Loading...
HomeMy WebLinkAboutBuilding Field Test & Inspection Report 2008-9-17 Carlson Testing, Inc. Main Office PO. Box 23814 Tigard, Oregon 97281 Phone (503) 684-3460 FAX (503) 684-0954 Salem Office 4060 Hudson Ave., NE Salem, OR 97301 Phone (503) 589-1252 FAX (503) 589-1309 Bend Office PO. Box 7918 Bend, OR 97708 Phone (5411 330-9155 FAX (5411 330-9163 September 17, 2008 S0805400.CTI ' Permit No. COM2008-00471 FIELD INSPECTION REPORT DATES COVERED: September 16th, 2008 c <g - <-(1'( PROJECT: Safeway Store #1094 Remodel - Springfield ADDRESS: 1891 Pioneer Pkwy E - Springfield, OR INSPECTOR: R. Lee OBOA #619 09/16/08: As requested by Engineer of Record Manouch Yaganeh, CTI representative is reporting this additional information in regards to inspection performed August 29th, 2008: By request of the EOR the Contractor removed (2) shell facing (6" CMU) from each of the (3) walls in question (Bottle Room wall infills at B/3 & G/6.4). A total of (12) cells were checked for consolidation. (1) cell was not consolidated at infill G/6.4(rocks only), CTI is still requiring Engineer's written approval for this condition. 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. .. ...... . .:'. ':"'" ",...... :. ':. .... " 'u '. Respectfully submitted, CARLSON TESTING, INC. .~Q? Project Manager RLlls cc: Safeway Stores Inc - Phil Juttelstad City Of Springfield Building Department Associated Consultants Inc - Manouch Yaganeh Benner Stange Associates - Jim Park James E JohnConstCY,cti9.n C.q,.lnp~.Kr,i?$im.~nsen . '. Fax: 503-657-6496 " " Fax: 503-384-0459 Fax: 503-670-0235 Fax:.360-696,9723..""". . '" ~.. ,..." ~ .... ,-, .~. -'- 7' .., . -"" J ".'f'-' "'~ ' . " . " -c',> !' I , . 'I' ,-'" . :t}: .. ._ 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 CTI Job #: S0805400. Address: 1891 PIONEER PKWY E - SPRINGFIELD, OR Jurisdiction: SPRINGF'T~iJD cn representative R. LEE was on site this date Sep. 05, 2008 to perform Special Inspection for: Permit COM2 0 0 8 - 0 0 4 71 DFS #(s) 'SCOPE-OF INSPECTION 1. Checked.in with superintendent or client representative. Name: RANDY Company: JAMES E JOHN 2. Inspection was "IBC" [i] Continu~us PROPRIETARY ANCHORS 1. Reviewed previous inspection reports? 2. Reviewed evaluation report? Verified-following itcmsmeet'manufacturer's' published installation instructions. I I I I I _I I 9. Verified hole cleaning method. 110. Verified adhesive application. '111. Verified edge distance. 112. Verified spacing. /13 .. Verified installation torque. 3. Verified minimum embedment depth of the anchors. 4.Verified installation of the anchors. 5. Verified anchor diameter. 6. Verified steel grade. 7. Verified hole diameter. 8. Verified type of drill bit used. Evaluation report number & date: ESR #4945 12/1/98 Name of product being in'stalled o Periodic Yes NoN/A I ~ I I I x X xl x I I I X I I I X I I I X I I I x I I I X I I I X 1 i I I Ix HILTl HIT RE 500 Batch Number 3103384 Expiration Date .Q.2I? 0 0 q 'PO Number: 108018 Location of proprietary anchors inspected [to include,grid . lines, elevations (floors) and drawing details): SECOND FLOOR C.3. 5/8" THREADED BOLTS FOR LTT 20 R _ ~ /4" 'T'HRRAnF'.n ROT,TS FOR rnNNRr'l"TnN nF' HSS ::l 1/2" x 3 1/2" X 1/4" TO rONCRP/f'R WAT,T. REPORT SUMMARY 1. Work inspected was: GJ Completed .0 In progress 2. Completed work inspected was in compliance with '0 Approved plans and specifications o Shop drawings GJ RFI '0 Design change 0 Submittal 0 N/A Document#(s) #10 Dated: 8 14 lOR 3. Noncompliance item(s) Were noted this date, details on followingpage(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). o Distribute attachments. Page ~of_ .Daily'Report of'ProprietaryAnchors CTIJob #: S0805400. .For: 09/05/2008 'Project: SAFEWAY STORE. #1094 REMODEL - SPRINGFIELD Notes: .j -......... 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: 09/15/2008 RL/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. 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 Proprietary Anchors Client: SAFEWAY STORES INC - PHIL JUTTELSTAD Project: 'SAFEWAY STORE #1094 REMDDEL' - SPRINGFIELD Address: 1891 .PIONEER PKWY E - SPRINGFIELD. OR B. PARRISH OBOA 771 Sep. 08, 2008 . CTl representative .. was on site this date Permit COM2008-o'0471 . Jurisdiction: CTI Job #: S0805400. SPRINGFIELD to perfonn'Special Inspection for: DFS #(s) 'SCOPEOFINSPECTlON ] . Checked in with superintendent or client representative. Name: RANDY Company: JAMES E JOHN 2. Inspection was "ISe" W Continuous o Periodic PROPRIETARY ANCHORS Yes NoN/A I. Reviewed previous inspection reports? .2. Reviewed evaluation report? I: I I Verified following items meet manufacturer~s pub~ished installation instructions. 3. Verified minimum embedment depth of the anchors. 4.Verified installation of the anchors. 5. Verified anchor diameter. 6. Verified steel grade. 7. Verified hole diameter. 8. Verified type of drill bit used. 9. Verified hole cleaning method. 10. Verified adhesive application. I 1. Verified edge distance. 12. Verified spacing. 13 . Verified installation torque. x X X X X X X x X X Evaluation report number & date: ESR 2322 Name of product being installed HILTI RE 500 SD Batch Number 070508 L3 Expiration Date 5/09 PO Number: 108018 Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details): 121 3/4" X 12" ALL THREAD EMBEDED AT 4 1/2" INTO CONCRETE WALLS AT STORR FRONT. 4X 4' TURF S'T'RRT, WITH BRACKETS. r:OUJMNS. r:RN'T'FRS ARE' AT 7" ANn EDGE DISTANCE - 9". ALL WORK CONFORM TO REPORT INFORMATION AND RF'T ~1n 1'0 THR RRS'T' OF MY KNOWLEDGE I j REPORT SUMMARY 1. Work inspected was: W Completed '0 In progress. 2. Completed work inspected was in compliance with o Approv'ed plans and specifications.. 0 Shop drawings W RFI 0 Design cbange 0 Submittal 0 N/A Document #(s) #10 Dated: R /4/8 x 3. Noncompliance item(s) were noted this date, details on followingpage(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 0 Remai~ in progress Report(s) findings were discussed and left witb RANDY of JAMES E JOHN 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 authority to direct work of contractors or subcontractors. . . D See additional report page(s). o Distribute attachments. Page _of _ Daily Report'of-Proprietary Anchors 'CTI Job #: S0805400. 'For: 09/0812008 Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Notes: .' h" .. -"0 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 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, lNC. Reviewed By: Steven Dugger Review Date: 09/15/2008 . 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'festing, 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 Jurisdiction: CTI representative B'. PARRI SH OBOA 771 was on site this date Sep. 08, 2008 to perform Special Inspection for: Permit COM2 0 0 8 - 0 0 4 71 DFS #(s) SCOPE OF INSPECTION 1. Checked in with superintendent or client representative. Name: RANDY Company: JAMES E JOHN 2. Inspection was l1IBCrl [i] Continuous D. Periodic PROPRIETARY ANCHORS Yes NoN/A '.~Il. Reviewed previous inspection reports? 