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Home My WebLink About939 Caroline St Technical Special Reports from 1998 - Building11/03/98 10 58 '1360 452 8498 NTI ENG & SURVEY 0 001/001 NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION �( REPORT # TT GOryowom Coar*ww� A4twws T"ft �/ ATI nt $Mm PEAMY, PORT AMMLEa WA904109 MMZ (M) 452-4401 DATE /yv� h 8 TGj.► FM (M) 04-0". FAX (3W) 462- e PROJECT nn,s... / 5 ) ar-a ✓ CLIENT QLYw.�P L ►.�Ee�.a�:a_ts �i9_il'L�Vii.. CONTRACTOR gc �S.ic 4 vf_v� ? N , P > SUPERINTENDENT INSPECTION ORDERED BY t-- 2 p -A- INSPECTOR wEATHER O v t~,Zc ,roc INSPECTOR ARRIVED: E9 , AD DEPARTED:_ 4), o D c- -T7 (Z IN .�►r_i_c Off' WT o P ? t I e, .. t c2 f: t` I e- c--r K rAJ V%^ c T. e- AA .,, ... c -ro S -- tl�Q 2£y� rati_ *[G rf_'t'. rl At i�f«.� F Pn n g`OT'i0C- - .-,t G_\2%T(NC lL e4. REINSPECTION REQUIRED 0 YES Q NO 10/28/98 09 51 $360 452 8498 NTI ENG & SURVEY 0001/001 NORTHWESTERN TERRITORIES, INC JOB CONSTRUCTION fiqrwwv Lw&rvvrwi Fw~41 cwto&MOM c-p*'*Uo*M REPORT # --- - MT17j7 as KA' *=. V%l Uff-Lfl- WAWIC79% Mn OWI 462-441 DATE: 10- 7-0 '7!5 PROJECT 7 v CLIENT L- I CONTRACTOR SUPERINTENDENT R -e INSPECTION ORDERED Ery rZu by INSPECTOR WEATHER INSPECTOR ARRIVED: aj. a o DEPARTED-_ 0). 7s.0 t'vl" 1p r- e T. 7gL.UA M 1 IS4 4LC- v A -r fe &f5 Aft. V- cx C3, -r I 1q.- c t --j s Vk It' rz p (Z r. r e jr- F2. c? 0 I -r.j 0- c - C , !1�_� n ttit r+ 4, t on v -j ki 4i ............... REINSPECTION REOUIRE0 0 YES lff',NO PORT ANGELES FIRE DEPARTMENT Fire Alarm System Plan Review . Project Name: OMHOne East Address: .939 Caroline Installer- Federal RrO'Ahot Telephone. 457-3308 Type of System— Addressable R-3 Q -R-1 Q Cony -0 - Date: October 4 5; 1998 Permit #98-8 We have checked this plaft-afid'fifidthat-it cbnfditn§ to -the requirements! -6f-our4ordih&id& with -the following exceptions The notification devices shall be tied into the fire alarm panel'syoice communications paging system. The paging zone shall be consistent with the 'pre -determined fire zones identified in the letter andmap sent to Olympic Memorial Hospital on June 19, 1998 2. The Fire Department recommends that strobenotification devices -are install6d--ifithepublic restrooms identified on the plans as restroom -# *l 02'and-,resttb6ffi,# 103' 3 A speaker/strobe notification device shall be placed in -the dodtbi?'06unge-As ihdidWd an the. plan sheet. Additionally - 1 The system shall be installed as prescribed -in applicable NFPA'72. 2. Fire alarm wiring to be done in accordance with PAMC and Washington Administration Code. 3 A final field acceptance test will be conducted to ensure compliance with applicable codes and ordinances before final approval is given. 4 Ari installation inspection and acceptance testing fee will be invoiced, after final testing of this construction phase is completed. EJ Contractor Reviewed By Building Department ❑ Light Department ❑ Fire Copy Date W FP - 6 Page 1 of 1 NT I ENG & SURVEY (M001/001 10l2$l9$ 09 28 $'36Q 452 8998-- --- NTI MATERIALS TESTING LABORAToRY COMPRESSIVE STRENGTH TEST 717 S. Peabody Port Angeles, WA A83e2 SPECIMEN TRANSMITTAL & TOY RESULTS FORM (390) 462-8491 Fax (3E0) 452.8488 For ant Protect ep"ma n Wick oompi to na.ns for naadct traaantisad. _ i Materiel Type: 01 Concrete 0 Mortar C3 Grout 2. Number of Specimens: 01 0 2 © 3 0 4 M 6 BILLING INFORMATION It no opan rob =count or aoaw Pt Ijeot 10, must go ehrauph &wkw" manager MR. 0 lab Account # 0( Project Account 10 Project Manager 3. Taming Sequence Requested (days after cwWng): Q Standard A 0 Standard 8 o Standard C Ot 0dw (specify 7,28.28. Holt 7,28,28 28.26 S,'! 01 2$.2$ 4. Date Cast: S6 ` 5. Cast 6. Material Suppw d by: A t -J(-7 cam- , Codma—=a C j Q Pre -paid (required It not on eaacuat ese fever) 7 Ci?iwactor 8. Dade Recd In Lab: T 9. Recd by: AlIt I, MATERIAL. SPECIFICATIONS SLUMP TEMPF3i URE AIR CONTENT UNIT WEIGHT DESIGN ACTUAL Required Compressive Strength,- _ b psi Days Additional Rega:, G..,rA,:,: COMPONSNTS/MISCELLANEOUS Cement Type: No. of Sacks/C.Y Load Size: C.Y Admix Amount/Brand/Type* Admbc Amount/Band/Type: Coarse Aggregate: Fine Aggregate: weadw Air Tajmp- Rematrks/LQt:ation of Concrete Placement. i .. C. -C. v8,-1 OF - specimen i~ Specimen Control #--7—"7 EST RESULTS (To BE FILLED OUT 8Y NTi PERSONNEL ONLY) spedrrron 0 Spscfman Type Teat @ Daye Tweed Gy Oro Tested Cal) enm* Toes! TYPO t� Unit load Area PSI A !�a',e�x I�� ktP to-5-�8 N► C�3lc►oa a8 a1 3co4a NV5 509 C 14 k ff' 10 -t4 -q NwS t3 ► 1000 t 3 a o xe ?+b to- 8-48 ty stmt dal ay �taQo � ' as FCMS !o-a8-4� NV Lt�-? oa0 Jew )xWerft about breaks: w100105%w . _Am M 08124/98 MON 11 00 FAX 206 °441 0478 MAHLUMt ARCHITECTS Z 001 M d r & i t e G t$ DATE: epirt I ail, A H L U f PROJECT NOt TZI Fax Tiransminal PROJECT NAMR, Olympic Memorial Hosptial-2 Main/Surgery Remodel p�., -� Z,3t a 5Qc f tav4 -7 1'b ► o DESCRIPTION O8 TRANBiyEE38EONr 1"T ► ��% US M10 -71% r► NVMIEER OF PAGER )INCLUDING COVER PAGE)e (' rROMr ❑ Vince Nordf6rs, Principal A Gary Braun, Project Architect ❑ Dan Jardine, Project Manager TOr NAMES FIRMr TITLEt FAX OR 80 NO; ❑ Mike Glenn Olympic Mem. Hospital Administr 360-452 7391 ❑ Mary Romstadt Olympic Mem. Hospital Surgery 360-452-7391 ❑ Lairs Polf Olympic Mem. Hospital RN, Mgr 360-452 7391 ❑ Bert Hutley Olympic Mem. Hospital Facilities 360-452-7391 ❑ Rob Unkietter The Unkletter Assoc Owner Rep. 360-457-4408 �( LOU 1NAE140J qtr 1! J c1T•Q of P9T AarA%& s 5(0 p - 4' 1-1 - Of (a ca, ❑ Jerry Newlin NTI Principle Eng. 360-452-8498 �.i.fio�tt3[- Facility Support, Inc. Principal 206-622-5804 KI�{�orbe�ttoLrhhK. Cl Sparling Project Eng. 206-667-0554 ❑ Steve Sandhorst Martens/Chan Project Eng. 206-298-9876 ❑ lune Haguewood Distinctive Designs Interiors 360-452-6638 ❑ Mike Curran Berschauer Phillips Manager 360-943-5868 A Byron Courtright Job Site Superinten. 360-417-6821 0 Kasey Wyatt Berschauer Phillips Project Eng. 360-943-5868 COMMBNTBr LOU 'o 2505 'C N1S 'Oil AAs, oc vftw %AJ6 S sle",i,J f� CO'gQ11pt112., Third Avenue C•103 GOOF htiw%-Z5► Na 'FtK /SMo1GE SOA-Onft . suite 219 seetae, WA if SKEVT MCF -r&.. IS (*Arf141a1�` �IGk•N ESS.. Chit/ WE 98121 TAS- ft-tAse e -ALL ME Al Z10(v SkL 4-115(v 9► f ... 1Rt4o tJtw 206 441 4151 fmAsE c Kect, Ca A6t OF E ktiSYt a sib 7 t"'!1"cTeti 1... aoe 541 o47s (e)Mehlum Architects 1998 Farm 103105/98 MARL ARCHITECTS 9002 ©rJo2Li gi-J u;30 � 114'J FAX .Zana")iain,"g� PAGE 01/01 13ER3CHAUER I PHILLIPS To: Gary Braun @ Mabhim Ambitscts CONSTRUMON CO. 206441-4151. VAR 306-4414418 P.Q. Boz 11489 MrV�A . F A X No. of Pgs. / Olympia, WA 9050&1.489 C7 VLSI. Hand Delivered Main Office Phone: (360) 7WS786 REQUEST FOR INFORMATION Fac. (360) 943-068 Date: 0/21/98 BPCC No W6 site SUB No. Phone: (360) 419.6520 Fax. (360) 411-6821 Date Reply Required: J90 Project.OlympicMemorial Hospital 2 Main/Surgery Additions & Alterations Phase Numbcr_,,I. CONTRACTOR'S REQUEST FOR INFORMATION Specification NoW.__„__ Drs*ing No(s) A 2.7..2 M 23, . t AT THE FUNCTION OF 0103 AND C 120 (RADIOLOGY) THERE IS NOT ANEXISTING FIRE WALL LIKE SHOWN O A 2 1.2. THE PROJECT HAS RECEIVED A WRITTEN CORRECTION NOTICE FROM THE BUILDING INSPECTOR. FOR THIS INFRACTION M2 l I DOES NOT SHOW A FIRE DAMPER AT '. WS LOCATION (SOUTH WALL) OF CORRIDOR 0103 PLEASE REVIEW AND ADVISE, Contractor- Derscimuer PbUllps Construction Co. ARCHITWrs RESPONSE. Architectt mbum ar4w#***mrxway4or" BY (. le • Hy G. Courtright Superintendent Cost No Cost Date of Repay 08/21/88 FRI 15 50 ITX/RX NO 02821 IM001 08/24/98 MON Il 01 PAX 206 441 0478 MARLI:M ARCHITECPS 08/21/1998 17 19 13583520753945 BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located st�/vG Inspection of your work revealed that the following is not In accordance with the codes governing the work in this jurisdiction: 1*/ These corrections must be made and are not to be covered until reinsPection is MAOC W actions have been made, please clad for Inspect n Date � '+� inspector wog 8ukid4ng Divlslon Do NOT FI11MGVE THIS TAG Q 003 PAGE 01/01 08/21/98 FRI 17 20 CTX/RX NO 92871 1? 001 S97 SO -150 1f `` . �!2 SO -150 LA r,47 I 72x24 UP TO AC -2 SEE PWE 3 -11 FOR CONT 41] 1 It flHl' ei 'PROVIDE MOTORIZED DAMPERS WO DOWN 0 'PROVIDE ISOLATION ROOM SUPPLY LOW WALL GRILLE AND EXWST FOR', ROOM PRESSURE CONTROL EG -200 LOW WALL 10 5D- T -470' SD -47A TOO I)n I i 1 20:0 I 1 1 i 0 GCIV A H7,. SD - .67= 20 3 W -P.1 21 120, 08/24/98 MON 11 02 713.11-714 1994 UNIFORM BUILDING CODE 713.11 Fire Dampers. Fire dampers complying with the requirements of approved recognized standards (see Chapter 35 Part 11I) shall be installed and be accessible for inspection and servicing in the following ducted and unducted air openings at: 1 Penetrations through area separation walls or occupancy separations. 2. Penetrations of the fire -resistive construction of horizontal exit walls or corridors serving as required exits. EXCEPTION: Openings for steel ducts penetrating the required fire -resistive construction of corridors are not required to have fire dampers when such ducts are of not less than 0.019 -inch (0.48 nun)lhiclutess (No. 26 galvanized sheet steel gage) and have no openings serving the corridor. 3. Penetrations of shaft enclosures. EXCEPTIONS: 1. Duct penetrations by steel exhaust air subducts extending vertically upward at least 22 inches (559 mm) above the top of the opening in a vented shaft where the airflow is upward. 2. Penetrations of a fire -resistive floor fonningthe be= ofashaft enclosure MAY beProtected byfire damp- crs listed for installation in the horizontal position. 4. Penetrations of the ceiling of fire -resistive floor -ceiling or roof -ceiling assemblies shall be protected in accordance with Section 710.2. 5. Penetrations of an atrium enclosure element. 6. Penetrations of the building exterior required to have protected openings by Section 503. 7 Penetrations of areas of refuge. EXCEPTION: ventilation systems specifically designed and protected to supply outside air to these areas during an emergency A fire damper is not required where fire tests have demonstrated that fire dampers are not re- quired to maintain the fire resistance of the construction. The operating temperature of the. fire -damper actuating device shall be approximately 50°F (10°C.) above the normal temperature within the duct system, but not less than 160°F (71 °C.). The operating temperature of the actuating device may be increased to not more than 286°F (141°C.) when -located in a smoke -control system complying with Chapter 9 713.12 Installation. Fire assemblies shall be installed in accordance with their listing. Only fire dampers labeled for use in dynamic systems shall be installed in heating, ventilation and air -condi tioning systems intended to operate with fans on during a fire. 713.13 Signs. When required by the building official, a sign shall be displayed permanently near or on each required fire door in letters not less than 1 inch (25 mm) high to read as follows: FIRE DOOR DO NOT OBSTRUCT SECTION 714 — THROUGH -PENETRATION FIRE STOPS Through -penetration fire stops required by this code shall have an F or T rating as determined by tests conducted in accordance with U.B.C. Standard 7 5. Through -penetration fire stops may be used for membrane penetrations. The F rating shall apply to all through penetratigns and shall not be less than the required fire -re- sistance rating of the assembly penetrated. The T rating shall apply to those through -penetration locations required to have T ratings as spe- cified in Sections 709.6 and 710.3 and shall not be less than the required fire -resistance rating of the 1994 UNIFORM BUIL co co W d tu F� 0A 19. U) a Fe Z IL �ta N Z �ca FdFU W= g� a� Mcc zU0 I A W M 1W m N IILDING CODE 1994 UNIFORM BUILDING CODE 713.6.2-713.10 temperature of ball-bearing or. antifriccion•type. When spring hinges are used for door -closing purposes, not less than one half of the hinges shall be spring hinges. 713.6.3 Latch. Unless otherwise specifically penrVtted, all single doors and both leaves of pairs erector. Smoke of side -hinged swinging doors shall be provided with an automatic latch which will secure the door lard 10-3. otmally closed when it is closed. 713.7 Glazed Openings in Fire Doors, Glazed openings in fire doors shall not be permitted in al .er having been fire assembly required to have a three-hour fire -resistive rating. The area of glazed openings in a fire door required to have one- and one -half-hour or one-hour s, fire windows fire -resistive rating shall be limited to 100 square inches (64 500 mm2) with a minimum dimension otection rating, of 4 inches (102 mm). %%en both leaves of a pair of doors have observation panels, the total area of ie. Periodic in- the glazed..openings shall not exceed 100 square inches (64 500 mm2) for each leaf. assembly. Glazed openings shall be limited to 1,296'square inches (0.84 m2) in wood and plastic -faced doors shall be composite or hollow metal doors, per light, when fire -resistive assemblies are required to have a three -fourths -hour fire -resistive rating. .w Approved rat 713.8 Fire Window Size. Fire windows required to have a three -fourths -hour fire -protection rat- a in accordance inl for protection of openings in exterior walls shall have an area riot greater than 84 square feet (7.8 inner. rn) with neither width nor height exceeding 12 feet (3658 mm) and for protection of openings in interior walls shall be limited in area and size to that tested. ssemblies shall 2,7 3 and 7-4 713.9 Glazing. Glazing materials and glass block assemblies shall be qualified by tests in accor ,e requirements dance with U.B.C. Standard 7 2 (for fire doors) or U.B.C. Standard 74(forfire windows) as appro- priate for the use, and they shall be labeled for the required fire -protection rating and installed in accordance with their listing. Glazing in fire door assemblies and in fire window assemblies subject to human impact in hazardous locations as indicated in Section 24()6.4 shall comply with Section Ace as follows. 2406.3• omatic-closing 713.10 Smoke Dampers. Not less than Class 11, 250'F (121'C.) smoke dampers complying with in temperature approved recognized standards (see Chapter 35, Part UD shall be installed and be accessible for he opening a d inspection and servicing in the following ducted or unducted air openings at: feet (914 mm) I Penetrations of area or occupancy separation walls. 2. Penetrations of the fire -resistive construction of horizontal exit walls or corridors serving as re -fourths -hour IL required exits. 4 Amatic-closing EXCEPTION Openings for steel ducts penetrating the required fire -resistive construction of corridors are ting devices lo- not required to have smoke dampers when such ducts are of not less than 0.019 -inch (0.48 mm) thickness (No. the closing de- 26 galvanized sheet steel gage) and have no openings serving the corridor. - 3 Penetrations of shaft enclosures. d across a corri- EXCEPTION: Exhaust -only openings serving continuously operating fans and protected using the provi- tted by a smoke sions of Chapter 9 lose the door in 4 Penetrations of smoke barriers s as specified in 5 Penetrations of elevator lobbies required by Section 3002. 6. Penetrations of areas of refuge. ,vith automatic EXCEPTION: Ventilation systems specifically designed and protected to supply outside air to these area during an emergency. ing or reclosing A smoke damper need not be provided when it can be demonstrated that the smoke damper is not essential to limit the passage of smoke under passive conditions and the proper function of a smoke -control system complying with Chapter 9 does not depend on the operation of the damper. :n such door ex Smoke dampers may be omitted at openings which must be maintained open for proper operation of .h additional 30 a mechanical control system provided that adequate protection against smoke migration, in the shall be of the event of system failure, has been provided. 1-121 08/24/98 10 54 V360 452 8498 NTI ENG & SURVEY 16001/001 NORTHWESTERN TERRITORIES, INC. uw aff"•r" Comftwfbn CoOr"aw - Ma"WI& Teetkp 1 717 8" Fmw. pmT ui am WA"w" oueL Weal 0: -min TOIL FREE (800)04-05W FAX tW) 48i Oft PROJECT CONTRACTOR P,,t rt s e rt.. P 14 1,- 4 INSPECTION ORDERED 8Y Iib; R. Ia v 0-0 WEATHER c -)_r E rt c a r r t JOB CONSTRUCTION REPORT # DATE CLIENT U 4 •?r.w? r c- IDEM orz kf%. Hove( -t A l SUPERINTENDENT Y rL o r.t C.Ct ctT w2 t r_ ..R„ INSPECTOR W . c INSPECTOR ARRIVED: 0)-,-%o DEPARTED. f o. a o A.9- (L Q "ro Z?o F't-It .caA.4 (PvGtVIL It AT t" ortT 4. Y Pr -%MC- o o Al- a int_ C is T t_ K 1.3 t s t w.l S A P PO A. 17 Ala+l 0GA'r&1) tJ1%at_TTdtAt%4G w1.