HomeMy WebLinkAboutPermit Field Test & Inspection Report 2006-6-30 (7)
Carlson Testing, Inc.
Main Office
POBox 23814
Tlgard, Oregon 97281
Phone (503) 684-3460
Fax (503) 684-0954
Salem Office
4060 Hudson Ave, NE
Salem, Oregon 9730 I
Phone (503) 589-1252
Fax (503) 589-1309
Bend Office
POBox 7918
Bend, Oregon 97708
Phone (541) 330-9155
Fax (541) 330-9163
Daily Report of Reinforced Concrete
Client: BURT WALTER _____ _ _
Project: _ BAYBERRY COMMONS - SPRINGFIELD
Address: ~211 LAURA STREET - SPRINGFIELD, OR
CTI representative C BIDWELL
was on site this date Jun. 30, 2006
Penmt COM2005-01685
_~_ ____ __ cn Job #:
Jurisdiction: SPRINGFIELD
S0604278
to perform Special Inspection for
DFS #(s)
SCOPE OF INSPECTION
1 Checked m WIth supenntendent or clIent representatIve
Name BURT
Company BURT WALTER CONSTRUCTION
2 Type of work GJ Concrete 0 Remforcmg
3 Work mcluded [X] SamplIng D InspectIOn
4 InspectIOn was 'IBC' GJ Contmuous 0 PenodIc
5 Work performed GJ In the field 0 At precast shop
PO Number:
CONCRETE
1 MIX DesIgn approved? GJ Yes 0 No 0 N/A
2 Momtored loads arrIvmg at Job SIte for correct
MIX# 2144
Slump 4" % AIr
3 Type of samples made? 6 X 12 CONCRETE CYLINDERS
Number of sets 6 Samples per set 3
4 Inspected placmg and consolIdation of appro X 600
CUbIC yards of concrete
Yes No N/A LocatIOn of concrete placement [to mclude gnd lInes, elevations
(floors) and drawmg detaIls]
X FOOTINGS AND FOUNDATION SLAB ON GRADE 1-31 @ A-W
X
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 splIces, length
of contact laps, and mIn dIameter of bends
7 Venfied support & anchorage of remforcIng
steel In the forms
8 Venfied structural embedments In the forms
WIth regard to fabncatIOn, qualIty and type
9 Venfied structrual embedments m the forms
WIth regard to weld mspectIon, quantIty, and
penmts Issued
10 Venfied cast In place anchors
DescnptIOn of structure mspected [to Include gnd lInes,
elevations (floors) and drawmg detaIls]
X
X
X
X
After samples are tested, results Will follow on break report
X
REPORT SUMMARY
Work Inspected was GJ Completed 0 In progress
2 Completed work Inspected was m complIance WIth
[X] Approved plans and speCIfications 0 Shop drawmgs
o RFI 0 DeSign change 0 Subrmttal 0 N/ A
X
X
Ix
Document #(s) PLANS
Dated .11- 09- 05
3 NoncomplIance Item(s) were noted thiS date, detaIls on
follOWIng page(s) 0 Yes 0 No GJ N/A
4 NoncomplIance Item(s) were remspected tIns date, detaIls
on followmg page(s) 0 Yes 0 No GJ N/A
o Conform 0 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 BUlldmg OffiCial before the SPECIAL INSPECTED Items noted above can
be covered Carlson TestIng has no authonty to direct work of contractors or subcontractors
o See addItIOnal report page(s) 0 DIstrIbute attachments Page _____1.... of ___..L
Daily Report of Reinforced Concrete For: _ _~L~J2L2~Q~
CTI Job #: ~og~PJL _ ___ n
Project: BAYBERRY COMMONS - SPRINGFIELD
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, INe.
dn
~ rV WfjJ--
Steven Dugger
Manager
CMB/LND
CC: CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT