HomeMy WebLinkAboutPermit Field Test & Inspection Report 2001-7-9
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SPRINGFIELD~
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Cily of Springfield
COIr.:~u:1i~)" :;~""':':~!t Div:::;vil
22S Fifth Stri:c,
Springfield. OR 97471
Telephone: (541) 726.3759
Fax: (541) 726-3689
Special Inspection And Testing
OJ - 00S82. -ot
Building Permit # Da,e
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Projecl Address '
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To applicants of projects requiring special inspection or testing as per Section 1701.5 of the Oregon StructUral Specialty Code. Please review.the information below, When you
have finished, acknowledge an understanding or the infonnation by signing below, and roturn this form:o the City.
BEfORE A PERMIT CAN BE ISSUED: Tho owner or owner's ropresonlative, on the edvice afthe responsible Projeel Engineer or Arcnitect, shall complete, sign, and submit
ro the City for review ond approval this form completed on both the fron' and back.
The Owner and General COnlnclor, where applicable, shall also acknowledge the following condilions applicable to Special Inspection andlor Testing.
I. Contraclor is responsible for proper nOliticalion for the Inspecllon or Testing of items listed.
2. Testing laborntory shall take appropriate samples and transport them to their laboratory for proper evaluation or te~ting.
Copies of nil laboralory reports nnd inspections are to be senl to Ihe Cily by the Testing Agency.
3. Sped" r I nspeclion Agency is to sohntit names and qualifrcations of on-site Special Inspectors to the City for approval.
4. Spel:inl Inspector shall provide inspection reportJ to the building official of all inspection activities.
S. Contractor is responsible to review the City approved plans ror additional inspection or testing requiremenlS that may be noted.
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BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency'shall submit to the Building Omcial a staternenl thatali items requiring
inspection have been fulfilled and reported and were 10 the besl of the inspector's knowledge, in eonronnance with lhe approved plans. specifications and applicable workmanship
provisions. Those items not tested and/or inspected shall be n.oted b the statement. The report is to be submitted to the City prior to a request. for fir.a) inspections.
ACKNOWLEDGMENTS
6.,w",l ~"()JAJ~1t 1f'..-!erl.{ej; r;.c.
OwnCl Name (printed) Owner Signalm
SSI W, lWe;., . - P.'1tn(uf;
Engineer or Arr.hitcct Finn (Printed)
Engineer or Architecl Signature
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Testing Laboralory Name (Printed) Tes,ing Laboratory Rtp Signalu!.
l3ufSE;,,",~ S,4.VO 16tC-WC:l- Q:-: )~________
Gen. Contractor Firm Name (Printed) Ge\1eril Contractor Signature
FEI TiOb\l/'/6-I/!./sPecTloIJ.r:Alt:. ~ O~
Special Inspeclion Agency N~?rinted) , (;:\' :g:iYA:~7~ :
\d~ffici'IN Beilding Offiei~~~'~~ (l\
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. GRADING, EXCA V A TION. AND FILL
~ Acceptance te51' . -1>5E L PSF MTt:
Eltablish final grode
Fill placement inspection/continuous
Soil Density
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'Reinforced Conncle, Gunile, Grout and Mortar:
SPECIAL INSPECTION AND TESTING SCHEDULE
Concrete ~
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Gunit~l (jrnur
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MOTTi!(
All{Jreg,ate Test of Mi~ De<;icn
R l~infnrcinfY Te'\t
1'l_~~~2n-Wei~rl .
Reinfocin" Placf>ment
rQlltinuou~ I1a.1.ch Plant IrUP
t,,<"nec! ~t
ra~1 S~m{llf"!\i
SamnJes (PickI.!P/Delivererl)
c.o~(',n Test.M
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PrecasVPre-stresscd Concrete:
..fikL-f'~1Lj Pre-Tens
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LClnddino I
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./ f--- Reinforcing..~"t
/'" I rno;crt Plflcemenr
,I' I I rn~ Batchino
./ ~ . I Conn""t!'" PIS!J'Ipnr
[--' --r-J I""oll.tion In'pect;nn
I I I r.;:).l;! S~mnLr~
I I Pick-liD Sarnnl~"
I J 1 rnmnre.."iQn..Ic.s.r..
SMOKE CONTROL:
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_ Lcal\.age testmg
_~Gntrol verification
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ROOFING/
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_/lnsulation installation/R.vnlllc.
resl slripslsC'ilillS
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FIREPROOFING:/
Placem~nt'jnspection
De ./
mIl)' Tests
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Thickness tests
/rnspcct b;]lching
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STRUCTUllAL STEELlWEl.IIING'/
Sample and test (list spccilj{membcrs helnw)
Shop material jdentiticati~n (mill ccrt)
Weid inspection / _ Shop ___
Ultrasonic: inspection' Shop
High lIrenglh bolli~S Shop
A325 -.::: N X
A490 / N X
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Metal deck welding inspection
Reinforcing Steel wt:Jding inspection
Rcinr~rcing steel mill certificate
_ Metal5tud welding inspection
_ /Concrete insert welding inspection
_ / Moment resisling s(cel frames
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Field
Ficld
Field
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STRUCTURAL WOOD:
Shear wall nailing inspcCliun
Shear wall anchors
Inspection of Gill-lam fab...
