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HomeMy WebLinkAboutPermit Field Test & Inspection Report 2010-04-15Carlson Testing, Inc. Bend Office Geotechnical Office Eugene Office Salem Office Tigard Office (s4r) 330-9lss (s03) 601-82s0 (s4l) 34s-0289 (s03) s89-12s2 (s03) 684-3460 Daily Report of Proprietary Anchors Client:BURT WALTER CONSTRUCTION Project:RADIOLOGY ASSOCIATES TENANT IMPROVEMENT CTI Job #:E1001058. Address:445 HARLOW RD - SPRTNGFIELD oF.Jurisdiction:SPRINCF'IELD P,L. SANETRA OBOA 447CTI representative was on site this date Apr.15,2010 to perform Special lnspection for Permit CoM2009-017?0 DFS #(s)PO Number: SCOPE OF INSPECTION 1. Checked in with superintendent or client representative Name i,AYNE Company:BURT WALTERS CONSTRUCTION 2. lnspection was "lBC''Continuous Periodic PROPRIETARY ANCHORS YesNoN/A 1. Reviewed previous inspection reports?x 2. Reviewed evaluation report?x Verified foliowing items meet manufacturer's published instal lation instructions. Evaluation report number & date: ER 5B9O Location of proprietary anchors inspected [to include grid lines. elevations (floors) and drawing details]: ON S]TE FOR INSTALLATJON OE' (ii) RED HEAD LDT ANCHORS ON SECOND LEVEL FOR CHANNEL BEAMS OVER WINDOV,]S AT A.5 G 1, 3-5 G AND A-C G 5, EMBED irl REPORT SUMMARY 1. Work inspected was: [l Completed [-l In prog.ess 2. Completed work inspected u'as in compliance with [I Approved plans and specifications I Strop drawings E nrt f oesign change Submittal Document #(s) s2 REV i Dated: 3. Noncompliance item(s) were noted this date. details on following page(s). I ves E ^o I xie 4. Noncompliance item(s) were reinspected this date, details on following page(s). f V"r E No [] NZe I Conform f Remain in progress Report(s) findings were discussed and left with fl Nra 72/t4/09 3. Verified minimum embedment depth of the anchors.x 4.Verified installation of the anchors X 5. Verified anchor diameter ): 6. Verified steel grade.x 7. Verified hole diameter x 8. Verified type of drill bit used X 9. Verified hole cleanins method X 10. Verified adhesive application.x I 1. Verified edge distance.x 12. Verified spacing x 13. Verified installation torque.x of Batch Number Expiration Date Based on the Code, approval is required from the Building be covered. Carlson Testins has no authority to direct woik Official before the SPECIAL INSPECTED items noted above can of contractors or subcontractors. Page - of - f] see additional report page(s) E Distribute attachments. Name of product being installed REDHEAD LDT Daily Report of Proprietarl Anchors CTI Job #: El0010s8. For: a4/$/20lo Project: Notes: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material testediinspected only. Information contained herein is not to be reproduced, except in-fi without prioi authorization from this office. Under all circumstances, the information contained in this repg{ is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. N9 Parry 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, CARLSON TESTING. INC. Reviewed By: Steven Dugger Review Date: 04120 1201 0 PLS /KMF BURT WALTER CONSTRUCTION CITY OF SPRINGF]ELD BUILDING DEPAF.TMENT SHERMAN ENGINEERING ]NC - DONALD SHERMAN TONY KOACH ARCHITECT BURTWALTER@MAC. COM DON@SHERMANENGINEERS . COM KOACH@TELEPORT. COM TO: Carlson Testing, Inc. Bend Office Geotechnical Office Eugene Office Salem Office Tigard Office (s4r) 330-915s (s03) 601-82s0 (s4r) 34s-0289 (s03) s89-12s2 (s03) 684-3460 Daily Report of Proprietary Anchors CIient:BURT WALTER CONSTRUCTION Project RADIOLOGY ASSOCIATES TENANT IMPROVEMENT CTI Job #:E1001058 Address:445 HARI-OW RD - SPR]NG FTELD, OR Ju risdiction:SPRINGFIELD P.L. SANETRA OBOA 447CTI representative was on site this date Apr. 15, 2010 to perform Special Inspection for: Permit CoM2009-01770 DFS #(s)PO Number: SCOPE OF INSPECTION l. Checked in with superintendent or client representative Name WAYNE Company:BURT WALTERS CONSTRUCTION 2. lnspection was "IBC"Continuous Periodic PROPRIETARY ANCHORS YesNoNiA 1. Reviewed previous inspection reports?x 2. Reviewed evaluation report?X Verified foliowing items meet manufacturer's pubiished installation instructions. Evaluation report number & date ESR 2251 Location ofproprietary anchors inspected [to include grid lines. elevations (floors) and drawing details]: ON SITE E'OR INSTALLATION OF (2) 3/4"X12" RED HEAD TRU BCLTS OVER STAiR WE].L FOR BEAM AT LINES 3 G A EMBED OF 5" REPORT SUMMARY 1. Work inspected was: [] Completed I in progress 2. Completed work inspected was in compliance with [] Approved plans and specifications f] Sirop drawings RFI Document #(s) Desigr change 52 REV 1 T Submittal N/A Dated 72/14/09 3. Noncompliance item(s) were noted this date, details on following page(s)Yes No I Nia 4. Noncompliance item(s) were reinspected this date, details on following page(s).Yes No I Nra I Conform f] Remain in progress Report(s) findings were discussed and left with 3. Verified minimum embedment depth of the anchors.X 4.Verified installation of the anchors.x 5. Verified anchor diameter X 6. Verified steel grade.X 7. Verified hole diameter v. 8. Verified rype of drill bit used.): 9. Verified hole cleaning method.x 10. Verified adhesive application.