- Af<t_ 1°aA\r r r.t S, APPS-AtZt -ro t3E P17 Dvq'-4.y AC-0Wo, PAC:T ECS lb 4.0rc0 StnEG1s A, j.� . !� � P � �I L t ..t V A � , e,T 1� T? P r�o.g c. c� a �E �Z' I `'t'_ --- t r. r ez �, t_ r,., t ►� QC_ t_b e. Ca t ry E `T' es A Ts Q C- N1 o nem;� L fl. v -j c o, --j j?,- S t' f= c c _ At�h.VV�tT ST w ry n 1 ...t L r wr �(A V L.T- 1%t,QS r' _t,,, r I(_ E L �i U T t --.- t.4 t.4 1:1r`-t[-rrT DEPTxts-tIt--I SWb2n^ 0 R -AL INN. VA.t t_T nfZAAj C-3, AL Olt S i h1S - Nvtovt.,n nroT A- 5 t,i s T -c- ^^ StiST-t-M iA.trTH1M -T f4 VAtUt_—C I? I o T;,, ice- I P f RIS � A I -- A"-��t PE r`t O TA fq Li Awn w+ts APPIZ0VEI) AT TktAT '1 trt� vYG f, P F !'� ft Q `e It -O At'c 4icIG ! t;�e- -7- 4� d AJ G d .2. Aa„ _ (!s s P c- T r o ),.i _ (_ two r.f (-N OLe FA n r 1r►t OFEi GG - r RONSPECnON REQUIRED ❑ YES NO TEST REPORT COMPANY Fairwav Mechanical Contractors, Inc. Project Olvmpic Memorial Hospital Date Z� Service Tested Pont ujci,4-ee� Type of Pipe - Drawing Ref 7j Z; Specification Ref- 1 S -boo Test Pressure Test Duration PASSED FAILED Reason for Failure Comments City Inspector Tester i�gr� TEST REPORT COMPANY Fairwav Mechanical Contractors, Inc. Project Cilvmpic Memorial Hosoital Date S-- - ) Service Tested + u -n 4 - Type of Pipe e0. t2,p Drawing Ref M 3 2-1 Specification Ref 7 5-0(:)o Test Pressure 160 1 b� Test Duration 2 - PASSED /< FAILED Reason for Failure Comments City Inspector Tester TEST REPORT COMPANY Fairwav Mechanical Contractors, Inc, Project Olvmoic Memorial Hospital Date %-- — / Z —Ctk Service Tested Ve/VA A -z' Type of Pipe CQc$- r'cV, Drawing Ref W1 77 , Z k Z t1b('}� Specification Ref 1,S7000 Test Pressure 9v. , A 4--2x�-- Test Duration ZD wi.'✓L PASSED � FAILED Reason for Failure Comments T e S i � �6 � S � '� i ►�t..t City Inspector Tester vN %- 06/24/98 15 25 0360 452 8498 NTI ENG & SURVEY Z001/001 NTI MATERIALS TESTING LABORATORY COMPRESSIVE STRENGTH TEST 717 S. Peabody Port Angeles, WA 88362 SPECIMEN TRANSMITTAL a+ TEST RESULTS FORM (360) 452$491 Fax (380) 452$498 For first prolebt speotmen b&toh, oompists m"m for reautts transmute[. t Material Type: 0 Concrete ❑ Mortar d Grout l✓Ilent: i�t.Yw� iC MEn,�pr�r4c I�OW, T4( 2. Number of Specimens: O 1 0 2 133 ® 4 ❑ 5 PLQJ=- /5 v r r 3. Testing Sequence Requested (days atter casting): BILLING INFORMATION 133 Standard A 13 Standard 8 ❑ Standard C O Other (specify) k no open tab a000unt or aoti" p(Q)eet ID, must go through 7,28,28, Hold 7,28,28 28,28 eusineas Manager f1m. ❑ Lab Account # ❑ Project Account ID c2 Project Manager r ❑ Pre -paid [required If not on aamunt ass reverse) DEWN ACTUAL Required Compressive Strength: Additional Requirements: 4. Date Cast: 9-z-7./ 1h%95. Cast By: 6. Material Supplied by 4 N e.ac..v s c A N L>L 7 Contractor , e P e -C , 8. Date Recd In tab: -48g. Recd by,LMS MATERIAL SPECIFICATIONS SLUMP TEMPERATURE AIR CONTENT UNIT WBGHr szF b 40o0 nsi0 ?_ 3 COMPONENTS/MISCEUANEOUS Days Cement Type: 1-11 1 No. of Sacks/C.Y & - <--e 4 Pc r , Load Size: _ /O G.Y ML'r e'oty ►1at0 — � �y �ot2 0,r4 e 'o - °l0'-dj11- Admix Amount/Brand/Type. AdmotAmOUr%i3r8nd/Type: F��r� �..�- ri i4Z-4> _ Coarse Aggregate: ye - 14 o v P r- Y Fine A99reWe: 1440 1?` Y weather: e- , if ,,r r fz A • � I Air Temp: " • l' Remoft/Location of Cont.�t. a P1ac@merii: N VA e F U n , -T •> +t , /1 — Carnments about breaks: •. ••,•wowvc•Mna�aw.. — n, ..0 n nmii inn�tas Specimen Control # ape TEST RESULTS (TO BE FILLED OUT BY NTI PERSONNEL ONLY) Specimen Specimen Test 0 Teated Date break Tonal Wit toad f Type Mari By Tested Cap Type tAad Aro& PSI A .. s �x ,a{a - 3 -46 At Nv 8 E.(rj_ 5oz7 40$0 e f Z.a �,�C� !c 4 q tv Ngo t3S d vv q( -r E4 C 7. C&-,24 kV6 lot. 000 q 990 0- � Harp ate •�t 8 .�� E Carnments about breaks: •. ••,•wowvc•Mna�aw.. — 06/03/98 10 40 X360 452 8498 NTI ENG & SURVEY IZO02/002 NORTHWESTERN TERRITORIES, INC. J 0 R CONSTRUCTION "w st,,,.tyors F7a"" REPORT # � �/ cvmmwmm Coord6r vw - Mtttainis Tftft /f T I m SCUM PEneoor, FWT RFs, WAWWat GeJGZ ON) 452-eye1 DATE S Z 7 _ 910 Tai FAM (000) UA -5545. FAX 4380) 4"498 PROJECT 2 MAIN / SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSHAUER PHILLIPS SUPERINTENDENT BYRON COURTRIGHT INSPECTION ORDERED BY BYRON COURMIGHT INSPECTOR W C.5 WEATHER A., KA 1 ^4 r, t,1) 0 F INSPECTOR ARRIVED: `i , i o DEPARTED: m! I o '►�.- X900_ bbl to/�ti tt_ Gni,. - 2T Z.L, �,. N%G Pet-Yu4ao �o �}/�� - i'o-aa vT-Cr 7LeF''IS*4Lf.^c.4,4 J _ 4 i$V�t4 t AjLtlt�t�t7 9.40 S.} Ike_ 7t=Mp 6t `fr Si. a£ pe c.+i o9 �4+p F o.r Id Wok e- z CAST 4 t�vMr' TKottc vkov60 AT fa io SNa-itT S -f A -e 2-111c, F'L-oaa-- R.oaC -,5 -Ar ��wrrSMFb--rrt.Fcic I Ar /P oS_, �'A-vcta �' � A.iLtL��tED — /o. is sTr4,2Tc� I�OL7A -. tl.tac7 FtivrSHEf7 - tt 4i rorT t: 0.7 /r •_-, n,�t Pl..E AT i n+.t,-•>,.-0 1 T6n..- d 2 t= A 9rt/l�O /!.94' r�� fo_.r, REINSPECTION REQUIRED 0 YES 0 NO 06/17/98 09 47 '0360 452 8498 NTT ENG & SURVEY Q001/001 NTI MAmmALB TESYINo I.A ouroRY COMPRESSIVE STABNATH TEST 717 S. Peabody Port Angeles, WA 88362 SPECIMEN *TRMSMRTAL & TEST RESULTS Fow (360) 4624481 'Fax (360) 462.84489 l:er ent P stein Batt - 45MOdl MOM tar ftwft tmn1rAVA. 1 Material type: Q Concrete ❑ Mortar p Grout 2. Number d Specimens: ❑ t ❑ 2 ❑ 3 10 4 13 6 M Ivk-n.1 44 /S O sL f" 4' 3. Teswg Sequmxn Requested (days otter castinW: 8IWN4 INFORMATION IN Standard A E3 Standard 8 0 Standard C 17 Other (speom u no ops► rata •QeoiMt or Md" Mcla t rD must go through 7.28.28. Hold 7.26.8 2%0 suatnesa Manapet tint. ❑ Lab Account # 4. Date Cast: - s.o S. Cast By. 4,2C -S; Cl ftjea Account l0 �,��N. _ n Proled Marriage Tri ,.,. 6. M2deriai Supplied 6y: ria cc as*cctt . 7 Contractor (Mr -c,. 0 Pre jmW {required N not on a000unt see reveres) 8. Date Recd In Lab: �J -� i~9. Recd by._JMY3 MATERIAL SPECIFICATIONS SUMP TEMPIEPATURE AIR CONTENT twr VA30W t2rstCLN ACTUAL � 6 Required CttmpresWve Strength. A o 0 o psi r& 'ua Days Additional Requimments: COMPONENTS/MISCELLANEOUS Cement Type: i^ a No. of Sacks/C.Y S6'r 1e I Load Size: ,a C.Y Admb( Arnoutt/Brand/Type: 9S" /� a �• ix 4 SE z P-A-eS H Admix Amount/Brand/Type: ,y. ` -u34 a Coarse Aggregos. t X100 Aggregaft.- 4 6 0 t)po� Weathw- OV �.c c a rT Air Tamp: .!n " F Remarks/L,ovsOon of Concrete Piacwwnt. z "� c 01 5"D ID �,� $- A a 0 A. flPseo K -,(-- ?. r "' Specimen Control # If ri q ER I II I I ' ' I' I NTt PER50NNEL ONLY} TEST RESULTS Rv BE FILLED OUT BYPERSONNEL spednM $pedawn Tee! ® Tesbd now EMeak Total Unit Load * Typ° DAYS By Tssh+Q Cap Type Lasa Arae ?Si A (CO Kid" -7 -aB N Ni/6 87}5oo A$.a'i 3090 a toll 6 1 *400 Roo I I E Comments about breaks- . ..weuvn . . 05/26/98 09 54 0360 452 8498 NTI ENG & SURVEY [a 001/001 NTI MATERIALS TESTING LABORATORY 717 S. Peabody Port Angeles, WA M38Y (380) 452481 Fax (384) 452.8488 BILLING INFORMATION M no open lab account or aaM PmJaet ID, must go th"h &ahwm Managtrr first. ❑ tab Account V4. Date Cast: 101 a 4, 5. Cast By. 6 �. 6. Material Supplied by. r � ,- 7 C)niractor. r;E es c "&,JF r au i LI- t:25 8. Date Reed In lab: 6--A0 -18 9. Recd by. IAMB MATERIAL SPECIFICATIONS SLUMP TEMPERATURE AIR CONTENT UNIT NIBGHT COMPRESSIVE STRENGTH 'TEST SPECIMEN TRANSMITTAL dr TEST RESULTS FORM For RM PM1001 speollnM W011. oornplata NVOM tar nada v=mm9nd. 1 Material Type: ® Concrete 0 Mortar p prout 2. Number of Specimens: 01 0 2 ❑ 3 ® 4 0 y 3. Testkv Sequence Requested (days after casting): 0 Standard A 0 Standard B O Smuxlaa+d C O Other (spec" 7.28,28. Hold 7,28,28 28,28 0 Project Acom nt lD -7 -7 o s' Project Manager -t-re v4 O Pre -Palo uequired n m on aomunt we remorse} DESIGN ACTUAL ^ 'L - Required Compressive Strength:_ , a o psi 0 ZR Days Ada tionai Requirements: - COMPONENTS/MISCEUANEOUS Cement Type:►- z. No. of Sacks/C.Y _ sup a r6/,_Load Size: , o C.Y Admtu AM0UF71/8rand/iype: tpo 4 V" , AdrnbcAmount/Brand/TYpe �►..,� -- 3a ,./-. �. I Coarse Aggregate: A _ OV ''Y..,- y Flne Aggregate: IA &o fit. 1Neather Air Temp: Remarks/Location of Concrete Placement . ++ Specimen Control # !,Q I TEST RESULTS (TO BE Fit I F OUT BY NTI PERSONNEL ONLY) Specimen SPw"n Test @ Tasted oeme Break Total Lk* toad # Type Days By Tented Cep Type WWI Area PSI A 'i t18 5 - (a -a8 eK, tc 70� 000 e a$ Ie -I J C AS 6 It* -ofd o ConumM abort breaks: wMApfIpMNHRn.��1fIW 06/16/98 00 00 12360 452 8498 NTI ENG & SURNEY Z001/001 NT! MATERIALS TESTING LABORATORY 717 & Peabody, Port Angeles, WA 88362 {380) 462 i Fox (380) 462.8488 � r'^A�r v�tGcfC Y BIWNGI INFORMATION It no open tab account a Rogue project 1D, want go ti+ouOb Business MwWor ML 0 Lab Accouctt # COMPRESSIVE STRENGTH TEST SPECIMEN TRANSMITTAL & TEST RESULTS FORM Fa Plot project "nM M buaki, aotnplala i wet for nVAI ItenuftW. ..I .I Ili uhu'l I Material Type: ® Concrete 0 Mortar ),Q Grout 2. Number of Specimc s: 0 1 17 2 0 3 ® 4 t7 5 3. Testing Sequence Requested (days atter : el Standard A C1 Standard B O Standard C 13 Other (spedlyj 7,28.28, Hold 7,28,28 28,28 4. Date Cast: (�- , I - R fl 1 6. Cast By.. w G <. O Project Account ID c5tr.,kj 7 o c- 6. Materiel Supplied by:, AN jr t z. r Project Manager --J-a H ` O Prepaid (required M not on account ase revanq 7 Contractor Au I t-4 cps III Ls DES" ACTUAL Required Compressive Strength: Additional Requirements: 8. Osie Recd in tab: 5 .fib -18 9. Rec'd by.t?8 MATERM SPECIFICATIONS SLUMP TEMPEAATUFLE J AIR CONTENT UN(T WBOW 6 L y o 0 o psi (M Z f3 Days C.Y Spedmen Control # COMPONENTS/MISCELLANEOUS TEST RESULTS (Po BE FILLED OUT BY Nn PERSONM ONLY) Cement Type- t - z . Toa! ® No. of Sacks/C.Ys 6/�, ( Load Size: o Break Total um Lad Type Admk Amount/Brand/Type: V 4 1 - Tested CRF Admix Amount/Brand/Typq: Neap P� A xta� COWW Agw it- late- c tine Aggregate: m 6 o r y 701000 a4?0 s 1 Weatwr kmB AW Temp- o Remartcs/Location 0 Concrete Placement: c ".I Gray C e% qQ rz t z O C.Y Spedmen Control # jQ7 TEST RESULTS (Po BE FILLED OUT BY Nn PERSONM ONLY) Sp -kw SpedM- Toa! ® Tested 0610 Break Total um Lad Type Days ay Tested CRF Type twos Arno P� A xta� 7 i�?MB 5-a(g-48 NJ 701000 a4?0 s a$ kmB -i -lie /s NV11 n _ov0 3_14 7 G - 'dS %'i� Lo iCe'QQ► l N4-5 /08,J5 DID ��(7 D (-io�Tl (t} - E Comments about breaks: u •Vaos"I"K^Amt%w. 05/18/98 11 23 0360 452 8498 NTI ENG & SURVEY 12001/001 rj*, NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION ftft—`aw s—rm �-aff mow, c""b" 401*30 T REPORT RT # 3c NTI m OOPITX PEAM. FORT M ME& w1L2VUNOTON 89882 (380) 452 -Ml DATE Tau FIS (800) 04 -Ml. FAX (3U) +52-9495 PROJECT 2 MAIN / SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSHAUER PHILLIPS SUPERINTENDENT BYRON COURTRIGHT INSPECTION ORDERED BY BYRON COURTRIGHT INSPECTOR wC.S. WEATHER 4v X2-4 c- t'C . INSPECTOR ARRIVED: /0. z Q DEPARTED: //. D 47 Mrr r.�i C3Httts�u on. ..�-F A4ZRtvc_r� foci. _�2�S34iL .►.isa•czXot.I of sOf (a? allo&T STN`{ GrLln - t9.1 =�p z -t �,� % 7 C& 'It _ GE can Af'PFarZ.,r, -ro R PLAIC&D Ace mir,.,t.; ?Q + #_A vic A. N D S PE. C.- :� L c..00 Xc*,2-a Ar 2-4 ^bo. Z.N`� FX_ao►z.. 9'0 q- Pu- POVe iNuc pe- -c--r1o"A _ Rt;RAn ('L" C) C- F{ACC RA.SNJ Pi-,kQa-0 AI~ob4 ," r) -r S, Q= C n fa4 clPIc -I T K F. SF_ 7-e a &a, A (2E '1 n 12� G 1-1 D c V F rLT . rt kF SLAt- AL fl r3 (= I e% S L k Et 9 _7 1?' C A. GE � A.N 0 IL �.n Id b iL 1Cl A fL .T. c F i A P P 2-S 0 Y, A 2--u LA I; S %p >Z. 467A. G E MET -t�_SL YfL,esN ASID CAVA h!/IV\ Z,6S u4?'S two 7-6 X sl'ECtfc 4 ) C- G? 01 R6 p REINSPECTION REQUIRED 0 YES 90 NO 05/20/98 08 32 12360 452 8498 NTI ENG & SURVEY Q001 W1S-Welding &Inspection Services oAC roe moo. A Welding Technology Company 5821 NE Foxglove Ln. POULS60, WASHINGTON 98370 (360) 697 1771 pN FAX (360) 697 7316TO CnNTR6rTnP nwNEP WEATHER TEMP oat AM. % PRESENT AT,41T6 THE FOLLOWING WAS NOTED Ogg �^��l�.t/GA/ l�"-f %LTJ` .•" r=�- - — _____ -- _ _____ __.____-_ —__ _ _ _ __ I .� 1 � .rm ./ " w /s f /1.i � s..�' .-e�"�. / +s I � � i ? �• �.s i►..r• / lf.� �. .A � e� -� di -- - - - - - - -- ' - _: _ 1_�r f_i J .�.- .� ,.,.r .ver- a/ r- �• /� COPIES TO-- 05,20/98 08 33 0360 452 8498 NTI ENG & SURVEY fa002 (360) 697 FAX {360 TO �UnTwwC�U2\ I -ER WEATHER TEMP oA+ AR12 PRESENT AT SITE vAS NOTED 21 - /'$ w! s J.¢-!e•a.�irt- 7""/1! !.r mss_ . �.o � � </- � "7 /'Yl! fr6tts�.+ � � %l.I'f � .s� ./=T '00�� - _ r _...:' f'�` f,,. a.. Jit".✓' — ,'' _ r �! r "xrarrF,, 05/20/98 08 34 $`360 452 8498 NTI ENG & SURVEY 314/ Appendix D Form D-11 Q003 year Test date Form D-11 REPORT OF ULTRASONIC TESTING OF WELDS - _ = -r`'f - Report no. 'lvm Fi9C Weld identifirativn v Discontinuity I ! I I c ? c Distance Au L13 R T! a 1 o f C A f T y W ! 1 i f l i I 1 f i i f t / It if /_!�✓ [ 1 i A i ) 1 I t l i t 1 1 ( ! 1 I 1 f.. r �.?' �~ �/.n� bS I /w,/ t �•� _ 1 1 Ir t \F7 f 3€ l 0 .�� [ [ �•�Y -1- F I - i'_""'-'--�� i -- --1 1 I t t 1 I T Ji tell 17 181 I F I19 year Test date Form D-11 05 20/98 08 34 '0360 452 8498 NTI ENG & SURVEY Q004 v- LCGL (840)854-5545. FAX (960} 4:'8480 - - MAIN / SURGF RY CONTRACTOR SERSHAItE-P V44t, i r � INSPECTION ORDER?' INSPECTOR ARRAD: -7.40 DEPARTED- �QR�v A+aAfr.c.4c CGtre_2 150p7l.1 E D APtGF t I• C„ eouCiL r till.. 1� NJ _ r`a P -.ATS M V-'/ ..i A, r cr_ 'VI?.s..k I dtZ�.Y60 �- Y'f.OJ 4,ti Sited /0 q t<YC.s en 07 ep Vk,% I .7 !4Q rte--.._.,�.o A 11 1"'�� T,e- �.� — 4., ....:. _ < / ![ e All 10 j L U M` n •T¢M P- c 7 REINSPECTION REQUIRED 0 YES 0 NO 05/08/98 13 22 '$360 452 8498 NTI ENG & SURVEY 0001/001 NORTHWESTERN TERRITORIES, INC. FAlaularr Low 9mrerms Pam*" Cmm"w C"rowftn AMurw% Tls" 717 MOM >'N MY, PW ALES, WASiMON 00302 (360) AN -SW T06 A5 (000) W-656. FAX (300) 452 -SM PROJECT 2 MAIN / SURGERY CONTRACTOR BERSHAUER PHILLIPS INSPECTION ORDERED BY BYRON COURTRIGHT WEATHER JOB CONSTRUCTION REPORT # 7-9. DATE 'S- 0 CLIENT OLYMPIC MEMORIAL HOSPITAL SUPERINTENDENT BYRON COURTRIGHT INSPECTOR W C.S. INSPECTOR ARRIVED- '7 'So DEPARTED: t© 19' A(La.%V6.0 To Sa?.,.PL6 AI.1-40 -TL59r GCNC/ZETE Aou2 0s= (S= 'C t.0 t?��. mo2i t': ApD �(r.„ CJ Hi QECIG - Go NTAGf G�lL4N GHec- 1Zrc LAR. GTL.LD S•1 - Ei�ITa&Ncre ZE p A\ 4� A P IAC 4 CL 5 T Ga ht F o nr r r� 'T Cs Q A. t� S 4140 3 r�3ttGP (3YtzdnA tF Kb Ljk T*0 EA-"LiY St..L2MP TEgT, %A.t N4. TCL VGK thV 'i -1Z WANG 0. .Z TOL P G\� \ �7 - , E \ - S . { 2 E 9- t tZt9_aZ 7 V- AL Ne- t'C ►o1_V. nt_0 'SLOG '!.h M.G Y^L C> C- (C W k -A_- ?LAC f- _ DtJti,�_� Pvt, i2 irom w�J,� %. of Noazt4 AQp. -- olk. Tr kC.Nttk 'Tv tlNT �2 pE(L�t�6EG Foe EAL%r t� S er as wr. TR. v evIh % n 0 L & '3 o E t -O t 0 ✓y 4 CYL. LGRto S. $ dEs tCht M. t c FOIL XL -L Tl< 11`k s: t4b 4 0V t - tt 563_c J 3� - tgoc i6�Ef y Svl..,p 14 4 w� P02z'4 `7 C= via a- 0 TES i5 t'.'a_ 0 A4 -- 'S`�M,A-6% T&rv..p 6o•F GtL\.� Q-'7,3 26 PO rL'z�rs S�.-v t..�t� 'R..E6 �,�.t 5 TV T$ �+ 20 i►i TR -Z OCRtvG-o 40 {Q �R 'S t -v r.,"? S iA, -T b i►`ti ? G O * E _ CGit. t l' T- 4 it' sc _ o l: %'? QO tV tV.11T AY V A I L- - - V-* f O CLT C2, S 4 V ft- Tp N . K Cat�TA[-T 6-0 Q't' ►'L-c+.A -� t' -EO rt C L[-/r.V It -1 L ¢ rTF - REINSPECTION REQUIRED 0 YES �R NO G�� 05/15/98 11 16 e360 452 8498 NTI ENG & SURVEY 0001/001 NTI MATERIALS TESTING LABORATORY 717 S. Peabody Port Angeles. WA 98382 (380) 452.8491 Fax (360) 452-8498 BILLING INFORMATION tt no open Lab a0count or active protect 10. must go thnxQh Business Manager first. D Lab Acoount # ❑ Project Accoum ID ,pt- ►.....t 07'1 oS Project Manager 'Z %2- .r a Pre-pald (required if not on account see revers,) DESIGN ACTUAL Required Compressive Strength: Additional Requirements: COMPRESSIVE STRENGTH TEST SPECIMEN TRANSMITTAL. & TEST RESULTS FORM For first project spedmen batoh, Complete reverse Im retula Wnsmittal. 1 Material Type: 0 Concrete ❑ Mortar ❑ Grout 2. Number of Specimens: E3 1 E12 13 3 M 4 E3 5 3. Testing Sequence Requested (days after casting): Im Standard A ❑ Standard B ❑ Standard C ❑ Other (BPwffy) 7,28,28. Hold 7.28.28 28,28 4. Date Cast: s - t ; - -) S 5. Cast By ,�.✓� & Material Supplied by. A o• c �. t -c- s 7 Contractor '3aa.sc.1lA v&2 s 8. Date Recd in lab: 5 -11 - 9 8 9. Reed byj:2fFS MATERIAL SPECIFICATIONS SLUMP T9&NMTUK 40o0 AM CONTENT UNIT WEIGHT Psi fad 2 lb Days COMPONENTS/MISCELLANEOUS Cement Type: i - .� I No. of Sacks/C.Y I Load Size: AdmtK Amount/Brand/Type: 4 g a-s.i,, P a F cue rt �••F4 �� Adm, Amount/Brand/Type: tA, , d -64 Coarse Aggregate: 3,�;' 1 o v '6/"4 Fine Aggregate: 14 40 Weather o v E 17. ca S.c Air Temp: Remarks/Location of Conw to Placement: 5 0 0 1 6r V: to C.Y 16/. v Specimen Control # 188 TEST RESULTS (TO BE FILLED OUT BY NTI PERSONNEL ONLY) Specimen Specimen Test 0 Tested Date Break Total Unk load � Type Days By Tested Cap Type LOW Area A Como- x 1 �" -7 WtI5 J5 -15-48 /U Nv5 117 000 A8. ate 4130 s IRS D ly Jq J 3 E Comments about breaks: _ ..Wbsv-.K,- lNrrYM. 