HomeMy WebLinkAboutPermit Field Test & Inspection Report 2006-7-7 (2)
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Carlson Testing, Inc.
Mam Office
POBox 238]4
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: I3J,Jj{T_ WALTER _ ___ ___________ __
Project: BAYBERRY COMMONS - SPRINGFIELD
Address: 2211 LAURA STREET - SPRINGFIELD, OR
cn representative J REID OBOA 697
was on SIte thIS date Jul, 07. 2006
Penrrut COM2005-01685
cn Job #:
Jurisdiction: SPRINGFIELD
S0604278
to perform Special Inspectwn for
DFS #(s)
, SCOPE OF INSPECTION
1 Checked m wIth supenntendent or chent representative
Name DANA
Company SWAGGART BROS
2, Type of work D Concrete iii Remforcmg
3 Work mcluded D Samphng [iJ Inspection
4 InspectlOn was 'IBC' D Contmuous [i] Pen OdIC
5 Work performed iii In the field D At precast shop
REINFORCING Yes No N/A
1 RevIewed prevlOus mspectlOn reports? X
2 Forms clear of debns? x
3 Type, grade, SIze, quantity, spacmg and X
condItion conform?
4 Venfied forms w1l1 nonunally result m
hardened concrete of the requITed X
cross-sectwnal drmenslOns
5 Venfied locatwn of remforcmg steel, pIpes,
condUits and sleeves wIth respect to X
nummum concrete cover
6 Venfied type and location of sphces, length
of contact laps, and nun dIameter of bends X
7 Venfied support & anchorage of remforcmg
steel m the forms X
8 Venfied structural embedments m the forms
wIth regard to fabncatIon, quahty and type X
9 Venfied structrual embedments m the forms
wIth regard to weld mspectlOn, quantity, and X
penrruts Issued
10 Venfied cast m place anchors j x I
DescnptIon of structure mspected [to mclude gnd hnes,
elevatlOns (floors) and drawmg detalls)
CONCRETE PLINTH (16 @ 83_1) AT 0 @ 11 AND 14 AND
o 1 @ 11 AND 14 AND 3/4" ANCHOR BOLTS AT SAME
LOCATION,
PO Number:
CONCRETE
MIX DesIgn approved? DYes D No iii N/A
2 Momtored loads amvmg at Job SIte for correct
MIX#
Slump % AIr
3 Type of samples made? N/A
Number of sets Samples per set
4 Inspected placmg and consohdatlOn of approx
cubIc yards of concrete
LocatlOn of concrete placement [to mclude gnd lmes, elevations
(floors) and drawmg detalls)
After samples are tested, results wIll follow on break report
REPORT SUMMARY
Work mspected was GJ Completed 0 In pro~ess
2 Completed work mspected was m comphance WIth
[i] Approved plans and speclficatlOns 0 Shop drawmgs
D RFI 0 DeSIgn change D Subnuttal 0 N/A
Document #(s) S PLANS
Dated
3 Noncomphance Item(s) were noted thIS date, detalls on
followmg page(s) 0 Yes GJ No 0 N/A
4 Noncomphance Item(s) were remspected thIS date, detalls
on followmg page(s) 0 Yes 0 No GJ N/A
D Conform D Remam m progress
Report(s) fmdmgs were dIscussed and left WIth
DANA
- -~-- - - -----
of SWAGGART_ BROS
Based on the Code, approval IS reqmred 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) D DIstrIbute attachments Page __ ___ 1..- of ________1-
Daily Report of Reinforced Concrete
CTI Job #: S06042~8_,___ _ __
Project: BAYBERRY COMMONS - SPRINGFIELD
For:
07Lo} nO Of>
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, INC
~t
Steven Dugg~
Manager
JR/LND
CC: CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT
Julll,2006
80604278.
PrOject Name
Project Address
Perrmt No
PO No
Item # Insp.
Carlson Testing, Inc.
Incompleted Items List (NCL)
BAYBERRY COMMONS - SPRINGFIELD
2211 LAURA STREET - SPRINGFIELD, OR
COM2005-01685
Date
Item DescriptIOn
1 JR 06/23/2006 MIX DESIGN 2144 NOT APPROVED
CC BURT WALTER
CITY OF SPRINGFIELD
DIAMOND ENGINEERING
TONY KOACH ARCHITECT
Compliance
CTI SIgn-Off
.,
Date
Corrected
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