>: I l. Verified edge distance.x 12. Verified spacing.x 13. Verified installation torque x of Name of product being installed RED HEAD TRU BOLT Batch Number Expiration Date Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work ofcontractors or subcontractors. f] S"e additional report page(s). f] oistribute attachments. page _ of _ Daily Report of Proprietary Anchors CTI Job #: E1001058. For: o4/15/2oto Project: Notes: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. lnformation contained herein is not to_be reproduced. except in.fi withoui prior authorization from this office. Under all circumstances, the information contained in this rePol is provided subject tb all terms and conditions of CTI's General Conditions in effect at the time this-report is prepared. N.o Parry 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. Respectfully submitted, CARLSON TESTING. INC. Reviewed By: Steven Dugger Review D ate: 0 4 I 20 120 I 0 PLS /KMF BURT WALTER CONSTRUCTION CTTY OF SPRINGEIELD BUILDING DEPARTMENT SHERMAN ENGINEERING INC - DONALD SHERMAN TONY KOACH ARCHITECT BURTWALTER@l.4AC . COl4 DON@SHERMANENGINEERS. COM KOACH@TELEPORT, COM ro Carlson Testing, Inc. Bend Office Geotechnical Office Eugene Office Salem Office Tigard Office (s4l) 330-9rss (503) 601-82s0 (s4r) 34s-0289 (s03) s89-12s2 (s03) 684-3460 Daily Report of Proprietary Anchors Client:BURT ViALTER CONSTRUCT]ON Project:RADIOLOGY ASSOCIATES TENANT IMPROVEMENT CTI Job #E1001058. Address 445 HARLOIi RD - SPRINGF]ELD OR Jurisdiction:S PRINGFIELD P.L. SANETRA OBOA 447CTI representative was on site this date Apr. 15, 2010 to perform Special lnspection for: Permit COM2009-0i770 DFS #(s)PO Number: SCOPE OF INSPECTION 1. Checked in with superintendent or client representative. Name:WAYNE Company:BURT WALTER CONSTRUCTION 2. inspection was "IBC"Continuous Periodic PROPRIETARY ANCHORS YesNoN/A 1. Reviewed previous inspection reports?x 2. Reviewed evaluation report?x Verifieci following items meet manufacturer's published installation instructions. Location ofproprietary anchors inspected [to include grid lines. elevations (floors) and drawing details]: ON SITE FOR INSTALLAT]ON .ND TOROUE OF (24) 3/4"X5" TITEN HDS OVER WI DOWS ON FIRST LEVEL FOR CLIPS, EMBED 5". AND (7) 3/4"X1 '' TITEN HDS FOR COLUMN BASES AT LINES 3 G A,2. BG A,4 G A.5, EMBED 5'" LINES F'OR WIND CLIPS WERE A-B G 1,1-5 G A AND A-C G 1. ENGINEER OF RECORD WROTE MEMO FOR USE OF TITENS IT HAS NOT BEEN RECIEVED ON SITE REPORT SUMMARY l. Work inspected was: fl Completed 2. Work inspected in progress I epproved plans and specifications following page(s)Yes f, nni f, oesign change Submittal Document #(s) 2 / s2,2,/ sl ?EV 7 Dated: 3. Noncompliance item(s) were noted this date. details on I In progress fl strop drawings ! Nre t2/14/09 I NreNo Evaluation report number & date: t,5K _:. i-1 4. Noncompiiance item(s) were reinspected this date, details on following page(s). f ves E No [] Nle Conform fl Remain in progress Report(s) findings were discussed and left with 3. Verified minimum embedment depth of the anchors.x 4.\rerified installation of the anchors.x 5. Verified anchor diameter,>l 6. Verified steel grade.x 7. Verified hole diameter x 8. Verified type of drillbit used x 9. Verified hole cleaning method x 10. Verified adhesive application x 11. Verified edge distance.x 12. Verified spacing x 13. Verified installation torque.x 9/r/2008 of Name of product being installed SIMPSON TITEN HD Batch Number Expiration Date - Based on the Code, approval is required from the Building' be covered. Carlson Testing has no authoritv to direct work Official before the SPECIAL INSPECTED items noted above can . of contractors or subcontractors. I See additional report page(s) E Distribute attachments Page - of tr u Daily Report of Proprietary Anchors cTI Job #: 81001058. For: 04/15/2oto Project: Notes: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT ln some cases more than one box ma1,be checked for a given item on the front page. Our reports pertain to the material tested/inspected onlv. lnformation contained herein is not to be reproduced, except in fr without prior authorization from this office. Under all circumstances. the information contained in this repoft is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No parry 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. Respectfully submitted, CARLSON TESTING.INC. Reviewed