HomeMy WebLinkAboutSpecial Inspection Correspondence 2009-9-9
Carlson Testing, Inc.
Main Office
P,O, Box 23614
Tigard, Oregon 97281
Phone (503) 664-3460
FAA (503) 664,0954
Salem Office
4060 Hudson Ave., NE
Salem, OR 97301
Phone (503) 569-1252
FAA (503) 569-1309
'~
Bend Office ~
PO, Box 7916
Bend. OR 97706
Phone (541) 330,9155
FAA (541) 330,9163
Special Inspection
FINAL SUMMARY LETTER
September 9, 2009
E090 1 008. CTI
City of Springfield
225 Fifth Street
Springfield, OR 97477
Re: Big Lots
5790 Main Street - Springfield, OR
Permit No,: COM2009-00597
Dear Sir:
This is to certify that in accordance with Section 1704 of the International Building Code we have penormed
special inspection of the following item(s) per our inspection reports only:
Installation of Wedge Anchors
All inspections and tests were penormed and reported according to the requirements of Project Documents
and, to the best of our knowledge, the work was in conformance with the approved plans and specifications,
approved change orders and applicable workmanship provisions of the State Building Code and Standards,
as well as the structural engineer's design changes, approvals and verbal instructions.
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 TESTii-.JG, iNC.
c-:
Brian D. Leach
Vice President - Salem Branch Manager
BDLlls
cc:
Skyward Construction Inc - Chad Walker
Kilcullen Engineering LLC
EMAIL
MAIL
Carlson Testing, Inc.
~~
Bend Office
Geotechnical Office
Eugene Office
Salem Office
Tigard Office
(541) 330,9155
(503) 601-8250
(541) 345-0289
(503) 589-1252
(503) 684,3460
Daily Report of Proprietary Anchors
Client: SKYWARD CONSTRUCTION INC - CHAD WALK~
Project: BIG LOTS
Address: 5790 MAIN
CTI representative C.
was on site this date
Permit COM2009-00597
DFS #(s) _
cn Job #: E0901008.
Jurisdiction: fiPRINGFIELD
STREET - SPRINGFIELD OR
HALSTEAO OBOA 448
- -
AUQ. 20, 2~ to perfonn Special Inspection for:
SCOPE OF INSPECTION
1, Checked in with superintendent or client representative,
Name: BOB
Company: SKYLAND
2, Inspection was "IBC" GJ 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.
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.
g, Verified type of drill bit used.
I 9. Verified hole cleaning method.
110. Verified adhesive application.
I I I. Verified edge distance,
112. Verified spacing,
113, Verified installation torque.
Evaluation report number & date:
~17
9/1/07
Name of product being installed
HILTI KBTZ WEDGE
Batch Number 387513
Expiration Date
x
X
x
x
x
X
x
xl
xl
x I
_ PO Number: 09-502
Location of proprietary anchors inspected [to include grid
lines, elevations (floors) and drawing details]:
INSTALL~D 112 "X 4 1 12~ KB-TZ HILTI J'iEDGE
ANCHORS, SACK STORAGE RACKS WITH 1-1/2"
EMBEDMENT AND TORQUED TO 40FT IJ.~
REPORT SUMMARY
I
I
I
I
I
I
I
xl
I
I
I
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) STRUCTUilAL
Dated: 4/3010L-
3, Noncompliance item(s) were noted this date. details on
following pagels), 0 Yes 0 No GJ N/A
4, Noncompliance item(s) were reinspected this date, details
on following pagels), 0 Yes 0 No GJ N/A
D Confonn D Remain in progress
Report(s) findings were discussed and left with
BOB
of SKYWARD
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 pagels),
o Distribute attachments,
Page _of_
Daily Report of Proprietary Anchors
en Job #: E0901008.
For: 08/20/2009
Project:
BIG LOTS
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, Infonnation contained herein is not to be reproduced. except in f,
without prior authorization from this office. Under all circumstances, the infonnation contained in this report is provided
subject to all terms and conditions of CTI'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,
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: 09/09/2009
CH/KMF
SKYWARD CONSTRUCTION INC - CHAD WALKER
TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT
KILCULLEN ENGINEERING LLC
CHAD@sKYWAROCONSTRUCTION.COM
Carlson Testing, Inc.
~
Bend Office
Geotechnical Office
Eugene Office
Salem Office
Tigard Office
(541) 330,9155
(503) 601-8250
(541) 345-ll289
(503) 589,1252
(503) 684,3460
Daily Report of Proprietary Anchors
Client: SKYWARD CONSTRUCTION INC - CHAD WALKER
Project: BIG LOTS _--
Address: 5790 MAIN STREET - SPRINGFIELD OR Jurisdiction:
CTI representative P. L. SANETRA OBOA 447
was on site this date Aua. 20, 2009 to perform Special Inspection for:
Permit COM2009-00597
DFS #(s)
SCOPE OF INSPECTION
I. Checked in with superintendent or client representative.
Name: BOB
Company: SKYWAR~
2. Inspection was "IBe" [X] Continuous
D Periodic
PROPRIETARY ANCHORS
1. Reviewed previous inspection reports?
2. Reviewed evaluation report?
Verified following items meet manufacturer's
published 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.
I 8, Verified type of drill bit used.
I 9. Verified hole cleaning. method,
10. Verified adhesive application.
II. Verified edge distance,
12. Verified spacing.
13, Verified installation torque.
Ix
Ix
Ix
Evaluation report number & date:
ESR 1917
9/1/07
Name of product being installed
HILTI KB-TZ
Batch Number
3S7510
Expiration Date
Yes NoN/A
I xl I x
x
x
x
X
X
X
x
cn Job #: E090100S.
SPRINGFIELD
PO Number: Oq-,>O?
Location of proprietary anchors inspected [to include grid
lines. elevations (floors) and drawing details]:
;)../S"X 3" HILTI_KB-TZ WEDGE ANCHORS WFRE
INSTALLED AT ~INIMUM EM~D AND TOROUED TO A
~INIMUM OF 25 FTILBS AT MERCHANDIZE RACKS FOR
FRONT SIORE AREA
REPORT SUMMARY
I
I
I
I
I
I
I
xl
I
I
I
I, Work inspected was: GJ Completed D In progress
2, Completed work inspected was in compliance with
GJ Approved plans and specifications D Shop drawings
D RFI D Design change D Submittal D N/A
Document #(s) STRUCTQRAL CALC
Dated: 4/30/09
3, Noncompliance item(s) were noted this date. details on
following pagels). DYes D No GJ N/A
4. Noncompliance item(s) were reinspected this date. details
on following pagels). DYes D No GJ N/A
D Conform D Remain in progress
Report(s) findings were discussed and left with
BOB
of SKYWARD
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 pagels),
D Distribute attachments.
Page _of _
I
Daily Report of Proprietary Anchors
en Job #: E0901008.
For: 08/20/2009
Project:
BIG LOTS
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 fl
without prior authorization from this office. Under all circumstances, the information contained in this report is provided
subject to all terms 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 distributed this report shall be entitled to use or rely upon the infonnation contained in this
document.
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: 09/09/2009
PLS/KMF
SKYWARD CONSTRUCTION INC - CHAD WALKER
TO: CITY OF SPRINGFIELO BUILDING OEPARTMENT
KILCULLEN ENGINEERING LLC
CHAO@SKYWARDCONSTRUCTION.COM