HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2010-9-27
l rtI~;l Information
t:!...,. .To Build On
Engl-nng . Consulflng . Testing
~I~
;1(
Professional Service Indusbies, Inc.
1040-A Shelley Street
Springfield, OR 97477
eGe No. 176269
Phone: (541) 746-9649
Fax: (541) 746-7163
( 'I
Steel Inspection Field Report: Report No: SIF:0722275-4/1
Issue No:"1
Client: SACRED HEART MEDICAL CENTER CC: JIM WESTON, JOE These test results apply only to the specific locations and materials n otedand
may not represent any other locations or elevations. This report may nol be
POBOX 10905 SIS, JOHN reproduced,exceplinfull,wilhoutwritten perrnissionby Professional Service
LAVASSAUR, KIP Industries,lnc.
EUGENE, OR 97440 KAUFMAN q--:'~~-D
Project: CATH LAB
SPRINGFIELD OR Approved Signatory: Jessica Bearden Labrum (Office Assistant - OpS)
Date of Issue: 101612010
Date: 19/27/2010 T echnician\; I Wesley Brown
General Contractor: Hyland Construction Subcontractor: Weather: Clear
Location(s)/Item(s): 3Q08 r8J New Inspection
BP #COM2010-01023 .. 0 Re-Inspection
Type(s) of ObservationslTesting Perfonned & General Checklist 0 (Verified)
181 Special lnspection 0 AVYSQC1/ASNT VT To At Completion;Il8lln Progress o Post-Completion* I lSJContinuous DPeriodic DOther
Structural Welding Structural Bolting Steel Erection Post-Installed Anchors Open Web Steel Joist Inspection
o Shop 0 Field DPretension DShear Brg o Shop 0 Field DChemical DMechanical o Shop 0 Field
Weld Process 0 Bolts Specified 0 Joint Details 0 ICBO Report No: 0 Joist Girder Seat Connections 0
Electrode 0 Tum-of-Nut 0 Erection Dwgs 0 Anchor Type I1!l Joist Seal Connections 0
Weld Profiles(s) 0 Cal. Wrench 0 Inspection Rpts 0 Adhesive Type I1!l Horiz. Bridging Connections 0
Welder Cert(s) 0 Tension Control 0 Mark No.s!: 0 Hole Diameter I1!l X-Bridging Connections 0
Weld Prcdr(s) 0 Snug Tight 0 Anchor Bolts 0 Embed Depth I1!l Wind Brace Connections 0
MiIlCert(s) 0 Hardened Washers 0 Columns 0 Manuf.lnstruct's I1!l Bottom Girder Braces 0
Prep & Fit-Up 0 Tighten Sequence 0 Beams :' 0 Clean & Dry I1!l RTU Joist Reinforcement 0
Preheat Temp 0 Faying Surfaces 0 Metal Deck/Studs 0 Adequate Adhes. I1!l IC = IN Compliance 0
OUT OMT ORT OPT Skidmore Tests 0 X-Bracingl 0 TorquedlTight 0
Box Definitions: X-AttaChed: NA-Not Applicable; NC=Nonconformance (see below). *Describe Limitations Below Of Contact B'dg Dept
. Detailed Observations Materials WorkmanshiD & Procedure DescriDtions
Referenced Details/Drawings: Sheet 81.1 dated 7/19/10
Non-Confonnance # ,
Parties Notified: 0 General Contractor DSubcontractor 0 Architect D Engineer 0 Owner 0 Other: o Standby Time:
To the best of my knowledge, the work inspected above was in accordance with the building department approved design drawings, specifications and applicable workmanShip
provisions of the Intemational Building Code: 0 Except as Noted 0 Not Applicabl~ Ilqnunapproved Drawings/Plans/Materials
o NCR Issued 0 Non-Com"liance 0 Renuires Ennineers Accentance RFl 0 RelOsoection Reauired
Inspector: Wesley Brown ID Number: 01077681
Remarks:
(4) epoxy anchors into the floor where rebar was struck while drilling for three bolts. Epoxy anchors were installed with a minimum
embedment depth of 10 inches, using Hilt; Hi-Hy150 max. ICC-ESR #1967 & 2262 expiration dated of 7/2011.
