HomeMy WebLinkAboutPermit Building 2008-7-7
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Carlson Testing, Inc.
MaIO Office
PO Bo,23814
Tlgard Oregon 97281
Phone (503) 684-3460
FlTh (503) 684-0954
Salem Office
4060 lIudson Ave NE
Salem Oregon 9730 I
Phone (503)589-1252
Fax (503) 589-1309
Bend Office
POBox 7918
Bend Oregon 97708
Phonc (541) 330-9155
Fax (541) 330-9163
Daily Report of Proprietary Anchors
Chent BROCKAMP & JAEGER INC - DARIN JAMIESON
REPLACEMENT
STREET - SPRINGFIELD. OR
B PARRISH OBOA 771
Jul 07, 2008
PrOject OUEST HVAC
Address 1613 MAIN
CTI representative
was on site this date
Penmt COM2008-00548
JUrisdictIOn
CTI Job # S0805367
SPRINGFIELD
to perform Special InspectIOn for
DFS #(s)
SCOPE OF INSPECTION
Checked In with supenntendent or chent repre~entatlve
Name DARRIN
Company BROCKAMP & JAEGER INC
2 Inspection was "IBC" [iJ Contmuous 0 Penodlc
3 Work performed [iJ In the field 0 At precast shop
4 If shop mspectlOn do they have fabncatlon and QC
procedures? 0 Ves 0 No [iJ N/A
PROPRIETARY ANCHORS
Ves No N/A
I I Reviewed prevIous inspectIOn reports')
I 2 Reviewed evaluatIOn report?
13 Venfied manufacturer1s anchor use confonns
to acceptance cntena In report summary
Verified followmg Items meet manufacturer's
published installatIOn instructIOns
14 Ventied mmlmum embedment depth ofthe
anchors
I 5 Venfied mstallatlOn of the anchors
16 Verified anchor diameter
I 7 Venfied steel grade
I 8 Verltied hole diameter
19 Venfied type ofdnll bit used
110 Verified cleanlmess of hole and anchor
111 Verified adhesive applicatIOn
x
y
x
x
x
x
xl
I y I
I x I
I x i
I
Evaluation report number ESR 1056
Name of product be 109 mstalled SIMPSON TITEN HD
Batch Number
Explral10n Date
PO Number
LocatIOn of proprietary anchors Inspected [to mclude gnd
hnes elevatIOns (floors) and drawmg details]
112" x 3 1/2" ANCHORS EMBEDED AT 3" INTO ROOF
FOR O-DECK BACKING EDGE DISTANCE -6". AND
CENTER TO CENTER - 12" AND 18" ALL WORK
CONFORMS TO THE MANUFACTURERS SPECIFICATIONS AND
REPORT REOUIREMENTS TO THE BEST OF MY KNOWLEDGE
LOCATIONS 1 TO 2 3 @ E TO F
REPORT SUMMARY
Work mspected was W Completed 0 In progress
2 Completed work mspected was 10 comphance with
W Approved plans and speCificatIOns 0 Shop drawmgs
o RFI 0 DeSign change 0 Submiltal 0 N/A
Document #(s) SI
Dated 1/~5/08
3 Noncomphance Item(s) were noted this date, detatls on
followmg pagers) 0 Ves 0 No @ N/A
4 NoncomplIance ltem(s) were remsnected this date
on followmg pagers) 0 Ves 0 No
D Conform D Remam In progress
detaIl"
GJ N/A
I
Ix
Report(s) findmgs were discussed and left with
DARRIN
of BROCKAMP & JAEGER INC
Based on the Code approval IS reqUIred ITom the BUIld 109 OffiCial before the SPECIAL INSPECTED Items noted above can
be covered Carlson Testmg has no authonty to direct wor"- of contractors or subcontractors
OSee addllional report pagers)
D Dlstnbute attachments
Page _of _
Dally Report of Proprietary Anchors
en Job #, S0805367
For
07/07/2008
.
ProJect' QUEST HVAC REPLACEMENT
Notes,
In some cases more than one box may be checked for a gIven Item on the front page
Our reports pertam to the matenal tested/mspected only InformatIOn contamed herem IS not to be reproduced, except m
full, WIthout pnor authonzatlOn from thIS office
If there are any further questIons regardmg thiS matter, please do not hesitate to contact thIS office
Respectfully submItted
CARLSON TESTING INC
RevIewed By Steven Dugger
Review Date 0711 7/2008
BP /KMF
BROCKAMP & JPEGER INC - DARIN JAMIESON
TO CITY OF SPRINGFIELD BUILDING DEPARTMENT
BALZHISER & HUBBARD ENGINEERS INC - GRANT BOWERS
GBOWERS@BHENGINEERS COM
BROCKAMP & JAEGER INC - ANDY PATTON
HARDER MECHANICAL CONTRACTORS INC - TOM FROMHERZ
ANOYP@BROCKAMP-JAEGER COM