HomeMy WebLinkAboutBuilding Field Test & Inspection Report 2009-11-4
Carlson Testing, Inc.
'K\L,
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: DATA SPECIALTIES INC - VERN KOOPS
Project: DATA CENTER EXPANSION
Address: 123 INTERNATIONAL WAY - SPRINGFIELD, OR Jurisdiction:
cn representative M. AMESQUITA OBOA 898
was on site this date Nov, 04, 2009 to perform Special Inspection for:
Permit COM 2009-01260
DFS #(s)
SCOPE OF INSPECTION
I. Checked in with superintendent or client representative.
Name: VERN
Company: DATA SPECIALTIES
2. Inspection was "IBe" [i] Continuous
o Periodic
PROPRIETARY ANCHORS
Yes NoN/A
1. Reviewed previous inspection reports?
2. Reviewed evaluation report?
I xl I X I
Verified following items'meet manufactw:er.'s.~ u__
published installation instructions.
3. Verified minimum embedment depth of the
anchors. X
4.Verified installation of the anchors. x
5. Verified anchor diameter. x
6. Verified steel grade. x
7. Verified hole diameter. x I I
8. Verified type of drill bit used. x I I
I 9. Verified hole cleaning method. x I I
110. Verified adhesive application. I Ix
111. Verified edge distance. x I I
12. Verified spacing. I x I I
113. Verified installation torque. Ix i I
. Evaluation report number & date:
ICC ESR #2723
09/01/2008
Name of product being installed
SIMPSON HD TITEN
Batch Number N/A
Expiration Date N/A
cn Job #: E0901042,
SPRINGFIELD
PO Number:
Location of proprietary anchors inspected [to include grid
lines, elevations (floors) and drawing details]:
WEST WAT,T, OF' rTPS ROOM R 1:"()R Rj'l'P'f'F'Ry.rAP. (24)
BOLTS TOOUED TO 50FT/LBS. WEST WALL UPS ROOM A
FOR MA'T'TRRY rAP I?nl p.m,'T'S TOROTlEO 'T'O 50F''T'/T.RS_
NOTE (4 \ ANCHORS HT'T' RRRA_R THTJS NO'T' TNS'T'AT,T,F',n TO
REOUIRED EMBEDME~T DEPTH. ENGINEER'S WRITTEN
bPPROVAL OR FIX IS REOUIRED.
, -- -'--'-REPORT SUMMARY
L Work inspected was: GJ Completed 0 In progress
2. Completed work inspected was not in compliance with
GJ Approv~d plans and specifications D Shop drawings
o RFI 0 Design change 0 Submittal 0 N/A
Document#(s) ENGINEERING PACKET Dated: 08/14/2009
3. Noncompliance item(s) were noted this date, details on
following pagers). GJ Yes 0 No 0 N/A
4. Noncompliance item(s) were reinspected this dare, details
on following pagers), 0 Yes 0 No GJ N/A
o Conform 0 Remain in progress
Report(s) findings were discussed and left with
VERN
of DATA SPECIALISTS
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 pagers).
o Distribute attachments,
Page _of_
Carlson Testing, Inc.
Incompleted Items List (NCL)
Nov 11,2009
E090 I 042.
Project Name:
Project Address:
Permil No:
P.O. No:
DATA CENTER EXPANSION
123 INTERNATIONAL WAY - SPRINGFIELD, OR
COM 2009-01260
Item # Insp.
Date
Item DescrilJtion
1 MA
11/0412009 (4) WEDGE ANCHORS WEST WALL OF UPS ROOM A HIT
REBAR AT INSTALLATION. ENGINEER'S WRITTEN
APPROVAL OR FIX IS REQUIRED.
DATA SPECIALTIES INC - VERN KOOPS
TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT
KPFF
ROBERT RITNER
PEACE HEALTH RIVERBEND ANNEX
Compliance
Project Manager:
B, LEACH
eTl Sign-Off
Date
Corrected
Page: I