05/07/98 09 10 12360 452 8498 NTI ENG & SURVEY NORTHWESTERN TERRITORIES, INC. Erown a Lw surovm a Pkwy constfuctim co"nadw m Aufodsts rostmo NTI FAX TMWSMffTAL Date t, -7 M-99 TO COMPANY NAME. iB P c-, C' ATTENTION: FAX NUMBER: C.a-p' V --V V- t r- m -r FROM NAME. is -t E c, r r (&s it c. SUBJECT z cz v c:r -, v., d t_ S -r Cwt, I sC' ��-t c o u NUMBER ,* -(- NUMBER OF PAGES S' . (including cover sheet) w REMARKS te 0 T' �nTc 'X -r 0 N,, S Ca 4j 19. 4. A%. T -r d-= IV 0 U -x Ir L> L%>&wAr To lzcvtew I #6A % P'I& C"r 1 0 F*A 44ZvaT.c CA �Z' ON S vr* A. "r -C- I N.., C. a 9: t -s t- 46 A I A-.VA.L(r 0%JLL4S_ C- m -T up-tf-o 'Yo C-d:p PA'rA.C-T %e a s AD V 11,r, 01 S 0 K t— I P -j A- C$ 'F )4 tz VA- w- a 16 4- t %, 1'.(..E "am m i6 -s G *.TL V % M kup b a, F-4 Z7 Am- 0 t fA FAX (360) 452-8498 717 SOUTH PEMODY. PORT ANGELES. WA 48362 (360)452-8491 1.800-654-5545 fAX4$24428 05/07198 09 10 18p360 452 $498 NTi ENG & SURVEY 91002 May -07-98 07 11A WZS 360 697 7316 P 01 WIS-Welding &Insp:hn*I coon Services A Welding ech�oiag{t Company 5821 NE Foxglove Ln. ." JEct PGULSB/Q, WASHINGTON 9$370 �`,�. FAX 697-1771_ ! 22sr— uft0wF*&Cr0* FAX (360) 697.73% — prMFA 7H"R °at AM ostuss T AT Mw 4%15a Cle Aw`Y - THE FOLLOWING WAS (VOTED .�©,r►r,�.�+"".�.-kyr �1�.e�...+1!1..�' ,,�e".�r _�J�iu�S.:'�::�-/ - e" 01 lis ��',r"�,�,/!r'.,S • or -oar 01 .00 EPP r�� `►..� �" !� ��'� ms's /.��/'. �,cf_��5`s",�„�; a�7�'s��,, COMES to 05/07t98 09 11 '$`360 452 8498 NTi ENG & SURVEY Z0 .03 May -07-96 07sllA WiS 360 697 7316 P 02 WiS-Welding & Inspection Services ,� �, 166149 � •r A Welding Technology Company 5821 NE Fo ove !n. r -o t, POULS60. WASHINGTON 98370 / e (364) 697-1771 .oe. FAX (360) 697 7316 TO CgNT11KT0� � QM�.EP �.CL tirR.:�ra Tewtr at AM *at PM P*9*GWT AT MAP THE FOLLOWNG WAS P40TEO tet' y' ./�?'',,:?-�t.�►_'�" tr�-mid �r,..�1i�.a�' �rS/'d.��'r.,r'�G 44 00, r ,_ y�`rh�'` �..�,r,�� ,air ..i,� �.1.,� �.��3� - �, r� .�.1�,�.�► f J . �.., •_ r"r . C'r C/A d39u`�,, ..�i� �J �c'.�,�-.�r.�r,C .d . .• i rG'� ...�',�►,vc�-O- - i`,r��6,,,�►il:'r ;/?,3�+� ' X�5�..��%►r,�.�;L"�31�I- iC-VFP1E5 TO �� lot �� . 05/07/98 09 11 12360 452 8498 NTI ENG & SURVEY 1 004 May -07-96 07 11A WIs WMWeiding & Inspection Services A Welding Toehnology Company 5821 NE Foxglove Ln. POULS60, WASHINGTON 98370 (360) 697.1771 FAX (360) 697-7316 360 697 7316 P 03 OATL � JOB NO. l g d4 0 9 sr LOCATION COfITRA1CTP0 \ brwER aEwrwLA � rplr *at vat YOf;{LMr AT SATE � THV. FOLLOWING WAS NOTED ooe age gaw- ,,,�,O-' Aza w/.a e- zw-a : moi•' s� �/r'" AM PM 05/07/98 09 12 $360 452 8498 NTI ENG & SURVEY Boos May -07-98 07 12A WIS WIS-Welding & inspection Services A Welding Technology COMPany 5821 NE FoxaIove Ln. POULS80, WASHINGTON 98370 (360) 697 1771 FAX (360) 697.7316 TOi�— THE FOLLOWING WAC NNO og*r 360 697 7316 P 04 DATsI JOB MO. t,T ,.....croO OWER Mctwsa \ ftY► ° et AM ° et ►amu ►a(a(M1 •t {ITI /��/1 ,��isi/�1d � .�► end/� �� r OPW COPIES TO -06Z� 1 05/01/98 16 09 'x`360 452 8498 NTI ENG & SURVEY CZ 002/002 NORTHWESTERN TERRITORIES, INC- MAnNo� � NeaA tnneers a taad SurveyOrS a Ptaanevs --- `! `f2 _ _ 3 4 Consimetion Cooranaim ■ Materials resit —a`.r NTI FIELD DENSITY TEST NUCLEAR GAUGE METHOD DATE PROJECT 7 - CLIENT CLIENT o 4 . — CONTRACTOR Cy I W -k Pg ADDRESS MATERIAL _AF c ra a 14 c- a7 VVE -- TESTED BY STANDARD COUNTS MS = tom) DS = 'S I v v } TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PER CENT NO DENSITY DENSITY COUNT MOISTURE COMPACTIONI! I Iby 139 i33 t LOCATION�4N,ca o!r -reE�'c+t 6c>� --------- %al 110.s LOCATION c'-KY'c JL 40#7 - to tS-r. t 4 i 3R 1 3 S 9 t3� 9S l 3 LOCATION �e^+'rE� o F T+Cen►c ►( so' ``?EST nF n�4r-�rlo`e: 13 Z. i 144 Z. 114 1 C7 --- Q LOCATION GO:P4T*LX Of TRFNGtI +T wFsT a6 µ,tr-il4oL- LOCATION LOCATION i LOCATION - i 4 T LOCATION - - LOCATI?N 717 5011TH pEABOQY. PORT MME6ES. WA 96362 (350)452-8491 100.654-5545 FAX 4528498 05/01/98 15 15 V360 452 8488 NTI ENG & SURVEY Z 002/002 Byron Courtright Bershauer Phillips Construction c/o Olympic Memorial Hospital 939 Caroline Street Port Angeles WA 98362 Gary Braun Mahlum & Nordfors McKinley Gordon 2505 3rd Ave Suite 219 Seattle, WA 98121 Mike Glenn Olympic Memorial Hospital 939 Caroline Street Port Angeles, WA 98362 Ms. Linda Childers City of Port Angeles P d Box 1150 Port Angeles, WA 98362 Steve Sandhorst Martens Chan Structural Engineers 400 Mercer Suite 410 Seattle, WA 98109 Rob Linkletter The Linkletter Associates 1324 E. 1 st Street Port Angeles, WA 98362 05/01/98 15 15 $360 452 8498 NTI ENG & SURVEY 001/002 X NORTHWESTERN TERRITORIES, INC. Engineers ■ [and Surveyors a Aianners comifucrfon C*0 nation ■ Mareaars fesnng May 1 1998 Berschauer Phillips Construction Co P O Box 92664 Olympia WA 98502 Subject: Welding Inspections for Olympic Memorial Hospital Gentlemen This is to confirm my telephone conversation with Mike Glenn on April 30 1998 Byron Courtright's follow-up call to me on May 1 1998 and Rob Linkletter's subsequent phone call. With regard to the "Short-term Project Schedule we received by Fax on April 29 1998 from Mahlum Architects, it is understood that this is for overall project scheduling and does not constitute notice to be on site for inspection or testing on the date(s) shown In this regard, we note that welding inspections are indicated for April 28 May 4 and May 6 1998 To date, we have not been called for any on-site" welding inspections We did however respond within 24 hours to a request for an immediate shop inspection at the fabrication plant in Mukilteo Subsequent to this inspection we reiterated our need for a five-day written (Fax) notification for on-site welding inspections We also reiterated our commitment to work with Byron to respond in less than five days if at all possible The purpose of this letter is to confirm our understanding of the protocol and time requirements for welding inspections and to document the fact that we have not been notified to provide any on-site welding inspections to date This letter is also my personal commitment to move forward with the remaining testing and inspection work in a cooperative team effort and to respond to requests for testing in a prompt and timely manner Sincerely NORTHWESTERN TERRITORIES., INC J J R. Jerry Newlin, P E. General Manager JRN:eas c: See Attached List 717 SOUTH PEASOOY. PORT ANGELES. WA 98362 (360) 452-8491 1-800-654-5545 FAX 452.6496 05001/98 16 09 0360 452 8498 NTI ENG & SURVEY Z001/002 NORTHWESTERN TERRITORIES, INC. REPORT JJQ�`B CONSTRUCTION a N j T R U CTI Q N &VIR ere tarso SurveyaK Planners i 1 L i V � j Z? Consaw*0 Cow*at a MalaWs Test6oy N■T I 79 SWTN "OM. PM MGM MfA"SIMM M4Z (380) 452-0401 DATE S- f- 9 Tai FF6 WQ G64-5545, fAX 4%) 4"4e8 PROJECT 2 MAIN f SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSNAUER PHILLIPS SUPERINTENDENT BYRON COURTRIGHT INSPECTION ORDERED BY 8 e + biac- INSPECTOR w C.S. Q_+t76 16tt W M 4.61..I�iR.. WEATHER r, v r t 4- t� A. It— Ari INSPECTOR ARRIVED= 3 -44 5 DEPARTED: ;? 15' Alt 4%V y To 2ETl, T ISllc�Gl+.� S& 0401M 'f t7rA W S C- W,.JA f n tv t3 G r -tip 1wl _ f-,, 4 1 -14 -'sack -111 .. 20 �� S?�y c,•� �? �� 3e4T•s �- G.l sV"aC^ C CTrp Pt?� J ^ T Ct� wi as'"t� CJFC ! C".E Alt -to GO+KING.% Jt7M_- e+Q,Crt REINSPECTION REOU REO 0 YES ONO 05/01/98 08 13 '0360 452 8498 NTI ENG & SURVEY 0002/002 T NORTHWESTERN TERRITORIES, INC. fAgilleers ta�ti $UtYEjR7tf manners No4 ConSU:tc m (',Odtt9'natm a Materials resting , 3. 4 l.y NTI FIELD DENSITY TEST . _ _ ' IV ' ,U I , to ' NUCLEAR GAUD£ METHOD DATE 4r c: M a :1' PROJECT CLIENT _ Qs,y�,..�o. c ,,. �� ,� � uosw:-k c CONTRACTOR r, ADDRESS MATERIAL 5a c►z.,.,.1�o Pit iwk� :,coc } — TESTED BY e: STANDARD COUNTS MS <= S t DS k TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT NO DENSITY DENSITY COUNT MOISTURE COMPACTION1 A i 135 �. 't 4._..' 5r $ iRt O 97 4- LOCATION p r w 0. ST o f M K e c- n r rw 2 - to ° t�s.c� i {3s s fi 139 92 j z LOCATION ,� a, u of WVA c cow -re s"k- 1 9 3 1'3'7, { Z 6.0 � 9 a 93 l �.� LOCATION t k LOCATION toe LOCATION ! LOCATION — LOCATION i I LOCATION LOCATI¢N s 717 SOUTH PEA800Y, PORT AHG%M wA 98382 (380) 452-8495 1 4O04"r54-5545 FAX 452$498 05/01/98 08 13 0360 452 8498 NTI ENG & SURVEY Q001/002 NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION &VA -8 "WSW -Y -s Plannersco"mwtion coar"bon Aut0fies restingREPORT # N 6, rl 70 SOM PEADWY. PORT ANWAS. WASHWOK 03M (3W) 452-8491 DATE 74XL RE 00) 654-5$45. 1" (ISO) 4W -e4" PROJECT 2 MAIN / SURGERY WENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR GERSHAUER PH11-UPS SUPERINTENDENT BYROAf COUR7*RIGHT INSPECTION ORDERED BY 8ylw*-cQu&TjwffT INSPECTOR w C.S. WEATHER 5 o ov ri y INSPECTOR ARRIVED: 2.4 0 DEPARTED: 1 c A'k'-4 a 0: a a- IF t.- t -r% Oz— "'c cmi 61 7 Mt: f4e-/ I&A,C-4—r- i e e- cn. l%f ra 5 moat A, %o v e5 r- V eL ow r- k H A% Mwc- r— A'q k IF a <zo A K, f3l C45 P— IVA -f lld� i7 f e - A.; 1' C M 0 Z -A. k. F I LI2.+te,� *4 /s 14 A. T- r ft 0, 1 Q'A P Ag -r L r - p— Cr I KA e Oda6-c a t Il CC REINSPECTION REOU RED Z YES 0 NO 04/30/98 11 26 $0360 452 8498 NTI ENG & SURVEY IJ001/001 NORTHWESTERN TERRITORIES, INC_ , j O Q CONSTRUCTION coordho r n y�Af4tariataWS moot REPORT # 2-5' NTI 71t $0944 PEASM PORT AME3. WA$OTOM 0300 (300) 452-84M DATE TOit �Mi (m) WA -s t5. PAX (m) 4112-849 PROJECT 2 MAIN / SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSHAUER PHILLIPS SUPERINTENDENT SYRON COURTRIGHT INSPECTION ORDERER BY BYRON COURTRIGHT r..�rracoL�•�"AG& NSPECTOR W C. S. WEATHER , - v A IL INSPECTOR ARRIVED, 3 . S o DEPARTED: 3 .5 Q "-s_ _ 4 rr4 �n acz t ., c Po,c rt oMg 4c -t f r_, E is 61-hA is AL L- i _ -t t �• .. t 9LA c -t' �? t -t cm 79--.&L" t N4 S -P A. P P Q n .t,Y CL �C E �: A �, u a n r R H E �,,.Q„yyc.. O v C .g„ MA'T • v .c r~>. A.-r4L tz I A 9- F tz4C 4�51L S A c„js,,., C L.- "T .T N S tvs "r 4 AL r A` a P PE a t2 S `r to af-, A r 2 '✓ i~ _j,. tiN o2y.Anr 1 C S a�. r�ptZ bE�*ztG T 7arrIw fZo t; -m T t,aCrt t`o c.., jk ♦•4a tL_ `rk�Y .lir _ r r s t. a E►. t.t Y C ri4 A #4 C 4 7-0-- K -X 0 ev At C�a b 4-, t -t t 0 ?w WnC, n.c ee _h v.+5;.nirs. C"rc5.__=Q tZ.tc �a r» L -.K a NAS o FA„� f' � I` t -c �t �c r 5 ► ►.t es g g c. rc %,a!$ 04 e D - 4 Cl t -c- T Pt_P+E rticaP#'O'mc "r 41 R L.it i+'EO A+r..�o12� rr.t.t 70 P4A.Hs REINSPECTION REQUIRED 0 YES I$ NO 12 u3 87 WED 10 45 FAX 13603776057 FAIRWAI MECH Louu1 TEST REPORT COMPANY Fairwav Mechanical Contractors, Inc. Project,, // Olvmpic Memorial Hospital Date `7',2�'—�9 Service Tested hW &b ef r¢S'f' Let,n IA)r, - - i --1r e-KA-� Type of Pipe ---C.T. no Nu.% Drawing Ref 51 wr� ! An nx �e✓ arv�v�c� Specification Ref, Test Pressure 6-1 bS ✓41e Test Duration PASSED FAILED Reason for Failure Comments ✓¢, 2 11e.1 City Inspector- Tester- 04127188 12 48 0360 462 8498 NTI ENG & SURVEY 0002/002 .r e NORTHWESTERN TERRITORIES, INC. i FAQ/R[m • UV Survrly* • Ptumm NTI FIELD DENSITY TEST NUCLEAR GAUGE METHOD f DATE 4- Z4 -15 -- PROJECT 2 t•�.f rn t/ s v tc.s:? Y j - M Ci,IENT cStr;Xr�P t c wns,.,n., a 4w r CONTRACTOR 1*.E eSN �c�+trt t� E{ tLL t RS i H05rITA i ADDRESS MATERIAL ' TESTED BY STANDARD COUNTS MS = DS = t. f f TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT NO 1 DENSITY DENSITY COUNT MOISTURE COMPACTION t 7 Q Cf 139 171 'i LOCATION 8 s o f ca v w tit c u r z, G °t {s 1Z`4 3 13� g .. 1 113"1 LOCATION 8 jO _. " ,,. c g.i .r,,,c % W��t �!' G1 o c.r✓E• Zr i^— 6y !2S 1 � 1334 � $i �z ;39 90.0 LOCATION tar Znjr_, -- I.L. 7- l35 4;%7 LOCATION 19 5 w+ r G 0. o v nr c G 9 F -LOCATION 'si' s e er Q 0. 1, G 9 W e e [G a a_ 0 7s -7 1 LOCATION 37.r, 3 .61 •o 9 �t of GQ.rZ-i r a tZ 6 -7 t35, I 9 ? LOCATION 44 � 5 o f wa t o G 1 '2 a a t F9� _ L LOCATION 44 S o er c t: r o G i LOCATI?N Tit SOUTH PEAHODX PORT ANGELES. ft"362 (M)4$2-8491 1.MM-SS49 t;AX 452 8496 ; 04/27/08 12 48 V360 452 $498 NTI ENG & suRYEX Q001/002 NORTHWESTERN TERRITORIES, INC J 0 B CONSTRUCTION Ensioms Lend Srxveyws Pteeners REPORT E P O R T e 2 Gauftctian Coorawatron f4aw Is Testing j� ` j j j fl' N'rJi Tt] Wil VE 001. PORT MOUJ . WAWKTOR 603OZ (36M 452-8461 DATE TOLL RM (800) 6U-554, FAX (3W) 4=-e40 PRaECT 2 MAJN / SURGERY CLIENT 00?VPIC MEMORLAL HOSWAL CONTRACTOR 8SHAVER PHILUPS SUPERINTENDENT.. BYRON COURTRICHT INSPECTION ORDERED BY . 8 _ N C ,,.URiRIGNT INSPECTOR W G -S _... _ .... -- -. __-- WEATHER INSPECTOR ARRIVED- 17 5"d DEPARTED: JeE .3 ?a of raF is 7a r'A x F r7 c t.. c- E' zo--4 t,c� u g T -t T r r %I.- rs 'f - x z --p t' ca or i o. 4 -• Z4-1913 ?^ r.t -rqc r T - -r6 97'S Aj oc ler /? o!v �? el \/� t» /S'/i 4= l G r L 4 t Ak f' A F Hv(zT ' rA 4'r R r t 1 F) 1 ZZ - 'b _. 44 _3z y Amt i-nq .?.r q irS1n 24r 1. 1C fKF CK _ REINSPECTION REQUIRED 0 YES El NO 04/24/98 FRI 09 52 FAX 206 441 0478 M a r C b i t e C t a MAHLUM ARCHITECTS A H L U M Fax T'?wwnival DATE. Atf &Ot 10+% PROJECT Not 96160.00 PROJECT NAMEr Olympic Memorial Hosptial--2 Main/Surgery Remodel DESCRIPTION OP TRANSMISSION/ Fk6GS1'ei&,rJfP A-wo .W& Nvto*' NUMBER OF PAGES (INCLUDING COVER PAGE), %0 FROM, ❑ Vince Nordfors, Principal Gary Braun, Project Architect ❑ Dan Jardine, Project Manager TOr NAME FIRM, TITL$, FAX OR SD NO, ❑ Mike Glean Olympic Mom. Hospital Administr 360-452-7391 ❑ Mary Romstadt Olympic Mom. Hospital Surgery 360-452-7391 ❑ Lois Polf Olympic Mem. Hospital RN, Mgr. 360-452-7391 0 Bert Hutley Olympic Mem. Hospital Facilities 360-452-7391 ❑ Rob Linkletter The Iankletter Assoc. Owner Rep. 360457-4408 LOU V%AE-AWWNJ cl-cY of Pout An1otmc- S SES tot,o(v. it05P 360 41-1 ❑ Jerry Newlin NTI Principle Eng. 360-452-8498 ❑ Rob Danforth Facility Support, Inc. Principal 206-622-5804 ❑ Katrina Corbett Sperling Project Eng. 206-667-0554 ❑ Steve Sandhorst Martens/Chan Project Barg. 206-298-9876 ❑ Julie Hapewood Distinctive Designs Interiors 360-452-6638 U Mike Curran Betschauar Phillips Manager 360-943-5868 ❑ Byron Courtright Job Site Superinten. 360417.6821 ❑ Kasey Wyatt Berechauer Phillips Project Bag. 360-943-5868 COMMENTS, Loi? 1NFot- tAA*.off SAO-" AS- i WE%-cEtO Ptd TcLec4w gfzz-I49b A-1-tAcHEb f4" 6E RAW Ta Wkio C %AAA. ENOu GSH f0c. Yore- r -Eco"--. f %.Ms.E LET t-io, KNoW JP %W WOOL,10 Lt4 JJALD coPY tiAll Flo 3tA ?0veooY R+�� s�NYaz,�k%'s� aAME tew ItNe ceftA%4 W4, ?*00C- � 1s �Z5 Zao 51z4 �� Yov NP�►E ti TW-"N%cA,- f9.0DJ(--1 lE5.7tvr iS Tip!h4v- `too Coif' v -t (c) MaNum Atd,tteeb 1998 Form 103104/98 4rp4z 2505 Tbird Avenue Suite 219 Seank, WA 98121 206 4414151 206 4410478 F 04/24/98 FRI 09 52 FAX 206 441 0478 %AHLUN ARCHITECTS Q002 r SUBMITTAL COVER SHEET / TRANSMITTAL PROJECT: Olympic Memorial Hospital PROJECT Not 96160.00 2 Main/Swgery Additions &.Alterations RECEIVED DATE. � �. �� SPECIFICATION SECTION: d7LV Tot jM8Wum & Nordfais McKinley Gordon PROM: AprC lUBCONTRACTOR: ~a-rry /LSP SUPPLIER! INSTALLER. MANUFACTURER: Description of Submittals COPIES DWG NO REV/RET SUBMITTAL TYPE APR PR 2 1998 NO: ys o72ya-1 RCMMHrMM PHONE. ��., ��i J•L PHONE. TT PHONE: PHONE. * 2/jr rAmwer A. gams &►LteC'.wrWL Dd.TA Coatractors Comments I have examined this submittal and certify compliance with requirements of the Contract Documents. . 0,;PD Date: Description 6f Deviation ni Requirementr Co"144A ff-0 -Wr To to VSW io �tl�- NvAG- C?�•T PEN�TR,P�7roIJ� 017.19 377 k cpZ5 P/s W'. C^swg ArcWtects Comments: Submittal Review Response Required VXNo Exception Taken O Note Markings ) Confer MA H LU M ` & NORDFORS © Rejected 0 See Attached O Resubmit Me Kt N LEY GORDON Architect's review is for general confonpAnce with the design content and Contract Documents. Markings or comments2545 shall not be construed as relieving the Contractor from compliance with 250311*d avenue the project plans and specifications, nor departures theeefrorn. The Contractor remains Elie 219 responsible for details and accuracy, for eonflradog and correlating all quantities and dimensions, Ssauk WA for selecting fabrication processes, for techniques of assembly, and for performing the work in a 98f21 safe manner. By- C -#H 0 Date: Date Approvals Requested by Data Submittal Received Date Submittal Returned to CO 206 4414151 z1 /el L/ alis conn � 13 /'('p 266 4410478 F ® MA)du- 4= Notdfoa MCKWey Gordon 1997 Form 1046 9/97 04/24/88 FRI 09 53 FAX 206 441 0478 KAHLUM ARCHITECTS 9 004 FROM Ftlaa Ssspp13 Irr- 2OG 382 9319 195£3 0:3-27 08 32 £1006 P 472/09 %Avg Fire Ba-m-er CP 25WB+ Caulk Product Data Gip S Fi U I" uv+o CR COOT a nAKS C4189i W ev UNCeF41NRit�RS6aetORAsrc.RrEg �.