„'r��n_'re��u�rev�Nr�S Catr\r.-C-CAlb hv P e yle'r) -kzGi I},Q t W`Lk er o �1or_r-\rev\,I- 0-1PeA t`t e5,ck1,42V-Z ea 7Ypc\cf-IOt\ 0r'15 NC— S-Ic'cFLPi (e paw •}G,e b eccAt'1-e over —S�� v vet t-�x� m! !P'et_r-vK o.PP1-r7Gc1,•eCk +h ,z 1a a 5e CF ' 4-c gjC+c FZ pi (e c+�f d` Y e P (e COt;^m8-rz� eta 1.2 v\5 Py� c\r o rh e r bc.e Ft 11 wee • All j (^Scar 'tC1!ay Mer l% rY1tnr- V eel L&ItrerY Q0,\AS Q'� �js !o Cd y\,�o�c'fIG1� ' � 1� Q7�✓'- 4W o pr,,5,� tr . 4 r r [kC5 ck.f f - 4 The contents of this field report were discussed with the contractor's on-site representative. ❑ A preliminary copy of this field report was left on site. All recommendations contained / herein are subject to change pending review by the E3RA project manager. G E3RAfJE�REPRESENTATIVE Cf` E3OJECT ER . E3RA, Inc. �r ti M ' M CD L CO U) C r— LL M N ci f` LO M N M v tD M cc w i7 0 v C). N M o C 'WW Nal O°' > rn Q N o E N to 0 ww'atc°- co c-, ci M = z N 1- CL a, M 0. ,< a 0 Q Lf) a. > +1 o Cl) D w ti' to w C7 O CL a 4 U U O u a U to Q Q z n d Q � mom U Z— <.: �= r � ' cry N NNS � a El na. F•� .:<•` w� H r 7OF(a �z I✓ p 6 0 Oz� 0ow.� w ( 0 0 � _ W w- Q. r �Q oaf WOQQ�F- ow ..�. goo - w ,n �' �t:�.U�O2��a: rte; r _ _ f" c_ w ❑o © ❑ t` O n g w LU �° o 0 0 �ag CL 0 �^ CO 5 <;. w ga$ w a ,fir 133 LL LL LL $ �a a a a <<\�6u .J• 3 �h w < 0 z 0 6 S at s U UO LU CO) S c7 Q J '� ✓ d ww <i F N d ;1 Q w n OLil Z LU W P YLL w Lu r < ¢ i `� w >. C- O gar 0 M Q "'w NZ a —Z a O \M F- Q Zi a�: w� �• F- N ILJ> co 0 0 3'f w Z CJ rn 7 �` r v r Q z f3� w IL a LUZ LUW M r M M (O N M N T � O T r— LL M L N M r LO M M N v 1 K . M CO 0 ZS to N ti M N N W m C3 > 0) W Q 00 rn X cif N M O 00 a W a co f� Qu��ct a -CL ILC� zCL I- u. i `• H a w U') O a O' Q a �R + , cc tO Cn 0 0 w CO) c tUu ti' CV W u d U tan Q Q EL v+ N N r Qrl �to= O . .�� -IN l% N a Q El NS w d Oo -P S+ a U o Cl) - /A ¢N �w ozo 00C� w }0- 0 <o � ~ T p rn Q Z D � y Z N ) 9 7 @`3=N<QO%LWLQ � w r' N ^� cw, mQ ? j ,r `'��ul W w�OU ..,. W-� a a:F-QUQ�cn�� U` W cm LLJ,:,> 0:wdz Z, tC W rj) a � a wa -C a � c J O p i . ' < !gE W M LL U- LL 853 y :W m s#... d d '0- S2 a �:•,. W. LL � s i. o 614- is t U a Q oi,ix w t� J v u W G' W a.w 6A-0 W •3 Z � W w v -6 14k ci u. LL rh ry W h \Y.� Q Z _/ L p M z !- W z .h, Q Q _ b ap 5 W 0 ` W Z r N r 5 s z .� J H `T 9 c, c t w a ,, U r DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 0 9802 29th Ave W #B102, Everett WA 98204 Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME PROJECT NO. FIELD REPORT NO. ADDRESS DATE PAGE CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT t--U1� E3RA PROJECT MANAGER/ PHONE NUMBER '��- why 1-•e.. �ZS ��i7 � =i ZSR GENERAL CONTRACTOR E3RA REPRESENTATIVE/ PHONE NUMBER SUBCONTRACTOR - WEATHER TYPE OF WORK PERFORMED L�3 8a�n•�; �� . EQUIPMENT USED COMMENTS e A -o ()�, 'r%,. placo. a\erS'4y %2s1 S 6t-\ )0-,c il� p11,L bQ_\A oeZ Ccti4r—h10o,-s 0, Sil-e. m P5C'n6yto 1r��ea- d.�✓ ec��,� eves o r� west c'��e er�l�v, rL>+N ICA -,6?, �.F �yc,.iY-o ye piPe'5 w)t.;ch c0'r1,ec.\- �`ec��- }h2 \004ko,n. PA' A.V C,3 Vk1 ',\.)Ck5 Ck.lSo 5 e- 4- v-,,Qc)q- e'5 'Do°.nuc:r--� i w 14h pS12•e e7K%k�y'%) �1vv.l•- �ei'rr� c.e:r.r,et+e_J\ yyA'+I, ,C_bi (ai�e5eYz $'� �i�Vv.�r o•�rt% w�r� bec�cAeo�w/ �Qr�gi?nyc.\ , - 73u-�4z�� 1-V�k t,.h /` I ,C_ 1,4 r'1- c 4, v, C 11 s bCr_1i�l t,letk h h �et.��c�►� - kj\,�Zk WONCj (J��'1'Q 1( _tn4Q.Yl'J�t •t_� �ci-/- y� Pig c�tir-era . Vrl�.�evl`a.� wc,.� �-,eck i y-. II Us 0- o.y,JA, o b Se- ry42 dl cc eyr.e r, E r V�c� �y r�Y��.c.l-��r, U� �c�•{-erl c,.1 t c.v�c� 'f� e{�YmQc4 ��a� st'i•� .. �-e.5f-5 'i-c� ���� Err�yggy.c'r.ef,,eY, CLyrcc_ Ocr�— were Y��e /� jl ��,r-�,,\ ,��5•FS v,,�}- ,Te�j.rzrzr,-er�-� c�r�- GtSczo �G��c.�l-c'or-. 2C�erCX•er51)r-) F, y, `A © The contents of this field report were discussed with the contractor's on-site representative. © A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FL RESENTATIVE E3/RA•PROJ�E 'MANAGER V T E3RA, Inc. ti r> ' co N r x rn W n LL M N N M � v I— m x � Li CL � o W " o N m .. 'oLo4 Z�2Elago W >°'M L N y OE W N 0 b ` CDJ :<i,l a LL 4 O 1I Sl � a = z w O LL O a o IL -, a LO w fCJ +� o 6 p `'>i W' a U v Q rn N H w w 00 - IL u. IL tD L J L a g U LLI z� �0 T :rn 001 An a ^1 LLI O o U F-. •- �I�, aJv trW ZQ �QN W a. p pp — ` —W Qa0 � v ! z r �^'�N(9�doQ-a (v � s j DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 Fq 9802 29" Ave W #13102, Everett WA 98204 Phone: (253) 537-9400 FAX: 253-537-9401 Phone: (425) 356-3372 FAX: 425-356-3374 PROJECT NAME F,�, mord 5 Oc, e PROJECT NO. l= j 1 o 91 FIELD REPORT NO. 31 ADDRESS Zlu0{ lro\ Ave Clvl DATE -z(7112 PAGE ` OF Z CITY OR COUIJTY d.trrve'>rA- 5 PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT -PI-1--i" r'WIDS E3RA PROJECT MANAGER! PHONE NUMBER 1 P_c.F�whr1C r j�5-`(Z i'z 5�f GENERAL CONTRACTOR I� er-r�a v', E3RA REPRESENTATIVE! PHONE NUMBER ;7_� yh C�,y c 3 (Po • bcs y - S Q b SUBCONTRACTOR WEATHER CtP�.F- Lis; TYPE OF WORK PERFORMED .b._Als,,. �T�s�s EQUIPMENT USED , COMMENTS F32A YLep` ��-h'v2 �r 5r }.e =Eo v�.tal� �,4 �►�� S Ana Gt i1„9 5;4e, 5 r v�C� (�,.5-f' S! �' e Vi•�j+ � j Ci ~� i (i.� ��'�a"yerr'tl e� �vf'� r k"L':•f-+carte y h � f w �.v+� rz��r`vu9e t` e's -/CA-j � C rc\ C t3 � 1 ) ` � r`v � �•��_c t� c�hecw� � iD� ee�c�e� ,amut`th bcsc h ilk fij ��v erre C�1 �V cq,'Y.zFye Per--- �`he "ve-3lcatr�'1 c>t��rmr'rttstj�'t� v.i Cid ii 1 r qy At F-YaeSwzr+� csrt Fe+-►, r'rn�l '`�-` a tFi�v.�i >�c.Ear��( tc+lv�c�x� c�5 �jcic��r`fi iyr�g rjcayt`e ccs 12 (CA cFr� crprer l� S r WI�f� ti o.j�et^ical bet`P`� Wi �� m( �naQ1�( 'l j�e-P (jar}v!'Fy.�c� rCarh�ctiC i (� tt .t 1! 2�k�.�hreh�S ?oi- CO ryM�c�C`l tpv�. IZ� E't Ta f G�ef�S'�`) ,rG>�jt: 7 p 4- hc'S cl, A—E! . ® The contents of this field report were discussed with the contractor's on-site representative. A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE E3 'P JEC�tAhTAGER E3RA. Inc. M ' M c0 L M N r ti LL. M N N � N � M �(D x M LL O o W � N � �o`nv Z ao 01 0 0 cR 0 v Q nom J N xo E W N N In 0 EL ww'at`°- >. .. c Q Q � Q ♦ J O an �v w z< . Q _ zU- CL 0 a d Q to a O �. wIrl N LIJ Lu < U a. H Q w u. 5 J z O a f i Q to 2 x in U S C, U w LLJ k A.:� oIIIQ w N �W f- 0Z0 O0`.' _ w a 0 00 �wIX (LW LU N _ (9 Q ° � wp�0�W > F-OU °�Hu�wwFw co A`r�`• J w u `:In000m w _ a ❑ o.z m x O a '° a 2fz CO Cl) CO Of w a. `4 0aag �:£2 0 0 0-0- i ? w s V W Q w $ rc vt LL LL L U - ! a a a s LA W�- �P �7d LL 5 O n p' l O C Q Q L z CO `� y w � LY. LLQ �T w � w :. w LLLL w \w z Z Q > N ?ti` Z"C I-- w ` : d 0 .. wz r Qz J w DAILY FIELD REPORT J2150 Box 44840, Tacoma WA 98448 :-n 9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME - PROJECT NO. FIELD REPORT NO. . Z ADDRESS I Z � qo 1 z �= �� ' // 1 i d'' DATE x —7 PAGE OF CIN OR COUNTY[ j PERMIT NO. ARRIVAL TIME . .75;": / 5- . DEPARTURE TIME c�9� ; qS CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER uji, L IC GENERAL CONTRACTOR PlIn/L.a MAR PRESENTATIVE/ PHONE NUMBER At el SUBCONTRACTOR WEATHER TYPE OF WORT( PERF RMED /f 0 Jz -ell 11 EQUIPMENT USED COMMENTS / , -0 C'rtz�l �irartS 7- 1. / J Li tl ✓�:�ka 1(' d� .�i'li L'�7Z'�1/ T 3 G1. 1 /� / -/rLt $' soa...Cf 1,;J rA 741-..G..t? 1,,, �A �7i1 /Y-� LST i •! 1 I 6`ei �7'5' �'� pv r^ !dl -� � 64 G� G�'.��ra.S'� � ='��s•�.5'/ L fi cL� t/e-� •�� 11.Ivici 1 A4 // DL ` 4, 6 ! s' i , r e- G 5 %' n� / t11"14 e�� �� 14, r -D �7 t' G -•w l S.e'_�"L-/(/G�f p 11 T11 ✓''r7ytT �.a':.r� '� TI /' _ /f//O�•�G12 //'1 yp ' 145 e:pv, 97 V.4 d101P }j � The contents of this field report were discussed with the contractor's on-site representative. A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. EaLDESENTATIVE E3RA PROJECT MANAGER E3RA, Inc. Nt r M M L M N P Q cu M ti co M � co X M Id- M - tL o� Q. CV o W �S rn N r- 0 N (C:41 V / u co Q1 W > Q' rn Q ® Q Q 0 Q'N XO m [u— C'4 LL 0,waF-- ,_: CL LL y.Y I- d F- LL`n CL. M Q) O MC l) o O LO cl LL IL �4•:.Y •(. J Z .::.;.; .CY LO _ z r :cw' of 2 El �:. O Fw ' rz ^� N U �`N -�.? 1- cnO� oVN p z p M w �,� O ti {( N.p p 0 F- O� ww . (9 <00 0 wwQOv �Jc!) gQ' -2 Q i- J •. J. e •yl U Q U m KII W " E i F— Cl) F- CA F- U)s -; a 2` a z O 0 9F lit WW fits IL z Hu m LL LL LL Y E o a } LL 0 NZ IL < L t t: w IL w w LL. w LL CO '<ej Z cx ¢ ;s;. p O W LLJ--3h3h O> >, z 2z a ..s J :.:$ iw ss:::: m w ,� CL DAILY FIELD REPORT XPO Box 44840, Tacoma WA 98448 ❑ 9802 29`h Ave W #B102, Everett WA 98204 E3RA Phone: (253) 537-9400 FAX: 253-537-9401 Phone: (425)356=3372 FAX: 425-356-3374 PROJECT NAME _ V C �°r ins. �„ , :�S' ✓�7 �� J7/0 PROJECT NO. y J FIELD REPORT NO. 3 ADDRESS Z 0 ?' Z �`� LS- DATE 7'Z 17.. PAGE I OF CITY OR COUNTY �` c�i?�.c� ia. c,11' L� PERMIT NO. ApRRRIVAL TIME LJ ..Lf Ga DEPARTURE TIME q , 'p1� CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER h, GENERAL CONTRACTOR E3RA REP ESENTATIVE/ ONE NUMBER ��V� SUBCONTRACTOR I•J C :l 0 i i�Lxlt WEATHER/ j (...•` d vc. TYPE OF WORK PERFORMED // //``'' :5'�' Gi r. i"T-+�E'.lJ�- 5 `� �j r`. - ..��. •/Z D EQUIPMENT USED // COMMENTS M e e ^fc�J s' l -'lac +-Q cLa_ LaC /` Iii A f' 6. } as ey F C L !0A r 5" (� 1 r' U � / /! ✓LJ .� C) �ga.ji � � cls CZ L �..� IJI /.� % %/ /'iti S /ri.e 'lam Df�Y► GcC 5'j4eL' 2c/! . Gti� L/s<.' t jeg•a%? Ll� ,r d ti ✓' I L l.� �aTL� IL A0 i.J--C-✓•� (� /� � -�• G L' E �n � /g iJYLT/ �`Tl� �l% 4 Jr v'/�c J�2'�•�2'?"�.. l� '� /L t� l'l "]'L / •(h '� Y'�'L ["L /J�C� J Gf a 'C"11 lei- do Q,� �S` It �u c/ ✓I — �-'E C �-&A' P 1I i4 e 9 tJ /` G'+P 477- ^U"'.:��—I iv?, I / D n !GI 2 / GLS ifs iIDS f e Uti i �L /t iLr In r U �•- ❑ The contents of this field report were discussed with -the contractor's on-site representative. A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA,rIELD EPRESENTATIVE E3RA PROJECT MANAGER E3RA, Inc. DAILY FIELD REPORT .Q' PO Box 44840, Tacoma WA 98448 ❑ 9802 29" Ave W #13102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253.-537-9401 Phone: 425-356-M72 FAX: 425-356-3374 PROJECT NAME y•� PROJECT NO. FIELD REPORTNO. 31 ADDRESS CSS DATE 3' (� IL PAGE f % OF G. CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME .CLIENT E3RA PROJECT MANAGERi PHONE NUMBER GENERAL CONTRACTOR E3RA REP ESENTATIVEi PH(WE NUMBER` 10--k Pt a 11 SUBCONTRACTO WEATHER s G� � 7"e) TYPE OF WORK PERFORMED v/✓Sc/ v� .� Id. -- d n — °'. .�' s'tal�� G -1,44- G e>7ne('i' i d'rr EQUIPMENT USED COMMENTS 014 • ..•>•/.iC— i•�1�,� C�`•'� 46-1 / I t •—r - h 17.1in "t 4" `7.L Sisy Z I-Ves C. n.yi2till'F 6-74 DO 1A 0e! J l' f G W �/�sl�ital �G'L r46 %'Alf, X-1 G�-L rpJ .-� • f✓o�J //l i'�t%i•� Ci''�i-x !i/.� I/ 0 A / n *f/{•i4' ! TO GL_. �12oC L%� '�'/Lt�-G'.I+LS � �'/ /,5' / !a� a;L .tl % /1� GLL � . 1Y['�•�9rJ�•/r-l.t� 'lam C` // �"i 6�b i G1 �GCa'�/�.f• ,s4�c�r� �(�d//Gi�(, S` -✓ .S'!r4' .ci •� r SCLC. �cA 49 '.e. — — 'LJ•L+t UGC c L< - f� %// ;e eT, G't�ys Lt/G � ,�/t/�' �'L�' fes. / IU/,c LCJ� tK �IGG� J'Ac'/.n .e E3RA F IDR RESENTATIVE _Tfie contents of this field report were discussed with the contractors on-site representative. ter......—_.. _ A preliminary copy of this field report was left on site. All recommendations contained E3RA OJ'iM1hANAGER herein are subject to change pending review by the E3RA project manager. r - E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 ❑ 9802 291h Ave W #B102, Everett WA 98204 E3RA. Phone: 253-537-9400 FAX: 25 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME n fY/ PROJEONO. r D5q FIELD REPORT NO. 3 ADDRESS DATE .,j--/ PAGE 7 OFZ CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER GENERAL CONTRACTOR E3RA REPRESENTATIVE/ PHONE NUMBER SUBCONTRACTOR WEATHER TYPE OF WORK PERFORMED EQUIPMENT USED COMMENTS / / •t 4, -v'i mai^iv� /Acs, b �4 '� %� .S. f o �-i�dyi"l✓ti.S 11 d ✓1 CLt� t G�Lsir, ,/P + )Oe.is _ilr -Gl.I C I GNU/` dlS!_�7JS S/siP1s 4 .L1 (l/ 4��lf�/j 5 ' 1 r 41 C ic 40 e7 e CA?L� l76S' 411Y // ,.O___The contents of this field report were discussed with the contractor's on-site representative. �A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA,F(EL EPRESENTATIVE E3RA PROJECT M1INAGER.N E3RA, Inc. DAILY FIELD REPORT OPO Box 44840, Tacoma. WA 98448 ❑ 9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME / PROJECT NO. FIELD REPORT NO. ADDRESS DATE PAGfE. OF CITY OR COUNTY PERMIT NO. ARRIVAL TIME 1� = c � DEPARTURE TIME � 0! Z) CLIENT �� � ✓ E3RA PROJECT MANAGER/ PHON NUMBER G'�L . La.,J l' GENERAL CONTRACTOR pi 14 /10 V1 E3RA REPRf S NTA IV PHUNE NUMBER SUBCONTRACTOR WEATHER TYPE (p_F�WORK PERFORMED d 1 EQUIPMENT USED / COMMENTS (IDA/ "k. A(.L.C. l�Jltf�-/D�—I-.S-:� ��J` G'f �t° ^ /itf �a.'12�',�,P•.r:.�{�:✓^ UGi'rY/ i, nr)utu4- Lr c.�.i�s l�J4'J^st.rCP e f i �V.i V {�Fi GdL �� i� li.� l: ���t'i['Y ✓L%� 17C3e�✓�'C�. _Q'S'� ,�1' d4 S►'� brag �.,t� l�yr Lti yl cc'L:i fr'�rr�l� / �j�'a� 5r-' .itl�ti't^u.-%r C' d1�.:-(�l /� re -j• . JV 1-/ r cio< <-4<•C� t S ma�c'l% Z, /_ The contents of this field report were discussed With the contractor's on-site representative. / A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPR ENTATIVE E3RA PROJECT MANAGER C f E3RA, Inc. DAILY FIELD REPORT -.E`PO Box 44840, Tacoma WA 98448 ❑ 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME / ,� 41t�� o w•�C t3 _ -- �rLE)+•Z e' %� pr 7`•�,; tole, PROJECT NO. � . i l r% � / FIELD REPORT NO. � � ADDRESS } f DATE PAGE s OF ' CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT ! E3RA 'PROJE T MANAGER/ PHONE /•1. MBER GENERAL CONTRACTOR E3RA REPRIL'$ENTATIVE/ PHONE NUMBE �K� 9, 7 SUBCONTRACTORWEATHER n/ TYPE OF WORK PERFORMED 6)Z.:Fe j -&.e -pt &,f l ,'c EQUIPMENT USED COMMENTS I�„Jh S'i ,%C -�'•�i �' w cu:.'T � (�!� P P -G'H J • /' 6•�`i/'^/' G� �.� t d�'r �+L d�"ia P 't p str/'CyJ! eU Z4 •E'�E i' �i'I rP ly I" ��t••' d 'T- �sLG[.P. 3i -a G/ 1S �,c'i`?'L�•t' cj'� "7�hc. ��.✓ �d/J,�vlr.�tl aT `'[-`/t L�rt Si� / /1/$%L ii [J,ft G t i` .. c l/e/� 1" -"C {�J [ 7 c2 ,ems i 6 / "? 'G' - .S 12 a (f j .r • L•il...Lel �, )L/LS GK'S 7a1 �l✓cu-tTG� S'%h-P �'w If yts. LJl/!S' "9% qtr -y- E .•-L /�.P r / G A% L -L E d t 1 l�Z AYD(4a '� IFtLS V5 ( f+L Z rf l =�✓ r/�" Pr' 1 ! A p J'2.. i r�%.�K�L�L"i GL�c'Gt �'L! l.1 II r , L/Y ••f ?n�a^C _/y Y,a �•�. f ay`/ GT.I:LLS•Q° L S•dy,� A,N% L7 Lr✓` � E7 rF.^t[/'C'a��/GHS` SO /� !~� 1'lGl (T I Fi ✓) i• ! � L.i � 11�G / _ . l( JjJZ, S '/ GZxdtP`4�r�= �_ G'G hn F c C -'4L 1-k �'�c•'( L v z �Jd vr�. ilrl �Th' e contents of this field report were discussed with the contractor's on-site representative. / A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA F EPRESENTATIVE RA PROJECT ANA4,= E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME 1^c�5 �� PROJECT NO. hllc�l FIELD REPORT NO. . ADDRESS 21 yu \ -"lfd A fe_W DATE -71 b 11'L PAGE OF CITY OR COUNTY `�_Y_11 VJN PERMIT NO. ARRIVAL TIME -x:,00 DEPARTURE TIME I -:3o CLIENT 1`1NN`a5 E3RA PROJECT MANAGER/ PHONE NUMBER et,.y. wlni !�- i -(2S -- �tZS 1Z.yt GENERAL CONTRACTOR E3RA REPRESENTATIVE/ PHONE NUMBER SUBCONTRACTOR WEATHER L�e�., '�t'•hSu�S TYPE OF WORK PERFORMED EQUIPMENT USED ' COMMENTS �F ahg���yir--,�se�����b+r5 �� }-t^-z ��Y�e��•� �?. ��- F�•e N� c�•fv�� � � \-�•e Sit-^• 1 �-f c��rern�1v ,tx wt Ii b e- a. �0�12c� "re" OVA cv rY easily �he� i 5 p110�.�� a i be �xui • lr.e ca Al ' Af- Vc\ :,✓i��- i� S1y'P�wl down �S 6 V",it A.� • As i � i5 r,'n. 'I fherrz is C-, -,Y, offe,\ (3�i2Y_tiXCc�vu%z E�� ��� �rCcrcfRte- o�Yc� rZp\oc2 wt't� CVL`Sh�.t. rvct2. Yh��� Fere-tLt'���"4 c� wee ti,e r o via i i we L.1 d - �o Cot,_v.!- X4`•2 �ti),cs el=e. t�clzt�esS i�vJ<:.rd�� �-4.e� r ave-tic.t� e,n��� y�c7r�c ihe�� � �`1 C� �2S� U✓ v��Cj � T (1 G1; i �� � ��1�CQ � E� YI�i\fit � f 1�� G\ E t��•l 0`�G I P2 S t ck SeL4,Y, F CojV— )y1: ecrv.ar0-Fi he fG� �Y�,.� L,\\ c CC'Y`�i� e1-�1/�eY 2 v.1v\.'°) 0115 l ramie\ 1l OVA Q,,rrQ9�S�Ytx�.�t2�itSG_rapt,Y�tti,� vac-c_���-o.�i� ty Cc,•,,,v�1 �-ln-e: Ccr`cv-R.l-z {-1�1c'(�In�55 �y��-��S \-h•21'r- C-yti/�S1'`�cl� v�c:2. . r, CK The contents of this field report were discussed with the contractor's on-site representative. ® A preliminary copy of this field report was left on site. All recommendations contained / herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE PR J AGER E3RA, Inc- DAILY FIELD REPORT �PO Box 44840, Tacoma WA 98448 ❑ 9802 29" Ave W #13102, Everett WA 98204 E3RA. Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME PROJECT NO P / . 4--:* � //0 c FIELD REPORT N0. -3,b ADDRESSDATE 7� -12-16 PAGE I of CIN OR COUNTY t—d� PERMIT NO. ARRIVAL TIME / 3-' 3 DEPARTURE TIME �. a CLIENT •� � / E3RA PROJEC'1;.t;AANAGER/ PHONE NUMBER GENERAL CONTRACTOR E3RA REPRE,% NTATIVE/ PHON NUMBER SUBCONTRACTOR WEATHER % � b TYPE OF WORK PER RMED Zz L����/ y EQUIPMENT USED COMMENTS "j'� / � a D /75 a �� c*, O �Le/`•, � / G'LC' G J ^72•,— 6 i a•.� 'i!/'Ci�2� (il orth i zP"'y1:6 07 �cLGvLox c Yzz..diOc�� / l !/����////�� "t'�d+•(.1.�.yl f�lf.-S' G�C��C l��/// Gat "r // "' _� C%f�UJLZ['!V'' •C� 1}//dL /�2C�7��BL4 /illr S � //�/[�5',�+� li /•G GY 1/S/ili G-- `\''r✓✓14�.411'1P q% Qi/?l l�G�i DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 ❑ 9802 291h Ave W #B102, Everett WA 98204 T1 Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME EfiYY,a +Mori PROJECT NO. t� FIELD REPORT NO. 36L ADDRESS. - uu\ `I2,'`\` DAT -1 1\ PAGE \ OF \ CITY OR COUNTY e rre �rt�s \,trh PERMIT NO. ARRIVAL TIME I(1,00 DEPARTURE TIME I I - 3v CLIENT - E3RA PROJECT MANAGERI PHONE NUMBER GENERAL CONTRACTOR JVL VV E3RA REPRESENTATIVE/ PHONE NUMBER �`_V\ 2 1(17() -iY O�-s�y�� V SUBCONTRACTOR WEA HER G��h tG�J �0�5 TYPE OF WORK PERFFORMED_ .'. A K .,Mi EQUIPMENT USED - ' b Nv\C`t�ecm- c, '-wUNAL rob COMMENTS !_3\ZA P�epreseti�\����'e St` a� trl�°.+^o'"c►.5. vvbV. b,- roh r 0\--\+y, �v ch too c� i t1 Y Sir�'� Sc�wt?� 1 � 5���1t1�•C-iU i + 1 `rye s•;c3�e sere,- 5 s lvcv�••�-o.•1-e�� ti �`�. '��cto �r�//�,,•� .�.1� the +1 , ci the }o.n 1 \,i � fV �yy^r I \, be.),n 0 - � �e `Y_ o F 1 Z VL 1vl - 1r c,,_t Loq (3ijyG •>rh� IOCD..%i`GY, �P �-`re dei.\� Yrovfih� eo.s�-- fi1� i-�erc.S, wriS '�i�' w-;ehe ��A ti �� c�eey^. iks„rw, �rc�U�2 a�e,•� �r�ire�l �-he e�P �c�-FcA ode p {-'h c) 5e uu. e y--tV-C 1�n 1 \j2 `Z' o-bov e .1 6(t -41,0V, A 0- �V YtVN �CrT� i c�yt� V u V4, a)\WyG�ILs i�.q�ce Se.ts,c�r Uv,crt�� -� o e% Poe'? . ��Ce� 11t� h O Y,et e i� Pc' p e_Co.tti,e 4",Zi Se A i. Ujo`'i-•e V- V-,, e g oor, e e t pr' \ Y� �� �^� . �`Te �-cl� �n n-- . � ke. lit; y -i V, -1" S t(�Qvi 1�e�t1ro'.� A-anC r IVR OJ, -k- + +�-e 08�,e�- T rvO 1vQj�` w A wcr•-et, N-1 " " ,n eL,} e'A a f- i's 6r- o_14_%V L �V herr -p o. �h2 Se u✓t?r' Yah . 5�h, (e `v I -U1,1- �lr I�iOVL\�t7r�i CI,VCA'`jS1�5° �lL`Y1 \!tl hire Y,a�r ferA oN� �eeoyY,yi-e,^�1e�. 6,\-=1-rei-c k (aA i 2a.S4- 'h� w i kl- cif �t i)\Q IeUO �f L kw-er 5C _P0, o,S a_ . p Mve y,+4j,ve g -n eo s care J -a 1`y_1 h\'\) 6-,L-- ❑�( The contents of this field report were discussed with the contractor's on-site representative. A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager.' E3RA FIELD REPRESENTATIVE RO :MANA � E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME PROJECT NO. FIELD REPORT NO. ADDRESS -IZ"'`'` Lve51- DATE -1 /rV[I_L PAGE t of 1 CITY OR COUNTY � tl\LJ-- \-Xj W N PERMIT NO. ARRIVAL TIME 7''00 DEPARTURE TIME CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER GENERAL CONTRACTOR en"'th E3RA REPRESENTATIVE/ PHONE NUMBER Co ,,O,?,_ 3 (3,J SUBCONTRACTOR po . WEATHER sat S TYPE OF1 WORK PERFORMED �G I \•2C'� wrT�� Y' ,r l e EQUIPMENT USED COMMENTS ' 32 IQ- QPresGOate tVe wr.5 0-rS� oz's CHAr-r�T&5iv col)'ecV 1mor) I -he - S 4-o, zP_P 0,0.64,-0\ N2 ( +- +-o l j 4A cls V""C"VM}orr�) Gym\y ,F) to Ve-\p. d ---_ •eyyr,`Y e © The contents of this field report were discussed with the contractor's on-site representative. A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. � E3RA F EPRESENTATIVE RA PR ECT M ER // E3RA, Inc. DAILY FIELD REPORT /'PO Box 44840, Tacoma WA 98448 ❑ 9802 29`h Ave W #13102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3874 PROJECT NAME PROJECT NO. FIELD REP --T NO. ADDRESS Z Jq 0 1 A, (,J DATE 7-1:�'- tz PAGE OF CITY OR COUNTY �✓, ✓�C•YYlLc76L�S W' PERMIT NO. ARRIVAL TIME DEPARTURE TIME /6 O CLIENT E3RA PRO. CT MANAGER/ PHONE NUMBER GENERAL CONTRACTOR P, h E3RA REPRESENTATIVE] PHONE NUMBER V!tori "— [, s� .SUBCONTRACTOR bloljl!� WEATHER 0 70 DC�Sr+I�Y�f-1GrORME •�-GS• �Gl > �rYi^�Clil %/c�GFC��J"'r EQUIPMENT USED COMMENTS r l..i l�Yil. llcL.:."�IOdi t�Gi.t al✓aL�! /�./� �� art f� � l� � // 7'`'IZL,O Jf�AO �c�GLc Rc:.s•u 1_1 e .-F .;6 '7`-Xk ' fCt./ Jic ^K r'�•, �'•C �/Oat �S�`� Q'� •'rLl�tf1M� �C trrt J�s� f7�O`v 6".r, 1.J Gt_S GS .6lic.�ise�� riJ7t.�l.Lpc The contents of this field report were discussed with the contractor's on-site representative. p A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. . E3RAF2 EPRESENTATIVE ' 3RA CT MER EPROJEAN . a �, E3RA, Inc. Nt M M (0 M N 0 o v � cu W L M� N Cl) LJO M v co X co M LL tt) O N O 0 N ti 1 M O LO m M -* LO� 2N ',or tv O O Q 2d O �r N O N m O WaF� ;{ a0. w ^:c io O N a a s.: pU cai� a U) J m r` J rn Ind U Z C; t%j\: s:. 7 UY 4 tix. J M H S 7 z� U) '¢ ❑ 1 s>: O) O v p��` yz CS :a ti- :z: o Cn :, mom o()N IL o ..i •: ,. o wo Z O Q, 1 EL C14 d mag N C,p w :..:.....: \i N H Z h : O N d Z p W M d d ww 1. ...::�DU�D0LL 3:0 > g�c1)FEzpW gF- W w 0 U W N F -CA J (� (n IX C/) dUdm ❑N❑ \ yt -7z LLI LLI CL a Erg R o w LLI >,Ww a. z W W < J > z < G > g U U C) r �8LL a ,O,W ; N Ctrs Z a O' ILL �' W LL i s.%i�x d O ?s� F m _ Z U •i:<&sy x X J > p �z �r >fiv` W Z ^` 5v ; kt :3 z w J *:`� . ��• d W DAILY FIELD.REPORT ❑ PO Box 44840, Tacoma WA 98448 ® 9802 29" Ave W #8102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME 1 s N"d� PROJECT NO. Gttoti1 FIELD REPORT NO. BIZ ADDRESS DATE PAGE OF CITY OR COUNTY 1=Ar-oy-,A5WA PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER GENERAL CONTRACTOR Vesr)ra% E3RA REPRESENTATIVE/ PHONE NUMBER ��t"(C,,O \ 3 bo �la$cl -S Sip SUBCONTRACTOR WEATHER� VUA to.�S TYPE OF WORK PERFORMED EQUIPMENT USED P' t •eo:Y' COMMENTS c� t3 -Fo tt- ov,.+tr,e..►ri� b��ti�i'110 Ren ;nibtally cTrv;ve�� ��.- s►`f�� cAt wvQ? � F 4-ec�H , t�dg ar=e � T'� ��- o.c-d� tre •{,�„mecA �� o� � �.�-e r � � `r'�e . Poym-\ 0- ?�CW1z vJcc^5 wo(•rc j yr i'hy'jz�.l l i +^Gj d� 5tvy' w`r' L�Jeg� 5��2 a�� 1�z Si } �� n/�PIT�t�►'� �4 �rj��>, 114,2 \N o -1 Z`^," C-ve h 2vne_ 1 n t' arc r o. Sto\ O hr,v e ti -c> W3 ; va,r,,i. fire y :M; r.,.,- s ►r 1 wlr-er. 'Veli ori ivec� ay. � i •fie , �ar,r�t'e B✓o�iZ v✓�5 S�'i t� �`t'�e.+^^P'►-i'✓�� iv C 13 \rec k,1l kry . 11.•,5 hcJ {-iu tr,r` �. � 1^2 S � `c� e w � (' 1 s'.r� \��. i � � �-4� Aja �� �- cry'}- it•� � r� re � c1\I Tt�► � �� � '10 Se d- �i� . J� �\e G n�p W I 0 V Y 42 � � 5'e�� rrer l �� 1�2. �� eTIg,1�L5irirtrV`}G C6. o0- N5 `fl / "�I^o� � p 2r J- So h-,2 it` e Ck-e)"'"pP lr\,! f 0 �tl YV_ -C(3Y�rec-�- i`� - 'o j`r`C r Yt� u! . i v. P r- fl) Yrr, . (' t^ -� 1-c e — d�e�n�, Ayey_3- bcy �r 0 The contents of this field report were discussed with the contractor's on-site representative. © A preliminary copy of this field report was left on site. All recommendations contained L herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE 3RA P. CT GER E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 �/ 9802 29`h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX:- 253=537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME VO� VA01,5 PROJECT NO. G4�t•0y� FIELD REPORT NO. 3 ADDRESS Z1�Ul Z /�Ve DATE 26�(2- PAGE OF Z CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME 11=NSI q. 3 0 CLIENT �_-w V5 E3RA PROJECT MANAGER/ PHONE NUMBER ' ►f to r V "14e �t 2S -y lg-1 ZSR GENERAL CONTRACTOR 'Peh1 ,ri v.) E3RA REPRESENTATIVE/ PHONE NUMBER tce ar 3l6o-68c1-590 SUBCONTRACTOR ')Ohrt'E�_ vb(7IIZ-5 WEATHER SL.r,n LOW 7c)\ 5 TYPE OF WORK PERFORMED _ EQUIPMENT USED - COMMENTS L2� /� RE�reSEr. kine or S ii -e aa- Cc�'rror,1\5 4o •I- 1p LA (Po Se n �cr�vy�^ir� it �Itue (%�insi�� �es4s or iremh '?e.p t'y�;}io.11go.rvt'vecl ar s ire O A 11 Do a>na bu 00y�n1'e. 8 r�Q� s w'S Y-0$ Yerra��, So e� {- a ►� ye4v trr,ed\ 0", Ck jo;,A-er-h,W,.e. Pgn. 'e, S vmA wu rkz_ � r s o rr. �i `� N W 6 1 \4e 5 t S �i-10, q\, �A- ,l"•Q �or�aF �c�.' A��- Al 0-5 locel.boi,, fi1.e�y XCoa n.�2c� d\uw h , eXFyserl. Y e rrocvee4 �rd� r-e0t, ecK eX t'g�t'+r-y Ca��c h Boo s t`61 w1 4 ` ON. Y lev.P P9- S, Lo(b klbh o.T r*-vj Q� 1S C cSe'r ��-QY, k�e accevkc,61e -volkrcr e- of j2`� �O M , em►04r) press }-o S'eIAI\ q o -F C.C'{3 t N 3�y o�F �?-e e G%-� T --r � � �"i-Q- � AS � i r�� w• �S - e Y. yrs a SecJ� t C -Z) Sol\ I�vD�l Vy�� Fhl'c12 0v -Ce qo\5 lyre wo.S beAckec1 usyN ik-t eCl,- 6�,5,'v.Sei, ��.2 rrV e rc }� �,, �� hc�c �f�' lid �•✓i 1 Y•i t� ('s \3C clrr� Co m (ao�c �ec� .,,r ��► Qegg G b5ery,@cA ,D�cnPem ev�4 o vok Ccs Yr POa C-Wfy. G F- jrrn'i'�v iG 1 � o,rcJ� h� rTo rvr�� �` r, �}�(u�C-� 'Yi1ey�) I'E� — �-e S � S �� Lr� V t l'�� i- h� •1 k 1` 2 ry. I I h, %hn"nrr, f/ e% k t, Y-2Mm P_ V, i•5 _lRb ✓ C d hr tP c -C + 1 'a h we- Y;e Ir e— 9 \t^ v-,4 V111-0 v- t-5 -�c� r C c, t•Y. r.e f -t h k-e SA'S r - QAv c• Y- e xc QEcll eeA +m 1 r ^rte v.� (V� -e Cj F' C\S �o q5 >7 e r A, 1T- M p 1 55? �. 2 �l'� 4-o o� •e I^5 1 r QThe contents of this field report were discussed with the contractor's on-site representative. ® A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE ' E3RA P ECT AGE E3RA, Inc. M ' V) CO N `- v � LL M 11') C', M Cto x v cc9 Wco v� O CL C*4 W `r �rn N M a � O Z �GvC) W j 0)rn ¢ Go N o CO W_ N Nm 0 LL imwaH `. (n J Z LL a rn 0 O a0 ¢ u ) Lij EL rn w ¢ O a T 0 ¢ Q o M Q CL ��� CO N. co z y r: rn ti 0 c<') El vo Nb. s Z o a¢. :: o: n- - -,,Tir w1` � N .� o ...u) U � A•ti "'Z� Uo ��` a �w N 0 SON Ql w d 0 0 0 :to ` WW a R 00 �� :eON¢ZDQw� CZ,) W M ���` 0 -0�l¢--0LL ,iG W m (/)+g-- W Q 0 U w'n •.�a > h4 M: •• w' H LLI c CO N F- (J) J V G L lL W s Mb '3 COQ U ¢ Co Q ®Z • a` f- J©� •�`` w V! vI V! G }S} < Oa ��. •.� W W '\,�'•�•• CA ' A g i C W _z Gi CL 0 Cf) 0 �` 0 o a s w z aow < J (- g �0 )• 13tit ♦7N m LL LL" LL to P of IL CL W ,��> • p r`.a,,.,.a�• LL O > Z rs Z • O y5• O 3 � n~. S +w j V) v 4 Q V n`, W p Z a 3 J c ¢ U G w CO W 0 gat• Z LU W W J ° Ix W U\ W u' LLI .S• ?r�.� 2IL Z at w Z O 9 Q< to Z y Z a o•..>.. << LLI w F- 0 O t z•• W � � Z "t?£ti` . y:. Q Z lLI W IL DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 ® 9802 29" Ave W #6102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME `A OV -A-, PROJECT NO. FIELD REPORT NO. ADDRESS Zl�(ot -12wa Ave DATE '7(7-7 / IZ PAGE � OF Z CITY OR COUNTY PERMIT NO. I ARRIVAL TIME I 11,1S DEPARTURE TIME CLIENT E3RA PROJECT MANAGER/ PHONE NUMBER tuk(,F� u15 -479--TZ30t GENERAL CONTRACTOR T -0N E3RA REPRESENTATIVE/ PHONE NUMBER 'c�.ch Lae3ar) 360--b7cf.-S910 SUBCONTRACTOR ,D0y,nXce_ ?,Cook"G`C�Si WEATHER 7 Owvpls TYPE OF WORK PERFORMED `rr rcS` 13 h.�i 15 . EQUIPMENT USED COMMENTS L3R/� Re(�Yzsev�i�'1`'�e otic sr`h� o 1=chV-L"roks Moo f -.r +V,� 12urPC, S'C vF �e���c.e-vt r,� it-plvte �ers� -}ec1S vh �v�h lOoe'�r'I) �roF- a sf&rtr.ti^�nh �onr,`� 13v�c�iyS r2-eFj�ose�. C13 TV 3 ��" S•i , o -R2. Sw ut �'% S/`•[ e 0,�c r SA-rr,ti e x ca vd.i-eJ\ VY\,vf!Y!) /V��rr-\ CY3I13 j wi}h �� ha,^�, Z�wicA-e �v� 5`ci�een• y l�eq ins�gflecl C1> 1k� lot lZ`� s�vrYY, T"P� 1ev �}.y. 1 6,Z ri'pe wow beJ�o(ec� tv� Cr-wsk �/ ocFL G.v-�+� f 1 re tie 4� wc�s o.c Ft �; I (eol tri hl� 1 1'yC S Y3 C C , r.d1 �e11? CIVv`ivfA d r Si }e (A3 Fhzy weve ' �l�.ci'rw, th el'r 1�S F C i f i'� cr�r`d� 0 h 9ery ea i �� PIo',ct ty�arq O�fi41-�1�<rr,, Wc,. eY TG Tztio r r T11 rr 0 OG FrJ�v.c�l t%1I is oy, -Qtc11 10a\cFz-1 i 1 '42 y'e Y / Ty 44" 6100 Q s`� wrn5 a�ch�evcx�. /fi11 �i r�� fes 45 Vy\e+ ar exceQAek Ur.: Y('eq\.,`rerr�eh4g GF `jSSa its Per- ASTVS (0657 P,4i! © The contents of this field report were discussed with the contractor's on-site representative. ® A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE E3 ROJ MA AGER E3RA, Inc. M ' UA N � � o xv � N O W M N � 0 W 0. � o N p W�- W N O � � U4 00 W > 0) C) Cl N O E LLI NN U .0>Om ILrnWat o N z F- w �� LL a o (L O to L Q W) w LO p p 0) cl 1LLI wCL U' 2 w ^� wIll "� 0 W 0 IL Q d. � NCO ti J Q. El M p CO H U Q Z o �< %A o Q ❑ 0 wLu IL a� ¢r X �wdZp OUN W a o o o w W a M p 3. 7 (9 <. paw azo Wai Z M m _ (9.QOEQ U+•i.. w�crto Zow C w WC Q O � J\i > ��. w C �� co m IR :\w\ w —� ) �QUQ » pp ;. w 111311 1 F- LU = p ar2 . Vi CO co Z w a 0 0 OR 0 � 0� �� irc d°z� .. .. `• j as8fig _ e Wi _$ 4i H $6a LL LL LL E y 0 � a a .aLL t 0 Z Z O O F= £ ¢ > •4 b •L i. J cfN rr .' �' til � W r p v I"� Z 'Q L�b 0 W V\W V w. CLCIP 3?: w, W ul J .. W sw W W t`v• a. s W p —� . a �h�$�h.�� Viz_ `� 0� W Z U. co O ka r W Z DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 29`h Ave W #B102, Everett WA 98204 E3RA Phone: 253-53779400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME .1-• Y"3r& 1N�c��3 PROJECT NO. �lJw Ar FIELD PORT NO. 115 ADDRESS ZI�Iot �Z'�/aVe Nw DATE il(sltZ PAGE \ OF Z CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME w CLIENT w'0 S E3RA PROJECT MANAGER/ PHONE NUMBER 1Q ecAr yr � r�i-Z i12S -y � S Z Z S`� GENERAL CONTRACTOR ��Y�rOr� E3RA REPRESENTATIVE/ PHONE NUMBER 't -o c1\ Lvgo.r� 3 (DO SUBCONTRACTOR WEATHER O`(0,Sk- Cc�w. TYPE OF WORK PERFORMED EQUIPMENT USED COMMENTS o sr` St 1-e o. 4- ffAw-vv-ck- 4, V)l>r-Vei pe4ovi, -v') t`r-ylt-�\2hs�-y-�es�-5 oto- cr.Q1rch b�Gt2. Lr (l �OY S•b� i r5'�.�la.� t�h . `I7yrr,•e 'Qvir�att 1,�.� ed�•�;�.u_ed� L,..t1��Z Cir S•I'o•rw� rv�v, Stn' a'FS+•ie, 4ymv,,� �- N ha"YA 6ry-e- c,�- '(2 v °'` AV 2, \I�sFe •J;, 1 `� iF-S fl�� (3} (L1` ISM, 0iy7e 5t'cFca'�5 �Ckciz. t/'I Ie W I'0_1 1 1�y t` 'C 1CIAC111 ca,-�r'rv`e�• to t'r5}.olka" C'Z �z 1`1` IUye, r't7e •eciIe. e if?_ ,L I lb` N uF (Y3 fF3) t c�. b�t2�r il�'t q ir.v ev. 1v./i 0,\ I \f1_1 I S P3C - `` At pkke_eo1 �-5 ac V lv e12 V rE0'rt'e4 ivl�nI�.ce �r-s+' 1-eci-� b�. �YercK bD,c�zi)'1I 1t<Te , S: e,e �c�v.� o,,yA • cocAcky X11 ktvr�.l i'P-S� ov, y� s�e�1�.y�s vr�k c)Y eiqeeA ecA mi �nt`yr,u`r�, ,r,e�v,,`,rerY,e��S c ()0c re)ynoc, c4 -I bh cN5 Ver A5711A D 1S ll.\614 � C_ 5r�C h kmP� bCXCky �c�,s eri v� o. dpi F{�eTeh h r "�IM�rysv-6 ChpiltiC2'Init- �t�rY,(�05i F1171., '1�-Q(� Iobf-o\' ,et- a�SA%Vr`yP�2 (oma Gf VI,0A1,eYtW, owt \ + s� 4�eS�lES c'��e eVdtrlvc� rII��CJ �i�� Cil 1�C�fy7�`S © The contents of this field report were discussed with the contractor's on-site representative. ©A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE E3 PROJ MANAB E3RA, Inc. r V) eo t0 N v � X C? U- M C14 M M RLO V) w O� o 04 p W' N Cl Z C X0.0 W >a'rn� N CD O N co Fu C'4 0 LL rnwn�.� N a- � z LL W O 0-0 < , Q Ln IL LLJ ?R +� p cA d 0 - 1>< � W o� N F- w OvcoQ Q t�LCL CL CO 467 Z o 6 LF da CSt p o w F- ^' N ri -wcoi U� w —" Nh rj M Do t� T"� Oc p c 0 d c 0111 Fw- ? 2 S r r" C, -V I` ' 016" t�O OUN dzo w ¢ w N �-' — r tY I d L,?� 1:' N N C-4 < I�, a g < 0C-4 z w¢ HZ cf)v Z OLL `P• tW ���HQp W O U �k> J v ZiZ J O 2 to it Q U ¢ m � � H gDEID z U W = <} to fn to z ..., O a w g •.Of coa c� g t. •:. a a 0- w HLL N -N O lJ L �. � / K'+ O� ui ` V w i -tp< r Z Q w W s v,+ C- < w 11vv W W. CL w W t w w' a ' . W m ui u� Q. :# O Q a v¢i ^ 0 z Z <« F- \ W z r< _ � H w U' :. w O F: w ice; a O : << Q W p > ssi �.: Z g z J CL t•, -. s DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448. ® 9802 29`h Ave W #8102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME (16 PROJECT NO. LiiD4 FIELD EPORT NO. H+l(J ADDRESS 2)1401 ?Z°`I A-ve NW DATE 19/I/1 . PAGE t OF CITY OR COUNTY F -A %-CCFl��j PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT Fw05 E3RA PROJECT MANAGER/ PHONE NUMBER 0-edw- Wirfe �1ZS-�r78-7Zs GENERAL CONTRACTOR enrav\ E3RA REPRESENTATIVE/ PHONE NUMBER cAo-- Coygy, 36e -bsei -SR iC) SUBCONTRACTOR WEATHER TYPE OF WORK PERFORMED ���rsr� T� a �'et^c� IxrlrL�r 11 EQUIPMENT USED COMMENTS 3t'�4 Y��hreger i(t�� �r stF� CA i=Ayn9t,ctiS V`ke)a fob -+F W_ 2u,rt_WSe u� yr4e- i-&) -`yet^ec \ Rlac-rel ckkoy,, Butt', IUTiOt^s I'�es It- gt e o� new 1��'�'`CSrB� pb�atrecl. �e.5'Fe,r�Qy• ��E-eta �c�c��Calc�+�a'��``�j .�-esus t2 ztn e5 Fe ,� �i Ic1LC rnatn i ,f j� lrj cco lrS-�� r,�ptxrres ti`i F �-r� f ciS�o c o I,, nacJ16r) W 0\$ "(\C, -k- v cWeyec\ ' P ew i v.to rmeCk OJy?i C V - whc r�� ad�-� 4 iat^wi �Eer ...k, 'b�c� fir'(( � � dc�a ,..,t eg-�vdGq � a`v�►� vre ec�t��,ac �l U 4i 1 a jtAW\Y)frc) l OLC: . 4y'ev\c-h h✓�f2RM S ouij_', of Ch -442 • A1\ -�ivIIA\ �e5h 0_'t'V1(Yr+umy eywt'vplrneni n� clScro cotm1204c1-(?>k, 011, Iyer h51-YA P1557 . IZeTrer^� r�ev� 'iw�e�•r� �+r- �-ln� �.a-4e ' ® The contents of this field report were discussed with the contractor's on-site representative. ® A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE �3E sA-P CT�O.G@ IT E3RA, Inc. OG M W M ' M cm LOM 04 o v w T I -- U. M r M M L M v r co W V) FL. 00 W N o n ! /1 o N ''W' Z�ic..m W >a'rnrn C j 0 N x >E u. Go w w' a (° t o z F_ ..< 0 aL O w CL N a - LL a O . a 0 * +I :< W a U Q O a a Y.> 0 CO .,�• to v o •� Ln N ' U U J W (� Z I Ci I- N r r- m {rn r ��T p yr =' ¢ w Oo. %+ w ti ..: �� � 0 a --I `` O F- }Z ui (n Mom OU.N _ M W a�o oo �w0 a�. 0 LL 6 (9MF-z w W �w vx# �4jJ W W Q U_ J ".s��cA Q U Q Cc) y W FW-[ ZU� ❑LJ❑ m = k wfn N t a3cn u�f r. W /J tu i > i p <Z Z ;S� a m Fl., lL U- E UU .0 a a a a lit gym w, �+ 00 �f\ w O <; z >• Z . O O a > O� ly •Fu t w . E' x:. co ,< v b w W w CL d ' ro V Z N g IL1 j �'>, w �5 aJ S a. 0 �.^,ZZ W ' O M W R .,. ��< Q Z g)„ fA Z O M Q z (4) t Z Ux 'IL O W r f5 F-3.`:: Z Q 3'• c J W IL :: s DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 ® 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-366-3372 FAX: 425-356-3374 PROJECT NAME PROJECT NO. FIELD REPORT NO. ADDRESS -M Lf VI T Z�Ave- DATE/ WrTit-c- PAGE 1 OF S CITY OR COUNTY PHA,rb",-v1S w A, PERMIT NO. ARRIVAL TIME I`Z-C) ) DEPARTURE TIME o-, 6 CLIENT =v��5 E3RA PROJECT MANAGER/ PHONE NUMBER er -- wv\Je GENERAL CONTRACTOR k%Lb1Y�C)Y1 E3RA REPRESENTATIVE/ PHONE NUMBER 0. � LOgc;t x(00 SUBCONTRACTOR i�i;�,,+ni2 "i3ro�12 WEATHER �t.rr 1-(r' rn iL TYPE OF WORK PERFORMED EQUIPMENT USED ' Can COMMENTS a1^ L-�:o\yv,,,r4,S 'Nov; 41(e i2Urn0s e GbServil� Sv�•b,��'zx� Ct:;Y�f'a-t^ct��j �o",� O�.:r� � cjv�j}fit = W Y�eh �• e_� cr�rlyl� C� Y"j f }'C'r . }� fi.��^�`� �v'C�i�YL 4�oac� oP ��?'�fnrZG�1 �`I'�Z Sys rp�} 1.0�� v.` tP_.- C,\u1 tie eSk- S kke e-, F+ -I,\ z c, i—,t-z :v+ r, I'V,� u� �:a h e K� 7Z �� Ay'�- T Y,P_� tin,vC�O` 2-3' c7i� 5(4" Lti~y.4 �)ea hoc SZ LD -ye i N.,e5t,r q—+Ct r ': /,V'`c, Co Vh iso o4A 2 )0,\"F e CCS j n nc+L"�p�'" • . . ren CG��C:S2e�` r�vea ..�i•f� c+� 12�� S�-�e` �"�i'�1�� crrl/� ��`Y� •�(ne ,. Stib9t� •�; tragi 1`tr�a�c\�S� cov�1��-r�r,. ��t5�� 06� ��Y c��SF���t�'6!~S� f'r! � ,,s 5 Lr b �VCIcke 05 r'y� O. S u i Ito �C' Cay; of r ,C t� c ►^c�� • The contents of this field report were discussed with the contractor's on-site representative. ® Arelimina co p ry copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD FIELD REPRESENTATIVE T MANAGER E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME tMo,� PROJECT NO. ('--! I C),f i FIELD REPORT NO. H 9 ADDRESS -7-Nol 2` d' A ve DATE CZ12�3/1.2 PAGE I OF . CITY OR COUNTY PERMIT NO. ARRIVAL TIME I Z'e-0 DEPARTURE TIME 2 1 15 CLIENT l wrD5 E3RA PROJECT MANAGER/ PHONE NUMBER ip r wki•�e GENERAL CONTRACTOR Pe -y,C VN E3RA REPRESENTATIVE/ PHONE NUMBER �o1C Y, ��s, � (p -(&-i 1-S� i U SUBCONTRACTOR WEATHER TYPE OF WORK PERFORMED EQUIPMENT USED l COMMENTS 63n 4 (Z yeset^lwt�`�.e ©tom si 4e_ a.4- 1= AY—i- X6 IMt> jt -1 }� �J=•, r(�c � c �` o�s2�'i� st'�ev��.lhz .5�6�;.•cw+` c.��-�,'-H'dv�s; �oin'r,t•2 C]fOU�ZS ftir.cT �'YL'1�Ayed. •SiGL-2tr.����t- 0.�2c� t�.� 1 Yom¢- We`�`� S1oA•�pF t.v_.�p St`��e' •.1-eTZ ^\ Ay<. Sy.�roVtrolPt CUt^SPS� c5 hc!o{i V� 11'�,t^} t 4 -'r t'l 40c,__k W i 1^ 50Yc�� �9 �'+'. �t t° C�EC�2 C� {'1^2 I QYui i C/� i 'L?c j1D SCt' e t,\:v wi F1. �,. �rz S1 e2 i P.-- b(_ -f tAPC°,N +-,es F('•231 V;ep -C�V•rp. J -G -e 4r,LA.6ci vz>,.ke b ��. it A Vtnec�iv.r�,—t�er•Se ���kaAr•4-idn }3MSz�1 c;r o�.r' o ohyet�dr•4+'oc�i I � is ver o�� r��c�;-, I-I�.� �--1..� s i�A2v.oltiz. i5 lye Ay. The contents of this field report were discussed With the contractor's on-site representative. (�T u A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIE D REPR SENTATIVE E3AA P G ECT MA ER r E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 9844.8 [� 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME �0 r, PROJECT NO. FIELD REPORT NO. ADDRESS JI L(Ol 7Z1161AV e DATE `6 13 %I q PAGE I OF % CITY OR COUNTY PERMIT NO. ARRIVAL TIME n (z�oc) DEPARTURE TIME I tit CLIENT FwIm E3RA PROJECT MANAGER/ PHONE NUMBER ONvr GENERAL CONTRACTOR j�Nv.rorr� E3RA REPRESENTATIVE/ PHONE NUMBER �cF. C �h 36�-6��s.ftla SUBCONTRACTOR f3rbck(S WEATHER C �tGl� Lbw 7d`g TYPE OF WORK PERFORMED t-Tj ¢P1/� Slr�i7c yL'��i.0 ��t•Ei ` EQUIPMENT USED 12 5�"eet •�•- rr�he - COMMENTS F3R 4 1Zelare5et^ w�iy` ov- Sii2 ok- L-Ayoy�Jc, iM08 �rr e it—&t-pose clF p( C,eryi!c� St„bgl-mil? .PotAi;hbN �i Vaotdtw�.7� Czi `dCr�flay.5 �F 4t Ni✓ cuvher of si 1-e - i he; 1'�zw Cir% I lti+�ay,.��i�q `�� �ZS`� Slc�e �'��•^t Sr (� r Z'�hrirr�, ctc� }GC[sr�'� �b .,Avg- t -N -,Y, i -{^Q �tD(�,r i12 irk t p ACCP 1V1� Wf`�Yi2� nCY�Y l7ti^1f�01 WlL S7 �1'✓Z jt) Sol✓ �tA� 5t"tC�tOY^� C� `y�2 CIck 015P °tlF AV' pay-•C� �-evr-vve. `1�e� o.tre p%`�1A1 ,jC,,i2,r" -tri �QVe. f1" e' C�Qn L)�'ti/2P:'j �'�•Q Yn'2W I iY-e �nt�'E� A5 �hC.l t ov— � 2i,a eve � 1 �.e wtai �h of 4t-&- -t)^ 15 ��� i-c� wi11 Vcl rt`e �Ic)rY— 1s — I��rt, rJ\ (,,✓111 5Pn rr f Ybrn ^ oA_ig -4,a "`Si--� 3"2. Dor.,r�;e. t3,ryc'2 mei�L.2r a..���J� }.tli w ^c'eWrJve�� Nhtn•Yey-I`a1 �vcv,--• ext't Ft`r� Stnb�,re ate 41.ese �ucvtici�S. 'I1�e� were 101e �o hre(�are the Sttb�]Vacl� IrrJYy- Ste, 3 t12 d\CwY� , jy,� PrSee 1 tit, Ch'F -1-2y"' A r,ue eNv-k �� I' y c y ►� �C�dlrw' DG t�dtVL +Me �Cgh4 gtytnit`Yq arm Col,-npttc-i-rfvt %JVIr+k otif'��r^E� «{^^I'JAC'(C�/ 11 ^� S �, b g •ry d Z C 0151%`1 -ea Of .Ck C V %A' iI .eCk 1/'0'0Z A—J 0" 5t,4,11 cS—pr_ t V t +V\ Some Sc�v�ie� ovYJ. 2�+rcavetlr'er- ZClr'eS dtaSer'veel- �(� w�.S�evl +1.0- `eyn,FA OP 11�P �Lrcc� I4-e;t. ooe ier'Vtt , tv t2b,1e_4 }Pv-er,,0, &t •�e_5{rc� . . I � wi t1� c� Y -z' She of �J-�rrdp�/ �t v,o� � r.� t•h •�.a }�.2 r`h �1 0� e rgc� — V evG d et^S� Cowl r'1 Ioh. r7�y ey. c+ry v.r- v 65eryC-\4 ?Y,r,,!5 S'A ca5fe LC,.�o�r •4•tol, eft a tS ve�•d� � �C pa.redt. (he C2) �VL�Y�v�S v.}- �•� tcjvy�er F1L Sr'.je iv,��t,�cie C ' The contents of this field report were discussed with the contractors on-site representative. © A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RAFIELDREPRESENTATIVE �3 P JECT TOAGER DA I i E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 9802 291h Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAX: 425-356-3374 PROJECT NAME Yr-vt,,AS VA 1 PROJECT NO. .Nk0,tt FIELD REPORT NO. Lf 1 ADDRESS Zl�fiat '(2 DATE PAGE OF Z CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT F- w �j E3RA PROJECT MANAGER/ PHONE NUMBER .. .. Y%evv` w r; he L (2 S_ c( 7 8--7 Z GENERAL CONTRACTOR E3RA REPRESENTATIVE/ PHONE NUMBER 3 60,, r✓� �S�31 CD SUBCONTRACTOR Do,(,r"e-( �w(- WEATHER C tees �cw 70 7 TYPE OF WORK PERFORMED 0\)c)e.Y-v,2- 5�e CG;rcSlrfit�t� ' EQUIPMENT USED COMMENTS �'crrP%zni✓�w�v,"yiiv i-1� �D�} b1v�. }� arm ivr,yr.c=elialc'l� 5�nr►r�L�,�Ar`�� C�3�5. (3oi-h d�-j-1^e5z Icxc��-t`vw; 0.e 6�fiweet� �-1-.e sl�JlNe•�i4z/eurh 0.�^d`'�l-.e haEtve �i�f1�,6rc. 5�:v,� w,+k Mi- -v�Ce UPoh �e�frY �},eg•e o�✓t�S t , i+� �. A-P;vbL7 _�->Av-k 4}L- S v\ t,,,9 vtNAe -t%5,C &,A%— ch°)LrV�tiFLbVsj• ;;- f5��`�- ato�'c�v. fb.r,-+ !-i1e 5- bgr4,o4'e5 C,V .P 5k+' Sf{ Q G f� `.l it �4�1 C\Y4 tre � !-1 r Cvo�c tr Ql e _ F3ZA k p will ch,ecy iret^r7s�r`n�°�ror �ofiCh `v.1>�vcra�e dartos' f0 0\ PP mcg mei^F c n The contents of this field report were discussed with the contractors on-site representative. -PROJ A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE �— KA M ER ' E3RA, Inc. DAILY FIELD REPORT ❑ PO Box 44840, Tacoma WA 98448 ®. 9802 29" Ave W #B102, Everett WA 98204 E3RA Phone: 253-537-9400 FAX: 253-537-9401 Phone: 425-356-3372 FAK 425-356-3374 PRgJECT NAME �mOr4\MN5 PROJECT NO. (110'A\ FIELD REPORT NO. ADDRESS ZWA0\ -7Z AJe. DATE 0\1q 11-L PAGE k OF 3 CITY OR COUNTY PERMIT NO. ARRIVAL TIME DEPARTURE TIME CLIENT t -u1 O5 GENERAL CONTRACTOR E3RA PROJECT MANAGER/ PHONE NUMBER e \,J E3RA REPRESENTATIVE/ PHONE NUMBER SUBCONTRACTOR Nvyb^51-- r•q-- Y�i oo, WEATHER (JeVz,(- Lciw, l o`� TYPE OF WORK PERFORMED EQUIPMENT USED COMMENTS 1�3'R � '(� �pv �..5����'v�. ()vim Sim o�� ��Yrrorc�t 'W�G'(3 ��c„-•rc� ri„ �rd\eV,,J;f k'S 0,6 i i3A`IZ�It AQ`rK-;Yvr-e b'R.+w•eer*� +rew Cc.\r5 �n,`si�vs� U� 1'1�� S� hey o.lar�, 7Zr�� o v� Q'��eyAt,A a`Y-d\ Vr„s)'P i r- i -i- i c i2 S S Al”, a� 1)M 4,\k ea\ oy.y- mop j U`�o.FZria•l wUS S-ppNe_-\ -o M S Q V"e.x�S E Vey'eN P ICILA , GVw o\ A,,4` Av-, w\ v N r v\jvn4 yo\ l2 ice, 1200i- 011CC 5 -�-� a\.Sol�u�l�- �ceme��-�� �brria �`�•rc�i,2r,l���`ry'S(�e�.��'��rt'ry .'r1� `Prio•r �`�'� � �� O •�- 1cd • 1 �.a+� �f2r^dvec� '��rca,'v-i:�� So.WC�s.�- cJ�S��,•�a S2cF-tby�S "ty�rv� ay e� Cnri� YeCevL_4c^C�-e� p r,y�7�ceyra.�err 1. ,r. ��l�.ce S�.b17,ra-rAe- yrr�.�e rio l C�;^si SSC ct� C�_ c,rV,Vbe& ✓-002 CSTC. '\Pov- VeGWL`) 4— YV rohe I retia '�oLnYtN Stibcatt,.c1C r ��C �Te'r,Se cc�y���'��'yY•. �rnSrd r�v� o..,.,- o ia�eruj.-FrY,I,�� t �- t's1ov�va,�i,,�'an- .�\,� �heL ! I �" � I���2 7•`l``'6j Y"v � 15 it, e\5 ��'�t1�b�-� V_oVLA1 �iGh ( �v�C� 1 S TrPGC✓ %,� •�eY� hev-�ormFw;s;r.--(>�,.ce��e�^`I�+y_.}-es�-S r�r.y.5r1�U•1(' 1(�lcnc2y'/`�r'`'F �Si'►^� /Vv r [_ h 5i v re. 1 Alt AM Po4 v-,,ei- COY eXc�e�?�e� imT'vv,^mu\r� G� vrho.�� i'vrt �r�g�^n'rel�ev�\ S 160 '�?o �,Y rnt'i,\ ql1 , �-yY H VAA Q•ev-WSD6t V:!!(Jo, ® The contents of this field report were discussed with the contractor's on-site representative. 1^.',1 A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. E3RA FIELD REPRESENTATIVE F3 PROT GER E3RA, Inc. r M M c L M r. N v � C?LL ti N M C IL Mcc U- 0 O ; o W� N o Z ��-co uj . > O)co Q xcu N O Uj p d m O > O ca li wwaE- < < o rn � a L 2 z LL coCL coCL O a•� I �R +co p W W a V , rn g N F- p w LL 0 IL r ¢ Q a.� Q. � f- 1 r 'n N n J CDto Q Q XM w \3�•~ OEl w o W�� � OXY � O -� cr— W� !A < Itw MOS UUP n dZ0 WON M W CL 0 ;; 00 �wC` a W ONQzoQwv~j h_ w S c�' �' !'o ^gyp U > Y>��Qww� 11! W n U) fA � a CL ,• o0 oOR 0 .• lig Ed W �a s $ J a< 8 z al I L. 80a S� m LLW LL U U U y o u a aim 3 F t :w 9 m Z w2\'•at%' F < L LL ... b z Z I t l� LOl ! IL r r l wL ':: O r� U, � � a 4 :�' s :. f w`�!L` :.. rt L -4 U� <: Q 1 ; w U w Z w W 03 W LL iilt..L�LL w 2 O "e Q z -H . m D Z O lP1 z Z ui Y - ; k m IL + NtN M LO L N r d, O cti � c+i IL � VI �. �-' co x ca M LL aCN o W w N ti . O � L .Z O v0 W >a'rn GoQ �i X m _jN N O E LU C%4 LL 0 cu LU a- 1 `c. J 9. o <. d LL M� Q _ z LL aLo a rn O a`� O a 0 2R +� y Q U') •� W �) o 0 un U 0 0).� w F Q oa a U y 6 r a S Q �.. a.M Cf) 4mU')< 0 or -� C, U a. CO F- O v c'l U W a O W 0o W aof .r N m r! r�rnQzO c90 o a g W CO n z 2 =6 cl ?�w > W �W F�WOU � W j 020 �� ~Q hq W yy<r Q U m �y �L7 o Z g O � � Z W = W 4-H b CO C (ccn L CoCC C s � a' Z 0 \< O O O= 1 p� W � i� 5 �' a z t� w a z J ` k W W 1 F.Z. Qua -; > a 8tea m LL LL LL E N a af 0 - a • 2„' c Z S oz s YI y o W t.l 9 �- �^ < LL :... O b z .,. OLT b U Q <'.rn rr J « w w ULLW W ta` � :`' a fat. W W W W w' .Z s' a M Z.< K Co O U 'Fi ` CL > � O<'< a. s`�;,�i? w z ”: ` ►— a O Q z � � W w n <z U) of Eo,y "b . SPECIAL INSPECTION AND TESTING AGREEMENT Permit #: 81 s� Project:f:el'►Z t.L•!! P�rf�ti-edt�' ��l'i7U�._ .S-�y�=�U i -ti( Prior to issuance of a perwit, this fnivn Hurst be completed in its entirety and returned to the City for approval. The completed form must have signatures of acknowlerlgmrerrt by alt parties. DUTIES AND RESPONSIBILITIES Special Inspection Firm and Special Inspectors: The Special Inspection firm of MAYlcs "C'—r-1a1' NA r-jRFE: 1> l Ne— _ will perform special inspection for the following types of work (separate forms must be submitted if more than one firm is to be employed): Reinforced Concrete ❑ Spray applied Fireproofing Bolting in Concrete ❑ Smoke Control Systems Prestressed Concrete ❑ Lateral Wood ❑ Shotcrete Structural Observation by EOR ❑ Structural Masonry -ti v (��E�lt�wclal t ��� iC�t �t�t�0it,�rt;FS XStructural Steel/Welding Other 0 rr t) (/� MJ ��� P(41, High Strength Bolting 'A Other Cf(f'f UY i164_ All individual inspecturs to be employed on this project will be WABO certified for the tylx of work they are to inspect. If inspection is for work that is not covered by the WABO categories, or the inspector is not WABO certified, a detailed resume of the inspector and firm must be submitted, The resume must show that the inspector and the firm are qualified by education and experience to perform the work and testing required by the project design and specifications. The work shall be inspected for conformance with the. plans and specifications approved by the City. Revisions and addenda sheets will not be used for inspection, unless they have been approved by the City. Inspection records shall include: A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work shall be brought to the immediate attention of the contractor for resolution. A weekly report shall be submitted to the City; detailing the inspections and testing performed, listing any nonconforming work and resolution of nonconforming items. A final report shall be submitted to the building department prior to the Certificate of Occupancy being issued. This report will indicate that inspection and testing was completed in conformance with the approved plans, specifications and approved revisions or addenda, Any unresolved discrepancies must be detailed in the final report. RECEIVED L-00dingNcwFoUcr201C1Fomu\Slkcialimpectionfonmdx10/25/2011 DEC 9 2011 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS l .. Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector. The contactor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered until approval is given by the City inspector. Rulldine Denartment: The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall be responsible for approving various stages of construction to be covered and for work to proceed. Design Professionals: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include a schedule for inspection and testing. The architect and/or cngineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown on the revisions being performed in the field. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or firm to perforn2 in keeping with the requirements of the 1BC, the approved plans and this document, may void this agreement and the Building Official's approval of the special inspector. In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS 1 have read and agree to comply with the terms and conditions of this agreement. Owncr: C-�OkY>aK%M;=r�G�,Citt 65�pt14LSignature y� Date (ZJf_fZaI Contractor: I N L. Signature �!� .(/ Date 12-19111 Arch.17ng: Date: �Z 7 Special Lisp. MAYF5,,5TE'S77NG1 tNL Signature ,Date: /2-9—D ACCEPTED FOR THE CrI Y OF EDMONDS BUILDING DEPT. By42 Date: 17-1411( LAauilding New roldcr 2010\ronnns%spccial inspection roam.duc1ORS/2011 MAYESTESTING ENGINEERS, INC. She oRioe CedarVagey Road � 10 Ly ymcod, WA 98036 ph 425.74291360 fax425.745.1737 October 1, 2012 Tacomaoflloe 10029 S. Tammma Way SAe E-2 Taooma, WA98499 ph 253.584.3720 fax 253-W. 3707 City of Edmonds 121 5th Avenue N Pbld3woffice Edmonds, WA • 98020-3146 7911 NE 33rdOrNe SA. 190 Portland,OR97211 Attention: Building Department ph 503281.7515 fax503281.7579 Re: Premier Orthopedic Group Building Final Letter 21401 72"d Avenue West Permit No. BLD20110815 Edmonds, WA BLD20110816 Project No. L11583 This is to inform you that registered special inspections have been completed for this project as. per our reports, copies of which have been sent to .you. Special inspection was provided for: • Reinforced Concrete — CIP • Reinforced Concrete — Post -Tension • Reinforced Masonry • Proprietary Anchors • Structural Steel Fabrication • Structural Steel Erection To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the city approved drawings, or engineer approved changes. We trust this provides you with the information that you require.. Should you have any questions please call us at 425/742-9360. Sincerely, Mayes Testing Engineer, Inc. Michael S. Dolder, P.E. Vice President MAYES TESTING ENGINEERS, INC. seaffieofte 20225 CedarvaLey Road S&110 Lynnviood, WA9M Project No. 1_11583 ���45. Project. Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoana once Permit No. BLD20110815, BLD20110816 10029s.Taoomeway . Sub E-2 Bldg Dept. City of Edmonds TaoormWA984% ph 253.584.3720 f K 253.584.3707 Owner First Western Development Services Architect Donahou Design Group R"da"dofte Engineer Engineer CT Engineering 7911 Contractor Pennon Construction Company, Inc. Porbnd, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 108 Date . 09/08/2012 Weather Sunny Inspection Reinforced Concrete. Senior Project Manager final report review Sample(s) (4) 4x8" Cylinders Checked reinforcing steel placements for the two 8" bridge exterior slabs -on -grade sections west of grids A and A.plus, reference S2.00 and detail 4/S6.02. Reinforcing steel placements meet plan after some soil was excavated out to get slab thickness in a few isolated spot locations. Observed satisfactory pump placing and adequate consolidation of 18 cubic yards of Concrete Nor'West concrete mix #0260A, 4000 F'c at these locations. Slump was 5". Entrained air was 4.2%. One set of (4) 4x8" lab cure test specimens were made for compressive strength analysis. Reviewed field inspection and concrete and grout lab compressive strength test results. There are no outstanding issues to resolve. In talking with Mayes Testing- Mark Rossow, the west side pre- cast connection as noted in his field report dated 07/03/2012, was resolved on 08/01/2012 with replaced connection. The following list of special inspections were done for this project: (1). Cast -in-place concrete (2). Post tension Concrete (3). Proprietary anchors- Epoxy and expansion anchorage. (4). Structural steel shop fabrication welding. (5). Structural steel erection- welding and bolting. (6). Reinforced Masonry. (7). Precast cladding — welding. Notified our office that the final letter process to the City of Edmonds can start. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications Inspector: Todd A. Wirtz Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 561.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 09/17/12 Sample Set ID: 281323 Permit # (s): BLD20110816-TI BLD20110815 BLD20110875 FIELD DATA ASTM C31 and C172 640F.. Actual Mix Proportions: Sunny Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: •46878 MixDesign ID: 02600A Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 74°F NR 4.2% Water/Cement Ratio: Slump (ASTM C143) IF Samples) Recd: Ingredient IWeight (per cu.yd) A/E Admix 4.0 oz Cement --Type I & II 561.0 lbs Coarse Aggregate 7/8" 1,841.0 lbs Fine Aggregate 1,338.0 lbs MB 20ON 22.7 oz Water 238.0 lbs Required Strength: (fc) 0.424 5" 09/10/12 4000 psi @ 28 days Placement Location and Notes: 8" bridge slab on grade sections (2) west of grids A and A plus at garage approach. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 09/08/12 0074 17423 09/15/12 0 F 12.57 4280 T e 2 ` 09/08/12 0074 17424 10/06/1228 4 x 8 0 0.00 0.00 Q NA " 09/08/12 0074 17425 10/06/12 28 4 x 8 0 0.00 0.00 NA " 09/08/12 0074 17426 10/06/12 28 4 x 8 0 0.00 0.00 Q NA " Remarks: Technician(s): Wirtz, T. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08rMN 6.6.1.3, C-1019, 9.6 "recording field temperature" TESTING ENGINEERS, INC.tHC. MAYES.� �� X110 ;• - LWnAc d, WA98036 ph 425 742 9360 fax425.745.1737 October 1, 2012 rwom Off= 10029 S. Tacoma Way Stile E-2 Taama WA98499 ph 253564.3720 City of Edmonds tax2535s4.3707 121 5th Avenue N aocanaoffice Edmonds, WA 98020-3146 7911NE&WDrne Suite 190 Pbrbxt OR 97211 Attention: Building Department ph 503281.7515 - fax503281.7579 Re: Premier Orthopedic Group Building Final Letter 21401 72nd Avenue West Permit No. BLD20110815 Edmonds, WA BLD20110816 Project No. L11583 This is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent to you., Special inspection was provided for: • Reinforced Concrete — CIP • Reinforced Concrete — Post -Tension • Reinforced Masonry Proprietary Anchors • Structural Steel Fabrication • Structural Steel Erection To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the city approved drawings, or engineer approved changes. We trust this provides you with the information that you require. Should you have any questions please call us at.425/742-9360. Sincerely,. Mayes Testing Engineer, Inc Michael S. Dolder, P.E. Vice President MAYES TESTING ENGINEERS, INC. s&7meoffice 20725 cedar Valley Road Strife 110 Lyn mW, WA MM Project No. 211583 �4M».�° Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoana Once 10029 S. Tacoma Way Permit No. BLD20110815, BLD20110816 StrireE-2 Bldg Dept. City of Edmonds Taoa„a WA98499 ph 253.584.3720 f2X 253.584.3707 . Owner First Western Development Services Architect Donahou Design Group Porda,►dof ce Engineer CT Engineering 7911Strip 1 19 33rdDri�e 90 Contractor Pennon Construction Company, Inc. Patand,OR97211 ph 503281.7515 fax 503281.7579 Record No.' 111 Date 9/25/2012 Weather -- Inspection Project management Sample(s) -- Received from Pennon Construction- Jeff Still, documentation review from CT Engineering- Chuck Morris for acceptance of the lesser embedment depths on the proprietary anchors for the MRI attachment plates. Attached with this report is a copy of CT Engineering memo dated 09/18/12 clearing up Mayes Testing non -conforming field reports #109 and 110. Inspector: Todd Wirtz Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 C T' 180 Nickerson St. INC Suite 302 Seattle, WA 98109 (206)285-4512(V) (206) 285-0618(F) MEMO DATE: September 21, 2012 TO: JIM WIEBEN, DDG FROM: Chuck Morris RE: Premier Orthopedic MRI attachment plates I was made aware of conflict with several epoxy anchors at the MRI base connection. These were noted in Mayes Test reports Number 109 and 110. I have prepared sketches to show the configuration as it now stands, with depth of embed noted. I have reviewed the loading and find these configurations structurally acceptable. I Structural Engineers MAYESTESTING ENGINEERS,IIYC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 64°F Weather: Sunny Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number : 46878 MixDesign ID: I 02600A FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 . Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 10/08/12 Sample Set ID: 281323 Permit # (s): BLD20110816-TI BLD20110815 BLD20110875 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 74°F NR 4.2% Water/Cement Ratio: Slump (ASTM C143) F Sample(s) Rec'd: Ingredient Weight (per cu.yd) A/E Admix 4.0 oz Cement --Type I & II 561.0 lbs Coarse Aggregate 7/8" 1,841.0 lbs Fine Aggregate 1,338.0 lbs MB 20ON 22.7 oz Water 238.0 lbs Required Strength: (f'c) 0.424 Y 09/10/12 4uuu psi L co aays Placement Location andNotes: 8" bridge slab on grade sections (2) west of grids A and A plus at garage approach. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 09/08/12 0074 174231 09/15/1207 4 x 8 53810 1 12.57 1 4280 T e t 09/08/12 0074 17424 10/06/12 28 4 x 8 61900 4.00 12.57 4930 T e 2 09/08/12 0074 17425 10/06/12 28 4 x 8 66300 4.01 12.63 5250 T e 4 09/08/12 0074 17426 10/06/12F-281 5170 T e 2 Remarks: Technician(s): Wirtz, T. Tested by: Cook, B. Reviewed by: , Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1.050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. Office Weather _.. 20715 Cedarva1ey Rcad Proprietary Anchors Sample(s) Suis 110 Ly"ood, WA98036 Project No. L11583 hx4�74a173 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoorna office Permit No. BLD20110815, BLD20110816 10029S.Taoxmway Suite E_2 Bldg Dept. City of Edmonds Taooma,WA98499 ph 253.584.3720 fax253.584.3707 Owner First Western Development Services Architect Donahou Design Group Pordard ofce Engineer CT Engineering 7911 SUb 190 3rdDrne Contractor. Pennon Construction Company, Inc. PaUax1,OR97211 ph 503.281.7515 fax 503281.7579 Record No. 110 Date 09/18/12 Weather Inside Inspection Proprietary Anchors Sample(s) N/A Inspected the installation of 1/2"X5-1/2" stainless steel threaded rod for MRI base. Hole was clean per ICC -ES ESR 2508 and filled with Simpson XP lot #275G440G, expiring 03/2014. Embedment at 2-1/8" is currently waiting engineer's approval. Refer to attached sketches for details. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: C. Crissman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 O C T"'�\ - �"L Sulte 3 Zerson Sl. 1 N C. 1 Seattle, WA j"'4 Project: ���Iy- CLQ �C]i�t-� i G... Date: � 981(17 (206) 28S-4SI2 RAX: Client: Page Number: (206) 28S-0618 "Qr \ r.-1 �' —r — .. Structural Engineers �gL . tow � ' k2t'Ya > er�) S ewjv�lt St�tac.0 IT7w W,' . Bizi 4cgi to 2.) C Lk-.NzkKL� f t F _kwj t�SEZ iN se.,M rte o t �c� sr�:E► � �r NIcke `C T —1� �Z_ Suite 302 rsuu 5t. I N C. Seattle. WA Pro crt: Date —1 (206) 285-4512 PAX: Client: Page Number: (206) 285-061a Structural Engineers - - tbta 1 • S E1sM\c. 'I�. dt�l� � � st T6\d N,{S z 1w gjop MAYES TESTING ENGINEERS, INC. Sea* Office Weather - 20225 Cedarvaiey Road Epoxy Sample(s) suite LWm ood, WA 98036 ph 29360 Project No. L11583 fax 42S745.1737 fax 42745.173 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raccom ow 10029 S. Tanana Way Permit No. BLD2011.0815, BLD20110816 SSE-2 . Bldg Dept. City of Edmonds Ta=na,WA984% ph 253.584.3720 fax 253.584.3707 Owner First Western, Development Services Architect Donahou Design Group ce 7911 NE 33rd Drive 7911 �dofdD Engineer CT Engineering Suiie190 Contractor Pennon Construction Company, Inc. Patland,OR97211 ph 503281.7515 fax 503281.7579 Record No. 109 Date 09/17/12 Weather Cloudy Inspection Epoxy Sample(s) N/A Permit No. BLD2011-0815 Inspected epoxy of sixteen threaded rods with 2-3/4 inch embedment as per CT Engineering sketch sent 9/11/12 for seismic attachment of MRI Base. All holes cleaned as per ICC -ES ESR 2508 and filled with Simpson SET XP epoxy with a lot number of 275G440G and an expiration date of 03/2014. All anchors used are 1/2 inch diameter and 5-1/2 inches long and contractor states are stainless steel. Note the southwest seismic plate has one anchor that hits a plate in the concrete floor below that causes one anchor to not be placed. On the northwest plate of the four plates placed there are two anchors that hit reinforcing steel in the concrete slab and have 1-3/4 inch embedment. NONCONFORMING CONDITIONS: Engineer approval of as -built conditions is needed. Inspector: H. B: Edmonds Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Air Temperature: .60°F Weather: Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 132617 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 08/08/12 Sample Set ID: 280526 Permit # (s): BLD20110815 Actual Mix Proportions: MixDesign ID : 0260A 4.0 Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West (ASTM C31) Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: .60°F Weather: Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 132617 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 08/08/12 Sample Set ID: 280526 Permit # (s): BLD20110815 Actual Mix Proportions: MixDesign ID : 0260A 4.0 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 69°F NR 5% Water/Cement Ratio: Slump (ASTM C143) Sample(s) Redd:. 0.409 5" 07/11/12 Placement Location and Notes: 23.2 Generator pad slab on grade. Ingredient Weight (per cu.yd) A/E Admix 4.0 oz Cement --Type I & II '560.0 lbs Coarse Aggregate 7/8" 1,860.0 lbs Fine Aggregate 1,396.0 lbs Water 229.0 lbs W RA 23.2 oz Required Strength: (f'c) 2500 psi @ 28 days Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31., C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 07/10/12 F0073 13765 07/17/12 F7 4 x 8 55370 4.00 12.57 4410 T e2 07/10/12 0073 13766 08/07/12 28 4 x 8 63650 4.00 12.57 5070 07/10/12 0073 13767 08/07/12 28 4 x 8 60020 4.02 12.69 4730 07/10/12 0073 13768 08/07/12 28 4 x 8 62790 4.01 12.63 4970 T e 2 Remarks: Technician(s): Bale, D. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4.08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seafeOffice Weather Inside 20725 CedarVaDey Road Ultrasonic Testing Welds Sample(s) SLAB 110 LWrmood, WA 96036 Project No. L11583 �c4 46� Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoar►� a Office 10029 S. Taoa.Taox na Way Permit No. BLD20110815, BLD20110816 SUteE-2 Bldg Dept. City of Edmonds Taom-e WA98499 ph 253.564.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Pordwidofflee Engineer CT Engineering S9111VE33rdDme Suile 190 Contractor Pennon Construction Company, Inc. Patland,OR97211 pn 503281.7515 fax 503281.7579 Record No. 107 Date 08/01/12 Weather Inside Inspection Ultrasonic Testing Welds Sample(s) N/A Inspected the final precast cladding connections, per the sketch by B2 Structural Engineers dated 06/27/2012. The locations are on top of the second floor slab at A.2 by 1 to 3, and on the bottom of the third floor slab at 8.7 by Al to B and at Al by 8 to 8.7. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Rossow Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 nwood MAYES TESTING ENGINEERS, INC ` 225 Cedar 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425,745.1737 CONCRETE LABORATORY TEST REPORT Project Name: Site Address: Client: Engineer: Contractor. Air Temperature Weather: Product: Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA' First Western Development Services CT Engineering Project No: L11583 Issued on: 07/27/12 Sample Set ID: 280355 Permit # (s): BLD20110816-TI BLD20110815 BLD20110875. Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 69°F Design Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 132373 Ingredient Cement --Type I & II Coarse Aggregate 3/8" Coarse Aggregate 7/8" Fine Aggregate W t Weight (per cu.yd) 564.0 lbs 300.0 lbs 1,550.0 lbs 1,510.0 lbs 266 0 Ibs MixDesign ID: 01600 a er Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) C780, C109, C1019 orAASHTO T22 71°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.472 4.75" 06/29/12 3000 psi @ 28 days Placement Location and Notes: Dia (in) 4.00 MRI lifting slab plus adjacent topping slab and ramp, west entry steel stair treads and composite landings, full height. Remarks: Technician(s): Rossow, M. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's'except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" i COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # 06/28/12 0072 Lab # 12941 Date Tested 07/05/12 Age 0 Size (in) 4 x 8 Load (Ibs) 44370 Dia (in) 4.00 Area 12.57 Strength (psi) Type of Fracture 3530 T e 1 ` 06/28/12 0072 12942 07/26/12 28 E4 x 8 66540 4.00 12.57 5300. T e 2 ` 06/28/12 0072 12943 07/26/12 28 4 x 8 58670 4.00 12.57 4670 T e 2 ` 06/28/12 0072 12944 07/26/12 28 4 x 8 66270 4.00 12.57 5270 Remarks: Technician(s): Rossow, M. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's'except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" i MAYES TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group -Building Site Address: 21401 72nd Avenue West 1,950.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 67°F Weather: Clear Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 132222 MixDesign ID: 07600G3 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 07/20/12 Sample Set ID: 280243 Permit # (s): ' BLD20110815 BLD20110875 Design Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) Ingredient Weight (per cu.yd) Cement --Type I & II 650.0 lbs Fine Aggregate 1,950.0 lbs Glenium 20.0 oz MB PolyHeed 997 39.0 oz Pea Gravel 1,650.0 lbs Water 250.0 lbs 73°F NR % Water/Cement Ratio: Slump (ASTM C143) IF Sample(s) Rec'd: Required Strength: (f'c) 0.385 5.25" 06/22/12 3000 psi @ 28 days Placement Location and Notes: Total 10 cy. Metal Stair Landings and Treads, full height, around F by 1 Lines, requiring 3000 psi. Also, L1 islands per 6-14 report. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 06/21/12 0071 12439 06/28/12 4 x 8 65940 4.00 12.57 5250 06/21 /12 0071 12440 07/19/12 28 4 x 8 77190 4.00 12:57 6140 T e 3 ' 06/21 /12 0071 12441 07/19/12 28 4 x 8 77820 4.00 12.57 6190 T e 2 06/21 /12 0071 12442 07/19/12 28 4 x 8 78440 4.00 12.571 6240 T e 2 Remarks: Technician(s): Rossow, M. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07. 6.6.1.3, C-1019, 9.6 - "recording field temperature" ENGINEERS, MAYESTESTING ENGINEERS INC 0260A Lynnwood 2Cedar 20225 Cedar Valley Road Water 229.0 IDS Sample Temp. Suite 110 Air Content WRA 23.2 oz Lynnwood WA 98036 . (ASTM C31) (ASTM C231) . ph 425.742.9360 69°F CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name:. Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 07/18/12 2500 psi Edmonds, WA Sample Set ID:. 280526 Client: First Western Development Services Permit# (s): BLD20110815 Engineer: CT Engineering COMPRESSION TEST RESULTS Contractor: Pennon Construction Company, Inc. (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 FIELD DATA Date Made Sample # Lab # Date Tested Age Size (in) ASTM C31 and C172 Area Strength (psi) Type of Fracture 07/10/12 0073 Air Temperature: 60°F 3Actual Mix Proportions: 12.57 4410 Type 2 Weather: Cloudy Ingredient Weight (per cu.yd) Product: Concrete 13767 08/07/12r 28-1 4 x 8 Supplier: Concrete Nor'West A/E.Admix 4.0 oz 28 I4 x 8 0 0.00 Cement --Type I & II 560.0 lbs Batch Plant Location: Coarse Aggregate 7/8" 1,860.0 lbs Ticket Number: 132617 Fine Aggregate 1,396.0 lbs MixDesign ID: 0260A Water 229.0 IDS Sample Temp. Initial Storage Temp. Air Content WRA 23.2 oz (ASTM C1064) (ASTM C31) (ASTM C231) . 69°F NR 5% Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: I Required Strength: (fc) 0.409 5" 07/11/12 2500 psi @ 28 days Placement Location and Notes: Generator pad slab on grade. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 07/10/12 0073 13765 07/17/12 4 x 8 55370 4.00 12.57 4410 Type 2 07/10/12 0073 13766 08/07/1228 4 x 8 0 0.00 0.00 Q NA 07/10/12 0073 13767 08/07/12r 28-1 4 x 8 0 0.00 0.00 Q NA 07/10/12 0073 13768 08/07/12 28 I4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Bale, D. Tested by: Schumacher, C. Reviewed by:�� ..�� Kevin Graham Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08r22107 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES' TESTING ENGINEERS, INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 07/19/12 Edmonds, WA Sample Set ID: 280221 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc FIELD DATA . ASTM C31 and C172 56°F Actual Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 31754 Ingredient Cement --Type I Coarse Aggregate 3/8" Fine Aggregate MRWRA Weight (per cu.yd) 652.0 lbs 1,642.0 lbs 1,557.0 lbs 39.2 oz MixDesign ID: 0750003 Water 227.0 lbs Sample Temp. Initial Storage Temp. Air Content WRA 20.0 oz (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR % Water/Cement Ratio: Slump (ASTM C143) Sar;ple(s) Recd: Required Strength: (ft) 0.348 5'' 06/21/12 3000 psi @ 28 days Placement Location and Notes: Mechanical pads within gridlines 2 -3.2/F -F.4, 3.5 -5/D -E, and 6 -7/D -E (Road level). Sampled at 10 of 20 yards total. Batch time=7:17am, Cast time= 8:20am. (1) pound of Fibermesh 300 was added, per yard of concrete.. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 06/20/12 0070 12342 06/27/12 0 4 x 8 79160 4:00 12.57 6300 T e 2 " 06/20/12 0070 12343 07/18/1228 4 x 8 94970 4.00 12.57 7560 T e 2 " 06/20/12 0070 12344 07/18/1228 4 x 8 97370 4.00 12.57 7750 T e 5 " 06/20/12 0070 12345 07/18/12 28 4 x 8 95110 4.00 12.57 7570 T e 5 " Remarks: Technician(s): Kay, J. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: ' Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable AST_M's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING.ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,642.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 56°F Weather: Clear Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number : 31754 MixDesign ID: 07500G3 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 07/19/12 Sample Set ID: 280221 Permit # (s): BLD20110815 Actual J Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR %. Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Ingredient Weight (per cu.yd) Cement --Type 1 652.0 lbs Coarse Aggregate 3/8" 1,642.0 lbs Fine Aggregate 11-557.0 lbs M RW RA 39.2 oz Water 227.0 lbs W RA 20.0 oz Required Strength: (ft) 0.348 Y 06%2.1 /12 3000 psi @ 28 days Placement Location and Notes: Mechanical pads within gridlines 2 -3.2/F -F.4, 3.5 -5/D -E, and 6 -7/D -E (Road level). Sampled at 10 of 20 yards total. Batch time=7:17am, Cast time= 8:20am. (1) pound of Fibermesh.300 was added, per yard of concrete. COMPRESSION TEST RESULTS (ASTM C31, C39; C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 06/20/12 0070 12342 06/27/12 17 4 x 8 79160 4.00 12.571 6300 T e 2 06/20/12 0070 12343 07/18/127[:28]F 4 x 8 794970F 4.007 7560 1T e 2 06/20/12 0070 12344 07/18/12F-281 7750 T e 5 06/20/12 0070 12345 07/18/12 28 4 x 8 95110 4.00 12.57 7570. Remarks: Technician(s): Kay, J. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President . Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESnNG ENGINEERS, INC Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 07/16/12 Edmonds, WA Sample Set ID: 280130 Client: Engineer: Contractor. Air Temperature: Weather: Product: First Western Development Services CT Engineering Pennon Construction Company, Inc. Permit # (s): BLD20110815 BLD20110875 FIELD DATA ASTM C31 and C172 64°F DesignLi Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 590640 Ingredient Cement --Type I & II . Coarse Aggregate 3/8" Fine Aggregate Glenium Weight (per cu.yd) 650.0 lbs 1,650.0 lbs 1,550.0 lbs 20.0 oz MixDesign ID: 07600G3 POlyheed 997 39.0 oz Sample Temp. Initial Storage Temp. Air Content Water 254.0 lbs (ASTM C 1064) (ASTM C31) (ASTM C231) 69°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.391 5.75" 06/15/12 3000 psi @ 28 days Placement Location and Notes: Concrete placed in (2) islands on Level 1, west of the ramp; rampside curb/walkway; and Stair #3 at approximately E.5/8.5. 10.5 cubic yards total. 15 gallons of water added on site. ' Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 06/14/12 0069 11922 06/21/12 4 x 8 55590 4.00 12.57 4420 T e 2 " 06/14/12 0069 11923 07/12/12 28 4 x 8 71340 4.00 12.57 5680 T e 2 " 06/14/12 0069 11924 07/12/12 28 4 x 8 71140 4.00 12.57 5660 T e 2 06/14/12 0069 11925 07/12/12 28 I4 x 8 69050 4.00 12.57 5490 T e 4 Remarks: Technician(s): Virgilio, M. Reviewed by: Tested by: Cook, B. Kevin Graham 1 Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39,, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/27/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC 20225 Cedar Valley Road, Suite 110 Ph 425.742.9360 Lynnwood, WA 98036 Fax 425.745.1737 10029 S. Tacoma Way, Suite E-2 Ph 253.584.3720 Tacoma, WA 98499 Fax 253.584.3707 7911 NE 33`d Drive, Suite 190 Ph 503.281.7515 Portland, OR 97211 Fax 503.281.7579 Masonry Prism Test Report FIELD DATA (ASTM C 1314): Date Laid: 5/4/12 Type of Unit: Half ASTM/UBC Spec: IBC 210S.2.2.1 Size of Unit: 8x8x8 Unit PSI Req.: 1900 Design F'm: 1500 Project No Project: Owner: Engineer: Architect: L11583 Premier Orthopedic Group Building First Western Development Services CT Enaineerina Donahou Design Grou Contractor: Pennon Construction Company, Inc. Permit No.: BLD20110815 Mortar Producer: Design f c/28 days: Mix Proportions: Cement: Sand: Spec -Mix 1800 Lime: Water: Date Grouted: 5/7/12 Grout Producer: Ameri Mix Coarse Grout Mortar/Grout as spec: Yes X No Design f'c/28 days: 2000 Air Temp: 57 Mix Proportions: Gravel: Mortar Temp: Cement: Spec -mix Water: Grout Temp: 58 Sand: WRA: Sampled at 1s' floor within gridlines: 1 to 2 from H to F.8, from 4'-0" to 8'-0"; 1 to 3 from B.4 to A.3 Remarks/Locations: from top of concrete to 4'-0". Date Sample Received by Lab: 5/9/12 Compression Test Machine Information: Diameter of Spherical Seat: 8.5 Req. Upper Bearing Plate Thickness: 1.56 Req. Lower Bearing Plate Thickness: Sample No.: Provided Upper Bearing Plate Thickness: 4.00 Provided Lower Bearing Plate Thickness: 5.00 COMPRESSION TEST RESULTS (ASTM C1314) Lab No. Date' Tested .- A'` e g Grouted Yes No H/T Factor Total Load (Ibs) Net Area'. (Sq. In) Strength (psi) PSI / With H/T Factor Type of Fracture 3589 6/5/12 28 X 2.092 1.007 217.200 65.83 3300 3320 3 3590 6/5/12 28 X 2.083 1.007 222.300 65.85 3380 3400 3 3591 6/5/12 28 X 2.063 1.005 255.200 64.88 3930 3950 3 3595 6/5/12 X 2.088 1.007 106.700 38.58 2770 2790 3 3596 6/5/12 X 1.991 0.998 104.800 40.08 2610 2610 3 3597 6/5/12 X 2.043 1.003 106.800 39.07 2730 2740 3 Technician: Jim Gibson Tested by: Jesse Kane Reviewed by: Notes: Sketches or photos of prism failure modes are maintained on file with report, and can be viewed on request. All testing performed in accordance with applicable ASTM's except C1314, 11.1.3 — `recording field temperature." Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. Legend: CB: Conical Break, CSh: Cone & Shear, CSp: Cone & Split, TB: Tension Break, SCB: Semi -Conical Break, SB: Shear Break, FSS: Face Shell Separation MTE 1210-3C, Rev 6,11/12/08 MAYES TESTING ENGINEERS, INC. SealOeofboe _ 20715 Cedar VaOey Road sub110 Lynnwood,M98M6 Project No. L11583 ph 425 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA racoma Office Permit No. BLD20110815, BLD20110816 1o029s.Taoxnaway suFeE2 Bldg Dept. City of Edmonds. TaoxmWAM499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Porti dof0e Engineer CT Engineering 7911 NEEndDrroe SUL, 190 Contractor Pennon Construction Company, Inc. PoftAOR97211 ph 503281.7515 fax 503281.7579 Record No. 091 Date 6/6/2012 Weather Cloudy, 54°F Inspection - Welding Sample(s) N/A . On site for visual welding inspection of precast exterior panel connections. Inspected welds of pieces A69, A15, A13 and A11 all on the west elevation level 1 to 2. Welds per Olympic Precast details for connection to shear walls, 2/P5.0. All welds met plans requirements and were acceptable to AWS D1.1 visual acceptance criteria. Fig 1. Panels A69 and A13 Fig 2: Panels being erected at the north end of the west elevation. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Lonny Morrison Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESnNG ENGINEERS INC 07600G3 `'" 5 Water 243.0 IDS ! Initial Storage Temp. 20225 Cedar Valley Road Cedar (ASTM C1064) Suite 110 (ASTM. C231) ' — _,__,•_ _ , _ Lynnwood WA 98036 NR % ph 425.742.9360 Water/Cement Ratio: CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project, Name: Premier Orthopedic Group Building Project No: L1.1583 Site Address: 21401 72nd Avenue West Issued on: 06/08/12 Sample Set ID: 279591 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Age Size (in) Load (lbs). Dia (in) Area Strength (psi) Contractor: Pennon Construction Company, Inc. 9392 05/17/12 0 4 x 8 65260 4.03 12.76 5120 FIELD DATA 05/10/12 0058 9393 06/07/1228 4 x 8 ASTM C31 and C172 T e 5 ". 05/10/12 0058 Air Temperature: OF Mix Proportions: T e 5 " Weather: Clear Ingredient Weight (per cu.yd) Product: Concrete Cement --Type I & II 647.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 3/8" 1,642.0 .Ibs Batch Plant Location: Fine Aggregate 1,554.0 lbs Ticket Number: 131259 Glenium 20.0 oz MixDesign ID: 07600G3 Water 243.0 IDS Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM. C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) 1F Samples) Recd: Required Strength: (fc) 0.376 5" 05/11/12 4000 psi @ 28 days Placement Location and Notes: Level 3 to Roof walls G/8-9, F -E/8-9, 1/E.5-1-1. A total of 60 cubic yards were placed. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs). Dia (in) Area Strength (psi) Type of Fracture 05/10/12 0058 9392 05/17/12 0 4 x 8 65260 4.03 12.76 5120 T e 2 " 05/10/12 0058 9393 06/07/1228 4 x 8 79890 4.01 12.63 6330 T e 5 ". 05/10/12 0058 9394 06/07/12 28 4 x 8 81110 4.01 12.63 6420. T e 5 " 05/10/12 0058 9395 06/07/12 28 4 x 8 75490 4.02 12.69 5950 T e 2 Remarks: Technician(s): Myers, P. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31,'10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122/07 6.6.1.3; C-1019, 9.6 -"recording field temperature" N� f s � w —�44 2 e:::: i 6�N �lil SJ �J S — nm r to ii C) 0 m a N QAiI m s mo 70 0 cpw 70 m N VERIFY. SEE I/A2.4 * 20/A6.1 ; 4 3/A7.13 - CLEAR BETWEEN CON ETE.IRB EDGE -5 V J CD6� o 4 1 6� J 8'-111, " " 10'-10" VERIFY zs-o'� MAYES TESTING ENGINEERS, INC. SwmeOfrice =_, X225 Cedar Vaby Road suae 110 Lynrmood, WA98036 Project No. L11583 pc3i45. 737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Office Permit No. BLD20110815, BLD20110816 loms.raoomaway cut E_2 Bldg Dept. City of Edmonds raorrm,wA98499 . ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Aorffindoffice Engineer CT Engineering �19033rdDme Contractor Pennon Construction Company, Inc. Podan(i OR 97211 ph 503281.7515 fax 503281.7579 Record No. 092 Date 06/06/2012 Weather Partly Cloudy Inspection Reinforcing Steel Sample(s) N/A Permit No. BLD20110815 Performed final reinforcing steel inspection for the following items: Level #1 ramp at Grid Lines D -E/4-4.2 per approved plan details on S2.13 and per specifications. Level #2 car barriers along Grid Lines. H/3.2-3.8, 4.2-4.8, 5.2-5.8 and 6.2-6.8, G/7.2-7.8 and F.2 -F.8, placed per approved Plan Detail S6.03 and per specifications. .Level #3 curb for MRI room at Grid Lines A.5/6.5, placed per CT Engineering drawing: labeled "Edge of Raised Slab" and Curb on PT Slab" dated 1-26-12 (2 pages attached to this report). Verified the reinforcing steel size, grade and spacing were placed per approved plan details and specifications. Clearances and cleanliness will be verified prior to concrete placement. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Randy Dohrman . Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 -Zf MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 094 Date 06/07/2012 Weather Rain Inspection Structural Steel (Visual Welds) Sample(s) N/A Seattle of6oe 20225 Cedar VaOey Road suiL. 110 Lprmcod, WA98036 ph 425.7429360 fau425.745.1737 raoorna orrice 10029 S. Tanana way Sud E-2 Taoana, VVA 98499 ph 253.584.3720 fax 253.584.3707 FbrdmdOfflce 7911 NE 33rd Drive . Sud 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Continued welding inspections for the top connections.of pre -cast cladding, with 6 inches of 1/4 - inch weld provided per the Olympian Pre -Cast drawings, at Level 2 stem wall elevations, from 4.8 to 9 along the west face (A to B Lines) and from B to F.2 along the south (9 Line) face. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Rossow Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 093 Date 06/06/12 Weather Cloudy Inspection Reinforced Concrete Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 On site for the concrete placement for walls, curbs and ramp closure strip: SeadeOfte 20225 CedarVaby Road Sub 110 LMw ood,VVA98036 ph 425 742 9360 fax 425.745.1737 racoma Office 10029 S. Taooma Way Sum E-2 Tana, V\1A98499 ph 253.584.3720 fax 253.584.3707 FbrdandOffice 7911 NE 33rd Drive Sud 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Inspected, monitored and sampled (18) cubic yards of Concrete Nor'West Concrete Mix #02600 placed by boom pump and wheelbarrows. Concrete was mechanically consolidated. Cast Level 2 barrier Wall along Gird Line H as follows: 3.2 to 3.8, 4.2 to 4.8, 5.2 to 5.8, 6.2 to 6.8; Grid Line G from 7.2 to 7.8 and Grid Line 9 from F.2 to F.3. Cast Level 3 curb around the MRI room at Grid A.5/6.5. Cast ramp closure strip on Level 1 at Grids 4 to 4.2 from D to E. Reinforcement inspected and noted -on Mayes Testing Engineers, Inc. report written 6/06/12 (Mayes Testing Engineers, Inc. Record #092). Verified cover, clearance and cleanliness. Cast (4) 4x8" cylinders for compression testing: 4,000 psi at 28 days for walls. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jesse Kane Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. SeMe office 20225 cedarvaby Road SU'b 110 Lynm ood, WA MM ' ph 425.7429360 Project No. L11583 fax 4Z.745.1737 Project Premier Orthopedic Group Building Address .21401 72nd Avenue West, Edmonds, WA Office r Taox 10029 S. Taoorna Way Permit No. BLD20110815, BLD20110816 Sub E-2 Bldg Dept. City of Edmonds. Tama, WA98499 ph 253.584.3720 W 253.584.3707 Owner First Western Development Services Architect Donahou Design Group A"�"d� 7911 NE 33rd Drive Engineer CT Engineering sdb190 Contractor Pennon Construction Company, Inc. Patland,oR97211 ph 503281.7515 503281.7579 ft(503281.7579 Record No. 096 Date 6/12/2012 Weather Cloudy Inspection Proprietary anchors, reinforced concrete Sample(s) (4) 4x8" cylinders Permit No. BLD20110815 Observed the anchorage into hardened concrete (26) 5/8" diameter and (9) 1/2" diameter threaded rod for stair #3 stair and landing wall anchors in angle iron. Threaded rod was epoxied per steel shop drawings on ES2.1 and per approved plans details and S1.0 and per manufacturer's specifications. Verified the holes size, depth and cleanliness to be acceptable for epoxy grouting. Epoxy used was Simpson SET -XP (lot # 24364446, exp. 3/2014). Performed reinforcing steel inspection for the exterior car barriers on Level 2 in gridlines E -13/9,A/6.3-8 and A/3.2-5. Verified the reinforcing steel size, grade and spacing was placed per approved plans details S2.12, 3/S6.03 and per specification. Clearances and cleanliness are acceptable for concrete placement. Observed the placement of 10.5 cubic yards of Concrete Nor'West concrete mix.02600 (required 4000 psi at 28 days) for the Level 2 car barriers noted above. Concrete was placed by concrete pump truck and mechanically vibrated for consolidation. One set of (4) 4x8" cylinders was cast for laboratory compression testing. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Randy Dohrman Chris Crissman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC � .. �,>,_� r•-•-�-rte.-----`: - _ Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 06/14/12 Edmonds, WA Sample Set ID: 280013 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 570F Actual2 Mix Proportions: Cloudy Concrete Supplier. Concrete Nor'West Batch Plant Location: 125 Ticket Number: 131880 Ingredient Weight (per cu.yd) Cement --Type I & II 574.0 lbs Coarse Aggregate 7/8" 1,836.0 lbs Fine Aggregate 1,465.0 lbs MB 20ON 23.0 oz MixDesign ID : 02600 Water 257.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (17c) 0.448 5" 06/07/12 4000 psi @ 28 days. Placement Location and Notes: Barrier walls on Level 2 at H line 3.2 to 3.8, 4.2 to 4.8, 5.2 to 5.8, 6.2 to 6.8; G line 7.2 to 7.8; 9 line F.2 to F.8; Curbs on Level 3 around MRI room at grid A.5/6.5; Ramp closure strip on Level 1 at 4 to 4.2/D to E. Sampled 10 of 18 cubic yards total. 10 gallons of water added on site. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 06/06/12 0067 11374 06/13/12 F 4 x 8 61910 4.00 12.57 4930 06/06/12 0067 11375 07/04/12 28 4 x 8 0 0.00 0.00 �� NA " 06/06/12 0067 11376 07/04/12 28 4 x 8 0 0.00 0.00 �� NA " 06/06/12 0067 11377 07/04/12 28 4 x 8 [� 0.00 0.00 Q NA " Remarks: Technician(s): Kane, J. Reviewed by: / Tested by: Schumacher, C. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08r2Z07 6.6.1.3, C-1019, 9.6 - "recording field temperature" a MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 4 x 8 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Lynnwood 20225 Cedar Valley Road Suite 110 . Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 06/14/12 Sample Set ID: 279714 Permit # (s): BLD20110815 n COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture FIELD DATA 1 05/23/12 7 11 4 x 8 ASTM C31 and C172 Air Temperature: 62°F n _ Actual R t Mix Proportions: Weather: Partly Cloudy Ingredient Product: Concrete 12:57 4930 T e 2 05/16/12 0062 Cement --Type I & II Supplier: Concrete Nor'West Coarse Aggregate 7/8" Batch Plant Location: Everett Fine Aggregate Ticket Number: 131380 MB 20ON M D ID 02600 Water Ix eslg Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 73°F NR. % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.485 6" 05/17/12 4000 psi @ 28 days Placement Location and Notes: Walls on third to roof level at grids D.5-1-11, and north stair walls at grids F -F.4/1-2.2. Weight (per cu.yd) 534.0 lbs 1,753.0 lbs 1,384.0 lbs 23.2 oz 259.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/16/12 0062 1 05/23/12 7 11 4 x 8 51200 4.00 12.57 4070 T e t 05/16/12 0062 9983 06/13/12 28 4 x 8 62010 4.00 12:57 4930 T e 2 05/16/12 0062 9984 06/13/1228 4 x 8 65240 4.00 12.57 5190 Type 2 " 05/16/12 0062 9985 06/13/12 28 4 x 8 64120 4.00 12.57 5100 T e 2 " Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Schumacher, C. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be -reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019; 9.6 -"recording field temperature" . MAYESTESTING ENGINEERS INC Cloudy Lynnwood Non Shrink grout , Target 20225 Cedar Valley Road N/A Ticket Number: N/A Suite 110 Portland Expanding (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 Lynnwood WA 98036 Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) ph 425.742.9360 05/18/12 0064 10130 05/25/12 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 06/18/12 4.161 11190 T e l Sample Set ID: 279746 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer. CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 60°F Weather: Cloudy Product: Non Shrink grout Supplier: Target Batch Plant Location: N/A Ticket Number: N/A MixDesign ID: Portland Expanding FIELD DATA ASTM C39 and C1107 Y�Design Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR % Ingredient Premix Grout Water Slump (ASTM C1 3) F Samples) Recd: k Required Strength: ft) Weight (per cu.yd) 50.0 lbs 8.0 lbs dry pack 05/21/12 5000 psi @ 28 days Placement Location and Notes: III Post -tension slab tendon cap grout, Level 3. Sample time: 9:50AM. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/18/12 0064 10130 05/25/12 0 F2 x 2 x 2 41180 0.00 4.14 9940 T e l 05/18/12 0064 10131 .06/15/1228 2 x 2 x 2 51140 0.00 4.12 12410 T e 1 . 05/18/12 0064 10132 06/15/1228 2 x 2 x 2 46560 0.00 4.161 11190 T e l Remarks: Technician(s): Harrington, C. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, oar= 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 06/18/12 Edmonds, WA Sample Set ID: 279745 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 60°F i Actual Mix Proportions: Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 131469 Ingredient Cement --Type I & II Coarse Aggregate Fine Aggregate Water Weight (per cu.yd) 562.0 lbs 1,834.0 lbs 1,462.0 lbs 202.0 lbs. MixDesign ID: 02600 WRA 23.2 oz Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Required Strength: (fc) 0.359 Y 05/21/12 4000 psi @ 28 days Placement Location and Notes: Walls, Level 3 to roof, stair 1 and elevators #1 and 2 core A-13/5-6.4; 2nd lift of high wall 1/A -E.5, 32'6" to 40'6"; roof to high roof, stair #2, F -F.4/1-2.2. Sampled at 10 cubic yards of 51.5 total. Time: 11:20AM. 15 gallons of water added. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/18/12 0063 10126 05/25/12 F7 F 58730 4.01 12.63 4650 T e 2 05/18/12F 0063 10127 06/15/12 28 4 x 8 66850 3.99 12.50 5350 T e 3 05/18/12 0063 10128 06/15/12 28 4 x 8 74590 4.00 12.57 5940 T e 3 05/18/12 0063 10129 06/15/12 28 4 x 8 69000 4.00 12.57 5490 T e 2 Remarks: Technician(s): Harrington, C. Reviewed by: Tested by: Schumacher, C. Michael S. Dolder, P.E. Notes Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401. 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 Issued on: 06/19/12 Sample Set ID: 279782 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 55 F Design Mix Proportions: Rain Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 31083 Ingredient Cement --Type I & II Coarse Aggregate Fine Aggregate MB 20ON Weight (per cu.yd) 564.0 1,850.0 1,460.0 23.0 MixDesign ID: 02600 Water 275.0 Sample Temp. Initial storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 59°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: I Required Strength: (fc) 0.488 5" 05/22/12 4000 psi @ 28 days Placement Location and Notes: L2 vehicle barrier walls on following grids: G/7-7.2; 9/F.8 -G and 9/F -F.2. Total of 2 cubic yards placed. lbs lbs lbs oz lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C78.0, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/21/12 0065 10298 05/28/12 0 4 x 8 64680 4.00 12.57 5150 T e y 05/21 /12 0065 10299 06/18/12 28 4 x 8 .72110 3.99 12.50 5770 T e 2 05/21 /12 0065 10300 06/18/1228 4 x 8 68340 4.00 12.57 5440 T e 2 05/21/12 0065 10301 06/18/12 28 4 x 8 72920 4.00 12.57 5800 T e 5 Remarks: Technician(s): Myers, P. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 101.2, C-780, A MTE 1050-1 C, Rev 4, o8r22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MA YES TESTING ENGINEERS, INC. Se&eOffice 2M (:edarvaby Road SLAB110 LMwvood, WA98M6 Project No. L11583 �a �45.1M737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tamm Office Permit No. BLD20110815, BLD20110816 10Ms.Ta=TeWay Sub E-2 Bldg Dept. City of Edmonds Taoara,WA98499 ph 253.584.3720 tx 253.584.3707 Owner First Western Development Services Architect Donahou Design Group PhrdmdOlfice Engineer CT Engineering X11 0 DM Contractor . Pennon Construction Company, Inc. PuNancLOR97211 ph 503281.7515 fax 503281.7579 Record No. 097 Date 6/14/2012 Weather Overcast Inspection Welding, reinforced concrete Sample(s) (4) 4x8" cylinders For the two islands on Level .1, west of the ramp, and the ramp -side curbs or walkways, inspected reinforcement per RFI 041 response with sketches. For stair 3, around E.5/8.5 lines, inspected puddle welding at the landing decking, stair stringer welding, and snugging of ledger anchor bolts before concrete placement. For the'stai.r and the ramp curbs, sampled 10.5 cubic yards of Concrete Nor'West mix 07600G3. Molded (4) 48" cylinders with 3000 psi required for stair landings. Exterior cladding is a Special Inspection item per the City of Lynnwood permit. Today, inspected the connection .angles at every stud, with (4) #10 screws each per detail 3 on S8.01, at east face, 1 to 7.8 line. The welded kickers, per an RFI, are for later. Inspected most of the roof level framing. Included is the strut channel steel at F.1 and F.3/2.1 to 3.2 plus E.1 and E.9/7.4 to 8. Inspected top and bottom welding of all roof ledger on concrete wall embeds. Inspected welding of all ends of all bar joists. Inspected shear tab to support welding at roof level beams. Inspected bolting at non -drag strut beam lines, where A325 snug tight bolting is per General Structural Notes. An item for later, discussed with Mr. Jeff Still (Pennon): Drag beam lines are D -line from 1 to 9, B- line from 1 to 9, 5 -line from B to E, 6.3 line from B to E. An RFI is awaited for weld size from shear tab to drag beam webs in lieu of slip -critical bolting (which requires no paint in the faying surface). Also inspected drag beams continuity plate, over top of perpendicular wall, along 5 -line. Paint was removed by grinding the beam tops for this drag -strut -line welding. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. o Inspector: Mark Rossow Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESnNG ENGINEERS INC 02600 Lynnwood25 Sample Temp. Initial Storage Temp. Air Content . 202225 Cedar Cedar Vallev Road (ASTM C31) (ASTM C231) 71 °F Suite 110 _ % Water/Cement Ratio: Slump (ASTM C143) Lynnwood WA 98036 0.465 4.75" 06/13/12 4000 psi @ 28 days ph 425.742.9360 CONCRETE -LABORATORY TEST REPORT fax Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 06/20/12 11796 06/19/12 07 4 x 8 55350 4.00 12.57 4400 Type 5 Sample Set ID: 280104 28 4 z 8 0 0.00 0.00 Q NA Edmonds, WA 7281 NA " Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 59°F ; _ Actual Mix Proportions: Weather: Overcast Ingredient Weight (per cu.yd) Product: Concrete Cement—Type I & II 564.0 lbs' Supplier: Concrete Nor West Coarse Aggregate 7/8" 1,851.0 lbs Batch Plant Location: 125 Fine Aggregate 1,457.0. lbs Ticket Number: 31546 MB 20ON 23.0 oz MixDesign ID: 02600 Water 262.0 IDS Sample Temp. Initial Storage Temp. Air Content . (ASTM C1064) (ASTM C31) (ASTM C231) 71 °F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: Required Strength: (fc) 0.465 4.75" 06/13/12 4000 psi @ 28 days Placement Location and Notes: Concrete was placed for the Exterior Car Barriers on Level #2 at grid lines E -B/9, A/6.3-8 and A/3.2-5. - COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 06/12/12 0068 11796 06/19/12 07 4 x 8 55350 4.00 12.57 4400 Type 5 06/12/12 0068 11797 07/10/12 28 4 z 8 0 0.00 0.00 Q NA 06/12/12 F00687 7281 NA " 06/12/12 0068 11799 07/10/1228 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Crissman, C. Tested by: Schumacher, C. Reviewed by: C%> Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08rz2ro7 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC 77---777774- 777777-7 Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 06/22/12 Sample Set ID: 280130 Permit # (s): BLD20110815 BLD20110875 FIELD DATA ASTM C31 and C172 64°F Design Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 590640 Ingredient Weight (per cu.yd) Cement --Type I & II 650.0 lbs Coarse Aggregate 3/8" 1,650.0 lbs Fine Aggregate 1,550.0 lbs Glenium 20.0 oz P 1 h d 997 39 0 oz MixDesign ID: 07600G3 o y ee Sample Temp. Initial Storage Temp. Air Content Water 254.0 lbs (ASTM C 1064) (ASTM C31) (ASTM C231) 69°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: ft), 0.391 5.75" 06/15/12 3000 psi @ 28 days Placement Location and Notes: Concrete placed in (2) islands on Level 1, west of the ramp; rampside curb/walkway; and Stair #3 at approximately E.5/8.5. 10.5 cubic yards total. 15 gallons of water added.on site. Remarks: Technician(s): Virgilio, M. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780; A MTE 1050-1 C, Rev 4, 08IM07 6.6.1.3, C-1019, 9.6 -"recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # 06/14/12 0069 Lab # 11922 Date Tested 06/21/12 Age Size (in) 4 x 8 Load (lbs) Dia (in) 55590 4.00 Area 12.57 Strength (psi) Type of Fracture 4420F Te 2 ". 06/14/12 0069 11923 07/12/12 28 06/14/12 0069 11924 07/12/12 28 0.00 0.00 U NA 06/14/12 0069 11925 07/12/121 28 1 -4x8 Remarks: Technician(s): Virgilio, M. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780; A MTE 1050-1 C, Rev 4, 08IM07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western,Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 100 Date 6/20/2012 Weather Clear Inspection Reinforced concrete, proprietary anchors Sample(s) (4) 4x8" cylinders SeaC/e Ofice 20225 CedarVaDey Road SuFe110 Lynnwood, WA98036 ph 425.7429360 fax 425.745 1737 Tacoma Office 10029 S. Tacoma Way Suibe E-2 Tacoma, WA98499 ph 253.584.3720 UK 253.584.3707 Portland 0l6oe 7911 NE 33rd Drive Sum 190 Portland, OR97211 ph 503281.7515 fax 503281.7579 Monitored placement of 29 cubic yards of Concrete Nor'West Concrete Mix #07600G3 (3000psi) for the Mechanical pads within grid Lines - 2 to 3.2 / F to F.4, 3.5 to 5 / D to E and 6 to 7 / D to E (Rood Level). Concrete was placed by pump and was mechanically consolidated. Field tests were as follows: Slump Air Temp Concrete Temp Batch Time Cast Time 5" 56 67 7:17am 8:20am Inspected placement of (2) epoxied threaded rods for the ledger angle at grid Line — 9.3 / E to E .5 (Roof Level). The 5/8" threaded rods were placed with 6" embedment with Simpson SET -XP epoxy, expiration date 03/2014 and Lot #275G448G. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Kay Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Seaffi/��� __q. .--_ �•.:..i4 �� .. p��J 2022J Cedar Vage Road Sufi, 110 LrrmKr 1, WA 98036 ph Project No. L11583 fax4Z745.173 fa�c425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA TaoomaoRce 10029 S. Taoareway Permit No. BLD20110815, BLD20110816 Suite- E-2 Bldg Dept. City of Edmonds TacornaWA98499 ph 253.584.3720 W 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Padmdoffice 7911 NE33rc1Drne Engineer CT Engineering sufiv 190 Contractor Pennon Construction Company, Inc. PodmcL OR 97211 ph 503281.7515 fECc 503281.7579 Record No. 099 Date 06/19/2012 Weather Cloudy Inspection Epoxy Bolts and Structural Steel (visual Weld) Sample(s) N/A Permit No. BLD20110815 On site to observe installation of 5/8" threaded rod bolts into the parapet concrete for the attachment of the Ledger Angle at building lines: 1/A -F, F.3 -H; 2.1/F -F.3; 5, 6.3/A -B; 4'9" SOUTH OF 9/E -F. Holes were drilled to a depth of 6"; then well cleaned prior to the installation of the 5/8" rod using Simpson -SET -XP (Lot #275G448G/Expiration Date 3/2014). Work was found to be acceptable. Performed visual weld inspection on all third floor precast panel connections. Welds were found to be acceptable per Olympian Precast Drawing Details 4, 5, 6 & 7 on P510, the sketch from B2 Engineers dated 5/23/2012 and AWS D1.1. To the best.of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspectors: Tom Robinson Erich Newman (Training) Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING. ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 06/29/12 Sample Set ID: 280243 Permit # (s): BLD20110815 BLD20110875 FIELD DATA ASTM C31 and C172 67°F m Design Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 132222 MixDesign ID: 07600G3 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 73°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 650.0 lbs Fine Aggregate 1,950.0 lbs Glenium 20.0 oz MB PolyHeed 997 39.0 oz Pea Gravel 1,650.0 lbs Water 250.0 lbs Required Strength: (fc) 0.385 5.25" 06/22/12 3000 psi @ 28 days Placement Location and Notes: Total 10 cy. Metal Stair Landings and Treads, full height, around F by 1 Lines, requiring 3000 psi. Also, L1 islands per 6-14 report. Remarks: Technician(s): Rossow, M. Reviewed by: Tested by: Schumacher, C. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08=07 6.6.1.3, C-1019, 9.6 -"recording field temperature" 4 COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 06/21 /12 0071 12439 06/28/12 0 E4 x 8 65940 4.00 12.57 5250 T e 2 " 06/21/12 0071 12440 07/19/12 28 06/21/12 0071 12441 07/19/12 28 06/21 /12 0071 4 12442 07/19/12 28 x 8 � 0.00 0.00 NA Remarks: Technician(s): Rossow, M. Reviewed by: Tested by: Schumacher, C. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08=07 6.6.1.3, C-1019, 9.6 -"recording field temperature" 4 MAYESTESnNG ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 06/28/12 Edmonds, WA Sample Set ID: 280221 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA. ASTM C31 and C172 56°F Actual Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 31754. Ingredient Cement—Type I Coarse Aggregate 3/8" Fine Aggregate MRWRA Weight (per cu.yd) 652.0 lbs 1,642.0 lbs 1,557.0 lbs 39.2 . oz MixDesign ID: 07500G3 Water 227.0 lbs LSample Temp. Initial Storage Temp. Air Content WRA 20.0 oz (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR % Water/Cement Ratio: Slump (ASTM C143) Sarrlple(s) Rec'd: Required Strength: (f c) 0.348 Y 06/21/12 3000 psi @ 28 days Placement Location and Notes: Mechanical pads within gridlines 2 -3.2/F -F.4, 3.5=5/D -E, and 677/D -E (Road level). Sampled at 10 of 20 yards total. Batch time=7:17am, Cast time= 820am. (1) pound of Fibermesh 300 was added, per yard of concrete. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22. when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 06/20/1200 70 12342 06/27/12 4 x 8 79160 4.00 12.57 6300 T e 2 06/20/12 0070 12343 07/18/12 28 06/20/12 0070 12344 07/18/12 28 4 x 8 0.00 0.00 NA 06/20/12 0070 12345 07/18/12 28 Remarks: Technician(s): Kay, J. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2,.C-780, A MTE 1050-1 C, Rev 4, 08i22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building . Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 102 Date 6/22/2012 Weather Rain Inspection Reinforcing steel, visual testing, light gauge lateral framing Sample(s) N/A , Seaffle Office 20715 Cedar VaOey Road S&110 Lyrr moW,WA98036 ph 425.7429360 fax 425.745.1737 racoma Office 10029 S. Taooma Way Sud E-2 Taooma WA98499 . ph 253.584.3720 ft(253.584.3707 253.584.3707 PbrdandOlfice 7911 NE 33rd Drive Sud 190 PoNarxl, OR 97211 ph 503281.7515 fax 503281.7579 On the roof level inspected reinforcement for mechanical support curbs at F to F.4 by 2.1 to 3.2 per 12/S8.02. At an area D.2 by 3.6 and around 6.5 by D.2, inspected reinforcing bars for mechanical support plinths per CT Engineering sketch dated 3-5-12. Noted, these items will be protected by roofing so air -entraining concrete testing not required. For exterior cladding where parapet level cold -formed framing occurs, continued the inspections from June 21 (Mark Rossow), today inspecting kicker welding to complete the west elevation and south elevation, except at corner notches. At corner notches, marked the wall for "missing kicker" at A.1 by 3, 8 by A, B by 8.9, and 7 by G to H. This was discussed with Mr. Jeff Still (Pennon). This incomplete work is preliminary. Preliminary Inspection Discussed missing kicker lines with superintendent. Inspector: Mark Rossow Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESnNG ENGINEERS, INC �� Y.-_ - _ • YsY.� �__-_� =T .''fi�t.FiC V .: .�.. � .. a,n. �. •�� �'_P S• CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID: Client: First Western Development Services Engineer: CT Engineering Contractor:. Pennon Construction Company, Inc.. Air Temperature: 56°F Weather: Clear Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 31754 MixDesign ID: 07500G3 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 06/28/12 280221 Permit # (s): BLD20110815 FIELD DATA • ASTM C31 and C172 Actual _ Mix Proportions: Ingredient Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Cement --Type I Coarse Aggregate 3/8" Fine Aggregate MRWRA Water WRA Required Strength: (fc) Weight (per cu.yd) 652.0 lbs 1,642.0 lbs 1,557.0 lbs 39.2 oz 227.0 lbs 20.0 oz 0.348 5" 06/21/12 3000 psi @28 days Placement Location and Notes. Mechanical pads within gridlines 2 -3.2/F -F.4, 3.5 -5/D -E, and 6 -7/D -E (Road level). Sampled at 10 of 20 yards total. Batch time=7:17am,.Cast time= 8:20am. (1) pound of Fibermesh 300 was added, per yard of concrete. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 06/20/12 0070 12342 06/27/12 0 4 x 8 79160 4.00 12.57 6300 T e t 06/20/12 0070 12343 07/18/12F 28 4 x 8 0.00 0.00 Q NA 06/20/12 0070 12344 07/18/12 28 I4 x 8 0 0.00 0.00 Q NA 06/20/12 0070 12345 07/18/12 28 I Q NA Remarks:' Technician(s): Kay, J. Reviewed by: Tested by: Schumacher, C. C/ Michael S. Dolder, RE Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Seaft office 20225 CedarVaBey Road sule110 Lynnwood, VVA 98036 Project No. L11583 ff4 ac45�45.1�737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA TacamOlrice Permit No. BLD20110815, BLD20110816 10029 S.Taoornaway Sule E-2 Bldg Dept. City of Edmonds Taom-a,wA98499 ph 253.584.3720 fax 2M.584.3707 Owner First Western Development Services Architect Donahou Design Group Fbrdand Office Engineer CT Engineering 79119033rdDme Contractor Pennon Construction Company, Inc. Padand,OR97211 ph 503281.7515 fax 503.281.7579 Record No. 103 Date, 06/26/12 Weather Rain Inspection Epoxy, Anchors, Structural Steel Erection Sample(s) N/A In the elevator hoist way, inspected epoxy -anchoring of threaded rods into the slab edges, per email by Mr. Chuck Morris (CT Engineering) dated 06/20/12. The slab edges are on L2 and L3, south side door openings. Unexpired Simpson SET XP was used. Due to rain, debris had washed into the cleaned holes, so rinsing and brushing was used per Simpson catalog instructions. These threaded rods are for spreader beams. Epoxy rods also provided on the south side between L3 and main roof for top spreader beam, and at two holes on north side at L3 spreader beam, where reinforcing bars in slab edge interfered with straight Titan anchor holes. For the remainder of the spreader beam anchorage, plus the hoist beams, inspected Simpson Titan anchors per this email,, following the June 14, 2012 report (Mark Rossow). At drag beam lines where slip -critical bolting was called out on details, welding instead has begun per emails by Mr. Chuck Morris (CT Engineering) dated June 14, 2012 and June 25, 2012. The work began today with Mr. Ben R. Stensaa (Wes Weld Fabricators) having a WABO welding certification W08261 for all welding positions. Before welding, noted wire wheel (plus grinding wheel. at the root) in use to remove paint from the fillet weld locations. Today inspected. the new welding at roof level beams at 9 by B.8 and D.2, at shear wall ends. Inspected welding and decking for the hoist way high roof. Inspected welding and snug tight bolting at the galvanized monitor.. Inspected epoxy anchoring of rods at each end of the roof level C10, per 14/S8.01. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Rossow Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. Seaftoffice -M IIFW�_T 20715 Cedarva5W Road SUL 110 Lynn vwd,WAWW Project No. L11583 �425».�° Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoama Office Permit No. BLD20110815, BLD20110816 10029S.Ta=naWay SuleE2 Bldg Dept. City of Edmonds Tacoma WA98499 ph 253.584.3720 W253.584.3707 Owner First Western Development Services Architect Donahou Design Group' Porda"dof0e Engineer CT Engineering 7911 �e1199033rdDrNe Contractor Pennon Construction Company, Inc. Podand, OR 97211 ph 503.281.7515 fax 503281.7579 Record No. 104 Date 06/28/12 Weather Clear Inspection Structural Steel Erection, Reinforced Concrete Sample(s) (4) 4"X8n Cylinders Welding by Wesweld Fabricators shop is in progress for roof level drag beams per plan view sketch by CT Engineering dated 06/15/2012. There are six welds yet to do as discussed with Mr. Jeff Stin (Pennon) and marked in blue on the sketch. Inspected the welding at the completed. beams per email dated June 14, 2012 by Mr. Chuck Morris (CT Engineering). Inspected the welding and decking at steel stair, full height, at west entry Inspected the topping slab re -enforcement over foam fill near the MRI room, and the attached ramp per the sketch dated 04/18/2012. Inspected the MRI room lifting slab per Mason Industries DWG D-8095. Per instruction 6, bars were positioned low in this slab that will be suspended on springs. Per instruction 7, mechanical concrete consolidation was provided. Per note 4, concrete requires 3,000 psi strength. For these stairs, landings, topping slab, ramp, and lifting slab, sampled and observed boom pump placement of CNW mix #01600. Molded (4) 4"X8" cylinders with 3,000 psi required for lifting slab. CORRECTIVE ACTION TAKEN: The preliminary report dated June 27, 2012 (Mark Rossow) is closed. Kickers for the light gauge walls subject to wind load are complete. This appears to complete the cladding inspections required by permit. For the pre -cast portion of the cladding, only the preliminary report dated June 21, 2012 (Mark Rossow) remains open. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Rossow Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. SeadleOffice Weather Indoor 20225 CedarVaBey Road Lateral Framing Sample(s) Sule 110 LpwioW, WA98036 pha25.7 429360 Project No. L11583 fax425.745.17345.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, .WA a Office .10029 ma Way 1owg S.Taooa= Permit' No. BLD20110815, BLD20110816 SuleE-2 Bldg Dept. City of Edmonds Tacoma,WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group aEn ce Engineer CT Engineering 791l1l NNE 33rd Drive sume190 Contractor Pennon Construction Company, Inc. Porffar>d,OR97211 ph 503.281.7515 fax 503281.7579 Record No. 105 Date 07/03/12 Weather Indoor Inspection Lateral Framing Sample(s) N/A Inspected the stair 2 roof deck and ledger per 12/S 8.00. Inspected the bridging and intermediate truss per 1 S 8.01. Inspected the mechanical penthouse adjacent to stair 2 per CT Engineering sketches dated 03/06/2012, with section B balloon -framing up to parapet used in lieu of detail 11/S8.02 for stack framing the bearing walls. The sheathing is per 11/S8.02. Following the June 14, June 26, and June 28, 2012 reports, all drag -beam welding is completed and inspected, in lieu of slip -critical bolting per the plan view sketch by CT Engineering dated 06/15/2012. These drag -beams are in line with shear walls. The only known open item is west side precast connections in for welding and anchor review per the June 21, 2012 report. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Rossow Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS INC Lynnwood,edar 20225 225 Cedar Vallev Road Suite 110 r-`:.. _ •_:. - Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 07/06/12 Sample Set ID: 280355 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110816-TI BLD20110815 Engineer: CT Engineering BLD20110875 Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 69°F I Design Mix Proportions: Weather: Clear Ingredient Weight (per cu.yd) Product: Concrete Cement --Type I & II .564.0 lbs Supplier: Concrete.Nor'West Coarse Aggregate 3/8" 300.0 lbs Batch Plant Location: Coarse Aggregate 7/8" 1,550.0 lbs Ticket Number: 132373 Fine Aggregate 1,510.0 lbs MixDesign ID: 01600 Water .266.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 71°F NR % Water/Cement Ratio: Slump (ASTM C143) IF Sample(s) Recd: Required Strength: (fc) 0.472 4.75" 06/29/12 3000 psi @ 28 days Placement Location and Notes: MRI lifting slab plus adjacent topping slab and ramp, west entry steel stair treads and composite landings, full height. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) ' Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 06/28/12 0072 12941 07/05/12 0 4 x 8 44370 4.00 12.57 ..3530 1T e l 06/28/12 0072 12942 .07/26/1228 4 x 8 0 0.00 0.00 7F NA 06/28/12 0072 12943 07/26/12F-2811 4 x 8 0 0.00 0.00 NA 06/28/12 0072 12944 07/26/12 28 I IFNA Remarks: Technician(s): Rossow, M. Reviewed by: Tested by: Bastian, M. Michael J. Mayes, P.E. President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08rMO7 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS INC `022ACed � 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 07/11/12 Edmonds, WA Sample Set ID: .280104 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 59°F Weather: Overcast Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 31546 MixDesign ID: 02600 FIELD DATA ASTM C31 and C172 Actual Mix Proportions: Ingredient Weight (per cu.yd) Cement --Type I & II 564.0 lbs . Coarse Aggregate 7/8" 1,851.0 lbs Fine Aggregate 1,457.0 lbs MB 20ON 23.0 oz Water 262.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1.064) (ASTM C31) (ASTM C231) 71°F NR % Water/Cement Ratio: Slump (ASTM C143) I r Samples) Recd: Required Strength: (fc) 0.465 4.75" 06/13/12 4000 psi @ 28 days Placement Location and Notes: Concrete was placed for the Exterior Car Barriers on Level #2 at grid lines E-13/9, A/6.3-8 and A/3.2-5. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTOT22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 06/12/12 0068 11796 06/19/12 0 1 55350 4.00 12.57 4400 06/12/12 0068 11797 07/10/1228 4 x 8 68380 4.01 12.63 5410 1 06/12/12 0068 11798 07/10/1228 4 x 8 68270 4.01 12.63 5410 1 06/12/12 0068 11799 07/10/12F-281 Type 2 ' Remarks: Technician(s):. Crissman, C. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08r22r07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West .1,836.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 57°F Weather: Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 131880 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 07/05/12 Sample Set ID: 280013 Permit # (s): BLD20110815 Actual J Mix Proportions: MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) 1[(ASTIVIC31) I[ (ASTM C231) Ingredient Weight (per cu.yd) Cement --Type I & II 574.0 lbs Coarse Aggregate 7/8" .1,836.0 lbs Fine Aggregate 1,465.0 lbs MB 20ON 23.0 oz Water 257.0 lbs 67°F NR % Water/Cement Ratio: Slump (ASTM C143) IFSample(s) Recd: IRequired Strength: (ft) 0.448 Y 06/07/12 4000 psi @ 28 days Placement Location and Notes: Barrier walls on Level 2 at H line 3.2 to 3.8, 4.2 to 4.8, 5.2 to 5.8, 6.2 to 6.8; G line 7.2 to 7.8; 9 line F.2 to F.8; Curbs on Level 3 around MRI room at grid A.5/6.5; Ramp closure strip on Level 1 at 4 to 4.2/D to E. Sampled 10 of 18 cubic yards total. 10 gallons of water added on site. Remarks: Technician(s): Kane, J. Reviewed by: Tested by: Bastian, M. Kevin Graham Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 081M07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 06/06/12 0067 11374 06/13/12 07 4 x 8 61910 4.00 12.57 4930 06/06/12 0067 11375 E2U 4 x 8 75520 4.00 12.57 6010 T e 2 06/06/12 0067 11376 07/04/12 28 4 x 8 79570 4.00 12.57 6330 71T e 3 06/06/12 0067 11377 07/04/12 28 4 x 8 77440 4.01 12.63 6130 T e 5 Remarks: Technician(s): Kane, J. Reviewed by: Tested by: Bastian, M. Kevin Graham Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 081M07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Seaffle Office 20225 Cedar Valley Road Wte 110 Lyrnwod, WA98036 Project No. L11583 fa�c 425.745.1737 pD(425. 45.173 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacorm S. Tamm Way Permit No. BLD20110815, BLD20110816 sUbE-2 Bldg Dept. City of Edmonds TaoomamA9W9 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group, PbrdwdOffi e 7911 NE 33rd Drive Engineer CT Engineering SLAB 190 Contractor Pennon Construction Company, Inc. Poruand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 101 Date 6/21/2 0-12 Weather Clear, 67°F Inspection Reinforced concrete, welding, lateral framing Sample(s) (4) 4x8" cylinders Inspected the stringer welding, lending deck welding, landing deck button punching, and firm nutting of landing anchorages for the full height of metal. stair around F by 1 lines. The L1 islands' reinforcement was inspected on June 14, 2012 (Mark Rossow). For these stairs and islands, sampled 10 cubic yards of Concrete Nor'West mix 07600G3, which was placed by boom pump plus hoses. Molded (4) 4x8" cylinders with 3000 psi required for the stair. For the cold -form metal stud walls, parapet level, for wind -loaded cladding, inspected the top angle connections per details 4, 5 & 6 on S8.01 on the south and west elevations, and on the east elevation from 7.8 to G. In combination with the June 14th report, all of these angles are complete. For these parapet walls, inspected the bottom connection at the east elevation H/1 to G/9, plus the south elevation at 9 by E to B. The west elevation, 9 by G to F, is in progress per details 5 & 6 on S8.01. For the Heckman anchors for precast, at top of L2 panels and bottom of L3 panels, inspected the welding at all elevations, excluding in the northeast (H by 1) room, as discussed with Mr. Jeff Still (Pennon). For the Level 2 precast gravity connections in the storage room (A.2 by 1 to 3), inspected welding per sketch by B2 structural engineer, dated 6-7-2012. Noted epoxy anchors are firmly nutted. A preliminary item discussed with Mr. Still: Anchorage embedment, anchor gauge (or spacing) and single -line of available weld, should be referred to B2 engineers where work is per the 5-23-2012 sketch by B2 engineers. These are connections for precast on L2 at A.2 by 1 to 3, plus overhead above L2 at A.5 by 9. Discussed with Mr. Still a sketch revision to be based on a photo of this typical as -built from the contractor to B2 structural engineers. Preliminary Inspection Inspector: Mark Rossow Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 Jeff Still From: Chuck Morris <cmorris@ctengineering.com> Sent: Friday, June 15, 2012 8:57 AM To: Joe Sullivan; 'Jim Weiben' Cc: Mac Sele; Jeff Still Subject: RE: Premier Orthopedics - Parapet details 3,4,5,6,S8.01 Joe, This is an acceptable substitution. I hope the photo is not of this project. With a 5" leg the clip will lap the stud more than half way. The photo shows about 1" lap. Chuck Morris From: Joe Sullivan rmailto:ioeCa oennonconstruction.com1 Sent: Thursday, June 14, 2012 5:07 PM To: Chuck Morris Cc: Mac Sele; Jeff Still Subject: Premier Orthopedics - Parapet details 3,4,5,6,S8.01 Chuck, In details 3,4,5, and 6 on 58.01 a 3/16"x4x5 plate is shown welded to the continuous 44 angle that sitting either on top of a wide flange or on top a concrete wall depending on the location. The metal framer would like to use a 3" tall by 3"x5" 16 ga clip to attach the steel studs to the continuous 4x4 angle, the 3" leg is attached to the angle with 3 #12-24x1 W TEK 5 screws and the 5" leg is attached to the stud with 4 #12-24x1 W TEK 5 screws. The parapet stud is also attached to a piece of track mounted to the bottom of the wide flange, see attached picture for illustration. https://www.whitecap.com/products/6501006000 - fastener description. Please let me know if you find this acceptable, thanks. MAYESTESTING ENGINEERS, INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 06/12/12 Edmonds, WA Sample Set ID: 279645 First Western Development Services Permit # (s): CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 670F,� Actua� Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: . 131334 MixDesign ID: 02600 Sample Temp.Initial Storage Temp. Air Content (ASTM C 1064) 11 (ASTM C31) (ASTM C231) Ingredient Weight (per cu.yd) Cement --Type I & II 562.0 lbs Coarse Aggregate 7/8" .1,846.0 lbs Fine Aggregate 1,455.0 . lbs MB 20ON 22.8 oz Water 268.0 lbs 73°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) 0.477 6" 05/15/12 4000 psi @ 28 days Placement Location and Notes: Walls on the third to roof level at grids B.8 -D.3/9, D/3.5-4, D/6-7, and the south stair parapet walls. Remarks: Technician(s): Schrader, M. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM.C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # . Lab # Date Tested Age Size (in) . Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 05/14/12 0060 9661 05/21 /12 0 4 x 8 51560 3.99 12.50 4120 T e 2 " 05/14/12 0060 9662 06/11/12 28 4 x 8 63870 4.00 12.57 5080 T e 2 " 05/14/12 0060 9663 06/11 /12 28 4 x 8 64500 4.00 12.57 5130 T e 3 " 05/14/12 0060 9664 06/11 /12 28 I4 x 8 64490 4.00 12.57 5130 T e 2 " Remarks: Technician(s): Schrader, M. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM.C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 095 Date 6/7/2012 Weather Inside Inspection Magnetic Particle Inspection, Structural Steel Fabrication Sample(s) N/A 2022 CedarVaOeyRoad SuRe110 Lynnwood, WA98036 . ph 425.742.9360 *425.745.1737. Tacono Office 10029 S. Ta=Tiaway Sud E-2 Taoorna, WA 98499 ph 253.584.3720 fax 253.584.3707 Pordar►d ol6oe 7911 NE 33rd Oriee Sum 190 Portland, OR 97211 ph 503281.7515 fare 503281.7579 On site Wes weld Fabrication Shop for fit -up inspection of 12"x3x1/4" tube steel stringer assemblies. Inspected joints for root opening, bevel angle and backing bar prior to welding. Completed full penetration welds were magnetic particle tested as material thickness was 1/4". Part sub assemblies were 522A and 525A. See attached for Magnetic Testing results. Visually inspected 6x6x1/4" tube steel brace assemblies. Part numbers 3B, 4B, 5B, 6B, 7B, 8B and 15B were visually acceptable. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Vassallo Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC 20225 Cedar Valley Road, Suite 110 Ph 425.742.9360 Lynnwood, WA 98036 Fax 425.745.1737 10029 S. Tacoma Way, Suite E-2 Ph 253.584.3720 Tacoma, WA 98499 Fax 253.584.3707 7911 NE 33°' Drive, Suite 190 Ph 503.281.7515 Portland, OR 97211 Fax 503.281.7579 NDE Procedure: MT - 001 Material Type: Carbon Steel Material Temp: Ambient Magnetic Particle Equip. Manufacturer: Parker Model: B31080C Serial No.: 2825 Revision No. Cal Date: Current Dye Penetrant Penetrant Manufacturer: N/A Dwell Time: Development Time: Page 1 of 1 Nondestructive Examination Report Project No.: L11583 Date: 6/7/12 Project: Premier Orthopedic Group Building Type of Inspection: ® MT ❑ PT Acceptance Standard: AWS D1.1 Surface Condition: ® As Welded ❑ Machined ❑ Ground Heat Treatment: ❑ Before ❑ After Insp. Method: ® Dry ❑ Wet ® Visible ❑ Fluorescent Current: ❑ AC ® DC Amperage: Prod Spacing: N/A ❑ Head Shot ❑ Coil Test Method: ❑ Solvent Removable ❑ Visible ❑ Water Washable ❑ F=luorescent Weld or Part No. Location Accept Reject Remarks 522A Shop X 12" x 3" x 1/4" Tube Steel Stair 522A Shop X 12" x 3" x 1/4" Tube Steel Stair No. of Items: Type of Work: ® New ❑ Repair ❑ Rework Tested: 2 Accepted: 2 Rejected: MTE 1520-2C, Rev 0, 7/2107 MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 06/11/12 Edmonds, WA Sample Set ID: 279636 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 53°F Weather: Clear Product: Concrete Supplier: Concrete Nor'West - Batch Plant Location: Everett Ticket Number : 131290 FIELD DATA ASTM C31 and C172 Actual 11 Mix Proportions: MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231), Ingredient Weight (per cu.yd) Cement --Type I & II 538.0 lbs Coarse Aggregate 7/8" 1,759.0 lbs Fine Aggregate 1,391.0 lbs MB 20ON 22.8 oz Water 256.0 lbs 67°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (f C) 0.476 6" 05/12/12 4000 psi @ 28 days Placement Location and Notes: Stair walls on the third to roof level at grids F -F.4/1-2.1 and E-17/8-9. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 05/11/12 F 9619 05/18/12 7 4 x 8 F55640 F 4.02 F12.69 4380 T e 3 05/11 /12 0059 9620 06/08/12 28 F732170F4.00 12.57 5830 T e 2 05/11/12 0059 9621 06/08/12 28 4 x 8 70300 4.00 12.57 5590 T e 2 05/11 /12 0059 9622 06/08/12 28 4 x 8 68610 4.01 12.63 5430 T e 2 Remarks: Technician(s): Schrader, M. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS,INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 05/10/12 Edmonds, WA Sample Set ID: 279047 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 52°F 'Actual Mix Proportions: Light Shower Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130484 Ingredient Weight (per cu.yd) Cement --Type I & II 559.0 lbs Coarse Aggregate 7/8" 1,844.0 lbs Fine Aggregate 1,457.0 lbs MRWRA 23.2 oz 56°F 266 0 1k MixDesign ID: 02600 Water s Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 56°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: I Required Strength: (fc) .0.476 5" 04/12/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Walls L2 to L3 at grids E/4-7, D -E/4, H/2.7-3.3, H/3.7-4.3, H/4.7-5.2, H/5.7-6.3, G -H/7. Sampled at 10 of 42 cubic yards. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/11/12 0046 6824 04/18/12 0 4 x 8 54250 4.00 12.57 4320 04/11/12 0046 6825 05/09/12 28 4 x 8 78720 4.00 12.57 6260 04/11/12 0046 6826 05/09/12F-281 6340 04/11/12 0046 6827 05/09/12 28 4 x 8 76660 4.02 12.69 6040 1T e 3 Remarks: Technician(s): Schrader, M. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS,. INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature` Weather: Product: CONCRETE LABORATORY TEST REPORT Premier. Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: . L11583 Issued on: 05/10/12 Sample Set ID: 279046 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 54°F _ Actual R Mix Proportions: Light Shower Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130481 Ingredient Weight (per cu.yd) Cement --Type I & II MRWRA 651.0 lbs Coarse Aggregate 3/8" 1,643.0 lbs Fine Aggregate 1,551.0 lbs HRWRA 19.8 oz 38 9 oz MixDesign ID: 07600133 Sample Temp. Initial Storage Temp. Air Content Water 236.0 lbs (ASTM C1064) (ASTM C31) (ASTM C231) 68°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.363 6" 04/12/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Columns L2 to L3 at grids E/4, F/4, F/5, F/6, F/71 G/3, G/4, G/5, G/6 and G/7. Sampled at 10 of 21 cubic. yards. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/11/12 0045 6820 04/18/12 0 4 x 8 73970 4.00 12.57 5890 T e 5 " 04/11/12 28 0045 6821 05/09/12 4 x 8 87380 4.00 12.57 6950 T e 3 " 04/11/12 0045 6822 05/09/12 28 4 x 8 89960 4.00 12.57 7160 T e 3 ' 04/11/12 0045 6823 05/09/12 28 4 x 8 89400 4:00 12.57 7110 T e 2 Remarks: Technician(s): Schrader, M. Reviewed by. Tested by: Kane, J. / Q Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture.. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08rMO7 .6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project. Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer. CT Engineering Contractor Pennon Construction Company; Inc. Record No. 070 Date 05/07/2012 Weather Clear Inspection Post -Tension Sample(s) N/A Seatl/e Office 20225 Cedar VaOey Road Suite 110 Lynnwood, WA98036 ph 425.7429360 fac425.745.1737 Tacoma Office 10029 S. Taooma Way Suite E-2 Taoorm WA98499 ph 253.584.3720 fax 253.584.3707 FbrdwdOfte 7911 NE 33rd Drive Sum 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Inspected post -tension slab reinforcing steel and tendons for the Level L3 deck at Grids A -D.3/1-9. Attended the engineer's final walk with Rob Thompson (PE) with CT Engineering. A punch list of deficiencies was compiled for the ironworkers to resolve prior to concrete placement at 9am. The punch list is attached to this report. Preliminary Inspection Inspector: M. Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 068 Date 5/4/2012 Weather Clear Inspection Post -tension Sample(s) N/A Seaffie Office 20225CedarVabyRoad sub 110 Lynnwood, VVA98036 ph 425.7429360 fax425.745.1737 Tacarna Office 10029 S. Taooma Way Sum E-2 Tacoma, VVA98499 ph 253.584.3720 fax 253.584.3707 FWandOfHce 7911 NE 33rd Drive We 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Preliminary inspection for level L3 PT slab.between grids A -D.3/1-9. Inspected top and bottom reinforcing steel bars at the column cap during early assembly. Found that the head steal on the D -line column caps was low and needed to be raised to the proper height for each location. Preliminary Inspection Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS INC Lynnwood l 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax CONCRETE LABORATORY TEST REPORT azs.7as.1i37 Project Name: Premier Orthopedic Group Building Site Address: ` 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Tested by: Kane, J. Project No: L11583 Issued on: 05/10/12 Sample Set ID: 279457 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President 0 Notes: Information in this report applies only to the actual samples tested and.shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3; C-1019, 9.6 - "recording field temperature" MAYESTESnING ENGINEERS� INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 05/10/12 Edmonds, WA Sample Set ID: 279457 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 52°F Actual- Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location:. Everett Ticket Number: 130978 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR % Water/Cement Ratio: Slump (ASTM C143) F Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 605.0 lbs Coarse Aggregate 7/8" 1,851.0 lbs Fine Aggregate 1,438.0. lbs MB PolyHeed 997 37.2 oz Water 244.0 lbs Required Strength: (f.c) 0.403 7.25" 05/03/12 Placement Location and Notes: Set 3 of 3. Post -tension slab on Level L3 at grids D.3-1-1/1-9. 5000 psi @ 28 days Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) when applicable) Area Strength (psi) Type of Fracture 05/02/12 0054-F 8741 05/05/12 0 4 x 8 41180 4.00 12.57 3280 05/02/12 0054-F 8742 05/07/12 4 x 8 48730 4.00 12.57 3880 05/02/12 0054-F 8743 05/08/12 © 4 x 8 56500 4.00 12.57 4500 05/02/12 0054 8744 05/09/12 0 4 x 8 65250 4.00 12.57 5190 T e a 05/02/12 0054 8745 05/30/12 28 I NA " 05/02/12 0054 8746 05/30/12 28 4 x 8 0 0.00 0.00 11 NA " 05/02/12 0054 8747 05/30/12 28 .4 x 8 0.00 0.007F NA " Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 09/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" rJJ' AYESTESTING ENGINEER$INC � Lynnwood 20225 Cedar Vallev Road 21401 72nd Avenue West Issued on: 05/10/12 Suite 110 Client: First Western Development Services Permit # (s): .BLD20110815 Lynnwood WA 98036 CT Engineering Contractor: ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/10/12 Edmonds, WA Sample Set ID-- 279456 Client: First Western Development Services Permit # (s): .BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 52°F Actual Mix Proportions: Weather: Partly Cloudy Ingredient Weight (per cu.yd) Product: Concrete . Supplier: Concrete Nor'West Cement --Type I & II 611.0 lbs Coarse Aggregate 7/8" 1,849.0 lbs Batch Plant Location: Everett Fine Aggregate 1,448.0 lbs Ticket Number: 130962 Polyheed 997 37.2 oz . MixDesign ID: 026506 Water 233.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231.) 67°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.381 6" 05/03/12 5000 psi @ 28 days Placement Location and Notes: Set 2 of 3. Post -tension slab on the Level L3 at grids D.3-1-1/1.9. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/02/12 0053 8737 05/09/12 0 4 x 8 76240 4.00 12.57 6070 T e 2 " 05/02/12 0053 8738 05/30/12 28 4 x 8 0 0.00 0.00 Q NA " 05/02/12 0053 8739 05/30/12 28 4 x 8 0 0.00 0.00 Q NA " 05/02/12 0053 8740 05/30/1228 4 x 8 0 0:00 0.00 Q NA " Remarks: Technician(s): Carmi, N. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.L. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" / MAYESTESnNG ENGINEERS ' INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/10/12 Sample Set ID: 279455 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 48°F w Act Mix Proportions: Weather: Partly Cloudy Ingredient Weight (per cu.yd) Product: Concrete Supplier: Concrete Nor'West Cement --Type I & II 638.0 lbs Coarse Aggregate 7/8" 1,942.0 lbs Batch Plant Location: Everett - Fine Aggregate 1,518.0 lbs Ticket Number: 130989 Polyheed 997 35.4 oz MixDesign ID: .026506 Water 255.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) . 64°F NR % Water/Cement Ratio:. Slump (ASTM C143) 11 Sample(s) Rec'd: Required Strength: (fc) . 0.400 5.75" 05/03/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 3. Post -tension slab on Level L3 at grids D.3-1-1/1-9. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) ' Area . Strength (psi) Type of Fracture 05/02/12 0052 8733 05/09/12 0 4 x 8 62600 4.00 12.57 4980 T e a 05/02/12 0052 8734 05/30/12 28 I 05/02/12 0052 8735 05/30/12 28 4 x 8 0 0.00 0.00 Q NA " 05/02/12 0052 8736 05/30/12 28 1 0.00 Q NA Remarks: Technician(s): Carmi, N. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. seameofte ,.= a 20225 CedarVaby Road sup 110 Lynnwood, WAWW Project No. L11583 ph 425 9360 .1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoorna Office Permit No. BLD20110815, BLD20110816 1oo29s:TamrnaWay S& E-2 Bldg Dept. City of Edmonds Ta=m WA984% ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Porti dog Engineer CT Engineering 33rdDnve �1NE 90 Contractor Pennon Construction Company, Inc. PbdlaAOR97211 ph 503281.7515 fax 503281.7579 Record No. 066 Date 05/01/2012 Weather Partly Cloudy Inspection Proprietary Anchors and Post -Tension Sample(s) N/A Monitored epoxy grouting of deformed reinforcing steel bars into the slab on grade on the L1 slab . for CMU walls at Grids A.3 -B.4/1-3 and F.5-1-1/1-3. Verified per the approved structural plans. The epoxy used was Simpson SET -XP (expiration 8/31/2012). The holes were drilled, cleaned and epoxy installed per the manufacturer's written instructions. Final inspection on the Level L3 post -tension slab at Grid D.3 -H/1-9. Final adjustment s were made prior to the concrete placement. Prepared the post -tensioning stressing record for the Level L3 post -tension deck for the upcoming deck stressing. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESMSTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West (ASTM C31) Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 56°F Weather: Clear Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130432 MixDesign ID 150170OG FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036' ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/07/12 Sample Set ID: 278973 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 62°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: 0.348 5.5" 04/08/12 Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate HRWRA Water Required Strength: (f c) 5000 psi @ 28 days Weight (per cu.yd) 660.0 lbs 1,803.0 lbs 1,434.0 lbs 40.0 oz 230.0 lbs Placement Location and Notes: Set 4 of 4. Post -tension slab on the second Level grids A -D.2/1-9. The concrete has a.3750 psi strength requirement for stressing the post -tension slab. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made 04/07/12 Sample # 0044-F Lab # 6478 Date Tested 04/10/12EKI4 Age . Size (in) x 8 Load (lbs) 58510 Dia (in) 4.00 Area 12.57 Strength (psi) 4660 Type of Fracture 04/07/12 0044-F 6479 04/13/12 © 4 x 8 67840 4.00 12.57 5400 0044-F 6480 04/13/12 © 4 x 8 70320 4.01 12.63 55706_4/07/12J 04/07/12 0044 6481 04/14/12 4 x 8 77610 4.00. 12:571 6180 T e 2 ' 04/07/12 0044 6482 05/05/12 28 4 x 8 90470 4.01 12.63. 7160 04/07/12 0044 6483 05/05/12 28 4 x 8 93600 4.00 12.57 7450 04/07/12 0044 6484 05/05/12F-281 7390 Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050tc, Rev 4, 08=07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES' TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Quehl, D. Tested by: Kane, J. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/07/12 Sample Set ID: 278973 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A PATE 1050-1 c, Rev 4, 08/22107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTEsnNG ENGINEERS,INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Age Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 51 OF Weather:. Clear Product: Concrete Supplier: . Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130416 MixDesign ID: 150170OG FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/07/12 Sample Set ID: 278972 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 60°F NR % Water/Cement Ratio: Slump (ASTM C143) 1FSamples) Recd: 0.342 7" 04/08/12 Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate HRWRA Water Required Strength: ft) 5000 psi @ 28 days Weight (per cu.yd) 664.0 lbs 1,799.0 lbs 1,428.0 lbs 40.0 oz 227.0 lbs Placement Location and Notes: Set 3 of 4. Post -tension slab on the second Level grids A -D.2/1`-9. The concrete has a 3750 -psi strength requirement for stressing the post -tension slab. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0043-F 6471 04/10/12 4 x 8 56980 4.00 12.57 4530 TYJe 3 04/07/12 0043-F 6472 04/13/12 © 4 x 8 67980 4.00 12.57 5410 T e 3 04/07/12 0043-F 6473 04/13/12 © 4 x 8 65700 4:00 12.57 5230 T e 3 " 04/07/12 0043 6474 04/14/12 4 x 8 74810 4.00 12.57 5950 04/07/12 0043 6475 05/05/12 28 4 x 8 91700 4.00 12.57 7300 T e 5 " 04/07/12 0043 6476 05/05/12 28 4 x 8 97660 4.01 12.63 7730 T e 2 " 04/07/12 0043 6477 05/05/12 28 4 x 8 .91730 4.00 12.57 7300 T e 2 " Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. . See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with,applicable ASTM's except C-31, 10.1.2, C-780; A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS INC Lynnwood , 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Quehl, D. Tested by: Kane, J. Project No: L11583 Issued on: 05/07/12. Sample Set ID: 278972 Permit # (s): BLD20110815 Reviewed by: C/> Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08n2ro7 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES - TESTING �ENGINEERS9 INC Lynnwood 20225 Cedar Valley Road Suite 110 f . ;, , - _ •` ? Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier. Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/07/12 Edmonds, WA Sample Set ID: 278970 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 44°F Actual . Mix Proportions: Weather: Clear Ingredient Weight (per cu.yd) Product: Concrete Samples) Recd: Required Strength: (fc) 0.472 4" 04/08/12 4000 psi @ 28 days Cement --Type I & II 562.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 7/8" 1,851.0 lbs. Batch Plant Location: Everett Fine Aggregate 1,469.0 lbs Ticket Number: 130382 MB 20ON %23.0 oz MixDesign ID: 02600 Water 265.0 lbs Sample Temp. Initial Storage Temp. Air Content 6464 05/05/1228 4 x 8 76350 4.00 12.57 6080 T e 5 " (ASTM C1064) (ASTM C31) (ASTM C231) 4 x 8 75530 4.00 12.57 6010 T e 3 " 04/07/12 0041 56°F NR % . Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.472 4" 04/08/12 4000 psi @ 28 days Placement Location and Notes: Set 1 of 4. Post tension deck on the 2nd level, grids A -D.2/1-9 and the ramp going from ground level to the second level at grids D -E/5-7. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable), Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) -Dia (in) Area Strength (psi) Type of Fracture 04/07/12 .0041 6463 04/14/12 F 7 � I 4 x 8 61900 4.00 12.57 4930 04/07/12 0041 6464 05/05/1228 4 x 8 76350 4.00 12.57 6080 T e 5 " 04/07/12 0041 6465 05/05/1228 4 x 8 75530 4.00 12.57 6010 T e 3 " 04/07/12 0041 6466 05/05/12 28 4 x 8 74400 4.00 12.57 5920 T e 5 " Remarks: Technician(s): Quehl, D. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MA YES TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA . Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 47°F Weather: Clear Product: Concrete. Supplier: Concrete Nor'West Batch Plant Location: Everett FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/07/12 Sample Set ID: 278971 Permit # (s): BLD20110815 j� Actual Mix Proportions: Ticket Number: 130398 Type of Fracture MixDesign ID: 150170OG 04/14/12 0 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 55°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: 0.352 6" 04/08/12 Placement Location and Notes: Set 2 of 4. Post -tension slab on the second level, grids A -D.2/1-9. Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate HRWRA Water Required Strength: ft) 5000 psi @ 28 days Weight (per cu.yd) 657.0 lbs 1,783.0 lbs 1,427.0 lbs 40.0 oz 231.0 lbs Date Made COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0042 6467 04/14/12 0 4 x 8 75570 4.00 12.57 6010 04/07/12 0042 6468 05/05/12 28 4 x 8 87210 4.00 12.57 6940 1 04/07/12 0042 6469 05/05/12 28 I 7160 T e 3 04/07/12 0042 6470 05/05/12 28 4 x 8 86810 4.00 12.57 6910 Remarks: Technician(s): Quehl, D. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08/22/07 6.6.1.3, C-1019; 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. -- .. 20225 Cedar Vauey Road Se 110 LMmood, WA980W ph Project No. L11583 fax4Z.745.1 3 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA 10029 S. Taoana Way 1ons.Ta= Permit No. BLD20110815, BLD20110816 SSE -2 Bldg Dept. City of Edmonds Ta=m WA984% . ph 253.584.3720 fax 253.584.3707 Owner . First Western Development Services Architect Donahou Design Group _ AD'�o fflce 7911 NE 33rd Drive Engineer CT Engineering SWO190 Contractor Pennon Construction Company, Inc. Podand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 067 Date 05/03/12 Weather Inside and 47 Degrees Inspection Structural Masonry Sample(s) N/A Permit No. BLD20110815 . Inspected structural masonry grout placement of the CMU walls on Level L1, Grids A.2 -B.2/1-3, from 0"-48". Per Plan Detail 4/S6.03 and RFI #57, walls are partially grouted at cells with reinforcing steel. Reinforcing steel conforms to Plan Detail 4/S6.03. Verified blocking of non - grouted cells. Monitored placement of site -mixed Amerimix Course Grout "AMX 600 CG". Grout was mixed with a drum mixer with one 80 -pound sack of grout and 1-1/4 gallons water and placed by coal scuttle bucket. Grout was mechanically consolidated. Requested that the masonry sub- contractor fabricate one set of three prism units for the next placement. To the best of our knowledge, all items inspected today are in conformance with approved plans. and specifications. inspector: Carl Harrington Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. sea* Ofte -_ 20225CedarValleyRoad . Suite110 LWvood, WA9W36 ph 425.7 Project No. L11583 �c 425.745.17345.173 7 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA ioms'o�0� 0029 S. Taoxna Way Permit No. BLD20110815, BLD20110816 suite E-2 Bldg Dept. City of Edmonds Tacoma WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group P6 -da iofte Engineer CT Engineering 199 33rd Drive 7911sum 19 0 Contractor Pennon Construction Company, Inc. Portlard,OR97211 ph 503281.7515 fax 503281.7579 Record No. 069 Date 5/7/2012 Weather (indoors) Inspection Structural masonry Sample(s) (6) masonry prisms Performed structural masonry inspection of 8" CMU wall. Grout was placed within grid lines and, elevation as. follows: 1 to 2 from H to F.8 from 4'0 to 8'0"; 1 to 3 from B.4 to A.3 from top of. concrete to 4'0". Reinforcing steel was placed per S1.00/04220 and S6.02/16. Grout was mixed onsite with Amerimix coarse grout, placed by bucket and vibrated to consolidate. Masonry prism design F'm = 1500psi. Grout was placed at reinforced cells only. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept., City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 083 Date 05/21/12 Weather Rain Inspection Reinforced Concrete Sample(s). (4) 4x8" Concrete Cylinders Seaffie Office 20225 CedarVaRey Road Suit 110 Ly Yma)d, WA98036 ph 425.7429360 fax 425.745.1737 raoarna office 10029 S. Tacoma Way Sud E-2 Tacoma, WA98499 ph 253.584.3720 fax 253.584.3707 PaNand Office 7911 NE 33rd Drive SLiba 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Performed final reinforcing steel inspection in vehicle barrier walls on L2 at -the following locations: Lines G/7-7.2, 9/F.8 -G & 9/F -F.2. Reinforcing steel was placed according to plans, specifications & details. Observed the placement of (2) cubic yards of Concrete Nor'West Mix #0260, 4000 psi required, into the above -listed walls. Concrete was placed by bucket & mechanical consolidation was used. Sampled concrete & cast (4) 4x8" concrete cylinders. Performed a reinforcing steel inspection in CMU walls: L1 level on Grid 6.5/D -E, top of wall, final top 4' lift. Reinforcing steel placed according to plans and specifications. Masons placing grout, mixed on-site. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: P. Myers Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. Seaide Office ENO ' = . 20225 CedarvaOey Road &&110 Lynrnmood, WA98036 ph 25.745.1 Project No. L11583 3 fax 425.745.1737 fax Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA ce 10029 S. Tao�na Way 1OMS.T oa Permit No. BLD20110815, BLD20110816 SuiteE2 Bldg Dept. City of Edmonds Tacoma WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Fbrdawoffice 7911 NE 33rd Drive Engineer CT Engineering. SdB190 Contractor Pennon Construction Company, Inc. Porb-d, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 084 Date 05/22/2012 Weather Rain Inspection Reinforcing Steel and Structural Masonry Sample(s) N/A Inspected reinforcing steel on walls to extend above the roof level for the west elevator and stairs at Grids A-13/5-5.5, A/.5.8, B/5.8-6.3 and A-13/6.3. The reinforcing steel was verified per the approved structural plans and found to be in conformance with the following exceptions: 1. On the top of wall (TOW) on the Shear Wall F at Grids A -B/6.3 are missing (3) #6 bars on each face, (6) total. 2. Additional embeds on the interior elevator walls were not installed at the time of inspection Observed grouting on 8 CMU walls on Grids A.3 -B.3/1-3. Verified reinforcing steel per the approved plan. Grout was placed in reinforced cells only and mechanically consolidated. Discussed inspection with Todd Wirtz prior to inspection. Preliminary Inspection: See Above. Inspector: M. Schrader Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. Sea* Office =cedarvaL-yRoad State 110 Lyr Mood, WA98036 Project No. L11583 ph 425.7429360 'tx425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tof m10029S.TawraWay Permit No. BLD20110815, BLD20110816 SuVeE2 Bldg Dept. City of Edmonds Ta=na,WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group . Pbr&-ndOffice Engineer CT Engineering S�1r 033rdDrne Contractor Pennon Construction Company, Inc. Patrd, OR 97211 ph 503281.7515 tax 503281.7579 Record No. 080 Date 05/16/2012 Weather Partly.Cloudy Inspection Reinforced Concrete and Reinforcing Steel Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 Monitored placement of concrete into walls from the top of wall (TOW) to the roof level (2nd lift) at Grids D.5-1-1/1 and the north stair walls at Grids F -F.4/1-2.2. The reinforcing steel was verified per the approved structural plans. Items from the report dated 5/15/2012 that were incomplete were resolved prior to concrete placement. The concrete was Concrete Nor'West Mix ID #02600 and was placed by boom pump truck with mechanical consolidation. The concrete was sampled (1) time for strength testing. Approximately (26) cubic yards were placed. Inspected reinforcing steel for the west stair and elevator walls first'lift at Grids A713/5-5.4, B/5.8-6.3 and A-13/6.3. The reinforcing was found to be per plan with the following exception: 1. The wall needs a boundary element at Grid A/5 per Detail 16/S6.00. CORRECTIVE ACTION TAKEN: See 1St paragraph. Preliminary Inspection: See last paragraph. Inspector: M. Schrader Reviewed By: Michael J. Mayes, P.E. President Page 1 of 1 MAYESTESnNG ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Sample Temp. Edmonds, WA Client:, First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: 62°F Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 131138 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 06/06/12 Sample Set ID: 279547 Permit # (s): BLD20110815 I - Actualy Mix Proportions: MixDesign ID' 026506 Lab # Date Tested Sample Temp. Initial Storage Temp. Air Content Dia (in) (ASTM C1064) (ASTM C31) (ASTM C231) 72°F NR % • Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: 0.389 7" 05/09/12 Placement Location and Notes: 0056 Set 2 of 3. Post tension slab on level 3 at grids A -D.3/1-9. Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MB PolyHeed 997 Water Required Strength: (f c) 5000 psi @ 28 days COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Weight (per cu.yd) 606.0 lbs 1,838.0 lbs 1,445.0 lbs 36.9 oz 236.0 lbs Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/08/12 0056-F 9186 05/11/12 0 F 4 8-15-071 3830 05/08/12 0056 9189 05/15/12 0 4 x 8 73550 4.01 12.63 5820 05/08/12 0056 9190 06/05/12 28 4 x 8 77870 4.02 12.69 6140 1 05!08/12 0056 9191 06/05/1228 4 x 8 77090 4.01 12.63 6100 05/08/12 0056 9192 06/05/12 28 4 x 8 78490 4.00 12.57 6250 Remarks: Technician(s): Carmi, N. Tested by: Schumacher, C. Notes Reviewed by: Michael S. Dolder, P.E. Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESnNG ENGINEERS, INC CONCRETE LABORATORY TEST REPORT. Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 58°F Weather: Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 131105 MixDesign ID: 026506 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 06/06/12 279546 Permit # (s): BLD201.10815 FIELD DATA ASTM C31 and C172 4 .Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) . 70°F NR % Ingredient Cement—Type I & II Coarse Aggregate 7/8" Fine Aggregate MB PolyHeed 997 Water Water/Cement Ratio: Slump (ASTM C143) IFSample(s) Recd: Required Strength: (fc) 0.389 5.5" 05/09/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 3. Post -tension slab on Level L3 at grids A -D.3/1-9. Weight (per cu.yd) 612.0 lbs 1,855.0 lbs 1,441.0 lbs 36.9 oz 238.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of.Fracture 05/08/12 0055 9182 05/15/12 4 x 8 59350 4.01 12.63 4700 05/08/12 0055 9183 06/05/12 28 4 x 8 72710 4.02 12.69 5730 05/08/12 0055 9184 06/05/12 28 4 x 8 72810 4.00 12.57 5790 05/08/12 0055 9185 06/05/12 28 I4 x 8 68110 4.00 12.57 5420 T e 2 " Remarks Technician(s): Carmi, N. Reviewed by: Tested by: Schumacher, C. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES' TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West. (ASTM C31) Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Supplier: Batch Plant Location: Ticket Number: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 06/06/12 Sample Set ID: 279548 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 66°F ActualgT Mix Proportions: Partly Cloudy Concrete 'Concrete Nor'West Everett 131159 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 75°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd:) 0.391 6.75" 05/09/12 Placement Location and Notes: Age Size (in) Set 3 of 3. Post tension slab on Level L3 at grids A -D.3/1-9. Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MB PolyHeed 997 Water Required Strength: (fc) 5000 psi @ 28 days Weight (per cu.yd) 608.0 lbs 1,833.0 lbs 1,440.0 lbs 37.2 oz 238.0 lbs Remarks: Technician(s): Carmi, N. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/08/12 0057-F .9193 05/11 /12 0 4 x 8 44440 4.00 12.57 3540 T e 3 ' 05/08/12 0057 9196 05/15/12 0 4 x 8 64210 4.00 12.57 5110 T e 3 ' 05/08/12 0057 9197 06/05/1228 4 x 8 76530 4.00 12.57 6090 05/08/12 0057 9198 06/05/12 28 4 x 8 66630 4.00 12.57 5300 T e 5 ' 05/08/12 0057 9199 06/05/12 ail 6170 Remarks: Technician(s): Carmi, N. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 085 Date 05/23/12 Weather Cloudy Inspection Rebar Sample(s) N/A Seatle o/fice 20225 CedarValley Road sude 110 Lynnwood, WA98036 ph 425.7429360 fax 425.745.1737 score orrice 10029 S. Ta=mway We E-2 Taooma, WA98499 ph 253.584.3720 fax 253.584.3707 AardaW Ofice 7911 NE 33rd Drive sub 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Inspection of rebar that was missing from last report on 5/22/12, Roof level. Grid A-13/6.3: Verified (3) #6 bars placed at each face at top of stairway wall. Interior elevator wall, additional embeds placed. CORRECTIVE ACTION TAKEN: See above. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. Seoeof e . 20225 cedar Valley Road sub110 Lrymood, WAM6 Project No: L11583 �Q5». Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacana Office Permit No. BLD20110815, BLD2011081.6 100Ms.Taox SWBE-.TaoonrallVay Sud E-2 Bldg Dept. City of Edmonds Taooma WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Fbrdmdoffice Engineer CT Engineering Sub 1199033rdDrroe Contractor Pennon Construction Company, Inc. Pordar,d,oR97211 ph 503281.7515 fax 503281.7579 Record No. 086 Date 05/23/12 Weather Rain Inspection Reinforced Concrete Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 On site for sampling and placement inspection of Concrete Nor'West Mix #2600 placed along A Line between 5 & 6. Topping off of Elevator Shaft 1/2 and Stair #1 was placed by concrete boom truck. Mix was mechanically vibrated for consolidation. Four (4) 4x8" cylinders were cast for compressive strength testing. Approximately (28) cubic yards were placed. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Vassallo Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYESTEsTiNG-MIGINEER$1. INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 05/24/12 Edmonds, WA. Sample Set ID: 279714 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 62°F i Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 131380 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content . (ASTM C 1064) (ASTM C31) (ASTM C231) 73°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s).Redd: Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MB 20ON Water Required Strength: (f c) Weight (per cu.yd) 534.0 lbs 1,753.0 lbs 1,384.0 lbs 23.2 oz 259.0 lbs 0.485 6" 05/17/12 4000 psi &,28 days Placement Location and Notes: Walls on third to roof level at grids D.5-1-11, and north stair walls at grids F -F.4/1-2.2. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/16/12 0062 9982 05/23/12 0 4 x 8 51200 4.00 12.57 4070 T e 2 ' 05/16/12 0062 9983 06/13/12 28 4 x 8 � 0.00 0.00 � NA ' 05/16/12 0062 9984 06/13/12 28 4 x 8 � 0.00 0.00 Q NA ' 05/16/12 0062 9985 06/13/12 28 4 x 8 � 0.00 0.00 � NA ' Remarks: _ Technician(s): Schrader, M. Reviewed by:-« Tested by: Bastian, M. Kevin Graham Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See.ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, 6-780, A MTE 1050-1C, Rev 4, 08=07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENG111tEERS, INC Z.v- _L_udc"r'•�NeYfi� �' CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West' Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 60°F Weather: Cloudy Product: Non Shrink grout Supplier: Target Batch Plant Location: N/A Ticket Number: N/A MixDesign ID: Portland Expanding Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/29/12 Sample Set ID: 279746 Permit # (s): BLD20110815 FIELD DATA ASTM C39 and C1107 Design Mix Proportions: Ingredient Premix Grout Water Sample Temp. I I Initial Storage Temp. I Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 65°F NR % Slump (ASTM C143) Sample(s) Recd: Required Strength: ft) dry pack 05/21/12 5000 psi @ 28 days Placement Location and Notes: Post -tension slab tendon cap grout, Level 3. Sample time: 9:50AM. Weight (per cu.yd) 50.0 lbs 8.0 lbs . COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/18/12 0064 10130 05/25/12 0 2 x 2 x 2 41180 0.00 4.14 9940 T e l 05/18/12 0064 10131 06/15/12 28 2 x 2 x 2 0 0.00 0.00 NA " 05/18/12 0064 10132 06/15/12 28 2 x 2 x 2 0 0.00 0.007 E-NA " Remarks: Technician(s): Harrington, C. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08r2.2107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No:. L11583 Issued on: 05/29/12 Sample Set ID: 279782 Permit # (s): BLD20110815 Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 55°F _ Design Mix Proportions: Rain Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 31083 Ingredient Cement—Type I & II Coarse Aggregate Fine Aggregate MB 20ON Weight.(per cu.yd) 564.0 1,850.0 1,460.0 23.0 MixDesign ID: 02600 Water 275.0 Sample Temp. Initial Storage Temp, Air Content 5150 T e y (ASTM C 1064) (ASTM C31) (ASTM C231) 0.00 59°F NR % Water/Cement Ratio: Slump (ASTM C143) IF Samples) Recd: I Required Strength: (f c) 0.488 5" 05/22/12 4000 psi @ 28 days Placement Location and Notes: L2 vehicle barrier walls on following grids: G/7-7.2; 9/F.8 -G and 9/F -F.2. Total of 2 cubic yards placed. lbs lbs lbs oz lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture. 05/21/12 0065 10298 05/28/12 0 4 x 8 64680 4.00 12.57 5150 T e y 05/21 /12 0065 10299 06/18/12 28 4 x 8 0 0.00 0.00 Q NA 05/21/12 0065 10300 06/18/12 28 4 x 8 0 0.00 0.00 Q NA 05/21/12 0065 10301 06/18/12 28 I4 x 8 0.00 0.00 Q NA Remarks: Technician(s): Myers, P. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Sea*ofte. 20225 Cedarvaky Road S&110 Lpv jood,VVA98036 Project No. L11583 �4Zia5.1M737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA � Tacorro Office Permit No. BLD20110815, BLD20110816 1oo2ss.Taoorr,away Sub E-2 Bldg Dept. City of Edmonds Tacoma, WA 98499 ph 253.584.3720 Owner First Western Development Services tx 253.584.3707 Architect Donahou Design Group Pbrft,dof6oe Engineer CT Engineering �19033rdD" Contractor Pennon Construction Company, Inc. Patrd, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 087 Date 5/24/2012 Weather Partly cloudy Inspection Structural steel, reinforced masonry Sample(s) None Inspected reinforcing and observed masons grout and consolidate site mixed 80 -pound sacks of coarse grout (Amerimix 2000 psi) at the following second floor locations: 1) electrical room, second 4' lift; and 2) data server room, first 4' lift. Reinforcing confirmed to be according to 16/S6.02. Walls grouted at reinforced cells only. Inspected welds for tie -back connections at panels A61 and A63 — welds conform to Olympian Precast detail 2/P5.0 and AWS D1.1. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Tom Cain Reviewed By: . Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES' TESTING ENGINEERS,. INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First.Western Development Services CT Engineering Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1 737 Project No: L11583 Issued on: 05/29/12 Sample Set ID: 279745 Permit # (s): BLD20110815 Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 60°F _ Actual Mix Proportions: Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 131469 MixDesign-ID : 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1 (ASTM C31) (ASTM C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 562.0 lbs Coarse Aggregate 1,834.0 lbs Fine Aggregate 1,462.0 lbs Water 202.0 lbs WRA 23.2 oz Required Strength: (fc) 0.359 5" 05/21/12 4000 psi @ 28 days Placement Location and Notes: Walls, Level 3 to -roof, stair 1 and elevators #1 and 2 core A-13/5-6.4; 2nd lift of high wall 1/A -E.5, 32'6" to 40'6'; roof to high roof, stair#2, F -F.4/1-2.2. Sampled at 10 cubic yards of 51.5 total. Time: 11:20AM. 15 gallons of water. added. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 05/18/12 0063 10126 05/25/12 0 4 x 8 58730 4:01 12.63 4650 Type 2 ` 05/18/12 0063 10127 06/15/12 28 4 x 8 0 0.00 0.00 Q NA ' 05/18/12 0063 10128 06/15/1228 4 x 8 0 0.00 0.00 Q NA ' 05/18/12 0063 10129 06/15/12 28 4 x 8 0 0.00 0.00 Q NA ` Remarks: Technician(s): Harrington, C. Reviewed by: Tested by: Bastian, M. C/ Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM s except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08=07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYE TESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 �� . �„ , two-= � ; ° �-_..,,,_�.•._• ____ . Lynnwood WA 98036 ph 425.742.9360 fax CONCRETE LABORATORY TEST REPORT a2s.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/31/12 Edmonds, WA Sample Set ID: 279812 Client: Engineer. Contractor: Air Temperature: Weather: Product: First Western Development Services CT Engineering Pennon Construction Company, Inc Permit # (s): ,FIELD DATA ASTM C31 and C172 53°F I Actual Mix Proportions: Rain Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 131590 MixDesign ID: 2600 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) when applicable) 68°F NR % Water/Cement Ratio: Slump (ASTM C143) IF Sample(s) Recd: 05/23/12 0066 0.344 4.25" 05/24/12 Placement Location and Notes: 05/23/12 0066 Line A between grids 5 to 6, topping off elevator 1/2 shaft and stair #1. Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MB 20ON Water Required Strength: (fc) 4000 psi @ 28 days Weight (per cu.yd) 561.0 lbs 1,856.0 lbs 1,462.0 lbs 23.0 oz 193.0 lbs Remarks: Technician(s): Vassallo, M. Tested by: Schumacher, C. Reviewed by: Com' Michael S. Dolder, P.E. Vice President' Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, OMM07 6.6.1.3, C-1019, 9.6 -"recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/23/12 0066 10429 05/30/12 0 4 x 8 63460 4.01 12.63 5020 T e 2 " 05/23/12 0066 10430 06/20/1228 4 x 8 0.00 0.00 NA " 05/23/12 0066 10431 06/20/1228 05/23/12 0066 10432 06/20/12 28 4 x 8 �� 0.00 0.00 �� NA " Remarks: Technician(s): Vassallo, M. Tested by: Schumacher, C. Reviewed by: Com' Michael S. Dolder, P.E. Vice President' Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, OMM07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 05/31/12 Edmonds, WA Sample Set ID: 279455 First Western Development Services. Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 48°F �Actual_ Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130989 MixDesign ID: 026506 Sample Temp. (ASTM C 1064) Initial Storage Temp. (ASTM C31) Air Content (ASTM C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) IF Samples) Rec'd: 0.400 5.75" 05/03/12 Placement Location and Notes: 255.0 Set 1 of 3. Post -tension slab on Level L3 at grids D.3-1-1/1-9. Ingredient Weight (per cu.yd) Cement --Type I & II 638.0 lbs Coarse,Aggregate 7/8" 1,942.0 . lbs Fine Aggregate 1,518.0 lbs MB PolyHeed 997 35.4 oz Water 255.0 lbs Required Strength: (f c) 5000 psi @ 28 days Date Made . Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/02/12 00521 8733 05/09/12 0 4 x 8 62600 4.00 12.57 4980 05/02/12 0052 8734 05/30/12 28 4 x 8 77710 4.00 12.57 6180 T e 2 ' 05/02/12 0052 8735 05/30/1228 4 x 8 75010 3.99 12.50 6000 T e 2 05/02/12 0052 8736 05/30/1228 4 x 8 74600 4.00 12.57 5940 F7TTjW2 ' Remarks: Technician(s): Carmi, N. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22J07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES' TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. • Air Temperature Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: ` L11583 Issued on: 05/31/12 Sample Set ID: 279456 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 52°F ; Actual�� Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number : 130962 Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MB PolyHeed 997 W t Weight (per cu.yd) 611.0 lbs 1,849.0 . lbs 1,448.0 lbs 37.2 oz 233 0 Ibs MixDesign ID: 026506 a er Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR % Water/Cement Ratio: Slump (ASTM C143)'l Sample(s) Recd: Required Strength: (fc) 0.381 6" 05/03/12 5000 psi @ 28 days Placement Location andNotes: Set 2 of 3. Post -tension slab on the Level L3 at grids D.3-1-1/1.9. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/02/12 0053 8737 05/09/12 0 4 x 8 76240 4.00 12.57 6070 05/02/12 0053 8738 05/30/1228 4 x 8 82600 4.00 12.57 6570 T e 3 05/02/12 0053 8739 05/30/12F2811 6620 JT e 2 05/02/12 0053 8740 05/30/12 28 4 x 8 76480 4.00 12.571 6090 Remarks: Technician(s): Carmi, N. Tested by: Schumacher, C. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 . - "recording field temperature" MAYES'TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West (ASTM C31) Edmonds, WA client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/31/12 Sample Set ID: 279457 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 52°F { Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130978 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) '67°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: 0.403 7.25" 05/03/12 Placement Location and Notes: 4 x 8 Set 3 of 3. Post -tension slab on Level L3 at grids D.3 -H/1-9. Ingredient Weight (per cu.yd) Cement --Type I & II 605.0 I.bs Coarse Aggregate 7/8" 1,851.0 lbs Fine Aggregate 1,438.0 lbs MB PolyHeed 997 37.2 oz Water 244.0 lbs Required Strength:ffc) 5000 psi @ 28 days Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area . Strength (psi) Type of Fracture 05/02/12 0054-F 8741 05/05/12 4 x 8 411.80 4.00 12.57 3280 T e 2 " 05/02/12 0054-F 8742 05/07/12 4 x 8 48730 .4.00 12.57 3880 T e 3 ' 05/02/12 0054-F 8743 05/08/12 © E :4:x::8 56500 4.00 12.57 4500 05/02/12 0054 8744 05/09/12 0 4 x 8 65250 4.00 12.57 5190 T e 3 ' 05/02/12 0054 8745 05/30/12 28 4 x 8 70440 4.00 12.571 5610 05/02/12 0054 8746 05/30/12 28 4 x 8 76730 4.00 12.57 6110 05/02/12 0054 8747 05/30/1228 4 x 8 76750 4.00 12.57 6110 T e 2 ' Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" � � TESTING ENGINEERS INC Lynnwood' 1 20225 Cedar Valley Road Suite 110 e Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax azs.7as.1737 Project Name: Premier Orthopedic Group Building Project No: 1-11583 Site Address: 21401 72nd Avenue West Issued on: 05/31/12 Sample Set ID: 279457 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Reviewed by: Tested by: Schumacher, C. Michael S. Dolder, P.E. Vice President Notes: Information in this report Applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, o8i2Z07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seameofce - - 20715 CedarVaW Road Sud 110 Lpvaod, WA9M Project No. L11583 ph fax425.745.1737 fax4Z745.173 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA rasa offio& 1o029s.Ta=m Way Permit No. BLD20110815, BLD20110816 Suit E-2 Bldg Dept. City of Edmonds Taoxna, WA 99499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Pordmd0fte Engineer CT Engineering �N�33rdo�e Contractor Pennon Construction Company,.lnc. Potand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 088 Date 5/25/2012 Weather Sunny, 50°F Inspection Visual welding (VT) Sample(s) N/A On site for visual welding inspection of precast exterior panel connections. Inspected welds of pieces A25, A27, A29, A31, A65, A67 and A33. Pieces were on the east elevation from level 1 to 2. Welds per Olympic Precast details for connection to shear walls, 2/P5.0. All welds met plans requirements and were acceptable to AWS D1.1 visual acceptance criteria. Fig 1. Panels A25, A27 and A29 Fig 2: Panels A31, A65, A67 To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Lonny Morrison Reviewed By: Michael S. Dolder, P.E. Vice President 0 Page 1 of 1 I / C, TESTING ENGINEERS, INC. Seaffle Office Sunny Inspection 20225 Cedar valley Road # CITY OF EDMONDS UAVETWW o. Ll 1583 ph 42 .7 fax425.72"i& uF �Fi pM� �UA,gBQ� P wd eOnwb� i`-6M0981hi bfH 0 •(425) 771-0220 •FAX (425) 771-0221Edmonds, 21 1 venue West, WA TSO10B RR BLEMOLIC10855T8MW= TMENT 10029S.Tamnaway SLdgE2 g] . City of Edmonds Tamm WA96499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group �idO�DB SLAB NE33rdDrive Engineer CT Engineering S� 190 Contractor Pennon Construction Company, Inc. Pub-4OR97211 ph 503281.7515 fax 5032B1.7579 Record No. 089 Date 5/25/2012 Weather Sunny Inspection Structural masonry Sample(s) N/A Server Room. Checked and found reinforcing steel placements for the 2nd 4" CMU wall lift in accordance with detail 16/S6.02, with (2) #5 verticals added at each side of door jamb. Masons job site mixed grout using 80 Ib bags of Amerimix Course Grout to a flowable consistency. Grout was bucket placed (Figure 1) and mechanically consolidated at reinforced cells only. Exterior precast panel connections. Inspected welds at bottom panel to top of panel Halfen weld clip connection (Figure 2) per detail 2/P5.0 for piece A35 to meet plan and AWS D1.1 visual acceptance criteria. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Todd Wirtz Reviewed By: Michael S. Dolder, P.E. Vice President Incorporated August 11, 1890 Page 1 of 1 Sister City - Hekinan, Japan MAYES TESTING ENGINEERS, INC. seameofike .... 20715 Cedarvagey Road SL&110 . LTrmcod, WA98W6 Project No. L11583 Hca 5 45 Project Premier Orthopedic Group Building. Address 21401 72nd Avenue West, Edmonds, WA r�OiiaO ffice 10029 S. Tamm Way Permit No. BLD20110815, BLD201.10816 St&E-2 Bldg Dept. City of Edmonds Taoorna, WA 98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Porda"d°ffiCe 7911 NEndDrive Engineer CT Engineering SLib 190 Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 090 Date 5/30/2012 Weather Overcast Inspection Proprietary anchors Sample(s) N/A The contractor epoxy -grouted horizontal #4 bars to previously cast -in-place walls or pre -cast walls, at locations on H-line/3.2 to 6.9, G-line/7 & 8, 9-line/F.9 to B.1, A-line/7.8 to 6.3, and A-line/5 to 3.1. These bars were to reinforce 3' high car barriers. Holes were found to be of 4" depth, and were cleaned with brush and compressed air per epoxy manufacturer's written instructions. Simpson SET -XP was mixed and applied per manufacturer's specifications. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Trip Edgerton Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. seaftOlfice 20225CedarvaL yP oad sWB110 Lynnwood, WA 98M6 Project No. L11583 ph fax 425.. 745.1 745.1 60 f737 Project Premier Orthoppdic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoana Office Permit No. BLD20110815, BLD20110816 1oms.Taoxnaway SLbE_2 Bldg Dept. City of Edmonds Taoxm WA 98499 ph 253.584.3720 tic 253.584.3707 Owner First Western Development Services Architect Donahou Design Group F"rfia"dOfOe Engineer CT Engineering �1199033<dofive Contractor Pennon Construction Company, Inc. Pordand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 080 Date 05/16/2012 Weather Partly Cloudy Inspection Reinforced Concrete and Reinforcing Steel Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 Monitored placement of concrete into walls from the top of wall (TOW) to the roof level (2. lift) at Grids D.5-1-1/1 and the north stair walls at Grids F -F.4/1-2.2. The reinforcing steel was verified per the approved structural plans. Items from the report dated 5/15/2012 that were incomplete were resolved prior to concrete placement. The concrete was Concrete Nor'West Mix ID #02600 and was placed by boom pump truck with mechanical consolidation. The concrete was sampled (1) time for strength testing. Approximately (26) cubic yards were placed. Inspected reinforcing steel for the west stair and elevator walls first lift at Grids A -B/5-5.4, B/5.8-6.3 and A -B/6.3. The reinforcing was found to be per plan with the following exception: 1. The wall needs a boundary element at Grid A/5 per Detail 16/S6.00. CORRECTIVE ACTION TAKEN: See 1St paragraph. Preliminary Inspection: See last paragraph. Inspector: M. Schrader Reviewed By: Michael J. Mayes, P.E. President Page 1 of 1 MAYES TESTING ENGINEERS, INC. s�ofte -_ :: 20225 CedarvaDey Road Sufie 110 . Lpr ood,WA98036 2-9360 px425.7 Project No. L11583 5.173 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma o�Oe 10029 S. Tamrriaway Permit No. BLD20110815, BLD20110816 Suit-E2 Bldg Dept. City of Edmonds Taoorna,WA984% ph 253.584.3720 fit 253.584.3707 Owner First Western Development Services Architect Donahou Design Group °E fte Engineer CT Engineering 77911 Nd 33rd D 911 NDrive suite 190 Contractor Pennon Construction Company, Inc. Poroand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 084 Date 05/22/2012 Weather Rain Inspection Reinforcing Steel and Structural Masonry Sample(s) N/A Inspected reinforcing steel on walls to extend above the roof level for the west elevator and stairs at Grids A -B/5-5.5, A/.5.8, B/5.8-6.3 and A-13/6.3. The reinforcing steel was verified per the approved structural plans and found to be in conformance with the following exceptions: 1. On the top of wall (TOW) on the Shear Wall F at Grids A-13/6.3. are missing (3) #6 bars on each face, (6) total. 2. Additional embeds on the interior elevator walls were not installed at the time of inspection. Observed grouting on 8" CMU walls on Grids A.3 -B.3/1-3. Verified reinforcing steel per the approved plan. Grout was placed in reinforced cells only and mechanically consolidated. Discussed inspection with Todd Wirtz prior to inspection. Preliminary Inspection: See Above. Inspector: M.•Schrader Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. seameoffice Cedar Vaby Road sule110 Lynnwood, WA98036 Project No. L11583 ph 425.7429360 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacarrra office Permit No. BLD20110815, BLD20110816 10o29s.Tam-naWay S& E-2 Bldg Dept. City of Edmonds TacormWA984% ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group A"d"doffice Engineer CT Engineering 7911We 19 19 33rd Me 0 Contractor Pennon Construction Company, Inc. Poruana,OR9211 ph 503281.7515 W 503281.7579 Record No. 083 Date 05/21/12. Weather Rain Inspection Reinforced Concrete . Sample(s) (4) 4x8" Concrete Cylinders Permit No. BLD20110815 Performed final reinforcing steel inspection in vehicle barrier walls on L2 at the following locations: Lines G/7-7.2, 9/F.8 -G & 9/F -F.2. Reinforcing steel was placed according to plans, specifications & details. Observed the placement of (2) cubic yards of Concrete Nor'West Mix #0260, 4000 psi required, into the above -listed walls. Concrete was placed by bucket & mechanical consolidation was used. Sampled concrete & cast (4) 48" concrete cylinders. Performed a reinforcing steel inspection in CMU walls: L1 level on Grid 6.5/D -E, top of wall, final top 4' lift. Reinforcing steel placed according to plans and specifications. Masons placing grout, mixed on-site. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. . Inspector: P. Myers Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYESTES77NG ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/22/12 Sample Set ID: 279645 Permit # (s): FIELD DATA ASTM C31 and C172 67°F i Actual Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 131334 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 73°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 562.0 lbs Coarse Aggregate 7/8" 1,846.0 lbs Fine Aggregate 1,455.0 lbs MB 20ON 22.8 oz Water 268.0 lbs Required Strength: (fc) 0.477 6" 05/15/12 4,000 psi @ 28 days Placement Location and Notes: Walls on the third to roof level at grids B.8 -D.3/9, D/3.5-4, D/6-7, and the south stair parapet walls. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 05/14/12 0060 9661 05/21/12 0 4 x 8 51560 3.99 12.50 4120 05/14/12 0060 9662 06/11/12 28 4 x 8 �� 0.00 0.00 NA " 05/14/12 0060 9663 06/11/12 28 4 x 8 �� 0.00 0.007F NA ' 05/14/12 0060 9664 06/11/12 28 4 x 8—� 0.00 0.00 NA ' Remarks: Technician(s): Schrader, M. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" LIIs93 Jeff Still Subject: FW: Premier Elevator Wall Rebar From: Chuck Morris jmailto:cmorris(&ctengineeringcom] Sent: Thursday, May 17, 2012 10:22 AM To: Jeff Still; 'Jim' Cc: Joe Sullivan; Mac Sele Subject: RE: Premier Elevator Wall Rebar Jeff, I have looked at this conditions. Though the wall length is less than 36", which would imply the ties as noted on 16/S6.00 pier plan are required, however with the wall continuing around the corner these ties are not required. The wall length is long enough to develop the corner bars, and the horizontal bars with the hooked end. (MK 419 @ 14"). Chuck Morris MAYES TESTING ENGINEERS, INC. seameorr e .... 20225 Ced=arvagey Road Stns 110 LWrmcod,wA98036 Project No. L11583 ph4Z.745.173 fa�c 425.745.1737 Project 'Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Office Permit No. BLD20110815, BLD20110816 10029 S.Ta=naWay Sub E2 Bldg Dept. City of Edmonds Taooma,WA984% ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Fbrdandof ce Engineer CT Engineering Sinle111 1 033rdDrn�e Contractor Pennon Construction Company, Inc. Portlard,OR97211 ph 503281.7515 fax 503281.7579 Record No. 082 Date 05/18/12 To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Carl Harrington Reviewed By: Michael S. Dolder, P.E. Vice President Page 2 of 2 MAYES TESTING ENGINEERS, INC. seafaeoRice M 0.11 loins N1 N Cedarvaby Road Sufi- 110 Lynnwood, WA 98036 Project No. L11583 Wa2si45.1M737 6 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Office Permit No. BLD20110815, BLD20110816 10o29s.Taoomaway, . Sud E-2 Bldg Dept. City of Edmonds Taoxna,WA984% ph 253.584.3720 f K 253.584.3707 Owner First Western Development Services Architect Donahou Design Group �dof�ce Engineer CT Engineering �1199033rdDrW Contractor Pennon Construction Company; Inc. Pordand,OR97211 ph 503281.7515 f2CK 503281.7579 Record No. 082 Date 05/18/12 Weather Cloudy and 60's Inspection Reinforced Concrete, Structural Masonry Post -Tension Grout Sample(s) (1) Set of (4) 48" Cylinders and (1) Set of (3) 2x2x2" Cubes Permit No. BLD20110815 1. Inspected concrete placement of the following wall elements: • Stair #1, Elevators #1 and #2 cores, Level L3 to Roof, A -B/5-5.4, B/5.8-6.3, A-13/6.3 and 5.9/A to west of A. Reinforcing steel inspected by Mark Schrader on 5/18/12 and by Carl Harrington on 5/18/12 (Wall 5.9/A to West of A). See" Corrective Action" below to update M. Schrader's report. • Stair #2, Roof to High Roof, F -F.4/1-2.2: Reinforcing steel inspected by Mark Schrader on 5/15/12. North elevation High wall, 1/A -F, Elevation 32'-6" to 40'-6": Reinforcing steel inspected by Paul Myers on 5/10/12. Verified final cover and clearance. Monitored and sampled placement of (51.5) cubic'yards of Concrete Nor'West Mix #02600 by boom pump with mechanical consolidation. Made one set of four 48" compression test cylinders. Per S1.00, F'c: 4,000 psi at 28 days. 2. Sampled non -shrink grout used at the Level L3 post -tension tendon pockets. Grout product is Target Portland Expanding Grout, hand mixed on site with approximately 55 pounds grout mix.and 0.92 gallon water to a dry -pack consistency. Made,one set of three 2x2x2" compression test cubes. Per S1.00, F'c: 5,000 psi. 3. Inspected CMU grout placement of the partially grouted partition walls, Level L1, D-E/6.1- 6.5,.from 0"-48".. Reinforcing steel conforms to Plan Detail 16/S6.02. Observed insulation installed at the Elevator Mechanical Room inside the CMU cells. Monitored placement of site -mixed Amerimix Course Grout "AMX-600 CG". Grout was mixed with a drum mixer with one 80 pound sack of grout and 1-1/4 gallons of water and placed by coal scuttle bucket. Grout was mechanically consolidated. . CORRECTIVE ACTION TAKEN: Update to Mark Schrader report of 5/15/12: Per e-mail from Chuck Morris, CT Engineering, the wall at A/5, L3 to Roof, does not need Boundary Element reinforcing. See copy of e-mail (attached). Page 1 of 2 MAYAS TESTING ENGINEERS,. INC own CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,846.0 Edmonds, WA . Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036. ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/21/12 Sample Set ID:. 279253 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 52°F �� Actual Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number:, 130775 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 559.0 lbs Coarse Aggregate 7/8" 1,846.0 lbs Fine Aggregate 1,465.0 lbs MRWRA 23.2 oz Water 264.0 lbs Required Strength: (fc) 0.472 5" 04/21/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Walls L2 to L3 at grids 7-D/1/1A-A.3/3, A3.7-4.3, D/3.5-5. Sampled at 10 of 20 cubic yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/20/12 0050 7787 04/27/12 0 4 x 8 54670 4.00 12.57 4350 T e o 04/20/12 0050 7788 05/18/12F-28-11 5670 04/20/12 0050 7789 05/18/1228 4 z 8 70750 4.01 12.63 5600 04/20/12 0050 7790 05/18/12 28 F12,5711 5810 Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Bastian, M. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08rzv07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTINGENGINEERSi. INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 05/21/12 Edmonds, WA Sample Set ID: 279252 First Western. Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 54°F j _ Actualy Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130769 Ingredient Weight (per cu.yd) Cement --Type I & II 650.0 lbs Coarse Aggregate 3/8" 1,646.0 lbs Fine Aggregate .1,547.0 lbs HRWRA 20.0 oz MRWRA 38 8 oz MixDesign ID: 07600G3 Sample Temp. Initial Storage Temp. Air Content Water 239.0 lbs (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) 0.368 6" 04/21/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Columns L2 to L3 at grids A.1/8.7, A.3/3, B/1.6, B/7, C/7, C/8 and D/8. Sampled at 10 of 20 cubic yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, c1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/20/12 0049 7783 04/27/12 07 4 x 8 66210 4.00 12.57 5270 T e 2 04/20/12 0049 7784 05/18/12 28 1 4.00 12.57 6380 04/20/12 0049 7785 05/18/12 28 4 x 8 84860 4.02 12.69 6690 7 F T e 2 " 04/20/12 0049 7786 05/18/12 28 4 x 8 86860 4.02 12.69 6840 T e 2 Remarks: Technician(s): Schrader, M. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE.1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESMIG ENGINEERS, INC Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/21/12 Supplier: Concrete Nor'West Sample Set ID: 279636 Batch Plant Location: Everett Edmonds, WA Ticket Number: Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Content FIELD DATA ASTM C31 and C172 Air Temperature: 53°F j Actual �M Mix Proportions: Weather: Clear Ingredient Weight (per cu.yd) . Product: Concrete Cement—Type I & II 538.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 7/8" 1,759.0 lbs Batch Plant Location: Everett Fine Aggregate 1,391.0 lbs Ticket Number: 131290 MB 20ON 22.8 oz MixDesign ID: 02600 Water 256.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR % Water/Cement Ratio: Slump (ASTM C143)1 Sample(s) Rec'd: Required Strength: ft) 0.476 6" 05/12/12 4000 psi @ 28 days Placement Location and Notes: Stair walls on the third to roof level at grids F -F.4/1-2.1 and E -F/8-9. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) . Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/11/12 0059 9619 05/18/12 4 x 8 55640 4.02 12.69 4380 T e 3 05/11/12 0059 9620 06/08/12 28 4 x 8 0.00 0.00 NA " 05/11/12 0059 9621 06/08/12 28 F 0.00 05/11/12 0059 9622 06/08/12 28 4 x 8 C== F 0.00 Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Bastian, M. y Q Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture: All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08n2107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES 'TESTING ENGINEERS, INCLynnwood 20225 Cedar Valley Road Suite 110 .; } Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/18/12 Edmonds, WA Sample Set ID: 279646 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: Contractor: CT Engineering Pennon Construction Company, Inc. FIELD DATA (ASTM C31, C39, C617, C1231, ASTM C39 and C109 Air Temperature: 67°F I Actual Mix Proportions: Weather: Clear Product: Grout Supplier: CTS Cement Batch Plant Location: N/A Ticket Number: . N/A MixDesign ID: Rapid set DOT Sample Temp. Initial Storage Temp. Air Content .(ASTM C1064) (ASTM C31) (ASTM C231) 67°F . NR % Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) Flowable 05/15/12 3750 psi @ 1 days Placement Location and Notes: Monitored the grouting of the void on the PT slab column cap at grid D/2 mentioned on the report dated 5/12/2012. Mixed (1) sack of the grout to (1) gallon of water and mixed to a flowable consistency. Remarks: Technician(s): Schrader, M. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproducedwithout the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 05/14/12 0061-F 9665 05/15/12 0 2 x 2 x 2 39080 0.00 4.22 9260 05/14/12 0061-F 9666 05/15/12 2 x 2 x 2 36440 0.00 4.22 8630 T e l " 05/14/12 0061-F 9667 05/17/12 0 2 x 2 x 2 45540 0.00 4.221 10790 Remarks: Technician(s): Schrader, M. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproducedwithout the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING, iENGINEE'RSINvr Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/18/12 Edmonds, WA Sample Set ID: 279591 Client: Engineer: Contractor: Air Temperature Weather: Product: First Western Development Services CT Engineering Pennon Construction Company, Inc. Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 F +_..__.________ Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 131259 MixDesign ID 07600G3 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 64°F NR a % Water/Cement Ratio: Slump (ASTM C143) IF Samples) Recd: 0 376 5" 05/11/12 Ingredient Cement --Type I & II Coarse Aggregate 3/8" Fine Aggregate Glenium Water Required Strength: (fc) 4000 psi @ 28 days Placement Location and Notes: Level 3 to Roof walls G/8-9, F -E/8-9, 1/E.5 -H. A total of 60 cubic yards were placed. Weight (per cu.yd) 647.0 lbs 1,642.0 lbs 1,554.0 lbs 20.0 oz 243.0 lbs Remarks: Technician(s): Myers, P. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08M07 6.6.1.3, C-1019, 9.6 -'!recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/10/12 0058 9392 05/17/12 0 4 x 8 65260 4.03 12.76 5120 05/10/12 0058 9393 06/07/1228 4 x 8 0 0.00 0.00 NA ' 05/10/12 0058 9394 06/07/ 12 28 4 x 8—� 0.00 0.00 NA ' 05/10/12 0058 9395 06/07/12 28 4 x 8 0.00 0.00 NA ' Remarks: Technician(s): Myers, P. Tested by: Bastian, M. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08M07 6.6.1.3, C-1019, 9.6 -'!recording field temperature" MAYES TESTING ENGINEERS, INC. Seameotrice _ 20725 Cedar VaOey Road SUL-110 Lynnwood, WA98036 ph 429360 Project No. L11583 f�c x25.745.1737 fm(4Z745.173 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Office T Ta= 10029 S. Taoxnaway Permit No. BLD20110815, BLD20110816 Sub E-2 Bldg Dept.. City of Edmonds Ta=na,WA98499 ph 253:584.3720 bx 253.584.3707 Owner First Western Development Services Architect Donahou Design Group P10fd9f1doffice 7911 NE 33rd Drive Engineer CT Engineering Sute190 Contractor Pennon Construction Company, Inc. Poftnc,oR97211 ph 503281.7515 fax 503281.7579 Record No. 078 Date 5/15/2012 Weather Partly cloudy Inspection Post -tension, reinforcing steel Sample(s) N/A Transported the 2x2x2" cube mold to the lab for compression testing of the grout sample placed at the D/2 grid void repair from the report on 5/14/2012. The, results for the grout sample compression test were 9260 psi, and 8630 psi at 1 -day, which meets the minimum strength of 3750 psi requirement for continued stressing the L3 level PT slab. Continued stressing of the L3 PT slab on the remaining distributed and banded tendons. Upon completion of the deck stressing the data was entered into the Post Tensioning Stressing Record and summary. A copy was emailed to Jeff Still with Pennon for transmittal to the engineer for review. Inspected reinforcing .steel for the second lift on the high wall at grids D -H/1 and the north stair walls on the north, east and west sides. The south wall of the north stair was not complete at the time of inspection. Subject to final inspection. Preliminary Inspection Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. seaaeof ce Cedar Valley Road suite 110 LWrmjood, WA98036 Project No. L11583 m472.97 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoarna Office Permit No. BLD20110815, BLD20110816 10029 S.Ta=naWay Sub E-2 Bldg Dept. City of Edmonds TacorMwA984% ph 253.584.3720 W253.584.3707 Owner First Western Development Services Architect Donahou Design Group Po'd"dOfte Engineer CT Engineering �1r 03irdDrne Contractor Pennon Construction Company, Inc. Porbrid, OR 97211 ph 503281.7515 fa:c 503281.7579. Record No. 075 Date 5/11/2012 Weather Partly cloudy Inspection Post -tension, reinforced concrete, reinforcing steel Sample(s) (4) 48" cylinders The result for the compression test on the (2) field cured sample was 3830, 3540 at 3 days from the slab placed on 5/8/2012. The average of 3685 was below the required 3750 to stress the PT slab. The engineer Rob Thompson with CT Engineering was consulted and gave approval to stress the tendons in the L3 PT slab; however, the ironworkers were unable to stress the deck due to manpower issues. Inspector Tom Robinson was onsite to assist in stressing the slab and was onsite on standby until the decision was made to reschedule the deck stressing until Saturday.. Monitored concrete placement into the stair walls on the third to roof level at grids F -F.4/1-2.1, and E -F/8-9. The reinforcing steel was verified per the approved structural plans and details and was found to be in conformance. The concrete mix used was Concrete Nor'West mix ID # 02600, and was placed by boom pump truck with mechanical consolidation. The concrete was sampled once for strength testing. Approximately (20) cubic yards were placed. Inspected reinforcing steel for the stair walls on the third to roof level at grids B.8 -D.3/9, D3.5-4, D/6-7, and the south stair parapet walls.; Verified per the approved structural plans and details. The walls inspected were in conformance with the approved structural plans. Subject to final inspection. Preliminary Inspection Inspector: Mark Schrader Tom Robinson Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 077 Date 5/14/2012 Weather Partly cloudy Inspection Post -tension, reinforced concrete Sample(s) (4) 48 cylinders, (3) 2x2x2" cubes Seattle Office 20225 Cedar Valley Road Sine 110 LrrmAood, WA98036 ph 425.7429360 f3K 425.745.1737 Tacoma office 10029 S. Tacoma Way Suile E-2 Ta=m WA98499 ph 253.584.3720 Pax 253.584.3707 RxttandO/fice 7911 NE 33rd Drive Su*e 190 Pordarxl, OR 97211 ph 503281.7515 fax 503281.7579 Monitored concrete placement into the walls on the third to roof level at grids B.8 -D.3/9, D/3.5-4, D/6-7, and the south stair parapet walls. The reinforcing steel was verified per the approved structural plans and details, and was found to be in conformance. The concrete mix used was Concrete Nor'West mix ID # 02600, and was placed by boom pump truck with mechanical consolidation. The concrete was sampled once for strength testing. Approximately (31) cubic yards were placed. Monitored the grouting of the void on the PT slab column cap at grid D/2 mentioned on the report dated 5/12/2012. The repair was carried out after the engineer approved a non -shrink grout. The repair procedure was chipping out any loose unconsolidated concrete, moistening the concrete with water, applying a bonding agent and then filling the hole with non -corrosive non -shrink grout approved by the engineer of record. The grout used was Rapid Set DOT repair mix manufactured by CTS Cement Mfg. Corp. and was mixed per the manufacturer's written instructions in a bucket with a paddle mixer to at flowable consistency. The bonding agent was Acrylic Bondcrete manufactured by Edoco construction chemicals and was applied per the manufactu`rer's written instructions. Preliminary Inspection Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 1 MAYES TESTING ENGINEERS, INC. Seatffeofte 20715 Cedar Vaby Road sute „0 Lynnwood, WA 98036 Project No. L11583 X425».;7° Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoana Office Permit No. BLD20110815, BLD20110816 1W29s.TamnaWay SuReE2 Bldg Dept. City of Edmonds Taoxna V\A98499 ph 253.584.3720 f2x 253.584.3707 Owner First Western Development Services Architect Donahou Design Group. Pordandofte Engineer CT Engineering �19033rdDmne Contractor Pennon Construction Company, Inc. Pordana OR 97211 ph 503281.7515 fax 503281.7579 Record No. 076 Date 5/12/2012 Weather Partly cloudy Inspection Post -tension Sample(s) N/A The engineer, Rob Thompson with CT Engineering, gave approval to stress the tendons in the L3 PT slab the previous days based on the compressive test results. Before the stressing got started, a void was found beneath the column embed plate at grid D/2. Jeff with Pennon Construction consulted the engineer regarding the void and repair procedures. It was determined that it was acceptable to stress the distributed tendon only, and any tendons thatmere in proximity to the void would be avoided. The distributed tendons were stressed with the exception of the effected tendon. Todd Wirtz (Mayes Testing Engineers senior project manager) suggested a repair procedure of chipping out any loose unconsolidated concrete, moistening the concrete with water, applying a bonding agent and then filling the hole with non -corrosive non -shrink grout. Approval of a repair grout is still pending the engineers review.: . Preliminary Inspection Inspector: Mark Schrader Kevin Hill Todd Wirtz Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: . Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/16/12 Sample Set ID: 279548 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 66°F F Actual Mix Proportions: Partly Cloudy Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 131159 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 75°F . NR % Water/Cement Ratio. Slump (ASTM C143) Sample(s) Recd: Cement --Type I & II Coarse Aggregate. 7/8" Fine Aggregate MB PolyHeed 997 Water Required Strength: (fc) Weight (per cu.yd) 608.0 lbs 1,833.0 lbs 1,440.0 lbs 37.2 oz 238.0 lbs 0.391 6.75" 05/09/12 Placement Location and Notes: Set 3 of 3. Post tension slab on Level L3 at grids A -D.3/1-9. 5000 psi @ 28 days Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/08/12 0057-F 9193 05/11/12 0 4 x 8 44440 4.00 12.57 3540 1 05/08/12 0057 9196 05/15/12 F7 F12.57 5110 1 05/08/12 0057 9197 06/05/12 28 I NA " 05/08/12 0057 9198 06/05/12 28 I NA 05/08/12 0057 9199 06/05/1228 4 x 8 0 0.00 0.00 Q NA " Remarks: Technician(s): Carmi, N. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10:1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS,.INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/16/12 Sample Set ID: 279547 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 62°F r Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 131138 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 72°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: 0.389 T' 05/09/12 Placement Location and Notes: Set 2 of 3. Post tension slab on level 3 at grids A -D.3/1-9. Ingredient Weight (per cu.yd) Cement --Type I & II 606.0 lbs Coarse Aggregate 7/8" 1,838.0 lbs Fine Aggregate 1,445.0 lbs ' MB PolyHeed 997 36.9 oz Water 236.0 lbs Required Strength: ft) 5000 psi @ 28 days Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/08/12 0056-F 9186 05/11/12 4 x 8 48150 4.00 12.57 3830 T e 5 05/08/12 0056 9189 05/15/12 0 4 x 8 73550 .4.01 12.63 5820 T e a 05/08/12 0056 9190 06/05/1228 4 x 8 0 0.00 0.00 0 NA " 05/08/12 0056 9191 06/05/12 28 4 x 8 0 0.00 0.00 Q NA 05/08/12 0056 9192 06/05/1228 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Carmi, N. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08rMO7 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING iENGINEERS, ;SNC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/16/12 Edmonds, WA Sample Set ID: 279546 Client: First Western Development*Services Engineer: CT Engineering Permit # (s): BLD20110815 Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 58°F F Actual Mix Proportions: Weather: Partly Cloudy Ingredient Weight (per cu.yd) Product: Concrete Cement—Type I & II 612.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 7/8" 1,855.0 Ibs Batch Plant Location: Everett Fine Aggregate 1,441.0 lbs Ticket Number: 131105 MB PolyHeed 997 36.9 oz MixDesign ID: 026506 Water 238.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 70°F NR % Water/Cement Ratio: Slump (ASTM 0,143) Sample(s) Recd: Required Strength: (f c) 0.389. 5.5" 05/09/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 3. Post -tension slab on Level L3 at grids A -D.3/1-9. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/08/12 0055 9182 05/15/12 4 x 8 59350 4.01. 12.63 4700 T e 3 " 05/08/12 0055 9183 06/05/12F2-8-1 INA " 05/08/12 0055 9184 06/05/12 28 4 x 8 0.00 0.00 NA 05/08/12 0055 918.5 06/05/12 28l 7F NA Remarks: Technician(s): Carmi, N. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description.of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" r MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT.Engineering Contractor Pennon Construction Company, Inc. Record No. 074 Date 05/10/12 Weather Clear Inspection Reinforced Concrete Sample(s) (4) 4x8" Concrete Cylinders seaffie Office 20725 Cedarvadey Road SLI*b 110 Lynnwood,VVA98036 ph 425.7429360 fax 425.745.1737 Tanana office 10029 S. Taoortraway Sade E-2 Taooma, WA 98499 ph 253.584.3720. fax 253.584.3707 Pordarid Office 7911 NE 33rd Drive Sum 190 Portland, OR97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Performed a final inspection of reinforcing steel in walls on Level 3 to roof at the following locations: G/8-9, F -E/8-9 & 1/E.5 -H, all walls. Reinforcing steel was placed according to plans & specifications. Also performed a preliminary inspection of reinforcing steel in Level 3'walls prior to form closure at 9/B.8 -D.2 and 1/A -E. Okay to close forms. Observed placement of Concrete Nor'West Mix #07600G3, 4000 psi required, into Level 3 walls at G/8-9, F -E/8-9 and 1/E.5 -H. Concrete was placed by pump and mechanical consolidation was used. Sampled concrete and cast (4) 4x8" concrete cylinders. Verified slump & concrete temperature as well. A total of (60) cubic yards were placed. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: P. Myers Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS,_ INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 05/15/12 Edmonds, WA Sample Set ID: 279135 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 54°F j Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett - Ticket Number: 130621 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR % Water/Cement Ratio: Slump (ASTM C143) IF Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 560.0 lbs Coarse Aggregate 7/8" 1,837.0 lbs Fine Aggregate 1,454.0 lbs MRWRA 23.2 oz Water 261.0 lbs Required Strength: ft) . 0.466 4" 04/17/12 4000 psi @ 28 days Placement Location andNotes: Set 2 of 2. Walls L2 to L3 at grids D -F/1, 17.4-1-1/1, G/7.8-9, F.8 -G/9 and south stair walls at grids E -F/8-9. Sampled at 10 of 31.5 cubic yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/16/12 0048 7231 04/23/12 0 4 x 8 53840 4.00 12.57 .4280 04/16/12 0048 7232 05/14/12 28 4 x 8 69830 4.00 12.57 5560 04/16/12 0048 7233 05/14/12 28 4 x 8 69220 4.00F 12.57 5510 04/16/12 0048 7234 05/14/12 28 4 x 8 71320 4.00 12.57 5680 T e 2 " Remarks: Technician(s): Schrader, M. Tested by: Bastian, M. Reviewed by: Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08nv07 6.6.1.3, C-101 J, 9.6 - "recording field temperature" TESTING ENGINEERS, INC Lynnwood Suite Cedar Valley Road MAYES Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/15/12 Sample Set ID: 279134 Edmonds, WA Client: Engineer: Contractor: Air Temperature: Weather: Product: First Western Development Services CT Engineering Pennon Construction Company, Inc. . Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 56°F F_ Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ingredient Cement --Type I & II Coarse Aggregate 3/8" Fine Aggregate Weight (per cu.yd) 650.0 lbs 1,646.0 lbs 1,549.0 lbs 20 0 oz Ticket Number: 130620 COMPRESSION TEST RESULTS HRWRA MixDesign ID: 07600G3 (ASTM C31, C39, C617, Lab # Date Tested MRWRA 38.8 oz Water 236.0 lbs Sample Temp. Initial Storage Temp. Air Content . 04/16/12 0047 (ASTM C1064) (ASTM C31) (ASTM C231) 4 x 8 68°F NR % T e 3 ' Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: Required Strength: (f c) 0.363 6" 04/17/12 5000 psi @ 28 days Placement Location and Notes: 04/16/12- 0047 7229 Set 1 of 2. Columns L2 to L3 at G/2, E/2, E/3.5, D/2, C/2, C/3.5, C/4, B/3 and B/4. Sampled at 10 of 10 cubic yards total. 80970 4.02 12.69 6380 Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Bastian, M. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS Date Made Sample # (ASTM C31, C39, C617, Lab # Date Tested C1231, Age C780, C109, C1019 orAASHTO T22 Size (in) Load (Ibs) Dia (in) when applicable) Area Strength (psi) Type of Fracture . 04/16/12 0047 722704/23/12 0 4 x 8 65940 4.00 12.57 5250 T e 3 ' 04/16/12 0047 7228 05/14/12 28 4 x 8 82880 4.01 12.63 6560 04/16/12- 0047 7229 05/14/12 28 4 x 8 80970 4.02 12.69 6380 04/16/12 0047 7230 05/1.4/12 28 4 x 8 82670 4.01 12.63 6550 IF--Typ =e3 ' Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Bastian, M. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES. TESTING ENGINEERS, INC — i'- _ �__mo . ' Project Name: Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 05/14/12 Edmonds, WA Sample Set ID: 279548 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 66°F !w Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 131159 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 75°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 608.0 lbs Coarse Aggregate 7/8" 1,833.0 lbs Fine Aggregate 1,440.0 lbs MB PolyHeed 997 37.2 oz Water 238.0 lbs Required Strength: (fc) 0.391 6.75" 05/09/12 Placement Location and Notes: Set 3 of 3. Post tension slab on. Level L3 at grids A -D.3/1-9. 5000 psi @ 28 days Date Made COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/08/12 0057-F 9193 05/11/12 0 4 x 8 44440 4.00 12.57 3540 05/08/12 0057 9196 05/15/12 0 4 x 8 0 0.00 0.00 Q NA ' 05/08/12 0057 9197 06/05/12 28 4 x 8 � 0.00 0.00 �� NA ' 05/08/12 0057 9198 06/05/12 28 4 x 8 0 0.00 0.00 Q NA ' 05/08/12 0057 9199 06/05/12 28 1 Q F NA " Remarks: Technician(s): Carmi, N. Tested by: Revilla,Z. Reviewed by: Kevin Graham Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYS TESTING ENGINEERS,.. INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Sa�Temp.Initial Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 62°F Weather:. Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 131138 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/14/12 Sample Set ID: 279547 Permit # (s): BLD20110815 C Actual Mix Proportions: MixDesign ID: 026506 Lab # 9186F05/11/1270 Date Tested Sa�Temp.Initial StorageTemp. Air Content(A Area 12.57713830 Strength (psi) Type of Fracture T e y (ASTM C31) (ASTM C231) 72°F NR % 4 x 8 Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: 0.389 7" 05/09/12 Placement Location and Notes: 28 Set 2 of 3. Post tension, slab on level 3 at grids A -D.3/1-9. Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MB PolyHeed 997 Water Required Strength: (f C) 5000 psi @ 28 days COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Weight (per cu.yd) 606.0 lbs 1,838.0 lbs 1,445.0 lbs 36.9 oz 236.0 lbs Date Made 05/08/12 Sample # 0056-F Lab # 9186F05/11/1270 Date Tested Age Size (in) 4 x 8 Load (Ibs) Dia (in) 48150 4.00 Area 12.57713830 Strength (psi) Type of Fracture T e y 05/08/12 0056 9189 05/15/12 0 4 x 8 �� 0.00 0.00 NA 05/08/12 0056 9190 06/05/12 28 4 x 8 �� 0.00 0.00 �IF NA 05/0'8/12 0056 9191 06/05/12 281 F NA 05/08/12 0056. 9192 .06/05/12 28 4 x 8 C� 0.00 0.00 NA Remarks: Technician(s): Carmi, N. Tested by: Revilla,Z. Reviewed by: Kevin Graham Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYS TESTING /ENGINEERS,: INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Sample Set ID: Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Tested by: Bastian, M. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph, 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/09/12 Sample Set ID: 279457 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES' TESTING ENGINEERS,- INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite, 110 Lynnwood WA 98036 ph 425.742.9360 fax .425.745.1737 Project No: L11583 Issued on: 05/09/12 Sample Set ID: 279457 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 52°F i +� Actual Mix Proportions: Partly Cloudy Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130978 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C106 (ASTM C31) (ASTM C231) L. 67°F NR Water/Cement Ratio: Slump (ASTM C143) IF Sample(s) Recd: 0.403 7.25" 05/03/12 Placement Location and Notes: Set 3 of 3. Post -tension slab on Level L3 at grids D.3-1-1/1-9. Cement—Type I & II Coarse Aggregate 7/8" Fine Aggregate MB PolyHeed 997 Water Required Strength: ft) 5000 psi @ 28 days Weight (per cu.yd) 605.0 lbs 1,851.0 lbs 1,438.0 lbs 37.2 oz 244.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 05/02/12 0054-F 8741 05/05/12 0 4 x 8 41180 4.00 12.57 3280 T e t 05/02/12 0054-F 8742 05/07/12 � 4 x 8 48730 4'00 12.57 3880 T e 3 " 05/02/12 0054-F 8743 05/08/12 © 4 x 8 56500 4.00 12.57 4500 T e 5 ` 05/02/12 0054 8744 05/09/12 4 x 8 0 0.00 0.00 Q NA 05/02/12 0054 8745 05/30/1228 4 x 8 0 0.00 0.00 0 NA " 05/02/12 0054 8746 05/30/12 28 4 x 8 0 0.00 0.00 Q NA " 05/02/12 0054 8747 05/30/12 28 4 x 8 0.00 0.00.0 NA " Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM.C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08r22i07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS,.. INC `yn"WO°d _ 20225 Cedar Valley Road Suite 110 ' Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/08/12 Sample Set ID: 279457 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/2207 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West (ASTM C31) Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 52°F Weather: Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130978 MixDesign ID: 026506 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph. 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/08/12 Sample Set ID: 279457 Permit # (s): BLD20110815 i ��Actual _ Mix Proportions: S__a_m__p_I e__T_e_m_­p­._AJ Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 67°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: 0.403 7.25" 05/03/12 Placement Location and Notes: 12.57 3880 T e 3 Set 3 of 3. Post -tension slab on Level L3 at grids D.3 -H/1-9. Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MB PolyHeed 997 Water Required Strength: ft) 5000 psi ac 28 days COMPRESSION TEST RESULTS Weight (per cu.yd) 605.0 lbs 1,851.0 lbs 1,438.0 lbs 37.2 oz 244.0 lbs Date Made Sample # (ASTM C31, C39, C617, C1231, Lab # Date Tested Age C780, C109, C1019 or AASHTO T22 when applicable) Size (in) Load (Ibs) Dia (in) Area Strength.(psi) Type of Fracture 05/02/12 0054-F 8741 .05/05/12 0 4 x 8 41180 4.00 12.57 3280 T e 2 " 05/02/12 0054-F d 4 x 8 48730 4.00 12.57 3880 T e 3 05/02/12 0054-F 8743 05/08/12 © 05/02/12 0054 8744 05/09/12 0 05/02/12 0054 8745 05/30/12 28 4 x 8 0.00 0.00 �� NA 05/02/12 0054 8746 05/30/12 28 4 x 8—� 0.00 0.00 NA " 05/02/12 0054 8747 05/30/1228 1NA " Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08r22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project. Name: Premier Orthopedic Group *Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Tested by: Bastian, M. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/09/12 Sample Set ID: 279457 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 52°F Weather: Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number : 130978 MixDesign ID : 026506 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/09/12 Sample Set ID: 279457 Permit # (s):. BLD20110815 Actual 1 Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 67°F VIN Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: 0.403 7.25" 05/03/12 Placement Location and Notes: Set 3 of 3. Post -tension slab on Level L3 at grids D.3 -H/1-9. Ingredient Weight (per cu.yd) Cement --Type I & II 605.0 lbs Coarse Aggregate 7/8" 1,851.0 lbs Fine Aggregate 1,438.0 lbs MB PolyHeed 997 37.2 oz Water 244.0 lbs Required Strength:.(f'c) 5000 psi .@ 28 days Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 05/02/12 0054-F 8741 05/05/12 0 4 x 8 41180 4.00 12.57 3280 T e 2 ' 05/02/12 0054-F 8742 05/07/12 0 4 x 8 48730 4.00 12.57 3880 05/02/12 0054-F 8743 05/08/12 © 4 x 8 56500 4.00 12.57 4500 T e 5 ' 05/02/12 0054 8744 05/09/12 F7 4 x 8 0.00 0.00 Q NA ' 05/02/12 0054 8745 05/30/1228 4 x 8 0 0.00 0.00 NA ' 05/02/12 0054 8746 05/30/12 28 4 x 8 0.00 0.00 Q NA ' 05/02/12 0054 8747 05/30/1228 NA Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" _ MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West . Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/08/12 Sample Set ID: 279457 Permit # (s): BLD20110815 Remarks: Technician(s): Carmi, N. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTIM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC iiiiiiiiiiiiiiiiiiiiif CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 52°F Weather: Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130978 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/08/12 Sample Set ID: 279457 Permit # (s): BLD20110815 Actual 1 Mix Proportions: MixDesign ID , 026506 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 67°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: 0.403 7.25" 05/03/12 Placement Location and Notes. 8744 Set 3 of 3. Post -tension slab on Level L3 at grids D.3 -H/1-9. Ingredient Weight (per cu.yd) Cement --Type I & II 605.0 lbs Coarse Aggregate 7/8" 1,851:0 lbs Fine Aggregate 1,438.0 lbs MB PolyHeed 997 37.2 oz Water 244.0 lbs Required Strength: (ft) 5000 psi @ 28 days I Date Made Sample # 05/02/12 0054-F COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHT0722 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 8741 05/05/12 F411807 3280 T e 2 05/02/12 0054-F 8742 05/07/12 0 4 x 8 48730 4.00 12.57 3880 05/02/12 0054-F 8743 05/08/12 © T NA 05/02/12 0054 8744 05/09/12 � 4 x 8 L�J 0.00 0.00-1 F NA 05/02/12 0054 8745 05/30/12 28l IF NA 05/02/12 0054 8746 05/30/12 28 4 x 8 .0.00 0:00 NA 05/02/12 0054 8747 05/30/1228 4 x 8 0.00 0.00 NA " Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Seaf*Olfice .: 20225 Cedar Valley Road SUb110 Lynnwood, WA98036 Project No. L11583 ph tmca25�45.177337 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoary► TamInafte Permit No. BLD201.10815, BLD20110816 .onaWay SUteE_2 Bldg Dept. City of Edmonds Tamma,WA98499 ph 253.584.3720 fax 3707 Owner First Western Development Services Architect Donahou Design Group Pordand Office Engineer CT Engineering S�1t 033rdDme Contractor Pennon Construction Company, Inc. Pordand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 067 Date 05/03/12 Weather Inside and 47 Degrees Inspection Structural Masonry Sample(s) . N/A Permit No. BLD20110815 Inspected structural masonry grout placement of the CMU walls on Level L1, Grids A.2 -B.2/1-3, from 0"-48". Per Plan Detail 4/S6.03 and RFI #57, walls are partially grouted at cells With , reinforcing steel. Reinforcing steel conforms to Plan Detail 4/S6.03. Verified blocking of non - grouted cells. Monitored placement of site -mixed Amerimix Course Grout "AMX 600 CG Grout was mixed with a drum mixer with one 80 -pound sack of grout and 1-1/4 gallons water and placed by coal scuttle bucket. Grout was mechanically consolidated.. Requested that the masonry sub- contractor fabricate one set of three prism. units for the next placement. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Carl Harrington Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 . MAYES TESTING ENGINEERS, INC. 20715 Ceda-Vauey Road Sum 110 Lynnwood, WA98036 ph 60 Project No. L11583 fax 425.745.1 3 fa�c425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA ffice �rna Way 10029 S. = r029S.acom T a Permit No. BLD20110815, BLD20110816 SuFleE-2 Bldg Dept. City of Edmonds Ta=MWA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group e. Porda"do Engineer CT Engineering 7911 NE33rciDme Sum 190 Contractor Pennon Construction Company, Inc. Paftid,OR97211 ph 503281.7515 fax 503281.7579 Record No. 066 Date 05/01/2012 Weather Partly Cloudy Inspection Proprietary Anchors and Post -Tension Sample(s) ' N/A Monitored epoxy grouting of deformed reinforcing steel bars into the slab on grade on the L1 slab for CMU walls at Grids A.3 -B.4/1-3 and F.5-1-1/1-3. Verified per the approved structural plans. The epoxy used was Simpson SET -XP (expiration 8/31/2012). The holes were drilled, cleaned and epoxy installed per.the manufacturer's written instructions. Final inspection on the Level L3 post -tension slab at Grid D.3 -H/1-9. Final adjustment s were made prior to the concrete placement. Prepared the post -tensioning stressing record for the Level L3 post -tension deck for the upcoming deck stressing. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGI�EERS IN Lynnwood y 20225 Cedar Valley Road Suite 110 s a w <A Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/07/12 Sample Set ID: 278973 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Quehl, D. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" TESTING ENGINEERS,_ INC MAYES CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West . 6478 Edmonds, WA Client: First Western Development Services ti Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/07/12 Sample Set ID: 278973 Permit # (s): BLD20110815 FIELD DATA y ASTM C31 and C172 56°F i - Actual _ Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number 130432 Ingredient Weight (per cu.yd) Cement --Type I & II 660.0 lbs Coarse Aggregate 7/8" 1,803.0 lbs Fine Aggregate 1,434.0 lbs HRWRA 40.0 oz MixDesign ID: 150170OG Water, 230.0 IDS Sample Temp. Initial Storage Temp. Air Content (ASTM. C1064) (ASTM C31) (ASTM C231) 62°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.348 5.5" 04/08/12 5000 psi @ 28 days Placement Location and Notes: Set 4 of 4. Post -tension slab on the second Level grids A -D.2/1-9. The concrete has a 3750 psi strength requirement for stressing the post -tension slab. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0044-F 6478 04/10/12 0 4 x 8 58510 4.00 12.57 4660 T e 3 ' 04/07/12 0044-F 6479 04/13/1.2 © 4 x 8 67840 4.00 12.57 5400 T e 3 " 04/07/12 0044-F 6480 04/13/12 © 4 x 8 70320 4.01 12.63 5570 T e 3 ' 04/07/121 0044 6481 04/14/12 0 4 x 8 77610 4.00 12.57 6180 7 04/07/12 0044 6482 05/05/12 28 4 x 8 90470 4.01 12.63 7160 7 04/07/12 0044 6483 05/05/1228 4 x 8 93600 4.00 12.57 7450 T e 3 " 04/07/12 0044 6484 05/05/12 28 1 7390 7 Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS,. INC 77-777. CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West . Sample Set ID: Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Quehl, D. Tested by: Kane, J. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/07/12 Sample Set ID: 278972 Permit # (s): • BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES' TASTING ENGINEERS,. INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West ' Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Supplier: 51°F Clear Concrete Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130416 MixDesign ID: 150170OG FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/07/12 Sample Set ID: 278972 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) 11 (ASTM C31) (ASTM C231) 60°F NR Water/Cement Ratio: Slump (ASTM C143)Sample(s�Rec'd: 0.342 7" 04/08/12 Ingredient Weight (per cu.yd) Cement --Type I & II 664.0 lbs Coarse Aggregate 7/8" 1,799.0 lbs Fine Aggregate 1,428.0 lbs HRWRA 40.0 oz Water 227.0 lbs Required Strength: (fc) 5000 psi @ 28 days Placement Location and Notes: Set 3 of 4. Post -tension slab on the second Level grids A -D.2/1-9. The concrete has a 3750 psi strength requirement for stressing the post -tension slab. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0043-F 6471 04/10/12 4 x 8 56980 4.00 12.57 4530 T e 3 " 04/07/12 0043-F 6472 04/13/12. © 4 x 8 67980 4.00 12.57 5410 T e 3 " 04/07/12 0043-F 6473 04/13/12 © 4 x 8 65700 4.00 12.57 5230 T e 3 " 04/07/12 0043 6474 04/14/12 4 x 8 74810 4.00. 12.57 5950 T e 2 ' 04/07/12 0043 6475 05/05/1228 4 x 8 91700 4.00 12.57 7300 T e 5 " 04/07/12 0043 6476 .05/05/12 28 4 x 8 97660 4.01 12.63 7730 T e 2 ' 04/07/12 0043 6477 05/05/12 28 4x.8 91730 4.00 12.57 7300 T e 2 ' Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08n2/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES, TESTING ENGINEERS,_ INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 05/07/12 Edmonds, WA Sample Set ID: 278971 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 47°F ; Actual Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Ingredient Cement --Type I & II Coarse Aggregate 7/8" Weight (per cu.yd) 657.0 lbs 1,783.0 lbs Batch Plant Location: Everett Fine Aggregate 1,427.0 lbs Ticket Number: 130398 HRWRA 40.0 oz MixDesign ID: 150170OG Water 231.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 55°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) 0.352 6" 04/08/12 5000 psi @ 28 days Placement Location and Notes: Set 2 of 4. Post -tension slab on the second level, grids A -D.2/1-9. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0042 6467 04/14/127774 x 8 75570 4.00 12.57 6010 T e 3 04/07/12 0042 6468 05/05/12 28 4 x 8 87210 4.00 12.57 6940 T e 3 04/07/12 0042 6469 05/05/12 28 4 x 8 90480 4.01 12.63 7160 T e 3 04/07/12 0042 6470 05/05/1228 4 x 8 86810 4.00 12.57 6910 T e 2 Remarks: Technician(s): Quehl, 0 Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERSI: INC Lynnwood 20225 Cedar Valley Road Suite 110 . ,;° =; :` - Lynnwood WA 98036 ph 425.742.93601 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 05/07/12 Sample Set ID: 278970 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 44°F j Actual Mix Proportions: Weather: Clear Ingredient Weight (per cu.yd) Product: Concrete Cement --Type I & II 562.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 7/8" 1,851.0 lbs Batch Plant Location: Everett Fine Aggregate 1,469.0 lbs Ticket Number: 130382 MB 20ON 23.0 oz MixDesign ID: 02600 Water 265.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 56°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: ft) 0.472 41• 04/08/12 4000 psi @ 28 days Placement Location and Notes: Set 1 of 4. Post tension deck on the 2nd level, grids A -D.2/1-9 and the ramp going from ground level to the second level at grids D -E/5-7. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture F-04/07/12700417 0 4 x 8F 61900 4.00 12.57 4930 J 04/07/12 0041 6464 05/05/12 28 4 x 8 76350 4.00 12.57 6080 T e 5 ' 04/07/12 0041 6465 05/05/12 28 4 x 8 75530 4.00 12.57 6010 04/07/12 0041 6466 05/05/12 28 4 x 8 74400 4.00 12.57 5920 Remarks: Technician(s): Quehl, D. Reviewed by: Tested by: Kane, J. C/> Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08rM07 6.6.1.3, C-1019, 9.6 -."recording field temperature" MAYESTESTING ENGINEERS, INC 7-77 771.77TE77777 +: -�ws.Y :•arY ��F`it+fY�1F €.:.+Ali �k;,sdsl3rafs=Yi". x�+._. Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/01/12 Sample Set ID: 278853 Permit # (s):. BLD20110815 FIELD DATA ASTM C31 and C172 49°F [ 'Actual Mix Proportions: Clear Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130228 Weight (per cu.yd) Cement --Type I & II 611.0 Coarse Aggregate 7/8" 1,846.0 Fine Aggregate 1,446.0 Retarder 37.3 MixDesign ID: 026506 Water . 236.0 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 58°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Required Strength: (fc) 0.386 5" 04/03/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 3. Post -tension slab on the second Level between grids D.2 -H/1-9. Sampled at 10 of 334 yards total. lbs lbs lbs oz lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) . Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/02/12 0038 5876 04/09/12F7 I4 x 8 54710 4.00 12.57 4350 T e 3 " 04/02/12 0038 5877 04/30/12 28 1 5500 04/02/121 00385878 04/30/12 28 4 x 8 68370 4.00 12.57 '5440 1 04/02/12 0038 5879 04/30/12 28 4 x 8 66570 4.00 12.57 5300 Remarks: Technician(s): C.armi, N. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report -applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS,_ INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/01/12 Sample Set ID: 278854 Permit # (s): BLD20110815 Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 45°F j u Actual Mix Proportions: Clear Concrete Ingredient Weight (per cu.yd) Supplier: Concrete Nor'West Cement --Type I & II 607.0 lbs Coarse Aggregate 7/8" 1,844.0 lbs Batch Plant Location: everett Fine Aggregate 1,447.0 lbs Ticket Number: 130245 Retarder 36.8 oz MixDesign ID: 026506 Water 232.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 62°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: I Required Strength: (fc) 0.382 4" 04/03/12 5000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Post -tension slab on the 2nd Level between grids.D.2-H/1-9. Sampled at 167 of 334 cubic yards. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/02/12 0039 5880 04/09/12 0 4 x 8 60720 4.00 12.57 4830. 04/02%12 0039 5881 04/30/1228 4 x 8 78880 4.00 12.57 6280 04/02/12 0039 5882 04/30/1228 4 x 8 79350 4.00 12.57 6310 04/02/12 0039 .5883 04/30/1228 4 x 8 78970 4.00 12.57 6280 Remarks: Technician(s): Carmi, N. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,840.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature,: Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/01/12 Sample Set ID: 278855 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 57°F Actual Mix Proportions: Clear' Ingredient Concrete Supplier:. Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130265 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 64°F NR Weight (per cu.yd) Cement --Type I & II 516.0 lbs Coarse Aggregate 7/8" 1,840.0 lbs Fine Aggregate 1,442.0 lbs Retarder 37.3 oz Water 230.0 lbs Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: I Required Strength: (fc) 0.446 4" 04/03/12 5000 psi @ 28 days Placement Location and Notes: Set 3 of 3. Post -tension slab on the 2nd Level between grids D.2-1-1/1-9. Sampled at 313 of 334 yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/02/12 0040-F 5884 04/05/12 1 0 4 x 8 39250 4.00 12.57 3120 NA ' 04/02/12 0040-F 5885 04/06/12 ® 4 x 8 44570 4.00 12.57 3550 T e 5 ' 04/02/12 0040 -FC 5886 04/09/12 0 4 x 8 53390 4.01 .12.63 4230 T e 5 ' 04/02/12 0040 5887 04/09/12 0 4 x 8 59690 4.01 12.63 4730 T e 3 ' 04/02/12 0040 5888 04/30/12. 28 4 x 8 79330 4.01 12.63 6280 T e 3 ' 04/02/12 0040 5889 04/30/12 28 I4 x 8 74660 4.00 12.57 5940 T e 3 ' 04/02/12 0040 5890 04/30/12 28 4 x 8 75390 4.00 12.57 6000 T e 3 ' Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in' accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 081"22ro7 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Tested by: Cook, B. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/01/12 Sample Set ID: 278855 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" 4 MAYES TESTING ENGINEERS, INC. seamearce Weather �_ 20125 CedarvaRW Road Post -Tension Sample(s) sup 110 Lynnwood, wA98W6 Project No. L11583 ��M Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tam= Office Permit No. BLD20110815, BLD20110816 SuleE_2 Bldg Dept. City of Edmonds TaoxmWA984M ph 253.584.3720 W 253.584.3M7 Owner First Western Development Services Architect Donahou Design Group Potdandoffice Engineer CT Engineering S�1199033rdDnve Contractor Pennon Construction Company, Inc. Porfland,OR97211 ph 503281.7515 f3K 503281.7579 Record No. 062 Date 04/27/2012 Weather Clear Inspection Post -Tension Sample(s) N/A Permit No. BLD20110815 Preliminary inspection for level L3 PT slab between grids D.3 -H/1-9. Work is ongoing and the iron- workers will be working on Saturday 4-28 to complete the deck with the intention of placing on Monday. Issues to be resolved are as follows: 1) Sleeves at grids F.41.5-2 are in front of dead ended tendon heads at the stair wall are required to be schedule #40 steel sleeves. 2) 'There are only (4) #5 bottom bars each way at the column caps and the plans calls, for (8) #5 bars, each way. Preliminary Inspection: As noted above. Inspector: M. Schrader Reviewed By: Michael J. Mayes, P.E. President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Seafeofbce Weather Clear CedarVaDey Road Post -Tension Sample(s) UB110 LMvwood,wAMM Project No. L11583 ph fa�c 425.745.1737 fm(4Z745.173 Project Premier Orthopedic Group Building 21401 72nd Avenue West, Edmonds, WA Tacorrra OfficeAddress Permit No. BLD20110815, BLD20110816 10029 S. Taooma waySudeE2 Bldg Dept. City of Edmonds Ta=m WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Fbrdmdoice Engineer Engineer CT Engineering 7911 Contractor Pennon Construction Company, Inc. Podand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 064 Date 04/29/2012 Weather Clear Inspection Post -Tension Sample(s) N/A Ongoing inspection for level L3 PT slab between grids D.3 -H/1-9. Work is ongoing and the corrections from the engineers' field observation report have been completed. The PT deck is ready to start the placement with minor adjustments prior to concrete. . Preliminary Inspection Inspector; M. Schrader Reviewed By: Michael J. Mayes, P.E. President - Page 1 of 1. MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building . Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor . Pennon Construction Company, Inc. Record No. 054 Date 4/12/2012 Weather Clear Inspection Post -tension, reinforcing steel Sample(s) N/A REVISED y �. 1:57 pm; May:01- 2012; 4 seadh Office 20225 Cedar VaOey Road Suite 110 Lrrmood, WA98036 ph 425.7429360 fax 425.745.1737 TaCOM Ofioe 10029 S. Tacoma Way Sde E-2 Taooma, WA 98499 ph 253.584.3720 fax 253.584.3707 Pbrft dOfrxe 7911 NE 33rd Drive SLAe 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 After review of the Post -Tensioning stressing record, the engineer of record gave permission for the cutting and capping of the L2 PT deck tendons The tendons were cut between grids H/1-7, G - H/7, G/6-9 and C -H/1. ObseniedtFiat grease p at,end ofcuttendonlengths were, properly seated and bonding agent was applied at grommet pocket prior to d.ry packng ,of pocket: The stressing pockets were then cleaned of any slag or loose concrete and packed with the approved Target non -shrink grout. Inspected reinforcing steel for walls between levels 2 to 3 at grids: G/8-9, F.8 -G/9, F.5 -H/1 and for columns at grids G/2, E/2, E/3.5, D/2, D/3.5, C/2, C/3.5, B/3, A.3/3, B/4, and C/4. The reinforcing steel was verified per the approved structural plans and details and was found to be in conformance with the structural plans. Subject to final inspection after form closure. Preliminary Inspection See Paragraph.#2;oniy Inspector: Mark Schrader Reviewed By: Page 1 of 1 MAYESTESTING ENGINEERS, INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 05/01/12 Sample Set ID: 279269 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 63°F Actual Mix Proportions: Overcast Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130804 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 69°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: 0.452 Y 04/24/12 Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MRWRA Water Required Strength: ft) 4000 psi @ 28 days Weight (per cu.yd) 562.0 lbs 1;844.0 lbs 1,461.0 lbs 23.2 oz 254.0 lbs Placement Location and Notes: Walls L2 to L3 at grids B/5.8-6.4, A-13/6.4, A/6.7-7.3, A/7.8-8, A -A1/8, A1/8-8.7, A1-13/8.7, B/8.7-9, B -B.2/9 and B.8 - D.2/9. Sampled at 31 of 40 cubic yards total. COMPRESSION TEST RESULTS Remarks: Technician(s): Schrader, M. Tested by: Cook, B. Notes: Reviewed by: Michael S. Dolder, P.E. Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08=7 6.6.1.3, C-1019, 9.6 -"recording field temperature" (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) -Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/23/12 0051 7859 04/30/12 4 x 8 48270 4.00 12.57 3840 04/23/12 0051 7860 05/21/12F281 IFNA " 04/23/12 0051 7861 05/21/12F-281 NA ' 04/23/12 0051 7862 05/21/12F-281 NA ' Remarks: Technician(s): Schrader, M. Tested by: Cook, B. Notes: Reviewed by: Michael S. Dolder, P.E. Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08=7 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. seafeoffice Weather -- 20725 Cedar Vagey Road Post -Tension Sample(s) suile 110 LMvood,VVA98036 Project No. L11583 �4�z.5745.1M737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taarm 0f6oe Permit No. BLD20110815, BLD20110816 1ooms.Ta=naWay SuleE_2 Bldg Dept. City of Edmonds TacormWA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Ferdmd0fte Engineer CT Engineering X11990 dDrme Contractor Pennon Construction Company, Inc. Podlana,OR97211 ph 503281.7515 fax 503281.7579 Record No. 063 Date 04/28/2012 Weather Clear Inspection Post -Tension Sample(s) N/A Permit No. BLD20110815 Ongoing inspection for level L3 PT slab between grids D.3 -H/1-9. Attended the engineers walk - through with Steve K of CT Engineers and Jeff Still of Pennon Construction. A field report with a list of deficiencies was compiled and Brian from Central Steel was informed of the required corrections. Work is ongoing and the ironworkers will be working on Sunday, 4-29, to complete the deck with the intention of placing on Monday. The CT Engineering field observations report is attached to the report. Preliminary Inspection Inspector: M. Schrader Reviewed By: Michael J. Mayes, P.E. President Page 1 of 1 INC 180 NICki non 9t Still* 3q Sethi, WA 91109 (206) 2134312(1) (206) 28!-06 i sm FIELD REPORT Time: 77 7 777 Report No:, Project Name: Protect: t - - Attached: Reason for visit: / 7, Work in progress: Present'at site:'�f Observations: • /": 7- rr" v��'S %�`•...h T / :1�..• � •i /� ',` /(j �':.. •J• ••'L ��C / /J ••l : `r0.+y-��, e ' �.. • ✓ "...» i '!•-. i 1 /1 �: •ar :� •%' Q �,Cf �': /.•'� :•� O L� 7':0 '� J ,— f-{, `. A /^ G.t;f �i...w , . r✓ •a5 � •;L:•s l=yre fi� r ,(,. r i •� S ��/i--9-/ •s i G � d, a ...../ i:.... - Information or action required: Report by: ��`�'�; C ► ,•, ; - Distribution: strudural Engineers MA YES . TESTING ENGINEERS, INC. seafDe Office 20225 Cedarva5ey Road stale 110 LMwvood, WA98036 Project No. L11583 �425».;�° Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma once Permit No. BLD20110815, BLD20110816 10029s.TaoaraWay st&E2 Bldg Dept. City of Edmonds Taooma WA98499 ph 253.584.3720 tax Z3.5843707 Owner First Western Development Services Architect Donahou Design Group Pbd"dofflce Engineer CT Engineering 7911N o33dDive suits 1 Contractor Pennon Construction Company, Inc. Pa rid, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 058 Date 4/19/2012 Weather Partly cloudy Inspection Reinforcing steel Sample(s) N/A Inspected reinforcing steel on walls 1-2-1-3 at grids A/5.8, A-13/6.3, A/6.7-7.3, A/7.8-8, A -B/8, B/8-9, B.7 -D.2/9. The reinforcing steel was verified per the approved structural plans, and was found to be in conformance with the approved plans, with the exception of the walls at B/8-9 and B -B.3/9 were not complete at the time of inspection. Subject -to final inspection. Corrective Action Taken: On the preliminary report dated 4/16/2012 for the columns in question, the clearances were corrected and verified to be in conformance with the structural plans. Preliminary Inspection Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. sea*offlce Y 20715 CedarV&yRoad SLfl9110 Lynrnnood, WA98M Project No. L11583 ph faax4Mi45.177337 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacana0lfioe Permit No. BLD20110815, BLD20110816 10029S.TammWay 9geE_2 Bldg Dept. City of Edmonds Taoana, WA 98499 M 253.584.3720 f2x253.5sa3707 Owner First Western Development Services Architect Donahou Design Group PbrdandOfiae Engineer CT Engineering �1r 033rdDme Contractor Pennon Construction Company, Inc. Porbid, OR 97211 ph 503281.7515 fait 503281.7579 Record No. 061 Date 04/25/12 Weather --- Inspection Structural Steel Sample(s) N/A Visual inspection was performed on the fit -up of complete penetration weld joints on (2) stair stringers, piece marked 521 and 524. Inspection found the fit -up and root openings in compliance with AWS D1.1 specifications for preapproved weld joints. Inspection witnessed welding of the complete penetration joints on these parts and performed visual inspection of the final welds. Inspection of these welds found them in compliance with AWS D1.1 visual weld inspection criteria as specified in Table 6.1. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Virgilio Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. SeameO/fce ,. 20225 CedarvaHey Road Suite 110 Lynrnnood, WA98036 Project No. L11583 aZ745.173 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA TamwOffiice Permit No. BLD20110815, BLD20110816 10029S.Tamraway Suit E_2 Bldg Dept. City of Edmonds Taaxna wA984% ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Pbrdand°ffice Engineer CT Engineering Sum 9033idDme Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 060 Date 04/23/2012 Weather Clear Inspection Reinforced Concrete* Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 Monitored placement of concrete into walls between Levels L2 to L3 at Grids B/5.8-6.4, A -B/6.4, A%6.7-7.3, A/7.8-8, A -A1/8, A1/8-8.7, A1 -B/8.7, B/8.7-9, B -B.2/9 and B.87D.2/9.' The reinforcing steel was verified per the approved plans and details. Performed final inspection for cleanliness and form clearances. The concrete was Concrete Nor'West Mix ID #02600 and was placed by boom truck with mechanical consolidation. The concrete was sampled (1) time for strength testing. Approximately (40) cubic yards were placed. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID: Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 52°F Weather: Overcast Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number : 130775 MixDesign ID: 02600 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 04/30/12 279253 Permit # (s): BLD20110815 Actual ( Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 64°F NR % Ingredient Cement --Type I & II Coarse Aggregate 7/8'.' Fine Aggregate M RW RA Water Weight (per cu.yd) 559.0 lbs 1,846.0 lbs 1,465.0 lbs 23.2 oz 264.0 lbs Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: I Required Strength: (f'c) 0.472 5" 04/21/12 4000 psi @ 28 days. Placement Location and Notes: Set 2 of 2. Walls L2 to L3 at grids A-D/1/1A-A.3/3, A3.7-4.3, D/3.5-5. Sampled at 10 of 20 cubic yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age. Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/20/12 0050 7787 04/27/12 0 4 x 8 54670 4.00 12.57 4350 04/20/12 0050 7788 05/18/12 28 IF NA ' 04/20/12 0050 7789 05/18/1228 4 x 8 0 0.00 0.00 Q NA 04/20/12 0050 7790 05/18/1228 4 x 8 0 0.00 0.00 Q NA " Remarks: Technician(s): Schrader, M. Tested by: Cook, B. Reviewed by: Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC -M. .. . CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 54°F Weather: Overcast Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number : 130769 MixDesign ID: 07600G3 . FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 04/30/12 279252 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR Water/Cement­" Slump (ASTM C143) IFSamples) Rec'd: Ingredient Weight (per cu.yd) Cement --Type I & II 650.0 lbs Coarse Aggregate 3/8" 1,646.0 lbs Fine Aggregate 1,547.0 lbs HRWRA 20.0 oz MRWRA 38.8 oz Water 239.0 lbs Required Strength: (ft) 0.368 6" 04/21/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Columns L2 to L3 at grids A.1/8.7, A.3/3, B/1.6, B/7, C/7, C/8 and D/8. Sampled at 10 of 20 cubic yards total. Date Made Sample .# COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/20/12 0049 7783 04/27/12 0 4 x 8 66210 4.00 12.57 5270 T e t 04/20/12 0049 7784 05/18/12 28 IF NA " 04/20/12 0049 7785 05/18/12 28 4 x 8 0.00 0.00 NA ' 04/20/12 0049 7786 05/18/1228 IF NA Remarks: Technician(s): Schrader, M. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seameoffice - 20225 Cedarvaby Road SLde110 Lynnwood, WA98036 Project No. 'L11583 p7.7fax 1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoor►aofte Permit No. BLD20110815, BLD20110816 10029 S. Tawrr awaySuileE2 Bldg Dept. City of Edmonds Taoxna, WA 98499 ph 253.584.3720 Owner First Western Development Services W M.%4.3707 Architect Donahou Design Group Podwdofoe Engineer CT Engineering S 11*NE 3rdDme e 190 Contractor Pennon Construction Company, Inc. Padand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 057 Date 4/18/2012 Weather Partly cloudy Inspection Reinforcing steel Sample(s) N/A Inspected reinforcing steel on walls at grids A -A.3/3, A/3-3.3, A/3.8-4.3; the west stair walls at grids A-13/5-5.4; and the elevator walls at grids B/5.8-6.3, A-13/6.3. The reinforcing steel was verified per the approved structural plans and details, and found to be in conformance. Subject to final inspection. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. seadleofhce Cedar valley Road SLde 110 Lynnwood, WA 98036 Project No. L11583 a4745. 737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoar►ta Office Permit No. BLD20110815, BLD20110816 1oo29s.Taoomaway SuleE_2 Bldg Dept. City.of Edmonds TaaormWAW99 ph 253.584.3720 f K 253.584.3707 Owner First Western Development Services Architect Donahou Design Group abrUmdofhoe Engineer CT Engineering �19033rd1 Me Contractor Pennon Construction Company, Inc. PoNand,OR97211 ph 503281.7515 f3K 503281.7579 Record No. 059 Date 04/20/2012 Weather Overcast Inspection Reinforced Concrete Sample(s) (8) 4x8" Cylinders Monitored placement of concrete into columns: Levels L2 to L3 at Grids: A.1/8.7, A.3/3, B/1.6, B.7, C/7, C/8 and D/8; and walls: Levels L2 to L3 at Grids: A -D/1, A -A.3/3, A/3-3.3, A/3.7-4.3, D/3.5-5 and elevator walls between A-13/5-5.5. The wall at Grids A -A.2/5.8 was also placed, Levels L2 to L3. The reinforcing steel was verified per the approved structural plans and details. The concrete was Concrete Nor'West Mix ID #07600G3 for the columns and #02600 for the walls. The concrete was placed by boom pump truck. The concrete was sampled (2) times for strength testing. Approximately (20) cubic yards of 07600G3 mix and (20) cubic yards of the 02600 mix were placed. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Schrader Reviewed By: ell Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS,. INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,837.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/24/12 Sample Set ID: 279135 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 54°F i Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130621 MixDesign ID: 02600 Sample -Tem . Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 65°F NR Ingredient Weight (per cu.yd) Cement --Type I & II 560.0 lbs Coarse Aggregate 7/8" 1,837.0 lbs Fine Aggregate 1,454.0 lbs MRWRA 23.2 oz Water 261.0 lbs Water/Cement Ratio: Slump (ASTM C143) I Sample(s) Recd: Required Strength: (fc) 0.466 4" 04/17/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Walls L2 to L3 at grids D -F/1, F.4-1-1/1, G/7.8-9, F.8-6/9 and south stair walls at grids E -F/8-9. Sampled at 10 of 31.5 cubic yards total. Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Cook, B. L/ Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" COMPRESSION TEST RESULTS (ASTM'C31, C39, C617, C1231, C780, C109, C1019 orAASHTOT22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/16/12 0048 7231 04/23/12 0 4 x 8 53840 4.00 12.57 4280 T e y 04/16/12 0048 7232. 05/14/12 28 4 x 8 [� 0.00 0.00 ,� NA _ ' 04/16/12 0048 7233 05/14/1228 IF NA 04/16/12 0048 7234 05/14%12 28 Eli8 Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Cook, B. L/ Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 04/24/12. Edmonds, WA Sample Set ID: 279134 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 56°F f Actual Mix Proportions: Partly Cloudy Concrete Supplier: . Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130620 MixDesign ID: 07600G3 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 68°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 650.0 lbs Coarse Aggregate 3/8" 1,646.0 lbs Fine Aggregate 1,549.0 lbs HRWRA 20.0 oz MRWRA .38.8 oz Water 236.0 lbs Required Strength: (fc) 0.363 6" 04/17/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Columns L2 to L3 at G/2, E/2, E/3.5, D/2, C/2, C/3.5, C/4, B/3 and B/4. Sampled at 10 of 10 cubic yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested, Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/16/12 0047 7227 04/23/12 0 4 x 8 65940 4.00 12.57 5250 04/16/12 0047 7228 05/14/12 28 4 x 8 0 0.00 0.00 NA ' 04/16/12 0047 7229. 05/14/12 28 4 x 8 0.00 0.00 NA " 04/16/12 0047 7230 05/14/12 28 4 x 8 0 0.00 0.00 Q NA " Remarks: Technician(s): Schrader, M. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1:2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seameoffice _ 20225 Cedar Vasey Road SLAe 110 Lynnwood, WA 98036 Project No. L11583 �425»� Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoana olfioe Permit No. BLD20110815, BLD20110816 10029 S. Tamm Way SiheE-2 Bldg Dept. City of Edmonds TaoomamAW99 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Por&vdof oe Engineer CT Engineering X11 033rdDrn2 Contractor Pennon Construction Company, Inc. Pbttland,OR97211 ph 503281.7515 fax 503281.7579 Record No. 061 Date 04/25/12 Weather --- Inspection Structural Steel Sample(s) N/A Visual inspection was performed on the fit -up of complete penetration weld joints on (2) stair stringers, piece marked 521 and 524. Inspection found the fit -up and root openings in compliance with AWS D1.1 specifications for preapproved weld joints. Inspection witnessed welding of the complete penetration joints on these parts and performed visual inspection of the final welds. Inspection of these welds found them in compliance with AWS D1.1 visual weld inspection criteria as specified in Table 6.1. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Virgilio Reviewed- By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. seafffeOflke _.--, 20225 CedarvaHey Road sup 110 Ly YmoW, WA98036 Project No. L11583 �425».;�° Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA racoma Office Permit No. BLD20110815, BLD20110816 10029 S. Tamm Way WteE2 Bldg Dept. City of Edmonds Taooma,WA98499 ph 253.584.3720 fax Z3.584.3707 Owner First Western Development Services Architect Donahou Design Group Fbrdandofte Engineer CT Engineering �1f E33rdDme 90 Contractor Pennon Construction Company, Inc. Poruand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 060 Date 04/23/2012 Weather Clear Inspection Reinforced Concrete Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 Monitored placement of concrete into walls between Levels L2 to L3 at Grids B/5.8-6.4, A -B/6.4, A/6.7-7.3, A/7.8-8, A -A1/8, A1/8-8.7, A1 -B/8.7, B/8.7-9, B -B.2/9 and B.8 -D.2/9. The reinforcing steel was verified per the approved plans and details. Performed final inspection for cleanliness and form clearances. The concrete was Concrete Nor'West Mix ID #02600 and was placed by boom truck with mechanical consolidation. The concrete was sampled (1) time for strength testing. Approximately (40) cubic yards were placed. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINE€RS, INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/24/12 Sample Set ID: 279135 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 54°F jActual Mix Proportions: Partly Cloudy Ingredient Concrete Weight (per cu.yd) Supplier: Concrete Nor'West Cement --Type I & II 560.0 lbs Coarse Aggregate 7/8" 1,837.0 lbs Batch Plant Location: Everett Fine Aggregate 1,454.0 lbs Ticket Number: 130621 MRWRA 23.2 oz MixDesign ID: 02600 Water 261.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: ft) 0.466 4" 04/17/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Walls L2 to L3 at grids D=F/1, F.4-1-1/1, G/7.8-9, F.8 -G/9 and south stair walls at grids E -F/8-9. Sampled at 10 of 31.5 cubic yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/16/12 0048 7231 04/23/12 4 x 8 53840 4.00 12.57 4280 1T e 5 04/16/12 0048 7232 05/14/12F 28 4 x 8 0 0.00 0.00 Q NA 04/16/12 0048 7233 05/14/12 2_ 8-1 1 F_N_A_] 04/16/12 0048 7234 05/14/1228 1 F__N_A__1 Remarks: Technician(s): Schrader, M. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Notes: - Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08=07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTEST,NG ENGINEERS, INCLynnwood 20225 Cedar Vallev Road Suite 110 11 vm�=7777777 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name:. Premier Orthopedic Group Building Project No: L11583 i` Site Address: 21401 72nd Avenue West Issued on: 04/24/12 Edmonds, WA Sample Set ID: 279134 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: FIELD DATA ASTM C31 and C172 56°F F ­ Actual - Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130620 MixDesign ID: 07600G3 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) Ingredient Weight (per cu.yd) Cement --Type I & II 650.0 lbs Coarse Aggregate 3/8" . 1,646.0 lbs Fine Aggregate 1,549.0 lbs HRWRA 20.0 oz MRWRA 38.8 oz Water 236.0 lbs 68°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (Pc) 0.363 6" 04/17/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Columns L2 to L3 at G/2, E/2, E/3.5, D/2, C/2, C/3.5, C/4, 6/3 and B/4. Sampled at 10 of 10 cubic yards total. Remarks: Technician(s): Schrader, M. Tested by: Cook, B. Reviewed by: C%> Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/16/12 0047 7227 04/23/12 0 4 x 8 65940 4.00 12.57 5250 T e 3 ' 04/16/12 0047 7228 05/14/12 281 NA ". . 04/16/12 0047. 7229 05/14/1228 04/16/12 0047 7230 05/14/12 28 I4 x 8 �� 0.00 0.00 NA Remarks: Technician(s): Schrader, M. Tested by: Cook, B. Reviewed by: C%> Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. seameof6oe _y ... 20225 Cedar Valley Road sub110 Lprmood, WA98W6 Project No. L11583 pc3745. 737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taonrra Office Permit No. BLD20110815, BLD20110816 10029S.Taoomaway SuileE-2 Bldg Dept. City of Edmonds Taoorra WA98499 ph 253.584.3720 Z3.%4.3707 Owner First Western Development Services Architect Donahou Design Group Porgandoffice Engineer CT Engineering 033rdDmne 7911 NE Contractor Pennon Construction Company, Inc. Porl ncLOR97211 ph 503281.7515 fax 503281.7579 Record No. 059 Date 04/20/2012. Weather Overcast Inspection Reinforced Concrete Sample(s) (8) 4x8" Cylinders Monitored placement of concrete into columns: Levels L2 to L3 at Grids: A.1/8.7, A.3/3, B/1.6, B.7, C/7, C/8 and D/8; and walls: Levels L2 to L3 at Grids: A -D/1, A=A.3/3, A/3-3.3, A/3.7-4.3, D/3.5-5 and elevator walls between A -B/5-5.5. The wall at Grids A -A.2/5.8 was also placed, Levels L2 to L3. The reinforcing steel was verified per the approved structural plans and details. The concrete was Concrete Nor'West Mix ID #07600G3 for the columns and #02600 for the walls. The concrete was placed by boom pump truck. The concrete was sampled (2) times for strength testing. Approximately (20) cubic yards of 07600G3 mix and (20) cubic yards of the 02600 mix were placed. To the best of our knowledge, all items inspected today are -in conformance with approved plans and specifications. Inspector: M. Schrader Reviewed By: 011 Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 058 Date 4/19/2012 Weather Partly cloudy Inspection Reinforcing steel Sample(s) N/A seamen 20715 Cedar Valey Road SLde 110 Lynnwood, WA98036 ph 425.742.9380 W425.745.1737 racoma oRroe 10029 S. Taoorro Way SLb- E-2 Tamn,A WA98499 ph 253.584.3720 ft(253.%4.37(Y7 253.584.3707 Pbrdar►dOfte 7911 NE 33rd Drive Sud 190 Pordarxi, OR 97211 ph 503281.7515 fax 503281.7579 Inspected reinforcing steel on walls L2-1-3 at grids A/5.8, A -B/6.3, A/6.7-7.3, A/7.8-8, A -B/8, B/8-9, B.7 -D.2/9. The reinforcing steel was verified per the approved structural plans, and was found to be in conformance with the approved plans, with the exception of the walls at B/8-9 and B -B.3/9 were not complete at the time of inspection. Subject to final inspection. Corrective Action Taken: On the preliminary report dated 4/16/2012 for the columns in question, the clearances were corrected and verified to be in conformance with the structural plans. Preliminary Inspection Inspector: Mark Schrader Reviewed By: Michael S.. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. seaffieMe 20225CedarVaHeyRoad Si ute 110 Lynnwood, WA98036 Project No. L11583 �4.745.737 . Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Two= OR►oe Permit No. BLD20110815, BLD20110816 10029 S.TaoxnaWay SLAB E-2 Bldg Dept. City of Edmonds Taooma,WA%499 ph 253 584.3720 07 Owner First Western Development Services Architect Donahou Design Group Por&ndOlfice Engineer CT Engineering X11 033rdDnve Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 057 Date 4/18/2012 Weather Partly cloudy Inspection Reinforcing steel Sample(s) N/A Inspected reinforcing steel on walls at grids A -A.3/3, A/3-3.3, A/3.8-4.3; the west stair walls at grids A -B/5-5.4; and the elevator walls at grids B/5.8-6.3, A-13/6.3. The reinforcing steel was verified per the approved structural plans and details, and found to be in conformance. Subject to final inspection. . To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Schrader Reviewed By: Michael S. Dolder; P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Record No. 056 Date 4/16/2012 Weather Partly cloudy Inspection Reinforced concrete, reinforcing steel Sample(s) (8) 4x8" cylinders Monitored placement of concrete into: columns on L2 to L3 at grids G/2, E/2, E/3.5, D/2, D/2, C/3.5, C/4, B/3 & B/4; and walls on L2 to L3.at grids D -F/1, F.4-1-1/1, G/7.8-9, F.8 -G/9; and the south stair walls at E -F/8-9. Concrete Nor'West supplied mixes #07600G3 for -the columns and #02600 for the walls. The concrete was placed by boom pump truck.with mechanical consolidation, and was sampled twice for strength testing. Approximately (10) cubic yards of mix 07600G3 and (31.5) cubic yards of mix 02600 were placed. Verified clearances prior to concrete placement. Inspected reinforcing steel in the walls on L2 to L3 at grids A -F/1, and columns at grids B/7, C/7, C/8 & D/8. The reinforcing was found to be in conformance with the structural plans and details, with the exception of clearances at the bottoms of the columns. Preliminary Inspection Reinforcing steel on column bottoms has clearance issues to the forms that need to be adjusted prior to closure. Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 20715 cedarva0ey Road sine 110 Lyrunnood, WA98036 Project No. L11583 ' �425».�° Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoarna Office Permit No. BLD20110815, BLD20110816 1W29s.TaoomaWay. &AeE_2 Bldg Dept. City of Edmonds Taomia wA98499 ph 253584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Pordand Office Engineer CT Engineering �1N033rdDrrve Contractor Pennon Construction Company, Inc. PbNand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 056 Date 4/16/2012 Weather Partly cloudy Inspection Reinforced concrete, reinforcing steel Sample(s) (8) 4x8" cylinders Monitored placement of concrete into: columns on L2 to L3 at grids G/2, E/2, E/3.5, D/2, D/2, C/3.5, C/4, B/3 & B/4; and walls on L2 to L3.at grids D -F/1, F.4-1-1/1, G/7.8-9, F.8 -G/9; and the south stair walls at E -F/8-9. Concrete Nor'West supplied mixes #07600G3 for -the columns and #02600 for the walls. The concrete was placed by boom pump truck.with mechanical consolidation, and was sampled twice for strength testing. Approximately (10) cubic yards of mix 07600G3 and (31.5) cubic yards of mix 02600 were placed. Verified clearances prior to concrete placement. Inspected reinforcing steel in the walls on L2 to L3 at grids A -F/1, and columns at grids B/7, C/7, C/8 & D/8. The reinforcing was found to be in conformance with the structural plans and details, with the exception of clearances at the bottoms of the columns. Preliminary Inspection Reinforcing steel on column bottoms has clearance issues to the forms that need to be adjusted prior to closure. Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTEsTiNG ENGINEER$1NC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,645.6 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 49°F Weather: Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number : 130107 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/20/12 Sample Set ID: 278726 Permit # (s): BLD20110815 Actual Mix Proportions: MixDesign ID : 07600G3 Sample Temp. 1r(ASTMC al Storage Temp. Air Content (ASTM C1064) 31) (ASTM C231) 58°F NR Ingredient Weight (per cu.yd) Cement --Type I & II 656.0 lbs Coarse Aggregate 3/8" 1,645.6 lbs Fine Aggregate 1,556.0 lbs HRWRA 19.8 lbs MRW RA 38.9 lbs Water 240.0 lbs Water/Cement Ratio: Slump (ASTM C143) 11 Sample(s) Rec'd: Required Strength: (fc) 0.366 5" 03/23/12 5000 psi @ 28 days Placement Location and Notes: Walls from Levels 1 to 2 and gridlines A to B/6.2, B/5.9 to 6.2 and A line/69" west of A line/5.9. A column was also placed from the same above stated elevations at gridlines A.1/8.7. Sampled at 1:05pm.at 10.5 of 13 yards total placed. 15 gallons of water added by the contractor. Date Made Sample # COMPRESSION TEST RESULTS _ (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/22/12 1 F 0037 5264 03/29/12 07 4 x 8 73100 4.00 12.57 5820 T e 3 03/22/12 0037 5265 04/19/12 28 4 x 8 81450 4.00 12.57 6480 T e 2 03/22/12 1 F 0037 1 F 5266 1 F 04/19/12 28 4.x 8 F 12.5771 6480 T e 2 03/22/12 0037 5267 04/19/12F281 6570 T e 5 Remarks: Technician(s): Quehl, D. Reviewed by: Tested by: Cook, B. C/ Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 055 - Date 4/13/2012 Weather Clear Inspection Post -tension, reinforcing steel Sample(s) N/A 20225 Cedar Vaby Road see 110 Lyr mvood, VVA 98036 ph 425.7429360 fax 425.745.1737 Tacorna 011ioe 10029 S. Tacoma Way Sum E-2 Taoorria�VVA98499 ph 253.584.3720 fax 253.584.3707 Wrtland0fte 7911 NE 33rd Drive Sud 190 PorHand, OR 97211 ph 503281.7515 fax 503281.7579 1) The tendons were cut between grids A/1-5, A -C/1. The stressing pockets were then cleaned of any slag or loose concrete, and packed with the approved Target non -shrink grout. 2) Inspected reinforcing steel between levels 2 to 3 on the south stair walls at grids E -F/8-9.3. The reinforcing steel was verified per the approved structural plans and details, and was found to be in conformance with the structural plans. Subject to final inspection after form closure. The reinforcing steel on the north wall A-F/was incomplete and will be inspected prior to concrete placement on Monday. 3) One tendon on F -line on grid 1 failed on the north perimeter; tendon #460 on the post -tension stressing record. It was discovered while the tendons in the banded group were having grease caps installed. Per the response to the email to the engineer of record the tendon will be distressed and abandoned. Preliminary Inspection Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYS TESTING ENGINEERS,. INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 04/12/12 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/19/12 Sample Set ID: 279047 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 _...-.__ _..._.-• •----.._..-. . 52°F ( Actual Mix Proportions: Light Shower Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130484 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1 (ASTM C31) (ASTM C231) 56°F NR % Water/Cement Ratio: Slump (AST 143) Samples) Recd: Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MRWRA Water Required Strength: (fc) Weight (per cu.yd) 559.0 lbs 1,844.0 lbs 1,457.0 lbs 23.2 oz 266.0 lbs 0.476 5" 04/12/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Walls L2 to L3 at grids E/4-7, D -E/4, H/2.7-3.3, H/3.7-4.3, H/4.7-5.2, H/5.7-6.3, G -H/7. Sampled at 10 of 42 cubic yards. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/11/12 0046 6824 04/18/12 F7 4 x 8 542501 4.00 12.57 4320 04/11/12 0046 6825 05/09/12F-281 7F NA " 04/11/12 0046 6826 05/09/12 28 04/11/12 0046 6827 05/09/12 28 I4 x 8 0 0.00 0.00 NA " Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Cook, B. Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A IvrrE 1050-1c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS,_ INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/19/12. Sample Set ID: 279046 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 540FActual Mix Proportions: Light Shower Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130481 MixDesign ID: 07600G3 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 68°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Weight (per cu.yd) Cement --Type I & II 651.0 lbs Coarse Aggregate 3/8" 1,643.0 lbs Fine Aggregate 1,551.0 lbs HRWRA 19.8 oz MRWRA 38.9 oz Water 236.0 lbs Required Strength: (fc) _ 0.363 6" 04/12/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Columns L2 to L3 at grids E/4, F/4, F/5, F/6, F/7, G/3, G/4, G/5, G/6 and G/7. Sampled at 10 of 21 cubic yards. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/11/12 0045 6820 04/18/12 4 x 8 73970 4.00 12.57 5890 04/11/12 0045 6821 05/09/1228 I NA " 04/11/12 0045 6822 05/09/1228 IF NA ' 04/11/12 0045 6823 05/09/12 28 I INA ' Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: ,Cook, B. Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" , MAYE5 TESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on:. 04/19/12 Edmonds, WA Sample Set ID: 278700 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 52°F Actual Mix Proportions: Partly Cloudy _ Concrete Ingredient Weight (per cu.yd) Supplier:Concrete Nor'West Cement --Type I & II 649.0 lbs Coarse Aggregate 1,642.0 lbs Batch Plant Location: 125 Fine Aggregate 1,553.0 lbs Ticket Number: 130084. HRWRA 20.0 oz MixDesign ID: 07600G3 Water 237.0 lbs Sample Temp. Initial Storage Temp. Air Content WRA 38.8 oz (ASTM C1064) (ASTM C31) (ASTM C231) 57°F NR % Water/Cement Ratio: Slump (ASTM C143) I Recd: Required Strength: (fc) 0.365 5.75" 03/22/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Column, L1 to L2 at C/4,. B17, C/7, C/8 and D/8. 10 cubic yards. 10 gallons of water added onsite. Sample time: 11:15am. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/21/12 0035 5140 03/28/12 0 4 x 8 69710 4.01 12.63 5520 T e a 03/21/12 0035 5141 04/18/12 28 4 x 8 80910 4.00 12.57 6440'::] 03/21/12 0035 5142 04/18/12 28 1 6670 03/21/12 0035 5143 04/18/12 28 1 7100 1 Remarks: Technician(s): Harrington, C. Tested by: Cook, B. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08r22r07 6.6.1.3, C-1019, 9.6 - "recording field temperature" AYES TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID: Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 52°F Weather: Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 130088 MixDesign ID: 02600 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 04/19/12 278701 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) 1 (ASTM C31) (ASTM C231) 56°F NR Ingredient Cement --Type 19 II Coarse Aggregate 7/8" Fine Aggregate Water WRA Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) Weight (per cu.yd) 564.0 lbs 1,890.0 lbs 11457.0 lbs '271.0 lbs 22.9 oz 0.480 5" 03/22/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Walls, L1 to L2, 5 -5.4/A -B, A/6.7-7.3, 8/A -B, B/8-9 and 9/6.8-13.2. Sampled at 21 of 31.5 yards total. Time: 1:3. Location: 5/13, second lift. 20 gallons of water added. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date. Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/21/12 0036 5144 03/28/12FT4 x 8 51500 4.00 12.57 4100 1 03/21/12 0036 5145 04/18/12 28 1 544071 03/21/12 0036 5146 04/18/12 28 4 x 8 68340 4.01 12.63 5410 03/21/12 0036 5147 04/18/12F-2811 5420 . p Remarks: Technician(s): Harrington, C. Tested by: Cook, B. Reviewed by: Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, OWN 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seatde Office . 20225 Cedar VaQey Road Std 110 Lpn ood,WA98036 Project No. L11583 � 25745.177337 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tanana Office Permit No. BLD20110815, BLD20110816 1W29S.Taoanaway sLAeE-2 Bldg Dept. City of Edmonds Taooma,WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services. Architect Donahou Design Group Pordandoffice Engineer CT Engineering X11 033rdDrt�e Contractor Pennon Construction Company, Inc. Podand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 054 ,Date 4/12/2012 Weather Clear Inspection Post -tension, reinforcing steel Sample(s) N/A After review of the Post -Tensioning stressing record the engineer of record gave permission for the cutting and capping of the L2 PT deck tendons. The tendons were cut between grids H/1-7, G -H/7, G/6-9, C -H/1. The stressing pockets were then cleaned of any slag or loose concrete and packed with the approved Target'non-shrink grout. Inspected reinforcing steel on walls between levels 2 to 3 on the walls at grids: G/8-9, F.8 -G/9, F.5 - H/1; and columns at grids G/2, E/2, E/3.5, D/2, D/3.5, C/2, C/3.5, B/3, A.3/3, B/4, and C/4. The reinforcing steel was verified per the approved structural plans and details, and was found to be in conformance with the structural plans. Subject to final inspection after form closure. Preliminary Inspection Inspector: Mark Schrader Reviewed By: O Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID: Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature:. 49°F Weather: Light Shower Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 29601 MixDesign ID: 2600 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 04/16/12 278631 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 -� Actual ��i Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 56°F HNI"; Ingredient Cement --Type I & II Coarse Aggregate 3/4" Fine Aggregate MRWRA Water Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: I Required Strength: (fc) Weight (per cu.yd) 564.0 lbs 1,886.0 lbs 1,457.0 lbs 23.2 oz 261.0 lbs 0.463 5.5" 03/19/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Concrete placed in Level 1 to Level 2 walls at: E/3.5 to 7; G to H/7; G/8 to 9; E to F/8; E to F/9.2; E/8 to 9.2; F/8 to 9.2. Contractor added 10 gallons of water to this 10.5 yard load. Sampled at middle of load. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/16/12 0034 4815 03/23/12 4 x 8 51890 4.00 12.57 4130 03/16/12 00344816 04/13/12 28 4 x 8 66760 4.01 12.63 5290 03/16/12 0034 4817 04/13/1228 4 x 8 72200 4.01 12.63 5720 71T e 2 03/16/12 .0034 481.8 04/13/12 28 1 5540 Remarks: Technician(s): Cook, B. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, OWD07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 04/16/12 Edmonds, WA Sample Set ID: 278630 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 44°F �AActual ��_i Mix Proportions: Light Shower Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 29594 MixDesign ID: 7600G3 Sample Temp. Initial Storage Temp. Air Content (ASTM C 106 1 (ASTM C31) (ASTM C231) 54°F NR Ingredient Weight (per cu.yd) Cement --Type I & II 648.0 lbs Coarse Aggregate 3/8" 1,651.0 lbs Fine Aggregate 1,557.0 lbs HRWRA 19.8 oz MRWRA 38.9 oz - Water 235.0 lbs Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (f c) 0.363 5.75" 03/19/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Concrete placed in Level 1 to Level 2 columns at: F/7; B/4; C/4; C/3.5. Contractor added 10 gallons of water to this 10.5 yard load. Sampled at 5 of 20.5 yards total placed: COMPRESSION TEST RESULTS (ASTM C31, C39, C617; C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/16/12 0033 4811 03/23/12 0 4 x 8 57430 4.00 12:57 1 4570 1T e t 03/16/12 0033 4812 04/13/12 28 4 x 8 77100 4.00 12.57 6140 T e 2 03/16/12 0033 4813 04/13/12F-281 6130 T e 2 # 03/16/12 0033 4814 04/13/12 28 4 x 8 75860 4.01 12.63 6010 Remarks: Technician(s): Cook, B. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Notes:. Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Quehl, D. Tested by: Cook, B. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/16/12 Sample Set ID: 278973 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 YL Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 04/16/12 Edmonds, WA Sample Set ID: 278973 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 56°F Weather: Clear Product:' Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130432 MixDesign ID: 150170OG Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 62°F 211:1 Ingredient Weight (per cu.yd) Cement --Type I & II 660.0 lbs Coarse Aggregate 7/8" 1,803.0 lbs Fine Aggregate 1,434.0 lbs HRWRA 40.0 oz Water 230.0 lbs Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) 0.348 5.5" 04/08/12 5000 psi @ 28 days Placement Location and Notes: Set 4 of 4. Post -tension slab on the second Level grids A -D.2/1-9. The concrete has a 3750 psi strength requirement for stressing the post -tension slab. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTOT22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0044 -FC 6478 04/10/12 4 x 8 58510 4.00 12.57 4660 T e 3 " 0_4/_07_/12_J0044 -F 6479 04/13/12 © 4 x 8 67840 4.00 12.57 5400 T e 3 04/07/12 0044-F6480 04/13/12 © 4 x 8 70320 4.01 12.63 5570 T e 3 " 04/07/12 0044 6481 04/14/12 0 4 x 87F776107 4.00 11 6180 Type 2 04/07/12 0044 6482 05/05/12 28 4 x 8 0 0.00. 0.00 Q NA " 04/07/12 0044 6483 05/05/12 28 4 x 8 0 0.00 0.00 Q NA " 04/07/12 0044 6484 05/05/12 28 I4 x 8 0 0.00 0.00 Q NA " Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08r22 07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INCLynnwood , 20225 Cedar Vallev Road Suite 110 101 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 04/16/12 Sample Set ID: 278972 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Quehl, D. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, oerzv07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,799.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/16/12 Sample Set ID: 278972 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 51 OF -Actual _ Mix Proportions: Clear Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130416 MixDesign ID: 150170OG Sample Temp.Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31)11 (ASTM C231) 60°F NR Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Weight (per cu.yd) Cement --Type I & II 664.0 lbs Coarse Aggregate 7/8" 1,799.0 lbs Fine Aggregate 1,428.0 lbs HRWRA 40.0 oz Water 227.0 lbs Required Strength: (fc) 0.342 7" 04/08/12 5000 psi @ 28 days Placement Location and Notes: Set 3 of 4. Post -tension slab on the second Level grids A -D.2/1-9. The concrete has a 3750 psi.strength requirement for stressing the post -tension slab. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0043-F 6471 04/10/127F 4 x 8 56980 4.00 12.57 4530 1 04/07/12 0043-F 6472 04/13/12 J © 4 x 8 679801 1 12.57 11 5410 04/07/12 0043-F 6473 04/13/12 © 4 x 8 65700 4.00 12.57 5230 1 04/07/12 0043 6474 04/14/12 4 x 8 74810 4.00 12.57 5950 7 04/07/12 0043 6475 05/05/1228 4 x 8 0 0.00 0.00 Q NA " 04/07/12 0043 6476 05/05/12 28 I I NA " 04/07/12 0043 6477 05/05/12 28 I NA Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08=07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 04/16/12 Edmonds, WA Sample Set ID: 278971 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 47°F ` Actual Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130398 MixDesign IQ: 150170OG Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 55°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 657.0 Ibs Coarse Aggregate 7/8" 1,783.0 lbs Fine Aggregate 1,427.0 lbs HRWRA 40.0 oz Water 231.0 lbs Required Strength: (fc) 0.352 6" 04/08/12 5000 psi @ 28 days Placement Location and Notes: Set 2 of 4. Post -tension slab on the second level, grids A -D.2/1-9. COMPRESSION TEST.RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0042 6467 04/14/12 0 4 x 8 75570 4.00 12.571 6010 1 04/07/12 00426468 05/05/12 28 4 x 8 0 0.00 0.00 NA 04/07/12 0042 6469 05/05/1228 4 x 8 0 0.00 0.00 NA ` 04/07/12 0042 6470 05/05/12 28 4 x 8 0 0.00 0.00 NA ` Remarks: Technician(s): Quehl, D. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A NITE 1050-1 c, Rev 4, 08MO7 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS INC Ly""WO°d y 20225 Cedar Valley Road Suite 110 -, Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 04/16/12 4930 T e 3 " Edmonds, WA Sample Set ID: 278970 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering 6465 05/05/1228 Contractor: Pennon Construction Company, Inc. 04/07/12 0041 FIELD DATA 05/05/1228 .4 x 8 0 0.00 ASTM C31 and C172 Q NA " Air Temperature: 44°F j� _Actual Mix Proportions: Weather: Clear Ingredient Weight (per cu.yd) Product: Concrete Supplier: Concrete Nor'West Cement --Type I & II 562.0 lbs Coarse. Aggregate 7/8" 1,851.0 lbs Batch Plant Location: Everett Fine Aggregate 1,469.0 lbs Ticket Number: 130382 MB 20ON 23.0 oz MixDesign ID: 02600 Water 265.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 56°F . NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Redd: Required Strength: ft) 0.472 4" 04/08/12 4000 psi @ 28 days Placement Location and Notes: , Set 1 of 4. Post tension deck on the 2nd level, grids A -D.2/1-9 and the ramp going from_ ground level to the second level at grids D -E/5-7. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0041 6463 04/14/12 4 x 8 61900 4.00 12.57 4930 T e 3 " 04/07/12 .0041 6464 11 05/05/12 F2814 x 8 0 0.00 0.00 Q NA ". 04/07/12 0041 6465 05/05/1228 04/07/12 0041 6466 05/05/1228 .4 x 8 0 0.00 0.00 Q NA " Remarks: Technician(s): Quehl, D. Reviewed by: Tested by: Cook, B. C Michael S. Dolldder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. SeaddeORice 20225 Cedar Valley Road SL& 110 LMv,00d, WA98W6 Project No. L11583 �4Zia51M737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Office Permit No. BLD20110815, BLD20110816 10029s.Ta=naWay Sum E-2 Bldg Dept. City of Edmonds TaoomaWA984% ph 253.584.3720 Owner First Western Development Services fax 253.584.3707 Architect Donahou Design Group Forbndoffioe Engineer CT Engineering nd X11990 D Contractor Pennon Construction Company, Inc. Potand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 043 Date 3/27/2012 Weather -- Inspection Post -tension pre -construction meeting Sample(s) -- Attended the post -tensioning pre -construction meeting at the jobsite with representatives from Pennon Construction, Owner, City of Edmonds and CT Engineering. The following items were addressed: 1. Inspection by Mayes Testing Engineers and CT Engineering done (1) day in advance of this Friday's scheduled concrete placement. Mayes will be on site all day Thursday. 2. 3750 F'c to stress. Mayes will make (1) field cure sample specimen at middle and end of first placement for 3 -day field cure breaks. Pour #2 will be the stressing placement and - additional field cure test specimens will be made. 3. Concrete Nor'West mix #026506 does not have entrained air in it. CT Engineering- Chuck Morris to confirm that air entrainment is required. 4. Discussed tendon profiles, chairing and tolerances, and that conduit runs to have their own support chairs. 5. Discussed top mat bars to be staggered. 6. Cut-off tendons to have grease caps put on within (24) hours time duration under special inspection, and approved non -shrink grout mix to fill pockets under special inspection. 7. Walked site with the contractor and CT Engineering after the pre -con to discuss relocation of MEP sleeves or banded tendons to allow for concrete 45 -degree shear zone or use steel sleeves at certain location. 8. Mayes will use a thermocoupler box for field cure concrete test specimens. Inspector: Todd Wirtz Reviewed Bv: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 40°F Weather: Rain Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129985 MixDesign ID: 07600733 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/11/12 Sample Set ID: 278560 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 64°F N069 Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Ingredient Weight (per cu.yd) Cement --Type I & II 648.0 lbs Coarse Aggregate 3/8" 1,654.0, lbs Fine Aggregate 1,556.0 lbs Glenium 20.0 oz MB PolyHeed 997 39.0 oz Water 231.0 lbs Required Strength: (ft) 0.356 6" 03/14/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. 9 columns from Level 1 to Level 2 at grids: F/3.5, 4; E/2, 3.5, 4; 2/C, D; B/2, 3. Ramp wall at grid E from 3.5 to 7. L -shape wall 3/A -A.2 and A/3-3.2. Wall at A.38 to 4.2 from Level 1 to Level 2. Sampled at 10 of 20 yards total. 10 gallons of water added on site. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/13/12 0031 4465 03/20/12 0 4 x 8 68670 4.01 12.63 5440 T e 2 03/13/12 0031 4466 04/10/12 28 4 x 8 89250 4.00 12.57 7100 T e 1 03/13/12 F281 7200 1T e 2 03/13/12 0031 4468 04/10/12 28 4 x 8 91310 4.00 12.57 7270 T e 4 Remarks: Technician(s): Kane, J. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Notes: r Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 43°F Weather: Overcast Product: Concrete Supplier:. Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129992 MixDesign ID: 02600 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/11/12 Sample Set ID: 278561 Permit # (s): BLD20110815 ActualJ Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 59°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Ingredient Weight (per cu.yd) Cement --Type I & II 562.0 lbs Coarse Aggregate 7/8" 1,846.0 lbs Fine Aggregate 1,453.0 lbs MB 20ON 2.2 oz Water 260.0 lbs Required Strength: (ft) 0.463 6" 03/14/12 4000 psi @ 28 days / Placement Location and Notes: Set 2 of 2. Level 1 to Level 2 walls, gridlines 3/A -A.2 by A/3-3.2, A/3.8-4.2 and ramp wall , E/3.577. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested . Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 03/13/12 0032 4469 03/20/12 0 4 x 8 55750 4.02 12.69 4390 T e 3 ' 03/13/12 00324470 04/10/12 28 F12.57 5970 03/13/12 0032 4471 04/10/12r 28 I4 x 8 77800 4.00 12.57 6190 Te 17 1" 03/13/12 0032 4472 04/10/12F-281 6260 Remarks: Technician(s): Carmi, N. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS,_ INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,564.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/05/12 Sample Set ID: 278480 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 53°F Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129865 MixDesign ID: 07600G3 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 58°F NR % Water/Cement Ratio: Slump (ASTM C143) IF Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 644.0 lbs Coarse Aggregate 3/8" 1,564.0 lbs Fine Aggregate 1,648.0 lbs Glenium 20.0 oz MB PolyHeed 997 39.2 oz Water 242.0 lbs Required Strength: (fc) 0.376 3.5" 03/08/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Level 1 to Level 2 columns, grids G2, G3, G4, G5, G6, F5 and F6. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/07/12 0029 4056 03/14/12F7 14 x 8 61690 4.01 12.63 4880 7 03/07/12 0029 4057 04/04/12 72811 6620 1 03/07/12 0029 4058 04/04/1228 4 x 8 84330 4.02 12.69 6640 1 03/07/12 0029 4059 04/04/12 28 4 x 8 90340 4.00 12.57 7190 Remarks: Technician(s): Smith, E. Tested by: Kane, J. Reviewed by: Kevin Graham Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08Y12107 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS . !NG , Lynnwood 20225 Cedar Valley Road Project No: Suite 110 _,_..._'.. Lynnwood WA 98036 21401 72nd Avenue West ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Placement Location and Notes: Site Address: 21401 72nd Avenue West Issued on: 04/05/12 and lines/ minus 4' to 2.1, also placed walls same elevation Edmonds, WA Sample Set ID: 278481 Client: First Western Development Services Permit # (s): BLD20110815 (ASTM C31, C39, C617, C1231, Engineer: CT Engineering Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Contractor: Pennon Construction Company, Inc. x 8 52230 4.01 12.63 4140 1T e 3 03/07/12 0030 4062 04/04/12F281 FIELD DATA 5590 03/07/12 0030 406304/04/12 28 4 x 8 76120 ASTM C31 and C172 Air Temperature: 520F Actual Mix Proportions: Weather: Partly Cloudy Ingredient Weight (per cu.yd) Product: Concrete Supplier: Concrete Nor'West Cement --Type I & II 565.0 lbs Coarse Aggregate 7/8" 1,867.0 lbs Batch Plant Location: 125 Fine Aggregate 1,549.0 lbs Ticket Number: 129866 MB 20ON 23.2 oz MixDesign ID: 02600 Water 258.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 53°F NR % Water/Cement Ratio: Slump (ASTM 0143) Sample(s) Recd: Required Strength: ft) 0.457 4.75" 03/08/12 4000 psi @ 28 days✓ Placement Location and Notes: Set 2 of 2. Level 1 to Level 2 walls, grids A.3 to H.1 and lines/ minus 4' to 2.1, also placed walls same elevation grid H from line 2.6 to 6.2. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/07/12 0030 4061 03/14/12F714 x 8 52230 4.01 12.63 4140 1T e 3 03/07/12 0030 4062 04/04/12F281 5590 03/07/12 0030 406304/04/12 28 4 x 8 76120 4.01 12.63 6030 Remarks: One sample was damaged and could not be tested. Technician(s): Smith, E. Reviewed by:-. Tested by: ' Kane, J. Kevin Graham Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 045 Date 3/30/2012 Weather Rain Inspection Post -tension Sample(s) N/A The concrete placement for today was canceled due to rain. Seale Office 20715 Cedar Valley Road Sufi -110 Ly rmood, WA 98036 ph 425.7429360 fax425.745.1737 racoma O ice 10029 S. Taooma Way Sufic E-2 Taooma, WA98499 ph 253.584.3720 f2D( 253.584.3707 PordmdOfhoe 7911 NE 33rd Drive Sud 190 Portland, OR 97211 ph 503281.7515 tx 503281.7579 Ongoing inspection on the PT slab on the 2nd level grids D.2-1-1/1-9. The deck north of 4 -line is complete with the exception of the dowels for the car barrier wall dowels still need to be placed along the perimeter, and the tendons on the construction joint between decks need to be adjusted for parabolic drape for a smooth transition into the second half of the deck placement. The deck placement has been rescheduled for Monday. Subject to final inspection for cleanliness and clearances. Preliminary inspection on the 2nd half of the 2nd level between grids A -D.2/1-9. Preliminary Inspection / Inspector: Mark Schrader Reviewed By: T '_� Timothy G. Beckerle,.P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. seafeOffice __... 20MCedarVaDWRoad Sum 110 LynrmcW, WA98036 Project No. L11583 ph425 2- 74 fax37 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Office Permit No. BLBLD20110816 10029 S. Taoorna WayD20110815, SuibE2 Bldg Dept. City of Edmonds TaomiaWA98499 ph 253.584.3720 Owner First Western Development Services lax M.584.3707 Architect Donahou Design Group FodundOlrice Engineer CT Engineering 7911 n�33roo�e Sud 190 Contractor Pennon Construction Company, Inc. Pordand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 044 Date 4/29/2012 Weather Rain Inspection Post -tension Sample(s) N/A Inspected post -tension deck between grids D.2 -H/1-9, and attended the engineer's final walk- through for this segment of the 2nd level. A the end of the workday the slab was complete south of 4 -line; however, the distributed tendons between the 2 -line and 4 -line were not in place. The ironworkers will arrive on the jobsite to complete the deck prior to concrete in the morning at 6:OOAM. Preliminary Inspection Inspector: Mark Schrader Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS IANC � 07600133 Lynnwood 20225 Cedar Vallev Road Water 237.0 lbs Sample Temp. Initial Storage Temp. Suite 110 WRA 38.8 oz ,._.U_.,. Lynnwood WA 98036 (ASTM C231)1 04/18/12 28 57°F ph 425.742.9360 % CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 03/29/12 04/18/1228 Edmonds, WA Sample Set ID: 278700 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 52°F ! Actual Mix Proportions: Weather: Partly Cloudy Ingredient Weight (per cu.yd) Product: Concrete Supplier: Concrete Nor'West Cement --Type I & II 649.0 lbs Coarse Aggregate 1,642.0 lbs Batch Plant Location: 125 Fine Aggregate 1,553.0 lbs Ticket Number: 130084 HRWRA 20.0 oz MixDesign ID: 07600133 03/21/12 0035 Water 237.0 lbs Sample Temp. Initial Storage Temp. Air Content WRA 38.8 oz (ASTM C1064) (ASTM C31)JF (ASTM C231)1 04/18/12 28 57°F NR % Q NA " Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) 0.365 5.75" 03/22/12 5000 psi @ 28 days Placement Location and Notes: 04/18/1228 Set 1 of 2. Column, L1 to L2 at C/4, B/7, C/7, C/8 and D/8. 10 cubic yards. 10 gallons of water added onsite. Sample time: 11:15am. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/21/12 0035 5140 03/28/12 4 x 8 69710 4.01 12.63 5520 T e 3 03/21/12 0035 5141 04/18/12 28 4 x 8 0 0.00 0.00 Q NA " 03/21/12 0035 5142 04/18/1228 4 x 8 0 0.00 0.00 Q NA 03/21/12 0035 5143 04/18/1228 Remarks: Technician(s): Harrington, C. Tested by: Kane, J. Reviewed by: A/V Mark McBride Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS,. INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: . L11583 Issued on: 03/29/12 Sample Set ID: 278701 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 52°F F Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 130088 MixDesign ID: 02600 Sample Temp. 1[��(ASTMC311) al Storage Temp. Air Content (ASTM C 1064) (ASTM C231) 56°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,890.0 lbs Fine Aggregate 1,457.0 lbs Water 271.0 lbs W RA 22.9 oz Required Strength: (fc) 0.480 5" 03/22/12 4000 psi @ 28 days ✓ Placement Location and Notes: Set 2 of 2. Walls, L1 to L2, 5 -5.4/A -B, A/6.7-7.3, 8/A -B, B/8-9 and 9/B.8 -D.2. Sampled at 21 of 31.5 yards total. Time: 1:3. Location: 5/13, second lift. 20 gallons of water added. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C.109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/21 /12 0036 5144 03/28/12 0 4 x 8 51500 4.00 12.57 4100 03/21 /12 0036 5145 04/18/12F-281 NA " 03/21/12 0036 5146 04/18/1228 4 x 8 0 0.00 0.00 NA " 03/21/12 0036 5147 04/18/12 28 I IF_NA " Remarks: Technician(s): Harrington, C. Tested by: Kane, J. Reviewed by: Mark McBride Senior Project Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, ,for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08r22107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. seaatofte 20715 Cedar VaOey Road SLde 110 Lymmood, WA98036 Project No. L11583 h47 45. 737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA racarria Oboe Permit No. BLD20110815, BLD20110816 1W29S.TaoomaWay SLdaEz Bldg Dept. City of Edmonds TWA ph 253.584.3720 f.Tc 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Portwdofte Engineer CT Engineering nd Drive X190 Contractor Pennon Construction Company, Inc. Pordand,OR97211 ph 503281.7515 faK 503281.7579 Record No. 051 Date 4/9/2012 Weather Rain Inspection Post -tension, reinforcing steel Sample(s) N/A The result for the compression test on the single field cured sample was 4230 psi at 7 days from the slab placed on 4/2/2012. The engineer gave approval to stress the related portions of the slab. Monitored stressing of distributed tendons on the east perimeter on grids H/4-7 of the 2nd level slab. On all tendons stressed the measured elongation was within allowable tolerances. Revised the Post Tensioning Stressing Record and recorded the elongations for the tendons stressed today. Inspected reinforcing steel on walls and columns between levels 2 to 3 at grids: columns E/2, E/3.5, E/4, F/3.5, F/4, F/5, F/6, F/7, G/2, G/3, G/4, G/5; G/6 and G/8; and walls at grids E/4-7, G -H/7, H/2.7-3.3, H/3.7-4.3, H/4.7-5.3 and H/5.7-6.3. The reinforcing steel was verified per the approved structural plans and details, and was found to be in conformance with the structural plans. Preliminary Inspection Reinforcing steel noted above is considered preliminary pending final clearance approval prior to concrete placement. Inspector: Mark Schrader Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 053 Date 04/11/2012 Weather Light Rain Inspection Reinforced Concrete Sample(s) (8) 48" Cylinders Seaffie Office 20225 Cedar Vasey Road Srde 110. Lynrrncood,VVA98036 ph 425.7429360 fax425.745.1737 raca m offioe 10029 S. Tacoma Way Suite- E-2 Tacoma, VVA 98499 ph 253.584.3720 f3K 253.584.3707 7911 NE 33rd Drive SLde 190 Portland OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Monitored placement of concrete into Columns L2 to L3 at Grids E/4, F/4, F/5, F/6, F/7, G/3, G/4, G/5, G/6 and G/7; and Walls L2 to L3 at Grids E/4-7, D -E/4, H/2.7-3.3, H/3.7-4.3, H/4.7-5.2, H/5.7- 6.3 and G -H/7. The reinforcing steel was verified per the approved structural plans. Performed final inspection prior to concrete placement. The concrete was Concrete Nor'West Mix ID #07600G3 for the columns and Mix ID #02600 for the walls. The concrete was placed by boom pump truck with mechanical consolidation. The concrete was sampled (2) times for strength testing. Approximately (21) cubic yards of the 07600G3 and (42) cubic yards of the 02600 mixes were placed. To the best of our kno ledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Schrader Reviewed By: Kevin Graham Senior Project Manager Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Age Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 51'F Weather: Clear Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130416 MixDesign ID: 150170OG FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/11/12 Sample Set ID: 278972 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 60°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: 0.342 rrA 04/08/12 Ingredient Cement --Type I & If Coarse Aggregate 7/8" Fine Aggregate HRWRA Water Required Strength: (fc) 5000 psi @ 28 days Weight (per cu.yd) 664.0 lbs 1,799.0 lbs 1,428.0 lbs 40.0 oz 227.0 lbs Placement Location and Notes: Set 3 of 4. Post -tension slab on the second Level, grids A -D.2/1-9. The concrete has a 3750 psi strength requirement for stressing the post -tension slab. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0043-F 6472 04/07/12 0 4 x 8 0 0.00 0.00 Q NA 04/07/12 0043-F 6473 04/07/12 Q 4 x 8 0 0.00 0.00 IF NA 04/07/12 0043-F 6471 04/10/12 3 4 x 8 56980 4.00 12.57 4530 T e a 04/07/12 0043 6474 04/14/12 7 4.x 8 0 0.00 0.00 Q NA 04/07/12 0043 6475 05/05/12 28 4 x 8 0 0.00 0.00 Q NA 04/07/12 0043 6476 05/05/12 28 I4 x 8 0 0.00 0.00 Q NA " 04/07/12 0043 6477 05/05/1228 4 x 8 0.00 0.00 Q NA " Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08=07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS INC Lynnwood f 20225 Cedar Valley Road Suite 110 81 ,,;,; Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 04/11/12 Edmonds, WA Sample Set ID: 278972 Client: First Western Development Services Permit # (s): BLD201101815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Quehl, D. Reviewed by: Tested by: Revilla, Z. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 0822107 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS,, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,803.0 Edmonds, WA Client: First Western Development. Services Engineer: CT Engineering . Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/11/12 Sample Set ID: 278973 Permit # (s): , BLD20110815 FIELD DATA ASTM C31 and C172 56°F %Actual Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130432 MixDesign ID: 150170OG Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) I (ASTM C31) (ASTM C231) 62°F NR Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement -Type I & II 660.0 lbs Coarse Aggregate 7/8" 1,803.0 lbs Fine Aggregate 1,434.0 lbs HRWRA - 40.0 oz Water 230.0 lbs Required Strength: (fc) 0.348 5.5" 04/08/12 5000 psi @ 28 days Placement Location and Notes: Set 4 of 4. Post -tension slab on the second Level grids A -D.2/1-9. The concrete has a 3.750 psi strength requirement for stressing the post -tension slab. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/07/12 0044-F 6479 04/07/12 0 4 x 8 0 0.00 0.00 NA ' 04/07/12 0044-F 6480 04/07/12 F0 IF NA ' 04/07/12 0044-F 6478 04/10/12 4 x 8 58510 4.00 12.57 4660 04/07/12 0044 6481 04/14/12FYI4 x 8 0 0.00 0.00 Q NA " 04/07/12 0044 6482 05/05/12 28 IF 0.00 0:00 NA ' 04/07/12 0044 6483 05/05/12 28 1 0.00 1 NA " 04/07/12 0044 6484 05/05/1228 4 x 8 0 0.00 0.00 NA " Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L1.1583 Site Address: 21401 72nd Avenue West Issued on: 04/11/12 Edmonds, WA Sample Set ID: 278973 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Quehl, D. Tested by: Revilla, Z. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, o8r22107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. Project No.. L11583 Project. Premier Orthopedic Group Building Address. 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20.110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 052 Date 4/10/2012 Weather Rain Inspection Post -tension, reinforcing steel Sample(s) N/A Seattle Office 20225 CedarVaOey Road Sule110 Lrymood, wA98036 ph 425.7429360 fax 425.745.1737 racoma ORice 10029 S. Taoorna way SuReE2 Taooma, WA 98499 ph 253 584 3720 W 253.584.3707 Ra►tlandol6oe 7911 NE 33rd Drive Sule 190 Portland, OR 97211 ph 503281.7515 fart 503281.7579 The result for the compression test on the (2) field cured sample was 4530 psi and 4650 psi at (3) days from the slab placed on 4/7/2012. The engineer gave approval�fo'stress the remaining tendons in the L2 PT slab. Monitored stressing of the remaining tendons 2nd level PT slab'. On all tendons stressed the measured elongation was within allowable tolerances with the exception of following tendons: #11, 31, 251, 436, which were 1/8" over tolerance; and #410 was 1/8" under tolerance. There were (2) attempts to bring tendon #410 up to within allowable tolerance without success. The Post Tensioning Stressing Record (attached) was revised and the recorded elongations for the tendons stressed today were added to the list and will be forwarded to engineer for review. Inspected reinforcing steel on walls between levels 2 to 3 on the north stairs between grids F=F.4/ 1-2.2. The reinforcing steel was verified per the approved structural plans and details, and was found to be in conformance with the structural plans. Subject to final inspection. Preliminary Inspection Inspector: Mark Schrader Carl Harrington Erich Newman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 PIT STRESSING SUMMARY Today's Date: 4/11/2012 TO: Rob Thompson, P.E. CT Engineering FROM: M. Schrader, MTE JOB: Premier Orthopedic Group Building DECK: PT deck L2 pour 1 & 2 POURED: 4/2/12,4/7/12 STRESSED: 4/9/2012, 4/10/2012 Tendon(s) more than 3/8" below tolerance: None Tendon(s) 1/4" or 3/8" below tolerance: None Tendon(s) 1/8" below tolerance: 1 Tendon(s) 1/8" over tolerance: 4 Tendon(s) 1/4" or 3/8" over tolerance: None Tendon(s) more than 3/8" over tolerance: None Tendon(s) not yet fully stressed: None Tendon(s) where the mark was unreadable: None Tendon(s) that broke: None KemarKs: o tenaon(s) naa proDiems. The following tendons were 1/8" over tolerance: #11, 31, 251, 436; and # 410 was 1/8" under tolerance: The were (2) attempts to bring tendon # 410 up to within allowable tolerance without success. 23 Pages Including Summary Engineer's approval to cut tendons: Signed_ Date MAYES TESTING ENGINEERS N N r Cl)04 LO N_ C-4 O F a. � O N N M CN C O O NT Lf) � N W L N Q U r: •Q CT m U •Q C O O N r C (0 N E U N V- Z A / ftU N U E � Q C O a) co co a).c cn c •U c U) ca 2 O C/) U m ^, VJ p N N U L C U a0 00 O a) }/ IT C ♦ /� vJ c O N L U 7 W c T U) :3 a. vcn � UQ O .E O ` .� U a) c (0 CL N O U .C/) ca W � r A. r co CL N cla a0 W) J U 2 d O cc C CL` z a C'4 LO C-4 N F a. � O N � C14 M CN C O LO NT Lf) � N W � C7 N Q U r: •Q CT m U •Q C O c CD C'4 U) N N a O Cl) r O N 19T O LO LO O LO M E 0 wl co w O ca 0 C� N rn c CD ftU E a) O_ cn N O N r T d 00, C) a0 00 O O N VOA' O LO LN IT a) U) a)m Q n o F- E E 7 W E : :3 C O Y c E N N N ca N r r N w c N a N a Q O Q O U O J Z Y ca c. 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N m 00 00 00 N N N N 00 00 co 00 CD 00 0D 00 O o r - - - r r r r F� I� Ln CO LLQ CD LO (D Ln (fl r Iq r q r rt r V r V' r IT r NT r lqr d 7 m O Oo 00 N 00 ao V C 00 'I Iq 7 c M , p Lo L(7 r M M r r r r r r r LO I,- I` � r- LLQ Lo Lo L() Iq C d a Q Lll co 00 00 00 O O O 00 00 m 00 m 00 00 00 m 00 U C ca O LA r r r r ti M M M M M M M M Nr It ICT L cm 00 N N N N M M M M CD CD (O (D co (D O (D O O CD O CD m CD (D Ln Ln LO Ln LO LO LO Ln O N J c O O LO m CD CD co I,- t` I- r- co 00 co co 00 O co 00 cO r r r r r r r r r r r r r r r r T- m m m m m m m m m m m m m m m m m a) a) U to (D I`- col O O r N co LO CD I- 00 O O r Q *ILn LO LO LO In LO (D CD (D CO CD (D I (D CD I CD I (D I- fl - L LO LO Ln LO L() I LO LO Lo Ln Ln LO LO LO LO In U) Ln cn cr- W* W V Z /W V cn Z W '� v `+ l Q MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,846.0 Edmonds, WA Client: First Western Development Services ,Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/10/12 Sample Set ID: 278853 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 49°F �� Actual -_ Mix Proportions: Clear Product: Concrete Supplier: - Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130228 MixDesign ID : 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) Ingredient Weight (per cu.yd) Cement --Type I & II 611.0 lbs Coarse Aggregate 7/8" 1,846.0 lbs Fine Aggregate 1,446.0 lbs Retarder 37.3 oz Water 236.0 lbs 58°F NR % Water/Cement Ratio: Slump (ASTM C143) 1 F Sample(s) Recd: Required Strength: (fc) 0.386 5" 04/03/12 5000 psi @ 28 days .l Placement Location and Notes: Set 1 of 3. Post -tension slab on the second Level between grids D.2 -H/1-9. Sampled at 10 of 334 yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/02/12 .0038 5876 04/09/12 0 4 x 8 54710 4.00 12.571 4350 T e a 04/02/12 0038 5877 04/30/12F 28 1 IFNA 04/02/12 0038 5878F 04/30/1228 4 x 8 0 0.00 0.00 Q NA 04/02/12 0038 5879 04/30/12 28 I NA I - Remarks: Technician(s): Carmi, N. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" _ � AYES'TESTING ENGINEERS INC Concrete Lynnwood 20225 Cedar Valley Road i 04/09/12 4 x 8 60720 4.00 Suite 110 'Nor'West 04/02/12 0039 Cement --Type I & II Lynnwood WA 98036 lbs Supplier: Concrete ph 425.742.9360 Coarse Aggregate 7/8" CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: , L11583 Site Address: 21401 72nd Avenue West Issued on: 04/10/12 Retarder 36.8 Sample Set ID: 278854 026506 Edmonds, WA Water 232.0 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. (ASTM C231) FIELD DATA 62°F NR % ASTM C31 and C172 Air Temperature: 45°F Actual Mix Proportions: Required Strength: (fc) Weather: Clear Ingredient Weight (per cu.yd) Product: Concrete 04/02/12. 0039 5880 04/09/12 4 x 8 60720 4.00 12.571 'Nor'West 04/02/12 0039 Cement --Type I & II 607.0 lbs Supplier: Concrete 04/02/12 0039 Coarse Aggregate 7/8" 1,844.0 lbs Batch Plant Location: everett IFNA Fine Aggregate 1,447.0 lbs Ticket Number: 130245 Q NA Retarder 36.8 oz MixDesign ID: 026506 Water 232.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 62°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.382 4" 04/03/12 5000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Post -tension slab on the 2nd Level between grids D.2-1-1/1-9. Sampled at 167 of 334 cubic yards. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019'or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/02/12. 0039 5880 04/09/12 4 x 8 60720 4.00 12.571 4830 1 04/02/12 0039 5881 04/30/1228 4 x 8 0 0.00 0.00 Q NA 04/02/12 0039 5882 04/30/12F281 IFNA 04/02/12 0039 5883 04/30/12 28 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Carmi, N. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President Notes: , Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,840.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/10/12 Sample Set ID: 278855 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 57°F j Actual Mix Proportions: Clear Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 130265 MixDesign ID: 026506 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 516.0 lbs Coarse Aggregate 7/8" 1,840.0 lbs Fine Aggregate 1,442.0 lbs Retarder 37.3 oz Water 230.0 lbs Required Strength: (fc) 0.446 4" 04/03/12 5000 psi @ 28 days L/ Placement Location and Notes: Set 3 of 3. Post -tension slab on the 2nd Level between grids D.2-1-1/1-9. Sampled at 313 of 334 yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) when applicable) Area Strength (psi) Type of Fracture 04/02/12 0040-F 588404/05/12 4 x 8 39250 4.00 12.57 3120 NA " 04/02/12 0040-F 5885 04/06/12 ® 4 x 8 44570 4.00 12.57 3550 04/02/12 0040-F 5886 04/09/12 4 x 8 53390 4.01 12.63 4230 04/02/12 0040 5887 04/09/12 0 4 x 8 59690 4.01 12.63 4730 1 04/02/12 0040 5888 04/30/1228 4 x 8 0 0.00 0.00 Q NA ' 04/02/12 0040 5889 04/30/1228 J NA ' 04/02/12 0040 5890 04/30/12 28 4 x 8 0 0.00 0.00 Q NA ' Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08aZO7 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC e CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Tested by: Cook, B. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/10/12 Sample Set ID: 278855 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" _ � MAYESTESTING ENGINEER$INC Date Made Sample # Lynnwo 20225 Cedar 20225 Cedar Vallev Road 04/02/12 0040-F 5886 04/02/12 Suite 110 4 x 8 0 0.00 0.00 Q NA Lynnwood WA 98036 5884 04/05/12 ph 425.742.9360 39250 4.00 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 04/06/12 04/09/12 Sample Set ID: 278855 0.00 Q NA Edmonds, WA 5888 04/30/12 Client: First Western Development Services Permit # (s): BLD20110815 0.00 Q NA " Engineer: CT Engineering 04/30/1228 Contractor: Pennon Construction Company, Inc. 0.00 Q NA 04/02/12 0040 5890 FIELD DATA 28 4 x 8 0 0.00 ASTM C31 and C172 Air Temperature: 57°F Actual Mix Proportions: Weather: Clear Ingredient Weight (per cu.yd) Product: Concrete Supplier: Concrete Nor'West Cement—Type I & II 516.0 lbs Coarse Aggregate 7/8" 1,840.0 lbs Batch Plant Location: Everett Fine Aggregate 1,442.0 lbs Ticket Number: 130265 Retarder 37.3 oz MixDesign ID.: 026506 Water 230.0 lbs Temp. Initial Storage Temp. Air Content FSample (ASTM C1064) (ASTM C31) (ASTM C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.446 4" 04/03/12 5000 psi @ 28 days ✓ Placement Location and Notes: Set 3 of 3. Post -tension slab on the 2nd Level between grids D.2-1-1/1-9. Sampled at 313 of 334 yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 04/02/12 0040-F 5886 04/02/12 4 x 8 0 0.00 0.00 Q NA 04/02/12 0040-F 5884 04/05/12 4 x 8 39250 4.00 12.57 3120 7FNA 04/02/12 0040 -FC 5885 04/06/12 ® 4 x 8 0 0.00 0.00 Q NA I" 04/02/12 0040 5887 04/09/12 4 x 8 0 0.00 0.00 Q NA 04/02/12 0040 5888 04/30/12 28 4 x 8 0 0.00 0.00 Q NA " 04/02/12 0040 5889 04/30/1228 4 x 8 0 0.00 0.00 Q NA 04/02/12 0040 5890 04/30/12 28 4 x 8 0 0.00 0.00 Q NA Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 .6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 tax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 04/06/12 Edmonds, WA Sample Set ID: 278855 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Tested by: Kane, J. Reviewed by: Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08=7 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seettleolfioe __ 20225 Cedar VaDey Road Sub 110 Lrwjood, WA98036 Project No. L11583 ���45�D Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tbam Permit No. BLD20110815, BLD20110816 10029 s. Taooma way SuiteaE_2 Bldg Dept. City of Edmonds Taoara�WA98499 ph 253.584.3720 Owner First Western Development Services bx 253.584.3707 Architect Donahou Design Group Fbrdlandoffice Engineer Engineer CT Engineering 7911 Contractor Pennon Construction Company, Inc. PmHand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 048 Date 4/4/2012 Weather Rain Inspection Post -tension Sample(s) N/A Ongoing inspection on the PT deck on the 2nd level grids A- D.2/1-9 and the ramp going from ground level to the second level at grids D -E/5-7. Attended the engineers' final walk-through with Rob Thompson of CT Engineering. Items to be resolved were discussed and will be resolved prior to concrete placement. At the end of the workday the PT deck was substantially complete and any unresolved issues were brought to the attention of Brain, the ironworker foreman. Subject to final inspection. Preliminary Inspection �/ Inspector: Mark Schrader Reviewed By: Michael J. Mayes, P.E. President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 047 Date 4/3/2012 Weather Rain Inspection Post -tension Sample(s) N/A Ongoing inspection on the PT slab on the 2nd. level grids A -D.2/1-9. Preliminary Inspection Inspector: Mark Schrader Reviewed By: Michael J. Mayes, P.E. President Sea/De ofRce 20225 CedarVaOey Road Sud 11 o LMwvood, WA98o36 ph 425.7429360 fax 425.745.1737 Tacoma Office 10029 S. Ta=re Way Sue E-2 Tacoma, WA 98499 ph 253.584.3720 ft(253.584.37(Y7 253.584.3707 fdofte 7911 NE 33rd Drive Sud 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Page 1 of 1 MAYESTESTING ENGINEERS,. INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 03/30/12 Edmonds, WA Sample Set ID: 278726 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 49°F i Actual Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 130107 MixDesign ID: 07600G3 Sample Temp. FR75al Storage Temp. Air Content (ASTM C1064) 1 (ASTM C31) I [ (ASTM C231) 58°F 1•J Ingredient Weight (per cu.yd) Cement --Type I & II 656.0 lbs Coarse Aggregate 3/8" 1,645.0 lbs Fine Aggregate 1,556.0 lbs HRWRA 19.8 lbs MRWRA 38.9 lbs Water 240.0 lbs Water/Cement Ratio: Slump (ASTM C143) 1 F Samples) Recd: Required Strength: (fc) 0.366 5" 03/23/12 5000 psi @ 28 days Placement Location and Notes: Walls from Levels 1 to 2 and gridlines A to B/6.2, B/5.9 to 6.2 and A line/5'9" west of A line/5.9. A column was also placed from the same above stated elevations at gridlines A.1/8.7. Sampled at 1:05pm at 10.5 of 13 yards total placed. 15 gallons of wateradded by the contractor. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size,(in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 03/22/12 0037 5264 03/29/12 4 x 8 73100 4.00 12.57 5820. 03/22/12 0037 5265 04/19/12 28 1 0.00 NA " 03/22/12 0037 5266 04/19/12 28 4 x 8 0 0.00 0.00 Q NA " 03/22/12 0037 5267 04/19/1228 4 x 8 0 0.00 0.00 Q NA " Remarks: Technician(s): Quehl, D. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08n2107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS,/IYC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 49'F Weather: Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 130107 MixDesign ID : 07600G3 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/30/12 Sample Set ID: 278726 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp. I Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31)11 (ASTM C231) 58°F NR % Ingredient Weight (per cu.yd) Cement --Type I & II 656.0 lbs Coarse Aggregate 3/8" 1,645.0 lbs Fine Aggregate 1,556.0 lbs HRW RA 19.8 lbs MRWRA 38.9 lbs Water 240.0 lbs Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Required Strength: (ft) 0.366 5" 03/23/12 5000 psi @ 28 days Placement Location and Notes: Walls from Levels 1 to 2 and gridlines A to B/6.2, B/5.9 to 6.2 and A line/5'9" west of A line/5.9. A column was also placed from the same above stated elevations at gridlines A.1/8.7. Sampled at 1:05pm .at 10.5 of 13 yards total placed. 15 gallons of water added by the contractor. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 03/22/12 0037 5264' 03/29/12 F7 F73100 1 12.57 5820 1 03/22/12 0037 5265 04/19/12 28 FO.007 IF NA ' 03/22/12 0037 5266 04/19/1228 4 x 8 0 0.00 0.00 Q F NA ' 03/22/12 0037 5267 04/19/1228 4 x 8 0 0.00 0.00 Q NA ' Remarks: Technician(s): Quehl, D. Reviewed by: Tested by: Kane, J. C/ Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Supplier: Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 44°F Weather: Light Shower Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number : 29594 MixDesign ID: 7600G3 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/26/12 Sample Set ID: 278630 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp.Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 54°F NR Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Ingredient, Cement --Type I & II Coarse Aggregate 3/8" Fine Aggregate H RW RA M RW RA Water Required Strength: (f'c) Weight (per cu.yd) 648.0 lbs 1,651.0 lbs 1,557.0 lbs 19.8 oz 38.9 oz 235.0 lbs 0.363 5.75" 03/19/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Concrete placed in Level 1 to Level 2 columns at: F/7; B/4; C/4; C/3.5. Contractor added 10 gallons of water to this 10.5 yard load. Sampled at 5 of 20.5 yards total placed. Remarks: Technician(s): Cook, B. Reviewed by: Tested by: Cook, B. C/ � Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 06/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/16/12 0033 4811 03/23/12 07 4 x 8 157430 4.00 12.571 4570 1 03/16/12 .0033 4812 04/13/12F-2871 4 x 8 0 0.00 0.00 NA ' 03/16/12 0033 4813 04/13/12F-281 NA " 03/16/12 0033 4814 04/13/1228 IF NA " Remarks: Technician(s): Cook, B. Reviewed by: Tested by: Cook, B. C/ � Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 06/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS? INC Light Shower Lynnwood 20225 Cedar Valley Road Concrete Supplier: Concrete Nor'West Suite 110 125 Ticket Number : 29601 Lynnwood WA 98036 2600 23.2 oz ph 425.742.9360 261.0 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project.Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 03/26/12 4816 04/13/1228 Sample Set ID: 278631 Edmonds, WA 03/16/12 0034 4817 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering 03/16/12 0034 4818 Contractor: Pennon Construction Company, Inc. 4 x 8 0 0.00 0.00 Air Temperature: 49°F Weather: Light Shower Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number : 29601 MixDesign ID : 2600 FIELD DATA ASTM C31 and C172 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) I r (ASTM C231) 56°F NR Ingredient Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 3/4" 1,886.0 lbs Fine Aggregate 1,457.0 lbs MRWRA 23.2 oz Water 261.0 lbs Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (ft) 0.463 5.5" 03/19/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Concrete placed in Level 1 to Level 2 walls at: E/3.5 to 7; G to H/7; G/8 to 9; E to F/8; E to F/9.2; E/8 to 9.2; F/8 to 9.2. Contractor added 10 gallons of water to this 10.5 yard load. Sampled at -middle of load. Remarks: Technician(s): Cook, B. Reviewed by: Tested by: Cook, B. C/ � Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested = Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/16/12 1 F 0034 4815 03/23/12 0 4 x 8 F4.66 IF 12.57 4130 T e y 03/16/12 0034 4816 04/13/1228 IF NA 03/16/12 0034 4817 04/13/12r 28 4 x 8 0.00 0.00 NA " 03/16/12 0034 4818 04/13/12 28 4 x 8 0 0.00 0.00 NA Remarks: Technician(s): Cook, B. Reviewed by: Tested by: Cook, B. C/ � Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 57°F Weather: Clear Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number : 130265 MixDesign ID 026506 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 04/07/12 Sample Set ID: 278855 Permit # (s): BLD20110815 Actual ( Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate Retarder Water Required Strength: (f'c) 0.446 4" 04/03/12 5000 psi @ 28 days Weight (per cu.yd) 516.0 lbs 1,840.0 lbs 1,442.0 lbs 37.3 oz 230.0 lbs Placement Location and Notes: Set 3 of 3. Post -tension slab on the 2nd Level between grids D.2 -H/1-9. Sampled at 313 of 334 yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 04/02/12 0040-F 5886 04/02/12 0 4 x 8 0 0.00 0.00 Q F NA—1 04/02/12 0040-F 5884 04/05/12 0 4 x 8 39250 4.00. 12.57 3120 NA 04/02/12 0040-F 5885 04/06/12 ® 4 x 8 44570 4.00 12.57 3550 04/02/12 0040 5887 04/09/12 � 4 x 8 0 0.00 0.00 Q NA 04/02/12 0040 5888 .04/30/12 28 I4 x 8 0 0.00 0.00 NA 04/02/12 0040 5889 04/30/12 28 I4 x 8 0 0.00 0:00 Q NA 04/02/12 0040 5890 04/30/12 28 1 Q F NA Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture.. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENIGINEERSy INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 04/07/12 Sample Set ID: 278855 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor:. Pennon Construction Company, Inc. Remarks: Technician(s): Carmi, N. Tested by: Revilla, Z. Reviewed by: Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 0827/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. seameoffice 20225CedarVaneyRoad suil[e 110 Lyrviv.00d,WA98036 Project No. J L11583 ph 425.7429360 frac 425.745.1737 Project Premier Orthopedic Group Building Address_ 21401 72nd Avenue West, Edmonds, WA Taoamofce Permit No. BLD20110815, BLD20110816 10029S.TaoornaWay sLiteE-2 Bldg Dept. City of Edmonds Taoom2,WA%499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Aordandoffice Engineer CT Engineering X11 033rdDme Contractor Pennon Construction. Company, Inc. Pordand, OR 97211 ph 503281.7515 tax 503281.7579 Record No. 049 Date 4/5/2012 Weather Rain Inspection Post -tension Sample(s) N/A Arrived onsite and the concrete placement scheduled for today was canceled due to weather concerns. Picked up a field cured cylinder and transported it to the lab for strength testing. The result for the. compression test on the single field cured sample was 3122 psi at 3 days. Ongoing inspection on the PT deck on the 2nd level grids A- D.2/1-9 and the ramp _going from ground level to the second level at grids D -E/5-7. Unfinished items.from the report dated 4/4/2012 were completed and re -inspected. Subject to final inspection. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Schrader Reviewed By: Michael J. Mayes, P.E. President Page 1 of 1 MAYES TESTING ENGINEERS, INC. seattleoffice _ 20225 Cesar Valley Road Suite 110 Lyymcod, WA98OW Project No. L11583 �c �745.17, Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA ram oihoe Permit No. BLD20110815, BLD20110816 1o029s.Tammaway SuheE-2 Bldg Dept. City of Edmonds Tamma,WAW99 ph 253.584.3720 fax M3_584.3707 Owner First Western Development Services Architect Donahou Design Group Pbrda"dOffiae Engineer CT Engineering 7911 119 Di'� Contractor Pennon Construction Company, Inc. Poland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 050 Date 4/7/2012 Weather Rain Inspection Post -tension, reinforced concrete Sample(s) (22) 4x8" cylinders Performed final inspection on the reinforcing steel and tendons, and adjustments were made prior to concrete placement. Monitored concrete placement into the PT deck on the 2nd level grids A- D.2/1-9 and the ramp going from ground level to the second level at grids D -E/5-7. The reinforcing steel was verified per the approved structural plans and details and found to be in conformance. The concrete mixes used were Concrete Nor'West 02600 and 1501700G, and they were placed by boom pump truck. The concrete was sampled (4) times for strength testing. Approximately (60) cubic yards of mix 02600 were used on the ramp, and (367) cubic yards of the mix 150170OG were used on the PT slab. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Schrader Dan Quehl Reviewed By: Michael S. Mayes, P.E. President Page 1 of 1 MAYESTESTING ENGINEERS, INC . •-_� __: �� .^ '... °�:......_.::: r...�..'..'�Yrr.ie,-. ., 1,.'<�.� .. . �,..'Y. 3 �.i�.Fd:s-. '.:........r..._. .R• CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,654.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ' ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/21/12 Sample Set ID: 278560 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 40°F `� WActual Mix Proportions: Rain Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129985 MixDesign ID: 07600733 Sample Temp. Initial Storage Temp. I I Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 64°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement—Type I & II 648.0 lbs Coarse Aggregate 3/8" 1,654.0 lbs Fine Aggregate 1,556.0 lbs Glenium - 20.0 oz MB PolyHeed 997 39.0 oz Water 231.0 lbs Required Strength: (f c) 0.356 6" 03/14/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. 9 columns from Level"I to Level 2 at grids: F/3.5, 4; E/2, 3.5, 4; 2/C, D; B/2, 3. Ramp wall at grid E from 3.5 to 7. L -shape wall 3/A -A.2 and A/3-3.2. Wall at A.38 to 4.2 from .Level 1 to Level 2. Sampled at 10 of 20 yards total. 10 gallons of water added on site. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age . Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/13/12 0031 4465 03/20/12 .0 4 x 8 68670 4.01 12.63 5440 T e 2 03/13/12 0031 4466 04/10/12F 28 4 x 8 0 0.00 0.00 Q NA " 03/13/12 0031 4467 04/10/12 28 4 x 8 0 0.00 0.00 Q NA 03/13/12 0031 4468 04/10/1228 4 x 8 0 0.00 0.00 Q NA " Remarks: Technician(s): Kane, J. Reviewed by: Tested by: Kane, J. y Q Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 0e=7 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS,. INC CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 03/21/12 Edmonds, WA Sample Set ID: 278561 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 43°F I Actual�W Mix Proportions: Weather: Overcast Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129992 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 59°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 562.0 lbs Coarse Aggregate 7/8" 1,846.0 lbs Fine Aggregate 1,453.0 lbs MB 20ON 2.2 oz Water 260.0 lbs Required Strength: (f c) 0.463 6" 03/14/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Level 1 to Level 2 walls, gridlines 3/A -A.2 by A/3-3.2, A/3.8-4.2 and ramp wall, E/3.5-7. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/13/12 0032 4469 03/20/12 4 x 8 55750 4.02 12.69 4390 . 03/13/12 0032 4470 04/10/12 28 4 x 8 0 0.00 0.00 NA " 03/13/12 0032 4471 04/10/12F281 IF NA ' 03/13/12 0032 4472 04/10/12 28 4 x 8 0 0.00 0.00 NA " Remarks: Technician(s): Carmi, N. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 > Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record -No. 040 Date 03/20/2012 Weather Cool Inspection Proprietary Anchors Sample(s) N/A Seaffleoffice 20225 Cedar Valey Road Suis 110 Lynnwood, wA 980;16 ph 425.7429360 f3K 425.745.1737 Tacoma Office 10029 S. Tacoma way Sud E-2 Tacoma wA98499 ph 253.584.3720 fax 253.584.3707 FbndwlOfte 7911 NE 33rd Drive Sule 190 Poftrxi, OR 97211 ph 503281.7515 W 503281.7579 Permit No. BLD20110815 Observed epoxy installation of (3) #5 wall dowels into slab for walls at Grid Lines: (1) #5 bar at A/5.4 and (2) #5 bars at A.8/5.4. Bars completed double curtain wall dowels next to openings at these (2) locations. Bars were epoxied -in using Simpson SET -XP,. Lot #265E442E, expiring 08/2013. Installation followed e-mail approval from Chuck Morris of CT Engineering on 3-13-12 and manufacturer's recommendations. Holes were checked for minimum 6-3/4" embedment. Holes were blown, brushed, dried and blown. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: B. Cook Reviewed By: Mark McBride Senior Project Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. SeattleOfte W.: 20715 Cedar Vaby Road SLde 110 Lynnwood, WA 98M6 Project No. L11583 bx��45 .1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma ofte Permit No. BLD20110815, BLD20110816 Sine E-2 10FteE-2 aoomaWay Bldg Dept. City of Edmonds Taoxna�WA98499 ph 253.584.3720 Owner First Western Development Services 3707 Architect Donahou Design Group Pbrdmdofoe Engineer CT Engineering rke �190D Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 041 Date 03/21/12 Weather Partly Cloudy and 50's Inspection Reinforced Concrete Sample(s) (2) Sets of (4) 4x8" Cylinders Permit No. BLD20110815 1. Inspected concrete placement of the L1 to L2 columns at C/4, B/7, C/7, C/8 and D/8: Reinforcing steel was previously inspected in the following reports: Column C/4 by Keith Dohrman on 3/13/12: Verified final clearances prior to placement This closes the preliminary report. Columns B/7, C/7, C/8 and D/8 by Brian Cook on 3/15/12. Verified final clearances prior to placement. This closes the preliminary report as it pertains to these four columns. Monitored and sampled placement of (10) cubic yards of Concrete Nor'West Mix #07600G3 by boom pump with mechanical consolidation. Made one set of four 4x8" compression test cylinders. Per S1.00, F'c=5,000 psi at 28 days. 2. Inspected concrete placement of the L1 to L2 walls at the following locations, with reinforcing steel inspected as noted: • 9/B.8 -D.2 by Mark Rossow on 3/16/12: Verified cover. • 8/A -B, B/8-9 and A/6.7-7.3 by Brian Cook on 3/15/12. Verified cover. This closes the preliminary report as it pertains to these walls. • A/5-5.4, B/5-5.4 and 5/A -B by Barry Tuttle on 3/19/12: Verified cover. • 5.4/A -B: Inspected reinforcing steel and embed plates per G/S6.04. At the elevator opening, the beam stirrups were open tops and 180 -degree bends to the outside instead of the closed ties shown in Detail 19/S6.00. Contractor elected to add matching inverted "U" bars over the open stirrups. Per Jeff Still, Pennon, the contractor will submit an RFI to the Engineer of Record for review. Monitored and sampled placement of (31.5) cubic yards of Concrete Nor'West Mix #02600 by boom pump with mechanical consolidation: Made one set of four 4x8" compression test cylinders. Per S1.00, F'c=4,000 psi at 28 days. CORRECTIVE ACTIONS TAKEN: See underlined sections above. Page 1 of 2 MAYES TESTING ENGINEERS, INC. smtde 015ce CedarvaDey Road SLAB 110 Lynnwood, WA98036 Project No. L11583 ��i45. 737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Office Permit No. BLD20110815, BLD20110816 10029S.Ta=TeWay SuPleE2 Bldg Dept. City of Edmonds TacomamA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group PordmdOfte Engineer CT Engineering S�1N033rdDrke Contractor Pennon Construction Company, Inc. Poruand,oR97211 ph 503.281.7515 fax 503281.7579 Record No. 041 Date 03/21/12 Preliminary Inspection: See #2 (marked in bold letters): Pending RFI approval for use of "U" bars and open stirrups at Wall 5.4/A -B beam in lieu of closed ties. Discussed with Jeff Still, Pennon. Inspector: Carl Harrington Reviewed By: Mark McBride Senior Project Manager Page 2 of 2 MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 WIN I:r.. , _ Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 03/23/12 Edmonds, WA Sample Set ID: 278289 Client: Engineer: Contractor: Air Temperature: Weather: Product: First Western Development Services CT Engineering Pennon Construction Company, Inc. Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 36°F j" Design Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129588 MixDesign ID: 01600 Sample Temp. Initial.Storage Temp. Air Content (ASTM C1 (ASTM C31) (ASTM C231) 69°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate Water Required Strength: (fc) Weight (per cu.yd) 564.0 lbs 1,850.0 lbs 1,440.0 lbs 265.0 lbs 0.470 4" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 1 of 6. L1 slab section between F.4 and H from line 1 to line 6.2. The specified strength on the mix design sheet for this mix is 2500 psi. The concrete samples were taken at the end of the pump hose. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0022 3127 03/01/12 0 F5956071 4740 1 02/23/12 0022 3128 03/22/12 28 4 x 8 80610 4.00 12.57 6410 1 02/23/12 0022 3129 03/22/12 28 4 x 8 80440 4.00 12.57 6400 1 02/23/12 0022 3130 03/22/12 28 1 6520 1 Remarks: Technician(s): Chebul, J. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08rz2/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,850.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/23/12 Sample Set ID: 278290 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 43°F (­ Design T Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129605 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1 (ASTM C31) (ASTM C231) 73°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,465.0 lbs Pozzolith 20ON 23.0 oz Water 256.0 lbs Required Strength: (fc) 0.454 5.5" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 6. Level 1 slab section between grids A and F.4 from line 1 to line 6.2. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0023 3131 03/01/12 0 4 x 8 63500 4.00 12.57 5050 T e 1 ' 02/23/12 0023 3132 03/22/12F-2811 4 x 8 82120 4.00 12.57 6530 1 02/23/12 0023 3133 03/22/12 28 4 x 8 84850 4.00 12.57 6750 02/23/12 0023 3134 03/22/1228 4 x 8 84840 4.00 12.57 6750 Remarks: Technician(s): Kellenberger, A. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08rDJ07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/23/12 Sample Set ID: 278291 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 45°F F_ V Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129612 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 69°F NR % Water/Cement Ratio: Slump (ASTM C143) IF—Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,465.0 lbs Pozzolith 20ON 23.0 oz Water 256.0 lbs Required Strength: (fc) 0.454 5.75" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 3 of 6. Level 1 slab section between grids A and F.4 from line 1 to line 6.2. Remarks: Technician(s): Kellenberger, A. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0024 3135 03/01/12 0 4 x 8 52430 4.00 12.571 4170 1 02/23/12 0024 3136 03/22/1228 4 x 8 78970 4.00 12.57J 6280 1T e 3 02/23/12 0024 3137 03/22/1228 4 x 8 80460 4.01 12.63 6370 T e 1 02/23/12 0024 3138 03/22/12 28 I4 x 8 76380 4.00 12.57 6080 T e 4 Remarks: Technician(s): Kellenberger, A. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESnNG ENGINEERS,. INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 45°F Weather: Overcast Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129626 MixDesign ID: 02600 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 03/23/12 278292 'Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 Design Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR Water/Cement Ratio: Slump (ASTM C143) 1 ) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,465.0 lbs MB NC 534 33.8 oz Pozzolith 20ON 23.0 oz Water 256.0 lbs Required Strength: ft) 0.454 6.5" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 4 of 6. Level 1 slab section between grids A and F.4 from line 1 to line 6.2 COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0025 3139 03/01/12 0 4 x 8 58310 4.00 12.57 4640 1 02/23/12 0025 3140 03/22/12 28 1 5760 02/23/12 0025 3141 03/22/12 28 4 x 8 75740 4.00 12.57 6030 02/23/12 0025 3142 03/22/1228 4 x 8 74440 4.00 12.57 5920 Remarks: Technician(s): Kellenberger, A. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 03/23/12 Edmonds, WA Sample Set ID: 278293 First Western Development Services Permit # (s): BLD20110815 CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 49°F I Design Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129639 MixDesign ID: 02600 Sample Temp.Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 66°.F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,465.0 lbs MB NC 534 33.8 oz Pozzolith 20ON 23.0 oz Water 256.0 lbs Required Strength: (fc) 0.454 4.5" 02/24/.12 %uuu psi L co clays Placement Location and Notes: Set 5 of 6. Level 1 slab section between grids A and F.4 from line 1 to line 6.2. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) _ Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0026 3143 03/01/12 .0 4 x $ 671601 4.00 12.57 5340 . 02/23/12 0026 3144 03/22/12 28 11 6620 iFT el " 02/23/12 0026 3145 03/22/12F-281 6500 T e 1 02/23/12 0026 3146 03/22/12F-281 6800 T e 1 Remarks: Technician(s): Chebul, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEE'R'S, INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/23/12 Sample Set ID: 278294 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 51 OF F_ _ Mix Proportions: Overcast Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129638 MixDesign ID: 156000HY Sample Temp. Initial.Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 66°F NR Weight (per cu.yd) Cement --Type I & II 600.0 lbs Coarse Aggregate 3/8" 600.0 lbs Coarse Aggregate 7/8" 1,260.0 lbs Fine Aggregate 1,295.0 lbs Fly Ash 100.0 lbs Glenium 7500 42.0 oz MB NC 534 42.0 oz Water 252.0 lbs Water/Cement Ratio: Slump (ASTM C143) iSamples) Recd: Required Strength: (fc) 0.360 4.25" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 6 of 6. Level 1 slab at the perimter of elevators 1 and 2. 10 gallons of water added on site. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHT0 T22 when applicable) Lab # Date Tested Age Size (in) ' Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0027 3147 03/01/12 0 4 x 8 64150 4.00 12.57 5100 T e o 02/23/12 0027 3148 03/22/1228 4 x 8 79100 4.00 12.57 6290 02/23/12 0027 3149 03/22/12F-281 6080 02/23/12 0027 3150 03/22/12 F-281 6220 1 Remarks: Technician(s): Chebul, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seatUeot6oe Ambient Temp. _. 20225 Cedar Vagey Road I Yardage 5 inches sine 110 49 degrees 12:03 pm Lpvood, WA 98036 Project No. L11583 ���45 .1737 Project Premier Orthopedic Group Building . Address 21401 72nd Avenue West, Edmonds, WA Taoarna Office Permit No. BLD20110815, BLD20110816 loms.Taoxnaway suaeEz Bldg Dept. City of Edmonds TaooMWA984% ph 253.584.3720 fax25s.5e4.37o7 Owner First Western Development Services Architect Donahou Design Group Pond donke Engineer CT Engineering S�1199033rdDrne Contractor Pennon Construction Company, Inc. Potand,OR97211 ph 503.281.7515 fax 503281.7579 Record No. 042 Date 3/22/2012 Weather Partly sunny Inspection Reinforced concrete Sample(s) (4) 4x8" cylinders Permit No. BLD20110815 Tested and monitored the placement of Concrete Nor'West mix #07600G3 5,000 psi concrete. This was for the following locations: Walls from Levels 1 to 2 and grid lines A to B/6.2, B/5.9 to 6.2 and A line to 5'9" west of A line/5.9. Also, a column was placed from the same above stated elevations at grid lines A.1/8.7. Mayes Testing Engineers (MTE) inspector Brian Cook previously inspected the reinforcing steel for the column on 3-15-2012 and MTE inspector Barry Tuttle previously inspected the walls on 3-19-2012 and found it to be per the contract documents. The final clearances of all the reinforcing steel at these above stated locations were verified prior to the concrete placement. The concrete was placed by a pump and was mechanically consolidated using a vibrator with a total of (13) cubic yards placed from (2) truckloads. There was cast (1) set of (4) 4x8" cylinders for strength verification and the test results for these samples are as follows: Slump Mix Temp. Ambient Temp. Time Batched Time Sampled I Yardage 5 inches 58 degrees 49 degrees 12:03 pm 1 1:05 pm 1.10.5 of 13 total cu yds All test results were given to the contractor. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Dan Quehl Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/16/12 Sample Set ID: 278207 Permit # (s): BLD20110816-TI BLD20110815 FIELD DATA ASTM C31 and C172 46°F ! v Actual J Mix Proportions: Overcast Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 129512 MixDesign ID: 156000HY Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 55°F Weight (per cu.yd) Cement --Type I & II 536.0 lbs Coarse Aggregate 3/4". 1,252.0 lbs Coarse Aggregate 3%8" 595.0 lbs. Fine Aggregate 1,327.0 lbs Fly Ash 93.0 lbs HRWRA 42.0 oz Water 237.0 lbs Water/Cement Ratio: Slump (ASTM C143)F Sample(s) Rec'd: Required Strength: ft) 0.377 5.5" 02/17/12 4000 psi @ 28 days Placement Location and Notes: Elevator pit foundation footing, gridlines 5 -5.4/A -B. Sampled at 20 of 20 yards total. Hycrete water proofing additive at undisclosed amount. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/16/12 0019 2742 .02/23/12 0 4 x 8 75300 4.00 12.571 5990 02/16/12 0019 2743 03/15/1228 4 x 8 88460 4.00 12.571 7040 02/16/12 0019 2744 03/15/12F-281 6800 02/16/12 0019 2745. 03/15/1228 4 x 8 92790 4.00 12.57 7380 71T e 3 Remarks: Technician(s): Graham,, K. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31,10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seaffieoffice _.� . 20225 Cedar VaOey Road Who 110 Lyrunnuod. WA98036 Project No. L11583 ���a51M737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA TacornaOfOe Permit No. BLD20110815, BLD20110816 tom s. Taoorna WaysudeE-2 Bldg Dept. City of Edmonds Ta=ria, WA W99 ph 253.584.3720 Owner First Western Development Services f�c 253.584.3707 Architect Donahou Design Group Porawdoffice Engineer Engineer CT Engineering 7911 Contractor Pennon Construction Company, Inc. Patana OR 97211 ph 503281.7515 f3c 503281.7579 Record No. 037 Date 3/15/2012 Weather Light rain Inspection Reinforcing steel Sample(s) N/A Performed reinforcing steel inspection for level 1 to level 2 walls at B/8 to 9, 8/A to B and A/6.7 to 7.3. Also inspected columns for level 1 to level 2 at B/7, C/7, C/8, D/8, F/7 and A.5/1.5. Reinforcing steel was checked for size, grade, length, splice, spacing and location. Final clearances shall be checked prior to concrete placement. These (3) walls and (6) columns are ready to be formed. Preliminary Inspection Final clearances to be checked prior to concrete placement. Inspector: Brian Cook Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTINGENGINEERS , INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: - L11583 Issued on: 03/20/12 Sample Set ID: 278241 Permit # (s): BLD20110875 FIELD DATA ASTM C31 and C172 42°F f Actual Mix Proportions: Rain Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 129545 MixDesign lb.: 156000HY FSample Temp. Initial Storage Temp. Air Content (ASTVC1064) (ASTM C31) (ASTM C231) Ingredient Weight (per cu.yd) Cement --Type I & II 594.0 lbs Coarse Aggregate 3/4" 597.0 lbs Coarse Aggregate 7/8" 1,254.0 lbs Fine Aggregate 1,298.0 lbs Fly Ash 99.0 lbs MRWRA 42.0 oz Water 226.0 lbs 55°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Required Strength: (fc) 0.326 6.5" 02/21/12 4000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Elevator pit walls (exterior) with Hycrete water proofing admixture. Sampled at mid -point of discharge of the 10 cubic yards placed/delivered today. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/20/12 0020 2897 02/27/12 07 4 x 8 66930 4.00 12.57 5330 T e 5 02/20/12 0020 2898 03/19/1228 4 x 8 89600 4.00 12.57 7130 1 02/20/12 0020 2899 03/19/12 28 1 6760 02/20/12 0020 2900 03/19/1228 4 x 8 88060 4.00 12.57 7010 Remarks: Technician(s): Hill, K. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS 1NG Lynnwood , 20225 Cedar Vallev Road Suite 110 gill Lynnwood WA 98036 .iA x s ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 03/20/12 Edmonds, WA Sample Set ID: 278242 s: BLD20110875 Client: First Western Development Services Permit # ( Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: FIELD DATA ASTM C31 and C172 45°F i Actual Mix Proportions: Rain Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 125947 MixDesign ID: 01550 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) I (ASTM C31) 1, (ASTM C231) 55°F f�l.7 Water/Cement Ratio: Slump (ASTM C143). IF Samples) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 524.0 lbs Coarse Aggregate 3/4" 1,546.0 lbs Coarse Aggregate 3/8" 297.0 lbs Fine Aggregate 1,504.0 lbs Water 236.0 lbs Required Strength: (fc) 0.450 5.5" 02/21/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Grade beams at 4.2 to 6.5 at A line, and grade beam at stairwell 1 and 6 line. Sampled at mid -point of discharge of the 10 cubic yards cumulative of the 19 cubic placed/delivered today. 4 gallons of allowable 22.1 gallons of water were added to the full load prior to discharge. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) . Dia (in). , Area Strength (psi) Type of Fracture 02/20/12 0021 2901 02/27/12 0 4 x 8 55050 4.01 12.631 4360 02/20/12 0021 2902 03/19/12F-281 6380 1 02/20/12 0021 2903 03/19/12 28 I4 x 8 76750 4.00 12.57 6110 T e 3 " 02/20/12 0021 2904 03/19/1228 4 x 8 79040 4.00 12.57 6290 T e 4 " Remarks: Technician(s): Hill, K. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019,9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. seaatorrte Weather Rain/Snow/Clouds 20715 Cedarvagey Road Reinforced Concrete Sample(s) SLe 110 Ly mood, WA 98W6 Project No. L11583 txa25ia5..M Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoorna Office Permit No. BLD20110815, BLD20110816 10029s.Ta=raway sudeE2 Bldg Dept. City of Edmonds Taoorria,WA98499 ph 253.584.3720 Owner First Western Development Services ' W253.584.3707 Architect Donahou Design Group Flornandoffioe Engineer CT Engineering rW S�1190 D Contractor Pennon Construction Company, Inc. Palma OR97211 ph 503281.7515 W 503281.7579 Record No. 034 Date 03/13/12 Weather Rain/Snow/Clouds Inspection Reinforced Concrete Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 Performed final clearance inspection of ramp wall, columns (9) L-shaped wall and perimeter wall at the following locations: • Columns F/3.5, 4; E/2, 3.5, 4; 2/C, D; B/2, 3. • Ramp Wall: E/3.5-7. • L -Shaped Wall: 3/A -A.2 by A/3-3.2. • Wall: A/3.8-4.2. Columns and walls from Level 1 to Level 2. Contractor cast columns with Concrete Nor'West Mix #076COG3, placed by boom pump with mechanical consolidation. Sampled (10) cubic yards of (20) cubic yard total. Cast (4) 48" cylinders for compression tests. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jesse Kane Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC .." CONCRETE LABORATORY TEST REPORT `Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc.. Air Temperature: Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 Issued on: 03/15/12 Sample Set ID: 278480 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 53°F [_ Actual " Mix Proportions: Partly Cloudy Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129865 MixDesign ID: 07600G3 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 58°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 644.0 lbs Coarse Aggregate 3/8" 1,564.0 lbs Fine Aggregate 1,648.0 lbs Glenium 20.0 oz MB PolyHeed 997 39.2 oz Water 242.0 lbs Required Strength: (Fc) 0.376 3.5" 03/08/12 5000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Level 1 to Level 2 columns, grids G2, G3, G4, G5, G6, F5 and F6. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/07/12 0029 4056 03/14/12 0 4 x 8 61690 4.01 12.63 4880 T e 3 ' 03/07/12 0029 4057 04/04/1228 4 x 8 0 0.00 0.00 Q NA ' 03/07/12 0029 4058 04/04/1228 4 x 8 0 0.00 0.00 Q NA ' 03/07/12 0029 4059 04/04/1228 4 x 8 0 0.00 0.00 NA ' Remarks: Technician(s): Smith, E. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P. E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/24/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES� TESTING ENGINEERS,. INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA. Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 52°F Weather: Partly Cloudy Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129866 MixDesign ID: 02600 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 03/15/12 278481 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 53°F ,H:7 Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate MB 20ON Water Water/Cement Ratio: Slump (ASTM C143) 11 Sample(s) Recd: Required Strength: (fc) Weight (per cu.yd) 565.0 lbs 1,867.0 lbs 1,549.0 lbs 23.2 oz 258.0 lbs 0.457 4.75" 03/08/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Level 1 to Level 2 walls, grids A.3 to HA and lines/ minus 4' to 2.1, also placed walls same elevation grid H from line 2.6 to 6.2. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 03/07/12 0030 4061 03/14/12 0 4 x 8 52230 4.01 12.63 4140 03/07/12 0030 4062 04/04/1228 4 x 8 0 0.00 0.00 NA ' 03/07/12 0030 4063 04/04/12 28 4 x 8 0 0.00 0.00 NA ' Remarks: One sample was damaged and could not be tested. Technician(s): Smith, E. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 0822107 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seameafte 20225 Cedar Valley Road Sine 110 Lynnwood,VVA98036 Project No. L11583 ph43.742M W43.745Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA TaoormOffice Permit No. BLD20110815, BLD20110816 SdaE-.TaoanaWay Suit E-2 Bldg Dept. City of Edmonds Tamm VVA98499 ph 253.584.3720 Owner First Western Development Services fax Architect Donahou Design Group FbIlandofce Engineer CT Engineering 7911 NE Contractor Pennon Construction Company, Inc. Poruand,OR97211 < ph 503281.7515 fax 50341.7579 Record No. 035 Date 03/13/2012 Weather Cloudy Inspection Reinforcing Steel Sample(s) N/A Performed preliminary reinforcing steel inspection of Level 1 to Level 2 walls at Grid Lines 7/G -H and D/3.5-4. Clearances will be verified prior to placement. Also inspected reinforcing steel for Level 1 to Level 2 columns at Grid Lines D/3.5, B/4, C/4 and C/3.5. Reinforcing was inspected per approved plans prior to closing formwork. Preliminary Inspection: Verify final clearances prior to placement of concrete. Inspector: Keith Dohrman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MA YES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 033 Date 3/12/2012 Weather Rain, 50s Inspection Reinforced concrete Sample(s) None ssaffleoffice 20225 CedarVagey Road SUL- 110 L"wood, WA 98036 ph 425.7429360 fax 425.745.1737 racoma Office 10029 S. Ta=m Way Sri E-2 Taoorria, WA 98499 ph 253.584.3720 lac 253.584.3707 ro►aa►►dofte 7911 NE 33rd Drive SLde 190 Patmc, OR 97211 ph 503281.7515 fair 503281.7579 Onsite to verify the installation of reinforcing steel for ramp walls from level 1 to level 2 at grid lines D/4 to 7, and wall (type C) from level 1 to level 2 at grid lines G/8 to 9. Reinforcing steel was found to be installed as per approved plans and drawings. Final clearances of reinforcing steel to formwork will need to be verified prior to placement of concrete. Corrective Action Taken: Received a copy of email approval from structural engineer, Chuck Morris with CT Engineering, for reinforcing steel bar dowel installation for column A.3/3 as referenced in Mayes Testing Engineers report by Kevin Hill dated 3/9/2012. This clears the preliminary inspection (note 2) on this report. Copy of email attached to today's report. Preliminary Inspection Final clearances to be verified prior to placement of concrete. Inspector: Kevin Hill Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 Jeff Still From: Chuck Morris (cmorris@ctengineering.com) Sent: Monday, March 12, 2012.1:06 PM To: Jeff Still; 'Jim' Cc: Mac Sele; Joe Sullivan Subject: RE: Premier P-1 Column Dowel Epoxy Jeff, I have reviewed the locations, per your sketch and I find this remedial work structurally acceptable. Chuck Morris CT Engineering From: Jeff Still(mailto:jeffsOpennonconstruction.com1 Sent: Monday, March 12, 2012 8:13 AM To: Chuck Morris Cc: Mac Sele; Joe Sullivan — Subject: FW: Premier P-1 Column Dowel Epoxy Chuck, We were able to get 8" deep with the dowels. We added (4) #5 but where able to get (6) of the original bars in the column. We plan on closing this wall up today for a tomorrow pour. Thanks Jeff Still Pennon Construction Company, Inc. 5303 1st Avenue South, Suite 100 Seattle, WA 98108 206-418-0235 206-418-0237 fax 206-793-7084 cell www.pennonconstruction.com This message may contain confidential and/or privileged information. If you are not the addressee or authorized to receive this for the addressee, you must not use, copy, disclose, or take any action based on this message or any information herein. If you have received this message in error, please advise the sender immediately by reply e-mail and delete this message. Thank you for your cooperation. From: Jeff Still Sent: Friday, March 09, 2012 9:27 AM To: 'Chuck Morris' Cc: Mac Sele; Joe Sullivan Subject: Premier P-1 Column Dowel Epoxy Chuck, Along Grid "H" at about "7" we missed (2) #5 end bars for the short return wall above P-1 slab. We would like to epoxy these in. At Grid "3" and about "A.25" our column bar stubs missed layout by about 8" to far to the west above P-1 slab. We would like to add (4) #6 bars epoxy into the 11" SOG. Please advise. MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 036 Date 03/13/2012 Weather Cloudy Inspection Reinforced Concrete Sample(s) (4) 4x8" Cylinders seaffie Office 20225 GedarVa6ey Road SUF0 110 Lrnwood, WA98036 ph 425.7429360 W 425.745.1737 racoma Orme 10029 S. Tacoma way SLde E-2 Tacoma WA98499 ph 253.584.3720 fax 253.584.3707 Fbrdandof ce 7911 NE 33rd Drhe SLde 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Observed the placement of and sampled from (21) total cubic yards of project -approved Concrete Nor'West (CNW) Concrete Mix #02600 placed for Level 1 to Level 2 walls at Grid Lines 3/A -A.2 by A/3-3.2, A/3.8-4.2 and ramp wall at E/3.5-7. Concrete was placed by pump with mechanical consolidation. Four 4x8" cylinders were cast for 4000 F'c compliance testing. Reinforcing steel was inspected per approved plans. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspectors: Keith Dohrman and Ned Carmi Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTINGENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,550.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/09/12 Sample Set ID: 278098 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 48°F �Desig� Mix Proportions: Overcast . Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 129277 MixDesign ID: 01550 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) I I(ASTM C231) 61°F NR Water/Cement Ratio: Slump (ASTM C143) J ) Recd: Cement --Type I & II Coarse Aggregate Coarse Aggregate Fine Aggregate Water Required Strength: (fc) Weight (per cu.yd) 517.0 lbs 300.0 lbs 1,550.0 lbs 1,500.0 lbs 277.0 lbs 0.536 5" 02/10/12 4000 psi @ 28 days Placement Location and Notes: .Concrete placed by pump and mechanically consolidated at grade beams located at G/7-9, 9/G -D, 6/F -D, 8/D, 4/13, 7/F and C/8. Sampled at 31.5 of 46 cubic yards. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/09/12 0017 2227 02/16/12 F-711 4 x 8 49760 4.00 12.57 3960 T e t 02/09/12 0017 2228 03/08/1228 4 x 8 78630 4.00 12.57 6260 T e 5 02/09/12 0017 2229 03/08/1228 1 3.99 12.501 6180 7 02/09/12 0017 2230 03/08/1228 4 x 8 70600 4.00 12.571 5620 1 Remarks: Technician(s): Emery, R. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. seameoffice : 20225 Cedarva5ey Road Sut 110 Lynnwood, WA98M6 Project No. L11583 ���455.1M737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacarra oRroe Permit No. BLD20110815, BLD20110816 1m S. Ta=re Way SufieE_2 Bldg Dept. City of Edmonds TaoxmWA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Portia"doffice Engineer CT Engineering �19033rdDnve Contractor Pennon Construction Company, Inc. Poedand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 030 Date 03/07/12 Weather Partly Cloudy Inspection Reinforcing Steel Sample(s) N/A Permit No. BLD20110815 On site for reinforcing steel inspection: Inspected wall reinforcing prior to closure at ramp wall Grid E & Lines 3.5 to 6.5. Contractor to correct tie spacing at columns/pilasters Grids E-3.5 & EA ties dislocated at bottom Zone 1, Detail 7/S1.02. Not in place at this time: • Ramp dowels & Keyway, 2/S2.13. • Beam reinforcing & dowels, Details 3 & 4/S2.13. • Dowels for horizontal bars at cross wall on 5.1 Line, Detail 5/S2.13. Re -inspect prior to closure. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Ed Smith Reviewed By: Michael S. Dolder, P.E:' Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC ARNA CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Sample Set ID: Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/12/12 Sample Set ID: 278427 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 39°F I Design Mix Proportions: Cloudy Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 29355 MixDesign ID: 01600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 56°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 3/8" 300.0 lbs Coarse Aggregate 7/8" 1,950.0 lbs Fine Aggregate 1,510.0 lbs MB NC 534 33.8 oz Water 267.0 lbs Required Strength: (fc). 0.473 5" 03/05/12 2500 psi @ 28 days Placement Location andNotes: 5" slab -on -grade and 8" bridge slab sections between grids A and H from grids 6.2 to 9. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 03/02/12 0028 3796 03/09/12 0 4 x 8 53940 4.01 12.63 4270 03/02/12 0028 3797 03/30/12 28 4 x 8 0 0.00 0.00 NA ' 03/02/12 0028 3798 03/30/1228 4 x 8 0 0.00 0.00 NA ' 03/02/12 0028 3799 03/30/1228 IF NA ' Remarks: Technician(s): McBride, M. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08r22107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. Seamleofioe _ 20225 CedarvaDey Road Sud 110 L"mood, WA98036 Project No. L11583 ��i45. 737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoarna ofioe Permit No. BLD20110815, BLD20110816 10029S.Tawiraway Suite E-2 Bldg Dept. City of Edmonds. Ta=mWA98499 ph 253.584.3720 fm 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Pargandoffioe Engineer CT Engineering �1N033rdDrW Contractor Pennon Construction Company, Inc. P gand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 029 Date 03/07/12 Weather Partly Cloudy Inspection Reinforced Concrete Sample(s) Two Sets of (4) 4x8" Cylinders Permit No. BLD20110815 On site as scheduled for reinforced concrete placement inspection: Inspected clearances at Level 1 to Level 2 walls, Grids A.3 to H.1 and Lines 1 minus 4' to 2.1. Noted corner bars missing full HT at Line 1 & Grid F.1. Notified contactor for corrections. Revisited prior reports and noted wall from Grid F.1 to F.8 Line 1 to 2.1 appeared incomplete at prior inspection. Reviewed plans & notes and Derformed inspection as contractor opened forms to correct corner per Detail 9/S6.00. Also verified clearances at L1 to L2 walls along Grid H from Line 2.6 to 6.2 & columns Grids G2, G3, G4, G5, G6, F5 & F6. Refer to laboratory compression reports for samples of Mix #07600G3 for columns & #02600 for walls. Work & material were found to be in accordance with approved plans, notes & 2009 IBC. Refer to today's Laboratory Compression Test Reports for concrete information: Set 1-10 cubic yards & Set 2-74 cubic yards. CORRECTIVE ACTION TAKEN: Requested corner bars full Ht Level 1 to Level 2 perimeter wall Grid F.1 & Line 1 be completed prior to concrete placement. See above. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector Ed Smith Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. seamtofte �._. 20225CedarVageyRoad sub110 Lpwvood,VVA9W36 Project No. L11583 ���45� Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA racO"aOfce Permit No. BLD20110815, BLD20110816 10029 s. Taooma way SuitE-2 Bldg Dept. City of Edmonds Tao3mawa984M ph 253.584.3720 Owner First Western Development Services bx253.584.3707 Architect Donahou Design Group Fbrdgndofte Engineer CT Engineering �1r 033rdDrnne Contractor Pennon Construction Company, Inc. Putand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 032 Date 3/9%2012 Weather Overcast, Rain, 50's Inspection Reinforced Concrete Sample(s) N/A Permit No. 20110815 Onsite to verify reinforcing steel installed at the following locations; columns at gridlines B/1.8, B/4, C/2, D/2, E/2, A.3/3, C/3.5, D/3.5, E/3.5, F/3.5, C/4, E/4 and F/4; walls at E/3.5 to 7 (ramp wall), 5.3/ E to D, A/3 to 3.3, 3/A to A.3, A/3.7 to 4.3 and D/3.5 to 4 (shear walls). Reinforcing steel was found to conform to approved drawings and plans. Verifications of final clearances will need to be conducted prior to placement of concrete. Inspections were conducted at level 1. Observed the placement of (4) #5 reinforcing steel bar dowels into existing slab at gridline A.3/3. These dowels were placed inside installed reinforcing steel column cage, into holes drilled to 8" embedment depth, using Simpson SET XP (lot #265E442E expires 8/20/2013). Holes were verified for cleanliness and depth prior to epoxy operations. Placement of these reinforcing steel dowels is pending engineer approval. Preliminary Inspection: 1) Final clearances of reinforcing steel to formwork prior to concrete placement. 2) Engineer approval of epoxy operations referenced in body of report. Inspector: Kevin Hill Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Project No: L11583 Issued on: 03/13/12 Sample Set ID: 278165 Permit # (s): BLD20110816-TI BLD20110815 FIELD DATA ASTM C31 and C172 47°F r- Actual Mix Proportions: Overcast Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 129401 MixDesign ID: 01550 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM.C31) (ASTM C231) Ingredient Weight (per cu.yd) Cement --Type I & II 517.0 lbs Coarse Aggregate 3/4" 1,547.0 lbs Coarse Aggregate 3/8" 299.0 lbs Fine Aggregate 1,493.0 lbs Water 248.0 lbs 63°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.480 4.75" 02/14/12 4000 psi @ 28 days Placement Location and Notes: Grade beams at gridlines 9/A -D and A/8-6.2; Pile caps at gridlines B/7, 8,; C/7,8; .0/5. Sampled at 21 of 33.5 yards total at grade beams. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/13/12 0018 2546 02/20/12 0 F59400Y4.00 12.57 4730 T e y 02/13/12 0018 2547 03/12/12 28 4 x 8 79030 4.00 12.57 6290 1 02/13/12 0018 2548 03/12/12 28 4 x 8 87220 4.00 12.57 6940 T e 2 02/13/12 0018 2549 03/12/1228 4 x 8 78950 4.00 12.57 6280 1 Remarks: Technician(s): Graham, K. Reviewed by: Tested by: Cook, B.g2c--- Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A PATE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MA YES TESTING ENGINEERS, INC. seame office Weather Inside 20225 CedarvaDey Road Structural Steel Sample(s) SUL- 110 Lynrnnood, WA 98M6 Project No. L11583 xZ745. 737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raoorrra olhoe Permit No. BLD20110815, BLD20110816 10029S.Taoxnaway SuleE2 Bldg Dept. City of Edmonds Tamrre4 WA984M ph 253.584.3720 Owner First Western Development Services fax 253.584.3707 Architect Donahou Design Group Flordmdoffice Engineer CT Engineering X11990 dDnve Contractor Pennon Construction Company, Inc. PoAfland,OR97211 ph 503281.7515 fax 503281.7579 Record No. 031 Date 3/8/2012. Weather Inside Inspection Structural Steel Sample(s) N/A At west weld for structural steel welding inspection of embed plates in accordance with AWS D1.1 specifications. Inspected and found the following piece marks acceptable; 1 EMx4, 2EMx3, 3EMx4, 4EM, SEM, 6EMx40, 7EM, 8EMx13, 9EM, 10EMx8, 11 EMx2, 12EM, 13EMx2, 14EM, 15EMx2, 16EM, 17EM, 18EM, 19EM, 20EM, 21 EM, 23EM, 24EM, 22EM, 26EM, 27EMx2, 28EMx2, 1 EMx6, 10EMx8, 29EMx4, 30EMx4, 31 EMx6, welding is acceptable to AWS D1.4 rebar specifications as well. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark Vassallo Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 i ' MAYES TESTING ENGINEERS, INC. seameor►ce :s- 20" CedarvabyRoad sub110 Lrwood, WA 98036 Project No. L11583 �a 25.742M 737 Project Premier Orthopedic Group. Building Address 21401 72nd Avenue West, Edmonds, WA TaoanaOffice Permit No. BLD20110815, BLD20110816 10029 s. Taooma Way su'bE2 Bldg Dept. City of Edmonds Taoxrna WA98499 ph 253.584.3720 Owner First Western Development Services fax 253.584.3707 Architect Donahou Design Group Podmdodice Engineer CT Engineering 7911NE33rdMe SuRe 190 Contractor Pennon Construction Company, Inc. Pona,d,OR97211 ph 503281.7515 fax 503281.7579 Record No. 028 Date 3/5/2012 Weather Rain Inspection Reinforced Steel Sample(s) N/A Performed final reinforcing steel inspection for columns from slab -on -grade to approximately just below level 2 slab at grid lines C/2, D/2, E/2, G/2, G/3, G/4, G/5, G/6, F/5, F/6, F/3.5, F/4, E/3.5 and E/4. Found columns to be placed per approved plans details 1, 6, 7/S1.02 and S2.00 — per specifications. Columns are now ready for formwork. Performed final reinforcing steel inspection for the walls from slab -on -grade to approximately 12'4" at grid lines A.3 -F/1, F.8-1-1/1, H/2.6-3.2, H/3.8-4.2, H/4.8-5.2 and H/5.8-6.2. Found that they were placed per approved plans details 9, 16/S6.00, S2.00 and per specifications these sections can be formed up. Final clearances and cleanliness will be verified prior to concrete placement. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Randal Dohrman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. s9ameoffm e �:. = Cesar Vasey Road Sub 110 Lynnwood, WA98M6 Project No. L11583 ��7 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA TacnmaOfice Permit No. BLD20110815, BLD20110816 Stye WbE-.TaoorriavVay SE-2 Bldg Dept. City of Edmonds Taooma WA98499 ph 253.584.3720 Owner First Western.Development Services W253.%4.37o7 Architect Donahou Design Group Pordmdofice Engineer CT Engineering 7911NEndoe Suile 190 Contractor Pennon Construction Company, Inc. Porfla-d OR 97211 ph 503281.7515 fax 503281.7579 Record No. 026 Date 2/27/2012; _ Weather Sunny, Cool REI/ISED �' Inspection Proprietary Anchorsw' Sample(s) N/A ,- 7:42,an� : Mar 06," 2.612 . Permit No. 20110815 Observed the anchorage into hardened concrete reinforcing steel bars for the grade beam at gridlines G -H/7. Fix was performed per CT -Engineering RFI #SK -1 and SK -2 on 2/14/2012 and per approved plans. • (2) #7 bar (straight) at 9" embed., • (2) #7 bar (straight) at 12" embed. • (12) #5 bar (straight) at 6-3/4° embed. • (28) #3 bar (hooks) at 3-1/2" embed. Verified the holes size, depth and spacing were per approved plans RFI #SK -1 and SK -2 and per manufacturer's.specifications. Epoxy used was project approved Simpsons SET -XP with an expirations date 08/2013 and lot #265E442E. See attached. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Randal Dohrman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 C ' r IAO Nlckenun St. -- Sidle 302 I N C. Seattle. WA 98 109 DAte: (206) 28.S-45 12 t'lirnl:C FAX: ' Page Number. _.��...— t..( _AS-UtiIA _ f LES M� Teo wee. E -OX OFF 5t. I GuZ 'T L-5 -Tic S L -T W Rcsx EMV&eD .-5 t La 14 Structural Engineers F IHO licketson St C T c \uuc 302 I N C. Seattle, WA 48109 Project:_ `�'�- iii"��a—� -- --- — -------...---- --•Daft: �"— �- --- (20A) 285.4512 FAX: Ml5-.PLAt.eb 6,opot 404,A 4q►b1. �� CoAnfzRtL= - - - -- - — . Z�2�12- � � • o f.r r s .. �Q p I� u 4cz� E P�py- E��� ��g� ►z 1 Structural Engineers MAYES TESTING ENGINEERS, INC. seWeosoe ._ .. 20225CedarVaOeyRoad SUL, 110 Lrrmood, WA98036 Project No. L11583 �� as.�7 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoorna Ol6ce Permit No. BLD20110815, BLD20110816 10029S.TacomaWay SUB E_2 Bldg Dept. City of Edmonds Taomia WA984% ph 253.584.3720 Owner First Western Development Services fax 253.584.3707 Architect Donahou Design Group Rorffindoffice Engineer CT Engineering nd 511990 Drive Contractor Pennon Construction Company, Inc. Pordand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 027 Date 3/2/2012 Weather Cloudy, 39°F Inspection Reinforced concrete Sample(s) (4) 4x8" cylinders Conducted final inspection of reinforcing steel prior to placing concrete for the 5" slab on grade and 8" bridge slab sections between grids A and H from 6.2 to 9. The reinforcement is placed per the detail callouts on S2.02. 'Monitored the placement of (187.5) cubic yards of Concrete Nor'West mix 01600, 2500psi requirement at the above -referenced locations. Concrete was placed by pump and was consolidated mechanically only where reinforcing bars occur. Although not required, one sample of concrete Was taken and (4) test cylinders were cast. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mark McBride Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING .ENGINEERS INV , Lynnwood 20225 Cedar Valley Road Suite 110 f Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 03/06/12 Sample Set ID: 278039 Edmonds, WA Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 49°F i Actual Mix Proportions: Weather: Clear Ingredient Weight (per cu.yd) Product: Concrete Cement 512.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 3/4" 1,547.0 lbs Batch Plant Location: Everett Coarse Aggregate 3/8" 298.0 lbs Ticket Number: 129134 Fine Aggregate 1,501.0 lbs MixDesign ID: 01550 Water 245.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 57°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: I Required Strength: ft) 0.479 4" 02/07/12 4000 psi @ 28 days Placement Location and Notes: Grade beams on grids H/1-7, A-1-1/1, A/1-1.5, D -E/5.2, D/3.5-6, E/3.5-6, F.5 -H/6; and pile caps at gridline B/1.7, 3, gridline C/2, 3, 4, 5, gridline D/2, 3, 5, gridline E/2, gridline F/3.5, 4.5, and gridline G/2,'3, 4, 5, 6. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/06/12 0016 1937 02/13/12 0 4 x 8 45610 4.01 12.63 3610 T e 3 " 02/06/12 0016 1938 03/05/1228 4 x 8 67090 4.00 12.57 5340 T e 5 02/06/12 0016 1939 03/05/12 28 4 x 8 65930 4.00 12.57 5250 T e 4 " 02/06/12 0016 1940 03/05/12 28 4 x 8 64580 4.00 12.57 5140 T e 2 " Remarks: Technician(s): Schrader, M. Reviewed by: Tested by: Cook, B. C/ � Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, Or= 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 43°F Weather: Partly Cloudy Product: Grout Supplier: Cadman Batch Plant Location: oz Ticket Number: 13239 MixDesign ID : 5GO0149 FIELD DATA ASTM C39 and C109 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 03/02/12 277671 Permit # (s): BLD20110815 Actual I Mix Proportions: Ingredient Cement --Type I & II Fine Aggregate Fly Ash Stabilizer Water Weight (per cu.yd) 938.0 lbs 1,934.0 lbs 76.0 lbs 52.0 oz 440.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 73°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Required Strength: (ft) 0.434 Fluid 01/06/12 5000 psi @ 28 days Placement Location and Notes: 12.69 Auger cast piles 585, 604. Sampled at 9 of 72 cubic yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01 /05/12 0005 0128 0.1 /12/12 F7 1 4 x 8 45970 4.00 12.571 3660 T e 5 01/05/12 0005 0129 02/02/12 28 4 x 8 61620 4.02 12.69 4850 1 e 5 01.%05/12 0005 0130 02/02/12F-281 4940 01/05/12 0005 0131 03/01/12 56 4 x 8 69640 4.00 12.57 5540 Remarks: Todd Wirtz of MTE notified of low break results on 2/02/12 sample on hold for a 56 -day break. Technician(s): Gibson, J. Tested by: Cook, B Average 28 -day strength = 4900 psi, last Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc: See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10:1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES' TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 03/02/12 Edmonds, WA Sample Set ID: 278294 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 51°F F- Mix Proportions: Weather: Overcast Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129638 MixDesign ID: 156000HY Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 66°F NR % Ingredient Weight (per cu.yd) Cement --Type I & II 600.0 lbs Coarse Aggregate 3/8" 600.0 lbs Coarse Aggregate 7/8" 1,260.0 lbs Fine Aggregate 1,295.0 lbs Fly Ash 100.0 lbs Glenium 7500 42.0 oz MB NC 534 42.0 oz Water 252.0 lbs Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (fc) 0.360 4.25" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 6 of 6. Level 1 slab at the perimter of elevators 1 and 2. 10 gallons of water added on site. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0027 3147 03/01/12 0 4 x 8 64150 4.00 12.57 5100 1 02/23/12 0027 3148 03/22/12 28 I4 x 8 0 0.00 0.00 NA ' 02/23/12 0027 3149 03/22/12F-281 IFNA ' 02/23/12 0027 3150 03/22/12 28 ] IF NA " Remarks: Technician(s): Chebul, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM.C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08rM07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 . Issued on: 03/02/12 Sample Set ID: 278293 Permit # (s): BLD20110815 . Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 Air Temperature: 49°F j -------- Design� Mix Proportions: Weather: Overcast Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129639 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 66°F NR Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,465.0 lbs MB NC 534 33.8 oz Pozzolith 20ON 23.0 oz Water 256.0 lbs Required Strength: (fc) 0.454 4.5" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 5 of 6. Level 1 slab section between grids A and F.4 from line 1 to line 6.2. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0026 3143 03/01/12 0 4 x 8 67160 4.00 12.57 5340 T e l 02/23/12 0026 3144 03/22/12.28 4 x 8 0 0.00 0.00 Q NA 02/23/12 0026 3145 03/22/12 28 4 x 8 0 .0.00 0.00 0 F NA " 02/23/12 0026 3146 03/22/12 28 IF NA Remarks: Technician(s): Chebul, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, O&MM7 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,850.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/02/12 Sample Set ID: 278292 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 45°F ( ~Design Mix Proportions: Overcast Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129626 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,465.0 lbs MB NC 534 33.8 oz Pozzolith 20ON 23.0 oz Water 256.0. lbs Required Strength: (fc) 0.454 6.5" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 4 of 6. Level 1 slab section between grids A and F.4 from line 1 to line 6.2 Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0025 3139 03/01/12 0 4 x 8 58310 4.00 12.57 4640 02/23/12 0025 3140 03/22/12 28 I NA " 02/23/12 0025 3141 03/22/12 28 I4 x 8 0 0.00 0.00 NA ' 02/23/12 0025 3142 03/22/1228 17 NA—1 Remarks: Technician(s): Kellenberger, A. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. - Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West 1,850.0 Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/02/12 Sample Set ID: 278291 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 45°F Design Y Mix Proportions: Overcast Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129612 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 69°F NR Water/Cement Ratio: Slump (ASTM C143) I r Sample(s) Recd: Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,465.0 lbs Pozzolith 20ON 23.0 oz Water 256.0 lbs Required Strength: (fc) 0.454 5.75" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 3 of 6. Level 1 slab section between grids A and F.4 from line 1 to line 6.2. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0024 3135 03/01/12 4 x 8 52430 4.00 12.57 4170 1 02/23/12 0024 3136 03/22/1228 4 x 8 0 0.00 0.00 NA " 02/23/12 0024 3137 03/22/12 28 02/23/12 0024 3138 03/22/1228 4 x 8 0 0.00 0.00 NA ' Remarks: Technician(s): Kellenberger, A. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: _ Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08rzz07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS,. INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 03/02/12 Sample Set ID: 278290 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 43°F j Design Mix Proportions: Overcast Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129605 MixDesign ID: 02600 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064)11 (ASTM C31) (ASTM C231) 73°F 21.1 Water/Cement Ratio: Slump (ASTM C143) I ) Recd: Weight (per cu.yd) Cement --Type I & II 564.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,465.0 lbs Pozzolith 20ON 23.0 oz Water 256.0 lbs Required Strength: (fc) 0.454 5.5" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 6. Level 1 slab section between grids A and F.4 from line 1 to line 6.2. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0023 3131 03/01/12 0 4 x 8 63500 4.00 12.57 5050 02/23/12 0023 3132 03/22/1228 4 x 8 0 0.00 0.00 Q NA " 02/23/12 0023 3133 03/22/12 28 I F NA " 02/23/12 0023 3134 03/22/12 28 I IFNA " Remarks: Technician(s): Kellenberger, A. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS INC , Overcast Lynnwood 20225 Cedar Valley Road Concrete Supplier: Suite 110 Batch Plant Location: 125 Lynnwood WA 98036 129588 MixDesign ID: ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 03/02/12 Edmonds, WA Sample Set ID: 278289 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering .Contractor: Pennon Construction Company, Inc. Air Temperature: 36°F Weather: Overcast Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129588 MixDesign ID: 01600 FIELD DATA ASTM C31 and C172 Design Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C�1) (ASTM C231) 69°F NR Water/Cement Ratio: Slump (ASTM C143) ir Samples) Recd: Ingredient Cement --Type I & II Coarse Aggregate 7/8" Fine Aggregate Water Required Strength: ft) Weight (per cu.yd) 564.0 lbs 1,850.0 lbs 1,440.0 lbs 265.0 lbs 0.470 4" 02/24/12 4000 psi @ 28 days Placement Location and Notes: Set 1 of 6. L1 slab section between F.4 and H from line 1 to line 6.2. The specified strength on the mix design sheet for this mix is 2500 psi. The concrete samples were taken at the end of the pump hose: Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/23/12 0022 3127 03/01/12 0 4 x 8 59560 4.00 12.57 4740 1 02/23/12 0022 3128 03/22/12 28 I NA ' 02/23/12 0022 3129 03/22/12 28 4 x 8 0 0.00 0.00 Q NA " 02/23/12 0022 3130 03/22/12 28 4 x 8 0 0.00 0.00 Q NA " Remarks: Technician(s): Chebul, J. Reviewed by: Tested by: Cook, B. Of Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing. Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MA YES TESTING ENGINEERS, INC. seaft office 20725 Cedar Valley Road sLde 110 . Lyrver000d, WA 9M Project No. L11583 �i Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taoanaofice Permit No. BLD20110815, BLD20110816 Std utE2.TaoatiaWay SE Bldg Dept. City of Edmonds Ta=rrkWA%499 ph 253.584.3720 Owner First Western Development Services WZ3.W.= Architect Donahou Design Group Flardandolfice Engineer CT Engineering s�1 ndMe Contractor Pennon Construction Company, Inc. Paland,OR97211 ph 503281.7515 laic 503281-7579 Record No. 025 Date 2/27/2012 Weather Sunny, Cool Inspection Proprietary Anchors Sample(s) N/A Permit No. 20110815 Observed the anchorage into hardened concrete reinforcing, steel bars for the grade beam at gridlines G -H/7. Fix was performed per CT -Engineering RFI #SK -1 and SK -2 on 2/14/2012 and per approved plans. • (2) # 7 bar (straight) at 9" embed. • (2) # 7 bar (straight) at 12" embed. • (12) # 5. bar (straight) at 6-3/4" embed. • (28) #3 bar (hooks) at 3-1/2" embed. Verified the holes size, depth and spacing were per approved plans RFI #SK -1 and SK -2 and per manufacturer's specifications. Epoxy used was project approved Simpsons SET -XP with an expirations date 08/2013 and lot #265E442E. See attached. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Randal Dohrman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 I — T e i811 Ricketson 51. I ctiofle LL 1 N C. Soatlle, WA r1<Date; `8104 -- ------ — -- ---- — --- -- 1G. —! _. -- _ (20n) 285.4512 �� tairtlt:FAX: Number: �_1204) 2854618 Structural Engineers MAYESTESTING ENGINEERS, INC z 225 CedardValley Road Suite 110 �. _.. Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 02/28/12 Edmonds, WA Sample Set ID: 278241 Client: Engineer: Contractor: First Western Development Services CT Engineering Pennon Construction Company, Inc. Permit # (s): BLD20110875 Load (lbs) Dia (in) Area FIELD DATA 02/20/12 0020 2897 02/27/12 4 x 8 ASTM C31 and C172 12.57 5330 Air Temperature: 42°F Actual Mix Proportions: Weather: Rain 1 02/20/12 0020F 289903/19/12 28 4 x 8 0 0.00 0.00 Ingredient Weight (per cu.yd) Product: Concrete 4 x 8 0 0.00 0.00 Supplier: Concrete Nor'West Cement—Type I & II 594.0 lbs Coarse Aggregate 3/4" 597.0 lbs Batch Plant Location: Coarse Aggregate 7/8" 1,254.0 lbs Ticket Number: 129545 Fine Aggregate 1,298.0 lbs MixDesign ID: 156000HY Fly Ash 99.0 lbs Sample Temp. Initial Storage Temp. Air Content MRWRA 42.0 oz (ASTM C1064) (ASTM C31) (ASTM C231) Water 226.0 lbs 55°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: I Required Strength: (fc) 0.326 6.5" 02/21/12 4000 psi @ 28 days Placement Location and Notes: Set 1 of 2. Elevator pit walls (exterior) with Hycrete water proofing admixture. Sampled at mid -point of discharge of the 10 cubic yards placed/delivered today. o COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area ..,Strength (psi) Type of Fracture 02/20/12 0020 2897 02/27/12 4 x 8 66930 4.00 12.57 5330 02/20/12 0020 2898 03/19/1228 IF NA 02/20/12 0020F 289903/19/12 28 4 x 8 0 0.00 0.00 NA 02/20/12 0020 2900 03/19/12r 28 4 x 8 0 0.00 0.00 NA Remarks: Technician(s): Hill, K. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/28/12 Sample Set ID: 278242 Permit # (s): BLD20110875 FIELD DATA ASTM C31 and C172 45°F �Actual Mix Proportions: Rain Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Ticket Number: 125947 MixDesign ID: 01550 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 55°F NR Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Weight (per cu.yd) Cement --Type I & II 524.0 lbs Coarse Aggregate 3/4" 1,546.0 lbs Coarse Aggregate 3/8" 297.0 lbs Fine Aggregate 1,504.0 lbs Water 236.0 lbs Required Strength: ft) 0.450 5.5" 02/21/12 4000 psi @ 28 days Placement Location and Notes: Set 2 of 2. Grade beams at 4.2 to 6.5 at A line, and grade beam at stairwell 1 and 6 line. Sampled at mid -point of discharge of the 10 cubic yards cumulative of the 19 cubic placed/delivered today. 4 gallons of allowable 22.1 gallons of water were added to the full load prior to discharge. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/20/12 0021 2901 02/27/12 0 4 x 8 55050 4.01 12.631 4360 7T e a 02/20/12 0021 2902 F 28 4 x 8 0 0.00 0.00 NA 02/20/12 0021 2903 03/19/12F -281F 0.00 F 0.00 02/20/12 0021 2904 03/19/12F281 I IF NA Remarks: Technician(s): Hill, K. Reviewed by: Tested by: Cook, B. C/ Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/2=7 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC Project Name Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 4.25.745.1737 Project No: L11583 Issued on: 02/28/12 Sample Set ID: 277937 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 44°F ,r Actual r�� Mix Proportions: Overcast Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129014 MixDesign ID: 07600G3 Sample Temp. jr(ASTMC31) al Storage Temp. Air Content (ASTM C1064) (ASTM C231) 55°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Weight (per cu.yd) Cement—Type 1'& 11 650.0 lbs Coarse Aggregate #8 1,644.0 lbs Fine Aggregate 1,557.0 lbs Glenium 20.0 oz Water 229.0 lbs W RA 39.0 oz Required Strength: (f c) 0.352 5" 01/31/12 4000 psi @ 28 days Placement Location and Notes: Detention vault 2 lid access opening, hollow -core void fill and top of wall to lid closure. Sampled at 8 of 8 total cubic yards at 12:45pm. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01 /30/12 0014 1446 02/06/12 0 4 x 8 76220 4.00 12.57 6070 1T e 1 01 /30/12 0014 1447 02/27/12 28 1 7320 T e 2 01/30/12 0014 1448 02/27/12 28 1 7570 7T e 1 01/30/12 0014 1449 02/27/12 28 4 x 8 92040 4.00 12.57 7320 7T e 1 Remarks: Technician(s): Dohrman, K. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.4:2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" PENNON NSTRUCTION COMPANY, INC. Reviewed without comment. Reviewed as noted. Revise and resubmit. IS REVIEW FOR DIMENSIONS ONLY 1WS 02/17/2012 BY DATE CNW CONCRETE NORVEST DPASION OF MILES SAND & GRAVEL CO., INC. P.O. BOX 280 • MOUNT VERNON, WASHINGTON 98273-0280 (360) 757-3121 • FAX (360) 757-3816 MIX DESIGN February 14, 2012 Steckler Construction REF: Premier Orthopedics Edmonds, WA We suggest these concrete mix proportions (SSD weights for one cubic yard of concrete) for your information and appraisal. MATERIALS WT. LBS. Water Cement Fly Ash Course Agg. (7/8") Course Agg. (3/8") Fine Aggregate Air(entrapped) VOL. CU. FT. SSD PENNON CONSTRUCTION COMPANY, INC. SUBMITTAL NO..jI-Q45,OZ Mix 156000 with Hycrete Admixture System Use at Elevator Shaft Walls Specified Compressive Strength 6000 P.S.I. 4.04 252 Cement Factor — sacks Cement Type W/C 7.45 I/II .36 3.05 600 Slump Max. Agg. .73 100 5'r +/— 1" # 57 7.46 1260 Air 3.57 600 N/A 7.76 1295 .39 Admix: BASF Glenium 7500 42 oz. / cy Hycrete to be added by Hycrete representative At batch plant Proportioning criteria is based on A CONFORIV1S TO DESIGN CORCEPT ❑ CON. FORMS TO DESIG` 4 CONCEPT WITH REMSIONS AS SHOWN . ❑ NODI-CONFOR NG - REIMSE & RESUBMIT THIS SWP ORW.W, W BaN WM1, ED PM GEMN-L 00111MNINICE w. -i is UES* O'YA'3EPT (,LY WD OM HOT F &PA of FA2' A-Zr1iOtij�tid %0TP�IL"M9WWIi wI'd"sE6�UiTHTHE rfc ti N OitAb'sN36 W `:PE✓RGA—i " ALL OF tAIfi4CH HAVE MOKW OVER THIS SiiW DR *,Ar.. 2/1 ey. •Qtl pate u CT ENGINEERING MAYES TESTING ENGINEERS, INC. Seal�eofhoe Weather _ = 20225CedarVaOeyRoad Project management Sample(s) Sum 110 Lyn w=d, WA 98036 Project No. L11583 �iM Project Premier Orthopedic Group Building ' Address 21401 72nd Avenue West, Edmonds, WA Tacwmol6oe Permit No. BLD20110815, BLD20110816 10029 S. Tacoma Way Sub E-2 Bldg Dept. City of Edmonds Taomia, WA 98499 ph 253.584.3720 Owner First Western Development Services fax M584.= Architect Donahou Design Group Fbrvandofte Engineer CT Engineering 711 NE190 Contractor Pennon Construction Company, Inc. Pordand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 025 Date 2/23/2012 Weather Cloudy Inspection Project management Sample(s) N/A Reviewed field reports to date for this project. Received from Pennon Construction a copy of Concrete Norwest mix #156000HY with CT Engineering approval for usage. This mix was used for the elevator pit outside walls as noted in Mayes Testing- Kevin Hill field report dated 2/20/2012. A copy of the approved mix design is included with this report to clear up non -conforming concrete mix used on 2/20/2012 without engineer of record approval. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Todd Wirtz Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/28/12 Sample Set ID: 277938 Permit # (s): BLD20110815 FIELD DATA ASTM C39 and C109 440FActual Mix Proportions: Overcast Ingredient Grout Supplier: Concrete Nor'West Batch Plant Location: 125 Ticket Number: 129010 MixDesign ID: 159SKG Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 55°F IN1Ii Water/Cement Ratio: Slump (ASTM C143) I ) Recd: Cement—Type I & II Fine Aggregate Glenium Water Required Strength: (f c) Weight (per cu.yd) 867.0 lbs 2,781.0 lbs 32.0 oz 272.0 lbs 0.314 8" 01/31/12 4000 psi @ 28 days Placement Location andNotes: Joint grout for detention vault lid joints. Sampled at 1.5 of 1.5 total cubic yards at 12:00pm. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/30/12 0015 1450 02/06/12 0 2 x 2 x 2 15220 0.00 4.18 3640 T e l 01/30/120015 1451 02/27/12 28 1 24080 0.00 4.06 5930 T e l 01/30/12 0015 1452 02/27/1228 2 x 2 x 2 23650 0.00 4.061 5820 T e o Remarks: Technician(s): Dohrman, K. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature Weather: Product: Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/24/12 Sample Set ID: 278207 Permit # (s): BLD20110816-TI BLD20110815 FIELD DATA ASTM C31 and C172 46°F �yActual Mix Proportions: Overcast Ingredient Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 129512 MixDesign ID: 156000HY Sample Temp.Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 55°F NR % Weight (per cu.yd) Cement—Type I & II 536.0 lbs Coarse Aggregate 3/4" 1,252.0 lbs Coarse Aggregate 3/8" 595.0 lbs Fine Aggregate 1,327.0 lbs Fly Ash 93.0 lbs HRWRA 42:0 oz Water 237.0 lbs Water/Cement Ratio: Slump (ASTM C143) I ),Rec'd: I Required Strength: (f c) 0.377 5.5" 02/17/12 4000 psi @ 28 days F Placement Location and Notes: Elevator pit foundation footing, gridlines 5 -5.4/A -B. Sampled at 20 of 20 yards total. Hycrete water proofing additive at undisclosed amount. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/16/12 0019 2742 02/23/12 0 F75300 4.00 12.57 5990 T e a 02/16/12 0019 2743 03/15/1228 4 x 8 0 0.00 0.00 Q NA 02/16/12 0019 2744 03/15/12 28 4 x 8 0 0.00 0.00 Q NA 02/16/12 0019 2745 03/15/12 28 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Graham, K. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08=7 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES TESTING ENGINEERS, INC. seameorte 20225 Cedar VaDey Road SLde 110 Lynnwood, WA98036 Project No. L11583 45. 737 p4M74 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds; WA Taoarna office Permit No. BLD20110815, BLD20110816 1o029s.Taoxnaway SuiaE2 Bldg Dept. City of Edmonds Ta=TrkWA%499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Fbrdandoffice Engineer Engineer CT Engineering 7911 Contractor Pennon Construction Company, Inc. Patana OR 97211 ph 503281.7515 fax 503281.7579 Record No. 023 Date 2/22/2012 Weather Partly Cloudy Inspection Reinforcing Steel Sample(s) N/A Permit No. BLD20110815 Performed a preliminary inspection of reinforcing steel at L1 level slab sections between Grids E & H from Line 1 to Line 6.2 and between Grids A & E from Line 1 to Line 5. Notified Pennon that single 30' E/W #5 bars are installed over the pile caps at CD/2 & CD/3 in lieu of the (36) bars shown on Drawing S2.02. Pennon consulted with CT Engineering and was informed that the condition is structurally acceptable. See the attached e-mail. The installation of the #5x10' top bars along Line 6 between Grids E & H is in progress. The cleaning of construction joints and minor reinforcing steel cover adjustments are in.progress. The reinforcement at the SW portion of the 11" slab will require inspection prior to the placement of concrete. Update to inspection reports dated 2/16/12 & 2/20/12: Pennon provided a CT Engineering approved mix design sheet Concrete Nor'West (CNW) Mix #156000 concrete, attached. Preliminary Inspection Inspector: John Chebul Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 Jeff Still From: Chuck Morris [cmorris@ctengineering.com] Sent: Wednesday, February 22, 2012 2:05 PM To: Jeff Still Cc: Mac Sele; Joe Sullivan Subject: RE: Premier 11" SOG Column Mat Jeff, This is correct. The 30 feet long top bars per the shop drawings are structurally acceptable I the area you note. Chuck Morris S.E. CT Engineering From: Jeff Still fmailto:Ieffs(cbgennonconstruction.coml Sent: Wednesday, February 22, 2012 1:59 PM To: Chuck Morris Cc: Mac Sele; Joe Sullivan Subject: Premier 11" SOG Column Mat Chuck, Please confirm with a reply to this a mail that (18) #6 x 30'T is acceptable for the column mat at grids "C" and "2" — "3" and at grid "D" and "2" — "3" per R-14 of the approved rebar submittal. The approved structural drawing reference (18) #6 x 30' each. We are pouring tomorrow morning and Mayes asked for the clarification. I will follow up with a formal RFI. Thanks Chuck Jeff Still Pennon Construction Company, Inc. 5303 1st Avenue South, Suite 100 Seattle, WA 98108 206-418-0235 206-418-0237 fax 206-79377084 cell www.pennonconstruction.com This message may contain confidential and/or privileged information. If you are not the addressee or authorized to receive this for the addressee, you must not use, copy, disclose. or take any action based on this message or any information herein. If you have received this message in error, please advise the sender immediately by reply e-mail and delete this message. Thank you for your cooperation. I MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 024 Date 2/23/2012 Weather Overcast Inspection Reinforced Concrete Sample(s) (24) 4x8" Cylinders seaft office 2D225 CedarVaOey Road sum 110 Lyrrmcod, WA 98036 ph 425.7429360 fax425.745.1737 racoma office 10029 S. Taoorna way Sade E-2 Taoxna, WA98499 ph 253.584.3720 fax 253.584.3707 WIrdandOlfoe 7911 NE 33rd Drive Sum 190 PoNand, OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Inspected reinforcing steel and observed the placement of concrete. (134) cubic yards of Nor'West Mix #01600 were placed at the L1 slab section between Grids F.4 & H from Line 1 to Line 6.2. Approximately (443) cubic yards of Nor'West Mix #02600 were placed at the L1 slab section between Grids A & F.4 from Line 1 to Line 6.2 (less the area adjacent to Elevators 1 & 2). (10) cubic yards of Nor'West Mix #156000HY were placed at the L1 slab at the perimeter of Elevators 1 & 2. The concrete was placed by pump and mechanically consolidated. (24) 4x8" cylinders were cast for compressive strength testing. Prior to the start of the placement, Mayes Testing Engineers. Inc. (Mayes Testing Engineers. Inc.) notified Pennon that the design mix for Mix #01600 is marked 2500 psi (the required strength for the slab is 4000 psi). Pennon consulted with Nor'West and proceeded with the placement. The contractor complied with this inspector's request to clean the construction joints (at the tops of the grade beams & pile caps). The reinforcing steel is as shown on the structural plans dated 11/16/11 and the revision shown on Bulletin Number 1. See inspection report dated 2/22/12 for additional information. Preliminary Inspection: Pending CT Engineering's approval of Mix #01600 and the compressive strength test results. Inspectors: John Chebul and Alan Kellenberger Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 CNW rn��rQere uno»uecr DIVISION OF MILES SAND a GRAVEL CO., INC. P.O. BOX 280 • MOUNT VERNON, WASHINGTON 98273-0280 (360) 767-3121 FAX (380) 767-3816 PENNON CONSTRUCTION COMPANY, INC. SUBMITTAL NO..11-445,0 7.. MIX DESIGN February 14, 2012 MATERIALS VOL. CU. FT. SSD Specified Compressive Strength WT. LBS 6000 Water . 4.04 252 Cement Factor -sacks Cement Type W/C 7.45 UII . .36 Cement - 3.05 600 51wnp Max. Agg. Fly Ash: .73 100.1. .511 :. +/— 1" # 57 . . Course Agg. (7/8") 7.46 1260 Air Course Agg. ) ( 3/8" _. Fine Aggregate . ?.76 1295 Proportioning criteria is based. on MAYES TESTING ENGINEERS, INC. SeameOffice _ .. 20715 Cedar valley Road Suie 110 Lynnwood, WA98036 Project No. L11583 ph 4226 4293 7 Project Premier Orthopedic.Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Ofoe10029 Permit No. BLD20110815, BLD20110816 S. Tacoma way SLiteE-2 Bldg Dept. City of Edmonds Taoana, WA 98499 ph 253.584.3720 Owner First Western Development Services fax253.5sa.37o7 Architect Donahou Design Group PortlandOffice Engineer CT Engineering �119033rdDms Contractor Pennon Construction Company, Inc. Patand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 019 Date 2/9/2012 Weather - - Inspection Reinforced Concrete Sample(s) (4) 4" x 8" cylinders Permit B20110815 Reinforcing - visually inspected reinforcing steel spacing, clearances at grade beams, pile caps located grid G/7 to 9, 9/G to D, 6/F to D and D/8, B/4, C/8, F/7. Reinforcing was per 17/S6.01, 11/S601, 12/S601 and PC -2, PC -3 on 18/S602. Noted that concrete cover was per plans and grade beam was free of standing water. Contractor placed Concrete NorWest mix #01550 at grade beams pile caps indicated. A sample was obtained at 31.5 of (46) cubic yards with 5" slump, 61 OF temperature concrete, water -cement ratio=0.50. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Rob Emery Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Seade Office Cedarvalley Road suib 110 Lynnwood, WA 98036 Project No. L11583 �c44 5745177337 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacomaofice Permit No. BLD20110815, BLD20110816 &SudeE-.Taoar�aWay m E-2 Bldg Dept. City of Edmonds Taooma,WA98499 ph 253.584.3720 Owner First Western Development Services fax 253.584.3707 Architect Donahou Design Group Portandoifice Engineer CT Engineering sure 19033rdDr�e Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 022 Date 2/20/2012 Weather Overcast, Rain, 40's Inspection Reinforced Concrete Sample(s) (8) 4" x 8" cylinders Permit No. BLD20110815 Onsite to verify the installation of reinforcing steel for the following locations; grade beams at 4.2 to 6.5 on A, stairwell #1 grade beam at 6 line; outer elevator walls. Reinforcement was to be installed as per approved plans and drawings. Observed the placement of Concrete Norwest mix ID #15600HY, with Hycrete water proofing admixture for elevator pit outside walls. Ten cubic yards of this mix ID was placed today with sampling occurring at mid -point of discharge with test specimens cast with 4000psi required at (28) days. Method of placement; pump truck with mechanical consolidation. Observed the placement of Concrete Norwest mix ID #01550 for grade beams referenced in reinforcing steel inspection (19) cubic yards were placed/delivered today with sampling conducted at mid -point of discharge of (10) cubic yards cumulative. Test specimens were cast for strength verification with 4000psi required at (28) days. Placement via pump truck. with mechanical consolidation. . Nonconforming conditions/corrective actions take: Note 1, Contractor is awaiting approval of Concrete Norwest mix ID #15600HY, by engineer, preliminary report. Inspector: Kevin Hill Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds. Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 021 Date 2/16/2012 Weather Inspection Reinforced Concrete Sample(s) (4) 4x8" Concrete Cylinders Seattle Office 20225 Cedar Valley Road suite 110 L"mood, WA MM ph 425.7429360 fax 425.745.1737 Tacorm office 10029 S. Tacoma Way Stile E-2 Taooma, WA98499 ph 253.584.3720 fax 253.584.3707 Porfland Office 7911 NE 33rd Drive Std 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Observed the placement of and sampled from (20) yards of Concrete Nor'West Concrete Mix #156000HY placed for elevator pit foundation at Grid Lines 5 -5.4/B -A. Reinforcing steel verified to CT Engineering Bulletin #1 and details on S6.02. Lenton Lock S -Series couplers verified at pile cap locations with twist -off torque at 340 foot-pounds. Concrete was placed with the additive Hycrete waterproofing admixture. Per concrete Nor'West representative on site, a Hycrete representative was adding the admixture at the plant. Four 4x8" concrete cylinders cast for compressive strength testing, 4000 psi required. This report is preliminary pending engineer approval of Concrete Mix Design used today. Preliminary Inspection: Pending engineer approval of Concrete Mix #156000HY. Inspector: K. Graham Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTMING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 02/17/12 Edmonds, WA Sample Set ID: 277784 First Western Development Services Permit # (s): BLD20110815 CT Engineering . . Pennon Construction Company, Inc. FIELD DATA ASTM C39 and C109 40°F!� Actual Mix Proportions: Weather: Partly Cloudy Product: Grout Supplier: Cadman Batch Plant Location: Sky River Ticket Number: 14256 MixDesign ID: 5GO0149 Sample Temp. Ii I Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 65°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Ingredient Weight (per cu.yd) Cement—Type I & II 938.0 lbs Fine Aggregate 1,934.0 lbs Fly Ash 76.0 lbs Stabilizer 52.0 oz Water 455.0 lbs Required Strength: (f c) . 0.449 Very fluid 01/16/12. 5000 psi @ 28 days Placement Location and Notes: Piles 722, 723. Sampled at 18 of 45 cubic yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/13/12 0012 0671 01/20/12 F 774 x 8 35010 4.00 12.571 2790 1 01 /13/12 0012 .0672 02/10/12 28 4 x 8 51760 3.99 12.50 4140 T e 2 01/13/12 0012 0673 02/10/12 28 1 2630 1 F NA ' 01/13/12 0012 0674 02/16/1234 4 x 8 43980 4.00 12.57 3500 T e 1 Remarks: Todd Wirtz of MTE notified of possible low break on 01/20/12. Todd Wirtz notified of low break results on 2/13/12. Average 28 -day strength = 3390 psi. Technician(s): Gibson, J. Reviewed by: Tested by: Revilla, Z. C/ � LOW TEST BREAK ENGINEER SHOULD REVIEW Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 0822/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Site Address: Client: Engineer: Contractor: Premier Orthopedic Group Building 21401 72nd Avenue West Edmonds, WA First Western Development Services CT Engineering Pennon Construction Company, Inc. Project No: Issued on: Sample Set ID: Permit # (s): L11583 02/21/12 278165 BLD20110816-TI BLD20110815 FIELD DATA (ASTM C31, C39, C617, C1231, C780, C109, ASTM C31 and C172 when applicable) Air Temperature: 47°F Act_u_a_l _ Mix Proportions: Date Tested Weather: Overcast Ingredient Weight (per cu.yd) Product: Concrete 2546 02/20/12 0 4 x 8 Cement --Type I & II 517.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 3/4" 1,547.0 lbs Batch Plant Location: Everett Coarse Aggregate 3/8" 299.0 lbs Ticket Number: 129401 Fine Aggregate 1,493.0 lbs MixDesign ID: 01550 Water 248.0 lbs Sample Temp. Initial Storage Temp. Air Content 03/12/12 (ASTM C1064) (ASTM C31) (ASTM C231) 0 0.00 0.00 63°F • NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (ft) 0.480 4.75" 02/14/12 4000 psi @ 28 days Placement Location and Notes: Grade beams at gridlines 9/A -D and A/8-6.2; Pile caps at gridlines B/7, 8,; C/7,8; C/5. Sampled at 21 of 33.5 yards total at grade beams. Remarks: Technician(s): Graham, K. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample #. Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 02/13/12 0018 2546 02/20/12 0 4 x 8 59400 4.00 12.57 4730 02/13/12 I F0018 2547 1 28 F 4 x 8 70 0.00 .0.00 Q F NA 02/13/120018 2548 03/12/12 28 4 x 8 0 0.00 0.00 Q NA 02/13/12 0018 1 03/12/12 28 4 x 8 0 0.00 0.00 0 NA Remarks: Technician(s): Graham, K. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Notes: Vice President Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Average 8 -day field cure strength = 4550 psi. Technician(s): Dohrman, K. Tested by: Kane, J. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/21/12 Sample Set ID: 277817 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President 0 Notes: ' Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/21/12 Sample Set ID.: 277817 Permit # (s): BLD20110815 Contractor: Pennon Construction Company, Inc. 01/23/12 0013 0845 01/30/12 F7 4 x 8 165230 FIELD DATA 12.571 5190 1 01/23/12 0013 -FC 0843 01/31/12 ASTM C31 and C172 4 x 8 58300 4.00 Air Temperature: 46'F _Actual Mix Proportions: 01/31/12 ® Weather: Sunny 4.01 Ingredient Weight (per cu.yd) Product: Concrete 4 x 8 81510 4.00 Supplier: Concrete Nor'West Cement --Type I & II 560.0 lbs 4 x 8 88550 4.00 Coarse Aggregate 7/8" 1,846.0 lbs Batch Plant Location: 125 02/20/12 Fine Aggregate 1,458.0 lbs Ticket Number: 128889 740 6740- MB 20ON 23.0 oz MixDesign ID: 02600 Water 254.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 63'F NR % Water/Cement Ratio: Slump (ASTM C143) IF Sample(s) Rec'd: Required Strength: (fc) 0.454 5" 01/24/12 4000 psi @ 28 days Placement Location and Notes: Detention vault walls. Sampled at 18 of 18 total cubic yards at 12:50pm. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) . Notes: Type of Fracture 01/23/12 0013 0845 01/30/12 F7 4 x 8 165230 4.00 12.571 5190 1 01/23/12 0013 -FC 0843 01/31/12 ® 4 x 8 58300 4.00 12.57 4640 01/23/12 0013 -FC 0844 01/31/12 ® 4 x 8 56300 4.01 12.63 4460 1 01/23/12 0013 0846 02/20/1228 4 x 8 81510 4.00 12.57 6490 71 01/23/12 0013 0847 02/20/12 28 4 x 8 88550 4.00 12.57 7050 T e 2 ' 01 /23/12 0013 0848 02/20/12 28 4 x 8 84690 4.00 12:57 740 6740- Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC Project Name: Site Address: Client: Engineer: Contractor: Air Temperature: Weather: Product: CONCRETE LABORATORY TEST REPORT Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Premier Orthopedic Group Building Project No: L11583 21401 72nd Avenue West Issued on: 02/17/12 Edmonds, WA Sample Set ID: 278098 First Western Development Services Permit # (s): BLD20110815 CT Engineering . . Pennon Construction Company, Inc. FIELD DATA ASTM C31 and C172 480F -Design— Mix Proportions: Overcast Concrete Supplier: I Concrete Nor'West Batch Plant Location: Ticket Number: 129277 MixDesign ID: 01550 .Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 61°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement—Type I & II 517.0 lbs Coarse Aggregate 300.0 lbs Coarse Aggregate 1,550.0 lbs Fine Aggregate 1,500.0 lbs Water 277.0 lbs Required Strength: ft) 0.536 Y 02/10/12 4000 psi @ 28 days Placement Location and.Notes: Concrete placed by pump and mechanically consolidated at grade beams located at G/7-9, 9/G -D, 6/F -D, 8/D, 4/13, 7/F and C/8. Sampled at 31.5 of 46 cubic yards. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/09/12 0017 2227 02/16/12 0 4 x 8 49760 4.00 12.57 3960 02/09/12 0017 2228 03/08/1228 4 x 8 0 0.00 0.00 NA 02/09/12 0017 2229 03/08/1228 4 x 8 0.0.00 0.00 NA 02/09/12 0017 2230 03/08/12F281 NA ' Remarks: Technician(s): Emery; R. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08x2=7 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seaftof e =:ti -. 20225 C.edarVaOey Road S&110 Ly,WA98ffi Project No. L11583 ��745 .1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tamm Office Permit No. BLD20110815, BLD20110816 10029 s. Tacoma waysuReE2 Bldg Dept. City of Edmonds TaoxmWA984% ph 253.584.3720 Owner First Western Development Services fax 253.584.3707 Architect Donahou Design Group Pbaandofoe Engineer CT Engineering �1 E90 33rdMe Contractor Pennon Construction Company, Inc. Poraar,d,OR97211 ph 503281.7515 fax 503281.7579 Record No. 020 Date 2/13/2012 Weather Overcast and 40's Inspection Reinforced Concrete Sample(s) (4) 4x8" Cylinders Observed the placement of and sampled from (33.5) yards of Concrete Nor'West Concrete Mix #01550 placed for grade beams at Grid Lines 9/D -A3 and A/8-6.2 and for pile caps at Grid Lines B/7, 8;. C/7, 8 and C/5. Concrete was pump -placed and mechanically consolidated. Reinforcing steel verified for size, grade, placement, lap and clearance. Four 4x8" concrete cylinders cast for compressive strength testing, 4000 psi required. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: K. Graham Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID: Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. . Air Temperature: 40°F Weather: , Partly Cloudy Product: Grout Supplier: Cadman Batch Plant Location: Sky River Ticket Number: 14256 MixDesign ID : 5GO0149 FIELD DATA ASTM C39 and C109 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 02/13/12 277784 Permit # (s): BLD20110815 Actual , Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR % Ingredient Cement --Type I & II Fine Aggregate Fly Ash Stabilizer Water Water/Cement Ratio: Slump (ASTM C143) F Sample(s) Recd: Required Strength: (f'c) 0.449 Very fluid 01/16/12 5000 psi @ 28 days Placement Location and Notes: Piles 722, 723. Sampled at 18 of 45 cubic yards total. Weight (per cu.yd) 938.0 lbs 1,934.0 lbs 76.0 lbs 52.0 oz 455.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C123.1, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 61 —/13—/121 0671. 01/20/12 07 F350107 2790 T e 3 01/13/12 0012 0672 02/10/12 28 4 x 8 51760 3.99 12.50 4140 T e 2 01/13/12 0012 0673 02/10/1228 4 x 8 32900 3.99 12.50 2630 NA ' 01/13/12 0012 0674 03/09/1256 4 x 8 0 0- -.0 0-1 F NA Remarks: Todd Wirtz of MTE notified of possible low break on 01/20/12. Todd Wirtz notified of low break results on 2/13/12. Average 28 -day strength = 3390 psi, last cylinder on hold for a 56 -day break. Technician(s): Gibson, J. Reviewed by: Tested by: Kane, J. LOW TEST BREAK ENGINEER SHOULD REVIEW Michael S. Dolder, P.E. Notes: Vice President. Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client. First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 42°F Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: Sky River Ticket Number: 14029 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/10/12 Sample Set ID: 277759 Permit # (s): BLD20110815 Actual J Mix Proportions: Sample Temp. 1 Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 73°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: 0.448 Fluid 01/13/12 Placement Location and Notes: Auger cast piles #690, 715. Sampled at 9 of 54 cubic yards total. Ingredient Weight (per cu.yd) Cement --Type I & II 940.0 lbs Fine Aggregate 1,941.0 lbs Fly Ash 74.0 lbs Stabilizer 52.0 oz Water 454.0 lbs Required Strength: (ft) 5000 psi @ 28 days Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01/12/12 0011 0560 01/19/12 0 4 x 8 51930 4.01 1 12.63 1 4110 01/12/12 0011 0561 02/09/12F-281 1 12.5011 5670 01/12/12 0011 0562 02/09/12 28 4 x 8 72980 4.00 12.57 5810 T e 5 " 01/12/12 0011 0563 02/09/12 28 4 x 8 73340 4.00 12.57 5840 T e 2 " Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western .Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 49°F Weather: Clear Product: Concrete Supplier: Concrete Nor'West Batch Plant Location: Everett Ticket Number: 129134 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Vallev Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: . L11583 Issued on: 02/14/12 Sample Set ID: 278039 Permit # (s): BLD20110815 Actual Mix Proportions: MixDesign ID: 01550 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) Ingredient Weight (per cu.yd) Cement 512:0 lbs Coarse Aggregate 3/4" 1,547.0 lbs Coarse Aggregate 3/8" 298.0 lbs Fine Aggregate 1,501.0 lbs Water 245.0 lbs 57°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: I Required Strength: (fc) 0.479 4" 02/07/12 4000 psi @ 28 days Placement Location and Notes: Grade beams on grids H/1-7, A -H/1, A/1-1.5, D -E/5.2, D/3.5-6, E/3.5-6, F.5 -H/6; and pile caps at gridline B/1.7, 3, gridline C/2, 3, 4, 5, gridline D/2, 3, 5, gridline E/2, gridline F/3.5, 4.5, and gridline G/2, 3; 4, 5, 6. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 02/06/12 0016 1937 02/13/12 4 x 8 45610 4.01 12.63 3610 02/06/12 0016 193803/05/12 28 4 x 8 10 0.00 0.00 Q NA ' 02/06/12 0016 1939 .03/05/12 28 IF NA 02/06/12 0016 1940 03/05/12 28 I IF NA " Remarks: Technician(s): Schrader, M. Tested by: ' Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 02/09/12 277744 Permit # (s): BLD20110815 Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) . FIELD DATA 01/11/12 .0009 0496 01/18/12 0 4 x 8 51760 4.00 ASTM C39 and C109 4120 1T e y 01/11/12 0009 Air Temperature: 35°F Actual Mix Proportions: 5960 1T Weather: Cloudy 0498 Ingredient Weight (per cu.yd) Product: Grout T e 2 01/11/12 0009 0499 02/08/12F281 Supplier: Cadman 12.57 Cement --Type I & II .939.0 lbs Fine Aggregate 1,927.0 lbs Batch Plant Location: Sky River Fly Ash 75.0 lbs Ticket Number: 13890 Stabilizer 52.0 oz MixDesign ID: 5GO0149 Water 455.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 66°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Required Strength: (ft) 0.449 Fluid 01/12/12 5000 psi @ 28 days Placement Location and Notes: Piles #635 & 617. Sampled at 9 of 63 cubic yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) . Type of Fracture 01/11/12 .0009 0496 01/18/12 0 4 x 8 51760 4.00 12.571 4120 1T e y 01/11/12 0009 0497 02/08/12F2811 5960 1T e 5 01/11/12 0009 0498 02/08/12F-2811 6010 T e 2 01/11/12 0009 0499 02/08/12F281 0 12.57 5610 T e 5 Remarks: Technician(s): Gibson, J. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group.Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 018 Date 2/6/2012 Weather Clear Inspection Reinforced Concrete Sample(s) (4) 4x8" Cylinders Seattle Office 20225 Cedar Valley Road SLib 110 Lynnwood, WA 98036 ph 425.742.9360 fax 425.745.1737 racoma Office 10029 S. Taoorna Way Sure E-2 Tacoma, WA98499 ph 253.584.3720 fax 253.584.3707 fb dandOf ce 7911 NE 33rd Drie Srrite 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Monitored placement of concrete into: Grade Beams on Grids H/1-7, A -H/1, A/1-1.5, D -E/5.2, D/3.5-6, E/3.5-6, F.5/H/6 and Pile Caps at Grid Lines B/1.7, 3, Grid Lines C/2, 3, 4, 5; Gird Lines D/2, 3, 5, Grid Line E/2, Grid Lines F%3.5, 4.5 and Grid Lines G/2, 3, 4, 5, and 6. Some of the reinforcing steel was previously inspected and the balance of the reinforcing steel was inspected by me.. The reinforcing steel was verified per the approved structural plans and details. The concrete was provided by Concrete Nor'West, Mix ID #01550, and was placed by boom pump truck. The concrete was sampled (1) time for strength testing. Approximately (105) cubic yards were placed. Note: Performed final inspection for clearances, cleanliness and removal of excess water prior to placement. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Schrader Reviewed By: Michael S. Dolder, P.E. Vice President . Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID: Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 02/10/12 277759.. Permit # (s): BLD20110815 Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" FIELD DATA (ASTM C31, C39, C617, ASTM C39 and C109 C780, C109, C1019 orAASHTO T22 when applicable) Air Temperature: 42°F Actual Mix Proportions: Lab # Date Tested Weather: Cloudy Load (lbs) Dia (in) Ingredient Weight (per cu.yd) Product: Grout 0560 01/19/12 0 4 x 8 51930 4.01 12.63 4110 Cement --Type I & II 940.0 lbs Supplier: Cadman 4 x 8 Fine Aggregate 1,941.0 lbs Batch Plant Location: Sky River 01/12/12 0011 Fly Ash 74.0 lbs Ticket Number : 14029 • I Stabilizer 52.0 oz MixDesign ID: 5GO0149 28 Water 454.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) I (ASTM C231) 73°F NR % Water/Cement Ratio: Slump (ASTM C143) F Samples) Recd: Required Strength: (ft) 0.448 Fluid 01/13/12 5000 psi @ 28 days Placement Location and Notes: Auger cast piles #690, 715. Sampled at 9 of 54 cubic yards total. Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01/12/12 0011 0560 01/19/12 0 4 x 8 51930 4.01 12.63 4110 T e y 01/12/12 0011 .0561 02/09/12 28 4 x 8 70950 3.99 12.50 5670 T e 2 01/12/12 0011 0562 02/09/12 28 1 5810 T e 5 01/12/12 0011 0563 02/09/12 28 4 x 8 73340 4.00 12.571 5840 T e 2 Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 36°F Weather: Cloudy Product: Concrete Supplier: Concrete Nor.'West Batch Plant Location: Everett Ticket Number: 128787 FIELD DATA ASTM C31 and C172 e Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/09/12 Sample Set ID: 277745 Permit # (s): BLD20110815 Actual I Mix Proportions: MixDesign ID: 0260A Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 65°F NR % Water/Cement Ratio: Slump (ASTM C143) 11 Sample(s) Rec'd: 0.352 6" 01/12/12 2500 psi @ 28 days Placement Location and Notes: Detention vault slab on grade. Sampled at 10 of 51 cubic yards total. Ingredient Weight (per cu.yd) A/E Admix 6.0 oz Cement--Type.l & II 560.0 lbs Coarse Aggregate 7/8" 1,850.0 lbs Fine Aggregate 1,339.0 lbs Pozzolith 20ON 23.0 oz Water 197.0 lbs Required Strength: (ft) Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/11/12 0010 0500 01/18/12 I 0 4 x 8 51560 4.00 12.571 4100 1 01/11/12 0010 0501 02/08/12 28 1 5160 1T e 3 01/11/12 0010 0502 02/08/12 28 4 x 8 62280 4.00 .12.57 4960 T e 2 01/11/12 0010 0503 02/08/12 .28 1 5120 T e 2 Remarks: Technician(s): Gibson, J. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS INC `225 Cedar � 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 02/07/12 Edmonds, WA Sample Set ID: 277706 Client: First Western Development Services Permit.# (s): BLD20110815 Engineer: Contractor: CT Engineering Pennon Construction Company, Inc. 01/09/12 0007 0307 01/46/12 07 4 x 8 FIELD DATA 4.00 12.57 5080 T e 3 ` 01/09/12 0007 0308 ASTM C39 and C109 28 4 x 8 85180 Air Temperature: 46°F-- Actual Mix Proportions: 0309 02/06/12. Weather: Cloudy 86650 Ingredient Weight (per cu.yd) Product: Grout 02/06/1228 F -Ty-p e-5-1 Cement --Type I & II 941.0 lbs Supplier: Cadman Fine Aggregate 1,948.0 lbs Batch Plant Location: Monroe Fly Ash 75.0 lbs Ticket Number: 13628 Stabilizer 52.0 oz MixDesign ID: 5GO0149 Water 428.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 77°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) 0.421 8" 01/10/12 5000 psi @ 28 days Placement Location and Notes: Auger cast piles #627, 670. Sampled at 9 of 54 cubic yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/09/12 0007 0307 01/46/12 07 4 x 8 63850 4.00 12.57 5080 T e 3 ` 01/09/12 0007 0308 02/06/12 28 4 x 8 85180 4.00 12.57 6780 T e 5 ` 01/09/12 0007 0309 02/06/12. 28 4 x 8 86650 4.00 12.57 6900 T e 5 ` 01/09/12 0007 0310 02/06/1228 F -Ty-p e-5-1 Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 0822107 6.6.1.3, C-1019, 9.6 = "recording field temperature" MAYES TESTING ENGINEERS, INC. seWboake - ... 20225 Cedar_VaLey Road s1a,10 Lymood, Project No. L11583 �4M�45 M° Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA TaxwwoHloe Permit No. BLD20110815, BLD20110816 1om9s.Taoomaway stleE2 Bldg Dept. City of Edmonds TamamA9M ph 253.584.3720 W253584.3707 Owner First Western Development Services Architect Donahou Design Group Pordandoffioe Engineer CT Engineering DdD SLile 119mme Contractor Pennon Construction Company, Inc. Por6and,OR97211 ph 503281.7515 Tac 503281.7579 Record No. 017 Date 2/3/2012 Weather Clear Inspection Reinforced Steel Sample(s) N/A Inspected the reinforcing steel for a preliminary inspection of the grade beams at gridlines H/1 to 7; lines 1 from A to H; lines A from 1 to 1.5. Also pile caps at gridlines G/2, 3, 4, 5, 6; lines F/3.5, 4, 5; lines E/2; lines D/2, 3.5; lines C/2,.3, 5, 4; B/1.7, 3. Found all the above per structural plans and detail, and the engineers field report 2/1/12. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Don Evans Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS Lynnwood ...INC 20225 Cedar Valley Road / Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 02/07/12 Edmonds, WA Sample Set ID: 277938 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: Contractor: CT Engineering Pennon Construction Company, Inc. FIELD DATA ASTM C39 and C109 Air Temperature: 44°F Actual Mix Proportions: Weather: Overcast Ingredient Weight (per cu.yd) Product: Grout Cement—Type I & ll. 867.0 lbs Supplier: Concrete Nor'West Fine Aggregate 2,781.0 lbs Batch Plant Location: 125 Glenium 32.0 oz Ticket Number': 129010 Water 272.0 lbs MixDesign ID: 159SKG Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 55°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (f c) 0.314 8" 01/31/12 4000 psi @ 28 days Placement Location and Notes: Joint grout for detention vault lid joints. Sampled at 1.5 of 1.5 total cubic yards at 12:00pm. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/30/12 0015 1450 02/06/12 0 2 x 2 x 2 15220 0.00 4.18 3640 T e l 01 /30/12 0015 1451 02/27/12 28 2 x 2 x 2 0 0.00 0.00 0 NA 01/30/12 0015 1452 02/27/1228 2 x 2 x 2 0 0.00 0.00 0 NA ` Remarks: Technician(s): Dohrman, K. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Ina See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 c, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Sample Set ID: Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: Weather: Product: Supplier: Batch Plant Locatior Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/07/12 Sample Set ID: 277937 Permit # (s): BLD20110815 FIELD DATA ASTM C31 and C172 44"F I Actual Mix Proportions: Overcast Concrete Concrete Nor'West 125 Ticket Number: 129014 MixDesign ID : 07600G3 Sample Temp.Initial Storage Temp. I Air Content (ASTM C1064) (ASTM C31) (ASTM C231) . 55"F . NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Ingredient Weight (per cu.yd) Cement --Type I & II 650.0 lbs Coarse Aggregate #8 1,644.0 lbs Fine Aggregate 1,557.0 lbs Glenium 20.0 oz Water . 229.0 lbs WRA 39.0 oz Required Strength: (f c) 0.352 5" 01/31/12 4000 psi @ 28 days Placement Location and Notes: III Detention vault 2 lid access opening, hollow -core void fill and top of wall to lid closure. Sampled at 8 of 8 total cubic yards at 12:45pm. Remarks: Technician(s): Dohrman, K. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4,08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia -(in) Area Strength (psi) Type of Fracture 01/30/12 0014 1446 02/06/12Eltl4 x 8 76220 4.00 12.57 6070 Type 1 ` 01/30/12 0014 1447 02/27/12 28 1 4 x 8 01/30/12 0014 1448 02/27/12 28 4 x 8 0 0.00 0:00 �� NA ` 01 /30/12 0014 1449 02/27/12 28 4 x 8 Remarks: Technician(s): Dohrman, K. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4,08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS INC `yn5W°°d � 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name:. Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 02/08/12 Edmonds, WA Sample Set ID: 277723 Client: First Western Development Services Permit.# (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 39°F Weather: Partly Cloudy Product: Grout Supplier: Cadman Batch Plant Location: Monroe Sky River Ticket Number:' 13739 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Actual T Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) I (ASTM C31) (ASTM C231) Ingredient Weight (per cu.yd) Cement --Type I & II 939.0 lbs Fine Aggregate 1,918.0 lbs Fly Ash 73.0 lbs Stabilizer 52.0 oz Water 436.0 lbs 74°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (f c) 0.431 Fluid 01/11/12 5000 psi @ 28 days Placement Location and Notes: Piles #618 & 671. Sampled at 18 cubic yards of 63 cubic yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01 /10/12 0008 0388 01 /17/12 F7 4 x 8 61140 4.00 12.57 4870 T e 2 ' 01/10/12 0008 0389 02/07/1228 4 x 8 86280 4.00 12.57 6870 T e 5 01/10/12 0008 0390 02/07/12 28 4 x 8 82130 4.00 12.57 6540 T e 5 ' 01 /10/12 0008 0391 02/07/12F 284 x 8 79220 4.00 12.57 6300 T e 5 Remarks: Technician(s): Gibson, J. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122ro7 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 016 Date , 1/30/2012 Weather Overcast Inspection Reinforced Concrete Sample(s) (3) 2x2x2" Cubes and (4) 4x8" Cylinders Seattle Office 20225 CedarVaOey Road suite 110 Lymrnood, WA98036 ph 425.7429360 fax 425.745.1737 Tacorna O fine 10029 S. Tacoma Way Suite E-2 Tacorna, WA 98499 ph 253.584.3720 fax 253.584.3707 PaYland Office 7911 NE 33rd Drive Suite 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Observed the placement of and sampled from (1.5) total cubic yards of project -approved CNW grout Mix: 159SKG, for vault lid joints and (8) total cubic yards of project -approved CNW concrete mix: 07600G3, placed for detention vault lid (2) access openings, hollow core void fill and top of wall to lid 'closures. Concrete and grout were placed by pump with mechanical consolidation. Three 2" cubes and four 4x8" cylinders were cast for 4000 F'c compliance testing. Reinforcing steel was inspected per engineer of record approved Concrete Technology Corp. details, vault plans and sections on Page S2.01 of approved plans. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Keith Dohrman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS INC Lynnwood i ' 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 02/02/12 Edmonds, WA Sample Set ID: 277660 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 51 °F Weather: Rain Product: Grout Supplier: Cadman Batch Plant Location: NR Ticket Number: 13141 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Actual Mix Proportions: Ingredient Cement --Type I & II Fine Aggregate Fly Ash Stabilizer Water Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 77°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: I Required Strength: (ft) 0.456 Fluid 01/05/12 5000 psi @ 28.days Placement Location and Notes: F0_1_/_04_/172 0004 0082 Piles 699, 651, 700. Sampled at 18 of 54 cubic yards total. Weight (per cu.yd) 939.0 lbs 1,931.0 lbs 73.0 lbs 52.0 oz 461.0 lbs COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01 /04/12 0004 0080 01 /11 /12 0 F5527011 4400 01 /04/12 0004 0081 02/01 /12 28 4 x 8 74070 4.00 12.571 5890 F0_1_/_04_/172 0004 0082 02/01/12 IF 28 14 x 8 77010 4.00 12.57 6130 T e 5 " 01/04/12 0004 0083 02/01/12 28 4 x 8 69520 4.00 12.57 5530 T e 5 " Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 41 °F Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: oz Ticket Number: 13424 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 02/06/12 277694 Permit # (s): BLD20110815 Actual i Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 72°F NR % Ingredient Cement --Type I & II Fine Aggregate Fly Ash Stabilizer Water Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Required Strength: (ft) 0.423 Fluid 01/09/12 5000 psi @ 28 days Placement Location and Notes71: Piles #669, 630. Sampled at 9 cubic yards of 72 cubic yards total. Weight (per cu.yd) 940.0 lbs 1,967.0 lbs 74.0 lbs 52.0 oz 429.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/06/12 0006 0250 01/13/12 07 4 x 8 57790 4.00 12.57 4600 T e 2 01/06/12 0006 0251 02/03/12 28 4 z 8 77030 4.00 12.57 6130 T e 5 01/06/121 1 02/03/12 IF28 4 x 8 82360 11 6550 T e 5 01/06/.12 0006 0253 02/03/1228 4 x 8 82000 4.00 12.57 6530 T e 5 Remarks: Technician(s): Gibson, J. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West _ Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Lynnwood 20225 Cedar Valley Road suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 02/01/12 277642 Permit # (s): BLD20110815 Contractor: Pennon Construction Company, Inc. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780,'C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01/03/12 F 0003 FIELD DATA o-1 /_1 -o / 1-27 0 4 x 8 IF55820 ASTM C39 and C109 12.57 11 4440 Air Temperature: 53°F Actual Mix Proportions: 01/31/127F278F Weather: Cloudy 4 x 8 77300 Ingredient Weight (per cu.yd) Product: Grout T e 5 Cement --Type I & II 940.0 lbs Supplier: Cadman 28 Fly Ash 74.0 lbs Batch Plant Location: 5650 Stabilizer 52.0 oz Ticket Number: 47306 01/31/1228 Water 427.0 lbs MixDesign ID: 5GO0149 12.57 5470 T e 5 Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 80°F NR % Water/Cement Ratio: Slump (ASTM C143) Samples) Recd: Required Strength: (f'c) 0.421 Fluid 01/04/12 5000 psi @ 28 days Placement Location and Notes: Auger cast piles #705, 697, 698. Sampled at 36 of 45 cubic yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780,'C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01/03/12 F 0003 15223 o-1 /_1 -o / 1-27 0 4 x 8 IF55820 4.00 12.57 11 4440 T e y 01/03/12 0003 15224I 01/31/127F278F 4 x 8 77300 4.00 12.57 6150. T e 5 01/03/12 0003 15225 01/31/12 28 4 x 8 70950 4.00 12.57 5650 01/03/12 0003 15226 01/31/1228 4 x 8 68720 4.00 12.57 5470 T e 5 Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 +._ Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No:. L11583 Site Address: 21401 72nd Avenue West Issued on: 02/01/12 4 x 8 65230 4.00 Sample Set ID: 277817 5190 T e 2 Edmonds, WA Cement --Type I & II Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering 1,846.0 Contractor: Pennon Construction Company, Inc. Fine Aggregate FIELD DATA ASTM C31 and C172 Air Temperature: 46°F Actual Mix Proportions: Weather: Sunny Ingredient Weight (per cu.yd) Product: Concrete 4 x 8 65230 4.00 12.57 5190 T e 2 01/23/120013 -FC Cement --Type I & II 560.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 7/8" 1,846.0 lbs Batch Plant Location' 125 Fine Aggregate 1,458.0 lbs Ticket Number: 128889 MB 200N 23.0 oz MixDesign ID: 02600 Water 254.0 lbs Sample Temp.Initial 01/23/12 0013 Storage Temp. Air Content 4 x 8 0 0.00. (ASTM C1064) NA (ASTM C31) IF (ASTM C231) 02/20/12 - 63°F NR Water/Cement Ratio: Slump (ASTM C143) IF Samples) Rec'd: Required Strength: (ft) 0.454 5" 01/24/12 4000 psi @ 28 days Placement Location and Notes: Detention vault walls. Sampled at 18 of 18 total cubic yards at 12:50pm.. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture F01/23/12JF 0013 0845 01/30/12 4 x 8 65230 4.00 12.57 5190 T e 2 01/23/120013 -FC 0843 01/31/12 ® 4 x 8 F 58300 4.00 12.57 4640 01/23/12 0013 -FC .0844 01/31/12 ® 4 x 8 56300 4.01 12.63 4460 T e 2 01/23/12 0013 0846 02/20/1228 F NA 01/23/12 0013 0847 02/20/1228 4 x 8 0 0.00. 0.00 NA 01/23/12 0013 0848 02/20/12 281 I NA Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Average 8 -day field cure strength = 4550 psi. Technician(s): Dohrman, K. Tested by: Cook, B. Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 02/01/12 Sample Set ID: 277817 Permit # (s): BLD20110815 Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08122/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 46°F Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: oz Ticket Number: 47274 MixDesign ID: 5000149 FIELD DATA ASTM C39 and C109 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 01/30/12 Sample Set ID: 277635 Permit # (s): BLD20110815 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM C231) 77°F NR Ingredient Cement --Type I & II Fine Aggregate Fly Ash Stabilizer Water Water/Cement Ratio: Slump (ASTM C143) Samples) Rec'd: Required Strength: (ft) 0.425 Fluid 12/31/11 5000 psi @ 28 days Placement Location and Notes: 20" diameter auger cast piles 735, 680, 681. Sampled at 27 of 63 cubic yards total. Weight (per cu.yd) 937.0 lbs 1,927.0 lbs 74.0 lbs 52.0 oz 430.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C7801 C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 12/30/110002 15193 01/06/12 F-71 4 x 8 60010 4.00 12.57 4780 NA l-2/30/1 lj 01/27/12 IF281 6750 1 12/30/11 0002 15195 01/27/1228 4 x 8 87440 4.00 12.57 6960 1T e 2 12/30/11 0002 15196 01/27/1228 4 x 8 86420 4.00 12.57 6880 T e 2 Remarks: Technician(s): Gibson, J. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2,-C-780, A MTE 1050-1 C. Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 01/30/12 Sample Set ID: 277635 Permit # (s): BLD20110815 Contractor: Pennon Construction Company, Inc. Type of Fracture 12/30/11 F 0002 15193 01/06/12 07 FIELD DATA 12.571 4780 F NA 12/30/11 0002 15194 ASTM C39 and C109 28 4 x 8 84820 4.00 12.57 Air Temperature: 46°F Actual _J1 Mix Proportions: 15195 01/27/12 Weather: Cloudy 12.57 Ingredient Weight (per cu.yd) Product: Grout 4 x 8 86420 4.00 12.57 6880 Cement --Type I & II 937.0 lbs Supplier: Cadman Fine Aggregate 1,927.0 lbs Batch Plant Location: Fly Ash 74.0 lbs Ticket Number: 47274 Stabilizer 52.0 oz MixDesign ID: 5GO0149 Water 430.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 77°F NR % . Water/Cement Ratio: Slump (ASTM C143) IFSamples) Recd: Required Strength: (f'c) 0.425 Fluid 12/31/11 5000 psi @ 28 days Placement Location and Notes: 20" diameter auger cast piles 735, 680, 681. Sampled at 27 of 63 cubic yards total. Date Made • Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 12/30/11 F 0002 15193 01/06/12 07 4 x 8 60010 4.00 12.571 4780 F NA 12/30/11 0002 15194 01/27/12 28 4 x 8 84820 4.00 12.57 6750 T e 2 12/30/11 0002 15195 01/27/12 28T 4 x 8 787446 4.00 12.57 6960 1T e 2 12/30/11 0002 15196 01/27/127F28 4 x 8 86420 4.00 12.57 6880 Remarks: Technician(s): Gibson, J. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E.* Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 46°F FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 01/31/12 Sample Set ID: 277817 Permit # (s): BLD20110815 Actual I Mix Proportions: Weather: Sunny Ingredient Weight (per cu.yd) Product: Concrete 0 0.00 0.00 Q NA 01/23/12 0013-F 0844 Cement --Type I & II 560.0 lbs Supplier: Concrete Nor'West Coarse Aggregate 7/8" 1,846.0 lbs Batch Plant Location: 125 Fine Aggregate 1,458.0 lbs Ticket Number: 128889 MB 20ON 23.0 oz MixDesign ID: 02600 Water 254.0 lbs Sample Temp. 0 0.00 Initial Storage Temp. Air Content 01/23/12 0013 0848 02/20/12 28 I4 (ASTM C1064) 0 0.00 (ASTM C31) (ASTM C231) 63°F Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: Required Strength: (ft) 0.454 5" 01/24/12 4000 psi @ 28 days Placement Location and Notes: Detention vault walls. Sampled at 18 of 18 total cubic yards at 12:50pm. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/23/12 0013 -FC 0843 01/23/12 0 4 x 8 0 0.00 0.00 Q NA 01/23/12 0013-F 0844 01/23/12F 64 x 8 0 0.00 0.00 NA 01/23/12 0013 0845 01/30/12 F7 1 65230 4.00 12.571 5190 11 Type e 2 01 /23/12 0013 0846 02/20/1228 4 x 8 0 0.00 0.00 Q NA 01/23/12 1 02/20/12 28 4 x 8 0 0.00 0.00 Q NA 01/23/12 0013 0848 02/20/12 28 I4 x 8 0 0.00 0.00 Q NA Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS INC Lynnwood Cedar � 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 01/31/12 Edmonds, WA Sample Set ID: 277817 Client: First Western Development Services Permit # (s): BLD201.10815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Remarks: Technician(s): Dohrman, K. Tested by: Cook, B. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's\except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYES.TESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 46°F Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: NR Ticket Number: 12946 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 01/06/12 277614 Permit # (s): BLD20110816-TI BLD20110815 Actual i Mix Proportions: Ingredient Cement --Type I Fine Aggregate Fly Ash Stabilizer Water Sample Temp. Initial Storage Temp. Air Content (ASTM C 1064) (ASTM C31) (ASTM.C231) 76°F NR % Water/Cement Ratio: Slump (ASTM C-143) Sample(s) Recd: Required Strength: (fc) 0.451 Fluid 12/30/11 5000 psi @ 28 days Placement Location and Notes: 01/26/12 28 Auger cast piles 673, 672, 674. Sampled at 9 of 20 cubic yards. Weight (per cu.yd) 939.0 lbs 1,930.0 lbs 76.0 lbs 52.0 oz 458.0 lbs . Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture F1 —2/_29/_1 1-1 F7 4 x 8 59120 4.00 12.57 4700 T e 5 12/29/11 0001 15101 01/26/12F-28-11 4 x 8 0 0.00 0.00 Q NA 12/29/11 0001 15102 01/26/12 28 4 x 8 0 0.00 0.00 Q NA 12/29/11 0001 15103 01/26/1228 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Gibson, J. Tested by: Kane, J. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MA YES TESTING ENGINEERS, INC. seaU/e Office q r , 2= Cedar Valley Road suihe 110 L"mcod, WA9BO36 Project No. L11583 X425 45.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA raao�ce OfficeaWay Permit No. BLD20110815, BLD20110816 10029S suiaE-2 Bldg Dept. City of Edmonds Taoor„a,WA98499 . ph 253.584.3720 fax253.ssa.37rn Owner First Western Development Services Architect Donahou Design Group PorBandOffice Engineer CT Engineering S�1N033dDrrve Contractor Pennon Construction Company, Inc. Porbrid, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 006 Date 1/3/2012 Weather Rain Inspection Auger Cast Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 f Auger cast pile inspection of 20" diameter pile: Grout placed at Pile #'s 664, 653, 657, 658, 759, 687, 688, 660, 689, 705, 697, 698, 614, 676, 656, 652, 615, 612, 649 and 647. Reinforcing steel for cages placed per S1.02/9 and RFI #002. Grout delivered by Cadman and pumped to placement. Mix #5G00149 placed for F'c=5000 psi grout at 28 days. Water -cement ratio: .42. Total yardage placed: 54 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Tµ � Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. ��va9ey,� zr _. suite„o Lynnwood, WA 98036 ph 425.7429360 fax425.745.1737 Project No. L11416 Project Harbor Square Athletic Club 10029 ra►S Tawrm Office aWay Address 160 W. Dayton Street, Edmonds, WA suneE-2 Permit No. BLD 2009-0530, BLD 2011-0409 Taoxm,WA98499 Bldg Dept. City of Edmonds X253.584.3M 7 Owner Harbor Square Ath.letic Club Rxeanaoffice 7911 NE 33rd Drive Engineer CT Engineering suite 190 Architect Warren LaFon Architects Parlland,OR97211 Contractor Wilcox ph 503281.7515 fac 503281.7579 Record No. 012 Date 01/03/12 Weather Overcast Inspection Reinforced Concrete Sample(s) (1) Set of (4) 4x8” Cylinders Permit No. BLD2009-0530 Observed placement of concrete into two westernmost plinths and footings at 4/G: Reinforcing steel was installed per CT Engineering sketches dated 12/19/11. Clearances and cleanliness were according to ACI standards. Three cubic yards of Cal -Portland Mix #1944 were placed by truck chute with mechanical consolidation. Sampled, tested and cast one set of four 4x8" cylinders. All testing indicated compliance with approved mix design specifications. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: S. Szurek Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MA YES TESTING ENGINEERS, INC. seatffe once 20225 Cedar VaOey Road suite 110 Lynnwood, WA 98036 Project No. L11583 ph 425 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA racomaAfice Permit No. BLD20110815, BLD20110816 10029s.Tacornaway Suite E_2 Bldg Dept. City of Edmonds Tacm-a, WA 98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Pordand Office Engineer CT Engineering S�9 11N033rdDmie Contractor Pennon Construction Company, Inc. Porbrid, OR 97211 ph 503281.7515 fax 503.281.7579 Record No. 005 Date 12/30/2011 Weather --- Inspection Auger Cast Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 Auger cast pile inspection of 20" diameter pile: Grout placed at Pile #'s 745,744, 734, 735, 680, 681, 661, 682, 662, 683, 684, 685, 665, 686, 654, 655, 679 and 678. Reinforcing steel for cages placed per S1.02/9 and RFI #002. Grout delivered by Cadman, pumped to placement and vibrated to consolidate. Mix #SG00149 placed for F'c=5000 psi grout at 28 days. Water -Cement ratio.: .42. Total yardage placed: 63 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson. Reviewed Bv: Timothy G. Beckerle; P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS INC `y""w°°d y , 20225 Cedar Valley Road Suite 110 ._ Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Harbor Square Athletic Club Project No: L11416 • Site Address: 160 W Dayton Street Issued on: 12/30/11 Edmonds, WA Sample Set ID: 277560 Client: Harbor Square Athletic Club Permit # (s): BLD 2009-0530 Engineer: CT Engineering Contractor: Wilcox Construction Air Temperature: 35°F Weather: Cold Product: Concrete Supplier: Cal -Portland Batch Plant Location: 261 Ticket Number: 496941 MixDesign ID: 1944 FIELD DATA ASTM C31 and C172 Actual Mix Proportions: Ingredient Cement --Type II Coarse Aggregate 3/4" Fine Aggregate Fly Ash ' Water Weight (per cu.yd) 400.0 lbs 1,861.0 lbs 1,549.0 lbs 69.0 lbs 200.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1 (ASTM C31) (ASTM C231) F 12.571 F T e2 56°F NR % Water/Cement Ratio: I Slump (ASTM C143) Sample(s) Recd: Required Strength: (f'c) 0.426 4.5" 12/27/11 3000 psi @ 28 days Placement Location and Notes: F 0.00 F NA Two plinths at east entry, (2) pads at west entry, and (4) plinths at NW corner of the building. Sampled at 3 of 4.5 yards placed. 01/19/12 28 4 x 8 Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 12/22/11F 0-0 0-4-1 0 F —4—x— 8 7 F 4.00 F 12.571 F T e2 12/22/11 0004 14856 01/19/12 28 4 x 8 0 0.00 0.00 Q NA 12/22/11 0004 14857 o1/19/1272781 4 x 8 F 0.00 F NA 12/22/11 0004 14858 01/19/12 28 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Cook, B. Reviewed by: Tested by: Kane, J. Timothy G. Beckerle, P.E. Branch Manager - Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08t22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MA YES TESTING ENGINEERS, INC. Seattle Office . -- ,_ 20225CedarVa0eyRoad Suit 110 LWrmcod, WA 98036 Project No. L11583 ph 425.742.9360 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Ta=naORice Permit No. BLD20110815, BLD20110816 10029s.TaoomaWay Suite E_2 Bldg Dept. City of Edmonds Ta=na,WA98499 ph 253.584.3720 W 253.584.3707 Owner First Western Development Services Architect Donahou Design Group POr&"dofce Engineer CT Engineering �1No33rdo�e Contractor Pennon Construction Company, Inc. Paland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 004 Date 12/29/2011 Weather Cloudy Inspection Auger Cast Sample(s) (4) 4x8" Cylinders Auger cast pile inspection of 20" Diameter Pile #'s 673, 672 and 674. Reinforcing steel placed per S1.02/9. Grout delivered by Cadman and pumped to placement. Mix #5G00149 placed for F'c=5000 psi grout at 28 days. Grout temperature: 76°and water -cement ratio: .45. Total yardage placed: 9 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS, INC. ���VayRoad _ suite 110 _.___ ...... Lynnwood, WA98036 ph 425.7429360 fax 425.745.1737 Project No. L11186 Project Holy Rosary Parish (New Parish Hall) Office 10029 S. Tacma Way Address 760 Aloha Street, Edmonds, WA SLbE-2 Permit No. BLD20100013 Taoana,WA98499 Bldg Dept. City of Edmonds �253.ss 370 Owner Catholic Archdiocese of Seattle 7"dO 7911 NE 33rd Drive Architect Sandler Architects suite 190 Engineer Swenson Say Faget Engineers Paaar,d,OR97211 Contractor JR Abbott Construction 7515 px503.21..757 fax 503.281.7579 Record No. 050 Date. 12/29/2011 Weather -- Inspection Project management Sample(s) -- Contacted Abbott Construction site superintendent- Wayne Jackson to confirm that there are no more required special inspections required for this project. Reviewed all lab reports for compressive strength analysis for concrete, masonry prisms, and grout meet design strength requirements. Reviewed all field reports indicating conformance with plans and specifications, with RFI documentation to resolve. Inspected the following items for this project: structural steel fab shop welding, site structural steel erection including welding and bolting, proprietary anchors, base plate grouting, reinforced concrete, reinforced CMU masonry, and lateral framing. Inspector: Todd Wirtz Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MA YES TESTING ENGINEERS, INC. seafOe Office Weather Cloudy 20225 Cedar Valey Road Building pre -construction meeting Sample(s) Suite 110 LTmwod, WA98036 Project No. L11583 ph 425.742.9360 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA racoma of c.e 10029 S.TamnaW.ay Permit No. BLD20110815, BLD20110816 SuiteE-2 Bldg Dept. City of Edmonds Taoo,a,WA98499 ph 253.584.3720 W 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Podandofice Engineer CT Engineering7911 SUL.NEnd°fNe. Contractor Pennon Construction Company, Inc. Ponar,d,OR97211 ph 503281.7515 fbc 503281.7579 Record No. 001 Date 12/19/2011 Weather Cloudy Inspection Building pre -construction meeting Sample(s) N/A Attended the initial pre -construction meeting at the City of Edmonds building department facility. The eighty auger cast pile installations are due to start by the end of the month with a two -and -a - half -week duration. We asked Pennon Construction Company, Inc. site superintendent- Jeff Still if the rebar cages are being fabricated on site or if off site to have an initial special inspection to verify cages built to contract documents prior to shipping to the jobsite. Jeff contacted me this afternoon and stated that Addison Construction in Tacoma, WA will be doing the fabrication starting later this week. We will coordinate initial reinforcing steel inspection with Addison Construction at their yard this week. From the meeting, initial.scope of construction activity will be for the build -out (shell and core). Another separate permit will be issued for the TI (tenant improvement). There will be an upcoming pre -construction meeting for the post tensioning concrete. After the meeting, we went over the permitted set of drawings for structural inspections with City of Edmonds building official- Leif Bjorback. Our inspections will include the following: auger cast piles, reinforced concrete to include anchor bolts in concrete, pt concrete, welding, proprietary anchors, structural steel fabrication and erection includes high strength bolting, 8" hollow core plank tie into vault lid, seismic attachment of mechanical and electrical components, exterior cladding , reinforced masonry, lateral framing. Inspector: Todd Wirtz Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No.. BLD20110815, BLD20110816 Bldg Dept. City of Edmonds Owner First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. 007 Date 1/4/2012 Weather Rain Inspection Auger Cast Sample(s) (4) 4x8" Cylinders Seattle Office 20225 Cedar Val Road Suite 110 Lynnwood, WA98036 ph 425.7429360 fax 425.745.1737 Taco na Office 10029 S. Tacoma Way Sub E-2 Tacoma, WA 96499 ph 253.584.3720 fax 253.584.3707 PbrdandOlfrce 7911 NE 33rd Drive suite 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Auger cast pile inspection of 20" diameter pile: Grout placed at Pile #'s 675, 696, 704, 699, 651, 700, 701, 611, 648, 641, 610, 609, 702, 608 and 607. Reinforcing steel for cages placed per S1.02/9 & RFI #002. Grout delivered by Cadman and pumped to placement. Mix #5G00149 placed for F'c=5000 psi grout at 28 days. Grout temperature: 770 and Water -cement ratio: .45. Total yardage placed: 54 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. SeatffeOfce Weather Partly Cloudy 20225 CedarVaOeyRoad Auger Cast Sample(s) Suite 110 Lyrnvood, WA 98036 Project No. 1 L11583 p, 425.7429360 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacwm Office Permit No. BLD20110815, BLD20110816 10029 S. Tamara WaySite E_2 Bldg Dept. City of Edmonds Tamma,WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group PaUandof6ce Engineer CT Engineering 7911 NE 033rdDrNe Contractor Pennon Construction Company, Inc. Portland, OR 97211. ph 503281.7515 fax 503281.7579 Record No. 008 Date 1/5/2012 . Weather Partly Cloudy Inspection Auger Cast Sample(s) (4) 4x8" Cylinders Auger cast pile inspection of 20" diameter pile: Grout placed at Pile #'s 585, 604, 605, 646, 644, 650, 640, 703, 667, 639, 588, 587, 746, 632 and 724. Reinforcing steel for cages placed per S1.02/9, RFI #002 and RFI #015. Grout delivered by Cadman and pumped to placement. Mix #5G00149 placed for F'c=5000 psi grout at 28 days. Grout temperature: 770 and Water -cement ratio: .43. Total yardage placed: 72 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 46°F Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: oz Ticket Number: 47274 MixDesign ID: 5GO0149 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 01/09/12 Sample Set ID: 277635 Permit # (s): BLD20110815 FIELD DATA ASTM C39 and C109 Actual Mix Proportions: Sample Temp. Initial Storage Temp. 11 Air Content (ASTM C1064) I I (ASTM C31) (ASTM C231) 77°F NR % Ingredient Cement --Type I & II Fine Aggregate Fly Ash Stabilizer Water Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: Required Strength: (fc) Weight (per cu.yd) 937.0 lbs 1,927.0 lbs 74.0 lbs 52.0 oz 430.0 lbs 0.425 Fluid 12/31/11 5000 psi @ 28 days Placement Location and Notes: 20" diameter auger cast piles 735, 680, 681. Sampled at 27 of 63 cubic yards total. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 12/30/11F 0002 F15193 F0-1/0-6/-12 J F7 4 x 8 60010 4.00 12.57 14780 NA 12/30/11 F 0-0 0-2-1 1 01/27/12 28 4 x 8 0 0.00 0.00 Q NA 12/30/11 0002 15195 01/27/1228 4 x 8 0 0.00 0.00 Q NA 12/30/11 0002 15196 01/27/12 28 4 x 8 0 0.00 0.00 Q NA ` Remarks: Technician(s): Gibson, J Tested by: Cook, B. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050.1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC _ _ Actual— Mix Proportions: 20225 15193 Weather: Cloudy Ingredient CedaardValley Road Product: Grout 4780 1NA ' 12/30/11 0002 Suite 110 Supplier: Cadman Cement --Type I & II 937.0 Lynnwood WA 98036 Q NA Fine Aggregate 1,927.0 ph 425.742.9160 Batch Plant Location: CONCRETE LABORATORY TEST REPORT fax 425.74x.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 01/09/12 lbs Edmonds, WA Sample Set ID: 277635 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering % Contractor: Pennon Construction Company, Inc. Sample(s) Recd: Required Strength: (f'c) FIELD DATA ASTM C39 and C109 Air Temperature: 46°F _ _ Actual— Mix Proportions: 12/30/11 0002 15193 Weather: Cloudy Ingredient Weight (per cu.yd) Product: Grout 4780 1NA ' 12/30/11 0002 15194 Supplier: Cadman Cement --Type I & II 937.0 lbs Q NA Fine Aggregate 1,927.0 lbs Batch Plant Location: Fly Ash 74.0 lbs Ticket Number: 47274 Stabilizer 52.0 oz MixDesign ID: 5GO0149 Water 430.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 77°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (f'c) 0.425 Fluid 12/31/11 5000 psi @ 28 days Placement Location and Notes: 20" diameter auger cast piles 735, 680, 681. Sampled at 27 of 63 cubic yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 12/30/11 0002 15193 01/06/12 0 4 x 8 60010 4.00 12.57 4780 1NA ' 12/30/11 0002 15194 01/27/12 28 4 x 8 0 0.00 0.00 Q NA 12/30/11 0002 15195 01/27/12 28 4 x 8 0 0.00 12/30/11 0002 15196 01/27/12 28 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Gibson, J. Reviewed by: Tested by: Cook, B. j Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic. Group Building Project No: Site Address: 21401 72nd Avenue West. Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 46°F - Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: lbs Ticket Number: 12946 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 01/27/12 277614 Permit # (s): BLD20110816-TI BLD20110815 Actual Mix Proportions: Sample Temp. Initial Storage Temp. Air Content (ASTM C1 06) 106) (ASTM C31) (ASTM C231) 76°F EV Ingredient Cement --Type I Fine Aggregate Fly Ash Stabilizer Water Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: Required Strength: (f'c) 0.451 Fluid 12/30/11 5000 psi @ 28 days Placement Location and Notes: Auger cast piles 673, 672, 674. Sampled at 9 of 20 cubic yards. Weight (pe„r cu.yd) 939.0 lbs 1,930.0 lbs 76.0 lbs 52.0 oz 458.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 12/29/11 0001 15100 01 /05/12FTI4 x 8 59120 4.00 12.57 4700 T e 5 12/29/11 0001 15101 01 %26/12F-2-8-11 4 x 8 72350 4.00 12.57 5760 T e 5 . 12/29/11 0001 15102 01/26/12 28 4 x 8 68460 4.01 12.63 5420 Type 3 12/29/11 0001 15103 01/26/1228 1 4.00 12.57 5860 T e 5 Remarks: Technician(s): Gibson, J. Tested by: Kane, J. Reviewed by: Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39,. for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature” MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road _ Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 01/16/12 Edmonds, WA Sample Set ID: 277694 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 41'F Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: 52.0 Ticket Number: 13424 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Actual Mix Proportions: Ingredient Cement --Type I & II Fine Aggregate Fly Ash Stabilizer Water Sample Temp. Initial Storage Temp. Air Content 1,967.0 (ASTM C1064) (ASTM C31) (ASTM C231) 52.0 72°F NR % Water/Cement Ratio: Slump (ASTM C143) F Sample(s) Recd: Required Strength: (f'c) 0.423 Fluid 01/09/12 5000 psi @ 28 days Placement Location and Notes: Q NA Piles #669, 630. Sampled at 9 cubic yards of 72 cubic yards total. Weight (per cu.yd) 940.0 lbs 1,967.0 lbs 74.0 lbs 52.0 oz 429.0 . lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/06/12 0006 0250 01/13/12FTI4 x 8 57790 4.00 12.57 4600 T e 2 01/06/12 0006F 0251 102/03/12 28 4 x 8 0 0.00 0.00 Q NA 01/06/12 00061 0252 02/03/12 28 I4 x 8 0 0.00 0.00 Q NA 01/06/12 F 28 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Gibson, J. Tested by: Kane, J. Reviewed by: % 1-2 Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MA YES TESTING ENG/ NEERS, INC. Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Permit No. BLD20110815,-BLD20110816 Bldg Dept. City of Edmonds Owner . First Western Development Services Architect Donahou Design Group Engineer CT Engineering Contractor Pennon Construction Company, Inc. Record No. .013 Date 1/12/2012 Weather -- Inspection Auger cast piles Sample(s) (4) 4x8" cylinders Seattle Office 20225 Cedar Valey Road Sum 110 Lynnwood, WA 98036 ph 425.7429360 fax 425.745.1737 Tacoma Office 10029 S. Tacoma Way Suite E-2 Tacoma, WA 98499 ph 253.584.3720 fax 253.584.3707 Pordand ofice 7911 NE 33rd Drive suite 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Permit No. BLD20110815 Performed auger cast pile inspection of 20" diameter piles. Grout was placed at piles #690, 715, 724, 709, 708, 707, 706, 730, 721, 720, 666, 719, 711, 710, 724. Reinforcing steel was placed per S1.02/9, RFIs 002 and 015. Grout was delivered by Cadman and pumped to placement. Mix 5GO0149 was placed for F'c = 5,000 -psi grout at 28 days. Water -cement ratio was 0.44. Total yardage placed was 54 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING. ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Site Address: 21401 72nd Avenue West Edmonds, WA Client: First Western Development Services Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 43°F Weather: Partly Cloudy Product: Grout Supplier: Cadman Batch Plant Location: FIELD DATA ASTM C39 and C109 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11583 Issued on: 01/13/12 Sample Set ID: 277671 Permit # (s): BLD20110815 Actual j Mix Proportions: Ticket Number: 13239 lbs MixDesign ID: 5GO0149 lbs Sample Temp. Initial Storage Temp. I Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 73°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: 0.434 Fluid 01/06/12 Placement Location and Notes: QI NA Auger cast piles 585, 604. Sampled at 9 of 72 cubic yards total. Ingredient Weight (per cu.yd) Cement --Type I & II 938.0 lbs Fine Aggregate 1,934.0 lbs Fly Ash 76.0 lbs Stabilizer 52.0 oz Water 440.0 lbs Required Strength: (ft) 5000 psi @ 28 days 16 Date Made Sample # . COMPRESSION TEST RESULTS (ASTM C31, C39, C617, 01231, C780, C109, C1019 orAASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01/05/12 0005 0128 01/12/12 07 4 x 8 45970 4.00 12.57 3660 T e 5 01/05/120005 0129 02/02/12 28 4 x 8 0 0.00 0.00 NA 01/05/12 1 02/02/12 F287 4 x 8 0 0.00 0.00 QI NA 01/05/12 0005 0131 02/02/12 28 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Gibson, J. Tested by: Cook, B: Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC, Seatde Office <: y 20225 CedarVaDey Road Sure 110 LyrTmcod, WA98036 ph 425.7429360 Project No. L11583 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA r00a ia Office Taoxnaway Permit No. BLD20110815, BLD20110816 sureE0029 2 Bldg Dept. City of Edmonds Taooma,WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group PordandOthce Engineer CT Engineering 7911 NE 33rd Drive SUL-190 Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 012 Date 1/11/2012 Weather Cloudy Inspection Auger Cast Piles Sample(s) (2) Sets of (4) 4x8" Cylinders Permit No. BLD20110815 1. Reinforced concrete inspection of 14" slab on grade at detention vault: Reinforcing steel placed per S2.01. Concrete delivered by Concrete Nor'West, pumped to placement & vibrated to consolidate. Mix #0260A placed for F'c=2500 psi concrete at 28 days. Slump averaged: 6", Concrete temperature: 650 and Water -Cement ratio: .35. Total yardage placed: 51 cubic yards. 2. Auger cast pile inspection of 20" diameter piles: Grout placed at Pile #'s 635, 617, 596, 597, 616, 636, 728, 601, 602, 623, 622, 753 and 752. Reinforcing steel for cages placed per S1.02/9, RFI #002 and RFI #015. Grout delivered by Cadman & pumped to placement. Mix #5G00149 placed for F'c=5000 psi grout at 28 days. Grout temperature: 660 and Water -Cement ratio: .44. Total yardage placed: 63 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS INC 51°F Lynnwood 0080 , Weather: 20225 Cedar Valley Road 12.57 Ingredient Weight (per cu.yd) Suite 110 Grout 28 4 x 8 0 0.00F Lynnwood WA 98036 Q NA 01/04/12 0004 0082 ph 425.742.9360 Cement --Type I & II CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 01/12/12 Fly Ash 73.0 Sample Set ID: 277660 13141 Edmonds, WA Stabilizer 52.0 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering lbs Sample Temp. Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C39 and C109 Air Temperature: 51°F Actual % Mix Proportions: 0080 01/11/12 Weather: Rain 12.57 Ingredient Weight (per cu.yd) Product: Grout 28 4 x 8 0 0.00F 0.00 Q NA 01/04/12 0004 0082 02/01/12 Cement --Type I & II 939.0 lbs Supplier: Cadman 0083 Fine Aggregate 1,931.0 lbs Batch Plant Location: Q NA Fly Ash 73.0 lbs Ticket Number: 13141 Stabilizer 52.0 oz MixDesign ID: 5GO0149 Water 461.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 77°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (f'c) 0.456 Fluid 01/05/12 5000 psi @ 28 days Placement Location and Notes: Piles 699, 651, 700. Sampled at 18 of 54 cubic yards total. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, 6109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/04/12 0004 0080 01/11/12 0 4 x 8 55270 4.00 12.57 4400 T 01/04/12 0004 0081 02/01/12 28 4 x 8 0 0.00F 0.00 Q NA 01/04/12 0004 0082 02/01/12 28 4 x 8 0 0.00 0.00 Q NA 01/04/120004 0083 02/01/12 28 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance'with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 : "recording field temperature" MAYES TESTING ENGINEERS, INC. soaoeofce _. 20225 Cedar VaVey Road Suite 11 o LWmmxd, WA98036 Project No. � L11583 ph 50 fax 425.745.1737 fax 25.745.1 3 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Office Permit No. BLD20110815, BLD20110816 10029S.TaoomaWay Suite E_2 Bldg Dept. City of Edmonds Taowm,WA98499 ph 253.584.3720 W 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Pro"tia"dofce Engineer CT Engineering NE SSia1'b1119 33rd Drive Contractor Pennon Construction Company, Inc. Paland, OR 97211 ph 503.281.7515 fax 503.281.7579 Record No. 015 Date 1/23/12 Weather Sunny Inspection Reinforced Concrete Sample(s) (6) 4x8" cylinders Permit No. BLD20110815 Observed the placement of and sampled from (18) total cubic yards of project approved CNW concrete mix.02600 placed for Detention Vault Walls from top of footing to the bottom of vault lid. Concrete was placed by pump with mechanical consolidation. Four 4x8 cylinders were cast for 4000 F'c compliance testing and two field cure cylinders were cast at the contractor's request. Reinforcing steel was inspected per details on 52.01 of approved plans and Concrete Technology Corp. placement plan, sections and General Notes Drawing No P-1. To the. best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Keith Dohrman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. seatueofrce 20225 Cedar VaLey Road Suite 110 Lynnwood, WA98036 ph 425.7429360W425.745.1737 Project No. L11583 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA ra�ofrroce 10029 S. Tamara Way Permit No. BLD20110815, BLD20110816 SuL-E-2 Bldg Dept. City of Edmonds Tamma,WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Porvandofice Engineer CT Engineering 7911 NE 33rd Drive Suite 190 Contractor Pennon Construction Company, Inc. PortlarxJ,OR97211 • ph 503281.7515 fax 503281.7579 Record No. 015 Date 1/23/12 Weather Sunny Inspection Reinforced Concrete Sample(s) (6) 4x8" cylinders Permit No. BLD20110815 Observed the placement of and sampled from (18) total cubic yards of project approved CNW concrete mix 02600 placed for Detention Vault Walls from top of footing to the bottom of vault lid. Concrete was placed by pump with mechanical consolidation. Four 48 cylinders were cast for 4000 F'c compliance testing and two field cure cylinders were cast at the contractor's request. Reinforcing steel was inspected per details on 52.01 of approved plans and Concrete Technology Corp. placement plan, sections and General Notes Drawing No P-1. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Keith Dohrman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. Seateofice -,.. 20225 Cedar Val Road suit 110 Lynrmcod, WA98036 Project No. L11583 �a25.745.177337 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Ta=naofice Permit No. BLD20110815, BLD20110816 10029S.TaoxnaWay Su�eE_2 Bldg Dept. City of Edmonds Tao=,a, WA 98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group PordandoRiae Engineer CT Engineering 7911 1r 033rdDme Contractor Pennon Construction Company, Inc. Patird,OR97211 ph 503281.7515 fax 503281.7579 Record No. 011, Date 1/10/2012 Weather Partly Cloudy Inspection Auger Cast Piles Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 Auger cast pile inspection of 20" diameter piles: Grout placed at Pile #'s 620, 592, 618, 671, 695, 598, 615, 599, 635, 624, 621 and 727. ' Reinforcing steel for cages placed per S1.02/9, RFI #002 and RFI #015. Grout delivered by Cadman & pumped to placement. Mix #5000149 placed for F'c=5000 psi grout at 28 days. Grout temperature: 74° and Water -cement ratio: .43. Total yardage placed: 63 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES. TESTING ENGINEERS, INC 20225 CedaardValley Road _ Suite 110 Lynnwood WA 96036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Harbor Square Athletic Club Project No: L11416 Site Address: 160 W Dayton Street Issued on: 01/11/12 Edmonds, WA Sample Set ID: 277640 Client: Harbor Square Athletic Club Permit # (s): BLD 2009-0530 Engineer: Contractor: CT Engineering Wilcox Construction (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) FIELD DATA Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) . Area Strength (psi) Type of Fracture 01/03/12 0005 ASTM C31 and C172 F-7-1 4 x 8 38960 4. 0 071 3100 Air Temperature: 583°F Actual Mix Proportions: 0.00 QF A 01 /03/12 1 Weather: Overcast . 0 0.00 Ingredient Weight (per cu.yd) Product: Concrete 0 0.00 0.00 NA Cement --Type I & II 400.0 lbs Supplier: Cal -Portland Coarse Aggregate 3/4" 1,861.0 lbs Batch Plant Location: Fine Aggregate 1,534.0 lbs Ticket Number: 499306 Fly Ash 77.0 lbs MixDesign ID: 1944 Water 152.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 58°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) 0.319 4.25" 01/04/12. 3000 psi @ 28 days Placement Location and Notes: Westernmost plinths at 4/G. Remarks: Technician(s): Szurek, S. Tested by: Cook, B. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) . Area Strength (psi) Type of Fracture 01/03/12 0005 15213 01/10/12 F-7-1 4 x 8 38960 4. 0 071 3100 01 / 0-3 /1 21F0005 1 1 01/31412 IF28 4 x 8 0F0.007F 0.00 QF A 01 /03/12 1 01/31/12 IF28 4 x 8 0 0.00 01/03/12 0005 15216 01/31/1228 4 x 8 0 0.00 0.00 NA Remarks: Technician(s): Szurek, S. Tested by: Cook, B. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 01/11/12 Edmonds, WA Sample Set ID: 277642 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 53°F Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: lbs Ticket Number: 47306 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Actual Mix Proportions: Ingredient Cement --Type I & II Fly Ash Stabilizer Water Sample Temp. Initial Storage Temp. I Air Content lbs (ASTM C1 (ASTM C31) (ASTM C231) lbs 80°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (f'c) 0.421 Fluid •� 01/04/12 5000 psi @ 28 days Placement Location and Notes: 01 /31 /12F2811 Auger cast piles #705, 697, 698. Sampled at 36 of 45 cubic yards total. Weight (per cu.yd) 940.0 lbs 74.0 lbs 52.0 oz 427.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/03/12 0003 15223 01/10/12 0 4 x 8 55820 4.00 12.57 .4440 T e 5 ` 01/03/12 0003 1522401/31/12 28 4 x 8 0.0.00 0.00 Q NA 01 /03/12 0003 15225 01 /31 /12F2811 4 x 8 0 0.00 0.00 NA 01 /03/12 0003 15226 01 /31 /12 F2 8-1F 0.00 0.00 NA Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers,,lnc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 -"recording field temperature" MA YES TESTING ENGINEERS, INC. Sealde ofoe _ 20225 Cedar Valey Road suite 110 Lynnwood, WMW36 Project No. � L11583 25 742M ph425.745.173 fax 425.745.1737 Project Premier Orthopedic Group Building . Address 21401 72nd Avenue West, Edmonds, WA Tamm Office Permit No. BLD20110815, BLD20110816 10029 s. Tacoma Way SL&E_2 Bldg Dept: City of Edmonds Tacoma, WA 98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Podandofce Engineer CT Engineering 7911 3rdDnve 190 Contractor Pennon Construction Company, Inc. Patand, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 010 Date 1/9/2012 Weather _ Cloudy Inspection Auger cast Sample(s) (4) 4x8" cylinders Auger cast pile inspection of 20' diameter piles. Grout placed at piles #627, 670, 589, 590, 591, 619, 593, 594, 595, 614. Reinforcing steel placed per S1.02/9, RFI 002, RFI 015. Grout delivered by Cadman and pumped to placement. Mix #5000149 placed for F'c = 5,000 -psi grout at 28 days. Grout temperature: 770 , water -cement ratio:.42. Total yardage placed: 54 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERSi INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Narimer Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 01/23/12 Edmonds, WA Sample Set ID: 277784 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 40°F Weather: Partly Cloudy Product: Grout FIELD DATA ASTM C39 and C109 Actual Mix Proportions: Ingredient Supplier: - Cadman Cement --Type I & II Fine Aggregate Batch Plant Location: Sky River Fly Ash Ticket Number: 14256 Stabilizer MixDesign ID: 5GO0149 Water Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 65°F NR % Water/Cement Ratio: Slump (ASTM C143) I ecd: I Required Strength: (f c) Weight (per cu.yd) 938.0 lbs 1,934.0 lbs 76.0 lbs 52.0 oz 455.0 lbs 0.449 Very fluid 01/16/12 5000 psi @ 28 days Placement Location and Notes: Piles 722, 723. Sampled at 1.8 of 45 cubic yards total. EARLY STRENGTH COMPRESSION TEST RESULTS -APPEARS QUESTIONABLE (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01/13/12 0012 0671 01/20/12 F7 4 x 8 35010 4.00 .12.57 2790 T e 3 ' 01 /13/12 0012 0672 02/10/1228 4 x 8 0 0.00 0.00 Q NA 01/13/12 0012 0673 02/10/12 28 4 x 8 0 0.00 0.00 Q NA 01/13/12 0012 0674 02/10/12 28 4 x 8 0 0.00 0.00 Q NA Remarks: Todd Wirtz of MTE notified of possible low.break on 01/20/12. Technician(s): Gibson, J. Reviewed by: Tested by: Cook, B. Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MA YES TESTING ENGINEERS, INC. wattle Office Weather Cloudy 20225 Cedarva0ey Road Auger Cast Sample(s) Suite 110 Lynnwood, WA98036 Project No. L11583 ph 425.7429360 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacorna Office 10029 S. Taoarrra Way Permit No. BLD20110815, BLD20110816 Suite E-2 Bldg Dept. City of Edmonds Tacoma, WA 98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group PordandOffice Engineer CT Engineering �N�33rdo�e Contractor Pennon Construction Company, Inc. Poraar,d,OR97211 ph 503.281.7515 fax 503281.7579 Record No. 009 Date 1/6/2012 Weather Cloudy Inspection Auger Cast Sample(s) (4) 4x8" Cylinders Auger cast inspection of 20" diameter pile: Grout placed at Pile #'s 669, 630, 748, 751, 750, 749, 506, 631, 606, 642, 628, 226, 638, 668, 747 and 629. Reinforcing steel for cages placed per S1.02/9 and RFI #002. Grout delivered by Cadman and pumped to placement. Mix #5G00149 placed for F'c=5000 psi grout at 28 days. Water -cement ratio: .42 and Grout temperature: 720. Total yardage placed: 72 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. seatdeOffice _ .. 20225 Cedar VaOey Road Suite 110 Lynrrnmood, WA 98036 Project No. � L11583 ph 429360 fax 425745.173 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West,. Edmonds, WA Tacoma Office Permit No. BLD20110815., BLD20110816 10029 S. Tacoma Way Suite -E-2 Bldg Dept. City of Edmonds Taoom ,WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Fbrda"dof°e Engineer CT Engineering7911. NE33dt>rive SUte 190 Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503281.7515 fax 503281.7579 Record No. 014 Date 1/13/2012 Weather Clear Inspection Auger Cast Piles and Rebar Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 1. Auger cast pile inspection of 20" diameter piles: Grout placed at Pile #'s 761, 712, 729, 722, 723, 718, 717, 716 and 603. Reinforcing steel for pile cages placed per S1.02/9, RFI #002 and RFI #015. Grout delivered by Cadman, and pumped to placement. Mix #5000149 placed for F'c=5000 psi grout at 28 days. Water -cement ratio: .44 Total yardage placed: 45 cubic yards. 2. Rebar inspection of detention vault walls: Reinforcing steel & water stop placed per vault wall sections of S2.01. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Premier Orthopedic Group Building Project No: L11583 Site Address: 21401 72nd Avenue West Issued on: 01/17/12 Edmonds, WA Sample Set ID: 277706 Client: First Western Development Services Permit # (s): BLD20110815 Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. Air Temperature: 46°F Weather: Cloudy Product: Grout Supplier: Cadman Batch Plant Location: Monroe Ticket Number: 13628 MixDesign ID: 5GO0149 FIELD DATA ASTM C39 and C109 Actual j Mix Proportions: Ingredient Cement --Type I & II Fine Aggregate Fly Ash Stabilizer Water Sample Temp. Initial Storage Temp. I Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 77°F NR % Water/Cement Ratio: Slump (ASTM C143) t Sample(s) Rec'd: Required Strength: (f'c) 0.421 8" 01/10/12 5000 psi @ 28 days Placement Location and Notes: 02/06/12 28 Auger cast piles #627, 670. Sampled at 9 of 54 cubic yards total. Weight (per cu.yd) 941.0 lbs 1,948.0 lbs 75.0 lbs 52.0 oz 428.0 lbs Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01/09/12 0007 0307 01/16/12 07 4 x 8 63850 4.00 12.57 5080 T e 3 01/09/12 1 F2_8_1I NA F01/09/121 r 0309 02/06/12 28 4 x 8 0 0.00FO.007 NA 01 / 0 9 _/1 2J F 0007 0310 02/06/12 28 4 x 8 0 0.00 I0.00 Q NA Remarks: Technician(s): Gibson, J. Reviewed by: Tested by: Cook, B. --Z Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050.1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Premier Orthopedic Group Building Project No: Site Address: 21401 72nd Avenue West Issued on: Edmonds, WA Sample Set ID Client: First Western Development Services Permit # (s): Engineer: CT Engineering Contractor: Pennon Construction Company, Inc. FIELD DATA ASTM C30 and C109 Air Temperature: 39°F Actual Mix Proportions: Weather: Partly Cloudy 1,918.0 Product: Grout lbs Supplier: Cadman 436.0 Batch Plant Location: Monroe Sky River Lab # Ticket Number: 13739 Area MixDesign ID: 5GO0149 0388 Sample Temp. 4 x 8 61140 4.00 Initial Storage Temp. Air Content 01/10/12 0008 (ASTM C1064) 02/07/12 281 (ASTM C31) (ASTM C231) 74°F NR % Water/Cement Ratio: 0.00 Slump (ASTM C143) Sample(s) Rec'd: 0391 0.431 Fluid 01/11/12 Placement Location and Notes: Piles #618 & 671. Sampled at 18 cubic yards of 63 cubic yards total. Ingredient Cement--Type.1 & II Fine Aggregate Fly Ash Stabilizer Water Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 L11583 01/17/12 277723 BLD20110815 Required Strength: (f'c) 5000 psi @ 28 days Weight (per cu.yd) 939.0 lbs 1,918.0 lbs 73.0 lbs 52.0 oz 436.0 lbs Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager . . Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval,of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 01/10/12 0008 0388 01/17/12 07 4 x 8 61140 4.00 12.57 4870 T e 2 01/10/12 0008 0389 02/07/12 281 4 x 8 0.00 0.00 01 /10/12 0008 0390 02/07/12j F-28-11 4 x 8 " 0.00 0.00 NA 01/10/12 0008 0391 02/07/1228 4 x 8 0.00 0.00 NA Remarks: Technician(s): Gibson, J. Tested by: Cook, B. Reviewed by: Timothy G. Beckerle, P.E. Branch Manager . . Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval,of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. seatde Office - 20225 CedarVaDey Road Suite 110 Lynnwood, WA98036 Project No. ` 1 L11583 ph 425.7429360 fac 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Taconaoflice Permit No. BLD20110815, BLD20110816 10029 S.TacornaWay SuiteE-2 Bldg Dept. City of Edmonds Tac«na,WA98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group Po dandMe Engineer CT Engineering 7911 19033rrdDnve Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503.281.7515 fax 503.281.7579 Record No. 005 Date 12/30/2011 Weather --- Inspection Auger Cast Sample(s) (4) 4x8" Cylinders Permit No. BLD20110815 Auger cast pile inspection of 20" diameter pile: Grout placed at Pile #'s 745, 744, 734, 735, 680, 681, 661, 682, 662, 683, 684, 685, 665, 686, 654, 655, 679 and 678. Reinforcing steel for cages placed per S1.02/9 and RFI #002. Grout delivered by Cadman, pumped to placement and vibrated to consolidate. Mix #SG00149 placed for F'c=5000 psi grout at 28 days. Water -Cement ratio: .42. Total yardage placed: 63 cubic yards. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jim Gibson Reviewed Bv: ; --2 Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. seatde Office -- - 20725 Cedar VaEey Road — Suite 110 Lpv ood, WA 98036 ph 425.742.9360 Project No. L11583 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Office 10029 S. Taoana Way =29S.Taoa Permit No. BLD20110815, BLD20110816 We E-2 Bldg Dept. City of Edmonds Tacm-a: WA 98499 ph 253.584.3720 fax 253 584.3707 Owner First Western Development Services Architect Donahou Design Group ce �rdD 79111NNEE 33rd Drive Engineer CT Engineering Suite 190 Contractor Pennon Construction Company, Inc. Portland, OR 97211 ph 503.281.7515 fax 503281.7579 Record No. 003 Date 12/23/2011 Weather Cloudy Inspection Project management Sample(s) N/A At the construction site discussed with Pennon Construction- Jeff Sill, our scope of inspections to include the following items: Reinforced concrete, auger cast piles; post -tension concrete, proprietary anchors; masonry, structural steel fabrication and erection, and pre -cast. The precast will be fabricated at Olympian Precast, where we will verify welder certifications and do visual welding inspection on embed plates: The structural steel fabricator has not yet been selected by the general contractor. There will be a pre -construction meeting for the post -tension concrete. Left a jobsite clip board for posting field reports. Went over a Mayes Testing Engineers (MTE) inspections checklist and the MTE special inspection log for tracking nonconforming or preliminary inspections with Jeff Sill. Pennon Construction- Jeff Sill notified us that the auger cast pile installations to commence next Thursday. Mayes Testing- Jonathon Peters made an inspection to look at the reinforcing steel cages being fabricated at Addison in Tacoma, WA today. Cages are being fabricated per contract documents, with the vertical bars having 90 -degree hooks being turned inboard per approved RFI #2. Inspector: Todd Wirtz Reviewed By: Timothy G. Beckerle, P.E. Branch Manag.er Page 1 of 1 MA YES TESTING ENGINEERS, INC. searae Ofibe- 20225 Cedar VaLey Road SUL.110 LynmNiDod, WA98W6 Project No. � L11583 25.7429360 ph425.745.173 f�c 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tacoma Permit No. BLD20110815, BLD20110816 =29office S2.TaoxnaWay 2. Bldg Dept. City of Edmonds Tao3na, WA 98499 ph 253.584.3720 tax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group aor&-mdoffice Engineer CT Engineering 33rd Drive 7su�110 Contractor Pennon Construction Company, Inc. Pordand,OR97211 ph 503.281.7515 fax 503281.7579 Record No. 002 Date 12/23/2011 Weather Cloudy Inspection Reinforcing steel Sample(s) N/A At Addison Construction Supply, Inc. fabrication yard for inspection of reinforcing steel for 20' MK 8101 pile cages. Verified correct size, grade and spacing of reinforcement. Pile cages were made without splices needed. Inspected a total of 38 cages of mark number listed above. On site, Mayes Testing Engineers inspector Todd Wirtz confirmed the use of RFI #2, permitting the reinforcement "tails" to be pointed to the center of the pile. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jonathan Peters Reviewed By: Timothy G. Beckerle, P.E. .Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. seatde Office 20225 Cedarvaley Road SULe110 Lynrneuod, WA 98036 Project No. L11583 ph 425.7429350 fax 425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Ta=naoffw Permit No. BLD20110815, BLD20110816 10029 S.Tam-mWay SL& -E-2 Bldg Dept. City of Edmonds TacornamA98499 ph 253.584.3720 r fax 2535843707 Owner First Western Development Services Architect Donahou Design Group PordmdOffice Engineer CT Engineering 79 e111 033rdDme Contractor Pennon Construction Company, Inc. Poruand,OR97211 ph 503281.7515 fax 503281.7579 Record No. 002 Date 12/23/2011 Weather Cloudy Inspection Reinforcing steel Sample(s) N/A At Addison Construction Supply, Inc. fabrication yard for inspection of reinforcing steel for 20' MK 8101 pile cages. Verified correct size, grade and spacing of reinforcement. Pile cages were made without splices needed. Inspected a total of 38 cages of mark number listed above. On site, Mayes Testing Engineers inspector Todd Wirtz confirmed the use of RFI #2, permitting the reinforcement "tails" to be pointed to the center of the pile. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jonathan Peters Reviewed By: ,f Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. SeatdeOfice 20225 Cedar Valley Road SUL. 110 Lynnwood, WA98036 Project No. L11583 ph 425.7429360 fax425.745.1737 Project Premier Orthopedic Group Building Address 21401 72nd Avenue West, Edmonds, WA Tac100229 S. TaS.TOffice Tamm way Permit No. BLD20110815, BLD20110816 SSE -2 Bldg Dept. City of Edmonds Tacorna, WA 98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group PorbndOffim Engineer CT Engineering 7911 NE 33rd Drive suite 190 Contractor Pennon Construction Company, Inc. Pordard, OR 97211 ph 503.281.7515 fax 503281.7579 Record No. 003 Date 12/23/2011 Weather Cloudy Inspection Project management Sample(s) N/A At the construction site discussed with Pennon Construction- Jeff Sill, our scope of inspections to include the following items: Reinforced concrete, auger cast piles, post -tension concrete, proprietary anchors, masonry, structural steel fabrication and erection, and pre -cast. The precast will be fabricated at Olympian Precast, where we will verify welder certifications and do visual welding inspection on embed plates. The structural steel fabricator has not yet been selected by the general contractor. There will be a pre -construction meeting for the post -tension concrete. Left a jobsite clip board for posting field reports. Went over a Mayes Testing Engineers (MTE) inspections checklist and the MTE special inspection log for tracking nonconforming or preliminary inspections with Jeff Sill. Pennon Construction- Jeff Sill notified us that the auger cast pile installations to commence next Thursday. Mayes Testing- Jonathon Peters made an inspection to look at the reinforcing steel cages being fabricated at Addison in Tacoma, WA today. Cages are being fabricated per contract documents, with the vertical bars having 90 -degree hooks being turned inboard per approved RFI #2. Inspector: Todd Wirtz Reviewed By: iw� 1_2 Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MA YES TESTING ENGINEERS, INC. SeameOfbce Weather Cloudy 20225 Cedar VaOey Road Building pre -construction meeting } Suite 110 Ly "vood, WA 9M36 ph 425.742.9360 Project No. L11583 fax 425.745.1737 Project Premier Orthopedic Group Building Address . 21401 72nd Avenue West, Edmonds, WA Tacoma om 10029 S. Taarna Way Permit No. BLD2.0110815, BLD20110816 SuiteE-2 Bldg Dept. City of Edmonds Tacoma, WA 98499 ph 253.584.3720 fax 253.584.3707 Owner First Western Development Services Architect Donahou Design Group 7911 NE O 7911 NE 33rd Drive Engineer CT Engineering Sute190 Contractor Pennon Construction Company, Inc. Pua d,OR97211 ph 503.281.7515 - fax 503281.7579 Record No. 001 Date 12/19/2011 Weather Cloudy Inspection Building pre -construction meeting Sample(s) N/A . Attended the initial pre -construction meeting at the City of Edmonds building department facility. The eighty auger cast pile installations are due to start by the end of the month with a two -and -a - half -week duration. We asked Pennon Construction Company, Inc. site superintendent- Jeff Still if the rebar cages are being fabricated on site or if off site to have an initial special inspection to verify cages built to contract documents prior to shipping to the jobsite. Jeff contacted me this afternoon and stated that Addison Construction in Tacoma, WA will be doing the fabrication starting later this week. We will coordinate initial reinforcing steel inspection with Addison Construction at their yard this week. From the meeting, initial scope of construction activity will be for the build -out (shell and core). Another separate permit will be issued for the TI (tenant improvement). There will be an upcoming pre -construction meeting for the post tensioning concrete. After the meeting, we went over the permitted set of drawings for structural inspections with City of Edmonds building official- Leif Bjorback. Our inspections will include the following: auger cast piles, reinforced concrete to include anchor bolts in concrete, pt concrete, welding, proprietary anchors, structural steel fabrication and erection includes high strength bolting, 8" hollow core plank tie into vault lid, seismic attachment of mechanical and electrical components, exterior cladding , reinforced masonry, lateral framing. Inspector: Todd Wirtz Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1