HomeMy WebLinkAboutPermit Field Test & Inspection Report 2006-10-16
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 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 Proprietary Anchors
Client: BURT WALTER
Project: BAYBERRY COMMONS - SPRINGFIELD
Address: 2211 LAURA STREET - SPRINGFIELD, OR
cn representative P, L. SANETRA OBOA 447
was on site tlus date Oct. 16, 2006 to perform SpecIal Inspection for
Pemnt COM200S-0168S
DFS #(s)
SCOPE OF INSPECTION
1 Checked ill With supenntendent or chent representative
Name' BURT
Company' BURT WALTERS CONSTRUCTION
2 Inspection was "mc" GJ Contmuous D Pen odic
3 Work performed GJ In the field D At precast shop
4 If shop illspection do they have fabncatlOn and QC
procedures? DYes D No GJ N/A
PROPRIETARY ANCHORS
1 ReViewed prevIous mspection reports?
2 ReViewed evaluation report?
3 Venfied manufacturer's anchor use confonns
to acceptance cntena m report summary
Venfied followmg Items meet manufacturer's
pubhshed mstallation mstructions
4 Venfied nnmmum embedment depth of the
anchors,
I 5 Venfied lllstallation of the anchors
I 6 Venfied anchor diameter
7 Venfied steel grade
8 Venfied hole dIameter
9 Venfied type of dnll bit used
10 Venfied cleanImess of hole and anchor.
11 Venfied adheSive apphcation
Yes No N/A
x
x
x
x
X
x
x
I x I
I x I
I x I
CTI Job #: S0604278,
Jurisdiction: SPRINGFIELD
PO Number:
Location ofpropnetary anchors mspected [to mclude gnd
lmes, elevations (floors) and drawmg detalls):
(6) S/8"X7" RAMSET RED HEAD ANCHORS INSTALLED AT
SILL PLATES GRID LINES K/9-10,
NO DETAIL OR RFI FOR WORK PERFORMED, ENGINEER'S
REVIEW AND WRITTEN APPROVAL REOUIRED,
REPORT SUMMARY
Work mspecte1 was GJ Completed D In progress
2 Completed work mspected was not m comphance With
D Approved plans and speCifications D Shop drawmgs(
D RFI D DeSign change D Subnnttal [i] N/ A
Document #(s) N/A
Dated.
x
3 Noncomphance ltem(s) were noted tlus date, detalls on
followmg page(s) GJ Yes D No D N/A
4 Noncomphance Item(s) were remspected tlus date, detalls
on followmg page(s) DYes D No GJ N/A
D Conform D Remalll m progress
Report(s) findlllgs were discussed and left With
,
BURT
-- - --- -
of 1?l.!!<-1' ~J\LT.gRS CONSTRUCTION
EvaluatIon report number ESR -13 72 __ _ _ _ _ _ _____ _
Name of product bemg mstalled RAMS~':I' RID? BEAR- _
Batch Number N/A
ExplfatlOn Date N / A
RfC-EIVED
OCT 2 4 Z006
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 ofcontractor~ or subcontIactOls
D See additIOnal repolt page(s)
W Dlstllbute attachment"
of
Page
Daily Report of Proprietary Anchors
CTI Job #: S0604278.
Project: BAYBERRY COMMONS - SPRINGFIELD
For: 10/16/2006
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 InformatIon contamed herem IS not to be reproduced, except m
full, wIthout pnor authonzatIon from thIS office.
If there are any further questIons regardmg tills matter, please do not hesItate to contact thIS office.
Respectfully submItted,
CARLSON TESTING, INC
~~~
Manager
PLS/LS
CC':
CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT
Oct 17, 2006
S0604278.
Carlson Testing, Inc.
Incompleted Items List (NCL)
PrOject Name
Project Address
Penmt No
PO No
BAYBERRY COMMONS - SPRINGFIELD
2211 LAURA STREET - SPRINGFIELD, OR
COM2005-01685
Item # Insp,
Date
Item Description
Compliance
CTI Sign-Off
Date
Corrected
1 JR 06/23/2006 MIX DESIGN 2144 NOT APPROVED
2 JR 07/19/2006 MIX DESIGN #4184 NOT APPROVED
3 GK 08/16/2006 INSTALLATION OF SEISMIC ANCHORS, (4) HOLES NEED
TO BE RE-DRILLED TO PROPER EMBEDMENT DEPTH (2)
EAST WING & (2) SOUTH WING
4 GK 09/27/2006 NO ICC REPORTS ON SITE FOR RE500 & HY-150
5 GK 09/27/2006 NEED ENGINEER'S WRITTEN APPROVAL FOR ANCHOR TYPE
& EMBEDMENT DEPTH, NO DETAILS AVAILABLE FOR
ANCHORS INSTALLED FOR INTERIOR WALL SILL PLATES
SEE DAILY FIELED REPORT
6 PLS 10/16/2006 NO DETAIL OR RFI FOR INSTALLATION OR..RAMSET RED
HEAD WEDGE ANCHORS FOR SILL PLATES GRID LINES
K/9-10, ENGINEER'S REVIEW AND WRITTEN APPROVAL
REQUIRED
CC BURT WALTER
CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT
PrOject Manager.
S. DUGGER
Page' 1