� F04 LLE IN rrW.W +•oENt1RA'= *-aWQO sv$ff-W t QW1 SK CunRlnr tX ME M516TWE tsOWTMo LBultfid premium orriikild�ex caulk designed filar use as a one -par! tire, smoke. noxious gas and wafter "want, to G*Won, the t*ue Intt rrW"mt property of this mlAterial Wonds wt= heated) nwans that as cattle or pipe #lsulatpon to consumed by ft. CP 2603+ Caulk expands to mabmt M the peneif$It w Seal. CP 25W8+ Caulk features swerior adhesion strength, caulk rate and no - sag application with expo! UC. Classified" protection systems plus a haklgar -kee formula 3M Fire Barrier CP 26W8+ Caulk can be inscall4ed with a star lard =Adog gun. prieurnat a pumping equipment Or it can be easily applted with a putty knife or 7awei. CP 25WB+ Caulk will bond to concrete, metals, mood, utasttc and caote jacketing. No m xing .s required CSV 26W8+ Caulk Features • Watsr Base: Easy dean up. no • t(1 rnescar1t: F-xpattfs wheretft6a ed to seat around items consumed by fire. • Encotherrnic: Absorbs Meat ertevy, releases dtemically bound water • ThixabWic: Will not sag or tun in oveteac or vortical apWnaatns. Hal • Past dry, Thck-tree fn zWoxirnatety 10-15 minutes. • ftnW*. (Best results obtained after 72 hour cure.) • Minimal shrinkage. • Brown • Walor sea; Seas against inadveriarn water splits in the unexpanded Stade. • High caulk raw: 1000 glutin. with i14 in. npule. • Point contact WbUved. • CordinLOA Operating Temperaaxe not to exceed 120°F (48'C). 3. Physics! Properties A. i PWW unit 2. Appiicaflom Use to seat construction openings, blank owings and penetrating items against the Passage of flame, noxious gas, SMQka and water. Restores floe rated construction to original Integrity. Also for use with 3M Brand Fre Saaw Penetrating Sealing Systems 7M and 7904, FS -195+ Wrap/Strip ar+d CS -195+ Composite Sheet, CP 25W84 10.5 A. M caftdoer 18 cu. in. Caulk 1.91than Gan (128'4. ce) 21' = in. 3-athxl pati (64C I. tuJ 14M CU, in. 8. Vok,me Fill Guide for Core DM*d times Unfits+G'tr1 ) 12 12 (5,44) i 4 46 (2p 8) 1 58126.3) i ApPIkMW gulfs for frilling holes with CP 25WB+ Caulk meaft Aao cNri4t M No Vdwtse w CPA AW3 q�a:wsaliorfa i at P" se ro O.D. or Siwe to A b4 ovxh ihs 4t CaAk I ! in 435.4 flim) t 32 i- ,133.9 mai 2' in, (500MM) 0.89 C5 2 in. 450.$ Into) L.38 & "80.4 mm� aro (78.2 nmr) 1.31 .E7 006 3 in. 476.2 rim) 3.50 sr, '86,5 nm; 4 L1. (101,6 mm 1.47 .05 00i 4In, (141.6mm) 4.50 sr '114.3 mm) 6i1.(121.4mm 1.87 10 00. S+n,(1L7.Oiras) 5.564:.st41,2MM) $Il (tX4mIq LA0 11 .0.4 b in pp5Z4 Rlrq a1;3.n r l$ea Hats) $ in. (100,2 tin T.$7 41 o4 8isi2�2A" $A: it 12182 mm) 10 in. Qmm 10.02 .33 M lob#. (2540 (utt) 111'9 in (773.0 mm) 12 A (904,11 as V 16 S9 05 141is (110 $ torn) 1275 bt. Gi23,8 irr.) 14 in. (365,6 mm 19.05 .tit .s Wes: I Fitt ,a* mptpnttvrtd4 rM va i/ 3t rarn t, aft" VW m mo eootration VM, 2 Wits! Ste DWft ' stat: u specs 4 -14A. (111 a fres) ori a t �,s11t2; rx9} mr4trs3n scoff+ at CP 260$. Cm64 4 •vAwtd. 3 VO aro maictmum a IVV span is bs ;er fm 1 to {{�,�4 rrar.} 41 snit 00 O.o. i6 0tassr 7W 12,11 4, U�$ TM), a 1 s.:29.4 rim: M#*VW depth of CP ttriw3+ Caulk a nttx,uaa. taat•rWL sues 4 ftw9 a mro t+s W of NOW raa, my be uM to support ve Q M"o sulk 4. SPOC'ift8ttms PmduCt The iirestopW9 caulk stall be a one -part. intumescent,10t'x egastomer The Caulk shall be capaCle Of expandirg a minir.•lurr tof 3 eat VT the � material shall be thixotropic and be aWHcabie tolovRal'8trtt3 horizontal riret . The catilk shall be listed bym, de ernes - Such as UL or FM and be tested to, and pass hk brit o < 4,14 Fli4 les- tested under posiave pressure. It shall comply vWJh th, � t aft the NEC (NFPA-70), BOCAl, )CBO SSSCCI ano'14FP Dmsior 7 Themiat and Moisture Protecocn F1 07270 I?ivisiort 13 Specie! Construction Fre Stipprasrtintern$„, 13900 C)iviS w 15 Machanicat 15250 Mechanical insulation Fire Pmtecto'1 __. --1 mm _ .. i i Division i6 Electrical 16050 Basic Electrical Maleness and Metmods 04/24/98 FRI 09 53 FAX 206 441 0478 MAHLUM ARCHITECTS @003 AFR-ZO-96 49 OTAM FRO"KC MAIN OFFICE 360 T-598 V 03i9a r -eat SEQYRIT� S��MTS sesummy .,d FNestOPPIN 0020iM awwwo TWO »c"TV�w a8: Aedna pm tpt>69e 0,12"yes we wo ba"aFae 1 CP 11 WB %r rrdl Is � � � �.rv1 fos a9tim6>� P.O. Boat 0133 • ural WlY. WA ""ll t") 0&63114 04/20/98 MON 09 05 [Tb/RX NO 53191 R003 04/24/98 FRI 09 54 FAX 206 441 0478 MAHLU14 ARCHITECTS FROM =Atlas SippIW r -C. 206 382 9319 1598,03-2: S. Perlformarve A. lypftM Physical Properties Unit Value 10.15 Talc Free Time Minutes at e.°F (22°C) (ASTM C67b&87) Exuan9on at 662'F 13W, -C) x Color i C�emsty WJgat. (Ki;4) Adhesion Al const n substrates I Appli=on Methods 4 Maometer ,'hum tesM store+ A i ASTM a 54 ! BOLA ztan>e spraao -- Snmrce Development — SeNds Percurit ( � by weight voc Percent (4L by w?�h Odor i Few Rate Gramsmin. 114 in. (6x33 mm) &Adrlp mea nozzle at 50 psi eing hovbw Inpm G (sag CharacwLOCS) 2 C-3.0 i Redo;Sh Brown 1.25 (1 ?51 V Good Gautk guns, trowel. spatwa presswri:eo pumps 74 s a 79 G Pleasant. rmnaritavmG ,coo e. F1g Proms ets lite criteria of ASTM E 814 Fire Tog tem udder ponve pressure Consult current UL Fire Resistance Directory for SySOns 9110d W*r 3M Product CP 25W& Caulk. ong Code RegUirements C. Fireslppi � MO S60CM ! BOLA Uniform Standard BasiarNational + 8uildins Code Building Code Building Code i (1991 �lcn) (1991 editn) (1990 sdttlon) 302(d) Appiittetion ; 103 2.4 Struplxat ' 9012 Penttr8tions for Permand Fre RESiSfdnte tnnlg^ty i wi>i ;Fiit t 704 re 106, t .6 Firm 9021 SVucturel Spread at Exterior g (c irm R &Adrlp mea ftk (Curtain W� Murtain Waft) Wats) 1'06 Shaft 1001.3 Pmneta0ans 9134.1 Through- ( aviasure of Fre ResiistW Per>etration System I NFPA life Saf4ty Cada 1!101 (1991 edftn) 6 -?-3.6 Penetrations I and Mssc. Openkigs Iand Fiti eg hip s Assemblies (Fbac Ce9r1Q. Root! t� COng Asmbbvs) 11701 CardOwtion 1001.3.6 MeM E: 915.6 Verft Shags; I JOft Thnwptt-Penetration Pmbcfion Sys+e�s aha and 43WO f nm$ 30'S IZ i 4WC VH np, Fbam CWOf Naw vorx W r 90M M1',d� -M Vol -111 :ey er lo= A 99ft G F ROW RR 24463. NEC Nagai Electric Code 304-21 Fire Std R005 08:33 1!006 P 03"m CARO Council of Anwrilcan building Otticiais NFA 243 1 04124/98 FRI 09 55 FAX 206 441 0478 FROM Rt 145 S-WRO I W :-40 6. In tallatiort Toohnkpim Showa are examples of approved appkzOom of PrP 25WB+ Cask. CAddWrof drawmga and deals are t aveftle ftough IoW Atilhorized 3M Fire PM*Coml Producas DWOX Wr. lnsbd4 on !+!alta: 1 Meter PwCc ldtx applications bough nomi,a+ 12 in. (W.8 mm) Outside diarnow. • MUM dept, Si CP 25NSr C&* depends on a nniAar space. • When the winular space is lash and 1 1/4 in. ;31,8 nstl',, a 112 in. (12,7 ,raft) nftnum depot of CP 2;'SWS+ Caulk is requwo4 • When the annular spew is greater OW 1 114 in. {31,8 ,ran?, a 1 ln- (25,4 ntm) trhnwm depth of CP 25wB* Caulk is mquired. • Common building rmmnals, such as backer rod may be used for metal i amens. 2. MeW Pipe q*kdcr,s Vie! than nordnal 12 in. (304,4 mm) 0oitide diameter. • AN Caws i8Wire a 1 in. (25.4 mm) minimum depth of CP 25W' + Cauk 3. InsUated Caale ApplS • Ail Cases require a 1 tn. (25.4 mm) mirihiurn depth of CP 25ws+ Caulk • Ali Cases nigt,tiry mineral wm)l (3a") w pen". 4. Fibrgim Insulated P" Applicoons. • I in, (26,4 mm) of f3tergiass insulation on up to a nominal 12,n, (304,8 mm) 4f nw% pipe may be ftr3std With a 1 in. (25.4 MM) depth of CP 25w6+ CaulK, I in (?5,4 mm) depth of mineral wool packing reQtjired. MAHLUM ARCHITECTS @006 206 M 9315 ISSO e3-2'7 03.33 P 04r09 Tptricai Pmetniflon Punas" Fw Mfe! Pip&tWKfuit WW OMIRW COW Through f'as Fisted Construatiori MMar r�pa a++mow- �r t taarnw _ Ur 040 gat "M CP tis► *Am am bo co 20M CA* } l `A11 * Spire saw C&W to Flow Slab,f Povin Mwwriai a we �f i,"tYJ'•»; Ma1 mas, Dog" r, � 3M '� aWar wwo ItscP=C ! ft" to VMS - I Saic C4atiowee d tx ,� Paearq SSS. � ;) Y aq�rtapr 1" O"M SM Poe . i Amy" Spas Math Pp w C•ndu! � t ]M Rt* 6o+Ur CP MN9• Cance _..�_.. "MIM CP Mft* C&A h4wr ^ Dot MunrOMM —10 F d �^ .rlad!w•�� „� ... 1 "O I.T CiarK7aTa �iiw - Atfl iva- 04/24/98 FRI 09 55 FAX 206 441 0478 MAHLUM ARCHITECTS [Zj007 FP?�.0`^ sat,las J.,�cP iryC 206 .,:BG 9319 1 -*3 03-77 06 34 t F t�5i09 7 Maintenance The CP 25WB+ Catdk is stable under normal storage conditlone and has a one year shelf life, Normal stack and stock rotation are recommended. Store between 33-F ft"C}-90'F (27"C) for maximum shelf Ste. Keep from freezing. 8. AvailWilty 3M Brand Fire Barrier CP 25WB+ Caulk is available from Authorized 3M Fire Protection Products Ustribirors. It is available in standard 10.5 fi. oz. cartridges, 1 gallon cans and 5 gallon paib. Important Notice to Purchwwr LIMITATION OF REMEDIES AND LIABILITY If the 3M product is proved to be defective, THE EXCLUSIVE REMEDY, AT 3M'S OPTION, SHALL BE TO REFUND THE PURCHASE PRICE OF OR TO REPAIR OR REPLACE THE DEFECTIVE 3M PRODUCT. 3M SHALL NOT OTHERWISE BE LIABLE FOR LOSS OR DAMAGES. WHETHER DIRECT, INDIRECT SPECIAL, INCIDENTAL, OR CONSEQUENTIAL (INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS, INVESTMENT, GOODWILL OR BUSINESS OPPORTUNITY), REGARDLESS OF THE LEGAL THEORY ASSERTED INCLUDING NEGLIGENCE. CONTRACT WARRANTY OR STRICT LIABILITY WOW N z cjj( A� Mft *¢x -f 4 and ly. NAW Seattle, WA Portland, OR 1.8W347-5757 t-SOMW7962 MM U3-4697 (603) 2SI-NO Fax 6) 302.9319 F 31281 -ON aM 14 Fire ProtecOw Products .im, Cmrr. Building *"M IS -+Y- Uthc w, J.S.A. St. Paul. ial� 35114 two ra�pr.ro„s,,nr� SCO ---Z3 1631► 07 AJfl CW xM+« IC' 3M 1907 98-044+'-2d14- 04/24/98 FRI 09 56 FAX 206 441 0478 MAHLUM ARCHITECTS rv,.,e , ,-z�.ea cayoFy tra : 2�t?C-. 3.32 331'3 13�� 03 c Product D ata 3W Fire Barrier 2000 and 2003 Silicone Sealants FaL voci OR cAM Y MATEPMAr S CL+LSSIFIEO 9Y UK)S r IMTERS LA9oRATr3RIM W. -a FOR U$f IN TMFtoW4-P"-RAMM PM6 iCP $YSTa:Na3. SEE CURRENT UL FIRE fte"T NCE epZCroRY. ME Mads an u.SA- 1 Pmduct D"crtptiarr ore urnp. an Siticane 3ealamfSel-kiveling) are reedyAo-use, gun-WiWe, one- cx nwnent silicone elaAwiers. Both 0JM upon exposure to atnnowaric NAnidity to teem a flexibe seal. Pirmeirealants, WhMMe p►operttr, wilt control lite spread of fire beton, during and after exposure to open flarnes. 3M Fire B8t'rlar 2000 and 24703 Silicone seaw t Femur" U01 sealants remain alwomeft alhf are weather resistant. They Wil bona to moo. corrnftion c ons ruchon materiels. + Swwribr awn • Cornpressaruextension rxvmry of 340 percW of original jant wrath • Re-erlteraoe/repairab� . Excellent weaahmblity . Provides up to a 4 -hour bre-rating • Excellent sound barrier properties Maximum pipe size of 24 inches (609,6 mmi • Curos upon exposure to a3trrosohedc humidilr • AppWC 'kith CptWer Wna l c;atliidng gun 2. AppliWkMs A. w"10(SMVL-poriefflaws such as around metalic or glan pipes and oonduits to control the spread Of W. Heys limit the spread of noxious W, smoke and ostler. Maindains the owgrity of fl<e-r2 W Corstruclian. The sealirns are designed for use in 5e -rated cxntnol and iagofstlon joints. Primary healing apowadirs: • PipeS (51"1. Copper artd j Noopeletrateo "ning applicatiorw • cortvol joints • Isolation joir>ts • dank openings 3. Physical Properties a. t.ullfmd" Q008 09t 34 P a6./09 3M Fite Barrier 42000 WW 2003 $0,Gors SeaW tS should not be aVOW 10: • �y�a,at� 6uadmg materials OW Mesa 61s. plaswzws or sotventa (e.g., impregnated wood, oftwd caulks: green or panrlaly vuicanted M3W • whm sealant is not exposed atrnosphane mdMm • Wet or frost -coated spaces • Areas that ate continuously damp or immersed in water • "M~ brass (high zinc, 3410 37 pefcorit zinc) • Paced surfaces Manufactured by Dow Coming Corporation for 3M. DUsribasxd by: Seattle, WA Portland, OR 1.800.347.5767 i-800-806-7952 w dm"wr (SC3) 261.0385 Fax (208) 382.9918 Pax 1503) 281 =10 WIMM Product Unit vbb,me Ur t✓+ 3n. Lbs. Fim ftror 10.3 A. oz. cartridge 18.6 cu -in. 12 i3.9 2000 SiCleorie 2 gallon pail 462.0 cu. in. 1 24.7 Sealant 4.6 gallon pail 1040.0 cu: it 1 85.5 Free Gamer 10.3 fl. oz. cartridge 18.6 Cu. 'n. 12 12.4 2063 Sticone 249:0 i- oz. cartridge 52.3 cu. in. 6 15.0 Sealant 2 gallon pal 462.0 cu. in. 1 25.7 4.5 gallon pad 1040:0 cL. in. 1 515 Manufactured by Dow Coming Corporation for 3M. DUsribasxd by: Seattle, WA Portland, OR 1.800.347.5767 i-800-806-7952 w dm"wr (SC3) 261.0385 Fax (208) 382.9918 Pax 1503) 281 =10 04/24/98 FRI 09.56 FAX 206 441 0478 MAHLUM ARCHITECTS Q009 .. .y . — GbG .xxe '5313 ISS W 27 08 'S5 NOM P 07/09 Q Fkwftwng CO& iRegiAt'elrtlrlts ft GWOU0W 1001,3.6 M OW E: domb Thwk*-FnanSW 41106(9) t'+S ax! PANWI s 43040 Merr&UM 4105 Floor�Ceilirlsp floors Cig 6'46 M1br4. W ROW MrA M -nM. NOW. N. CIN of Un Maws. CIA Rouv A P4 M AR N43. 6. lfiUttlon Tecnnkon $hwm are examples of UL dashed applications of 3M 2000 and 2003 Micone Sealant. Additional drawro and detaiis are araU* through yaw 3M Autwized Fire Prow bon Products Mot Do not use alcohols to clean :�uiaces in fire penetration. Alcohols can keep seams from daring pnopedy. RecornmercW deaning sofuera ate Metal pipekonduit appCWWns through nominal 24 inch (W9.6 mrn) outsrtte diameter — Minimum tr24nch cloth of 4000 or 200;, Scone went is required. — Maximum am v space sllOwable is 3-J4 inches. Faclong material is a mirimurn 34nch depth of 4 pCf Mir" wool. — Concrete floor thickross is a rninnmum 4.112 inC'res 80CA NFPA (IM Ovio t) (IM We (6) + MbftW ter 103.2.4 Saucoxal 5W Permt Pk• PAS111two iii+ 1706 Mlrtlttif Pro 1,05.1.6 Fr• 9f�pinq Sprow at E4W1W (Curfaln Vigo iAft (C~ VW WW FIN SWftM 1706 &UK fie... 1fl0i 3 pw'wr4dom of AMON" ft GWOU0W 1001,3.6 M OW E: domb Thwk*-FnanSW 41106(9) t'+S ax! PANWI s 43040 Merr&UM 4105 Floor�Ceilirlsp floors Cig 6'46 M1br4. W ROW MrA M -nM. NOW. N. CIN of Un Maws. CIA Rouv A P4 M AR N43. 6. lfiUttlon Tecnnkon $hwm are examples of UL dashed applications of 3M 2000 and 2003 Micone Sealant. Additional drawro and detaiis are araU* through yaw 3M Autwized Fire Prow bon Products Mot Do not use alcohols to clean :�uiaces in fire penetration. Alcohols can keep seams from daring pnopedy. RecornmercW deaning sofuera ate Metal pipekonduit appCWWns through nominal 24 inch (W9.6 mrn) outsrtte diameter — Minimum tr24nch cloth of 4000 or 200;, Scone went is required. — Maximum am v space sllOwable is 3-J4 inches. Faclong material is a mirimurn 34nch depth of 4 pCf Mir" wool. — Concrete floor thickross is a rninnmum 4.112 inC'res 80CA NFPA oft OW 60M) as m11 001.2 its $Hifi RenebWWM W-4 MOM Opwinp WW FIN SWftM 902.E sbuzx* BRA" AMMb W5 i�d^ Y41aij $f3Pfln�ramat Slracem IFTOOtI O*Q. Rooth C.&VQ A4iatrCON) 915.6 vS*A Shaka materal torn, xylene, toluene or rnedryi 90y ketone (MEK). Follow manutacturer S prQcaUWM wf M harx" 9iOWM. buUM8*0dotes: • Gtean swfWAS of the opening and all peneVWS items to allow proper adhesion of firestop rnatenia ls. • tnstsll damming rnaterlals as necesswy W oorftm firestop materials white they Curr?. r f m I NeC CoUnd at A on" QMW F*AIAW 30421 Re ` nQ NOR 243 • klsteil required WNW of fire -Wed fill MaWrOS such as MMrA woof or ceramic board. • install the MW amount of 3M Fire Harrier 2000 or 2003 Silicone Sealant S, t to obtain the zoedfied,1 2. 3• or 44w fire raft i "'vW saint Complete doeurnent includes systarvapp i:&an pages. 04/24/88FRI 03.57 FAX 206 441 0478 MAHLUM ARCHITECTS Q010 --N I V 11 — 41%=. mac,¢ W.aat% 1993 03-2-7 oe 36 4008 r^` ¢s/09 The Nestapping sealartl+4 are one-Ccnlpone rsadlt-to-use, gun -grade, slue eiaslomars. The sealants shalt be wed by irKJepen49M 1W ag8rides such as UL or FM area be tested to, and pass dre aitsft C9, ASTU E 814 Fre Test, W$Wd under c>wm press m Thw"vvrnpiiy v th tr* requirerwo of the NEC (NFPA-70). BOCAi, ICOO, SSWCI MM NFPA COM #101 The sealants met PM Rloverrom r8i1aT* Of AS"flVl Speckgon 920, Type S, Grade NS, Class 25, Use T, W M. G. A and O. r��.= ►.ori_=�t �-, Tvpicty ftecried 1D vwl r4 Ovs, r 7 Themlai and Moistlsre Prow*m 1=resw 0727 DM*n 13 SPOCW CQnswX*n Fre Suppression and Superats" Systems 13900 Divan 1$ Medlar al 15250 Meowkd InotMen Fre Prolecdon 15300 Division 16 Elect?" 15050 A. Typical ft"iCai Properties 2000 2003 Non-Ournp See -level -1g As SwOiod ML -S -M2 Ftm SK or Slump Ng SOR-leveiing WwWng T wne, minutW c 30 r X cow tight Gray Dark Gray Full Cure and Adhesion at i't°F (2300), days 14-21 14-21 CTM 3M4 Exon Rate, gnin 100 450 As Cured — Aker 21 Daus at 77°F (23°C) end 60% R.N. ASTM D 2240 Vuromater. Shore A is -- erve 00 _.. 65 ASTM D 412 Elongation at Break percent 1200 1200 `Contact 3M t e Current sales SPKAUabons. 8. F1rr$st "kV Proprarties Mem Ow crit a of ASTM E 814 Fire 'rest. tested ur+cier 1 PrOMM. Constit current UL Fire Res*anOe Dire.tory for Systems eswd under 3M Product MO Slime Sealant ants 3M Product 2003 Mot* Sealant S11.. I 04/24/98 FRI 09 58 FAX 206 441 0478 2. Metal powbonM for 2 hour Wed gypsum 3SMIUM& - MOftM 1 114 InCh bdaVa Of 2= so=* sewm is MWrad OA 1,2 inch thick belad at the P06AW AW*Q. - A nominal 3% we armlar spa* s veojiired, - Maximum p" site is 24 fires. 