HomeMy WebLinkAboutPermit Field Test & Inspection Report 2006-6-23 (3)
Carlson Testing, Inc.
Main Office
POBox 238]4
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 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: 2211 LAURA STREET - SPRINGFIELD, OR
cn representative J REID OBOA 697
was on SIte thIS date Jun 23. 2006
Perrmt COM2005-01685
DFS #(s)
____ cn Job #:
Jurisdiction: SPRINGFIELD
S0604278
to perform SpecIal InspectlOn for
SCOPE OF INSPECTION
1 Checked m WIth supenntendent or chent representative
Name BURT
Company
2 Type of work [i] Concrete [i] Remforcmg
3 Work mcluded [X] Samphng GJ InspectlOn
4 Inspection was 'lEC' [i] Continuous D PenodIc
5 Work performed GJ In the field D At precast shop
REINFORCING
. 1 ReVIewed prevlOus mspectlOn reports?
2 Fonns clear of debns?
3 Type, grade, SIze, quantity, spacmg and
condItion conform?
4 Venfied fonns wIll norrunally result m
hardened concrete of the reqUlred
cross-sectional dnnenslOns
5 Venfied 10catlOn of remforcmg steel, pIpes,
condUlts and sleeves WIth respect to
IIllmmum concrete cover
6 Venfied type and location of sphces, length
of contact laps, and rrun dIameter of bends
7 Venfied support & anchorage of remforcmg
steel m the fonns
8 Venfied structural embedments m the fonns
WIth regard to fabncatIon, quahty and type
9 Venfied structrual embedments m the fonns
WIth regard to weld mspectIon, quantity, and
perrmts Issued
10 Venfied cast m place anchors
Descnption of structure mspected [to mclude gnd lmes,
elevatlOns (floors) and draWIng detaIls].
ELEVATOR PIT SLAB ON GRADE 10.5-11 5/K-K 2
36"X36"X14" FOOTINGS AT 31/J-K. N/11-14 &
I 1/11.
Yes No N/A
x
x
x
x
x
x
--,
PO Number:
CONCRETE
1. MIX DeSIgn approved? DYes [i] No
2 Momtored loads amvmg at Job SIte for correct
MIX# 2144
Slump 4" + / -1" % AIr N / A
3 Type of samples made? 6 X 12 CONCRETE CYLINDERS
Number of sets 1 Samples per set 3
4 Inspected placmg and consohdatlOn of appro x 4 5 + / -
cubIC yards of concrete
DN/A
x
Location of concrete placement [to mclude gnd lmes, elevatlOns
(floors) and drawmg detaIls]
TOTAL'PLACEMENT ELEVATOR PIT SLAB ON GRADE
10 5-11 5/K-K 2 & 36"X36"X14" FOOTINGS 31/J.
N/11-14 & 1.1/11.
MIX DESIGN NOT APPROVED
After samples are tested, results wlll follow on break report
X
REPORT SUMMARY
Work mspected was GJ Completed 0 In progress
2 Completed work mspected was not m comphance WIth
[X] Approved plans and speCIfications D Shop drawmgs
D RFI 0 DeSIgn change D SubIIllttal D N/ A
X
Ix
Docmnent #(s) STRUCTURAL PLANS
Dated
3 Noncomphance Item(s) were noted thIS date, detaIls on
followmg page(s) [i] Yes D No D N/A
4 Noncomphance Item(s) were remspected thIS date, detaIls
on followmg page(s) DYes D No [i] N/A
o Conform D Remam m progress
Report(s) findmgs were dIscussed and left WIth
BURT
of
RECEIVED
-lUW-8-1006
Based on the Code, approval IS reqUlred from the BUlldmg OffiCIal before the SPECIAL INSPECTED Items noted above can
be covered Carlson Testmg has no authonty to dIrect work of contractors or subcontractors
D See addItional report page(s) [X] DIstrIbute attachments Page _ __ of
Daily Report of Reinforced Concrete
CTI Job #: S0604278
-~----~
Project: BAYBERRY COMMONS .::___~RR!NGFIELD
For: __Q~/23/2006
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 Informatton 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 subrmtted,
CARLSON TESTING, INC
--/~ ~ ~,.~
Steven Dugger
Manager
JR/LS
CC: CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT