HomeMy WebLinkAboutBuilding Field Test & Inspection Report 2018-08-21Carlson Testing, Inc.
Bend Office
Geotechnical Office
Eugrne Office
Salem Oflice
Tigard OIfice
(s{r)
(s0l)
(s.ll)
(s03)
(s03)
330-9155
601-8250
3,15-0289
589-r 252
68J-3160
Daily Report of Proprietary Anchors
Client:
Project:MT VERNON SIDING REPLACEMENT
A dd ress:935 FIIBERT LN SPRINGEIEID OR 914'7'7
T DUNAWAY OBOA 1118
.lurisdiction:
(lTI Job #:Fr]80',]536.
lvas on site this date
Permit 811-18-000399
Auq.21,2018 to perfom Special Inspection for
DFS #(s)PO \umber:92090
SCOPE OF INSPECTION
l. Checkcd in with superintendent or client representative.
Name
Compan)BINE}TAM CONSTRUCTION
Location of proprietary anchors inspected [to include grid
lines, eievations (floors) and drawing detailsl:
(3) 1/4" X 3" HII,TI SCREW ANCHORS INSTALLED INTO
2. lnspection rvas "lBC" !C ont in uou s I Periodic
PROPRIETARY ANCIIORS
EX]STING CONCRETE EOR THE CAFETERIA/GYM CAL [iA]-L
REFERENCE DETAIL 4 ON 1D1
YesNoN/A
l. Reviewed prcvious inspection reports?)i
2. Reviewed evaluation repon?
Verified following items meet manufacture/s
published installation instructions.
Evaluation report number & date
REPORT SUMMARY
l. Work inspected **, I Completed ! L progr"rt
2. Completed work inspected was in compliance with
Approved plans and specifications I Shop drawings
RFI Design change
DEAMOR ],_D1Document #(s)
3. Noncompliance item(s) rvere noted this date, details on
following page(s)
Submittal N/A
Da&d. A6/18/2a18
Yes No N/A
4. Noncompliance item(s) were reinspected this date, details
on following page(s)Yes No
Contbrm ! Remain in progress
Report(s) findings were discussed and left with
}f,ATT
I Nre
]CC ESR 3027 DATED 72/2A l1
o1-
Name of product being installed H]LTI I{Ii EZ
3. Verified minimum embedment depth of the
anchors.I
4.Verilied installation of the anchors x
5. Vcrilied anchor diameter -i
x
7. Verified hole diameter ;{
8. Verified type of drill bit used.:{
9. Verified holc cleaning method x
10. Verified adhesive application
ll. Verified edge distance ::
12. Verified spacing :{
13. Verified installation torque.
Based on the Code. appro\al is required from the Br.rilding Ofticial before the SPECIAI INSPECTED items noted above canbe co\ered. Carlson Testing has no authority to direct work of contractors or subcontractors.
Page 1 of 2f] See additional report page(s)Distribute attachments
CTI representative
ExDiration Date
-
Batch Number
6- Vcrified steel grade.
I
i
Daily Report of Proprietary Anchors
CTI Job #: E1B0is35.
Project: MT vERNoN SIDING REPLACEMENT
For: AA/21/2A1A
Notes:
CC: SPRINGFIELD PUBLIC SCHOOLS - JOITN SABACENO
CTTY OF SPRINGEIELD DEVELOPMENT SERVICES_ROBERT CASTILE
ln some cases more than one box may be checked for a given item on the front page.
Ourreports pertainto the materialtested/inspected only. Information contained herein is not to be reproduced, except in full,
withoutpriorauthorization from this ofiice. Underallcircumstances, the informationcontainedinthis report is provided
subjectto all terms and conditions ofCTI's General Conditions in effect at the time this report is prepared. No party other
than those to whom CTI has distributed this report shall be entitledto use or rely upon the informalion contained in this
document.
Ifthere are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfu lly submitted,
CARLSON TESTING,INC.