3, lr&AOd cabie aWicalsans. - AD cam mqi*9 a ff**num I -i o2 inch depth of 2WO or 201 Uwe Sealant. - Commn buildkV ftWn*, such as badw rod, may be USW for insuaw cable applicawns. - Maximum five 7/C No. 12 4WG PVC ir4tiilaWn with PVC jada allowed with 14 h:h between txfbies and Pedmew Of QPW*-Q' - Concrete tkkness trust be a Minirmm 3-14 haw, 7 Oftintwimce AA Fire Uffw M w4 M Silicone SQ"='afe ftd* OW nQMO solap ov4mm. Ovift" have a one ym thew life. Pails fto a six ffwm shelf Ift. Nor" at ftc* am stw* roMm are r4=mmended. Store bftw 90°F (3200 for rrtaximurn *0 Iib. & An#aWft 3M Fire Bane.* 2OW and 2003 Sikxcoe $eaWlts are availaWle Emm 3M Authorized Fim Protection OsUbAm. 2M Silicone Sealant is avagablem stindard 10.3 #1. oz. CaMW=2 gallon and 4.5 gallon pails. 200l., nO Sealant St is avW,abla in standwd 10.3 0. oz. carvCkj", 29.0 # oz. cartridges. 2 gallon and 45 gaW Falls. KT11 31M Piry PAVMOM PM"U 31W Caw, 84wins 2M-15-2 St Ran, Nf% !L%144-1006 J4W '2d 16A' MAKIpt ARCHITECrS A0 , 1 WAO.'aw-l" el 9. Safe Handift WOMIatbri OXWA 111ftwal 3d" 00W ShW 3M RN Ban* 2WO ON Of SWC" $0411111fe• *W M Important Wice to Rvemw UMfrATKX4 OF REMEDIES AND UASUW- It to 3M p*W is WW,4d to to decbe, THE EXCLUSIVE REMEOY, AT 3M'S OFTM. SMAtt BE TO AV4AD t HE PLWoWE PRICE OF OR TO REPAIR 04 REPLACE THE DEOPECTIVE SM MO= 3M SMAN not WWvv4e be W* for damn", OWW direct, m*oct speciat. kwsftof =We"ru (r*Arq. but mot WrdW to, bU of Mft, mvear-ent goo&4 w bwess 01=1`110*41 I'Sprde" of to W9W ft" w4w,vd. iililt:Wng -oyipnce. contrast. waft*. or Wict i0ft Ulm In -41-A .oWO.23t+r ss SIR. 70 05 t t o tt'C !'►" o is Y 4^1 (.� 3 A. �. t. q 4a µ i, G a. % S? 5's E.( To Eq r 2 Sys Il C R n, c. tc. r v+1 ewsw A* t.^vvT Q r -TA Ke Q iy pt,g4*ri4 W 6 5`C w Ai.(.. X t. o n.k G G tL vo E 1 tL o r- S t -T as 5 S 8 S t_s 4, E j 3<t't �,� Z iy 2 y a Z '�. �t -;,ie 2yf I �.,cra. � 4, I `t 7 1 Ex S�v*.,2a.rioµ ti G�Z�GK L. 0 0 QLi),ilk t t o tt'C !'►" o is Y 4^1 (.� 3 A. �. t. q 4a µ i, G a. % S? 5's E.( To Eq r 2 Sys Il C R n, c. tc. r v+1 ewsw A* t.^vvT Q r -TA Ke Q iy pt,g4*ri4 i 04/24/08 12 21 0360 452 $498 NTI ENG & SURVEY NORTHWESTERN TERRITORIES, INC. &,&few$ L"S*wym P40&ws CoxsVWbw CoorkSmigaft Matemb Tcs4n0 MTI 70 swm KABOOT. PMT mma WAMKTON osm (364) 482-6401 T9LI FAM (NO) 054-5545. fAX (360) 452-640 PROJECT 2 MAIN / SURGERY CONTRAqjOR BERSHA UER PHILUPS INSPECTION ORDERED SY BYRON COURTRICHF WFATMER 4f' 0001/002 JOB CONSTRUCTION REPORT # -zf DATE 4 - 7- 'f -9f+ cLiEw OLYMPIC MEMORIAL HOSPITAL SUPERINTENDENT BYRON COURTRIGHT INSPECTOR W.C.S. INSPECTOR ARRIVED: 17 .5o DEPARTED: RE J 1-o'd "'ve 62 C"A )f T Z "r r.oc e. 1 0 Vem ft 4 7 6 f:'a f io-aa' 0 Ate. 4 -z -f-,95 P JL c -r s f7 t -A -TfCrc. oc ^I -;-�.iyE{ 1ll �Ae- le 0,.t A. 10 - G9 7L- A r- Ak lPbrlc --- org P, -r -rk r x rqoc Y---f-h P 4 r I T%A k Z Lt q,, Lt --A - A. re 4 Nt 0 -f MC- Ac. M,ls, uwrl. w.T 7_i,e-+ cr C I �t 1-i,& C -a- K -PA 4. -T *,a -- REINSPECTION PMOUREO 0 YES JaNO 04/24/98 12 22 0360 452 8498 NTI ENG & SURVEY 0002/002 NORTHWESTERN TERRITORIES, INC. Engimefs a Land Su^vWs a ftwom ConsthKffOn 4WOMMOn 0 MaltaS YeStM17 NTI FIELD DENSITY TEST NUCLEAR GAUGE METHOD DATE .4 Z 4 -7 S PROJECT X CLIENT CONTRACTOR S& eS %4 A. r L ADDRESS MATERIAL c. x A,%j do. f3 tt e- le s I. f- TESTED BY STANDARD COUNTS mg = DS TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT NO DENSITY DENSITY COUNT MOISTURE COMPACTION 13 V 7 ZL 1,71 LOCATION a z o of rzo".w 1pq C. 9- 4 0 `I*7 1-Z l LOCATION C) f 4.9 Vg 1900 LOCATION c_ 1 4%1 - U/ f its A 7 191 9 b NA e—R: 4- LOCATION t -qo '7 LOCATION '7 7 -S 9z 1 LOCATION 3% Tit 6 '7 1 1 15 7 C) I 7 LOCATION LOCATION 44 5 of 4 M, 0 C) LOCATI -?I?$Qtf'rHP&ABODY PORT ANGELES, WA"362 t36M452-8491 1400-654-5545 RX 4SI4498 04/23/98 12 04 #0360 452 8498 --- NTI.ENG & SURVEY Ji6 NORTHWESTERN TERRITORIES, INC. V-3p/jm LOW st"vy" Pt *Ws 1�37 combwon cowdhoom mawwo Toffiv. NTI70 SOUTH PMMy. PORT AMM WAS MTM'MOZ (380) 452 -SM TOLL FAMISM 6WN0. FAX (M) 452-0490 PROJECT 2 CONTRACTOR 9 Lips INSPECTION. ORDERED BY STEV-6 WEATHER zool/005 JOB CONSTRUCTION REPORT # -ieec-�L DATE '4 -'?-3 - 9 CUENT SUPERINTENDENT GYPom INSPECTOR S INSPECTOR ARRIVED: 2_50 DEPARTED: 11470 L-3 T."k li, i,%t--r L.-.) A. o 01!7 1 p p -j vt %1-0 At E 4 i a ru 0 12 f G,2a #-- ct Lx0 c --*.r ic vi I or e. "'r n F C -A.2 A.L r 1';. -1 M it d+ %J c M - -r-19 KA"T e -AL cx'%.r- ti !-baA"4s� f*j e- 'q C a- 0 mo' I$ ot. e " P " rl es C G- A, r_ 14. WA. I-L- q'Q-Q-r' 4L -s IZ-0, A.0 IN. { S; GQ -r k & o 4 G -e -a.0 4c Lp-), A. L.,— S_q,, Cr -C. I) is V J& LA C- k C- Co K, S -71Z c -e en, pk N -.-A Tz rc cg:* 4.'t o N AP40 -I or *p -r 14 1 %L.%jDj_r A Is vc- Me a A rLPIC-- It I FCC 7 0--' u, C c- tw, c, D -4 e) -7 57_ 1p r-- cn, *rk,41 I't e- V --r= ti iJ I P-4 r- -1ti -T O 2 T <L dT A %MO- l% M 9 iX7 3 lir -,2 -r Q 41 4LA.s"T aCt hie a$tfv -T A, e- 44 " I;nb 4P REINSPECTION REQUIRED O YES A NO A` AL 4L, REINSPECTION REQUIRED D YES X NO f 2. w O N rl EAST w4LL A�ow�G CS ft �V 5 8 C" 2� ►.,. 5$ Td 6 8 SA 2A, 2k z %y 23,�r ;2 4 3 3 3 4� 1 to ! t 1b I t4 P�tv�t�t F (: o o r- s-)IiE- N.. -E Iv'rS `TA Kec r�< <" i' NS3o �� R csu o R- 1 TV S&I.0 is (84.82} 8" 8SMT WALL TYP I 4* (E) F007MG 4 V-0' DP FTG I I FTG ® CAST BELOW e DOVIEL NEW TO EMST I' (E) WALL FTG. TYP ,KR -5/S3.1.0 44 A (64.82) 1 (84.32) 2 ! S3.1A 4` — sato r -SAW-CUT NEW G?KGS 1" (E) TUNNEL WALLS 1HRU (E) 8' CONC WALLS 6 $ I SEE 901, I GSN m 3 I © FTG Q> CAST BELOW tjk6DI Sato (E) WALL FTG, TYP ,tt SEE 4/53.1.0 w to 0 04/23/98 12 05 0360 452 8498 NTI ENG & SURVEY 0004/005 7.6.49 t D. MAWMN9/CHAN . INC TEL NO M -2% -SM Q49. P01- /VWTENS L. FAx M E. M a� CONStATM- E %INEERS Marto aa,. lac. • 404 MetW Suoet Suite 410. Seattle, Washington S*109-4641 CH M WOO; (?A6j: 1$ • Fax (206)2W9876. To: NTI Date: 421188 Time: 11:00 AM At**on: Jo" Newlin From: stove Sarldhomt FAX No. 1,9 462 Project: Olympic Me"dai Hosp. Project No. 56045.20 it is my undon tanding that the Hospital has retained your company to perform noxi -destructive testing of the North Addition basement waits in order to determine the position of rebar within the concrefie. The position of the vertical wall reinforcement is most critical to the structural integrity of the wall. We would like to verify the distance from the Inside face of wall to the vertical reinforcement. Thar wall deetali specifies UW the vertical reinforcement shote be 1.5 Inches clear from the inside face. Attached you arlll flrhd a plan of the North Addition basement walls. We have cross -hatched the area whore we would like testing. Testing should be perkwmed in these areas at mid -height of wall. ., t Fun►: FAXMf W.OTP t.A� 6.eINUnt. U 04/23/88 12 08 0360 452 8488 NTI ENG & SURVEY --�, 3"� 11" - 2—#5 TOP ----t FIRST FLOOR #5 VERT 0 12 O.0 #5 HOR 0 15" O.C. FIE10 16005/005 6"x 18CA STEEL STUD WALL, FASTEN BOT TRACK W/ HILT! X" METAL HIT ANCHORS 0 32" O.C., SEE ARCH WBx COLUMN, SEE PIAN CONC ON STEEL DECK, TYP SEE PLAN L4x4x% x 12" LONG, PROVIDE 2—ANCHOR BOLTS 0 Su O.C. L4x4x% W% %"0 ANCHOR BOLTS 1 � "�`� da 2` —O" O.C. EMBED 5" MIN to --" " �.. 12 x19 CONC PIER AT COLUMN, TYP R" g" W/ 6—#6 VERT, 6—#3 IiES 0 6" TOP, ROUGHEN JOINT #3 TIES 0 12" REMAINDER ��'�''j BASEMENT r�.----' ca �, 0 PERF FTG �� DRAIN, TYP .� SEE CIVIL l o 009 e d s T-1 3—#5 3—#5 TYP IN FTG ---/ 8" 8" 8" I1" 1 DETAIL EXIST NEW TOP OF WALL �" — 4" SLAB, TYP #5x "' 700 DOWELS TO MATCH 1 _p WALL VERT REINF ALTERNATE DIRECTION OF BEND IN FTG FOOTING UNDER PIER, 2' -2"x2' -11"x 1'-0" DEEP W/ 3—#5 EA WAY BOT, TYP 04/24/98 12 09 '0360 452 8498 NTI ENG & SURVEY NORTHWESTERN TERRITORIES, INC. J 0 6 CONSTRUCTION PTIM Alosm,, , wwhw "" REPORT # NTI m MM tIfJINK roar MMM w&4tIKirON M t 000 462-sM DATE 4-21S-95 TOLL FREE OW 054-6646 FAX (340) 452 -NU PROJECT -L�.tN.i / S u+L(.�q�'r CLIENT oLr...�+... 1v�4Ma441l�L MezPtT4L CONTRACTOR Q, LtrS L K ti U E t ? t -i t t- I- t P S SUPERINTENDENT INSPECTION ORDERED BY STE v E ►. t Q w srt t INSPECTOR c w] C. S _ WEATHER INSPECTOR, ARRIVED: DEPARTED: ! t . o a r. r G G t A 4r � S 10 e-C'r ib w.r Gal o"T . Rniz, Awr 0 i G{ZAc-It RV At N4 N¢ �r L a 0 M id f jE itry c O t -t 4: -zT & m -ZS XT T 44 E Tb P to F T ti 4: w A L- 4_ A P A sr o f P (r I I4 T F! A N n P. I f ►.j N l s o tv im� t V Y �c..Q„L�N_cs e% r. P�'ttirk 0 FL.00fa. -r m e OZ N 6 li t4 u E mp k P r n -o k i e I*k- F fL P L t N -t !.I AT 'r' co P -C L,.> A- L. L D _l s fs a w. -rel Sr t1. i T -r o A t1 r %V x . r o T- 45 t= es tZ l �7 5 _'a3 Alm 0002/004 L.. -,P E A L; 3 T F I -- S O c.>,r M L.-3 A t.t _ CLtt4 t{ I S lam{ Ic R_ U N S On I -ih 4, { E L I IV t iiP?TZak tN t`k,►OOLF of TNS, L,3AL.(.- REINSPECTION REOUIRED 0 YES A NO 04/23/98 08 11 V360 452 8498 NTI ENG & SURVEY Z001/002 ° NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION Lw°" P � �� c��aflonu�-�:�� Teamo REPORT # 23 iNT i 717 SOURA7KiS PEMODT, PMT Ut WASJMT08 ee.3es. (390) 452-e461 DATE 4 i.Z - 9 6 TOLL FPA (8") 854.5545, FAX (380) 452-0486 PROJECT 2 MAIN J SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSHAUER PHILLIPS SUPERINTENDENT BYRON COURTRIGHT INSPECTION. ORDERED BY BYRON COURTRIGHT INSPECTOR W C.S. WEATHER 4- r &,14 T o.v !2. G INSPECTOR ARRIVED: 01.) S' DEPARTED: 9 . � e> iFo re. Q I S TCR C E rw© '&Lb.. 1u44t-4S (A^U< BA7z PLA -a,0 -r w ,.� . IS LA, Lt j u jej c. < r.(._a ,, a N(c j&E -A 1- REINSPECTI,Mi REQUIRED fik, YES 0 NO 1 04/23/98 08 12 0360 452 8498 NTI ENG & SURVEY Q002/002 NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION �o �� Xam ffiv REPORT # zY NTl ?It MRM "AS=. Mt, MM Weft 083O. w6al 452-841M DATEy - a 2 �8 Tou FREE(M)1$4-SW FAX (M) 452-"90 PROJECT 2 MAIN / SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSHAUER PHILLIPS SUPERINTENDENT B.YRON COURMIGHT INSPECTION ORDERED BY BYRON COURTRIGHT INSPECTOR / q - WEATHER Cryo INSPECTOR ARRIVED: [ `�D ,4. DEPARto: la 2-,O A f S.s4k- �. �,s,.Q s.Z, «� �3. I� r P s �o �, d Q d �� 1'� Y -Ta Lt , r ± B�!( gr 30 10 DZ� n c Y � � e� -� �r r re bars- ► � s P_p�.f � �zt �-�d r tryr w, E a. �' % 5�a f ;,is -4a7 a 4 47wo evr a b dv by /o_ aw. . C Re VC* -,r eroG - fitJ5 ve d � YE ba.. -r- Wr<I_�s (g Lf �n bmf �z , t4 /SIC&- a.,�.�o 60 u_f/r A r i �' , {{ ��r v G_ ! �► { /) i� SAY 11 P Ci a" .* le r � �� t. _i_�b �� __,� cwt e- i<� Ye ;ul•r jnt%etTS /ti0iYF plet eer-ni11 'l.r we -f C..oHcrefa Slit Y �a t ws, Q JJ 4 if v-),, a.P Gva s, J t r J � �y In../ Z� t �<� bIYYC o.G.! GI^r-� �+ �--� �orbC _�. n� s h l', Cvti, c v e 'f a i"�v r iD r -d S a na 41, e d a. - �I. ,C/-'� os D /a e e cf Ok 1� Le. �c� . �. eit A t T % REINSPECTION REQUIRED 0 YES NO 05/19/98 08 27 '$360 452 8498 NTi ENG & SURVEY Q 001/001 NTI MATERIALS TESTING LABORATORY COMPRE8$IYE STRENOTH TEST 717 S. Peabody, Port Angeles, WA 98362 SPECIMEN TRANSMITTAL A TEST RESUI,T8 FORM (360) 462$491 Fax (360) 4528498 ror Ina pmjwl "*[men DOW 00m0019 nwno for nWb Vaftmitw. 1 Material Type: ® Concrete O Mortar O Grout OVVnI j .►.tawntrnt Hash? 2. Number of Specimens: O 1 0 2 O 3 ® 4 17 8 PEW 3. Testing Sequence Requested (days atter casting): BILLING INFORMATION ® Standard A Ct Standard B Q Standard C O Other (s 900 If no open tab aunt or sotlre Molts ID, roust go through 7,28,28, Hold 7,28,28 28,28 eushvm Msnsoer f1w. O Lab Account # 4. tate Cast: A --s-o - °1 S 5. Cast S ❑ Project Account 10 a z 6. Material Supplied by. A � e e t Project Manager _,xjL .., 7 Contractor: 8e- of cs ►a A <.� 6 Pf0 / 4 t-. P S' ❑ Pre -paid (inquired h not on account we nomm) 8. Date Rec d In lab: 4 -,R,? -Y89. Recd by.--Js�b DESIGN ACTUAL Required Compressive Strength: Additional Requirerpents. MATERIAL SPECIFICATIONS SWMP TEMPERATURE .4 3vpo COMPONENTS/MISCELLANEOUS AIR COMPM 4-7 S.. �; -Z Oslo 7 - Cement Cement Type: I No. of Sacks/C.Y < (170 J4,) I Load Size: Admix Amount/Brand/Type: 3 JV 4"� /� ,� a & •l Admix Amount/Brand/Type: u.- Coarse Aggregate: i4 - t q 6 o �� Fine fie: weather _ Air Ternp: t UNrr WE]GHr Days i C.Y Remarks/Locatron of Concrete Placement: s ill¢ b . c T A. I? cd U tit Q qT ! O w -r S l &til Spedmen Control # P7 f3 TEST RESULTS (TO BE F111-1 ED OUT BY NT 1 PERSONNEL ONLY) Spedmen Specimen Tact ® Tatted Oat@ Broak� Toth Unit Load •. Type Daus ey Tested GP TWO Load Asa PSI , A "Ox 1.71 4-A748_ AW 77 .1$ a7 a740 s as 5' /8 -98 1.4 NVJi /041 OOC) 1 ?.D C At Fl M,j� 57 18 Qe N IAV V /Oro 5 OV } ? CQ 4 Dr Comarotm about hroaks: •� wwann+a�cn...sw.+ - 04/27/98 11 00 '0360 452 8498 NTI ENG & SURVEY 0 002 NORTHWESTERN TERRITOR(ES, INC. JOB CONSTRUCTION V-Wlqm,ors REPORT # co"Imoo n coo.4Ga w a<ut&ws Tesft �/•�r !! / 1 m Wn KMM, POU uMO, W080GUM Inez. (W) 45:-SW DATE T LOLL FM 000) 454-%4% FAX (344) 442-8488 2 MAIN f SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL PROJECT CONTRACTOR BERSHAUER PHILUPS SUPERINTENDENT BYRON COURTRIGHT INSPECTION ORDERED By BYRON COURTi4IGHT INSPECTOR W C.S. WEATHER S V n/ n! 41 _ INSPECTOR ARRIVED: q. .40 DEPARM: it 40 BY,toA+ �a4�s.A �oQ a O.M :_0vCY(-7- 7--.vF' -.v 4c,e--Ncmr csTly ,.GBPS ait&I Vb.'s pOVZ .g-A.aiF__,) Tg-zT-G°d Ar -�s!`) 4'Jbaroe cr2 �.. G. LA-1, R Tait a wi. a .lam 61? ►l n a 'T 06— A t./ c.vrv�4 — Q A AFL r_r,+1 r S . <r� TE �n La e---A s Y f CYG 5 - REINSPECTION REQUIRED 0 YES ONO 04/17/98 08 00 0360 452 8498 �ft NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION feLand&mrQfB �fn`a REPORT Co N&Wboo Coorrk'wvw mater" Tesuw # ! 4 NT/r V SWTH PE SM, PM AgUS, W4900M MOZ (M)'sz DATE 9 - IC -78 TOLL F=' (800) M -66x6, FAX (M) M-84" PROJECT 2 MAIN / SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR HERSHAUER PHILUPS SUPMINTENDENT BYRON COURTRIGHT INSPECTION ORDFRFD RY BYRON COURTRIGHT INSPECTOR w C.S. WEATHER Q &aL e 4 v c %- o .) o +i INSPECTOR ARRIVED: 4 SO DEPARTED: T. S gYti2Ow� Cs�� Fm2 Sti-a-r StAW Fo�wfo0.'no 61t►0 ALt 126eSAP &its tp, hip AFfe—Aj&-m srf$A.T W ��-b( ?L &t,,- turtn Spec IF 4u,0*7f0"S NTI ENG & SURVEY REINSPECTION REQUIRED Cl YES %r NO 05/11/98 10 18 $'360 452 8498 NTI ENG & SURVEY Z001/001 NTI MATERIALS TESTING LABORATORY 717 S. Peabody Port Angeles. WA 98362 (360) 452,8491 Fax (380) 4524M BILLING INFORMATION. It no opal lab account or aotlw propos 10. must go through &Nineaa Manapsr first. D Lab A000unt # 0 Project A000unt ID o v- ,.,, rk 4 -t a Project Manager --:L. .10 Pro - paid (required it not on account see reverse) ► OESIGN ACTUAL Required Compressive Strength. Additional Requirements: COMPRF-881VE STRENGTH TEST SPECIMEN TRANSMITTAL b TEST RESULTS FORM For Ont propos apeelmen batch, complete nwerse for reaft tri, 1 Material Type: JO Concrete O Mortar O Grout i 2. Number of Specimens: 0 1 0 2 0 3 10 4 13 5 3. Testing Sequence Requested (days after casting) - 0 Standard A 0 Standard S 0 Standard C O Other (spec lit 7.28.28. Hold 7.28.28 26.28 4. Dene Cast: a -1 ?—q 8 S. Cast ey. <- 6, Material Supplied by A N G E LC s5 7 Cor tr&Ctor: S?' f rz S t► R v f -v— # 1+1 1-1, t PIC 8. Dee Recd in Cab: a -14 -q8 9. Recd by:_.., M35 MATERIAL SPECIFICATIONS $LUMP TEMPEMTURE AIR CONTENT UNIT WW.IW 200 p ¢Si Ccs 7-S Days COMPONENTS, /MISCELLANEOUS Cement Type: w 7?, , No. of Sacks/C.Y �' � Load Site: /,o CX Admbc Amourd/Srand/ ypw. Admit Amount/Brand/Type: o A&A, Coarse Aggregate: is c 76,o lb/ y Fine Aggregate: s 3 r b/G Weather g471.," .,, Air Temp' 59 , F' RerrrarkS/Location of Concrete Placement: S H oQ-r STAY r-ovT ( r -i G C .Sit o -r- H LA --A t -Z. Mow wwwa Specimen Control #_ ` 7p 'GEST RESULTS (TO SE FILLED OUT BY NTI PERSONNEL ONLY) Specimen Specimen Test 0 Tested Date Break Total Unit Load PSI t Type Days By Tested Cap Type Low Am ._ A „r) x let'. 7 ffrag 4 -.20448 _ AI N uB 73.6&D a..