HomeMy WebLinkAboutPermit Building 2008-7-25
Carlson Testing, Inc.
MJIn Office
ro Bo,23814
Tlgard Oregon 97281
Phone (503) 684-3460
Fax (503) 684-0954
Salem Office
4060 Hudson Ave, NE
Salem Oregon 97301
rhone (503) 589-1252
FIlA (503) 589-1309
Bend Office
r 0 Box 7918
Bend, Oregon 97708
rhone (541) 330-9155
Fax (541) 330-9163
Daily Report of Reinforced Concrete
Chent SAFEWAY STORES INC - PHIL JUTTELSTAD
PrOject SAFEWAY STORE -*1094 RF:MODr,T, - SPRINGFIELD
Address 1891 PIONEER PKWY E ~ SPRINGFIELD, OR JUrIsdIctIOn
CTI representatIve P L SANETRA OBOA 447
was on site thIS date Ju1 25. 2008 to perform Speelal InspectIOn for
Permit COM2008~0471
DFS #(s)
SCOPE OF INSPECTION
I Cheeked m with supenntendent or chent representative
Name OTIS
Company JAMES E JOHN CONSTRUCTION
2 Type of work [i] Concrete GJ Remforcmg
3 Work mc1uded [X] Sampling GJ InspeetIOn
4 InspectIOn was 'IBC W Contmuous 0 PeriodiC
5 Work performed GJ In the field 0 At preeast shop
REINFORCING
1 ReViewed prevIous InspectIon reports?
2 Forms clear of debrIS?
3 Type, grade, size quantIty, spacmg and
conditIon conform?
4 Venfied forms will nommally result m
hardened concrete of the reqUired
cross-sectIOnal dimenSIOns
5 Venfied IoeatIOn of remforemg steel, pIpes,
conduIts and sleeves with respeet to
minimum concrete cover
1.6 Venfied type and location ofsplIees length
of contact laps and mm dIameter of bends
I. 7 Venfied support & anchorage of remforemg
steelm the fonns
1_8 Ventled structural embedments In the forms
wIth-regard to fabneatIOn, quality and type
9 Venfied structrual embedments In the forms
wIth regard to weld inSpectIOn, quantity, and
permIts Issued
10 Verified cast In place anchors
DescnptlOn of structure mspected [to Include gnd hnes,
elevations (floors) and drawmg details]
FOOTTNr, AT ?-i ~ ~~~~ n~ G
Yes No N/A
x
x
x
x
I X I I 1
I x I I
I 1 ^
CTI Job #
SPRINGFIELD
S0805'00
ro Number 108018
CONCRETE
MIX DeSign approved? GJ Yes 0 No 0 N/A
2 MODltored loads arnvmg atJob site for correct
Mlx# 2435NE50VO
Slump 4+/~1 % AIr
3 Type of samples made? 4 x 8 CONCRETE CYLINDERS
Number of sets 1 Samples per set 4
4 Inspeeted plaelDg and eonsohdatlOn of approx 5
CUbIC yards of concrete
x
Loealion of eonerete placement [to melude gnd lines, elevations
(floors) and drawmg details]
SAMR AS BELOW
After :.arnples are te<;ted results Will follow on break report
x
REPORT SUMMARY
Work IDspeeted was GJ Completed 0 In progress
2 Completed work. mspected was 10 compliance wIth _ ___ ~
GJ Approved plans and specIficatIOns D Shop drawmgs
o RFI 0 DeSign ehange 0 SubmIttal 0 N/A
Ix
Doeument #(s) S 1 1 & S 1 ?
Dated 3L11-' n R
3 Noncompliance Item(s) were noted thiS date, detaIls on
followlDg page(s) 0 Yes 0 No [X] N/A
- 4 NoncomplIanee Item(s) were relDspeeted thiS date, details
on followmg page(s) 0 Yes 0 No GJ N/A
D Conform 0 Remam In progress
Report(s) findlDgs were dIscussed and left With
OTIS
of JAMES E JOHN CONSTRUCTION
Based on the Code, approval IS requIred from the BUlldlDg OffiCIal before the SPECIAL INSPECTED Ilems noted above ean
be covered Carlson Testmg has no authOrity to dIrect work of contractors or subcontractors
o See additIOnal report page(s) 0 Dlstnbute artaebments Page of
Dally Report of Remforced Concrete
CTI Job # S0805400
For
07/25/2008
Project.
SAFEWAY STORE #1094 REMODEL - SPRINGFIELD
Notes:
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
full, without prIor authorIzation from thIS office
Ifthere 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 Date 07/31/2008
PLS/KMF
S~FEWAY STORES INC - PHIL JUTTELSTAD
TO CITY OF SPRINGFIELD BUILDING DEPARTMENT
ASSOCIATED CONSULTANTS INC - MANOUCH YAGANEH
BENNER STANGE ASSOCIATES - JIM PARK
JAMES E JOHN CONSTRUCTION CO INC - KRIS SIMENSEN
FAX/503-657-6496
FAX/503-384-0459
FAX/503-670-0235
FAX/360-696-9723