David Smith Reviewed By: Project Manager
Project Manager Review Date: 08/221201 8
T JD /MW
]OHN,SARACENO@SPRINGFIELD. K12. OR.US
RCASTILE@CI. SPRINGFIELO. OR. US
ROBERTSON/SHERWOOD ARCHlTECTS - LANA SAD]-ER
B]NEIiAI4 CONSTRUCTION INC - RON HARRISON
Page 2 of 2
89970 }IWY 99N, EUGENE OR
LSADL ER@ROB E RTSONSH ER14OOO . COII
RON@BI N EHAT!CON STRUCIION . COI4
Carlson Testing, fnc.
Betrd Ollice
Geotectnicll OIIlce
Eugcne Omc.
SsleE Omce
Tigard Olfice
(541) 330-9155
(s03) 60r-82s0
(s4t) 345-02E9
(503) sE9-1252
(s03) 68&3460
Daily Report of Proprietary Anchors
Client: SPRINGFIELD PUBLIC SCI{OOLS - JOHN SARACENO
Project MT VERNON SIDING RBPLACEMiNI
Address: 935 FILBERT LN SPRINGFIEI,D OR 9741't
CTI Job #: E18 01s3 6
Jurlsdiction: SPRINGFIELD
CTI represeatative
1rlas on site this date
Perrnit 811-18-000399
Drs #(s)
T. flryA,44l oBOA r118
Au_q. 21, 2018 to perform Special Inspection for:
PONunber:92090
SCOPE OF INSPECTION
l. Checked in rith superintendent or clietrt representative.
frlalns; Iv.qTT
Company: BTNEIIAM CoNSTRUCTIoN
I-ocation ofproprietarl' aachon iaspected [to include grid
lines, elevatiors (floors) and drawing detailsl:
13) 114i x 3 Hrr,Tr SCREW ANq!{QRg IISTAILED rNTO
EX]STING CQryCRtsTE FOB TIIE CAEE?ERIA/G1,M C-AJ, WALL
NEAR ROO!' LINE. VERIFIED 3N EMBED UAXIMUM IMPACT
@ENCI! ToRQTJE R4TTNG OF 137 !"I/LBS.2, Luspection \aas "IBC"n Cotrtinuous Periodic
PROPRIETARY ANCIIORS
Yes NoN,/A
l. Reviewed previous i!:spealio! reports?x
2. Reviewed evaluation r€port?f,
Verified following iterns me€1 DaDufactueis
published iostallatioo irsauctions.
Evaluation report number & &te:
rcc EsR 3027 DAAED 72/2OL7
REPORT SIII\TMARY
l. Work irspected uas: p Completed I Inprogress
2, Completed work hspected was in corpliance with
[] Approved plans and specifications ! Snop arawlngs
E P.n ! Design change I s"u*ittur N/A
Document #(s) DEN'1oB r-D1 Dated Q5118/2018
3. Noocompliarc€ it6E(s) were noted this &te, details on
following page(s). I v"r nNo E N/A
4. Noncompliance item(s) rvere reinspectod this date, details
oa following page(s). I Ves INo E NIA
I Cooform I Remain in progress
Report(s) findings u,ere discussed and left with
MATT
Of BINEIIAM CONSTRUSIION
Name ofproduct being installed HILTf, KH-EZ
Balch Number
Expiration Date
Bascd otr the Code, apFoval is required from the Building Official before the SPECIAL iNSPECTED items noted above catrbe covered. Carlson Testing bas no authority to direct *ork ofcontractors or subcontractors.
Page 1 of 2
3. Veriied minimum smbedment dcptb of thc
anchon.x
4.V€rified installation of the anchors x
x5. Veriied anchor diarneter
6. Verifred steel grade.x
7. Verified hole diameter L
x
9. Verified hole cleaning method.x
10. Verified adhesive application,X
1 l. Verificd edge distance.x
12. Verified spaciug x
13. Verified furstallation torque x
IIIIII
IIIII
tr
REFERENCE DETAIL { ON 1-D]..
8 . Verified tlpe of &ill bit used.
fl See additional report page(s). n Distribute attachrnents.
