HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2010-9-13
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Professional Service Industries, Inc.
1040-A Shelley Street
Springfield, OR 97477
eGB No, 176269
Phone: (541) 746-9649
Fax: (541) 746-7163
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Steel Inspection Field Report ,Report No: SIF:0722275-3/1
Issue No: 1
Client: SACRED HEART MEDICAL CENTER CC: JIM WESTON, JOE TheS9 lest results apply only 10 the specific locaIions and materials no tedand
POBOX 10905 SIS, JOHN may not represent any other locations or elevations. This report may not be
reproduced, except in full, without written permission by Professional Service
LAVASSAUR, KIP Industries, Inc.
EUGENE, OR 97440 KAUFMAN ~~-~
Project: CA TH LAB
SPRINGFIELD OR Approved Signatory: David Smith (Branch Manager)
Date of IS$ue: 912312010
Date: 19/13/2010 Technician: I David F. Smith
General Contractor: John Hyland Construction Subcontractor: Weather: Crear
Location(s)/Itern(s): Brackel LS1012F [gJ New Inspection
Building Permit No.: COM2010-1023 0 Re-Inspection
Type(s) of ObservationslTesiing Performed & General Checklist [gJ (Verified)
1SI Special Inspection 0 AWSQC1/ASNT VT I [8J At Completion 0 In Progress o Post-Completion'" I DContinuous lSIPeriodic DOther
Structural Welding Structural Bolting Steel Erection Post~lnstalled Anchors Open Web Steel Joist Inspection
o Shop 0 Field DPretension DShear Brg o Shop 0 Field DChemical 1SIMechanical o Shop 0 Field
Weld Process 0 Bolts Specified 0 Joint Details 0 ICBO Report No' 181 Joist Girder Seat Connections 0
Electrode 0 Turn-of-Nut 0 Erection Dwgs 0 Anchor Type 181 Joist Seat Connections 0
Weld Profiles(s) 0 Cal. Wrench 0 Inspection Rpts 0 Adhesive Type 0 Hori,. Bridging Connections 0
Welder Cert(s) 0 Tension Control 0 Mark No.s 0 Hole Diameter 181 X-Bridging Connections 0
Weld Prcdr{s) 0 Snug Tight 0 Anchor Bolts 0 Embed Depth 181 Wind Brace Connections 0
MiIlCert(s) 0 Hand Washers 0 Columns 0 Manuf.lnstruct's 181 Bottom Girder Braces 0
Prep & Fit-Up 0 Tighten Sequence 0 Beams 0 Clean & Dry 181 RTU Joist Reinforcement 0
Preheat Temp 0 Faying Surfaces 0 Metal DeckJStuds 0 Adequate Adhes. 0 IC - IN Compliance 0
OUT OMT ORT OPT Skidmore Tests 0 X-Bracing 0 TorquedfTight 181
Box Definitions: X-Attached; NA-Not Applicable; NC-Nonconformance (see below). *Desctibe Limitations Below or Contact Bldg Dept.
Detailed Observations Materials, WorkmanshiD & Procedure Descriptions
Referenced Details/Drawings: Room 3Q08 Hilti 1/2" 4" embed -
Non-Conformance #
Parties Notified: 1SI 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 with 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-Comntiance 0 Renuires Enoineers AcceDtance (RFI\. 0 Reinspection ReQuired
Inspector: David F. Smith I D Number:
Remarks:
Nut rotated 3-5 turns and checked at 40 ft. Ibs.
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