HomeMy WebLinkAboutBuilding Field Test & Inspection Report 2009-11-18
Carlson Testing, Inc.
t2-
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:
CTI representative S. FOX OBOA 177
was on site this date Nov. 18, 2009 to perform Special Inspection for:
Permit COM 2009-01260
Location of proprietary anchors inspected [to include grid
lines, elevations (floors) and drawing details]:
CONTR-~CTOR INSTP.LLED APPROXIMATELY 1204 \ 1/4" X
2 1/4" KB-3 ANCHORS INTO CONCRETE FLOOR SLAB OF
UPS ROOM B P.ND 130\ 1/4" X 2 1/4" KB-3 ANCHORS
INTO FLOOR SLAB OF UPS ROOM A, FOR RAISED FLOOR
PEDESTALS. ALL CONFORM TO SHEET *5 OF KPFF
DRAWING DATED 8/14/09 FOR PROJECT 209335 AND ICC
REPORT #ESR-2302 RECUIRED MINIMUM TORQUE -
VesNoN/A 4 FT/LES
DFS #(s)
SCOPE OF INSPECTION
1, Checked in with superintendent or client representative.
Name: VERN
Company: DATA SPECIALTIES
2. Inspection was "\Be" GJ Continuous
o Periodic
PROPRIETARY ANCHORS
1. 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.
8. Verified type of drill bit used.'
I 9. Verified hole cleaning method.
11.0. Verified adhesive application.
I L Verified edge distance.
12. Verified spacing;
13. Verified installation torque.
X
X
X
X
X
X
X
X
X
Evaluation report number & date:
ICC ESR 2302
12/01/08
Name of product being installed
HILTI KB-3
Batch Number 0011281280
Expiration Date
CTI Job #: E0901042.
SPRINGFIELD
PO Number:
REPORT SUMMARY
1. Work inspected was: GJ Completed 0 In progress
2. Completed work inspected was in compliance with
o Approved plans and specifications 0 Shop drawings
o RFI 0 Design change [iJ Submittal 0 N/A
Document #(s) 209335
Dated: 8/14/09
x
X
3. Noncompliance item(s) were noted this date, details on
following page(s). 0 Ves 0 No GJ N/A
4. Noncompliance item(s) were reinspected this date, details
on following page(s), 0 Ves 0 No GJ N/A
o Conform D Remain in progress
Report(s) findings were discussed and left with
VERN
of DATA SPECIALTIES
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 _
Carlson Testing, Inc.
'?t-
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:
CTI representative S. FOX OBOA 177
was on site this date Nav. 20, 2009 to perform Special Inspection for:
Permit COM 2009-01260
DFS #(s)
SCOPE OF INSPECTION
1. Checked in with superintendent or client representative.
Name: VERN
Company: DATA SPECIALTIES
2. Inspection was "IBe" GJ Continuous
D Periodic
PROPRIETARY ANCHORS
Yes NaNIA
1. Reviewed previous inspection reports?
2. Reviewed evaluation report?
I ~ I I I
Verified followine: items meet manufacturer's
published installation instructions.
I
I
I
I
I
I
I
I
I II. Verified edge distance.
f 12. 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.
9. Verified hole cleaning method.
10. Verified adhesive application.
X
X
x
X
X
X
X
X
X
Evaluation report number & date:
2302, 1917
12/1/08,9/1/07
Name of product being installed
HILTI KB-3.KB-TZ
Batch Number 0011281280 0011242025
Expiration Date
CTI Job #: E0901042.
SPRINGFIELD
PO Number:
Location of proprietary anchors inspected [to include grid
lines. elevations (floors) and drawing details):
CONTRACTOR INSTALLED 112611/4"X 2 1/4" KB-3
ANCHORS INTO FLOOR SLAB IN ROOM UPS A, AND 11441
1/4"X 2 1/4" KB-3 ANCHORS INTO FLOOR SLAB IN
DATA r.F,NTF:R ROOM FOR RAISF:D FLOOR PEDF:STALS PER
KPFF DETAIL SHEET #5 DATED 8/14/09, WITH TOROUE
OF 4 FTILBS, ALSO 141 3/8"X 5" 12 ANCHORS INTO
ROOM UPS-A FLOOR FOR BATTERY CABINET STAND LEGS.
PEDESTAL SHEET 3 BY KPFF WITH A TOROUE OF 25
FT ILBS
REPORT SUMMARY
I. Work inspected was: GJ Completed 0 In progress
2. Completed work inspected was in compliance with
o Approved plans and specifications 0 Shop drawings
o RFI 0 Design change GJ Submittal 0 N/A
Document #(s) 209335
Dated: 8/14/09
x
x
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). DYes 0 No GJ N/A
D Confonn D Remain in progress
Report(s) findings were discussed and left with
VERN
of DATA SPECIALTIES
Based on the Code, approval is required /Tom 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 attachme~ts.
Page _of _