HomeMy WebLinkAboutPermit Field Test & Inspection Report 2008-5-31
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i Engineering. Consulting. Testrng
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1040-A Shelley Street
Springfield, Oregon
541 746 9649 ph - 541 746 7163 fax
CCB# 176269
DAILY CONCRETE FIELD REPORT
B New Inspection
ORe-InspectIOn
o Standby TIme
PROJECT NUMBER 7Z-z. -8O'<T 8 9 DATE
PROJECT NAME tLlBk J."h'1l\ J<."t nY'uo-vr -&JILDING PERMIT NO
CLIENT LJ~>;..~ ~4'itV\S;-~ . PROJECT ADDRESS
,GENERAL CONTRACTOR V~Jn ft-/S C&r~lc'H) WEATHER
TYPE OF INSPECTION PREFORMED
MATERIAL INFORMATION
SUPPLIER:
MIX NUMBER:
SLUMP:
, AIR CONTENT
AMBIENT TEMPERATURE:
MATERIAL TEMPERATURE
TIME PLACED:
NUMBER OF SAMPLES
DESIGN STRENGTH (PSI):
TOTAL YARDS PLACED.
, -eJ Performed visual inspection of reinforcing steel and ~:'~ i--,:,'~ at the location listed above
for grade, Size, lap, placement and clearances where applicable
- -El ReinforCing steel was secured usrng tie wIre and supported on Gonoroto 9QQle 9locl~
~
'S
o
o
o
o Concrete was placed by
o Cast
o Additional Comments
~
D
D
D
REINFORCING STEEL
REINFORCED CONCRETE
CONCRETE FORMS
OTHER'
SPECIFIC PLACEMENT LOC;;A TION (Sj)
, .:1n5f"&-cJ........<J .Cl'JsOl" ~\~-!Or<?l~
...1' ~ /~>/ck A~~ ft.(t~L~ I
> M"~ A~ '$ ~ }t 'f-j-' 47(., -to
4&7' ~ 'Q..I/l~ilons
Reinforcing steel was placed In accordance with
approved design drawings and specIfications
ReinforCing steel was prevIOusly rnspected on
IQ5"-8)-0-<g
C 8 -'5'-4 l..-
4.z.;3.N'
,I o-~'r Q~'
D
D
D
D
SHOTECRETE
STRUCTURAL MASONRY
--. - --
CONCRETE
TYPE OF STRUCTURE
SET #1 SET #2
SET #3
~
~
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~
~
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Remforclng steel was checked
---
f> I~,'c 0 4\~S' f\.~\(
.p ",r-5'
-S latest reVISIons dated oe-~6 -0 ~ 0 other
(see our report 722
s? rQ..~ ~ ~r
Performed visual inspection dunng placement of concrete In the locations listed above
As directed bv , continuous inspection dunng placement of concrete was not reqUired
set (s) of
and
consolidated
x
) concrete test cylrnders
o Contractor was asked to notify our office when additional services are needed
o To the best of our knowledge, the work Inspected above was In accordance With the bUilding department approved deSign draWings,
speCifications and applicable workmanship provIsions of the Intematlonal BUilding Code, except as noted
~ Non-Compliance 0
19SI2..ettor (pnnt)
\:1 .t'~ 1'\ h~~~.
Inspect~~ ~
~'
ReqUires Engineers Acceptance (RFI)
ICC#
{)0-7 /1)3 e -4 J
I Jobslte Representative Signature
ORe-InspectIon ReqUired
ReViewed By
THIS REPORT IS PROVIDED FOR THE INFORMA TION OF THE CLIENT ONL Y THE REPRODUCTION OF THIS REPORT BY ANY METHOD AND ITS TRANSMITTAL TO A THIRD PARTY BY ANY
MEANS EXCEPT IN FULL IS PROHIBITED WITHOUT THE WRITTEN PERMISSION OF PROFESSIONAL SERVICE INDUSTRIES