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Home My WebLink AboutPermit Building 2008-8-6 Carlson Testing, Inc. ConstructIOn InspectIOns (( Related Tests Geotechnical Consultmg Mam Office PO Bo,23814 Tlgard Oregon 97281 Phone (503) 684-3460 Fax (503) 684-0954 Salem Office 4060 Hudson Ave NE Salem, Oregon 9730] Phone (503) 589-1252 Fax (503) 589-1309 Bend Office I' 0 Box 7918 Bend Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 REPORT OF 4 X 8 CONCRETE TEST SPECIMENS Test Methods ASTM C31/C172/C192/C617/C1064/C231/C143 Date Molded 08/06/2008 Permit # COM2008-00471 Chent SAFEWAY STORES INC - PHIL JUTTELSTAD PrOject SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address 1891 PIONEER PKWY E - SPRINGFIELD, OR Job Nnmber S0805400 JurisdictIon SPRINGFIELD Contractor JAMES E JOHN CONSTRUCTION CO INC - KRIS SIMENSEN Subcontractor Concrete Suppher Trnck# 242158 Weather CLEAR Cast By M KNIFE RIVER (METRO OPERATIONS) - QUALITY CONTROL SPENNER Load # 1 Tlcket# 3222087 Test Time 5 20 AM Air Temp at Samphng Time 65 Cyhnders were cast for the followmg locatIons ENTRY FOOTING Total Concrete Placement LocatIOn ENTRY FOOTING DELI SLAB Strength ReqUIrement MIX Nnmber 243NE50VO AdmlX/Amt NC2 Register Number 0006168 3500 pSI rc @ Conc Temp 28 Days Slump ~ Cement Type I 5 000" % Air 1 00% MaxAgg 3/4" Cubic Yards. 4 Lab LocatIOn' SALEM Set Test @ Date Test Total Area VOlt Type Of Tested No Davs Rec'd Date Load PSI F ractn re Bv 7 08/07/2008 08/13/2008 52855 12 56 4210 2 SRT 28 08/07/2008 I 09/03/2008 28 I 08/0712008 I 09103/2008 HOLD 108/07/2008 I I i I I I I o Dlstnbute attachments Average rc@ 28 days Please see reverse Side for additIOnal mformatIon Job Number' S0805400 RegIster Number' 0006168 ProJect. SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Date Molded 08/06/2008 -l X AW 'YI; < 1 In [25 mm] Type 1 Rea<;onable well-formed cones on both ends less than I In [25 mm] of cracking through caps Type 2 Well-Fonned cone on one end vertical cracks runnmg through caps no well-defined cone on other end Type 3 Columnar vertical crackmg through both ends no \\-ell-formed cones -\ r I \ ;-' Type 4 DIagonal fracture with no crackmg through ends tap with hammer to dl'\tmgUlsh from Type 1 Type 5 SIde fracture" at top or bottom (occur commonlv with unhonded caps) Type 6 Similar to Type 5 but end of cylmder IS pomted Astensked C*) average umt PSI test results dId not meet lIsted acceptance cntena Remarks / SAFEWAY 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/S03-6S7-6496 FAX/S03-384-04S9 FAX/S03-670-023S FAX/360-696-9723 PrOject Manager' BLEACH ReViewed By, ReVlewed On 08/14/2008 Our report pertams to the matenal tested only The mfonnatlon contamed 10 thIs report IS provIded subject to aIL tenns 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 dlstnbuted thIs report shall be entItled to use or rely upon the Infonnatlon contamed In thIs document Carlson Testing, Inc. Mam Office POBox 23814 Tlgard Oregon 97281 Phone (503) 684.3460 FaA (503) 684-0954 Salem Office 4060 Hudson Ave NE Salem, Oregon 97301 Phone (503) 589.1252 Fax (503) 589-1309 Bend Office POBox 7918 Bend Oregon 97708 Phone (541) 330-9155 FaA (541) 330-9163 Daily Report of Proprietary Anchors Chent SAFEWAY STORES INC - PHIL JUTTELSTAD PrOject SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address 189] PIONEER PKWY E - SPRINGFIELD, OR JUrisdictIOn CT1 representatIve B PARRI SH OBOA 771 was on site thiS date AUQ 07. 2008 to perform Specmllnspectlon for Permit COM2008-00471 DFS #(s) SCOPE OF INSPECTION Checked In WIth supermtendent or chent representative Name RANDY Company JAMES E JOHN CONSTRUCTION 2 InspectIon was "IRe" [i] Contmuous o PcnodlC PROPRIETARY ANCHORS Yes NaNIA 1 Reviewed prevIOus inspection reports'? 2 Reviewed evaluatIOn report? I ~ I I Venfied followmg Items meet manufacturer1s published installatIOn mstructlOns 3 Venfied mlmmum embedment depth of the I anchors X 4 Venfied installatIon of the anchors x I 5 Venfied anchor diameter X I 6 Venfied steel grade X I 7 Venfied hole diameter X I 8 Venfied type of dnlJ bit used X I I 9 Venfied hole cleamng method Ix I 110 Verified adhesive apphcatlOn Ix III Venfied edge d"tance I X I ) 12 Verified spacmg Ix I I , 13 Venfied InstallatIOn torque I IxJ EvaluatIOn report number & date E5R 2322 Name of product being Installed HILTI RE 500 Batch Number 2212 L3 2205 L:J ExpiratIon Date 5'09 5/09 CTIJob# 50805400 SPRINGFIELD PO Number 108018 LocatIOn ofpropnetary anchors Inspected [to mc1ude gnd lines, elevatlOns (floors) and draWing detaIls] 181 3'4" x 10" ALL THRREAD EMBED AT 8" INTO CONCRETE SLAB AT GRIDS F TO G AT 2 TO 1 AT STORR FRONT ANCHORS TO ANCHOR COT,TJMNS TO ST';:'\.R CENTERS ARE AT 8" AND EDGE DISTANCE -NA ALL WORK CONFORMS TO THE MANrTFAr.TrlRF'.RS SPECIFICATIONS TO THE RF.ST OF MY KNOWT,EnGF', AU. HOLES WERE CLEAN AND DRY REPORT SUMMARY Work Inspected was W Completed 0 In progress 2 Completed work Inspected was In complIance With GJ Approved plans and speCIficatIOns 0 Shop drawmgs o RFI 0 DeSign change 0 Submittal 0 N/A Document #(s) 91 1 Dated 3/31/8 3 Noncompliance Item(s) were noted thiS date, details on follOWing page(s) 0 Yes 0 No GJ NIA 4 Noncompliance Item(s) were remspected thiS date, detalls on follOWing pagels) 0 Yes 0 No GJ N/A D Conform 0 Remam In progress Report(s) findmgs were discussed and left With RANDY of JAMES E JOHN CONSTRUCTION Based on the Code, approval IS teqUlted ITom the BUilding OffiCIal before the SPECIAL INSPECTED Items noted above can be covered Carlson Testing has no authonty to direct work of contractors or subcontractors o See additIOnal teport pagels) o Dlstnbute attachments Page ~of _ DaIly Report ofPropnetary Anchors cn Job # S0805400 For 08/07/2008 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 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 "';Vt' RevIewed By Steven Dugger Review Date 08/] 4/2008 BP/KMF SAFEWAY 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 Carlson Testing, Inc. Mam Office PO Bo,23814 TIgard Oregon 97281 Phone (503) 684-3460 Fax (503) 684-0954 Salem Office 4060 Hudson Ave, NE Salem, Oregon 97301 Phone (503) 589-1252 FaA (503) 589-1309 Bend 0 mce PO Box 7918 Bend Orcgon 97708 Phone (541) 330-9155 Fax (541) 330-9163 Daily Report of Proprietary Anchors Chent SAFEWAY STORES PrOject SAFEWAY STORE Address 1891 PIONEER CTI representative P L was on site thiS date Permit COM2008-00471 DFS #(s) INC - PHIL JUTTELSTAD #1094 REMODEL - SPRINGFIELD PKWY E - SPRINGFIELD. OR SANETRA OBOA 447 05, 2008 to perform SpeCial Inspection for Aua SCOPE OF INSPECTION Checked III with supermtendent or chent representative Name RANDY Company JAMES E JOHN CONSTRUCTION 2 Inspection was "IBe" GJ Contmuous o Penodlc PROPRIETARY ANCHORS Yes NoN/A 1 Reviewed prevIOus inspection reports? 2 Reviewed evaluatIOn report? I ~ I I Verified followmg Items meet manufacturer's published InstallatIOn m<;tructJOns 3 Venfied minimum embedment depth of the anchors 4 Verified installatIOn of the anchors 5 Verified anchor diameter 6 Venfied steel grade 7 Venfied hole diameter 8 Venfied type of dnll bl! used I 9 Venfied hole cleaning method 110 Verified adheSive applicatIOn III Venfied edge distance 112 Venfied spacmg I 13 Venfied installation torque x X x Ix Ix Ix Ix I x I I,{ I I x I I I EvaluatIOn report number & date ESR #2322 Name of product being Installed HILTI RE500 so Batch Number 2212L3 ExpiratIOn Date .Q1.'? 0 0 9 JUrisdiction cn Job # S0805400 SPRINGFIELD PO Number 108018 LocatIOn ofpropnetary anchors Inspected [to Include gnd hnes elevatIons (floors) and drawing details] 181 #4 DOWELS INTO EXISTING STEM WALL AT LINES C @ 3, EMBED 4 1/2" 181 #4 DOWELS INTO EXISTING FOOTING AT LINES C @ 3 EMBED 8" REPORT SUMMARY I I Ix Work Inspected was GJ Completed D In progress 2 Completed work Inspected was In comphance with GJ Approved plans and speCificatIOns D Shop drawings D RFI D Design change D Submittal D N/A Document#(s) j)ETATJ. 7'Sl 7 Dated 3'31/08 3 Noncompltance Item(s) were noted thiS date, details on follOWing page(s) DYes D No GJ N/A 4 Noncompliance Item(s) were remspected thIS date, details on follOWing page(s) DYes D No GJ N/A D Conform 0 Remam In progress ,. Report(s) findings were discussed and left with RANDY of JAMES E JOHN CONSTRUCTION Based on the Code approval IS reqUired ITom the BUilding OffiCial before the SPECIAL INSPECTED Items noted above can be covered Carlson Testing has no authonty to direct work of contractors or subcontractors o See additional report page(s) D Dlstnbute attachments Page _of _ DaIly Report of Proprietary Anchors en Job # S0805400 For: 08/05/2008 Project SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Notes' In some cases more than one bOA may be checked for a gIven Item on the front page Our reports pertam to the matenal tested/mspected only Infonnal1on 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 08114/2008 PLS/KMF SAFEWAY 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 FAXj503-670-0235 FAXj360-696-9723 Carlson Testing, Inc. Mam Office PO Bo,23814 Tlgard Oregon 97281 Phone (503) 684-3460 FaA (503) 684-0954 Salem Office 4060 Hudson Ave NE Salem Oregon 97301 Phone (503) 589-1252 Fax (503) 589-1309 Bend Office PO Bo,7918 Bend Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 Daily Report of Structural Steel Chent SAFEWAY STORES INC - PHIL JUTTELSTAD PrOject SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address 1891 PIONEER PKWY E - SPRINGFIELD, OR Junsd.ctoon cn representatIve J MERSEREAU OBOA 706 was on sIte thIs date Ju1 28, 2008 to perform SpecJallnspectlOn for Permit COM2008-00471 DFS #(s) SCOPE OF INSPECTION Checked m With supermtendent, chent or shop rep Name Company 2 InspectIOn was "IBC" [iJ Contmuous 0 Periodic 3 Work performed D In the field [i] At fab shop MASS FAB 4 If shop mspectlOn do they have fabrication and QC procedures? [i] Yes D No D NIA INSPECTION 1 Revle\\ed prevlOu~ inspectIon reports? 2 Venfied steel materials are In wmpilance b) reviewing random samples of the mill test reports, "tee I ID markings or other documentation I 3 Yenfied weld filler matenals conform 4 Checked steel member" to see they ~ere fabncated and erected In accordance with the wO'rkmanshlp and tolerances required 5 Checked welded studs and structural connections "ere lO<;tJlled as reqUired 16 Venfied hIgh strength bolt" and fasteners conform 17 Venfied the quality of weld" produced b)- "ciders weldmg operators and tacker" conform 8 Venfied steellrame Jomt details for bracmg, stlffenmg member locatIOns and apphcatlOn 01 Jomt detail" at each connectIOn are m compliance bv random sampling WELDER INFORMATION Welders Name ON FILE CertIfication # Venfied the contractor's Weldmg Procedure SpecificatIons are m conformance WIth A WS reqUirement" 2 Venfied the e""entJaI vanables outlmed In the Weldmg Procedure SpecIfh"atlons were employed dunng executIon of the work 3 Venfied the weldabilltv of remforcmg steel other than ASTM A 706 D See additIOnal report page(s) Yes NoNIA x xl x I x I I I x I x I I Yes No NIA x x CTI Job # SPRINGFIELD S0805400 PO Number 108018 LocatIOn of steel inspectIOn [to mclude gTld Imes, elevations (floors) and drawmg details] PERFORMED CONTINUOUS VISUAL INSPECTION ON SHOP WELDING COLUMN DETAIL 13/S3 12 (1 EA). 1 COLUMN ENTRY #1, 1 COLUMN ENTRY #2, 1 EA MAJOR ENTRY HEADER. 1 EA MINOR ENTRY COLUMN #1 x REPORT SUMMARY Work mspected was [i] Completed D In progress x 2 COf!}pleted work Inspected ,",as In compliance With [i] Approved plans and specificatIOns D Shop drawmgs D RFI 0 DeSign change D Submillal D NIA Document #(s) Dated 3 Noncompliance 1Iem(s) were noted thIS date detaIls on followmg page(s) DYes D No [i] NIA 4 Noncomphance Item(s) were remspected thIS date on followmg page(s) DYes D No o Conform 0 Remam In progress detaIls [i] N/A Report(s) findmgs were dIscussed and left WIth TERRY of MASS FAB x Based on the Code appro\alls reqUIred from the BUilding OffiCial before the SPECIAL rNSPECfED Items noted above can be cmered Carlson Testing has no authonty to dIrect wor"- of contractors or subcontractors ~ Page 1 Af ---'- o Distribute attachments DaIly Report of Structural Steel en Job # S0805400 For. 07/28/2008 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 pertam to the materIal tested/mspected only InformatIOn con tamed herem IS not to be reproduced, except m full, wIthout prIor authorIzatIOn 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 08113/2008 JJM/KK SAFEWAY 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 Carlson Testing, Inc. Mam Office PO Bo,23814 T.gard Oregon 97281 Phone (503) 684-3460 Fa>. (503) 684-0954 Salem Office 4060 Hudson Ave NE Salem Oregon 9730 I Phone (503) 589-1252 rax (503) 589-1309 Bend Office PO Bo,7918 Bend Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 Daily Report of Reinforced Concrete Client SAFEWAY STORES INC - PHIL JUTTELSTAD Pr~ect SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address 1891 PIONEER PKWY E - SPRINGFIELD, OR cn representative P L SANETRA OBOA 447 was on site thiS date Aua 05. 2008 Penn It COM2008-00471 DFS #(s) JUrisdiction CTI Job # SPRINGFIELD S0805400 to perform Spec.allnspectlOn for SCOPE OF INSPECTION Checked In WIth supermtendent or chent representative Name RANDY Company JAMES F. ,JOHN CONSTRUCTION 2 Type ofwor~ 0 Concrete GJ Remforcmg 3 Work mcluded 0 Samplmg W InspectIOn 4 InspectIOn was 'lEC' 0 Contmuous GJ PerlOd.c 5 Work performed GJ In the field 0 At precast shop REINFORCING I] ReViewed prevIous inspection reports? 12 Forms clear of debrIS? 13 Type, grade, SIze, quant.ty, spacmg and condItIOn conform? 4 Venfied forms will nommally result m hardened concrete of the reqUlred cross-sectIOnal dimenSIOns 5 Venfied locatIOn ofremforcmg steel, p.pes, condUits and sleeves With respect to mlmmum concrete cover 16 Venfied type and location of splices, length of contact laps and mm diameter of bends /7 Venfied support & anchorage of remforcmg steel m the forms 18 Venfied structural embedments m the forms WIth regard to fabncatlon quality and type 9 Venfied structrual embedments m the fonns With regard to weld InSpection, quantity and permits Issued 110 Venfied cast m place anchors Descnptlon of structure Inspected [to mclude grid lmes, elevatIOns (floors) and drawmg details] Ves No N/A I 1 I x x }. x x I X I I I x I I I I I x ST,AR ON ~RAnF: FOR F'RF'.EZF.R A'T' T.TNF. F' R-(.; ra -'~, AND FOOTING AT C ~ 3 PO Number 108018 CONCRETE M.x DeSIgn approved? 0 Ves 0 No W N/A 2 Momtored loads arrlvmg atJob site for correct M,x# Slump % Air 3 Type of samples made? N/A Number of sets Samples per set 4 Inspected placmg and consolidation of appro" cubIc yards of concrete LocatIOn of concrete placement [to mclude grid lmes, elevatIOns (floors) and drawmg details] After samples are te<;ted results wIll follo\\ on break report x REPORT SUMMARY Wor~ mspected was GJ Comp!Jt~d _ D,In progres~ , 2 Completed work Inspected was m compliance With GJ Approved plans and specificatIOns 0 Shop drawmgs o RFI 0 DeSIgn change 0 Submlllal 0 NIA I y I Document #(s) PLANS Dated J..D.l./nA 3 Noncompliance Item(s) were noted thIS date, details on followmg pagels) 0 Ves 0 No GJ N/A 4 Noncompliance .tem(s) were remspected thIS date details on followmg page(s) 0 Ves 0 No GJ N/A D Conform D Remam In progress Report(s) findmgs were discussed and left With RANDY of ,JAMES E JOHN CONSTRUCTION Based on the Code approval.s reqUired from the BUlldmg OffiCial before the SPECIAL INSPECTED Items noted above can be covered Carlson Testmg has no authOrity to direct work of contractors or subcontractors o See additIOnal report pagels) 0 D.stnbute attachments Page of DaIly Report of Remforced Concrete cn Job # S0805400 For' 08/05/2008 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 pertam to the materIal tested/mspected only InformatIOn contamed herem IS not to be reproduced, except m full, wIthout prIor authorIzatIon from thIs office Ifthere 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 08/13/2008 PLS/KMF SAFEWAY 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