HomeMy WebLinkAboutSpecial Inspection Field Test & Inspection Report 2005-8-19
ri
<;;)
<'-l
<:>
Q,
w
(!:J
<[
(L
Co~z~os- - Otot"L
Buildi~1 P~rm i. M
.8-l<; -OS'
0.11:
'"
CD
"
~
~
-..
IV
<>>
~
'-"
Con:::-.lL.iir: ~~-.1:~~ Di'!~ijlt
City IlfSprio&lie1d
L/V(;Ly
POOL
S LIOE'
TOWE~
M
(')
5
,.:.
<0
<l?
~
H l1)
U1 c
(L ~
OJ
,0:;:
OJ
c
W
to
'lJ
"
.c
u
ii
et:
~
(")
U)
ri
I' :;;;
U)
':T <(
I"- r,
ri Il)
':T ~
If) ~
on
<:>
C>
N
O"l <0
<;;) ~
<:n
"I ::J
ri ""
=>
<(
If) :>:.
<;;) '"
'0
<;;) VI
N CiJ
"- ::J
U) f0-
ri
"-
co
<;;)
TO.ppljc.MI ()(' projetU requiring Illc;ill in "elll ion 0( tmins u per Se~jol1 J 1()1.S oftbt Oregon SrruclUn! Sp<<.iltry Code.P1tAie ICvicw J~ inforrnl.lioll below, wtlen you
haw: til1i~.lclcflOlYllllI!e lit tJllclm!Mdi~ (If,fIe inrcmlllon by iiplng below, and rerum Lltu form to the Ciry.
IlEFORE A fER.MITCAN BE ISSUED: The ll\"IUf crownu'" nprucllUllive, DIl Ihe advi<< of the responsible Priljc(t EnJlnw or Ara.ileCl, shill toalpkce, sign. lAd !ubmh
tOllle Ciry for revie", and 8,.,. 'Jllhi! fCfJl\ ~ompl=d 011 ~Il ~e fro~ IlIlltlack.
The o...l\t.T and CHunl ~ractw, wiler&- 8ppliable, shill llso eclalowledgc.be (oUawirc <<Jnditloll1l1pplicable to SpccllllnlpKliWl aJldlar Tt5ung,
I. COIltrllc<<Dr ~ respomible (or prope, rlDlirlCllio" fot ~ INpediQn or TC11ing of kerns lilCcd.
?, TtJlilll f.llbonllll'T sllalllUc Ipp1Dp!~e I~plc:s and trallSplltt lh't1T110 lhir labonlOry (or plcpuCYllIUilion or tellitle,
· Copies orlllllabcracory re~ll1lld inspec:lio,'U are to be'StM to Iht Cil)' by Ihe TtWilg AgMey.
. lliFJt1h'SlI'UI
Sprln&firfd, 01\ '1~ 17
TclcpllOllc: ('.1) 126.3759
FlU.: {.n I J 726.3619
Sp.eciallnspectioD And TUf[ng
:":l!ur ::I;~
(;(00
THv~STD1J R D I S- PRoJ &~I6"'-p
P,ojHI I\ddnH
...
'"
.....
...
'-l
"",
<To
W
'"
....
D1
~. SpieD I rnlpt<<i~n "'<<ley is 10 slfblnil lUll c.l .IK! qualil1ulfoar Ofoll-siJe Speua[ 'rD:lfIec:tC1'lIO IIllr Ci~y ror AWr'OYI L
~
-i
-<
o
-.,
(j}
'l)
~
z
(i)
TO
~
('l
r
'"
4. Spr~fAI rnlPrNlr "'Ill provide illli~<<jgn reports to 1he bui Iding official Df 1111 itu,ctctioa Ictivillu,
j. COlltaclllr i3 re:spcmlibl~ 10 RYiew the C~!)' .ppm..cd plalu for 16di,iClnil inlpecl!oD' III lull1l1 ~lIlrunCJltJ th31 may be nolCd.
