HomeMy WebLinkAboutSpecial Inspection Field Test & Inspection Report 2010-6-3
City of Springfield
Community Services Division
225 Fifth Street
Springfield, OR 97477
Telephone: (541) 726-3759
Fax: (541) 726-3689
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Building Pem,it # Date
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Project Title
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Project Address
Special Inspection and Testing
To applicants of projects requiring special inspection or testing as per Section 1704 or the Oregon Structural Specialty Code. Please review the information below. When YOll have
finished, acknowledge an understanding of the information by signing below, and return this form to the City.
BEFORE A PERMIT CAN BE ISSUED: The owner or owner's representative. on the advice orthe responsible Project Engineer or Architect, shall complete, sign. and submit to the
City for review and approval this form completed on both the front and back.
The owner and General Contractor, where applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing,
t. Contractor is responsible for proper notification for the Inspection or Testing of items listed.
2. Testing laboratory shall take appropriate samples and transport them to their laboratory for proper evaluation or testing.
. Copies of all laboratory reports and inspections are to be sent to the City by the Testing Agency.
3. Special Inspection Agency is to submit names and qualifications of on-site Special Inspectors to the City for approval.
4. Special Inspector shall provide inspection rep0l1s to the building official ofa!1 inspection activities.
5. Contractor is 5csponsible to review the .City approved plans for additional inspection or ~esting requirements that may be noted.
BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency shall submil to .the Building Omcial a statement that all items requiring
inspection have been fulfilled and reported and were to the best of the inspector's knowledge, in conformance with the approved plans, specifications and applicable workmanship
provisions. Those items not tested and/or inspected'shall be noted in the statement. The report is to be submitted to the City prior to a request tor tinal inspections.
ACKNOWLEDGEMENTS
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Engineer or Architec Firm (Pnnted)
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Testing Laboratory Name (Printed)
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SPECIAL INSPECTION AND TESTING SCHEDULE
Reinforced Concrete, Gunite Grout and Mortar:
Concrete Gunite Grout Mortar
Al!l!re~ate Test of Mix Design
Reinforcine. Test
Mix Desip-n-Weiuhmaster Cert..
Reinforcine. Placement
Continuous Batch Plant InsDcct.
Insncct Placin;
Cast Samnles
Samn lesep ickun/Del ivered)
Comoression Test*
Precast/Pre-stressed Concrete:
Piles Post-Tens Pre-Tens Claddin.
A"oreoate Tests
Reinforcinp" Tests
Tendon Test
Mix Desil7l1s*
Reinforcinp Placement
Insert Placement
Concrete Batching
~. Concrete Placement
Installation Insnection
Cast Samoles
Pick-un Samnles
Comnressiol1 Tests
SMOKE CONTROL:.
FIREPROOFING:
Leakage testing
Control Verification
Placement inspection
Density tests
Thickness tests
Inspect batching
ROOFING:
Insulation installation/R-Value*
Test strips/seams
A'j!!;.IONAL INSRUCTIONS, OTHER TEST, & INSPECTIONS:
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GRADING, EXCA V A TION, AND FILL
Acceptance tests '" PSF
Establish final grade
Fill placement inspection/continuous
Soil Density
STRUCTURALSTEELAVELDING:
Sample and test (list specific menibers below)
Shop material identification (mill cert)
Weld inspection _Shop _Field
Ultrasonic inspection _Shop _Field
High Strength Bolting_Shop _Field
A325 _N _X F
A490 _N _X - F
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
STRUCTURAL WOOD:
Shear wall nailing inspection
Shear wall anchors
Inspection ofGlu-Jam fab. '" TIC psi
Inspection oftl1Jss joist fab.
Sample and test components
Fabricat!on welding of steel accessories
MASONRV
Special inspection stresses used'" I'm t'g
Preliminary acceptance tests (masonry units, wall prisms)
v' / Subse:quent tests (mortar, grout, field wall prisms)
Placement inspection oful1its, and reinforcement
Masonry, mortar, grout, and reinforcing steel certificates
Form Completed by:
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.PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALVES
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