$ "Ll A, 5 9 0� 1 e a8 AMB 5-1 1-4$ N NvD /1/1000 ,3Q ao C a8 fem 5 11-q8 �` 9E ovry y �° D e _ 00mm acs about breaks: n. v.w�b+tv�setnterv.wWw 04/13/98 14 01 '0360 452 8498 NTI ENG & SURVEY Z 001 NORTHWESTERN TERRITORIES, INC. ,J a B CONSTRUCTION L-ds""we ftmwsREPORT #►� N' M SOUTH PCAOODY. PORT ANGRES, WA%MtCN Met (360) 452-9401 QATF A- 13-99 TOIL FREE (800) eS4-5545. FAX (30) 452-8409 PROJECT 2 MAIN / SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSHAUER PHILLIPS SUPERINTENDENT BYRON COUR7RIGHT INSPECTION ORDERED BY BYRON COURRIGHT INSPECTOR W C.S. WEATHER due xc-w . INSPECTOR ARRIVED: ;O , D C DEPARTED: IN>L�A�TtoAL 'sw Z -T G-CA.,v GIS -(O5 QAdv Fec)P A 5E25A cl c- M PH t LL IAS 4 Q� QAR 0,PPa, 4-9_5 7"6 it,E PLACg�A C.nT A, ALT LwJIT44 -T14C- 1.4iN-�-' AN0 S(pe-c- - REINSPECTION REQUIRED 0 YES A NO 04/13/98 14 01 0360 452 8498 NTI ENG & SURVEY Z002 NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION und REPORT j-7Constrw1ka Coo daatbn Alatedala Temp NTf 717 SOUM PEABODY, PORT A4E2fS, WAS1MOR 0302, (300) 457-9491 DATE 4- 13-9f TOIL "a (800) 054-5546. FAX (360) 462.8498 PROJECT 2 MAIN / SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSHAUER PHILLIPS SUPERINTENDENT BYRON COURTRIGHT INSPECTION OR(IERED BY BYRON COUR77?1GHT INSPECTOR w C.S. WEATHER iAa ti/ INSPECTOR ARRIVED: DEPARTED: �lQ Q i ve v -reg TE �, f- S As f -n PGE G e wa-c /i F,p fs0inc F i CLOT Z 2 Q e— lc. A, Z R. Y D ►i. • 1_ i? t-kv Q r aA. b VEA! V TT S VFt.V t,)w1..bKt--t-Y "TNE tJA-ro it C.A,4TFt�4T C.ANr, E -r R v G -L N, A, n syr S (� v nn r' _.1 V EA S A. 101 u r_ a,1 A. m ♦, P P REINSPECTION REQUIRED 0 YES )[ NO o NORTHWESTERN TERRITORIES, INC.PROJECT h..h��.t /suaseet� DATE 4 -is 96► Yrowilrs centSmfyat, A vw# omfouotion 004fasthn motorists TNifip CLIENT v P- Sy INSPECTOR Nlr I 717 A0u1NPE03W, MY 039" WMIOMTOM $Slit. 1301451-9401 CONTRACTOR j9 &.. S W A V e x WEATHER Lj v x! f CONCRETE POUR LOG SUPPLIER SHT i OF TRUCK 0 SIZE TIME COARSE SAND TYPE I FLY ASH AIR ENT WRDA 64 K20 SLUMP AIRCONT1 TEMP CYL. lbs lbs lbs _ lbs oz, 02 gal in.� °�b de "F _ 14 tt�iY ri 5 j /0 12 jp 4960 143 >;�G2 `„-*% �'� rec �M 3 2 63` -A 40 I >• I w w cw rn o 43 c� s — !:F l li 5 F iX �.3., 176057 FA ! RiVAI ME 'H TEST REPORT COMPANY F-".alry y)Aq!: latmca! Contractor j, lr3f_N Lif Pip-- lUnti Ref yy Jl 'ASSED FA t_FC _ rrr r' 1.....__._. __.{ ...� �.M�.x. _J�, •1 _{__....Y�...�. �..... X4'1 ..M��Y "� f'YZ 1:,�.s t 1 ILI i 04/16/98 11 30 $360 452 8498 NTI ENG & SURVEY 0 001 NTI MATERIALS TESTING LABORATORY 717 S. Peabody Port Ames, WA 98362 (360) 462-0481 Fax (360) 4524KOO ,W.«to,ry[. FJ41eCt: 2 BIWNG INFORMATION If no open 10 w= Ot or aothm Protect IO, must go through d ohm Manager first O Lab Account # Project Account ID C7L t-« 4 9705,' Project Manager V CL,., El Pre-pald "Qulred N riot an acoaunt am ravers,) DE3*N ACTUAL Required Compressive Strength: Additional Requirements: COMPRESSIVE STRENGTH TEST SPECIMEN TRANSM11TAL & TEBT RESULTS FORM ft first proieat specimen batch. OomplNe wmw tot rewlh 1pnNrtittal, i Material Type: ® Concrete O MoctAr Q Grout 2. Number of Speclamw 01 O 2 O 3 ® 4 Q 5 3. Testing Sequence Requested (days after cam: M Standard A O Standard B O StandW C O Other (8p9ft 7.26.28. Hold 7x28.28 28.28 4. Date Cast: q - -7-96 5. Cast By. A,WC. r. 6. Material Supplied by. 4 G F s 7 Contractor. r,F ,e S e-)4 A u 4Ph� / A4-40 r i 8. Date Recd In Lab: leg. Reed by. kM f5 MATERIAL SPECIFICATIONS SLUMP TEMPERATURE AIR CONTENT UW WEIGHT G -3 0 nz, psi (& LS COMPONENTS/MISCELLANEOUS Cement Type: , r 1 No. of Sacks/0-Y S,; y '6/._, � Load Size: tr.Jy, aa4-� (40774-mqa e5 / „ Admix Amounrt/Brand/Type: Cl Admix Amount/Brand/Type: Coarse Aggregate: s 19 o a !b/may Fine Aggregate: m s Weather Atr Temp. �Q o Remarks/Location of Cone Placement S C G wcP Z7 4 A.D v rT ro r -t /D Days C.Y Specimen Control # ((p S a TEST RESULTS (TO BE FILLED OUT BY NTI PERSONNEL ONLY) Speeimen Specimmn Teat a Tested Oafs creak Total Unit goad I Type D" ay Tested tap Type toad AreaPSI A 60 1-Zz KMS, 4 -Ito -q$ N iJ1l $9) 00 z�_ t1 C O EiPhO — E COMMOMS about breaks: .a v.vn04vA%W4[rn.wsyw. i 04/09198 14 10 12360 452 8498 NTI ENG & SURVEY (it 008 i TEST NO L I f q STANDARD COUNTS MS = DS it.� voti-t aft{6� NORTHWESTERN TERRITORIES, INC. _ ...E._R.__C_E-N, - — DRY WET MOISTURE PERCENT fngkmn• w survrwrs a p4nm 4 DENSITY Co MPWim Liu d uta t ! Matulafs tesiM COUNT MOISTURE NTI FIELD DENSITY TEST 9 NOCLEAR GAUGE METHOD aoo a7 t DATE 4 -9 PROJECT Y tzfVs CLIENT ©t_,e"Ptt CONTRACTOR 49 ADDRESS MATERIAL G 2 a v 4 L rd c At Cl c 4 _ — LOCATION • fz , a' TESTED BY t o i TEST NO L I f q STANDARD COUNTS MS = DS it.� voti-t _ ...E._R.__C_E-N, - — DRY WET MOISTURE PERCENT PROCTOR TDEPTH DENSITY DENSITY COUNT MOISTURE COMPACTIONli LOCATION 7" tzfVs 9 1"5 -7 01 137 � °j 6 s 1 LOCATION • fz , a' t o 14 LOCATION `t' E 4' #%& O F "":' pe n N r'q- tx. 1 133 9 LOCATION ii � ,,,t S � � o r�' Go,z tvc .1. N E. s.• "' � fc LOCATION LOCATION ---- — — — - _..— LOCATION i ILOCATION - ---�- LOCATI?N -- ? 17 SOUTH PW00Y PMT ANtiE=- WA "W pW 49.8491 14=-GS44545 FAX 4%. 448$ 04/09/98 14 09 IM380 452 8498 NTI ENG & SURVEY lb007 NORTHWESTERN TERWORIES, INC JOB CONSTRUCTION s uwurvom$ pAwmmREPORTi 5 Construction Goorau&n Hetams raft j NT/ 717 sartH PEA9oor. PORT rust= WA51WOPI SOM (380) 452-0401 DATE TOLL FREE (800) 4b4-534k FAX (508 862-UW PROJECT 2 MAIN f SURGERY CUENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSHAUER PHILLIPS SUPERINTENVENI BYRON COURTRIGHT INSPECTION ORDERED BY BYRON COURTRIGHT INSPECTOR w GS WEATHER t?lrE et CA i INSPECTOR ARRIVED: g Sty DEPARTED: _ (�fil• Q ✓✓ rfJur✓L1"li lAnr r�gck Fi{,C. -- i�Vr� OGN`4.YY o S: PLA11.40 fil cv -THAN Vq 17n b F TMG ;},y``i„� 4 �''e! S? tis'Y Q ,(Z � �i�• ;'C i REINSPECTION REQUIRED 0 YES ONO 04/09/98 14 09 12360 452 8498 NTI ENG & SURVEY lz000 006J&6 NJ 116 NORTHWESTERN TERRITORIES, INC. Ewem is und sumwn a punws 4 Conal w6on Coor&wow a matow testing NTI FIELD DENSITY TEST N:tLTO NUCLEAR GAUGE METHOD awrttest DATE 4-13-9A PROJECT CLIENT �QS�Tt4 CONTRACTOR ADDRESS MATERIAL A, C,(c r t u i,-. TESTED BY W. r—.Z, STANDARD COUNTS MS = DS 14 TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT NO DENSITY DENSITY COUNT MOISTURE COMPACTION It LOCATION I-& ISS m -Z uj C-6 m 1.4 ca - LOCATION C4 7 1 LOCATION 4 -7. 0 2, LOCATION ex So(-* fvei-: LOCATION LOCATION LOCATION LOCATION LOCATI?N Til WMpE"ooy.PORT AgGaB.WA.9M (3601452-6491 14004M-5545 FAX 452-8493 04/09/98 14 09 0380 452 8498 NTI ENG & SURVEY 0 005 NORTHWESTERN TERRITORIES, INC. svown - uw 5w wors Paunun Cif cowawfIIW► Nowift tae" �% ■>f T I 717 SOUTM PEIaNM, PW AI18EliS WA24M M =4Z DO 452 Sidi TOM FMS wok OW554k FAA (m) 4m-"" PROJECT 2 MAIN / SURGERY CONTRACTOR BERSHAUER PHILLIPS INSPECTION ORDERED E Y BYRON 'COURTRIGHT WEATHER S v x, ra to — G.r+a L - JOB CONSTRUCTION REPORT # l,q UAIE 4-g-°26 cum OLYMPIC MEMORIAL HOSPITAL SUPERINTENDENT BYRON COURTRIGHT INSPECTOR WC -5. INSPECTOR ARRIVED: °1:5 0 DEPARTED: ib , 55' Xv_- 6.r 6r n 4. rrgvz- C-4.c.t CZ�rw. 4-1 r T Z i' L. o w F t n✓ / c ty &,67 Gz�Lt? E- Q L •• _ 14LE.A- SOraPAL 12.f4„T'©r2 �;� PC.KG.f�0_. A. o A. c. IC. F f .t_. L,,,g A2{� P T 2_ -y iZ E �„�D L,> 4 sc Lf.D T E4 F.IZE . t7 3 AZ— ff _ y 1 LI. A ' o l3 ha -0— % .t0% s s L LT'�w; !` r 4r�tI-V 4sM4,1 Lam(. 9AICc-4:I..t.•I REINSPECTION REQUIRED 0 YES 1K NO 04/09/98 14 08 JM360 452 8498 NTI ENG & SURVEY (6004 NORTHWESTERN TERRITORIES, INC. fnvfem a Land &mw;ees a ftanm Construction coffamation a Materials w4v NTI FIELD DENSITY TEST NUCLEAR GAUGE METHOD '%*0117 1 oru DATE 4-9 -96 PROJECT CLIENT 0Lqc-,,?i. kosP CONTRACTOR tx.� ADDRESS MATERIAL c. L- TESTED BY s. STANDARD COUNTS MS = DS Rb P 0 mr 13 TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT NO DENSITY DENSITY COUNT MOISTURE COMPACTIONf -7 Z I-SA 4 -7 4 5 6 (39 9L s,f e or evo-91-4 LOCATION 12 Ila, Z LOCATION A ft L 0 ^f ipc LOCATIONf ' f P11* 7. 0. 04 00 LOCATION LOCATION LOCATION LOCATION LOCATION LOCATIyN It? SOUM PEABODY. PORT ANGW. WA 48362 (360)452-8491 140CM-6545 FAX 4524490 04/09/98 14 08 '0360 452 8498 NORTHWESTERN TERRITORIES. INC. "wswom C eowwwom > res" to SWW KAM. PORT ANM A WMWWW M#X (M 452-8M ML FM (SM 85-5545. FM OW) 452.8488 PROJECT 2 MAIN / SURGERY CONTRACTOR BERSCHAUER PHILLIPS INSPECTION ORDERED BY BYRON COURTRIGHT WEATHERt- NTI ENG & SURVEY Q003 _ JOB CONSTRUCTION REPORT # ix DATE -q-9 -9.6 CUENT OLYMPIC MEMORIAL HOSPITAL SUPERINTENDENT MON COURTRIGHT INSPECTOR is✓C INSPECTOR ARRIVED: *7 , v DEPARTED: ASi P_tYFn -ro rtLwp,4 _ Ftp, c ja 06M.srf4 -rKs-rs �ftl fey," A -Iar- eaay�„Gr„c.�. A -r r✓narN +41»tTloo-4 Ci � tr, - t...i A r c r{,,, s Pr A,r. R �? n 1t- o..> �. 3 to P G�.gS.�.R .._.13' • � r h n .�'A, r y�% t L..C,,. KAD i3Fc.a.. PL4Cr-d A.t7%?ovwto 1T1�,3 _GR-4&&,Z--5Ayp E .1 - F-4 4 HAI) 94Ct. Riot. -r e-) Ly717"M (ti Z , 04r 4rt"iSN GFttar- S ttt• d r A F► ej. tk, c -b t> trf a T co aJr t -r 4 c.. Y cAk6 „PA r-PE/.7 2 NJ 3 -t-F Kr,$ c- o ti.r' A c -r I a A.( 4.&&D I N1 i s Tqi_p �O.E16-3 "1'v r...s�y l.►y n.ss AA Aitn CAV r..PAC-Z11214( gos,7G2C � ►h+.fit„ A"T- 7 -Nor. I& 6 C., A t.> G. CL A. ,rya.. i e -- REINSPECTION REQUIRED X YES 0 NO 05/07/98 11 55 12360 452 8498 _ NTi ENG & SURVEY (1001/001 NTI MATERIALS TESTING LAsoRATORY 717 S. Peabody. Port AngelSS, WA 98382 (384) *24491 Fax (380) 452.8498 S UM' 0 L Yn,. w f M a n r t, N OS P, T A L. j.iiti43r' : 7, ham+., r c Sv t BILLING INFORMATION 0 no open lab "aoauM or 6011- MOM 10, must go *"Wh & WrAM MWWAW Nast. O Lab Account #f P(Prosect ACoourd ID 06N,,+ 970-,' Project Manager -r Cx , d Pre•patd (tequlred M not on account as rewem) DESIGN ACTUAL. Required Compressive Strength: Additional Requirements: COMPRESSIVE STRENGTH TEST SPECIMEN TRANSMITTAL S TEST RESULTS FORM for Qrst proleot ap dnW batch. oaMpt a rawra ror mritti ttanOMW. 1 Materlal Type: IS Concrete O Morar p Grout 2. Number of Specirnens: 0 1 O 2 0 3 13 4 13 5 3. Testing Sequence Requested (days after Cetst nW: B Standard A 0 Standard B 0 Standard C Q Other (spacgo 7.28.28. Hold 7.28.28 28A 4. Date Cast: q - I - 9 6 5. Cast By. -t-u t 4 r . 6. Mateft Supplled by-—AAa,tf.f- r 7 Contractor: ^ rt ,C" S t H A f P 6 2 PHi 6 4-/P -r 8. Gate Recd in Lab: 10 -189. Reed by. k.1- 15 MATERIAL SPECIFICATIONS SWIM TSAPMATUFM G AER CONTarrr uwr WBGW COMPONENTS/MISCEU ANEOUS Cement Type: r r No. of Salts/C.Y , q 14 Load Size: fi> Admix Amourd/Brand/Type: "• �'� Y w� n ,ra Admix Amourtt%Brend/Type: ' 14 a•• �/�� Coarse Aggregate: r 100 16/,,, Fine Aggregate: 1.160 't%.1 Weather Air Temp: era" f:, Remarks/L.ocation of Concrete ftu*merd: So Na a7 n t> D T a ti t ►J CY n Specimen Controi # t (a 8 TEST RESULTS (TO BE FILLED OUT BY NTI PERSONNEL ONLY) amen ,spednm Test 0 Tested 00ft amok Toth/ unR Load aE Type Days 13Y Teamd Cap Type Road Aro" Pyr A 6d az 7 rKli 4-1(P-qg �7 int �( ga,�joo c 1too e z' c �6 5-7 18 tj N�8 114/�oy 4c6a D /1.i Coanments about bre"ks: _ ___ 04/09/98 14 07 0360 452 8498 NTI ENG & SURVEY Z002 NORTHWESTERN TERRITORIES, INC. N IVORTK AO�iTIv'i..l fnprnM ■ Land Surrerors ■ Planners C017SP tiM C4W*Mtton A Mararials ksGny + NTI FIELD DENSITY TEST - I NUCLEAR GAUGE METHOD t _ ---='' DATE A•–?—__. I - PROJECT- si�..�ca CLIENT ote– KA -e_ amt p., Nater' CONTRACTOR BG.�t sc,�g ..� pi -1 twf �S IADDRESS _ MATERIAL 6:Y.i.r� crEF{G.G. i TESTED BY STANDARD COUNTS MS = DS = £rcParaLt � S� TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT i NO II DENSITY DENSITY COUNT MOISTURE COMPACTION LOCATION z ^ " y e Rs uJ co c l; q Frco.r. r<+o o s IL n I lzg 6 I i36. J $ z ,� a i 137 I 4Z 6 LOCATION ti' rrcit r z ) ryT t vc ,zI-7 S L I ,�",2 I IV)G 0 LOCATION {I i i d I LOCATION LOCATION LOCATION i I --- LOCATION LOCATION LOCATI�W 717 SOUM PEABOot PORC ANGELES. WA 98362 (360) 452-8441 I -SM -654 -SSSS FAx 4S2 -8t98 04/09/98 14 07 $380 452 8498 4166 NORTHWESTERN TERRITORIES, INC. & Owerr Lw amr" - Plarwws Cw$t=fi*ft C*WdM ioe Ha:erids T"Vhjr NfT , nr MUM FtMM. PONT M== wA"WOU GONZ 0") 452-8191 TOLL RU (M)VA-Ad. FNt (380) 452-6408 PROJECT . 2 MAIN / SURGERY CONTRACTOR BERSCHAUER_ PHILLIPS INSPECTION ORDERED BY BYRON COURTRIGHT WEATHER P is a -r4 .r C L c u n J i& Y , Kg6l2Tti F O VL- NTI ENG & SURVEY 0 001 JOB CONSTRUCTION REPORT # DATE CLIENT OLYMPIC MEMORIAL HOSPITAL SUPERINTENDENT BYRON COURTRIGHi INSPECTOR r A.,7 r INSPECTOR ARRIVED: *z -. -O 0 DEPARTED= Z A O c%L1�4-' Q t=oaZ fisc 10-,--N. r-.7 IA.TE 0V.1SPc--C-T Ia-..s Off'FrSJ+,rinn = T o t- ID N I twr -r o t -I A. Nr e- a. e.0 Ss b o ?'o �. 10 Q ems( s PAC k4:1i-L UrFrS AsvtVe= t3'eja.,,-i2!caGrc $7oz s=sX0--?- REINSPECTION REQUIRED 51 YES Cl NO 'm Y iL Q r.l c7 wT t? P PE_ n lt We T -A�'• toidE NJ -S A r -r i or, D ..Cr -c t. -%A i D% -E o R A I..t a --rr--sTs 1 4 C --t- R c- s (--7U.-r tvE IZ-� ISrt-CA.rCeo2 -THAI--1 `70 N&aDIrl&0 P1Ln4Tc�r2_ i N +4_ v? A S. . E.,4pcT'�. D aT (� sT' c-�� Lr 9 rS ' __ '[ A L K -C- O rrc) ?o !Z V o IF �z --Q Z -F T A5 (c E D W 1 tv- To >--p ru i' r rs L) A. P F L Y t NJ 4- I c—rs I TO WI -T M (sj Z.f O!; Ft"( -SH 62Ar7ez- A.t,(n -r'H AT L in, v L r% !{ea r u lZ. Stc4-C1-r Il > —r S. REINSPECTION REQUIRED 51 YES Cl NO 05/01/98 14 08 '0360 452 8498 NTI ENG & SURVEY Z001/001 NTI MATERIALS TESTING IABORATORY 717 S. Peabody Port Angeles, WA 98382 (380) 46241491 Fax (360) 462.8498 MGM: OLYtirMp SIWNG INFORMATION M no-open-{ab.a000unt-or-+�+-project ID, mutt flo through 8winese IlAsnaper tka. 17 Lab Account # 114 Projed Account iD o L Lk e) S - Project Manager da-" 0 Pre -paid { "Wmd If not on account -:e. rewm) DM*N ACTUAL Required Compressive Strength; Additional Requirements: ^---� COMPRESSIVE STRENGTH TEST SPECIMEN TRANSMITTAL 6 TEST RESULTS FORM fol Orel PM1" spedmen batab, oomprete mom for m&Aw traegn(m, 1 Matdrlal-Type: -M Concrete D Mortar D Grout 2. -Number of -Spec amens: 'D 1 -0 2 0 3 M 4 D 5 -3.-Testing -Sequerm-Requeated (days after C sft: ® Standard A O Standard B D Standard C D Odw (speoffo 7;2$;28, -Hold 7.28,28 28;28 4. Date Cast: 9 - 3 - I'S 5. Cast Sy r .s 6. Mattwial Supplied by. A. w F e- i f_ -c 7 Contractor: &AX.L f& � t n _ P K I Lt -1 %°s 8. Date Recd In Lab: 4-6 45 9. Recd by:_afi f MATERIAL SPECIFICATIONS S'WMP TEMPERATURE AIR CONTENT UNIT VWMGHT A-7 s ry s9 ° F s z 3000 Psi @--2..,q Darys COMPONENiS/MiSCEW►NEOUS Cement Type: 1-11 ! No. of Sacks/C.Y q -1 o /c.,? (road Size: 9 C.Y Alma Amount/grand/Type- 3 o,5 It, o A T P- C_nT Admlx Amounyerand/r"; 14, o Coarse Aggregate: L 9 6 0 16/a,( Flne Aggregate: 14 S3 �r%v 1N8alfw 0 V 9 u. c a b T Air Temp: Remarks/Location of Concrete Placement: M -`a F L DO a y o or? A. C o f ?Q r All -1 _ nr n 2T H JL D n I IL Speolmen Control # TEST RESULTS (TO BE FILLED OUT BY NTI PERSONNEL ONLY) Spedmen $peaitten Teat ® Tmw Daae Smak Tood Unit Load Type Days By Teated Cap Type load Mea P& A G fol 1z.. -i KI I$ 41 10 1% N NVP- (Q -j ,6v -o a .z, -1 380 9 Z e h18 � I q8 fW NV $ 1 (O o�0 3 78 D C M 5 48 tj )Vt)s fab 50c) 83a o }100 5 aQ 98 Comments about breaks - K. •.l .i i . I .. 1MM - 03/30/98 16 07 V360 452 8498 NTI ENG & SURVEY X1001/001 NORTHWESTERN TERRITORIES, INC. J O B CONSTRUCTION REPORT �o T/ Corts&WO M Co�ot+�rt dw Atat&*k TeamI i ( 79 S" PUsctt?t. PST OCA" WONOM Wei (3") 452 -scat DATE 73 TOLL ME taco) 6343545. FAX (360) 452.6400 •- PRojECT _ 2 MAIN / SURGERY CLIENTOLYMPIC MEMORIAL HOSPITAL CONTRACTOR SERSCHAUER PHILLIPS SUPERINTENDENT BYRON COURTRIGHT , INSPECTION ORDERED BY BYRON COURTRIGHT _ INSPECTOR _ !„/ G ti WEATHER n_tir a wt �.s : INSPECTOR ARRNED:. t z DEPARTED: A.. a2 t2. t V E 0 -f-;p „ ! Ar G ,Z c r i 2 f tr. A .z - Int O a -T H Ani t�•gr f- ^^ r.r �' ( 4i 4R1�.cL rk4s-T $.Aakc_ VL4C� n APPCAJecn -ra C -000V 9,7jV,kA -no SP6�1cr�a-riaj,f aa.ta .>RA.etttt<, t>< i.c. R.,r~ t3 a � was rl/oT t N.r P�.► REINSPECTION REQUIRED `9 YES 0 NO 03/20/98 13 22 V360 452 8498 NTI ENG & SURVEY 0001/001 NORTHWESTERN TERRITORIES, INC. Emootnu - Lw sweyom - gram s NT' 7A SWM KARM. PORT ANCBa WA"IGTOd GUW- (380) 02-8491 TOLL RN (00 e54-SU5. FAX (380) 452 -MO PROJECT 2 MAIN / SURGERY CONTRACTOR BERSCHAUER PHILLIPS INSPECTION ORDERED BY BYRON_COURTRIGHT WEATHER _ S v V , t.r Y JOB CONSTRUCTION REPORT # 9 DATE _ WENT OLYMPIC MEMORIAL HOSPITAL SUPERINTENDENT BYRON COURTRIGHT INSPECTOR — _ INSPECTOR ARRNED: I'Z . 30 DEPARTED: Z 'V57' t3YlLon.e cet_t_F_0 frorL )Z. � PoaR OF N40msK AAbiitoN __gyp a -T t K& IL (s l £ r- 5.( 4p c.;. R e 7 F-4 —ISg� E 4 S 8 7? . I " -7) - - -- - -- - --- liSmIV&P Art tQn2_7 W AQOtTIorl AT IZ.3d t, %Z, TRVC.IL AN0 Go w; CQ 'TRvttc ARa veo IZ !,Sr Y%ET6Y20t-l.�._ W SLtO TKAT -T"eY H& ijff_t,& Pova,lvutt LotrCZ ON -r KE. f NSIAt- c>F R.Utt.Dtwl4 us 11.4 to Z VI AD Wa-r -W_Eb--N twCdbmew�C�.7 Ofr kNy M PouR� SC VIC NCrT' VkA-vF A pip olz-ru""r W P C%_v 9- K C'S t_o 4-Ak-r ( 0 H4 6 Lo, YrL C.TVR4S Arlo -r"OCT Go.7l. Z ;'�at...�t_sib F�orr. -rav`t~ Feces Svur~`� �•N� G�I1,tnrtaEe¢s �t_.v•.�.A = 3 _ -- ��_, �d �� Po.7tt�e_ Itv ToT�it.. A 'S A. %...7A,% __V545"0 Q,w Aa IP o T K�y I L% TL. ATd lv k s A. t_c Ck K� Z',z Cyd? k Co t�tt�g• c�t�.tbE.t2 Ei4. G o dTtM4 F t TK t5 APP4F-A.g O Te WOR_ rc (.a E/,�(.. a L.t_ Rfg R H 1n >& I3 Loalt D u P 3 N AS P42 '6.E!0511 NoT*-i7 Ilya R-o.Fox-r K $ REINSPECTION REQUIRED ❑ YES ® NO 04/16/58 11 30 0360 452 8498 NTI ENG & SURVEY 2002 NTI MATERIALS TESTING LABORATORY 717 S. Peabody Port Angeles, WA 98362 (360) 452-8491 Fax (360) 452.8498 alant: r2 +� BILLING INFORMATION a no open tab saoount or aahm project ID, must go ttuouph auslr"88 Manager ttraL 0 Lab Account # Project Account ID Project Manager _ r-4 7 Contractor 0 Pre -paid (required it not on attoount sae mvem) ' 8 ©ate Recd In Lab: 3 -Z0 -'q ft Recd by 'N1 MATERIAL SPECIFICATIONS SLUMP TMAPERATURE NR GCONTENT UNI' WE3GHT COMPRESSIVE STRENGTH TEST SPECIMEN TRANSMITTAL & TEST RESULTS FORM For tint pwivot spaotmen batok oomptvta wmm for mauste tramwn ttat. t Material Type: q Concrete O Mortar O Grout 2. Number of SpecInu s: 01 0 2 13 3 IR 4 0 5 3. Testing Sequence Requested (days after casting). I'S Standard A 0 Standard B 0 Standard C (3 Other (spe*) 7,28,28, Hold 7.28,28 28.28 4, Date Cast: 7 - 101 - 9 C 5. Cast 13y .' .. s 6. Material Supplied by: ANGG �t DESIGN ACTUAL, 3 � d � IF ~-- Required,Compressi`re Strength: 3 e v a e. Days Additional Requirements: COMPONENTS/MISCELLANEOUS Cement Type: I I No_ of Sacks/C.Y S L oto I+e,,.