HomeMy WebLinkAboutPermit Field Test & Inspection Report 2006-6-29
Carlson Testing, Inc.
MaIO Office
POBox 23814
Tlgard, Oregon 97281
Phone (503) 684-3460
Fax (503) 684-0954
Salem Office
4060 Hudson Ave, NE
Salem, Oregon 97301
Phone (503) 589-1252
Fax (503) 589-1309
Bend Office
POBox 791 8
Bend, Oregon 97708
Phone (541) 330-9155
Fax (541) 330-9163
Daily Report of Reinforced Concrete
Client: BURT ~ WALTER _ ___~~ _~~ u_ ~_____ ~ ~_ _ ~~ ___
Project: BAYBERRY COMMONS - SPRINGFIELD
Address: ~211 LAURA STREET - SPRINGFIELD, OR
cn representative R COLLINS OBOA 502
was on site this date Jun 29, 2006
Penmt COM2005-01685
DFS #(s)
cn Job #:
Jurisdiction: SPRINGFIELD
S0604278.
to perform Special Inspection for
SCOPE OF INSPECTION
I Checked m with supenntendent or chent representatIve
Name BURT
Company BURT WALTER CONSTRUCTION
2 Type of work 0 Concrete [X] Remforcmg
3 Work mcluded 0 Samplmg GJ InspectIOn
4 InspectIOn was 'IBC' 0 Contmuous [X] Pen odIc
5 Work performed GJ In the field 0 At precast shop
REINFORCING
I ReVIewed prevIOus mspectIOn reports?
2 Forms clear of debns?
3 Type, grade, SIZe, quantity, spacmg and
condItion conform?
4 Venfied forms wIll nommally result m
hardened concrete of the reqUIred
cross-sectional dimensIOns
5 Venfied location of remforcmg steel, pIpes,
condUIts and sleeves with respect to
rmmmum concrete cover
6 Venfied type and location of sphces, length
of contact laps, and rmn dIameter of bends
7. Venfied support & anchorage of remforcmg
, steel m the forms
8 Venfied structural embedments m the forms
WIth regard to fabncatIOn, quahty and type
9 Venfied structrual embedments m the forms
with regard to weld mspectIOn, quantity, and
penmts Issued
10 Venfied cast m place anchors
DescnptIOn of structure mspected [to mclude gnd hnes,
elevations (floors) and drawmg detaIls]
FOUNDATION FOOTINGS I/I-31. 31/I-W. DETAIL
7/S3 1. 4/S3 1. 8/S3.1. RFI DATED 6/27/06
Yes No N/A
X
X
X
X
X
X
X
X
X
PO Number:
CONCRETE
MIX DeSign approved? 0 Yes 0 No [X] N/A
2 Momtored loads arnvmg at Job site for correct
Mlx#
Slump % Air
3 Type of samples made? N/A
Number of sets Samples per set
4 Inspected placmg and consohdatIOn of approx
cubic yards of concrete
LocatIOn of concrete placement [to mclude gnd hnes, elevatIOns
(floors) and drawmg details]
After samples are tested, results Will follow on break report
REPORT SUMMARY
Work mspected was GJ Completed D In progress
2 Completed work mspected was m comphance WIth
GJ Approved plans and specifications D Shop drawmgs
o RFI 0 DeSign change 0 Subrmttal 0 N/A
I x Document #(s) PLANS Dated
3 Noncomphance Item(s) were noted thiS date, detaIls on
followmg page(s) 0 Yes GJ No 0 N/A
4 Noncomphance Item(s) were remspected thiS date, detaIls
on followmg page(s) 0 Yes GJ No D N/A
D Conform D Remam m progress
Report(s) findmgs were discussed and left with
BURT
of BURT WALTER CONSTRUCTION
Based on the Code, approval IS reqUIred from the Bmldmg OffiCial before the SPECIAL INSPECTED Items noted above can
be covered Carlson Testmg has no authonty to dlTect work of contractors or subcontractors
o See additIOnal report page(s) D Dlstnbute attachments Page _ 1 of ____1__
Daily Report of Reinforced Concrete
CTI Job #: SO.Q.042]_~__
Project: BAYBERRY COMMONS - SPRINGFIELD
For:
O~a,?(2_0Q6
Notes:
In some cases more than one box may be checked for a gIven Item on the front page
Our reports pertam to the matenal tested/mspected only. InformatIon contamed herem IS not to be reproduced, except m
full, wIthout pnor authonzatIon from thIS office
If there are any further questIOns regardmg thIS matter, please do not hesItate to contact thIS office.
Respectfully submItted,
CARLSON TESTING, INC
~A
Steven Dugger ~
Manager
RC/LND
CC: CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT