HomeMy WebLinkAboutPermit Field Test & Inspection Report 2006-7-20
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Carlson Testing, Inc.
Mam 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 Reinforced Concrete
Client: BURT WALTER
Project: BAYBERRY COMMONS - SPRINGFIELD CTI Job #: S0604278,
Address: 2211 LAURA STREET - SPRINGFIELD, OR Jurisdiction: SPRINGFIELD
cn representatIve J REID OBOA 697
was on sIte thIS date Jul, 20, 2006 to perform SpecIal InspectIOn for
Penrut COM2005-01685
DFS #(s) PO Number:
SCOPE OF INSPECTION
1 Checked m WIth supermtendent or chent representatIve
Name BURT
Company, BURT WALLACE CONSTRUCTION
2 Type of work iii Concrete iii Remforcmg
3 W orf mcluded GJ Samphng [i] InspectIOn
4 InspectIon was 'IBC' iii Contmuous D PenodIc
5 Work performed GJ In the field D At precast shop
REINFORCING
I 1 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
mmrmum concrete cover
6 Venfied type and locatIOn of sphdes, length
of contact laps, and mm 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
penruts Issued
10, Venfied cast m place anchors.
DescnptIon of structure mspected [to mclude gnd hnes,
elevatIOns (floors) and draWIng detaIls]
SLAB ON GRADE & FOO~TNG 7-9/C-H
Yes No N/A
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Ix
x
x
x
x
CONCRETE
MIX DeSIgn approved? DYes iii No
2 Momtored loads amvmg at Job SIte for correct'
MIX#, 4184
Slump 4" MAX
DN/A
)
% AIr 5%
3 Type of samples made?
Number of sets 1
6 X 12 CONCRETE CYLINDERS
Samples per set 3
4 Inspected placmg and consohdatIon of approx 21
cubIC yards of concrete
LocatIon of concrete placement [to mclude gnd hnes, elevatIOns
(floors) and drawmg detaIls]
SLAB ON GRADE & FOOTING 7-9/C-H TOTAL PLACEMENT
FOOTING @ 7/C SAMPLE PULLED FROM
NOTE MIX DESIGN APPROVED IS #2144, CONTRACTOR
PLACED #4184, ENGINEER APPROVAL REQUIRED,
After samples are tested, results WIll follow on break report
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REPORT SUMMARY
Work mspected was GJ Completed D In progress
2 Completed work mspected was not m comphance With
iii Approved plans and speCIficatIons D Shop draWIngs
o RFI 0 DeSIgn change 0 Sublll1ttal 0 N/ A
X
IX"
Document #(s) ,?TRUCTURAL PLANS
Dated 01-23 - 06
3. NoncomplIance Item(s) were noted thIs date, detaIls on
followmg page(s) GJ Yes D No D N/A
4 Noncomphance Item(s) were remspected thIS date, detaIls
on fol1oWIng page(s) DYes 0 No [i] N/A
D Conform D Remam m progress
Report(s) findlllgs were dIscussed and left WIth
BURT
of BURT WALTER CONSTRUCTION
RECEIVEL,
/I II .~ 8 7006
Based on the Code, approval IS reqUITed from the BUIldmg 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) [i] DIstrIbute attachments Page ____ of
)
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Daily Report of Reinforced Concrete
CTI Job #: S0604278,
Project: B~YBERRY COMMONS - SPRINGFIELD
For:
07/20/2006
Notes:
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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
Ifthere are any further questtons regardmg thIS matter, please do not heSItate to contact thIS office.
Respectfully submItted,
CARLSON TESTING, INe.
$f)~
Steven Dugger
Manager
JR/LS
CC: CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT
Ju125,2006
80604278.
PrOject Name
Project Address
Perrmt No
PO No
I
Item # Insp,
Carlson Testing, Inc.
Incompleted Items List (NCL)
BAYBERRY COMMONS - SPRINGFIELD
2211 LAURA STREET - SPRINGFIELD, OR
COM2005-01685
Date
Item Description
Compliance
1 JR 06/23/2006 MIX DESIGN 2144 NOT APPROVED
2 JR 07/20/2006 MIX DESIGN #4184 NOT APPROVED
CC BURT WALTER
CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT
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CTI Sign-Off
Date
Corrected
Page 1