HomeMy WebLinkAboutBuilding Field Test & Inspection Report 2013-11-15 _. Bend Office (541)330-9155
Geotechnical Office (503)601-8250
Eugene Office (541)345-0259
Carlson Testing, Inc• Salem Office (503)5$9-1252
Tigard Office , (503)684-3460
Daily Report of Proprietary Anchors
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Project: et;^L Z%F°s4's- _ .A:_c=te �6F,-.,r -L,-4':L'.6„'�,.-.
Address: .C:.r P.e•-• `'`j - j>" _"F"- =.C-%w i7 4" r/.50 ''-3'''`'"+'r 72
CI'I Job#:
Sr AP(2 11 representative, r'* yam^''dw+'�"-'t-.— L°. �'+t'" was on site this date to perform
(Inspector Name& Cert. No.)
Special Ins ection Cur u t". ,_B 1 y�r�rr: jurisdiction `°" '' %`.�''` s'% =%-
P ®"-permit ❑ DES „(s) — J
In some cases more than one box may be checked for a given item.
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. Crx, ,. -;,,,./,.. . ,, '1 _" - ,1,p- ..;‘? r,.3° ,Lc.774,4-..,
Nalnc ✓'_.[it_ ,If > . 1 ,, p✓ !i- a', ¢ 6"`.9t/. P ::-".,srl-Via,i' y,
Company: _s' 1.,,,.;,s >a--y;, %)YfriS f''e(../ /r.:°r.-:Le-+._ if 6?-4Z 1' ET �,';✓'=n 2.--4), 4V),
r 9 " u5-yv"cie c.,../:4,4 ,..4). ax<:t>. t fig [a aac- J:
2.Inspection was inc" " [1-Continuous 1 Periodic ,..p - - -
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PROPRIETARY ANCHORS f ?z: ;xr3 y+ l 4;-;- <.., te'i;^"-S.'='.<t,- ;
Yes NoN/A ,-<u,1Pit.:,-f...-. A' - `es' 'et'=_'r2^';e4.c:"i-"7�
1. Reviewed previous inspection reports? + r'
2. Reviewed evaluation report? - V '
REPORT SUMMARY
Verified following items meet manufacturer's
published installation instructions. 1. Work inspected was: ET Completed ❑ In progress
3. Verified minimum embedment depth of the v 2. Completed work inspected E wits ❑ was not
anchors.
4.Verified installation of the anchors. V- in compliance with
5. Verified anchor diameter. , e" Approved plans and specifications n Shop drawings
C. Verified steel grade. ,e" n RN n Design change n Submittal n N/A
7.Verified hole diameter. - f'_ Document#(s) `�- -r"'t ' "--Z Dated: 07 430/33
8. Verified type of drill bit used. `' ✓' 3.Noncompliance item(s) were noted this-date,details on
9. Verified hole cleaning method. d° . following page(s). n Yes n No [-'N/A
10. Verified adhesive application. _V
I I. Verified edge distance. P.. 4.Noncompliance itent(s)were reinspected this date,detail
12. Verified spacing.
r on following page(s). n Yes ❑ No n N/A
13. Verified installation torque. - �.' n Conform n Remain in progress
Evaluation report number&date: Report(s) findings were discussed and left with
ill sit
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Nance of product being installed +?ff--( %3r,s:. Jys'_)C}-`
Batch Number^`)_ ` .`_'`L`ti``i
rv, F„ '
Expiration Date '4/ a'°-/ --
Based on the Code, approval is equirefi'from the Building Official before the SPECIAL INSPECTED items noted above can be
covered. Carlson Testing hac-nb-avtliority t$"direct work of cons actors or subcontractors.
Inspector Signanne: �Grf , Ff 'f'''52 4
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1 i See additional-report page(s). Distribute attachments. Page of
I'ropAnchors e'er-I 2/12/2009
Heed 01 lite (541)330-9155
Geeitehnicai Entice (503)601-8259
Eugene Office (5-11)3.15-0289
(_. r 0 s o fil I es it fi RI g,, .4 nice.. snit:mon-ice (503)589-1252
Tieoril Olfict (5031 01E3.460
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Report Of tn-Mace. Density Tests
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Job l'-:Ituillicr: "C.T.
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,eteyt.. 67 .?. /./t-.117 ; `,.-- -
Project:
M;deria I Heseription 4 ■ ,
Ma XI illitlin I}v,. I tensIly t .H :l. / li,/,,, el Opt-inn:in Moisture I • t ,/,. Required (...ompatTion lc,
i onice itli le hie Dated: (Lei iii-iCii I i -.;:-.-• El PI-oject Specific NI I....ion:in rill Source Ptiieloi
'Hi Supplied Fty:
Cieuge Serial 17 ?---;" --t '/t Method olTest T .._
1c 'in Counts --Density Nioisture: CtitibratiM Date: / ci e1/4-.1 .:?-':"I i
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'',/,,. l— I n-Pirece Oensity
ii.iale 01 "lei:" c elle Test Density •Moist mode Depth Elev. nem jibs/cit. It) `Vi
ites1 No. LOCatic-51 Count Eiotilli Ft. iViitoist. We; Dry C.:011/C).
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1OD NUMUER RELEASE NUMBER REQ.DU.IVERYDATE PAGE
Eugene Rebar G3235 13 1 of 1 1
eOR 97402-IN97North I JOB NAME
Eugene, CC
PACIFIC EXCAVATION C6SS
CUSTOMER R>
Beau 541-726-7380 PV
EIAIIRIAL IVPI: RLIIRP:NCI: DRAWING ID DESCRIPTION
Rebar, Grade 60, Black Gorrie Creek Reinforcing quote
1111 QI) I Si 4e Length Mark. Shupe 1.b A 11 (: I) 6 FIR G II J K O --RC—
6 1 4 6-01 40111E 82 24 0.042 1-00 1-08 1-00 1-08 0-042 B11
B32
11 4 4-04 32 - S
12 4 400 32' .. .. _.. _- --.._. s. .
47. 108.
Total Weight: 108 Lbs
Longest Length: 6-01
WEIGHT SUMMARY
._ TOTAL:: _- I ::::STRAIGHT; _ LIGHT::BENDING-'"i - HEAVY-BENDING
317F ITEMS PIECES IBS ITEMS PIECES LOS ITEMS PIECES LOS ITEMS PIECES LOS
Rebar, Grade 60, Black
0 23 b64 1
q 4 47 108 2 z3 1 6 24 4 1 18 20
4 _ - 47 108 2 23 64 1 6 24 1 18 20
Total Weight: 108 Lbs
Longest Length: 6-01 .
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v12.02.090(I)(EU0) - 0201; aSa UN'AIIIIIORIZCD REPRODUCTION PROIR111TED Wednesday,November 06,2013 3:09 PM