BEFOltE A CERTifiCATE OF OCCUPANCY WiLL BE ISSUED: The Spetla' Im)):dian Ageney slal! SlIbmit to 1M fluildLi1:Qffic:ial 8 staltlTlCl'lllhat all helM reqiJ Iring
iaspecliOllb.1ve bees MfiHed and tl:pot1cd alld ~rc to the kll ofl1le inspector', knowIl-dac. in Cllllrormln~ with fhe lppfGved plarlS, spClCHic.ations end applicable ....olmanlhip
prcvhScms. ThoJtilEnls rllH lelrM IncSfQr ms,ec[ecl sha!l be noltl i:. IlIe llalClllenL The TtfiOrt II Co lie ,uOO1ilt<<! to Ole C"tl)' 'prior 10 a ~que&l rOf f<!',al irullulions,
ACKNOWLEDGMENTS
~~ <; ,~l~~t'W\
'<5~ner Nlln1t (Pri11lcd) \
M. R. R lcJ.I'lR.fy; €AJ6,,jE€lb
E~&ilKcr or Ardlilftl Firm (PrillteOJ
1:1' Sipl11Jre . -
€I ~Q~'L
E'.;.e;0~~~~."~~~~\'~~~
T~"'" ... s;"..~ B,O',.. 0......' H.." (Pi;"..,
&A-~ Koe.~~ ~. :r:;}C.
ae", Ccntractor Pm 1i<Ime (Printed)
PSI
~l.~V~
o AI\~~V
t\Jo..J V, jW~ ~
Stl(C'IAI flUD. ~Cl( '. ~ /
: ~,,- ~~
Bultdlng Offlcul Sig.nLlur(-
f's:[
T rMllI g Laboflllory PI line (PriIltcd)
,GRADING, EXCAVATION, Ai'ill FII.L
AccepianceleslS" P$F
Estabrish final grade
Fill placement inspection/continuous
Soil Density
~
CiI
OJ
'-
>-'
>-'
'-
roJ
CiI
CiI
lJ'
f-'
L-
W
--..j
~J
roJ
(jl
w
(jl
~J
(jl
SPECIAL INSPECTION AND TESTING SCHEDULE
Reinforced Concrete, Gunite, Grout and Morbr:
CDncrete I Gunite / Grout Iy[ortar
I I
I
A gate Trst of Mix Drsign
Reinforcing Test
Mix Oesi n- Weighmaster Cm.'"
Reinforcin,gPlacement .
Continuous Batch Plant Inspect.
Inspect Placing
1 Cast Samoles
I Samples (PickuplDelivered)
/ Compression Test*
I
J
I
1
1 1-+
/ precasuPre.'stressed Concrete:
I Piles Post-Tens j Pre-Tens I
i .~
I
I
I
I
/
I
I
I
I
I
Cladding
~gregatc Tests
tie inforcing Tests
Tendon Test.
~ Designs.
Remforclng Placement
, lnsert Placement
Concrete Hatching
Concrete Placement
Installation Inspection
Cast Samples
Pick-up Samples
1 Compression Tests
I
I,
I
-r
- "j
r
'I
~=I
I
J
SMOKE CONTROL:
FlREPROOFlNG:
_leakage lesting
Control Verification
Placement inspection
Density rests
Thickness tests
lospect batcbillg
ROOFING:
Insulation inslallationfR- Value.
Test strips/seams
ADDITIONAL lNSRUCTlONS, OTHER TEST, & INSPECTIONS:
c.iJ)NC-A:Erc .4-/l/CNCi<-$,. eX;,-;?-:j-/llSItyi) 'f- E7oc'xy"
l
1
_I
STRUCTURAL STEELiWELDING:
Samp[e and test (list specific members below)
Shop material ideotification (miU cert)
Weld inspection X .Shop
Ultrasonic inspection Shop
High Strength BoltingSbop
A325 _N --c-X
A490 _N _X
Mel:ll dec!c welding insJX:clion
Reinforcing Steel welding inspection
Reinforcing steel mill certificate '
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel names
~
Field
Field
Field
_F
_F
STRUCTURAL WOOD:
Shear wall nailing inspection
Sbear wail anchors
lnspection orGlu-lam fab, ". _TIC psi
In.specrion oftrmsjoist fab.
Sample and test components
Fabrication welding of steel accessorie:>
o
H
-j
-<
o
"
IJJ
-0
;0
H
Z
G)
"
H
i"l
r
t:J
MASONRY
Special inspection stresses lLIed* f m f g
Prelim.inary acceptance tests (masonry units, wall prisms)
Subsequenrrests (monar, grout, field wall prisms)
Placement inspec,tiDD of unil~, and reinforcement
Masonry, mortar, grout, and reinforcing steel certificates
Form Completed by: MA-Je./<.
R(CI-f.4~S
Dale 8 -/5 -05
-0
D
G)
rrJ
"PROVIDE STRENGTH REQUmED BY ARCHITECT OR ENGINEER OR CONTRACT OOCVl'tIENT LOCATION OF V ALVES
Gl
~I