Page 1 of 1
l ~~;l Infonnation
~..". .To Build On
Engineering . Consulflng . Testing
Professional Service Industries, Inc.
1 040-A Shelley Street
Springfield, OR 97477
cee No. 176269
Phone: (541) 746-9649
Fax: (541) 746-7163
( 'J
Steel Inspection Field Report Report No: SIF:072227S-S/1
Issue No: 1
Client: SACRED HEART MEDICAL CENTER CC:'JIM WESTON, JOE These test results apply only to the specific localions and materials no tedand
may nol represent any other locations or eleyatlons, This report may not be
-P 0 BOX 10905 SIS, JOHN reproduced, except in full, without written permission by Professional Service
LAVASSAUR, KIP Industries,lnc.
EUGENE, OR 97440 KAUFMAN 9--~~-D
Project: CATH LAB
SPRINGFIELD OR Approved Signatory: Jessica Bearden Labrum (Office Assistant - Ops)
Date of Issue: 101612010
Date: 110/1/2010 Technician: I Wesley Brown
General Contractor: Hyland Subcontractor: Weather: Clear
Location(s)/ltem(s): Room 3N13 1ZI New Inspection
BP# COM2010-01023 0 Re-Inspection
Type(s) of ObservationslTesting Performed & General Checklist 0 (Verified)
I'8J Special Inspection 0 AWSQClIASNT VT I C8J At Completion'! 0 In Progress o Post.Completion" I C8JContinuous DPeriodic DOther
Structural Welding Structural Bolting Steel Erection Post-Installed Anchors Open Web Steel Joist Inspection
o Shop 0 Field [8JPretension DShear Brg o Shop 0 Field DChemical DMechanical o Shop 0 Field
Weld Process 0 Bolts Specified [;il Joint Details 0 ICBO Report No: 0 Joist Girder Seat Connections 0
Electrode 0 Turn-of.Nut 0 Erection Dwgs 0 Anchor Type 0 Joist Seat Connections 0
Weld Profiles(s) 0 CaL Wrench [;il -, Inspection"Rpts 0 Adhesive Type 0 Horiz. Bridging Connections 0
Welder Cert(s) 0 Tension Control 0 Mark NO.sl 0 Hole Diameter 0 X-Bridging Connections 0
Weld Prcdr(s) 0 Snug Tight 0 Anchor Bolts 0 Embed Depth 0 Wind Brace Connections 0
Mill Cert(s) 0 Hardened Washers 0 Columns 0 Manuf.lnstruct's 0 Bottom Girder Braces 0
Prep & Fit-Up 0 Tighten Sequence 0 Beams' , 0 Clean & Dry 0 RTU Joist Reinforcement 0
Preheat Temp 0 Faying Surfaces 0 Metal Deck/Studs 0 Adequate Adhes. 0 IC - IN Compliance 0
o UT 0 MT 0 RT 0 PT Skidmore Tests 0 X-Bracing 0 TorquedlTight 0
Box Definitions: X-Attached; NA-Not Applicable; NC-Nonconformance (see below). *Describe limitatiOns Below or Contact Bldg Dept.
Detailed Observations, Materials Workmanship & Procedure DescriDtions
Referenced Details/Drawings;
Non-Conformance #
Parties Notified: 0 General Contractor DSubcontractor 0 ArchiteCt 0 Engineer 0 Owner 0 Other: o Standby Time:
To the best of my knowledge, the work inspected above was in accordance ~ith the building department approved design drawings, specifications and applicable workmanship
provisions of the Intemational Building Code: 0 Except as Noted 0 Not Applicable 0 Unapproved Drawings/Plans/Materials
o NCR Issued 0 Non-ComDliance 0 Reouires En.oineers Acceotance (RFn 0 Reinspection ReQuired
Inspector: Wesley Brown 10 Number: 01077681 ,
Remarks:
(32) 5/8 nuts for 20x KB-TZ Y, x 4 Y, torque to 40 It Ibs as per manufactures specifications, (8) % nuts for 15x KB-TZ 5/8 x 6 bolts, torque
to 60 ft Ibs as per manufactures specifications.
Page 1 of 1