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Home My WebLink AboutBuilding Field Test & Inspection Report 2008-8-21 -., " . . Carlson Testing, Inc. Main Office P.O. Box 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 Fax (503) 589-1309 Bend Office P.O. Box 7918 Bend, Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 . Daily Report of Masonry Client: . S:n.F'f'.WAY S'T'ORF:S TNr. - PHTL ,TTJ'T''T'F.LS'T';rl,Tj Project: SAFEWAY STORE #1094 REMODEL -;- SPRINGFIELD Address: 1 Rq1 PTONF:F.R PKWY F: - c;,PRTN(:;FTF,T.fL OR cn representative G. KEENE OBOA 698 wason site this date Aua. 19. /'008 Pem,it COM2 0 0 8 - 00471 DFS #(s) . Jurisdiction: CTI Job #: SPRINGFIELD S080_~400 _ to performSpeciallrispection for: Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above REOUIRES CLEANOUTS FOR ANYTHING OVER '5' . can be covered. Carlson Testing has no authority to direct ENGUlF'F'? I c: T^1pT'T'TEN Ii PP'R(1UIi T RF'nrlTRF'.n work of contractors or subcontractors. D See additional report page(s). D Distribute attachments. SCOPE'OF INSPECTION 1. Checked in withsuperintendentor client representative. Name: RANDY Company: JAMES JOHN CONS'I'RnC:'T'TON 2. Type of work: ~ Grout - Prism L Solid Grout 3. Work included: [i] Sampling 4. Inspection was "IBC" [i] Level I 5. Work performed: [i] In the field Mortar .K.. Reinforcing Partial Grout W Inspection D Level II D NIA D At precast shop Yes NoNIA INSPECTION 1. Reviewed previous inspection reports? 2. Verified material stored properly, appropriately, and meet the requirements of the project? X I 3. Verified placement of masonry units and construction of mortar ioints. /4. Verified size & location of structural elements. 15. Verified cleanouts provided. 6. Verified welding of rest eel was inspected. Confirmed by: 7. Verified protection of masonry during cold (below 40F) or hot (above 90F) weather. /8..Resteel size, grade, spacing, splices, and clearances confonn? . 9. Verifiedtest'prisms contain:the .same masonry units, grout, and mortar as the building. 10. Verified structural embedments in the forms with regard to wel~ inspection, quantity, and permits issued. I 11. Verified type, size and location of anchors. 1_12. Verified minimum dimensions of spaces provided.for placement of grout. I J 3. Verified grout space clean. 14. Verified consolidation by mechanical vibration & reconsolidation after loss of water. Description of structure inspected [to include grid lines, elevations (floors) and drawing details): x x Ix I I I x I I x I , , I x I I I x I x I 1 I I x I x 6" rMTJ W:n.T.T. ~_?/?-1_? 4'R"x?n'R"xri" r::. ri" ('Mfl DOOR INFILLS (2) G/S.8 & 3/B 6'X6IS"X6". NOTE DOOR INFILLS DID NOT HAVE CLEANOUTS. CODE PO Number: 108018 SAMPLING 1. Grout mix'design approved? . DYes D No [i] N/A Mix # NATRON MINI MIX 2. Type of grout samples made? 3X3X6 GROU~ Number of,ets 1 Samples per set 4 3. Mortar mix design approved? DYes D No [i] N/A Mortar Type S 4. Type of mortar samples made? N IA Number of sets Samples per set 5. Type of prism samples made? N/A Number of sets Samples per set x Location of material placement [to include grid lines, elevations (floors) and drawing details): MIX WAS 2500PSI 3/4" AGG CONCRETE. PER ASTM C404 SECTION 4.2.2 MAX AGG IS 100% 1/2" STEVE. C:ON~RAC:~OR NO'T'TPTF.D AND PROC:RF:O :n.r HTS OWN DISCRETION. NO VIBRATORY CONSOLJDA~TON. AT,SO A CODE REOUIREMEN. NO PRISMS OR MORTART PREPARED FOR SAMPLTN(:.;. SPP.CIFICATTONS RP.OOtRF'.n 'T'HA'T'_ ENGINEER' S WRT~~F'.N APPROVAL RP,OTJTRF.n_ X x REPORT SUMMARY 1. Work inspected was: [i] Completed', . D In progress 2. Completed work inspected was not in compliance with GJ Approved plans and specifications 0 Shop drawings D RFI D Design change D Submittal D N/A Document #(s) Sl. 2 Dated: 3-31-08 3. Noncompliance item(s) were noted this date, details on following page(s). [i] Yes D No D N/A 4. Noncompliance.item(s) were reinspected this date, details on following page(s). DYes D No [i] NI A D Conform D Remain in progress Repott(s) findings were discussed and left with RANDY of JAMES ,TOHN CONSTRUC:TION . Page of_ Daily Report of Masonry CTIJob #: S0805400. Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD For: 08/19/2008 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. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TE.STlNG, INe. Reviewed By: Steven Dugger Review Date: 08/21/2008 GK/LS 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 FAXj503-657-6496 FAXj503-384-0459 FAXj503-670-0235 FAXj360-696-9723 Aug 22, 2008 80805400. Project Name: Project Address: Permit No: P.O. No: Item # Insp. 2 GK 3 GK 4 GK 5 GK Carlson Testing, Inc. Incompleted Items List (NCL) SAFEWAY STORE #1094 REMODEL - SPRINGFIELD 1891 PIONEER PKWY E - SPRINGFIELD, OR COM2 0 0 8 - 0 0471 108018 Date Item Description , 08/19/2008 (2) 6" CMU DOOR IN FILLS AT G/S.8 & 3/B 6'X6'5"X6" OPENING WITH NO CLEANOUTS, CODE REQUIRES CLEANOUTS ANYTHING OVER 5'. ENGINEER'S WRITTEN APPROVAL FOR "AS-BUILT" CONDITION REQUIRED. 08/19/2008 CONTRACTOR PLACED P, 2500PSI 3/4" AGG MIX FOR 6" CMU WALL G.2/2-3.2 & DOOR INFILLS AT G/5.8 & 3/B. PER ASTM C404 SECTION 4.2.2 MAX AGG IS 100% 1/2". ENGINEER'S WRITTEN APPROVAL REQUIRED. 08/19/2008 NO VIBRATORY CONSOLIDATION OF GROUT WALL G.2/2-3.2 & DOOR INFILLS G/5.8 WAS A CODE REQUIREMENT. ENGINEER'S APPROVAL REQUIRED. PLACED & 3/B. WRITTEN CMU THIS 08/19/2008 NO PRISMS OR MORTAR SAMPLES PREPARED FOR S~MPLING, SPECIFICATIONS REQUIRED IT. ENGINEER'S WRITTEN APPROVAL REQUIRED. SAFEWAY STORES INC - PHIL JUTTELST~D TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT ASSOCIATED CONSULTANTS INC - MAN OUCH YAGANEH BENNER STANGE ASSOCIATES. - JIM PARK JAMES E JOHN CONSTRUCTION CO INC - KRIS SIMENSEN Compliance Project Manager: -,;. B. LEACH en Sign-Off Date Corrected Page: I Aug 22, 2008 80805400. Carlson Testing, Inc. Incompleted Items List (NCL) Project Name: Project Address: Permit No: P.O. No: SAFE WAY STORE #1094 REMODEL - SPRINGFIELD 1891 PIONEER PKWY E - SPRINGFIELD; OR COM2008-00471 108018 Item # Insp. 1 BP Date Item Description 08/07/2008 STORE FRONT F-G/2-3 FLARE BEVEL WELDS FOR TUBE STEEL TO TUBE STEEL WELDING WAS PERFORMED WITHOUT CONTINUOUS SPECIAL INSPECTIONS AS REQUIRED BY UNIFORM BUILDING CODE. ENGINEER'S WRITTEN CON CENT TO WAIVE CONTINUOUS SPECIAL INSPECTION REQUIREMENTS FOR THESE WELDS IS REQUIRED. 2 GK 08119/2008 (2) 6" eMU DOOR IN FILLS AT G/5.8 & 3/B 6'X6'5"X6" OPENING WITH NO CLEANOUTS, CODE REQUIRES CLEANOUTS ANYTHING OVER 5'. ENGINEER'S WRITTEN APPROVAL FOR "AS-BUILT" CONDITION REQUIRED. 3 GK 08/19/2008 CONTRACTOR PLACED A 2500PSI 3/4" AGG MIX FOR 6" CMU WALL G.2/2-3.2 & DOOR INFILLS AT G/5,8 & 3/B. PER ASTM C404 SECTION 4.2.2 MAX AGG IS 100% 1/2". ENGINEER'S WRITTEN APPROVAL REQUIRED. 4 GK 08119/2008 NO VIBRATORY CONSOLIDATION OF GROUT WALL G.2/2-3.2 & DOOR INFILLS G/5.8 WAS A CODE REQUIREMENT". ENGINEER I S APPROVAL REQUIRED. PLACED & 3/B. WRITTEN CMU THIS 5 GK 08/19/2008 NO PRISMS OR MORTAR SAMPLES PREPARED FOR SAMPLING, SPECIFICATIONS REQUIRED IT. ENGINEER'S WRITTEN APPROVAL REQUIRED. SAFEWAY STORES INC - PHIL JUTTELSTAD TO:CITY OF SPRINGFIELD BUILDING DEPARTMENT ASSOCIATED CONSULTANTS INC - MANOUCH YAGANEH BENNER STANGE ASSOCIATES - JIM PARK JAI~ES E. JOHN CONSTRUCTION CO INC - KRIS SIMENSEN Compliance -,,"? Project Manager: - B. LEACH en Sign-Off Date Corrected Page: I Carlson Testing, Inc. Main Office P.O. Box 23814 Tigard, Oregon 97281 Phone (503) 684-3460 Fax (503) 684-0954 Salem Office 4060 Hudson Ave.. NE Salem. Oregon 9i30 I Phone (503) 589-1252 Fax (503) 589-1309 Bend Office P.O. Box 7918 . Bend, Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 Daily Report of Proprietary Anchors Client: SAFEWAY STORES INC - PHIL JUTTELSTAD Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address: 1891 PIONEER PKWY E - SPRINGFIELD, OR R.M. TAYLOR OBOA 772 . Auq: 11. 2008 . CTl representati,;,e ." was on site this date Permit COM2008-00471 Jurisdiction: CTI Job #: S0805400. SPRINGFIELD to perform Special Inspection for: DFS #(s). SCOPE OF INSPECTION 1. Checked in with superintendent or, client representative. Name: RANDY Company: JAMES E JOHN 2. Inspection was "illen . [iJ Continuous D Periodic PROPRIETARY ANCHORS Yes NoN/A 1. Reviewed previous inspection reports? 7. Reviewed evaluation report? I: I I Verified following items meet manufacturer's published installation instructions. ., 3. Verified minimum embedment depth of the anchors. I 4.Verified installation of the anchors. I 5. Verified anchor diameter. I 6. Verified steel grade. I 7. Verified hole diameter. I 8. Verified type of drill bit used. 9. Verified hole cleaning method. 10. Verified.adhesiveapplic~tion. 11 . Verified edge distance. 1-12. Verified spa"cing. 113. Verified installation torque. x X X X X Ix Ix Ix Ix I Ix I I Ix Evaluation report number & date: 2322 Name of product being installed HILTI RE 500 3D Batch Number 2212L3 Expiration Date 05/09 PO Number: 108018 Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 3/4" x 10" ALL THREAD AT 6" EMBED (VER'T'TC.ZU,) ANn 4" EMBEDIHORIZONTALI ON COLUMNS AT LOCATIONS- B2.5/C2.5 - 3 LTNF. rnF.~ATL #9/51.1. WCA~TON 2/E.1 IDETAIL 13/S1.21 REPORT SUMMARY I. Work inspected was: W Completed 0 In progress 2. Completed work inspected was in compliance with W Approved plans and specifications 0 Shop drawings o RFI 0 Design change 0 Submittal 0 N/A Document #(s) PLANS Dated: 110R 3. Noncompliance item(s) were noted this date, details on following page(s). 0 Yes 0 No GJ N/A 4. Noncompliance item(s) were reinspected this date, details on following page(s).. 0 Yes 0 No GJ N/A D Conform D Remain in progress Report(s) findings were discussed and left with RANDY of JAMES E JOHN 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. o See additional report page(s). D Distribute attachments. Page _of_ Daily Report of Proprietary Anchors' en Job #: S0805400. For: 08/11/2008 Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Notes: hl some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material tested/inspectedonly. Information contained herein is not to be reproduced, .except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, lNe. Reviewed By: Steven Dugger Review Date: 08/21/2008 RMT/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. Construction Inspections & Related Tests Geotechnical Consulting . Main Office P.O. Box 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 Fax (503) 589-1309 Bend Office P.O. 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 /Cl 72/C192 /C61 7 /C1064 /C231 /C143 Date Molded: 07/25/2008 Permit #: PENDING Client: SAFEWAY STORES INC - PHIL JUTTELSTAD Project: SAFEWAY STORE #1094. REMODEL - SPRINGFIELD 'Address: 1891 PIONEER PKWY E - SPRINGFIELD, OR Jnrisdiction: SPRINGFIELD Contractor: JAMES E JOHN CONSTRUCTION CO INC - KRIS SIMENSEN Job Number: S0805400. Subcontractor: Concrete Supplier: Truck#:' 196 VVeather: CLEAR Cast By: P. L. SANETRA KNIFE RIVER (METRO OPERATIONS) - QUALITY CONTROL Load #: 1 Test Time: 6: 21 AM Ticket#: 3221731 Air Temp. at Sampling Time: 54 Cylinders were cast for the following locations: FOOTING AT 2-3 @ EAST OF G Total Concrete Placement Location: FOOTING AT 2~3 @ EAST OF G Strength Requirement: MixNumber: 2435NE50VO AdmixlAmt: .ACCELERATOR - 3000 psi fc @ 28 Days Slump: Conc. Temp: ~ Cement Type: .1 858 oz. 4.500" % Air: 1.70% Max Agg: 3/4" .,: ,,,,. C~b';c-Yards: ..5 Register Nnmber: 0006113 Lab Location: SALEM Set Test @ Date Test Total Area Unit Type Of Tested No. Davs Rec'd Date Load PSI Fracture Bv 7 07/26/2008 08/01/2008 .50130 12.62 3970 2 SRT 28 07/26/2008 08/22/2008 65200 12.56 5190 1 SRT 28 07/26/2008 08/22/2008 64870 12.56 5170 2 SRT 28 07/26/2008 08/22/2008 67000 12.56 5330 2 SRT I I o Distribute attachments. Average fc @ 28 days 5230 Please see reverse side for additional information. Job Number: S0805400. Register Number: 0006113 Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Date Molded: 07/251200.8 - f4- < I in. [25 mm] xX A9{ . , '~: Type I Reasonable well-formed cones on both ends, less than 1 in. [25 mm] of cracking through caps Type 2 WeIl-Fonned cone on one end, vertical cracks running through caps, no well-defined cone on other end Type 3 Columnar vertical cracking through both ends, no well-formed cones \ r I \ ,;' Type 4 Diagonal fracture with no cracking through ends; tap with hammer to distinguish from Type I Type 5 Side fractures at top or bottom (occur commonly with unhanded caps) Type 6 Similar to Type 5 but ::nd of cylinder is pointed Asterisked (*) average unit PSI test results did not meet listed acceptance criteria. 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/503-657-6496 FAX/503-384-0459 FAX/503-670-0235 FAXj360-696-9723 , I , i I I Our report pertains to the material tested only. The information contained in this report is provided subject to all terms ahd conditions of CTl's General Conditions in effect at the time this report is prepared. No party other than those to whom cn has distributed this report shall be entitled to use or rely upon the information contained in this document. B. LEACH Project Manager: Reviewed By: Reviewed On 08/26/2008 Carlson Testing, Inc. Main Office P.O. Box 23814 Tigard, Oregon 97281 Phone (503) 684-3460 Fax (503) 684-0954 Salem Office. 