()j Load Size: 9 CY Admit Amourd/Brand/Type: 31 e t vK e Admix Amount/Brand/Type: 14 "a Coarse Aggregate: "A ~ I %go � 1'�'�r d Fine Aggregate: 14S'C '111114 f Weatttcr Y Air Temp: ,- ' I Remarks/Location of Concrete Placement: C. -r r. &'V rarz % 07 < t b4 fr ! L /moi: T�.I� � 1... M/.l �, C ti K a c T%i A✓t' Specimen Cantrot # 6 % TEST RESULTS (i0 BE F11 LE0 OUT BY NTI PERSONNEL. ONLY) Specimen Specimen Test 0 Tasted Ode Omsk Total Urttt LOW PSI i Type Days By Togo Cap Type L m Ates _ A (9,� x tars 7 WC -g 3 —a "' d 134c�v 8 a� 47 -0 e t 8 K PO r 4 -16-1$ C 59(00 r -D e Comments about breaks: ns tkW�yuS�NtnK+titelltlVM 03/17/98 16 32 '0360 452 8498 NTI ENG & SURVEY Aiiia NORTHWESTERN TERRITORIES, INC Und 3lrreyora Pramara NrI 717 SOUTH PEAMT. POT AWMES, WASOCT01t 083OZ (580) 452 -SM Tou FREE (800) 654-5U5. FAX (360 452-8 08 PROJECT 2 MANN / SURGERY CONTRACTOR SERSCHAUER PHILLIPS INSPECTION ORDERED BY B?RON COURTRIGHT WEATHER C4.)MNY - wA�s9%^ 0001/001 JOB CONSTRUCTION REPORT # 8 DATE CLIENT OLYMPIC MEMORIAL HOSPITAL _SUPERINTENDENT BYRON COURTRIGHT INSPECTOR �✓ G . INSPECTOR ARRIVED; 3 .,s 0 DEPARTED: 3;SY A,mm-;Veo -rjA /w+{?FCT RE4'n,2 /Iv FlUOTIAir. S or Norz-r04 ADDtrIorl G4 -t0 1=.4 -40 V- Ato- q^ft- !R! Pe -2 /rl6T4,-l- foo rINQ +S 4 tv lrr&F.Lco t.J++,-tG TO ST ILyc-r VillV P4tiN5. 2EP*a!L ,+.A FOC't+NCS FD2 on t K SAI ?L+4C.t< i3ur �J1L,�i. ivFen �e �r� L�FT�j7 a0--,-r-pj t+rc {�OGTf cfferLle. C- i&f- E /00 4o" I Z G a 10 E.1 - S i.5 7r—t 1S fVOw idsT!1�44 ON SOIL- AT 10L0TT01.0% anC �a•o T 1 u �� Lt4g.-KGO .nom eJ/ S. e(T.nrt sin r..yaF&Ait.Fn r+-6A.IR. .wtSPCGTeo" REINSPECInON REQUIRED C YES Z NO 03/17/98 15 21 '0360 452 8498 NTI ENG & SURVEY la 002 NORTHWESTERN TERRITORIES, INC. J O B CONSTRUCTION Ta,, REPORT # IT 1 m 6011M PWM, PONT 0MIK WAQMTON 98362. (360) 452-"M DATE MU MT (800) 864-5646. FAX (380) 464 -UN PROJECT Z„�, SoR6..a,�? CUENT Qt.Y4.��tL I�Es.+�orti.� i{gsPtT/l(.. CONTRACTOR (3EiZ SC y AVbfL. P►1+I,S,+Pc SUPERINTENDENT CR �+Lww► �ovtf r R+dF+T INSPECTION ORDERED BY B Y20Goottir rLt+cm r INSPECTOR k.'s WEATHER INSPECTOR ARRIVED: DEPARTED: TacT +..oCk-vao++ SHt=0-T mote 1. 3� S_ -7, 9 IG 17 ra,,ZE �ADs ._! v-ttp&TL5«0c,TtiArc. r C--t_vw"Aj6 Q T bt erL 6 e ILS t.) NA Q !✓ (L S T& a- D F a OT 1 r.( 6 _ Q EX � BUILDING O �I 19.1 19.8 21 22 REINSPECTION REQUIRED ❑ YES ❑ NO o 03117198 15 21 DATE 0360 452 8498 NTI ENG & SURVEY 6x NORTHWESTERN TERRITORIES, INC. L� v rLO 1Nf. 14 1 1t, End ■ tans! Sutwyws 8 Ptannets Construction Goordirz3tion Materials testing to FIELD DENSITY TEST NUCLEAR GAUGE METHOD PROJECT -2 -2 X%A Z003 CLIENT %A4.rwea,sA.t. Nas>at-tt►�- CONTRACTORCx 1AA.,I.(L Pt-(jt4tpc ADDRESS MATERIAL G kh v_E_ (�%S V- V t Gc. TESTED BY c. S STANDARD COUNTS MS = 615' DS = 3 o S a �ti4is4 aV-&oe �`--r_. TEST a-^� DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT N4 DENSITY DENSITY COUNT MOISTURE COMPACTION 8 13 9 4L _ ! t LOCATION l36 6 S .4 ISO) j LOCATION it `' ► 3s a 144 1 � � ) � 7 1-136) 97./ 3 LOCATION r�- ►� t33. 3 1 14 t.,* 4 r LOCATION 1 _ 14z 9�_,„��o 6 8 t39 `3i O 1 Com' VIL - LOCATION !r -t - �34 ! 4 t4l I-) -7 S 170 q(. __I LOCATION 14 S 1 t -7 6 ss' l37 98 LOCATION — — — 6 2~ 4 G t3 I 961 LOCATION -34 9 � 141 9 � -7 `l � S � � 13`3 � %7 ! ` LOCATI?N 717 SOUTH P6n9ODY. PORT ANGELES. WA 98361 OW) 452.8491 t -M -M-5545 FAX 4$2.6498 03/17/98 15 21 0360 452 $498 NTI ENG & SURVEY *Z004 T"ll T7-1- c- K 4c NORTHWESTERN TERRITORIES, INC. %,.I %0_0 tide 7 ERQtrreus R Lan$ Supoews a Xwers Construction Cwanation a Materials resting to NTI FIELD DENSITY TEST - �5--�-�. - �t NUCLEAR MIDGE METHOD -2 v, DATE PROJECT CLIENT CONTRACTOR IS e -,S m o. rL pl-Alt-l- 1pt. ADDRESS MATERIAL G4.hve-c. a Ajr V* i t -t - TESTED BY W c - STANDARD COUNTS MS = e Z:sr DS 3aS-4 TEST DEPTH DRY 'WET MOISTURE PERCENT PROCTOR PERCENT NO tt DENSITY DENSITY COUNT MOISTURE COMPACTIONO 46 4 LOCATION 11 LOCATION 1-4 , is ��U I I t E ,39 �� LOCATION I -S4 < # 140 9 -4 8— LOCATION 14 75 MA LOCATION -7 L IS (_4 a ov Ex SC IL V f- &If- 446f 14-4- LOCATION is 4 f, 4 1� I CX 4 19 e- F. r .7 At E.K. &roof.. LOCATION �z.` 1gS L � 194 v i 8 5�6� t3j 1 "�73 17 LOCATION LOCATIYN_. ........... ... 1,11 SOM pEMODy . p0jjT ANGELes. WA 44362 pW) 452-4411 1400-M-5$45 FAX 452-5428 03/17/98 15 22 0360 452 8498 NTI ENG & SURVEY Boos - Ex c NORTHWESTERN TERRITORIES, INC- 4VIc ..> 7 �� ' r Engin m ■ Gane surveyors t Pt2nnem to Cvnstruaw Coordnatvn a Marenafs TEM479 NTI FIELD DEHSITY TEST - '� �a -~� �" NUCLEAR GAUGE METHOD ' DATE PROJECT 2 M p ►s��. R. Y CLIENT OcKlr.Pl c ��j.nog�AL MobP��a�- CONTRACTOK I ADDRESS MATERIAL GtL&vf-c.. t34c-k. F'iL�� I i TESTED BY STANDARD COUNTS MS DS = 3 4 6 A�� T�3T� 1 � Qrcc.ow Flty lse� — TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT ' j NO DENSITY DENSITY COUNT MOISTURE COMPACTIONS X41 � 9 8 �- y= Z I LOCATION (4► g L10 3 -7 S y -s '7 X74 �- LOCATION 144 3 6 o LOCATION y y 13`1 9 L l i 133 "7 t'13 9 to s T? t I q LOCATION 133 ? S LOCATION -7 7 9C 1 1z" �,zsG 14T z $ 13 LOCATION i— --►i " � 13z i f LOCATION 94g LOCATION _ 94 3 LOUTIQN 717 SOUTH PEABODY. PORT ANGELES. WA 98362 (3M) 452-8491 I -M -G54.5545 FAX ASM98 03117/98 15 22 $360 452 8498 NTI ENG & StTRVEY Q1006 t � 6 Ex 9 NORTHWESTERN TERRITORIES, INC. .ta 414t 8 r Engineers • t1nG' $unn�ors at Planners Construction Coonfinalion ■ Marenars Testing tAo NTI FIELD DENSITY 'TEST r ;S-- -, - ~� NXICLEAR GAUGE METHOD DATE - _ PROJECT Z CLIENT OL n�. �n,oe«� Jj6%pt-ja&• CONTRACTOR Zcv— ADDRESS MATERIAL G ii.p.v E c. (s o c x F 11_c. i TESTED 9Y STANDARD COUNTS MS = 6t 5' DS = 305 49 Au. resx% t` f5cca... GsR.♦sse TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT NO t i DENSITY DENSITY COUNT MOISTURE COMPACTION _ `r--- -r. "' ►3 r 9 X41 '$ t3 t a LOCATION LOCATION pa�.,� bvltrNc, va�,4r ,,a,ot�, tc I Z. LOCATION d o ►.� 4 v w t a.cy A v c.'r" �, a a, k 14 o 4 � 8 4 � G 3 � t3 `7 �3 LOCATION Z7on►ic Z b'r cyvcct v�crCFtt_4 Facer,. woQl� aro VtkVtT 14 LOCATION A -tr � e 13 u tt_ r.f 1. tit A V s..T c..s o ►z is LOCATION LOCATION '7 o 1317 �89 q LOCATION - I --- I - - I - I LOCATI?N 717 SOUTH PEASOOY, FORT ANGELES. WA 98362 (M)432-4491 t 1800.654.5545 FAX 452-8498 03/17/98 16 49 V360 452 $498 NTI ENG & SURVEY NORTHWESTERN TERRITORIES, INC. f4gNt"n 0 Lav Sumws m ftfiam Construction coordmiian a Matenaft Testino FIELD DENSITY TEST NUCLEAR GAUGE METHOD DATE 007 71 Lrb PROJECT 2 J44.%Aljj_+ Sc, it was It *' CLIENT OL Y n,i c. A CONTRACTOR (3 r q --,w s,, ADDRESS MATERIAL GkKvc(- (S 1% C.W--V L# -S, TESTED BY t C -S STANDARD COUNTS Ms = gc 9, DS, S' N'PROCTOR TEST DEPTH DRY WET MOISTURE PERCENT PERCENT NO DENSITY DENSITY COUNT MOISTURE COMPACTION� "7ca ts9 g% 3 z. 2 LOCATION -7 LOCATION '7 t 139 LOCATION 7- 7-1 17.1 0 11 cl T-7 0 LOCATION rfirwrinv 1 93 S 9c 9 LOCATION —1-7 4 141 9 LOCATION C) �1384� LOCATION 1 w9 0 its 3 LOCATI?N 717 SOUTH KABOOY, PORT ANGELES. WA 88352 (360) 492-8491 -7 4 1 7 Z, 14M-654-SS4S FAX 457-6498 94 9 T9a.9 97' z S 03/17/98 15 23 '0360 452 8498 NTI ENG & SURVEY 03/17/98 14 35 '$360 432 6498 NTI ENG & SURVEY tii9i�&a$aaAAA$�taag�;�k��kAAAAA aa# ACTIVITY REPORT +uaa �asaaa,ca�xx�aaa�aaasaaAaaa***** TRANSMISSION OK TX/RX NO 2670 CONNECTION TEL 12064410478 CONNECTION ID XNMG START TIME 03/17 14 33 USAGE TIME 02 38 PAGES 7 RESULT OS fa 008 lQuui 03/17/98 14 07 $360 452 8498 NTI ENG & SURVEY Q001/001 1 �X- NORTHWESTERN TERRITORIES, INC. &n, Ellgm ers ■ land 8wv*vrs • Planners Oons1=60a Oowdnalivn i marwals 7esov NTI FIELD DENSITY TEST - " 4 NUCLEAR GAUGE METHOD 2 v%ci t_ l f'C DATE_ PR03ECT 'Z WVA t suit A aE.rL v, CLIENT OL%?,,Ptc AAA -AAL -%.L- HosP►ZAi- CONTRACTOR la t. 64 r,tz. Pt{t�Lt- tP% ADDRESS MATERIAL G(Lk vF-c. 13 &mss. 4F«L. TESTED BY w G S STANDARD COUNTS MS = e [ S DS = 3 a G ' Ec.ow F L*A ` TEST I DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT NO ! DENSITY-rDENSITY COUNT MOISTURE COMPACTION -7 Q t3 9 $9 3 to " i LOCATION bo�.4- .2'Z'7 foil I t2g 4 138.3 9 °1 1'7 139 93 S LOCATION +Z ' 134 Z 143 '7 _.-.j '7 1 f 139 I iL 9 LOCATION tZ" iz9 0 133 0 1 9 0 - -7 j LOCATION 5 I LOCATION a K E t- 7.7 _ -- - - +36 8` I Il 3 LOCATION p o w E z•- zT - •y 13Z o I IA 1 3 1 ' 4 139 r.) � I LOCATION o to `� t z `� Z i 13 8 4 °� Z -7 1 f 1-51 9 Z 9 LOCATION 9 LOCATIQN — ---_ -_ - 717 soirm PEA800T. PORT ANGELES. WA 98362 (360) 492-8491 t-800.6544545 FAX 452-8498 TEST REPORT y I "S pt•'t. I u 97 WED 11.1 45 FAX IU0377760571 TEST REPORT COMPANY Fairwav Mechanical Contractors, Inc. Project Olympic Memorial Hospital Date Service Tested R, L Type of Pipe Y\ \+ Drawing Ref CCD 1 L Specification Ref' OOK Test Pressure /0 f4ccd Test Duration J5—M t P1 PASSED x FAILED Reason for Failure Comments City Inspector Tester* A10A.'e— PORT ANGELES FIRE DEPARTMENT Fire Alarm System Plan Review Project Name Address 939 Caroline Olympic Memorial Hospital Installer Federal Firesaf ety Telephone 457-3308 Type of system Addressable R-3 ❑ R-1 ❑ Date March 11, 1998 Permit #98-3 A we have checked this plan and find that it conforms to the requirements of our ordinance with the following exceptions Smoke and heat detection in elevator machine room and elevator lobby shall provide necessary shunt and recall functions meeting Washington State Labor and Industries requirements 2 Where duct detectors are not readily accessible to the Fire Department, a remote LED shall be provided indicating activation of the detector Contact the Fire Department for LED locations 3 Relocate smoke detectors in corridor on second floor as indicated on plan sheet 891-7 4 Delete heat detection and smoke detection from the elevator hoistway as indicated on plan sheet 891-5 A sprinkler head will not be required at the top of the elevator hoistway 5 Emergency voice communication capability shall be installed to allow voice communication from the fire alarm control panel to areas designated A meeting with representatives from the Fire Department, Olympic Memorial Hospital, and Federal Firesafety will designate the appropriate communication zones 6 Provide strobe notification devices in each operating room identified on plan sheet 891-3, 891-5, and 891-6 FP - 6 Page 1 of 2 7 Move speaker/strobe notification device as indicated on plan sheet 891-5 8 Change strobe notification device to speaker/strobe notification device on first floor Short Stay as indicated on plan sheet 891-3 9 Provide strobe notification device in Chair Room (SS127) as indicated on plan sheet 891-3 10 Delete smoke detector in storage (BO13) located in partial basement as indicated on plan sheet 891-2 Additionally All systems shall be installed as prescribed in applicable NFPA 72 2 Fire alarm wiring to be done in accordance with PAMC and Washington Administration Code 3 A final field acceptance test will be conducted to ensure compliance with applicable codes and ordinances before final approval is given 4 An installation inspection and acceptance testing fee will be invoiced after final testing is completed The fee for this project is $160 00 EJ Contractor Reviewed By Building Department ❑ Light Department ❑ Fire Copy Date 31 "Iq<5 Page 2 of 2 03/09/98 15 24 0360 452 8498 NTI ENG & SURVEY 16001/001 NORTHWESTERN TERRITORIES, INC. j Q 8 CONSTRUCTION - LVW mmy"-P Afacam 1'"W REPORT # 6 N/I 710 SW N ROM. PORT AIOEIiSi wASIp1ww 0634L I369i 452-04M DATE tau REF OWO %44-S54s. Frac (M) 452.84* PROJECT 2 MAIN /SURGERY ..._ CLIENT OLYMPIC MEMORAL. HOSPITAL CONTRACTOR BERSCHAUER PHILLIPS SUPERINTENDENT BYRON COUR71RIGHT INSPECTION_ ORDERED BY _ BYRON COUR7RIGHr _ INSPECTOR WEATHER ovem ta►,c-r INSPECTOR ARRIVED: 1, S' DEPARTED: /. ; V C A. t- *o 'r b SL Q,.E P; A r. f t+ S i°'d r (.V t1, 2 O e, `•* At r.otrrarw r "fa P4A.^.ts f[ftC REINSPECTION REQUIRED 0 'YES ,est NO 03/17/98 15 20 0360 452 8498 NTI ENG & SURVEY Q001 096 NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION Low &"atom I*Aws REPORT � � �* Conatrr ilm coarfa� om Alaterws Tesuaw NII m $WN PEMM. FMT ANMA WkgKMTON Met (360) 4S2-8401 DATE 2-- a 6 9 $ TOLL FW MW 854-3$45, FM (300) 452 -NO PROJECT 2 MAN / SURGERY CUEN3 OLYMPIC MEMORIAL HOSPITAL CONTRACTOR - EERSCHAUER PHILLIPS SUPERINTENDENT BYRON COURMIGHT INSPECTION OMDERED 13Y BYRON COURTRIGHT - INSPECTOR w c WEATHER 4- �, �' — ��c+ • - INSPECTOR ARRIVED; 7. 3 C DEPARTED: A TL iL ► v 4 o ave a-sta-c- o No.. a s s<T ► O N o a T It v P. •' 4%c.- k-57 M 1,1r l 7 h:' r'1 41- Pm o -r f ry t. c o ;' S,T A. Y & ►Qj:, . T t a t..t 'T tit IV MST TwO 1-I4=YS co 1.1 'r HF to9a1-H G&44 -1t - A.ir Co),�.C.a"tmi4 DEPT K CiLGOvATYON - -Z I. I r 7'S w e. (t.4e c -'a f*a c T C-0 wE E s rE o Li if t SE S is ar-'rS -A 4 1Z." L+FIs w6a.r r�tAaGel? Tp L.3iTkf-jK I f ¢� �r41.t S�► GR&r.2 r- Cts@Tf=,bTEC) ZCS4s4.rS Oti 5MCC rs Sf� A g Ten- P t- A 4%E _� fr ��!a c. G. t r` ? y� a r2t rets rEo act srTe-eTS %_ 8 Z- 7 A N4EQAr� Aqua :eOAA-Ly WAt4 VET? r--Q-6vSc'-o i tk �nP4GT .. CTS W►iM+nr Ti'f4; _Ir XENcNS. ►Z AL T 1 lV a 1 t.etGE. -r vi aA.0 6-- iLr� ��+tC »T GRtoaS I's ,b CAoC.F- C-Vr=r SToPPCE n C.Y4AITK e��r4tN tcti1L OOT Inn CJlY C�ICAr.� nZA11J ')��t]A�( Fir-k1L .-pt ba__z-4cr n11 f; . -c z- REINSPECTION REQUIRED IR YES 0 NO S %iccz I 02/11/98 08 41 %2360 452 8498 NTI ENG & SURVEY 0003/003 NORTHWESTERN TERRITORIES, INC. E x QVv9 l L fngpreers (acrd Surveyors ■ Plannars X X COrrSJfticri0rt COOrd (c" ■ MdferrJlS feslmg NTI FIELD DENSITY TEST - -- NUCLEAR GAUGE METHOD DATE Z 9 9 $ PROJECT CLIENT _Q tv. E-1 CONTRACTOR ADDRESS - - MATERIAL /�a w G ftE E nr e p TESTED BY STANDARD COUNTS MS = 66 4 DS = -So 9 4 TEST I DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT I( 1 NO I DENSITY DENSITY COUNT _ i11 MOISTURE COMPACTION11 to i3Z 4 14a Z l 7 S 5 L ! 139 o f 95 �' 1I l LOCATION --� Ec w `J6 ---I lo" 13c�Z i 1'3e6 i �g O i.. t39 o I 74.0 Z LOCATION — 9 its i 114 b L 9 I 67. i. 13 i f LOCATION t j -- -i -r3°1 f0r 129- 113 l i 7 i &Z U i gz LOCATION LOCATION LOCATION LOCATION LOCATION LOCATI?N 717 SOUTH PEABODY, POR` WELES, WA 98362 (360) 4S2 8191 1400-654-5545 fAX 452•8498 02/11/98 08 40 0360 452 8488 NTI ENG & SURVEY IZ002/003 I T!? WJ N PEAB0GX PORT ANGM. WA 98362 MM -9491 t -M-6545545 fAK 452$198 NORTHWESTERN TERRITORIES, INC. K- K 3 Frtyirtters s tend Surveyors • Hanr+dS lAu, r S.+o1.k ConstrvC60rt Cpordhatior► t $4tertats iestlnp -,iw,�� _ NTI .FIELD DENSITY TEST NUCLEAR GAUGE METHOD DATE -4-9 t44s; _ PROJECT z w, a..4 go,tcF.: . CLIENT ----o N& +i CONTRACTOR Rc.J-.��tAvc-q- ADDRESS MATERIAL _ • TESTED BY _,, C. n I STANDARD COUNTS MS DS = 3v 9G TEST DEPTH ` DRY WET MOISTURE PERCENT PROCTOR PERCENT NO DENSITY DENSITY COUNT MOISTURE COMPACTION 139 3 17 s S t39 O °14 7 i LOCATION moa. <rt of •,ol. Svc Pett. v�uc.t- - - APPR �Qnngy WW VAAgZ �f ,,,�,,. aocu.«+ - 9 Z � 13 t Z e t ' LOCATION It -f of NC GORNEi aF Yi.ut.T 10 LOCATION i Nt4o C -a r- v4&4.T E4 x 9$ r ISc t t3.S c t�.� 91 82 1 LOCATION .�r 3 N oto ►V E Gots NCR a F Yl�+uc.T E a 93 LOCATION i LOCATION F T LOCATION - LOCATION LOCATI?N T!? WJ N PEAB0GX PORT ANGM. WA 98362 MM -9491 t -M-6545545 fAK 452$198 02/11/98 08 40 0360 452 8498 NTI ENG & SURVEY 16001/003 NORTHWESTERN TERRITORIES, INC. JOB CONSTRUCTION Prw Stpftm LAW Su.syors Rawwrs REPORT # 7 Co sv&ucdw CooraPwOm Msterkls T"ft 1 rn MM PEOOOY. PORT WA3tFCT0K MOZ (3091452-001 DATE TOLL FAM (800) 634-6545, FAX (360) 452-648 PROJECT 2 MAIN / SURGERY CLIENT OLYMPIC MEMORIAL HOSPITAL CONTRACTOR BERSCHAUER PHILLIPS SUPERINTENDENT BYRON COURTRIGHT INSPECTION ORDERED BY BYRON COURTRIGHT INSPECTOR I,., .r S WEATHER INSPECTOR ARRIVED: ) 0o DEPARTED: 4I►Li,s D TD 1 EST GoMa4GTI O JV I N F(A E CLi4�IL.Tf_0 %.La.(��NJ Mav tnti� -7' %A,3A.TCCL NPO TE 2. vA.o(,'r F1Qci C.ALIBILAl _rk4� —MOY114.ti GA.41rF. T N 16 tV R. A 1v 4 Qj" S r T v G N& " C T(A!_ rrILL t. -I'&" APFMU'A Z.4 r� OE&P AT Z M A T' :{ E M A. Tf. M 4 A t-• u G t Q T hi! 'Fit %..> A. < taJ 4<T S Or . I e- s Iv_44 A S V iz.g-. A. i_ r -rT L E t -ow ByT !GWei vt_D, d k. iF14r--. FtttSt Ttw?