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Home My WebLink AboutPermit Field Test & Inspection Report 2008-5-2 CIty of Springfield Community ServIces DIvisIOn 225 FIfth Street Springfield, OR 97477 Telephone. (541) 726-3759 Fax (541) 726-3689 COVl1z00B-oObIO BUilding PermIt # I S()f1f~ c:'1.,At;H~ Project Title IBZO H.t>lveeL ~~c..Iy Project Address · 5/ZftJ8 Datl ~ods WESi Special Inspection and Testing To applIcants ot proJects I equlI 109 speCial mspectlOn or test 109 as per SectIOn 1704 of the Oregon Stluctlll al Specmlty Code Please I eVJew the mformatlOn below. When you have finished, acknowledge an undelstandmg of the information by slgnmg below, and retUln thIS form to the CIty BEFORE A PERMIT CAN BE ISSUED: The owner or owner's representative, on the advice of the responsible Project Engineel or AlcllItect, shall complete, sIgn, and SUblTIlt to the City for review and applOval thiS fOlm completed on both the flOnt and back I. Contractor is responsible for pi oper notificatIOn for the InspectIOn or Testmg of items IIsted~ The owner and General Conti actOl, where applicable, shall also acknowledge the followmg conditions applIcable to Special InspectIOn and/or Testmg Testmg laboratory shall take approprmte samples and transport them to their laboratory for proper evaluation or testmg 2 o V1 , N co I o co )> 3 . Copies of all laboratory reports and mspectlOns ale to be sent to the City by the Testmg Agency 4, Special Inspector shall plovlde mspectlon reports to the bUlldmg otlicial of all mspectlOn actiVities Special Inspection Agency IS to submit names and qualificatIOns of on-sIte Specmllnspectors to the CIty for approval 5 Conti actor is responsible to review the City approved plans for addItional mspection 01 testing requlI ements that may be noted , o I.N -..1 BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Specmllnspection Agency shall submit to the Building OffiCIal a statement that all items lequillllg ~ inspection have been fulfilled and reported and were to the best of the lIlspector's knowledge, 10 confOl mance With the approved plans, speclticatlOns and applIcable \VOl kmanshlp< provISIons Those Items not tested and/or IIlspected shall be noted in the statement. The report IS to be submitted to the City prior to a request for tinal mspectlons 0 .('("cKeI1Z( e..... cmrnrJ\lfccg I Con-rmdt:::rs;Irc, ~Cf) ~ Gen C~ntractor Firm N~ ne (Prlllted) ~eneral cont!:.,~ature J)&)lJ ~~m~~~ '_ SpecIal InspectIon Agency Name (Prmted) peclal Insp Agency Rep SIgn, ACKNOWLEDGEMENTS Owner Name (Prlllted) ~~0l:f~~1 ~~N~c; Engineer or ArchltecC Firm (Prmted) ~er Signature U / (EnA'~ 1l<A~ ~n~er..., Architect SIgnature Testmg Laboratory Rep SIgnature Testing Laboratory Name (Pnnted) BUlldmg OffiCial Name (Prmted) BUlldmg OffiCial Slgnatwe ~ o o "- I1:l o o B City of Springfield Community Services DIvision 225 Fifth Street Springfield, OR 97477 Telephone: (541) 726-3759 Fax: (54]) 726~3689 Co~zoo8-o0blo Buildmg PelIDit # /. $tJq;:1f'd ~ ~n1t'\. . J Project Title I BZ.O f:>, o,V"eetfL t:>p.ly Project Address' Special Inspection and Testing 5/:2/08 Dat6 Mods tJESI To applicants OfpTOjects requintlg special inspection or testing as per Sectlon 1704 oftlle Oregon Structural Specialty Code. Please review the infonnation below. When you have finished, acknowledge an understanding of the information by signmg below, and return this form to the City. BEFORE A PERMIT CAN BE ISSUED: The owner or owner's representative. on the advice of the responsible Project Engmeer or ArchItect, shall complete. sign. and submit to the City for review and approval thIS fonn completed on both the front and back. The owner and Gen~1 Contractor, where applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing. 1. Contractor is responsible for proper notification for the Inspection or Testing ofitemslisted. 2. Testing laboratory sball take appropriate samples and transport them to their laboratory for proper evaluation or testing. . Copies of all laboratory reports and inspections are to be sent to the City by the Testmg Agency. 3. Special Inspection Agency is to submit names and qualifications of on-site Spec1a1lnspectors to the City for approval. 4. Special Inspector shall provide inspection reports to the building official of all inspection actlvllles 5. Contractor is responsible to review the City approved plans for additional inspection or testing reqUIrements that may be noted BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Speciallnspectlon Agency shall submit to the Buildmg Official a statement that all items requiring inspection have been fulfilled and reported and were to the best of the inspector's knowledge, in confonnance with the approved plans, specifications and applicable workmanship provisions. Those items not tested and/or InSpected shall be noted in the statement. The report is to be submitted to the City prior to a request for final inspections. rrcKet'lz(e... Cumlt\Qf'C<.9 f Co,froc::lt::ts';Itc. ,3..$)d ~ Gen. C~ntractor Firm N:-nc (Printed) ~eneral contr~to~ature ]h;~Jf"~m~.~ '_. Special Inspection Agency Name (pnnted) peclal lnsp. Agency Rep Sign. >1 <r: ~ ACKNOWLEDGEMENTS 7Jrff~-2>kytJlf.w/it, -.n- ~ Owner Name (Printed) Owner Signature r / ht~~Gz-~ ~~~ --Pl'M\ /L;.I,~ / Engineer or Architec{ Finn (Printed) ( En~i~!,. Arclllt~ct SIgnature t?5j:" ~rf\ 0 Testing Laboratory Name (Pnnted) Testing Laboratory Rep Signature BUIlding Official Name (printed) Building Official SIgnature C'l I1:l .-! o "" .-! o C'l "- o M "- .-! o I1:l o o '., ~ ..., 0) o ~ o Z i-1 P::: "- 1-1 Eo< .-! o It) .-! ~ ::z::: Eo< 00 o o N "- N N "- It) o Reinforced Concrete, Gumte, Grout and Mortal Concrete Gumte Grout MOl tar I I I I I I I PI ecast/Pre-stressed Concrete Piles Post-Tens Pre-Tens Cladding SMOKE CONTROL: Leakage testing Control VenficatlOn ROOFING: InsulatIOn installatlOn/R-Value* Test Stllps/seams SPECIAL INSPECTION AND TESTING SCHEDULE Aggregate Test of MIx Design Reinforcing Test MIX Design-Weighmaster Celt * Reinforcing Placement Continuous Batch Plant Inspect Inspect Placing Cast Samples Samples (Plckup/Dellvered) CompressIOn Test* GRADING, EXCA V A TION, AND FILL Acceptance tests * PSF Establish final grade Fill placement inspectIOn/continuous Soil DenSity STRUCTURAL STEELIWELDlNG: Sample and test (list specIfic members below) Shop matel mlldentlficatlon (mill cel t) Weld inspection Shop_ Ultraso/J/c Inspection Shop High Strength Boltlllg Shop A325 _N _X A490 N_X Metal deck weldlllg IIlSpectlon RelnfOlcmg Steel weldmg mspectlon RelnfOlcmg steel mill certificate Metal stud weldmg mspectlon Concrete IIlSel t weldlllg IIlSpectlon Moment I eSlstmg steel ti ames Field Field Field F F Agglegate Tests Relllforcmg Tests Tendon Test MIX Deslgns* RelnfOl clng Placement Insert Placement Concrete Batching Concrete Placement Installation Inspection Cast Samples Pick-up Samples CompressIOn Tests STRUCTURAL WOOD' Shear wall nailing inspectIOn Shear wall anchors InspectIOn ofGlu.lam fab. * T/C pSI InspectIOn of tl USS JOiSt fab Sample and test components FabllcatlOn welding of steel accessories FIREPROOFING: Placement inspectIOn 'Density tests Thickness tests Inspect batchlng MASONRY Special inspectIOn stresses used* fm t'g Preliminary acceptance tests (masom)' umts, wall prisms) Subsequent tests (mOl tar, glOUt, field wall prisms) Placement IIlSpectlon of ullItS, and I elllfol cement Masonry, mortal, grout, and reinforcing steel cel tlficates ADDITIONAL INSRUCTIONS, OTHER TEST, & INSPECTIONS: Form Completed by Date *PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES CITY OF SPRINGFIELD SPECIAL INSPECTION SPECIAL INSPECTIONS AND WHEN Tl1.EY'RE REQUIRED A special Inspection IS the monitOl ing ofthe materials and workmanship which ale cntlcal to the Integnty of the building Stl ucture Many buildings and structures use specialized matellals or methods of constructIOn ThIS is m additIOn to the standard inspectIOns performed by Olll City mspectors (i e. toundations, flaming, plumbing, mechalllcal, electrical, msulatlOn, sheetrock, final, etc The use of special Inspectors IS not discretIOnary The Olegon Structural SpeCialty Code (OSSC) Chapter 17, Section 17oq...lists the conditions when speCial inspectors must be used Generally special inspections mclude: Gradmg, excavahon, and fill; PIlings, Concrete and reinforcing, StructUl al masonry, wood, or steel, Weldmg, High strength, slip Critical, expanSIOn, or epoxy tensIOn boltmg, Single ply rooting; Splay- applied tileprooting, and Smoke control What is a special inspector and who is qualified? A specialmspector IS a person who has been approved by the building offiCial to pel form certam types of inspections, The special Inspector IS reserved for complex installations that reqUIre highly developed Inspection Skills, normally a person employed by a private testing laboratory The speclallnspectol shall be a qualltied pelson who shall demonstrate competence, to the satisfactIOn of the buildmg offiCial, fOl mspectlOn of the particular type of construction 01 operation requiring speclalmspectlon The ICBO certificatIon IS recoglllzed by the building offiCial as havmg met those reqUIrements The holder of the certificatIOn will have satisfactorily passed a wntten exammatlon, an oral mtervlew, and havmg a review of their relevant education and work expellence A list ot indiVIduals Will be maintamed by the City of Spllngfield of those persons who have been accepted as speCial mspectors and m what particular diSCiplines they have been appl oved WHA T ARE THE RESPONSIBILITIES OF THE OWNER, ARCHITECT, COMMUNITY SERVICES, SPECIAL INSPECTOR AND CONTRACTOR? Tile Owner: The owner, or a person actmg as the owner's agent shall select a qualitied speCial lI1spector and employ them to conduct the I eqUlred speclallllspectlOns The Architect: The architect or engmeer ot recOld assIsts the owner With the selectIOn ofa speCial inspector. The Architect or engllleer shall speCIfy types of speCial inspections reqtllred in the construction documents Community Services D,vlSton: The CIty leviews the constructIOn documents for compliance WIth speCial inspection requllements The diviSion approves the speclalll1speCtor and m 0111 tOl s the speclalll1spector and the mspectlOn activities The ContHlctOl: In addition to notlfYlIlg the Commulllty Selvlces that the wOIk IS leady tOl regular mspectlons, the contractOl shall notify the speclalmspector when WOl k IS ready for speCial mspectlOn The Svecial Ins/Jector: The speclallllspector obselves all WOlk for whIch they are respon,slble tor compliance With the apPloved deSIgn drawmgs and speclticatlOns, Identities non-confonmng work Immediately, plov/des tllnely lIlspectlOn leports on a legulal basis mdlcatmg the mspectlons conducted and test pel formed, lists of any nonconfOlmlty and how they wele lesolved: and any unauthOllzed changes by the archltect/engmeer, submit diSCI epancy repOl ts IIstmg unresolved Items, parties notified, times and methods, and submIts d final signed summa! y repOlI. It you have fUl ther mterest m the plOgram 01 would like addltlOnallnfOl matlon about speCial IIlSpectlons, thIS office has a copy available of the ICBO SpeCial InspectOl PlOgram Booklet, whIch out]1I1es the plogram requlI ements 111 more complete detail It IS the lesponslbdlty of the appltcant and thell deSignated repl esentatlves to undel stand when specfallllspectlons are reqUIred Before a permIt can be Issued, the owner shall complete, sIgn and submit to the CIty tOl I eVlew and approve the speclallllspectlOn and test agl eement and schedule. We encoUlage the desIgn/contI actor team and speclallllspectors to refer to Oregon Structural SpeCIalty Code Chapter J 7 and I eVlew the "SpeCial InspectIOns" sectIOn If there are any questions about the progl am 01 the I eqUlrements of the specml 1I1spectlOn contact the Development Selvlces, Commul11ty ServIces DIVISion tOl c1anficatlons . , _"n l-~;lInfoT71UJ#or(cY \.'fJ 1{ ~..,. .ToBuiZtfeR,~ Engineering. Consulting. Testing DAILY FIELD REPORT Date Periormed: May 6, 2008 Report Number: 722-80120-1 Client: Chad BUlte Project Name: Pioneer Parkway Column Repair McKenzie Commercial 865 West 2nd Ave Project Location: 1820 Pioneer Parkway, West Eugene, Oregon 97402 Springfield, Oregon Contractor: McKenzie Commercial B.P. No.: COM200B-00610 Fabricator: Gibson Steel Shop! Field: Field Type of Inspection: Welding InspectIon Weather: Clear field Observations and Comments Performed periodic visual Inspection of the following items: retro fit columns per revised detail 8/A4.1 dated Apnl 15, 2008. Weldments were Inspected for size, length, profile and locations. To the best of our knowledge, the work . inspected IS In conformance with approved drawings, specifications and applicable D1.1 codes, Inspector: David Smith, Certification #0877340w85 CCB #176269 If you have any questions regarding this report, please feel free to contact us at 541-746-9649. Respectfully Submitted, -.?rofesslonaf s\jce (j1strieS1 Inc. J~~d- ('~ ' DaviY"~~t~ Branch Manager c: McKenzie Commercial - cbliiie@mckenziecommercial com City of Springfield - dbowJspy@cLspnngfield.or.us THIS REPORT IS PROVIDED FOR THE INFORMATION OFTHE CUENT ONLY. 71-1E REPRODUCTION OF 71-1IS REPORT, BY ANY MErHOD, AND ITS TRANSMITTAL ro A THIRD PARTY, BY ANY MEANS, EXCEPT iN FULL. WITHOUT THE WRITTEN PERMISSiON OF PROFESSIONAL SERVICE INDUSTRIES, IS PROHIBITS.'J Professional Sel'Vlce Industries, Inc. '1040.A Shelley Street. Springfield, OR 97477' Phone 5411746.9649. Fax 5411746.7163