B5,: Steven Dugger Review Date: 0412012010 PLS /KMF BURT WALTER CONSTRUCTION CITY OF SPRINGFTELD BUILD]NG DEPARTMENT SHERMAN ENGINEERING INC - DONALD SHERMAN TONY KOACH ARCHITECT BURTWALTER@MAC. COM DONGSHERMANENGINEERS. COM KOACH@TELEPORT, COI\4 TO: Carlson Testing, Inc. Bend Office Geotechnical Office Eugene Office Salem Office Tigard Office (s4r ) 330-9rss (s03) 601-82s0 (s4l) 34s-0289 (503) s89-r2s2 (s03) 684-3460 Daily Report of Structural Steel Client:BURT WALTER CONSTRUCTION Project:RADIOLOGY ASSOCIATES TENANT IMP CTI Job #:E1001058 445 HARLObT RD - SPRINGEIELD OR C. HALSTEAD OBOA 448 Jurisdiction:SPRINGFIELD CTI representative was on site this date Eeb. 26 2 010 to perform Special lnspection for: Permit coM2009-01770 DFS #(s)PO Number: SCOPE OF INSPECTION l. Checked in with superintendent, client or shop rep. Name WAYNE Company:BURT iTiALTERS CONST TION WELDER INFORMATION Location of steel inspection [to include grid lines, elevations (floors) and drawing detailsl: GLU_LAM BUCKETS (SIMPSON EG9 & EGTX ) WELD ED TO 2. lnspection was "lBC" [-il Continuous [] 3. work performed: E ,n the field fl o, fab shop 4. Ifshop inspection do they have fabrication and QC procedures?tr Yes No N/A INSPECTION TUBE STEEL COLUMNS VIITH FLARE BEVEL GROOVE T{ELDS WELDMENTS WERE COMPLETED PRIOR TO ]NSPECTION Periodic coNTRACToB. NEEDS To cLEAN-up wELDS AND wELD covER PASSES ON ALL CONNECTIONS AS WELDMENTS HAD V]SUALLY UNACCEPTABLE WELD PROFILES.(2) HANGER PLATES WERE EXTENDED ON GRIDLI NES A/2 & A,/4 WELDMENTS WERE COMPLETED PRIOR TO INSPECTION MINIMUM OVER ViELD AND PLAC]NG A 3/16" FILLET WELD OI.i EACH SIDE. NO WELDER CERTIE]CATIONS WERE Yes NoN/A NOT AVAILABLE NOT AVAILABLE AVAIT,AFL;' Cli- SiT[. ::EAN-UF I,,]-CRI{ :[S fN-PROGF'ESS T CTI TO RETURN AND RE-INSPECT. CONTRACTOR TO HA VE WELDER CERTIFICATiONS ON SITE FOR REVIEW A TlME Welders Name Certification #: REPORT SUMMARY 1. Work inspected was: l_l Completed E tn progress 2. Work inspected in progress lrl approved plans and specifications f] snop drawings E *, fl Design change Submittal N/A Document #(s)1 /a)Dated:1'/1A/)OOa 3. Noncompliance item(s) were noted this date, details on following page(s)Yes tr No N/A 4. Noncompliance item(s) were reinspected this date. details on following page(s). f] ves E .o E *^ [_l Conform ! Remain in progress Report(s) findings were discussed and left with WAYNE of BURT WALTERS CONSTRUCTION Based on the Code. approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testine has no authoritv to direct work of contractors or subcontractors. Page -of - Yes No N/A 1. Reviewed previous inspection reports?x 2. Verified steel materials are in compiiance b1' random samples of the mill test reports. steel markings or other documentation. reviewing ID x 3. Verified weld filler materials conlbrm.X 4. Checked steel members to see thel'were fabricated and erected in accordance with the workmanship and tolerances required. x 5. Checked welded studs and structural connections were installed as required.x 6. Verified hi-eh strength bolts and fasteners conform.x 7. Verified the qualiq,of welds produced bv welders. welding operators, and tackers conform.x 8. Verified steel frame joint details for bracing. stiffening. member locations. and application ofjoint details at each connection are in compliance bv random sampling. x Verilied the contractor's Welding Procedure Specifications are in conformance with AWS requirements. x 2. Verified the essential variables outlined in the Welding Procedure Specifi cations were employed during execution ofthe work.x 3. Verified the weldabilit_v of reinforcing steel other than ASTM A70it.x I S.. additional report page(s).Distribute attachments. Address: ENGINEER APPROVED WELDING COVER PLATE 1/4" THICI( Daily Report of Structural Steel CTI Job #: E10010s8. For: a2 /26 /zoto Project: Notes: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT ln some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. lnformation contained herein is not to be reproduced, except in fi withoul prioi authorization from this office. Under all circumstances, the information contained in this repofi is provided subject tb all terms and conditions of CTI's General Conditions in effect at the time this repo{ is prepared. N9 Party other thai 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, CARLSON TESTING,INC. Reviewed By: Steven Dugger Review Date: 03/1 1 12010 AU /T C BURT WAITER CONSTRUCTION CITY OF SPRINGEIELD BUTLDING DEPARTMENT SHERMAN ENGTNEERING ]NC - DONALD SHERMAN TONY KOACH ARCH]TECT BURTWALTER@MAC. COM DON@SHERMANENGINEERS. COM KOACHGTELEPORT. COM TO: Bend Office Geotechnical Office Eugene Office Salem Office Tigard O{fice ) 330-9155 60 I -8250 34s-0289 (s03) s89-r252 (s03) 684-3460 (s4r (s03 (s4ICarlson Testing, Inc. Daily Report of Structural