Inspection aftmssjoist Cab_
,Sample and test componenu
_" ./ Fabrication welding, ofslccl accessories
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MASONRY:
Special inspeclioD stresses used. rm _fg
Preliminary acceptance tests (masonry unilS, wall prisms)
Subsequent rests (mortar, g:-O\ll, field wall pri!;1ll5)
Placcmeni inspccrioll or units. om.:! rcinrorccfllcnl
Musonary, mortar, grout, n.nd reinforcing steel ~crtificJtcs
/ . ~// / /!~} / - IZ--/Z--O/
Form COflll,tctcd hy;_~~ ~a:e~,I_&
A. D~TIONAL lNSTRUCTIONS, OTHER TEST, & lNSPECTIOl'lS: .
. E-F€ J! . "70, 1/0TE c tI..Jtt':'At;,.. /Nvt67i) r,"1fOI"
6-1- f'l>u M/ P 1;'>'1 ,ff;'Ji .~ee vjY>1
A ;;4.-& M (....,..-1. I . ?V6 I _J
'PROVIDE STRENGTH HEQUIRED BY AHc'~lITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES
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CITY OF SPRINGFIELD
SPECIAL INSPECTION
SPECIAL INSPECTIONS AND WHEN
THEY ARE REQUIRED
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A special inspectioll is the mooitoring of the
maltriaJs IIIId " . :....... ship wbieh aru crItk:a1to the
integrity oflhe building structun:. Many buildings
and stnu:lUres use specialiud materials or methods
of <OIISlruCliOD which "",uire specially trained
inspectors to monitor the various phases of
CO...truClion. This is in addition to the standard
inspections perfonned by our City in..r.~d (i.e.
foundationa. framing, plumbing. mechanlcaJ,
electrical, insulation, sheetrock, final, etc.)
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The use of special L.r ...... is Dol diS- ...:__ j.
The OregOn Structural Specialty Code (OSSC)
Chapter 11, Section 170 llim the conditio... when
speciaJ in..,.--... mllSl be U3Od.
Gellerally sped8J i~ln Indude: Grading.
exmvatioD, and liD; PiIillgs; Cancrete and
reinforcillg; SlruduraJ .. .. .,.., wood, or steeI;.
Welding; Higlulrmth, slip critical, _..._..:..~ or
epoxy la1sion bolting; Single ply roofing; Spray-
applied::' _... .fmg; and Smoke colllroJ.
What is a spedal inspector and who Is
qualified?
A special illspector is a persou who has been
approved by the building official to, ., ;:.,' , certain
types of inspections. The special inspector is reserved
fur <emplex lnstaUations lha1 require highly
developed m"JlOCtion skills, llormaJly a penon
....pJcryed by a private testing laboratory.
The special inspector shall be a qualifted person who
shall ~emonstrale competence. 10 the satisfaction of
the building official for ill5peClicn of the panicular
type of cons1nK:tion or operation requiring special
inopeclion. lbe ICBO certification is recognized by
the bUilding official as having met those
requirements. The holder of the certification will
have salisl8ctorily passed a written examination, IlI1
oral ullerviow, and having a review of their relevant
education and work experience.. A list or individual
will be maiotained by the City of Springfield of those
persons who have been accepted as special jn..t'.....~.......
and in what pani.uJar disciplines they have been
approved.
WHAT ARE THE RESPONSIBILITY
OF THE OWNER, ARCHITECT,
COMMUNITY SERVICES, SPECIAL
INSPECTOR, AND CONTRACTOR?
TIlt Own". The owner, or a person acting 115 the
owner's agent shall sela:! a qualified special
iospe<lllr and ....ploy them to conduct the required
special inspections.
Th~ A.rdrIUiT.lbe architect or engineer of re<:ord
assistB the owner with the selection of a special
inspector. The Architect or engineer shall specity
types of spcciaI inspe<tions required in the
eon..... .._:...11 docmnents.
CnmmllftlJp S~1V~ Dlvlvnlf~ The City reviews the
<onstruction document> fur compliance with special
:~r..~..... rcqain:mcnts. The division "+ r. ..' ...,l the
special illspec:tor and mcnito", the special inspector
and the special inspectioo activities.
77r~ CO""IId-. In additiun to outiljriog Community
:3 - , :._ that the ..011< iJ read)' fur regular
inspections, the conl1'Ulor shall notify the special
inspector when work is ready fur special iospcctioll.
77r~ SouI.1 '''W"'d': The special inspecto",
observes all worlc for ..hich they are responsible for
compliance with the approved design drawings and
speciftcation.; identifies oon-<:onfonnmg work
immediately; provides timely in., ..~. _ rcpom on a
regular basis indicating the inspections conducted
IIIId test __ iu....ed, lisls of any oonconfonnity and
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how they Were resoived, and any autho~ changes
by the mhite<lleogineer; submit dis..__~_, reportJ
listing lII1l"eSolved items, plDtiC3 notified, times and
methods; and submits a fmal sicned SllDUDary report.
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If you have further interest in the ...~..._. or would
like additional infonnation about special inspections,
this office has a cupy available of the ICBO Special
Inspector Prognuo Booklet, which outlines the
program requirements in more .omplete detail.
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It is the responsibility of the.appli<:anl and their
designaled representatives to understand when
special inspections are ~ Before a penn it can
be issued, the owner sha11 complete, sign, and submi,
to the City for review and approve the special
inspection and lest agreement and ..hedule. W.
encourage the dosignlcontmctor loam and speolal
inspectors to refer to the Oregon Slrw:turaI Specialty
Cede OJapler 17 and review the ~Special
Inspectioos" section. If th= are any questions about
the program or lbe requi. _ of !be special
inspection contact the Develcpment Services,
Community Services Division for clarificatiuns.
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