4060 Hudson Ave.. NE Salem. Oregon 9730 I Phone (503) 589-1252 Fax (503) 589-1309 Bend Office P.O. Box 7918 Bend, Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 Daily Report of Proprietary Anchors Client:. SAFEWAY STORES INC - PHIL JUTTELSTAD Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address: 1891 PIONEER PKWY E - SPRINGFIELD, OR B. PARRISH OBOA 771 Auq. 18, 2008 CTI representative was on site this date Permit COM2 0 0 8 - 0 0 4 71 Jurisdiction: CTI Job #: S0805400. SPRINGFIELD . to perform Special Inspection for: DFS #(s) . SCOPE OF INSPECTION 1. Checked in with superintenden~ or client representative. Name: RANDY Company: JAMES E JOHN 2: Inspection was "IBe' [i] Continuous D Periodic PROPRIETARY ANCHORS Yes NoN/A I 1. Reviewed previous inspection reports? .1 2. Reviewed evaluation report? I: I I I Verified following items meet manufacturer's published installation instructions. I 3. Verified minimum embedment depth of the . anchors. I 4.Verified installation of the anchors. 1 5, Verified anchor diameter. I 6. Verified steel grade. I 7. Verified hole diameter. .I 8. Verified type of drill bit used. I 9. Verified hole cleaning method. 110. Verified adhesive application. Ill. Veritied edge distance. 112. Verified spacing. 113 . Verified installation torque. x x x x Ix Ix Ix Ix I x 1 1 x i I I PO Number: 1080] R Location of proprietary anchors inspected [to include grid . lines, elevations (floors) and drawing details]: 1161 #5 REBAR EMBEDED AT 6" INTO CONCRETE SLAB AND WALLS FOR INFILL. EDGE DISTANCE - 1?" ANn ,CENTER TO CENTER-2'-O" PLUS. ALL HOLF.S ARF. r:T,F.AN AND DRY. ALL WORK CONFORMS TO THE MONUFACTURERS SPECIFICATIONS TO THE BEST OF MY KNOLEDGE. GRIDS 5,6 TO 5.7 @ G LINE. REPORT SUMMARY 1. Work inspected was: [i] Completed D In progress 2. Completed work inspected was in compliance with GJ Approved plans and specifications 0 Shop drawings D RFI D Design change D Submittal D N/A Document #(5) S 1. 1. Dated: 6/30/8 x 3. Noncompliance item(s) were noted this date, details on following page(s). DYes D No [iJ N/A 4. Noncompliance item(s) were reinspected this date, details on following page(s). DYes D No [iJ N/A o Conform 0 Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ~SR # 2322 RANDY of ,JAMES E JOHN Name of product being installed HILTI RE 500 Batch Number 2212 L3 Expiration Date 5 109 2205 L3 2206 L3 5/09 5/09 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. . D See additional report page(s). o Distribute attachments. Page _of _ Daily Report of Proprietary Anchors en Job #: S0805400. For: 08/18/2008 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 testedlinspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INe. ." ,.,. ; ~,: ," iI~' "':- .' ':.; . .::;1' '" .,,1.. .,. "; Reviewed By: Steven Dugger Review Date: 09/0212008 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 FAXj503-384-0459 FAX/503-670-0235 FAX/360-696-9723 Carlson Testing, Inc. Main Office P.O. Box 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 Fax (503) 589-1309 Bend Office ..P:O. Box 7918 Bend, Oregon 97708 Phone (541) 330:9155 Fax (541) 330-9163 Daily Report of Structural Steel Client: SAFEWAY STORES INC - PHIL JUTTELSTAD Project: SAFEWP,YSTORE #1094 REMODEL - SPRINGFIELD Address: '1891 PIONEER PKWY E.- SPRINGFIELD, OR Jurisdiction: CTlrepresentative A. ACKERMANN OBOA 790 was on site this date Aua. 12, 2008 to perform Special Inspection for: Permit COM2 0 0 8 - 0 0 4 71 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. D Distribute attachments. Page 1 of .........l.. DFS #(s) SCOPE OF INSPECTION I. Checked in with superintendent, client or shop rep. Name: RANDY I OTIS Company: JAMES E JOHN CONSTRUCTION 2. Inspection was !lIBel! [i] Continuous 0 Periodic 3. Work performed: GJ In the field D At fab shop 4. If shop inspection do they have fabrication and QC 'procedures? DYes D No [jJ N/A INSPECTION Yes NoN/A I. Reviewed previous inspection reports? 2. Verified steel materials are in compliance by reviev.'ing random samples of the mill test repor!s, st~el ID . . markings or other documentation. 13. Verified weld filler materials conform. 4. Checked steel members to see they were fabricated and erected in accordance with the workmanship and tolerances required. - 5. Checked welded studs and structural connections were installed as required. 6. Verified high strength bolts and fasteners conform. 1.7. Verified the quality of welds produced by welders, welding operators. and tackers conform. 8. Verified steel frame joint details for bracing, stiffening, member locations, and application ofjoiiH details at each X connection are in compliance by random sampling. x x x x I X I I I I I X I X I I I WELDER INFORMATION Welders Name: TIM WISHART Certification #: wo 9519 Yes No N/A 1. Verified the contractor's Welding Procedure Specifications are in confonnance with A WS requirements. 2. Verified the essential variables outlined in the Welding Procedure Specifications were: employed during execution of the \....ork.. Ix X 13 Verified the weldability of reinforcing steel other than ASTM A 706. D See additional report page(s). CTI Job #: SPRINGFIELD S0805400. PO Number: 108018 Location of steel inspection [to include grid lines, elevations (floors) and drawing details]: FLARE BEVEL GROOVE CONNECTIONS AT NEW HEADER BETWEEN GRIDS 3/8.5-C.5 PER DETAIL 6/S1.3. INSPECTION WAS ERFORMED DURING INSTALLATION WELDING IFCAW S WI E71T-81 OPERATIONS. COMPLETED GROOVE AND FILLETS WERE CHECKED FOR CONFORMANCE WITH APPLICABLE PROJECT SPECIFICATIONS AND AWS D1.1 CODE REQUIREMENTS. .REPORT SUMMARY 1. Work inspected was: [jJ Completed D In progress 2. Completed work inspected was in compliance with . [jJ Approved plans and specificaiions D Shop drawings D RFI 0 Design change D Submittal. 0 N/A Document#(s) Sl.1. Sl. 3 Dated: 3-31-08 3. Noncompliance item(s) were noted this date, details on following page(s). DYes [jJ No D N/A 4. Noncompliance item(s) were reinspected this date. details on following page(s). DYes D No [jJ N/A o ConfoJl1l 0 Remain .in progress Report(s) findings were discussed and left with RANDY / OTIS of JAMES E JOHN CONSTRUCTION X Daily Report of Structural Steel en Job #: S0805400.. For: 08/12/2008 Project: SAFEWAY STORE U094 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 testedlinspected only. Information contained herein is not to be reproduced, except ir full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, 1Ne. Reviewed By: Steven Dugger Review Date: 09/02/2008 AA/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 FAXj503-657-6496 FAXj503-384-0459 FAXj503-670-0235 FAXj360-696-9723 Carlson Testing, Inc. Main Office P.O. Box 23814 Tigard, Oregon 97281 Phone (503) 684-3460 Fax (503) 684-0954 Salem Office 4060 Hudson Ave.. NE Salem, Oregon 9730 I Phone (503) 589-1252 Fax (503) 589-1309 . Bend Office P.O. Box 7918 Bend, Oregon 97708 Phone (541) 330-9155 ,Fax (541) 330-9163 Daily Report of Proprietary Anchors Client: SAFEWAY STORES INC - PHIL JUTTELSTAD Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address: 1891 PIONEER PKWY E - SPRINGFIELD, OR Jnrisdiction: CTI representative B. PARRISH OBOA 771 was on site this date Auq. 18, 2008 to perform Special Inspection for: Permit COM2 0 0 8 - 0 0 4 71 DFS #(s) SCOPE OF INSPECTION I. Checked in with superintendent or client representative. Name: RANDY Company: JAMES E JOHN 2. Inspection was "TBe" [i] Continuous D Periodic PROPRIETARY ANCHORS Yes NoN/A 1. Reviewed previous inspection reports? 2. Reviewed evaluation report? I ~ I I _ __ _---Y..eJifi~ fo!I.~:v!ng.tterp_s_meet manufactur~r:~~_ __, published instaJlation instructions. 3. Verified minimum embedment deptb of the anchors. 4.Verified instaJlation of the anchors. 5. Verified anchor diameter.. 6. Verified steel grade. 7. Verified hole diameter. 8. Verified type ofdriJl bit used. I 9. Verified hole cleaning method. 110. Verified adhesive application. Ill. Verified edge distance. 112. Verified spacing. 113. Verified instaJlation torque. x x x x X x X x x Ix I Evaluation report number & date: ESR 2322 Name of product being instaJled HILTI RE 500 Batch Number 2206 L3 Expiration Date 5/09 CTI Job #: S0805400. SPRINGFIELD PO Number: 1 OROl R Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 141 #5 REBAR EMBEDED AT 6" INTO CONCRETE SLAB AT GRIDS 3 @ A.8 TO. B.1. THESE F,POXY nOWRT,S ARE POR AN INFILL INTHE WALL. AU, HOT,r,s ARE rLF.AN ANn DRY.ALL WORK CONFORMS '['0 THE MANUFACTURERS REPORT #2322 TO THE BAST OF MY KNOWLEDGE REPORT SUMMARY ]. Work inspected was: [i] Completed 0 In progress 2. Completed work inspected was in compliance witb [i] Approved plans and specifications 0 Shop drawings o RF( 0 Design change . 