Steel Client:BURT WALTER CONSTRUCTION Project:RADIOLOGY ASSOCIATES TENANT IMPROVEMENT CTI Job #E1001058. Address:445 HARLOW RD - SPRINGFIELD OR C. HALSTEAD OBOA 448 Jurisdiction:S PRINGFIELD CTI representative was on site this date Mar.02 2010 to perform Special Inspection for: Permit coM2009-01770 DFS #(s)PO Number: SCOPE OF INSPECTION 1. Checked in with superintendent, client or shop rep Name BURT Company:BURT WALTERS CONSTRUCTION 2. Inspection was "IBC"Continuous 3. Work performed: E ,n the field E ot fab shop 4. lf shop inspection do they have fabrication and QC procedures?Yes No NA INSPECTION Periodic DATED A2-26-tO. WELDING wAs pERF9RMED By (1) Location of steel inspection [to include grid lines, elevations (flbors) and drawing detailsl: PERFORMED CONT]NUOUS VISUAL INSPECTION OF ELAF,E BEVEL GROOVE WELDS ON SIMPSON GLU-LAM BUCKETS ON LINE A/2 & A/ 4. REPAIRS WERE MADE FROM REPORT CERTIFIED WELDER USING SMAW PROCESS i/ilTH E7O].8 ELECTRODES. ALSO ADDED COVER PLATE TO (:) EXTENDED TiANG ER PLATES LINES A2/ & A/4 Yes NoN/A REPORT SUMMARY l. Work inspected was: [] Completed E h progress 2. Completed work inspected was in compliance with [] epproved plans and specifications I Sirop drawings I Design change Submittal NiARFI Document #(s)1/<)Dated 12 /i4 /2009 Welders Name; WELDER INFORMATION TOM WISHART 3. Noncompliance item(s) were noted this date. details on following page(s)Yes No N/A 4. Noncompliance item(s) were reinspected this date. details Yes No N/A on following page(s)tr Yes No Certification #: c-24: N/A I Conform I Remain in progress Report(s) findings were discussed and left with BURT of BURT WALTERS CONSTRUCTION Based on the Code. approval is required from the Building Official before the SPECI-AL INSPECTED items noted above can be covered. Carlson Testing has no authorit-v to direct work of contractors or subcontractors. Page -of - x L Reviewed previous inspection repons?x 2. Verified steel materials are in compliance b1'reviewing random samples of the mill test reports, steel ID markings or other documentation. X 3. Verified weld filler materials conform.x 4. Checked steel members to see thel,were fabricated and erected in accordance with the workmanship and tolerances required. x 5. Checked welded studs and structural connections were installed as required.x 6. Verified high strengh bolts and fasteners conform X 7. Verified the qualit],of welds produced bv welders. welding operators, and tackers conform.X 8. Verified steel frame joint details for bracing" stiffening. member locations. and application ofjoint derails at each connection are in compliance bl,random sampling. x x Verified the contractor's Welding Procedure Specifications are in conformance with AWS requirements. >i 2. Verified the essential variables outlined in the Welding Procedure Specifi cations were employed during execution of the work.x 3. Verified the weldabilit_v of reinforcing steel other than ASTM A706.x [] See additional report page(s).Distribute attachments Daily Report of Structural Steel cTI Job #. 810010s8. For: a3/a2/2oro Project: Notes: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in fi without prioi authorization from this office. Under all circumstances, the information contained in this report is provided subject tb all terms and conditions 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. Respectfully submitted. CARLSON TESTING.INC. Reviewed By: Steven Dugger Revieu, Date: 03/l | 12010 CH/LS BURT WALTER CONSTRUCTION CITY OF SPRINGFIELD BU]LDING DEPARTMENT SHERMAN ENGINEERING INC _ DONALD SHERMAN TONY KOACH ARCHITECT BURTWALTER@MAC. COM DON@SHERMANENGINEERS. COM KOACH@TELEPORT. COM TO Carlson Testing, Inc. Incompleted Items List (NCL) Mar 12, 2010 Et00r058. Pro.ject Name: Project Address Perrnit No: P.O. No: RADTOLOGY ASSOCIATES TENANT IMPROVEMENT 445 HARLOW RD - SPRINGFIELD, OR coM2009-01770 Project Manager: D. BRowN Itenr #lnsp.Date Item Description Compliance CT'l Sign-Off Date Corrected 1 AT 02/71 /2010 SHOP FABRICATOR MADE SADDI,E WITH 3/B'' PLATE BOTTOM AND 1,/4'' PLATE SIDES WITH I/4" EILLET WELDS, PLANS SPECIFY SIMPSON SADDLE. ENGINEER'S WRITTEN APPROVAL FOR ''AS-BUILT'' SADDLE ]N LIEU OF SIMPSON SADDLE TS REQUIRED, I 2 C}I 03/0r/2070 ENGINEERIS WRITTEN APPROVAL FOR USE OE SIMPSON STRONG-TIE TITEN HD'S & WEDGE_ALL ANCHORS II'I LIEU OF HILTI AS SPECIFIED. ) BURT WALTER CONSTRUCTION TO: CITY OF SPRINGF]ELD BUILDlNG DEPARTMENT SHERMAN ENGINEERING INC _ DONALD SITERMAN TONY KOACII ARCIIITECT Page: I ) Carlson Testing, Inc. Bend Office Geotechnical Office Eugene Office Salem Office Tigard Office (s4l) 330-9rss (s03) 601-82s0 (s41) 34s-0289 (503) 5E9-12s2 (s03) 684-3460 Daily Report of Proprietary Anchors BURT WALTER CONSTRUCTIONCIient: Project . RADIOLOGY ASSOCIATE S TENANT IMPROVEMENT CTI Job #:E1001058. Address: 445 HARLOW RD - SPRINGFIELD, OR Jurisdiction:S PRINGFIELD C. HALSTEAD OBOA 448CTI representative was on site this date Mar. 02, 2010 16 perform Special Inspection for: Permit CoM2009-01770 DFS #(s)PO Number: SCOPE OF INSPECTION l. Checked in with superintendent or client representative. Name BURT 2. Inspection was "IBC" lil Continuous Periodic PROPRIETARY ANCHORS YesNoN/A 1. Reviewed previous inspection reports?x 2. Reviewed evaluation report?