HomeMy WebLinkAboutPermit Field Test & Inspection Report 2006-10-16 (2)
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Carlson Testing, Inc.
Mam Office
POBox 23814
TIgard, 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
CTI representatIve P . L, SANETRA OBOA 447
was on SIte tlus date Oct, 16, 2006 to perform SpeCIal InspectIon fof'
Pernnt COM2005-01685
DFS #(s)
SCOPE OF INSPECTION
1 Checked m WIth supenntendent or chent representatIve
Name' BURT
Company BURT WALTERS CONSTRUCTION
2 InspectIOn was "IBC" GJ Contmuous D PenodIc
3 Work performed, GJ In the field D At precast shop
4 If shop mspection do they have fabncatIOn 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 conforms
to acceptance cntena m report summary.
Venfied followmg Items meet manufacturer's
pubhshed mstallatIOn illstructIons
4 Venfied rmmrnum embedment depth of the
anchors.
5 Venfied mstallatIon of the anchors
6 Venfied anchor dIameter
7 Venfied steel grade
8 Venfied hole dIameter
9, Venfied type of dnll bIt used
10, Venfied c1eanlmess of hole and anchor
11 Venfied adheSIve applIcatIOn
EvaluatIOn report number ~SR-6010 __ __ ____
Name of product bemg mstalled HJLTJ: RE- 5Q_Q__
Batch Number 2232L2
ExpuatIOn Date 06/2007
Yes NoN/A
x
x
x
x
x
x
x
x
x
x
x
cn Job #: S0604278,
Jurisdiction: SPRINGFIELD
PO Number:
LocatIon ofpropnetary anchors mspected [to mc1ude gnd
lmes, elevatIons (floors) and drawmg detaIls]
(2) 1 1/4"X24" THREADED ROD INTO CONCRETE
FOUNDATION AT GRID LINES N/13-14 18" EMBEDMENT
RFI SPECIFIED SIMPSON SET & HILTI WAS USED, SEE
NCL LIST ATTACHED.
REPORT SUMMARY
1. Work mspecte1 was !Xl Completed D In progress
2 Completed work mspected was not ill comphance WIth
D Approved plans and speCIficatIons D Shop drawmgs
[i] RFI D DeSIgn change D Subnnttal D NI A
Document #(s) RFI Dated 07-27-06
3 Noncomphance Item(s) were noted tlus date, detaIls on
followmg page(s) [Xl Yes D No D N/A
4, Noncomphance Item(s) were remspected thIS date, detaIls
on followmg page(s) DYes D No GJ N/A
D Conform ' D Remam ill progress
Report(s) fmdmgs were dIscussed and left WIth
BURT
of BURT WALTERS CONSTRUCI10N_ _ __
Based on the Code, approval IS reqUired from the Bmldmg OffiCIal before the SPECIAL INSPECl ED Items noted above can
be covel ed Callson Testmg has no authonty to direct work of contI actors or subcontractors
D See additIOnal report paget s)
[Xl Dlstllhute attachments
Page
of
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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 questtons regardmg this matter, please do not heSItate to contact thIs office,
Respectfully subnutted,
CARLSON TESTING, ~C
~Q~
Manager
PLS/LS
cc: CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT
Carlson Testing, Inc.
Incompleted Items List (NCL)
Oct 17, 2006
80604278.
Project Name
Project Address
Perlllit No
PO No
BAYBERRY COMMONS - SPRINGFIELD
2211 LAURA STREET - SPRINGFIELD, OR
COM200S-0168S
Item # Insp,
Date
Item Description
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 RESOO & HY-1S0
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 OF",RAMSET RED
HEAD WEDGE ANCHORS FOR SILL PLATES GRID LINES
K/9-10. ENGINEER'S REVIEW AND WRITTEN APPROVAL
REQUIRED
7 PLS 10/16/2006 RFI GENERATED FROM EOR DAVID GORTON'S SITE VISIT
7-27-06 SPECIFIED SIMPSON SET EPOXY, HILTI WAS
USED GRID LINES N/13-14 (2) 1 1/4"X24" THREADED
ROD INTO CONCRETE FONDTION ENGINEER'S WRITTEN
APPROVAL REQUIRED FOR THE SUBSITUTION
CC BURT WALTER
CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT
PrOject Manager'
Compliance
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S DUGGER
CTI Sign-Off
Date
Corrected
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