2. Reviewed evaluation report? I ~ I II Verified follo~ing items meet manufacturer's published installatIOn instructIOns. I 3. Verified minimum embedment depth of the anchors. x I 4.Verified installation of the anchors. X 5. Verified anchor diameter. x I 6..Yerified steel grade. x I, 7: Verified hole diameter. I x I 8. Verified type of drill bit used. I X I I 9. Verified hole cleaning method. I x I I 110. Verified adhesive application. I I x'l 111. Verified edge distance. Ix I I 112. Verified spacing. I x I I 13. Verified installation torque. I I xl , Evaluation report number & date: ESR 2322 Name of product being installed HILTI RE 500 SO Batch Number 22 0 5 L3 Expiration Date 5/09 CTIJob#: S0805400. SPRINGFIELD PO Number: 108018 Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 141 5/8" x 12" ANCHORS EMBEDMENT AT 10" INTO CMU . AT BOTTLE RETURN FOR COLUMN' MOlJN'1'TNr: _ AT,T, HOU",S ARE CLEAN AND DRY. EDGE DISTANCF'. - 1 1/')" . CENTERED AT 3". THIS CONFORMS TO ENGINEERED DRAWINGS BUT NOT MANUFACTURERS F'.Dr:F'. D~S'T'ANrF'. REQUIREMENTS. ALL WORK CONFORMS '1'0 'T'HF'. RF'.S'T' OP MY KNOWLEDGE .REPORT SUMMARY I. Work inspected was: GJ Completed '0 In progress 2. Completed work inspeCted was in compliance with GJ Approved plans and specifications 0 Shop drawings o RFI' 0 Design change .0 Submittal 0 N/A Document #( s) S 1. 2 #9 Dated: 3/31/08 3. Noncompliance item(s) were noted this date, details on followingpage(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 'CTI Job.#: S0805400. 'For: 09/08/2008 '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. 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 Date: 09/I 5/2008 BP/KMF SAFEWAY STORES INC - PHIL JU77ELS7AD 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 'resting, 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 Proprietary Anchors Client: SAFEWAY STORES INC - PHIL JUTTELSTAD Project: SAFEWAY STORE #1094 REMODEL - SPRINGFIELD Add~ess: 1891 PIONEER PKWY E - SPRINGFIELD, OR Jurisdiction: CTl representative R. LEE was on site this date Sep. 09, 2008 to.perform Special Inspection for: Permit COM2 008 -00 4 71 DFS #(s) SCOPE OF INSPECTION 1. Checked in with s.uperintendent or client representative. Name: RANDY Company: JAMES E JOHN 2)n'spection was "IBC" W Continuous . D Periodic PROPRIETARY ANCHORS Yes NoN/A "I. Reviewed previous inspection-reports? 2. Reviewed evaluation report? 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. I 5. Verified anchor diameter. ./' .6. Verified steel grade. 7. Verified hole diameter. '1 8. Verified type of drill bit used. I 9. Verified hole cleaning method. /10. Verified adhesive application. 1.1. Verified edge distance. 112. Verified spacing. 113. Verified installation torque. x X X X X X X X X X CTI Job #: S0805400. SPRINGFIELD PO Number: 108018 Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details): OBSERVED PLACEMENT OF 5/8" THREADED BOLTS FOR 3"X :i" X 1/1 ri" -nNr;T,RR FOR ROOF' SUPPOR'T' (RO'T''T'T,F', ROOM) ON RAST"SIDE or STORE DETAIL 11.12 PAGE Sl.2 REPORT SUMMARY I 1. Work inspected was: GJ Completed 0 In progress r 2. Completed work inspected was in compliance with I [Xl Approved plans and specifications 0 Shop drawings I 0 ~I 0 Design change 0 Submittal 0 N/A I I I I Document #(s) AA.12 Dated: 8/4/8 3. Noncompliance item(s) were noted this date, details on following page(s). 0 Yes 0 No GJ N/A I i Ix 4. Noncompliance item(s) were reinspected this date, details on following page(s). 0 Yes 0 NoGJ N/A D Conform D Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ESR 2322 JANDY 11/1/07 o[-.JAMES E JOHN Name of product being installed HILTI RE 500 SO Batch Number 3103384 Expiration Date 5/09 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 authority to direct work of contractors or subcontractors. D See additional report page(s). o Distribute attachments. Page _of _ Daily ,Report 'of Proprietary Anchors -cn Job #: S0805400. 'For: 09/09/2008 . . - 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. 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 Date: 09/1512008 RL/KMF SAFE WAY STORES INC - PHIL JUTTELSTAD TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT' ASSOCIATED CONSULTANTS INC - MANOUCH YAGANEH BENNER STANGE ASS~CIATES - 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.