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HomeMy WebLinkAboutBuilding Field Test & Inspection Report 2010-1-6 Carlson Testing, Inc. Bend Office Geotechnical Office Eugene Office" . Salem Office Tigard Office (541)330-9155 Kt (503) 601-8250 (541) 345-0289 (503) 589-1252 (503) 684-3460 Daily Report of Proprietary Anchors Client: IL MECHANICAL INC - J:v1ARY WILIAMS Project:' DATA CENTER EXPANSION Address: 123 INTERNATIONAL WP.Y - SPRINGFIELD, OR . Jurisdiction: CTI representative S. FOX OBOA 177 was on site this date Jan. 06, 2010 to perform Special Inspection for: Permit COM 2009-01260 DFS #(s) SCOPE OF INSPECTION 1. Checked in with superintendent or client representative. Name: MOSES Company: IL MECHANICAL 2. Inspection was "IBe" [i] Continuous o Periodic PROPRIETARY ANCHORS Yes NoN/A I. Reviewed previous inspection reports? 2. Reviewed evaluation report? I : I I Verified', follmving'items'mcet manufacturer-Is published installation instr~ctions. 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, 9, Verified hole cleaning method. 10. Verified adhesive application. ] ]. Verified edge distance. 12. Verified spacing. I ]3. Verified installation torque. X X X X X X X X X X cn Job #: c0901 O'? A SPRINGFIELD PO.Number: Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: CONTRACTOR DRILLED HOLES AND INSTALLED 1121 l/R"X.S" HTI,TI KB-TZ ANCHORS FOR THE BASE SUPPORT OF THE CHILL8RS ON THE EXTERIOR OF THE BUILDING PER DETAIL 4/S-001 OF THE APP~OVED STRUCTU~~L DRAWTN(.;S. AT,T, ANCHORS WERE TOROUED TO MINIMUM 25 J:''T'/T,RS REPORrSUMMARY X 1. Work inspected was:. W 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) 0909PHL Dated: 8/14/09 3. Noncompliance item(s) were noted this date, details on following pagers). DYes D No [;J N/A 4. Noncompliance item(s) were reinspected this date, details on following pagers). DYes D No GJ N/A D Conform D Remain in progress Evaluation report number & date: Report(s) findings were discussed and left with ICC ESR 1917 MOSES 9/1/2005 of IL MECHANICAL Name of product being installed HILTI KB-TZ Batch Number Expiration Date Based on the Code, approval is required rrom 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). D Distri.bute attachments. Page _of_ Daily Report of Proprietary Anchors en Job #: E0901042.A For: 01/06/20101 Project: DATA CENTER EXPANSION 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 information contained in tHis ~~ I If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INe. Reviewed By: Steven Dugger Review Date: 0 I /II /20 10 SF/KMF 11 MECHANICAL INC - MARY WILIAMS TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT KPFF INGO.LANGE@ILMECHANICAL.COM ROBERT RITNER FAX/S03-227-79BO FAX/714-832-1999 PEACE HEALTH RIVERBEND ANNEX