� iL�ST,� ( �6,Q.lr. t)uD�i2 irtE �ot_A'TIen4 a fZ0T10 to Amaro AQc: ,fir,, LTe LW ^�,e.4�Ac.rE- T i4 4< � 6 A.T "LO 'T IA E V Ot V (r! A ALE A L $-Q _Q_R , REINSPECTION REQUIRED 0 YES *% NO r■a■■a■■a■ep■■e■pe ■■al appa.RR aefl ■re■fawoman ommappamoommeffil an sees Niiiiiiiiiiiiiii ■■ ■raaerparfpaa■al ■■ papfaf■aM ■■f: AN ■aaaoeeee■ ■eel 1a• ■fffl�f■■,1■1f■ ■■ rrft• ■■lpnlfa an tYri■Y■ii■ecce■ Yr ■�lfl■aefl■111■ VIN R#■■■ !■r■ ■■■■ ■■ �■iii■■rr�ieee■ re pole IMINUSeop ■■ aeta■■■■aarrrrr■ ■■ naalsarsososl■ RR _ RRf■■ ■ar■**■■■■ ■! R■r■■ ■arrra■e■ r■ r■■■rrenow ■Mawr f■ ■■■■■■■.■■ ■■r.■ el ■elpepl■RR ■�■, ■i - ■■■s■s■■i■ roes ■r_-- arrpeeaMPAICT ■■a■■a■■■■aaaa■■irrLAW ■■■■■apRaa■R■RRf■I■,iiee ■ ar■fafrR■RRra10"NAMN: ■eeifeeeeUMANOSOHN■ rrfaeeee :CRR:■■■ reUM:ctae.■ •■ ■a■■ara■ ■■r■■■,e■■■ ■aa■af,f■fr rrf■■lffpfR oafi■■■ B ■par■■rape■aeerMB ■l 02/04/98 15 46 $380 452 8488 NTI ENG &SURVEY 0001/001 � REINSPECTION REOMED n YES 63 No i NORTHWESTERN TERRITORIES. INC. ,,,' ,,,� fto ft JOB CONSTRUCTION REPORT hTm wmI rtieoar. " � .aa [sant REPORT # Project: Z / S o au rt v Date of Inspection: 2 - 4 - 9 Client: ©,�,, Inspector LA.). r Contractor- Superintendent: Inspection ordered bp: Inspector Arrlved: Gi ', (S"- Departed: 11 . o 0 Weather ate.Q.t .+t r - Contractor Personnel on-site: Equipment on -site - Work Done: "E w s F C c -T T o P rti o V_ G k .v w s ... L. A'Y VtG4c►rc— GICQut'I+vC +C-7a%e"Aga,p.Ytj&M P.-A&rnwr IC 'r Nn e,trr+0 i P T O `t tt E r u F* r. o ., n C3rs... I -n. i R E R Q e zz e7 r. t3 t1 M. I M PC. A e—C � d f Q G a►. tV r7 p Q_rn s3 a se I s 13 E e nor_ n t_ 4G� D z '�t4 C.oltX -Z4 wauc„ I K FII.L -V 'Tolp $o.dlt RFw+... WL fsttovT 1 tit + S rr r cr P e cp CEO . r t C -c. c o a.�j vA a fX_'r A. it. v S t Aj c `A TUC_ PV:A.0 �.AG Y'tJP __ %,%►P _ t?:a~T�.3<Ec`t 'ror� GLV A►KRs Eal. C�n.c_. 3a^cen� 03/03/98 15 35 0360 452 8498 NTI ENG & SURVEY 0 002 NTI MATERIALS TESTING LABowoRY 717 S. Peabody, Part Angdee, WA 98382 (360) 452-8491 Fax (360) 452$498 Client: C> ti►. H BILUNG INFORMATION 0 no open iso account or soave project ID. must Go throupn Bueinsse Manvw first. O Lab Account # ❑ Project Account ID 0 ,.,. -7 c Project Manager a e Q. ❑ Pre-;Mld (mqukw if not on wount ase reveres) COMPRESSIVE STRENGTH TEST SPECIMEN TRANSMITTAL A TEST RESULTS FORM Pot first pretem spaoinun batch. owns"ts reverse for raalfq transmittal. 1 Material Type: O Concrete Q Mortar 0 prod i 2. Number of Specimens: ❑ 1 ❑ 2 ❑ 3 B 4 O 5 3. Testing Sequence Requested (days afW CLVI tg): ® Standard A ❑ Standard B O Standard C a Other (spe ft 7,28,28. Hold 7,28,28 28.28 4. Date Cast: z - a -) 4 S. Cast BT t- � c-_ S 6, Material Supplied by: ti. i K E v o w, 4,-r C- 7 7 W r drat tor F A I Z W C- A. T M t Z N- fa 1 O N t N' 8. Date ReVd in Lab: -'� -5118 .9. Reed by: MM -M MATERIAL SPECIFICATIONS SWMP TEMPERATURE AJR CONTENT UNIT WEIGHT DESIGN ACTUAL s' 6 Required Compressive Strength: LCO D PSI (a) 28 Days Additional Requirements; COMPONgNTS/MISCELLANEOUS 4% Ito ► Cement Type: No. of Sacks/C.Y Load S'lze: C.Y Admbc Amount/Brand/Type: Admcc Amount/BrandJType: Coarse Aggregaw. Weather. Remarks/Location of Concrete Ptac emenl : c I rz,n, it_ . r.n� Fine Aggregate: Air Temp: S.-,., o �: 4 v/ : l E S O.r %!CAU W 41-1 C Cammems about btaakL- ►a u.�mosu.+rin.tn►�aulw e i� 1 1 Specimen Cars Wd # l j TEST RESULTS (TO BE FILLED OUT BY NTI PERSONNEL ONLY) Spedaw i Specimen TYPe Teat ® Days TooAd By Dde Brmk Total Tested Cap TYF- Lood Unit LAW Ares PSI A 4"O) �6 '7 4,M a -to -aB s a 4'%Prx aP KLO- S-S -ata 5 wu8 QSa50 4 OX a12)rrT� vj3 a o a& Cammems about btaakL- ►a u.�mosu.+rin.tn►�aulw e 02/03/98 12 39 0360 452 8498 NTI ENG & SURVEY HORIHWES a EMTORES, INC. "`"' LsO " a.i.r ww.-moaa,u.JOB CONSTRUCTION REPORT 70 MM NAM, PW MUM WsAM a IM "I M -W Q.E P o Q -T � s; V% t Project: i NA, A.,,,j / 5 v &6E2 Date of inspection: Z- 3 - 111 8 Client. p n+.►a -- - inspector- k_,3. 5 Contractor Superintendent. Inspection ordered by d y tz-o t`t Inspector. Arrived: 1 D . b g Departed: 1 1 Stn Weather• Qtr F a V, wst' Contractor Personnel on-site: Z A. 1-4 C Z6c.. E tt.o..� Z001/002 n%-.& . ►.e 1- Y Equipment on-site: S. i P FA I R 4F_ A.I k r.LA'_ vLt.&+ nnAw MQA.0 Mork Done_ a er cN G* -;-&-Lo Boz. L,.,zPEG-ttaro afi G.a..t)- d G R- r, 46 v%A — 6 L T 1NSPs.c..rE0 Y.E.%a.a.. t0-3STalL_Arlo," 7_*,1}It. a C,p h uT b G IFO 0-r% n14 ON EAST 61C C.M V W A CJ_ L,P*Af ?, U04 -r -u C-S(wr- 2 of ..0At_j_. tc E ►., i,� ti' rs r� / P . y !!ti _ r l r 6 R" Wit. = G {a v oa- rr A. t Z.vJEAtiT' i•FiC,Z +.�� o�.c� cl S►at n TkEy a- C.VY t31.Tt AwAC nSA >> 1 yt b 0-.C. C A N D SA w.i T 13 A rt. S ►.v C C7 %&�..t.L ! P A C_f_ tC Ln, Alai i) G u NOQ � 1r_!. O FcQ t� J ne��enug�, oto _ ro�.Q -ttt�nr. `S cov�D , QY kv-pa %ec n C 1Tta*_rL -rwe!1S "ef-D a� APPCt�vr�.t� A qr n.,ft .-,� �-s ¢ c_ -t Qa �► F to r.�!,+ : R v rr T tzQ_I G.Cr �GGra ,�...g 6V Y DEc.�76O To QerVi7 _rMf_ BATLS. .,a-ro OF GMU,zL0C_k- V ErL•r- d 4 gpp,V_ t t P (_ ALC,c n "l_-_ O• C.. tai, 5.►.L��a� R A %MV 0 t C- Ab wc�c. nF _._SZL'�t�tn�Cs 02/03/88 12 38 $360 452 8488 NTI ENG & SURVEY 0002/002 fwli -M 19mrolma Mi. #MAIW;. dm � "'�,� IN" JOB CONSTRUCTION REPORT �sr�am►�deoor. =a um epoM.-r 4 CVIIWr 1% 1. Proyect: Z nti�Ltin.c. i 5 v rt caa.!o? Date of hulmotion: Client: U M Fd Inspector t A.? G. S Contractor- Superintendent: Inspection ordered br Inspector Arrived: i o t o d Departed: 11 . en, Teather- C� V est, c r Contractor Persoaael on -site - Equipment on --site: York Done: A, -r 09-rs r a E Ca rt N4 or nc. , a Q;rtcn.. Soca c d n� TooiK 4 c r/y swn,.+�t.E C*ie MoC"TkT. .4SAdm312h+G 11 02/03/98 16 17 0360 452 8498 NTI ENG & SURVEY 0001/001 RItIrJs!'E�,Z-/o/U R.Fovrl[<o Q 4i r3 61 NO NORTHWESTERN TERRITORE;B. INC. '`'""m"'k"'w JOB CONSTRUCTION REPORT -A*- ' MMMWA1017."aAIm aw"Momsun %I"Q"M4RE?02t w S' FAA 000) 0 ow Project. Z M A I hl / 5 a C. e- -1 y Date of Inezection. z- 3_ 93 Client: o n/: ,,� _ Iaspector w G 5 Contractor- Superintendent: I:tepection ordered by, g a_ Inspector Arrived: Departed: 2 .,T r> Weather Contractor Personnel on --site: Z _ r-^. A. u C, OF cc r , r % 1* Z F o-. T K r' R M A. Com+ Equipmment oa—site: Work Done. tZE T I T R. M ft's P< C r 2 S 3 A ft.-.., A e-4 Q 4, I )o r�A i.ti..rL Z goo -% -T AT 4 .�P "Al L �va °!nom GENA c.olL►+Ea, Qf- O %3"- d—� e— F r1. 7 w 1/1 A -r! 0 A r XEf &J C 0 v e Q. n . ;- .—. N 1y. es¢� A C 'Y N C e --r s e- v -r t I.; vs! I n e k Ta A e- c e ft."rr► AP'6►.%T SA.Iv j.RL-eD FL'iS ti It I& taVTS rat R r Q� t 1~A.G4 _ =T tiPPe-4(tC T1.4 AT 'iRd SAR is �tiE Gnt,w-r IC. RG rut POUR417 t G,CV!'rf0.< "rt THG FIXS"r [?e, V..ap PFa w/. Y rq'o, FA12.r�sF6T4f eF� IK/i.•O 1v /?Y SA re) "Y}IA rNlY /4f -r -e-40 T'o FILO Ar& GAV r'TIE� h t -T k E C.J A Y V? c A.11 A. I- G4sT 4 Gy C- v Ic Gtt f7tiTr Fni CQ M P Q G. G!j_ld+..l _ �FS'71NP e, h FLOSM a401f,4<- `v/N►OR'TAQ Foa�'ItvL 03/03/98 15 35 $360 452 8498 NTI ENG & SURVEY Z001 NTI MATERIALS TESTING LABORATORY COMPRES$IVE 8TR9NQTH TEST 717 S. Peabody. Port Angeles, WA 98362 SPECIMEN TRANSMITTAL dl TEST RESULT$ FORM (360) 462-0491 Fax (364) 4528498 For first Project .p9o4n.n oatah, complete rw#vM fa reurtt■ tronsmttW. 1 Material Type: O Concrete 0 Mater O f3rout - - 2. Number of Specimens: 0 1 ❑ 2 O 3 M 4 (3 5 2 —A'IN sow- 6641 3. Testing Sequence Requested (days after casting): BILLING INFORMATION 0 Standard A 0 Standard 8 O Standard C C1 Other (specify) I ao open tae aocaxls or actt" Profs« to, mut So through 728.28. Hold 7.28.28 28.28 Business Manager first. ❑ Lab A000urd 4. Date Cast: z 3 - 9 8 5. CaSt By c.v. c, s 0 Project Account ID 9'i O S 6 Materfal Supplied by � I K,Ef1 c> w 6 tTE "`Y'Y' Project Manager _E n 7 Contractor Sup - Fk 42 %vc'..� r ! �.2 0 Pn? pall (required if not on account see mvem) 8. Date Recd In Lab: .2 - 4 - 78 9. Recd by: knB MATERIAL SPECIFICATIONS SLUMP TEMPERATUSE AtR CONTENT UNIT WEMW DESIGN ACTUAL 3 v Required Compressive Strength: i R 0 0 Days Additional Requirements, COMPONENTS/MISCELLANEOUS -Y5 pE vh i ASTM?O Cemem Type. ( No. of Sacks/C.Y ( Load Size: C.Y Admix Amoutd/Brand/Type: Admix Amount/Brand/Type: Coarse A,,a. Fine Aggregate: Weather Air Temp= 4 4 F RerraftfLocarion of Conc me Piacemerd: M h AST �f• , r• eu GIMI]- -- 1. �!►as;S iG vv% i Specimen Conm #--0 D _ 1 Es RESULTS (TO BE FILLED OUT BY NTI PERSONNEL ONLY) - Specimen specimen Test @ Tested'- tests Break TOM unit teed 1 f Type Days ay Tested GOP Type Load Area PSI A a" x rt8 a -_t a-ge� �, ?�;; o �.14 183 s A x 4.'' 98 61-113 3- 3-q& 5 C !o,1604 3 i A i9 !O JOr, 4'' PR Ct1R 3 -5 --`re uv$ 50 14 x940 0 of X4 Pion 3 -3 1-18 3 i E — Comffmm about breaks: _ 4-,s !l1 bid- -- was STATE OF WASHINGTON DEPARTMENT OF HEALTH PO. Box 47852 • Olympia, Washington 98504-7852 LETTER OF TRANSMITTAL Construction Review Section Phone (360) 705-6778 FAX (360) 705-6654 ccr9303@hub doh wa.gov Date January 29, 1998 To Mike Glenn Olympic Memorial Hospital 939 Caroline Street Port Angeles, Washington 98362 Site Address. 939 Caroline Street Project: 2 Main/Surgery Remodel Submission Fire Alarm System CRS Project Number- 98-0052-4890-007 Attached Review Comments ❑ Architectural ❑ Approved ❑ Not Approved ❑ Accepted ® Applicable Code: Copies To ® Fire & Life Safety ❑ Approved ❑ Not Approved ® Accepted WAC 246-318-99902 (8) Submission Status ❑ Approved ❑ Not Approved ❑ Resubmit copies for approval ® Accepted as noted ❑ Submit written responses to review ® Enclosures: Stamped Fire Alarm System Shop Drawing (1) ❑ Mechanical -Electrical ❑ Approved ❑ Not Approved ❑ Accepted ❑ Public Health ❑ Approved ❑ Not Approved ❑ Accepted ® Local Building Official, City of Port Angeles ® DOH, Acute Care Licensing ® Architect: Mahlum & Nordfors McKinley Gordon, 2505 Third Ave. Suite 219 Seattle, WA. 98121 ® Contractor- Federal Firesafety Inc. 2032 South 'O' Street, Port Angeles, WA. 98362 Stamped Fire Alarm System Shop Drawing (1) Notes For project status, call Rob Parkison at (360) 705-6778 These documents have been accepted but cannot be approved at this time because the construction documents have not yet been approved Additional drawings will be required if changes are made in the Approved' construction documents. You will need to coordinate with the architect to make any revisions necessary and resubmit after the construction documents have beenapproved if changes are required in the accepted system plans. Thank You, o is Mike Paddock 02/25/88 08 59 12360 452 8498 NTI ENG & SURVEY 2001 W1 MATERIALS TESTING LABORATORY 717 S. Peabody Part Angeles, WA 98382 (360) 452-0491 Fax (360) 452.8498 Client; C7 µ 8 ProlfltK: IF— r-%- a + rr / 5 u iL<Se 0- Y SIWNG INFORMATION R no open nab aocaunt or aativs prolod 10. must go ftauphi Buannaaa MWWOa first. COMPRESSIVE STRENGTH TEST SPECIMEN TRANSMITTAL & TEST RESULTS FORM W SM Prajrat $Pooimtn baton. oarlPWW MUM for MsUft tnrmnt W. 1 Meterlal Type: 0 Concrete O Mo teir 0 Grout 2. Number of Specimens: 0 1 13 2 0 3 10 4 13 5 S. Testing Sequenoe Requested (days atter Bing): 18 Standard A ❑ Standard 8 13 Siattdatd C 0 C (speclly) 7.25,28. Hold 7.26.28 28,28 0 Lab Account # 4. Date Cast: t - z e - 419 5. Cast Br --4&2 , w V( Project Acx:ourn i0 UL r1N ? 70 .0 6. Material Supplied by: Project Manager . 7 Contractor. $ e "cat & L.7&Ju P 14 r LA,. +r''S 0 Pre-prald (mpuired it riot on acomt - am raw) 8. Date Reed in Lab.' -/-;R Q -q& S. Recd 13T-kJO - L I... MATERIAL SPECIFICA71ONS SLUMP TI MPr:PATURE AIR CONrl~3+CI' UNrr mew DE%GN A ACTUAL V Required Compressive Strength. '�, c o c psi Z8 Days Additional, Requirements: COMPONENTS/MISCELLANEOUS Cement Type. t No. of Sacks/C.Y Load Size: S" C.Y Admix Arnount/Brand/Type: t► o- 3 S a 11 r a G,� Adrttoc Amount/Brarid/Type: Coarse Aggregate: - 1 % 4 n Weather t3v r M t A. c T- RBr na tS/Location of Concrete Placement:,__, —„� W »R.T R Specimen Conntrol #_-Lzl.' — Speo6men Speaitnen Taut * Type DsYf% A 60 x lz. —7 H a-4-4$ /d C 10706 0 -as,” 3800 Nu 13 000 E W M�ws.�cry+rs�w. Fine A,a„,',:,jcctr,. 14 s Air Temp: V 1 o f: �T_.._r-.tz ► cs ;, r_ nom. , � ?. �. t t' TEST RESULTS (TO BE FILLED OUT BY IM PERSONNEL ONLY) Tested By ow Tasted Cep aftm Type Total taad Ata urat LOW H a-4-4$ /d Nu$ 10706 0 -as,” 3800 Nu 13 000 A; Nv6 /3444011 4480y w 01/29/98 15 22 $'360 452 8958 NTI ENG & SURVEY 9r1PapcG7t(0f%3 NEeUED C3 YF_5 (0001/001 '39„ r rto A�MLWRTMSTM TERRiT4R1E8► Me. '""e ' �`• * re JOB CONSTRUCTION REPORT # � a...nr. a«.iaM. - rre«�w �.,� Protect. 2 A., , 5 V tztiG 17- 4% Date of Inspection. !- Client. Q r,*. Inspector- t,&? G a Contractor- i&rc Q % c K A Q.t P W , GL- t AC Superintendent. 3 'tz_o r4 Inspection ordered by- $ y ,r_o ht Inspector Arrived. $ .pp &A)M arted. 'v? Weather, %Z>V elLC.A,vm Contractor Personnel on-site: Equipment on-site: --7- w rt E..' Work Done: rx..�,- C,2,6 ,, to Y�?ou t-Z3jgf; 'Font_ G�tvc.tL�T � 'T Cs�c a o oT t w e, s ? s t n_ r ..,. bLQ 2'T w I► Do; -r t w-4 F c>oT ir t r. �sj R. f N -. P e,� <,.i -e,_0 saq 146"Ic _T_ T& L K 4 T? T ca k U• ► t"A A `e AL + p _r K rk _A-or,1TtO1'441L_ !Z.f QL.,ALV iV0-L0r,h ►N GG7p'CttvL.S Al' P(i-_. P7•k a Zwec tv A00Eb C r 64R..f TkG 4.©I%d C.q-CrE t.JAK P00ti.G0 I -r C..' STO* 0 T M C. L6 -T"4 [t.& P 0 F _1H 4E NN„ -r 14 ttr3 V ca rt W :r 1 !Z A T' tet- M ti.� Ia, r-rA►cH4P St1EET- Fc,tL I U3 87 NiEL) lU 45 FAA 13dU3776V57 tAiOM Nb�-tl - -t T TEST REPORT COMPANY Fairwav Mechanical Contractors, Inc. Project Olvmpic Memorial Hospital Date I ';2 er` I t' how Service Tested WtkS- t-4- V4 -,Y\ �S Type of Pipe T I• kV'Q Y �r S Drawing Ref Z<: - O moi- foo m n w 10 3 Ivy Specification Ref- i7 raA lS i S Saxes, Test Pressure R LAV� �k Y� Test Duration 6-M.. ✓1 PASSED !/ FAILED Reason for Failure Comments City Inspector - Tester, C--!� '0�ez�� I lC U3 97 WEU 10 45 FAX 13603776V57 FAIKY4A� ME(A TEST REPORT COMPANY Fairwav Mechanical Contractors, Inc. Project Olvmr)ic Memorial Hosvitai Date I -;w-`j �'- Service Tested VJ4 �-� L ►�� 5 Type of Pipe CojWek- �' d- i #1n95 /Le'� Drawing Ref 26ovv% ;?5-6 W 10 3 + /64/ Specification Ref- D ka �' e, r, mou es - Wk4-er F-c,e 4 W % g., P Test Pressure lnj0f K n4 9�2SSCAY-P— J Test Duration PASSED 1- FAILED Reason for Failure Comments jam-, � LG l�G i`�o r c� � row C, � -}� w a�'� ►� � e � �- � C f' � -� � e cj 5"63` 1375669Ny `(06G Z -L City Inspector CY Z� Tester, yvf , Lx1 - v 01/28/98 08 38 Ix'360 452 8498 NTI ENG & SURVEY Z002 REQ+ Pa'xTra� wdp X"6776 00,0 A�MkNOMWOTM IEMTOM W. V-pr� ftwow WON -Ise, Paw" ,,,,� JOB CONSTRUCTION REPORT zM IM ROW. Mg AM= WORM MW 001 W -4M - Project. RA&did lst — OAMI 7 V� Client~ Contractor, � �.//, Or Inspection ordered br '84A d n Weather' hfz y f4-0 — Contractor Personnel on-site: Equipment on-site: Work alone: X'Fe -Y 64111 47)" Date of Inspection: Inspector- Superintendent. 6�'Vn frY `W �rX Inspector Arrived: _Z3v Departed: . �r..� ..�� _ B Is�� fid►. � �, �, �. �r� «' i, s,lrr�f c�ou meati qr ifs L- (6)07 .��_ �� 5----rte- rP. -- sPP�t� � mak. 7` tis 1�v�rd% • �a _ /-.?6 �j ?,elwt / wd-41/d /-s /-// u/e a/ AN V'( .� SE d Lo C..f�r...vS �✓�� t�7 � o n/ . mit v,e r�-� •. �, � -�a- •s ., P 6D. / wd-41/d /-s /-// u/e a/ AN V'( .� SE d Lo C..f�r...vS �✓�� t�7 � o n/ . mit v,e r�-� •. �, � -�a- •s 01/28/98 08 38 $360 452 8498 NTI ENG & SURVEY 0001 tLEt�fSP�X.t10� Ntcbf-D XycS t7 !Io W RTHMTEM TERRITORIES, NO. (is JOB CONSTRUCTION REPORT --WI NTI M IMM Pfi1W. PORT MM" WARGWM M7QL (im) +bt-O+Y1 fAL, M W4" Project: OM Z KOL Date of Isrspection=_—Z'9ff Client: (-v5Q1 ws Ina_pect"* .,To e. DoK, 5T Contractor BeeS chaw ti A, //,?S Superintendent- Brr'v A ri y 1si Inspection ordered by- G0.rr 13row. v. 'llblq$ Inspector Arrived: oo Departed. 315 Weather -5W ala 400 ee Contractor Personnel on—dte: Eq ! ent on—site:_ _ Work Done: C.F// -Aw o 94"y 0",o r7 r 4,,.st•,z.v � o o f,n� Qi -e a s �ar .�l�d, �'ds �..ti , h �•� s<•�r e.: y` � (7-S) l _ _ r rOf1 J g ci0/ld'� (:Yo: ,/.5 C 3' 4 /! SS's i:r $�G'fG�dE' foa TS'^� Java. C'.s4 c! r.✓P/�_ � �i►r/c� © j�xSE' -' lS 4t � % L M ,Vega( �' pww o �JCI�`v. .0 067-v P e7` lurk Qfi 6✓' TC,? .t-A N @ �-w �S A/EEOS I L� ._. �T4rj/ 1rww,2-- MOAfAf Qeb Li a kll�•� •Ciw,ElPf'k. Assam .iT'�✓e Sm�d �o� f, 1Nja��'••s L'4s., Work Done: C.F// -Aw o 94"y 0",o r7 r 4,,.st•,z.v � o o f,n� Qi -e a s �ar .�l�d, �'ds �..ti , h �•� s<•�r e.: y` � (7-S) l _ _ r rOf1 J g ci0/ld'� (:Yo: ,/.5 C 3' 4 /! SS's i:r $�G'fG�dE' foa TS'^� Java. C'.s4 c! r.✓P/�_ � �i►r/c� © j�xSE' -' lS 4t � % L M ,Vega( �' pww o �JCI�`v. .0 067-v P e7` lurk Qfi 6✓' TC,? .t-A N @ �-w �S A/EEOS I L� ._. Permit # u k"OWVN Address �3q Project description o(yMnIC ai h /SU r1 zr9 Date the permit was finaled Number of technical pages S+- rnemorial HoTifad Un know h nj