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HomeMy WebLinkAboutPermit Field Test & Inspection Report 2006-7-7 (2) :; 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 Page 1