0 Submittal 0 N/A Document #(s) S 1.1 Dated: 6/30/08 x 3. Noncompliance item(s) were noted this date, details on followingpage(s). 0 Yes 0 No [X] N/A 4. Noncompliance item(s) were reinspected this date, details on following page(s). 0 Yes 0 No [X] N/A o Conform D Remain in progress Report(s) findings were discussed and left with !'-ANDY of JAMES E JOHN 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. D See additional report page(s). D Distribute attachments. Page. _ of _ Daily Report of Proprietary Anchors en Job #: S0805400. For: 08/18/2008 Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Notes: ]n some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material testedlinspected only. Infonnation contained herein is not to be reproduced, except inl full, without prior authorization from this office. ]fthere are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TEST]NG, ]NC. Reviewed By: Steven Dugger Review Date: 09/04/2008 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. Main Office P.O. Box 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 Fax (503) 589-1309 Bend Office P.O. Box 7918 Bend, Oregon 97708 Phone (541) 330-9155 Fax (541) 330-9163 Daily Report of Structural Steel Client: o;AFEWP,Y STORES Project: SAFEWAY STORE Address: 1891 PIONEER INC - PHIL JUTTELSTAD #1094 REMODEL - SPRINGFIELD PKWY E - SPRINGFIELD, OR OBOA 807 CTI representative C MANGINO was on site this date Auq. Permit COM2008-00471 18, 2008 to perform Special Inspection for: X Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can be covered. CarlsonTesting has no authority to direct work of contractors or subcontractors. o Distribute attachments. Page _of _ DFS #(s) SCOPE OF INSPECTION 1. Checked in with superintendent, client or shop rep.. Name: TERRY Company: MASS FAB 2. Inspection was "IBC" D Continuous GJ Periodic 3. Work performed: 0 In the field GJ At fab shop MASS FAB' 4. If shop inspection do they have fabrication and QC procedures? GJ Yes 0 No 0 N/A INSPECTION Yes NoN/A. . x I 11. Rcvicvved previous inspectiun reports? 2. Verified steel materials are in compliance by reviewing random samples of the mill test reports, steel ID markings or other documentation. Verified weld filler materials conform. x 13 4. x Checked steel members to see they were fabricated and erected in accordance with the workmanship and tolerances-required. 15. Checked welded studs and structural connections were installed as required. I 6. Verified high strength bolts and fasteners conform. 7. Verified the Quality of welds produced by welders, welding operators, and tackers conform. 8. Verified steel frame joint details for bracing, stiffening, I member locations, and application of joint details at each X connection are in compliance by random sampling. . . x I x I I I I I I x I I x I I I WELDER INFORMATION . Welders Name: TERRY THORESON CertificatiOl; #: W02971 Yes No N/A II. Verified the contractor's Welding Procedure Specifications are in conformance with A WS requirements. 2. Verified the essential variables outlined in the Welding Procedure Specifications were employed during ~xecution ofthe work. x x 13 Verified the weldabilitv of reinforcing steel other than ASTM A 706. . o See additional report page(s). Jurisdiction: CTI Job #: SPRINGFIELD 30805400. PO Number: 108018 Location of steel inspection [to include grid lines, elevations (floors) and drawing details): VISUAL INSPECTION FOR WELDING ON CANOPY FRAME PER DETAIL 11/S1.3. REPORT SUMMARY I. Work inspected was:GJ Completed 0 In progress 2. Completed work inspected was in compliance with [i] Approved plans and specifications [i] Shop drawings o RFI 0 Design change 0 Submittal 0 N/A Document #(s) SHOP Dated: 3. Noncompliance item(s) were noted this date, details on following page(s). DYes 0 No GJ N/A 4. Noncompliance item(s) were reinspected this date, details on following page(s). 0 Yes 0 No GJ N/A o Conform 0 Remain in progress Report(s) findings were discussed and left,with TERRY of MASS FAB Daily Report of Structural Steel CTI Job #: SOB05400. Project: SAFEWAY STORE #1094 REMOOEL - SPRINGFIELD For: 08/18/2008 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 testedlinspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this' office. . I lfthere 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: 09/0812008 CM/LS 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. . Main Office P.O. Box 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 Fax (503) 589-1309 Bend Office P.O. Box 7918 Bend, Oregon 97708 Phone (541) 330-9155 Fax (54!) 330-9163 Daily Report of Structural Steel Client: ~AFEWAY STORES INC - PHIL JUTTELSTAD Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address: 1891 PIONEER PKWY E - SPRINGFIELD. OR Jurisdiction: CTI representative B. PARRISH OBOA 771 was on site this date Aua. 19, 2008 to perform Special Inspection for: Permit COM2008-00471 x I' Based on the Code. approval is required from the Building Official be rare the SPECIAL INSPECTED items noted above can be covered. Carlson Testing has no authority to direct work of contractors or subcontractors. o Distribute attachments. Page nf _ DFS #(s) SCOPE OF INSPECTION 1. Checked in with superintendent, client or shop rep. Name: 'RANDY . Company: JAMES JOHN CONSTRUCTION 2. Inspection was "IBe: GJ Continuous D Periodic 3. Work performed: W In the field 0 At fab shop 4. If shop inspection do they have fabrication and QC procedures? 0 Yes 0 No W N/A INSPECTION Yes NoN/A 1. Reviewed previous inspection reports'? X 2. Veri fled steel materials are in compliance by reviewing random samples of the mill test reports, steel ID X markings or other documentation. 3. Veri tied weld tiller materials conform. X 4. Checked steel members to see they were fabricated and erected in accordance with the workmanship and X tolerances required. 15 Checked welded studs and structural connections were I installed as required. X I 6. Verified high strength bolts and fasteners conform. I X 17 Verified the quality of welds produced by welders, I I welding operators, and tackers conform. X 8. Verified steel frame joint details for bracing, stiffening, member locations, and application of joint details at each X connection are in compliance by random sampling. WELDER INFORMATION Welders Name: DENNIS ROSE Certification #: 86-327 Yes No N/A 1.1. Verified the contractor's Welding Procedure Specifications are in conformance with A WS requirements. 2. Verified the essential variables outlined in the Welding Procedure Specifications were employed during execution of the work. X X , 3 Verified the weldability of reinforcing steel other than ASTM A 706. o See additional report pagers). CTI Job #: SPRINGFIELD S0805400. PO Number: 108018 Location of steel inspection [to include grid lines, elevations (floors) and drawing details]: VISUAL INSPECTION OF FLARE BEVEL WELDS ON CANOPIE TO TUBE STEEL HEADER GRID LINES E.1-E.7/0.8-1. . WELDS ARE SPACED AT 2" ON CENTER & 12" ON CENTER. ALSO 3/16" FILLET WELDS ON SAMECANOPIE.' WELDING PROCESS IS FACW E71T-8. ALL WELDING CONFORMS TO AWS D1.1 STANDARDS TO THE BEST OF MY KNOWLEDGE. REPORT SUMMARY 1. Work inspected was: GJ Completed 0 In pr~gress 2. Completed work inspected was in compliance with . W Approved plans and specifications 0 Shop drawings o RFI D Design change 0 Submittal 0 N/A Document #(s) Sl.l Dated: 6-30-08 3. Noncompliance item(s) were noted this date, details on following pagers). 0 Yes 0 No W .N/A 4. Noncompliance item(s) were reinspected this date, details on following page(s). 0 Yes 0 No W N/A D Conform 0 Remain in progress Report(s) findings were discussed and left witb RANDY of _ JAMES JOHN CONSTRUCTION Daily Report of Structural Steel CTI Job #: SOB05400. For: 08/19/200~ 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. .1 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. . . I If there are any further questions regarding this matter, please do not hesitate to contact this office. I Respectfully submitted, CARLSON TESTfNG, fNe. Reviewed By: Steven Dugger Review Date: 09/08/2008 BP/LS SAFEWAY STORES INC - PHIL JUTTELSTAD TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT ASSOCIATED CONSULTANTS INC - MANOUCH YAGANEH BENNER STANGE ASSDCIATES - 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 Daily Report of Masonry Client: SAFEWAY STORES INC - PHIL JUTTELSTAD' Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Address: 1891 PIONEER PKWY E - SPRINGFIELD. OR CTI representative R. LEE was on site this date Aua. 29. 2008 Permit COM2008-00471 DFS #(s) Carlson Testing, Inc. - Main"Office P.O. Box 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 Fax (503) 589-1309 Bend Office P.O. Box 7918 Bend, Oregon 97708 Phone (54l) 330-9155 Fax (541) 330-9163 Jurisdiction: CTI Job #: SPRINGFTELD S0805400. to perform Special Inspection for: 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. o Distribute attachments. SCOPE OF INSPECTION 1. Checked in with superimendent or client representative. Name- RANDY Company: ,TAMES ,JOHN CONSTRUCTION 2. Type of work: ..li. Grout Prism Solid Grout Mortar Reinforcing Partial Grout [iJ Inspection GJ Level II 0 N/A o At precast shop li. 3. Work included: 0 Sampling 4. Inspection was "IBC" 0 Level I 5. Work performed: [Xl In the field Yes No N/A xl xl . INSPECTION /1. Reviewed previous inspection reports? 12. Verified material stored properly, appropriately, and meet the requirements of the project? 13. Verified placement of masonry units and construction of mortar ioints. 14. Verified size & location of structural elements. I 5. Verified c1eanouts provided. 16. Verified weldi~g of rest eel was inspected. Confirmed by: . 17. Verified protection of masonry during cold (below 40F) or hot (above 90F) weather. 18. Resteel size, grade, spacing, spiices, and clearances conform? 19 . Verified test prisms contain the same masonry units, grout, and mortar as the building. 10. Verified structural embedments in the forms with regard to weld inspection, quantity, and permits issued. I 11. Verified type, size and location of anchors. . 112. Verified minimum dimensions of spaces . provided for placement of grout. 113. Verifled grout space clean. 14. Verified consolidation by mechanical vibration & reconsolidation after loss of water. Description of structure inspected [to include grid lines, elevations (floors) and drawing details]: Ix Ix Ix Ix I I x I I I x I I I I x I II I I I I I I I I x I I 1 I x I o See additional report page(s). PO Number: 108018 SAMPLING 1. Grout mix design approved? DYes 0 No GJ N/A Mix# 2. Type of grout samples made" N/A Number of sets Samples per set .3. Mortar mix design approved? 0 Yes 0 No GJ N/A Mortar Type 4. Type of mortar samples made? N /A Number of sets Samples per set 5. Type of prism samples made? N/A Number of sets Samples per set Location of material placement [to include grid lines, elevations (floors), anddrawing.details]: BY REOUEST OF THE ENGINEER OF RECORD, CTI ON SITE TO CHECK FOR VOIDS FROM GROUT POUR 8-19-08 n" GMTl Wl1T.LS PER r.0'R'~ ~Mll.TT. nn'T'~n R-?7-nFl n-rn SJ-n:;~T,T, rl1rTN~ Wn.C:; RF.MmT~n Il::i'T' rnrTR.C:;~) ANn CONSm,TnA'l'TON WnS rHFTKF.n FOR vnTns. RO'l'TT,F, BOOM WALL & INFILL AT B/3 APPEAR TO BE PER UBC 2l04.n.? TNFTT,T, A'T' r.;/Fi .:I HAS MTNTMnT, rnWrTN x' REPORT SUMMARY 1. Work inspected was: GJ Completed 0 In progress 2. Completed work inspected was not in compliance with o Approved plans and specifications 0 Shop drawings o RFI 0 Design change GJ Submittal 0 N/A Document#(s) EOR EMAIL Dated: 8/27/2008 3. Noncomplianceitem(s) were noted this date, details on following page(s). 0 Yes D No GJ N/A 4. Noncompliance item(s) were reinspected this date, details on following page(s). GJ Yes 0 No 0 N/A D Conform D Remain in progress Report(s) findings were discussed and left with RANDY of JAMES JOHN CONSTRUCTION Ix x Page of Daily Report of Masonry en Job #: S0805400. For: .08/29/200.' '1 Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Notes: ROCK POCKETS/VOIDS. ENGINEER'S WRITTEN APPROVAL IS REQUIRED. In some cases more than one box may be checked for a given item on the front page. Our reports pertain to the material testedlinspected only Information contained herein is not to be reproduced, except inl fulL without prior authorization from this office. I tf there are any further questions regarding this matter, please do not hesitate to contact this office. 1 I I I I Respectfully submitted, CARLSON TESTING, INC. Reviewed By: Steven Dugger Review Date: 09/0812008 RL/LS 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 FAXjS03-384-04S9 FAXjS03-670-023S FAX/360-696-9723