Daily Report of Proprietary Anchors
CTI Job #: E1801s35.
Project: MT vERNoN SIDTNG REPLACEMENT
Notcs:
CARLSON TESTING, INC.
David Smith
Proj ect Manager
TJD/Mw
Reviewed By: Project Manager
Review Date: 0812212018
For: oB / 2r/ 2oLB
2
I-n some cases more than one box may be checked for a given item on the ftont page.
Our reports pertain to the material tested/inspected only. lnformation contained herein is not to be reproduced, except in fi
without prior authorization from this office. Under all circumstances, the infonnation contained in this report is provided
subject to all terms aad oonditions of CTI's General Conditions in effect at the time this report is prepared. No party other
than those to whom CTI has distributed this report shall be entitled to use or rely upon the information contained in this
document.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfu lly submitted,
CC: SPRI\'GIIELD PUBIIC SCIIOOLS - JOEII SAT.ACENO
C]TY OE SDRINGPIELD DE1IELOPMENT SERVICES'ROBER? C-AS?IIJE
]oHN.SARACENOOSPRT GFIETD.K12.OR.US
RCASTILEG'I. SPRINGFIELD.OR. US
RoBERTSoN/sHaRwooD Atrcl{lTEcrs - LANA SAILER
BINE}IAM CONSTRUCTION lNC - RON I]ARRISON
899?0 HWY 99N, EUGENE OR
L SADLERGROS ERTSONSHERIiI(IOO . COM
RON@BINEHAMCON STRUCTIO'{ . COM
Page of2
Carlson Testing, Inc.
Be d OfIice (541) 330-9155
Geotechnicsl Office (503) 601-t250
Eugere Office (541) 345-0289
Salem OIIice (503) 5t9-f252
Tigud Office (503) 684-3460
Special lnspection
FINAL SUMMARY LETTER
August 28,2018
E180l536.CTr
City of Springfield
225 Fifth Street
Springfield, OR 97477
Re Mt. Vernon Siding Replacement
935 Filbert Ln, Springfield, OR97477
Permil No,: 81 'l -18{00399
Per Chapter 17, Section 1704.2.4 ot the lnternational Building Code (lBC) - 2012, we have performed special inspection of
the following item(s) per our inspection reports only:
lnstallation of Epoxy & Wedge Anchors
All requested Inspections and tests were performed and reported according to the requirements of Project Documents and,
to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change
orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineeis
design changes, approvals and verbal instructions.
CTI has provided its professional services with the degree of care and skill cunently exercised under similar circumstances
by members of its profession in the same locale. Statements made in our reports are based on technical judgments, and
should not be construed to be conclusive representations of fact. Our reports pertain to the material tested/inspected only.
CTI'S seMces did not include responsibililies related to determining, supervising, implementing or controlling lhe means,
methods, techniques, sequences or procedures of the construction or evaluating or raporting job conditions related to health,
safety or welfare.
lnformation contained herein is not to be reproduced, except in full, without prior authorization from this office. lf there are
any further questions regarding this matter, please do not hesitate to contact this of{ice.
Respectfully submitted,
CARLSON TESTING, INC
rIS d
Eugene Branch Manager
DS/mw
cc:
BINEILA.M CONSTRUCIION INC _ RON }IARRISON
CITY OF SPRINGFIILI] DEVELOPMENT SER!'ICES _ ROBERT CASTILE
ROBERTSON/SI]ERVr'OOD ARCHITECTS _ I-ANA SADLER
SPRINGFIELD PI'BLIC SCHOOLS . JOHN SARACENO
EN,f,AIL
EMAI-
EMAIL
EMAIL
Our construclion inspection and testing services were provided and jntended to help reduce the risk of construction defects,
deficiencies, or omissions that arise during and after mnstruction. Our services do not constitute a warranty or guarantee of
any type. Even with diligent construction monitoring and testing, construction defects, deficiencies, or omissions in the
Contractois work may exist. It is the ContractoCs responsibility to perform their work in accordancr with the approved
construction documents.