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HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2013-10-3 Bend Office (541)330-9155 Geotechnical Office (503)601-8250 Carlson Testing, Inc. Eugene Office (541)345-0289 Salem Office (503)589-1252 Tigard Office (503)684-3460 Daily Report of Proprietary Anchors Client: MCKINSTRY CO - MELISA VASQUEZ Project: WILLAMALANE SPLASH POOL BOILERS CTI Job#: E1301507. • Address: 6100 THURSTON RD SPRINGFIELD OR Jurisdiction: SPRINGFIELD CTI representative R. LEE OBOA 619 was on site this date Oct. 03, 2013 to perform Special Inspection for: Permit 811-SPR2013-02168 DES#(s) PO Number: MV-75909-012072-947 SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines,elevations(floors) and drawing details]: 1. Checked in with superintendent or client representative. OBSERVED PREPARATION AND PLACEMENT OF (4) Name: MELISSA VASQUEZ 1/2"X4" HILTI KBTZ ANCHORS WITH 3" EMBEDMENT FOR Company: MCKINSTRY EXPANSION TANK AND (6) 1/2"X5-1/2" HILTO KBTZ ANCHORS WITH 4" EMBEDMENT FOR COMPRESSOR IN THE 2. Inspection was"IBC° © Continuous n Periodic BOILER ROOM. NOTE HOLES WERE NOT ALREADY DRILLED AND CLEANED ON ARRIVAL, PERFORMED WHILE PROPRIETARY ANCHORS CTI WAS ON SITE. ALSO NOTED CITY STAMP WAS Yes No N/A PERFORATED IN LEU OF RED STAMPED. I. Reviewed previous inspection reports? X 2. Reviewed evaluation report? X - -- - —Verified following items meet manufacturer's REPORT SUMMARY published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: I x l Completed ❑ In progress anchors. X 4.Verified installation of the anchors. 2. Completed work inspected was in compliance with x © Approved plans and specifications ❑ Shop drawings 5. Verified anchor diameter. X 6. Verified steel grade. X RFI ❑ Design change ❑ Submittal ❑ N/A 7. Verified hole diameter. x Document#(s) SK-1 & SK-2 Dated: 09/26/2013 8. Verified type of drill bit used. X 9. Verified hole cleaning method. X 3.Noncompliance item(s)were noted this date,details on 10. Verified adhesive application. x following page(s). n Yes ❑ No © N/A 11. Verified edge distance. X 4.Noncompliance item(s) were reinspected this date,details 12. Verified spacing. X on following page(s). Yes No N/A 13. Verified installation torque. g Conform Remain in progress Evaluation report number&date: Report(s) findings were discussed and left with ICC ESR 1917 MELISSA 05/01/13 of MCKINSTRY Name of product being installed HILTI KBTZ ANCHORS Batch Number LOT 387525 Expiration Date Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can • be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. 111 See additional report page(s). Distribute attachments. Page of Daily Report of Proprietary Anchors For: 10/03/2013 CHI Job #: E1301507. Project: WILLAMALANE SPLASH POOL BOILERS Notes: In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in fi without prior authorization from this office. Under all circumstances, the information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared.No party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this document. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. David Smith Reviewed By: Project Manager Project Manager Review Date: 10/10/2013 RL/LS MCKINSTRY CO - MELISA VASQUEZ MELISAG @MCKINSTRY.COM TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT T M RIPPEY CONSULTING ENGINEERS - RALPH TURNBAUGH RTURNRAUGH @TMRIPPEY.COM WILLAMALANE PARKS & RECREATION QUENTINH @WILLAMALANE.ORG 89970 H W Y 99N,EUGENE OR