>l Verified following items meet manufacturer's published installation instructions. Evaluation report number & date Location ofproprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: (110) 3/1X10" STMPSON S TTE WEDGE ANCHORS ON PT 4X12 AND 4XB. i24\ I/2X70 SIMPSON company: BURT WALTERS coNsrRucrroN srRoNG-TrE wEDGE ANCHoRS. HoLES DRTLLED To A MINIMUM OF 5" EMBEDMENT. REPORT SUMMARY l. Work inspected was: I Completed f] In prog.ess 2. Completed work inspected was in compliance with [] Approred plans and specifications I Strop drawings E nrr f] oesign change I suumittat N/A Document #(s)1 /a^ I a /c1+ / r- |Dated 72 /74 /2A09 3. Noncompliance item(s) were noted this date, details on following page(s). I ves E Xo E X,'o 4. Noncompliance item(s) were reinspected this date, details on following page(s). f] ves E xo I xue ! Conform n Remain in progress ICC ESR +139 6 SIMPSON STRONG TIE Report(s) findines were discussed and left with BURT 3. Verified minimum embedment depth of the anchors.>, 4.Verified installation of the anchors x 5. Verified anchor diameter ), 6. Verified steel grade )i 7. Verified hole diameter x 8. Verified type of drill bit used x 9. Verified hole cleaning method x 10. Verified adhesive application.)l 1 1. Verified edge distance x 12. Verified spacing >i I 3. Verified installation torque.x 72/07/2006 of BURT ViALTERS CONSTRUCTI ON Name of product being installed REDHEAD TRU BOLT LOT + 'S ws-34100Batch Number Expiration Date N/A N/A Based on the_Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above canbe covered. Carlson Testin-e has no authoriry to direct woik of contractors or subcontractors. I See additional report page(s) E Distribute attachments Page of WA751OOMG Daily Report of Proprietary Anchors - CTI Job #: E1001058. For: fi/a2/2OtO Project: Notes: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT ln some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only- lnformation contained herein is not to-b.e reproduced, except in.fi *iit ori f.io'r authorization from this office. Under all circumstances. the information contained in this rePq{ is provided ruUp"itl, atl terms and conditions of CTI's General Conditions in effect at the time this-report is prepared' N.o Part"v other thai those to whom Cil tras 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, CARLSON TESTING. TNC. Reviewed By: Steven Dugger Review Date: 03/1 1 12010 BURT WALTER CONSTRUCT]ON CITY OF SPRINGEIELD BUI],DING DEPARTMENT SHERMAN ENGINEER]NG INC - DONALD SHERMAN TONY KOACH ARCHITECT BURTWALTERGI4AC, COM DON@SH ERMANENGINEERS. COM KOACH@TELEPORT. COM TO: Carlson Testing, Inc. Bend Oflice Geotechnical Office Eugene OIfice Salem OlIice Tigard Office (54r) 330-9rss (s03) (s41) (s03) (s03) 601-8250 34s-0289 589-1252 684-3460 Daily Report of Proprietary Anchors BURT WALTER CONSTRUCT]ONClient: Project:RADIOLOGY ASSOCIATES TENANT ]MP MENT CTI Job #:E1001-058. Address:445 HARLOW RD - SPRINGFIELD OR Jurisdiction:SPRINGFIELD C. HALSTEAD OBOA 148CTI representative was on site this date Mar.01 2470 to perform Special Inspection for: Permit COM2 0 0 9- 017 7 0 DFS #(s)PO Number: SCOPE OF INSPECTION 1. Checked in u'ith superintendent or client representative. Name:BURT Company;BURT WALTERS CONS TRUCT I ON 2. Inspection was "IBC"Continuous Periodic PROPRIETARY ANCHORS Yes NoN/A 1. Reviewed previous inspection reports?x 2. Reviewed evaluation report?X Verified following items meet manufacturls pubiished installation instructions. Evaluation report number & date: Location ofproprietary anchors inspected [to include grid lines, elevations (floors) and drawing detailsl: (24) 3/4x1" STMPSON TrrEN HD'S (3) LOCATIONS ON LINES3&4FORGLU-I,AMS IMPSON HANGERS INTO EXiSTING T]LT PANELS. (8 3 4X1 II STMP.SON WEDGE-A],L ON (2) TUBE STE EI COLUMNS GRIDLINES 3&4/ts.2. ALL HOLES WERE DRiLLED TO A MINIMUM EMBEDMENT OE 5''. NOTE S CTFTCATTONS CALL OUT FOR USE OF SIMPSON IN LIEU OF. REPORT SUMMARY l. Work inspected was: [] Completed [_l In prog.ess 2. Completed work inspected was not in compiiance with [] epproved pians and specifications f] Sf,op drawings E nn fl oesign change I suumlttal E N/A ICC ESR +1056 & lCC ESR #1396 SIMPSON STRONG_T1E Document #(s)Dated:72 /L4 /2009 3. Noncompiiance item(s) were noted this date, details on following page(s). [] ves I No N/A 4. Noncompliance item(s) were reinspected this date, details on foliowing page(s). I ves E No I Nla fl Conform l_l Remain in progress Report(s) findings were discussed and left with BURT J,/>- & -/ 3. Verified minimum embedment depth of the anchors.x, 4.Verified installation of the anchors.x- 5. Verified anchor diameter x 6. Verified steel grade.x 7. Verified hole diameter x 8. Verified type of drill bit used.x 9. Verified hole cleaning method.)l 10. Verified adhesive application.x 1 1. Verified edge distance x 12. Verified spacing.x 13. Verified installation torque x 7/Ai/2008 & L2/Ai/2006 of BURT WALTERS CONSTRUCTiON Name of product being installed TJTEN HD & WEDGE_ALL Batch Number Expiration Date THo75500H wA62700LoT +rq, N/A N/A Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authorir.v- to direct work of contractors or subcontractors. Page - of - f S". additional report page(s)Distribute attachments. HILIT ANCHORS, NEED ENGINEEF.'S WRITTEN APPROVAL 'l Daily Report of Proprietary Anchors - CTI Job g. E1001058. For: a3/ar/20rc Project: Notes: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT ln some cases more than one box may be checked for a given item on the front 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 information contained in this report is provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No parfy 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. Respectfull1, submitted, CARLSON TESTING.INC. Reviewed By: Steven Dugger Review Date: 03/l 1 12010 au /1 c BURTWALTER@MAC. COMBURT WALTER CONSTRUCTION CITY OF SPRINGTTELD BUTLDING DEPARTMENT SHERMAN ENGINEERING INC - DONALD SHERMAN TONY KOACH ARCHTTECT DON@SHERMANENGINEERS. COM KOACH@TELEPORT. COM TO: \-. Carlson Testing, Inc. Incompleted ltems List (NCL) Mar 12,2010 E1001058. Project Name: Project Address Permit No: P.O. No: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT 445 HARLOVi RD _ SPRINGFIELD, OR coM2009-01770 Pro.iectManager: D' BRowN Item #I nsp.Date Item Description Compliance CTI Sign-Off Date Corrected 2 CH 03/01/2010 ENG]NEER S WRITTEN APPROVAL EOR USE OF' S]MPSON STRONG.TIE TITEN HD'S & WEDGE_ALL ANCHORS IN LIEU OF HILTI AS SPECIFIED. ) ) BURT WALTER CONSTRUCTION 'fO: CI'fY OE SPRINGF'IELD BUILDING IIEPAR'IMENT SHERMAN ENG]NE]ERING INC - DONALD SHERMAN TONY KOAC}I ARCIIITTCT Page: I Carlson Testing, Inc. Bend Office Geotechnical Office Eugene Office Salem Office Tigard Office (s4l) 330-9lss (s03) 60r-82s0 (541) 345-0289 (s03) s89-r2s2 (s03) 684-3460 Daily Report of Structural Steel BURT WALTER CONSTRUCTIONClient: Project:RADIOLOGY ASSOCIATES TENANT IMPROVEMENT CTI Job #:E1001058. Address:445 HARLOW RD - S PRINGFIELD, OR Jurisdiction:S PRlNGFIELD A. TURNER OBOA 844CTI representative was on site this date ra l-'t'7 , 2At0 to perform Special Inspection for: Permit coM2009-01770 DFS #(s)PO Number: SCOPE OF INSPECTION l. Checked in with superintendent, client or shop rep. Name:MIKE Company WISHART 2. Inspection was "IBC" l-l Continuous lil Periodic 3. work performed: E ,, the field E o, fab shop i,{ 1S HART 4. lf shop inspection do they have fabrication and QC procedures? []ves X*o INle INSPECTION Yes NoN/A Welders Name Certification #: WELDER INFORMATION MATT MILLER Location of steel inspection [to include grid lines, elevations (floors) and drawing detailsl: VISUAL INSPECTION AI 3/76" EILLET WELDS ON COLUMN BASE PLATES AND SADD LE ATTACHMENTS, (4) COLUMNS TOTAL. SADDLE MADE WITH 3/B'' PLATE BOTTOM AND 7/4" PLATE SIDES WITH L/4'' FII,LET WELDS. PLANS CALL FOR SIMPSON SADDI,E.ENGINEER'S WRiTTEN APPROVAT, FOR ''AS-BUILT'' SADDLE IN L]EU OF SIMPSON SADDLE IS REOUIRED WELD PROCESS ECAW E71T-1 WITH CO2 SHIELD GAS ALL WELDS APPEAR VISUALLAY ACCEPTABLE PER AViS }1 . 1 AND APPP.OVED PLANS TO THE BEST OE TI{IS REPORT SUMMARY 1. Work inspected was: lll Completed E ,n progress 2. Completed work inspected was not in compliance with I epproved plans and specifications f, St op drawings tr *, f Design change I-l suumittal E N/A Document #(s) 3. Noncompliance item(s) were noted this date, details on following page(s). I ves tr x N/ANo 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s)Yes Iro [Nra Conform l_l Remain in progress Report(s) findings were discussed and left with M]KE of WI SHART 51&52 Dated:t4 / 20a972/ C-L2B 6 Based on the Code. approval is required from the Building Offrcial before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authorit-v to direct work of contractors or subcontractors. Page -of - 1. Reviewed previous inspection reports?X 2. Verified steel materials are in compliance by reviewing random samples of the mill test reports, steel ID markings or other documentation. x 3. Verified weld hller materials conform.x 4. Checked steel members to see they were fabricated and erected in accordance with the workmanship and tolerances required. x 5. Checked welded studs and structural connections were installed as required.x 6. Verified high strength bolts and fasteners conform.x 7. Verified the quality of welds produced by welders. welding operators. and tackers conform.x 8. Verified steel fiame joint details for bracing. stiffening. member locations" and application ofjoint details at each connection are in compliance by random sampling. x Verified the conffactor's Welding Procedure Specifications are in conformance with AWS requirements. x 2. Verified the essential variables outlined in the Welding Procedure Specifications were employed during execution of the work.x 3. Verified the weldabiliry of reinforcing steel other than ASTM 4,706.x See additional report page(s)Distribute attachments INSPECTOR' S KNOWELDGE. n tr Daily Report of Structural Steel cTI Job #. E10010s8. BURTWALTER@MAC. COM DON@SHERMANENGINEERS, COM KOACH@TELEPORT. COM For: 02/11 /2oto Project: RADIOLOGY ASSoCIATES TENANT IMPRoVEMENT Notes: ln some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in fi without prior authorization from this office. Under all circumstances, the information contained in this report is provided s.ubjegt to all terms and conditions 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-inform^ation contained iri ttiis document. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfu lly submitted, CARLSON TESTING,INC. Reviewed By: Steven Dugger Review D ate: 02 I 22 I 20 1 0 AT,/LS BURT WALTER CONSTRUCTION TO: CITY OF SPRINGEfELD BUITDTNG DEPARTMENT SHERMAN ENGINEERING INC - DONALD SHERMAN TONY KOACH ARCHITECT Carlson Testing, Inc. Incompleted ltems List (NCL) Feb 23,2010 E1001058. Project Name: Pro.iect Address: Permit No: P.O. No: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT 445 HARLOW RD - SPRINGFIELD, OR coM2009-01770 Project Manager: D. BRowN Itenr #lnsp.Date Item Description Compliance CTI Sign-Off Date Corrected 1 AT 02/t7 /2010 SHOP FABRICATOR MADE SADDLE WITH 3/B'' PLATE BOTTOM AND 1/4'' PLATE SIDES WITH 1,/4'' FILLET WELDS. PLANS SPECIFY SIMPSON SADDLE. ENGINEERIS WRITTEN APPROVAL FOR ''AS_BUILT'' SADDLE IN LIEU OF SIMPSON SADDLE ]S REQUIRED. i BURT WALTER CONSTRUCT]ON TO: CITY OF SPRINGEIELD BUILDING DEPARTMENT SHERMAN ENGINEERING lNC _ DONALD SHERMAN TONY KOACH ARCHITECT Page: I ) Carlson Testing, Inc. Bend Office Geotechnical Office Eugene Office Salem Office Tigard Office (s4r) 330-9155 (s03) 601-82s0 (s41) 34s-0289 (s03) s89-12s2 (s03) 684-3460 Daily Report of Structural Steel Client:BURT WALTER CONSTRUCT]ON Project:R}-DIOLOGY ASSOCIATES TENANT IMFROVEMENT CTI Job #:E1001058. Address:445 HARLOW RD - SPRINGEIELD OR Jurisdiction:SPRINGFIELD CTI represenlnlive S ' CoRBETT oBoA 15 5 was on site this date Mar. 44, 2470 to perform Special Inspection for: Permit coM2009-01770 DFS #(s) SCOPE OF INSPECTION 1. Checked in with superintendent, client or shop rep. Name:MATT Company:WISHART WELDING 2. lnspection was "IBC" lT Continuous 3. Work performed: E ,, the field WlSHART WELDING E o, fab shop 4. If shop inspection do they have fabrication and QC STEEL FABF.IC.ATED FOR ABOVE PROJECT Periodic n rr\rr r VISUAL INSPECTION WAS PERFORMED ON THE FOLLOWiNG: HSS COLUMNS (2) PER 11lS2 HSS HEADER (1) PER 10lS2 procedures? [ves E*o INSPECTION N/A Welders Name: Certification #: WELDER INFORMATION ON FILE AT SHOP WORKMANSH]P WAS ACCEPTABLE TO AWS D1.1 Yes NoN/A REPORT SUMMARY 1. Work inspected was: [Tl Completed [l tn progress 2. Completed work inspected was in compliance with lil App.ored plans and specifications f] st op drawings RFI l_l Desisn chanse N/A Document #(s) 3. Noncompliance item(s) were noted this date, details on following page(s). I Yes No N/A 4. Noncompliance item(s) were reinspected this date, details Yes No N/A on following page(s).tr I*o [NraYes tr Conform l-l Remain in progress Report(s) findings were discussed and left with MATT of WISHART WELDING Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. Page of - 52 REV 3 Submittal Dated:) /) /1A 1. Re'r,ie*'ed previous inspection reports?X 2. Verified steel materials are in compliance by random samples of the mill test reports, steel markings or other documentation. revlewlng ID x 3. Verified weld filler materials conform.x 4. Checked steel members to see they were fabricated and erected in accordaace with the workmanship and tolerances required. x 5. Checked welded studs and structural connections were installed as required.x 6. Verified high strength boits and fasteners conform.x 7. Verified the quality of weids produced by welders. welding operators" and tackers conform.x 8. Verified steel frame joint details for bracing. stiffening. member locations. and application ofjoint detaiis at each connection are in compliance by random sampling. x 1. Verified the contractor's Welding Procedure Specifications are in conformance with AWS requirements. x 2. Verified the essential variables outlined in the Welding Procedure Specifi cations were empioyed during execution ofthe work.x 3. Verified the weldabilit"v of reinforcing steel other than ASTM 4'706.x ! S"eadditionalreportpage(s) tr Distribute attachments PO Number: Location of steel inspection [to include grid lines, elevations (floors) and drawing detailsl: PRESENT AT WISHART WELDING ]N CLACKAMAS OR, TO PERFORM VISUAL WELDING INSPECTION ON STRUCTURAL Daily Report of Structural Steel CTI Job #: E10010s8. For: fi/04/2oLa Project: Notes: RADIOLOGY ASSOCIATES TENANT IMPROVEMENT ln some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in fi without prior authorization from this office. Under all circumstances, the information contained in this report is provided subject to all terms and conditions 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 repot 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, CARLSON TESTING" INC. Reviewed By: Steven Dugger Review Date: 03 I 1212010 SLC/KMF BURTWALTER@MAC, COMBURT WALTER CONSTRUCTION CITY OF SPRINGFIELD BU]LDING DEPARTMENT SHERMAN ENGINEERING INC _ DONAID SHERMAN TONY KOACH ARCHITECT DON@SHERMANENGINEERS. COM KOACH@TELEPORT. COI\4 TO: Bend Office Geotechnical Office Eugene Office Salem Office Tigard Office (s4r) (s03) (s41) (s03) (s03) 330-9155 601-8250 345-0289 589-1252 684-3460 Carlson Testing, Inc. Daily Report of Proprietary Anchors BURT WALTER CONSTRUCTIOb]Client: Project:RAD]OLOGY ASSOCIATES TENANT IMPROVEMENT CTI Job #; E10010s8. SPRINGFIELDAddress:445 HARLOW RD - SPRING D, OR Jurisdiction: C. HALSTEAD OBOA 448CTI representative was on site this date Mar. 16. 2010 1s perform Special lnspection for: Permit CCM20C9-01770 DFS #(s)PO Number: SCOPE OF INSPECTION 1. Checked in with superintendent or client representative Name BURT Company:BURT WALTERS CONST TION 2. lnspection was "lBC" [] Continuous Periodic PROPRIETARY ANCHORS YesNoN/A 1. Reviewed previous inspection reports?x 2. Revieu,ed evaluation report?x Verified ioilowing items meet manufacturer's published installation instructions. Location ofproprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: {6)+5 BARS INTO EXISTING FOOTTNC TO EN T ARGF, FOOTING EOR NEW TS COLUMN AT LINE A.3/4 HOLES WERE PRE-DR]LLED TO 6" E DMENT. t163\ i/2X5 1/2" WEDGE ANCI]OP.S (RED HEAD T RUBOLT) WITH 4" EMBEDMENT ON SECOND FLOOR'CICHAN}']EI BOVF, i/iiNDOW OPENINGS. (4 ) SiMPS ON ANCHORS 5 / B ''X7 '' ON TS CCLUMh] BASE PLATES AT LJNE A 5/3 I^rTTH 5" EMBED. (72) 3 / 4''Xi2"TRUtsOLT WEDGE ANCHOR CN TS BPACE FRAME hIITH 6'' EMBEDMENT REPORT SUIvIIvIARY 1. Work inspected was: f, Completed I In prog."ss 2. Work inspected in progress [] App.ored plans and specifications f Strop drawings f nEI I Design change f] suum;ttal f] N/A Document #(s)DETAIL 4/Dated: 72/74/49 d_ate, details on No NiA ) Evaluation report number & date: rcD - 1 ?- rcD ^'tr1 ESR i3961,49!\ LLJLI 3. Noncompliance item(s) were noted this following page(s). I ves 4. Noncompiiance item(s) were reinspected this date, details on following page(s). I ves I No I NZe f, conform fl Remain in progress . Report(s) findings were discussed and Ieft with 3. Verified minimum embedment depth of the anchors.x 4.Verified installation of the anchors.x 5. Verified anchor diameter X 6. Verified steel grade.x 7. Verified hole diameter )a 8. Verified type of drill bit used.x 9. \,'erified hole cleaning method.x 10. Verified adhesive application.x 1 1. Verified edge distance.)i 12. \uerified spacing x 13. Verified installation torque.)i of Name of product being installed S IMPSCN .EPCON, REDHEAD Batch Number Exprratlon Date 253931 r/29/2077 Based on the Code. approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authoritvto directwork ofcontractors or subcontractors. tr See additional report page(s)Distribute attachments.Page - of wA62700 I Daily Report of Proprietary Anchors - cTI Job #: El0010s8. For: a3/16/2oto Project: Notes: RADIOLOGY ASSOCIATES TENANT ]MPROVEMENT In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspected only- Information contained herein is not to be reproduced. except in fi without prior authorization from this office. Under all circumstances, the information contained in this report is provided s.ubject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No pirry other than those to whom CTI has distributed this report shall be entitled to use or rely upon the'information contained iri this document. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfu lly submitted, CARLSON TESTING.INC. Reviewed By: Steven Dugger Revie.w, Date: 03/i 9/201 0 CH,/KMF BURT WALTER CONSTRUCT]ON CITY OF SPRINGEIELD BUILDTNG DEPARTMENT SHERMAN ENGINEERING INC - DONALD SHER}4AN TONY KOACH ARCHITECT BURTWALTER@[4AC. COM DON@SHERMANENGINEERS . COM KOACH@TELEPORT, CO14 TO: