HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2011-1-17
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"GJrlson Testing, Inc.
"'
Bend Office
Geotechnical Office-
Eugene Office
Salem Office
Tigard Office
(541) 330-9155
(503) 601-8250
(541) 345-0289
(503) 589-1252
(503) 684-3460
Daily Report of Structural Steel
Client: MCDONALDS USA LLC CLINT CAMERON
Project: MCDQNALDS SPRINGFIELD - REMODEL CTI Job #: EIlOll31.
Address: 3405 GATEWAY ST - SPRINGFIELD, OR Jurisdiction: SPRINGFIELD
CTI representative L. WESTPHAL I JR. OBO.n. 782
was on site this date Jan. 17 I 2011 to perform Special Inspection for:
Permit SPR2010-00269
DFS #(s)
PO Numbe~:
SCOPE OF INSPECTION
,
Location of steel inspection [to include grid lines, elevations
(floors) and drawing details):
I
CONTINUOUS INSPECTION OF FLARE BEVEL WELDS AND
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PERIODIC VISUAL INSPECTION OF SINGLE PASS FILLET
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WELDS. E71T-l FILLER NETAL .045 DIAMETER
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ELECTRODE FCAW PROCESS. DeEP C02 GAS SHIELD AT 29
CFH 226.4 AMPS AT 23.11 VOLTS. THREADED ROD WITH
5/1611 FILLET WELDS AJL AROUND OK PER AWS S:E:CTION
I
7 Dl.l. ~~TS INSPEC~ED:
1A(1) ,1B(1) ,1C(1). I
FILLET WELDS PER AWS ID1. 1 SECTION' 5 FIGURE 5.4
I
AND SECTION 6 TABLE 6.1
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I
I f.
REPORT SUMMARY..
I
1. Work inspected was: ,[1J Completed 0 In progress
2. Completed work inspecied was in compliance with
I
D Approved plans and specifications [if Shop dra\vings
o RFI 0 DeSign:change 0 Submittal 0 NIA
Document #(5) PAGE 1 . Dated:
3. Noncompliance item(s) ~ere noted this date, details on
followingpage(s). 0 Yes D No GJ NIA
4. Noncompliance item(s) wI I ere reinspected this date. details
Yes NoN/A onfollowingpage(s). 0 Yes 0 No GJ NIA
D Conform D Remain in progress
Report( s) findings were d1ussed and left with
~ I
of I
Based on the Code, approval is r~Uired from the Building Official before the
SPECIAL INSPECTED items noted above can be covered. Carlson Testim:
has no authoricy (0 direct work of contractors or subcontracTOrs. ~
o Distribute attachments. Page _of _
I. Checked in with superintendent client or shop rep.
Name: MIKE
Conlpany: DAFS STEEL
2. Inspection was IIBe" W Continuous D Periodic
3. Work perfonned: 0 In the field GJ At fab shop
DANS STEEL
4. If shop inspection do they have fabrication and QC
procedures? GJ Yes D No D NIA
INSPECTION
Yes NaNIA
I. Reviewed previous inspection reports? X
2. Verified steel materials are in compliance by reviewing
random samples of the mill test reports, steel IO X
markings or other documentation.
3. Verified weld filler materials conform. X
4. Checked steel members to see they were fabricated and
erected in accordance with the workmanship and X
tolerances required.
5. Checked welded studs and structural connections were
installed as required. X
6. Verified high strength bolts and fasteners conform. X
7. Veritied the quality of welds produced by welders,
welding operators. and tackers conform. X
8 Verified steel frame joint details for bracing. stiffening,
member locations, and application of joint details at each X
connection are in compliance by random sampling.
WELDER INFORMATION
\\Telders Name:
Certification #:
MIKE SWK~INGTON
ON FILE
I. Verified the contractor's Welding Procedure
Specifications are in conformance with X
AViS requirements.
2. Verified the essential variables outlined in the
Welding Procedure Specifications were X
employed during execution of the work.
3 Verifi.ed the weldability of reinforcing steel
other than ASTM A 706. X
D See additional report pagers).
if
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Daily Report of Structural Steel
CTI Job #: El101l31.
For:
Ol/17/2011l~ '
Project:
MCDONALDS SPRINGFIELD - REMODEL
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 Ii
without prior authorization from this office. Under all circumstances, the information contained in this report is provided
subject to all terms and conditions of CTl's General Conditions in effect at the time this report is prepared. No party other
than those to whom cn has distributed this report shall be entitled to use or rely upon the information contained in this
document.
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: 01/27/2011
LLW/KMF
MCDQNALDS USA LLC - CLINT CAMERON
TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT
DIBBLE ENGINEERING ~ ROBE DIBBLE
RICH DUNCAN CONSTRUCTION INC - SCOTT JACKSON
MCDONALDS USA LLC - CLINT CAMERON
RICH DUNCAN CONSTRUCTION INC - NATE COOKE
Carlson Testing, Inc.
Daily Report of Reinforced Concrete
CLINT CAMERON I
I cn Job #:
Jurisdiction: I SPRINGFIELD
I
Clieut: MCDONALDS USA LLC -
Project: MCDONALDS SPRINGFIELD - REMODEL
Address: 3405 GATEWAY ST - SPRINGFIELD, OR
CTI representative S. DAUGHTRY OBOA 658 , 685
was on site this date Jan. 19, 2011 to perform Special Inspection for:
Permit SPR2010-00269
PO Numb~r:
I
I
GONCRETE
I. Mix Design approved" 10 Yes 0 No
2. Monitored loads arriving, at job site for correct:
Mix#: 3500 I
Slump I % Air
3. Type of samples made? 14 X 8 CONCRETE CYLINDERS
Number of sets 1 Samples per set 4
I
4. Inspected placmg and consohdatJon of approx.
cubIc yards of concrete I
Yes No N/A LocatIOn of concrete placement [to mclude gnd Imes. elevatIOns
(floors) and drawing details):
SAME AS BELOW I
I
I
I
I
I
I
I
After samples are testeh, results will fo110\\' on break report.
I
REPORT SUMMARY
I
1. Work inspected was: GJ Completed 0 In progress
2. Completed work inspect~d was in compliance 'with
GJ Approved'plans and kpecifications 0 Shop drawings
o RFI 0 Design lhange 0 Submittal 0 N/A
Document#(s) S2.0 I Dated: 8/2010
3. Noncompliance item(s) ~ere noted this date, details on
following page(s). [] Yes 0 No GJ N/A
4. Noncomphance item(s) "\"ere reinspected this date. details
on following page(s). I 0 Yes 0 No GJ N/A
o Conform D Remain in progress
Report(s) fmdings were disbussed and left with
SHAWN I
of RICH DUNCAN CONS~RUCTION
I
Based on the Code. approval is required from 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.
o See additional report page(s). 0 Distribute attachments.
..
DFS #(s)
Bend Office
Geotechnical Office
Eugene Office
Salem Office
Tigard Office
(541) 330-9155
(503) 601-8250
(541) 345-0289
(503) 589-1252
(503) 684-3460
EIIOl131.
SCOPE OF INSPECTION
1. Checked in with superintendent or client representative.
Name: SHAWN
Company: RICH DUNCAN CONSTRUCTION
2. Type of work: [i] Concrete [i] Reinforcing
3. Work included: GJ Sampling GJ Inspection
4. Inspection was 'IBC' GJ Continuous 0 Periodic
5. Work performed: GJ In the field 0 At precast shop
REINFORCING
1. Reviewed previous inspection reports? X
2. Forms clear of debris" y
3. Type, grade, size, quantity, spacing and x
condition conform?
4 Verified forms will nominally result in
hardened concrete of the required X
cross-sectional dimensions.
5. Verified location of reinforcing .steel, pipes,
conduits and sleeves with respect to X
minimum concrete cover.
6. Verified type and location of splices, length x
of comact laps. and min. diameter of bends.
7. Verified support & anchorage of reinforcing
steel in the forms. x
8. Verified structural embedments in the forms
with regard to fabrication, quality and type. x
9. Verified strucrrual embedments in the forms
with regard to weld inspection, quantity, and X
permits issued.
10. Verified cast in place anchors. x
Description of struCillre inspected [to include grid lines,
elevations (floors) and drawing details]:
DRIVE UP WINDOW. CONTINUOUS FOOTING WITH STEM
WALL AND DRIVE UP WINDOW SPREAD FOOTINGS
GJN/A
1.5
Page _ of
.
Daily Report of Reinforced Concrete
CTI Job #: E1101131.
Project: MCDONALDS SPRINGFIELD - REMODEL
For: 01/19/2011.
Notes:
SLUMP NOT SPECIFIED ON MIX DESIGN, CONTRACTOR INFORMED OF 6" SLUMP
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 Ii
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
document.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
Reviewed
Review Date: 01/27/2011
SD/KMF
MCDDNALDS USA LLC - CLINT CAMERON
TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT
DIBBLE ENGINEERING - ROBE DIBBLE
RICH DUNCAN CONSTRUCTION INC - SCOTT JACKSON
MCDONALDS USA LLC - CLINT CAMERON
RICH DUNCAN CONSTRUCTION INC - NATE COOKE
Carlson Testing, Inc.
Bend Office
Geotechnical Office
Eugene Office
Salem Office
Tigard Office
(541) 330-9155
(503) 601-8250
(541) 345-0289
(503) 589-1252
(503) 684-3460
Daily Report of Proprietary Ancho1rs
CLINT CAMERON I
Client: MCDONALDS USA LLC -
Project: MCDONALDS SPRINGFIELD - REMODEL
Address: 3405 GATEWAY ST - SPRINGFIELD, OR
CTI representative S. DAUGHTRY OBOA 658, 685
was on site this date Feb. 03, 2011 to perform Special Inspection for:
Permit SPR2010-00269
cn Job #:
EllOll3l.
J nrisdiction:
SPRINGFIELD
DFS #(s)
I
PO Number:
. I
I
Location of proprietary ancrors inspected [to include grid
lines, elevations (floors) and drawing details):
INSTALLATION OF (40) 1#4X 30" REBAR DOWELS
I
EMBEDED 6", INSTALLED HORIZONTALLY INTO STEM
WALL. FOUNDATION AND I SLAB AT NEW FOuTIDATION AND
SLAB CONNECTIONS FORI THE NORTH WEST CORNER,SOUTH
I
WEST CORNER,NORTH WEST CORNER OF SOUTH BAY, AND
SOUTH EAST CORNER OFI SOUTH BAY. CONCRETE BASE
I
MATERIAL STRENGTH UNKNOWN.HILTI RESOD 3D USED IN
I
YesNoN/A LIEU OF HILTI HIT HYl50 AS SPECIFIED, AS PER
ENGINEERS EMAIL I
I
REPORT SUMMARY
I
I. Wark inspected was: CJ Completed 0 In progress.
2. Completed work inspect~d was in compli~nce with
CJ Approved plans and fPecifications 0 Shop drawings
o RFI 0 Design clange CJ Submittal 0 N/A
Document #(s) 2&3/S-4 Dated:' 8/2010
3. Noncompliance item(s) ~ere noted this date, details on
following page(s). 10 Yes 0 No W N/A
4. Noncompliance item(s) were reinspected this date, details
on following page(s). 10 Yes 0 No W N/A
o Conform D Remain in progress
Report(s) fmdings were diLussed and left with
SHAWN I
of RICH DUNCAN I
SCOPE OF INSPECTION
Expiration Date 09/2011 09/2011 09/2011 I
I
Based on the Code, approval is required from 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.
1. Checked in with-superintendent or client representative.
Name: .sHAWN
Company: RICH DUNCAN CONSTRUCTION
2. Inspection w~s "IBen
[1J Continuous
D Periodic
PROPRIETARY ANCHORS
1. Reviewed previous inspection reports?
2. Reviewed evaluation report?
Verified follO\ving items meet manufacturer's
published installation instructions.
3. Verified minimum embedment depth of the
anchors. x
4.Verified installation of the anchors. x
5. Verified ancbor diameter. x
6. Verified steel grade. x
7. Verified hole diameter. x
8. Verified type of drill bit used. x
9. Verified hole cleaning method. x
] O. Verified adhesive application. x
11. Verified edge distance. x
12. Verified spacing. x
13. Verified installation torque. x
Evaluation report number & date:
ESR 2322
4/1/2010
Name of product being installed
HILTI RE 500 SD
Batch Number 090910857L 090910
090910
D See additional report page(s).
D Distribute attachments.
Page _of _
Daily Report of Proprietary Anchors
CTI Job #: El101l31.
For: 02/03/2011'
Project:
MCDONALDS SPRINGFIELD - REMODEL
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 Ii
without prior authmization from this office. Under all circumstances, the information contained in this report is provided
subject to all terms and conditions of CTl'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
document.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
Reviewed By: Steven Dugger
Review Date: 02/07/2011
SD/KMF
MCDONALDS USA LLC - CLINT CAMERON
TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT
DIBBLE ENGINEERING - ROBE DIBBLE
RICH DUNCAN CONSTRUCTION lNC SCOTT JACKSON
RICH DUNCAN CONSTRUCTION INC - NATE COOKE
Carlson Testing, In'c.
Daily Report of Reinforced Concrete
CLINT " CAMERON 'I
I cn Job #:
Jurisdiction: I SPRINGFIELD
I
Client: MCDONl'.LDS USA LLC -
Project: MCDONALDS SPRINGFIELD - REMODEL
Address: . 3405 GATEWAY ST - SPRINGFIELD, OR
cn representative S. DAUGHTRY OBOA 658 , 685
was on site this date Feb. 03, 2011 to perform Special Inspection for:
Penllit SPR2010-00269
DFS #(s)
PO Numb~r:
I
I
CONCRETE
I. Mix Design approved? I DYes D No
2. Monitored loads arriving, at job site for correct:
Mix#: 3500 3/4" I'
Slump 4+/-1 I % Air
3, Type of samples made? 14 x 8 CONCRETE CYLINDERS
Number of sets 1 Samples per set 4
I
4 Inspected placmg and consolIdatIOn of approx
CUbIC yards of concrete. I
Yes No N/A LocatIOn of concrete placement [to mclude gnd lines. elevatIons
(floors) and drawing details):
I
SAME AS REINFORCEMENT SECTION
I
I
I
I
I
I
I
After samples are teste1d, results will follow on break report.
I
REPORT SUMMARY
I
I. Work inspected was: GJ Completed D In progress
2. Completed work inspect6d was in complIance with
[i] Approved plans and kpecifications D Shop drawings
D RFI D Design lhange D Submittal D N/A
Document #(s) I Dated:
3. Noncompliance item(s) tere noted this date: details on
followingpage(s). [] Yes D No [i] N/A
4. Noncompliance item(s) "\"ere reinspected this date, details
on following page(s). I DYes D No [i] NI A
D Conform 0 Remain in progress
Report(s) findings were disbussed and left with
I
of I
I
Based on the Code, approval is required from 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 page(s). D Distribute attachments.
Bend Office
'Geotechnical Office
Eugenc Office,
Salcm Office
Tigard Office
(541) 330,9155
(503) 601-8250
(541) 345,0289
(503) 589-1252
(503) 684-3460
EllOll3l.
SCOPE OF INSPECTION
I. Cbecked in with superintendent or client representative.
Name: SHAWN
Company: RICH DUNCAN
2. Type of work: GJ Concrete [i] Reinforcing
3. Work included: GJ Sampling GJ Inspection
4. Inspection was 'IBC [iJ Continuous 0 Periodic
5. Work performed: GJ In the field D At precast shop
REINFORCING
1. Reviewed previous inspection reports? X
2. Forms clear of debris? x
3. Type, grade~ size, quantity, spacing and x
condition conform?
4. Verified forms will nominally result in
hardened concrete of the required x
cross-sectional dimensions.
5. Verified location of reinforcing steel, pipes,
conduits and sleeves with respect to X
minimum concrete cover.
6. Verified type and location of splices, length x
of contact laps, and min. diameter of bends.
7. Verified support & anchorage of reinforcing X
steel in the forms.
8. Verified structural embedments in the form..,;;;
with regard to fabrication, quality and type. x
9. Verified structrual embedments in the fonns
with regard to weld inspection, quantity, and x
permits issued.
10. Verified cast in place anchors. y
Description of structure inspected [to include grid lines,
elevations (floors) and drawing details):
NORTH WEST SOUTH WEST. SOUTH BAY SOUTH WEST AND
SOUTH EST CORNERS OF NEW FOOTING/STEMWALLS AND
SLAB
GJN/A
2
Page _ of
Daily Report of Reinforced Concrete
CTI Job Ii: El101l31.
For: 02/03/2011"
:Project: MCDONALDS SPRINGFIELD - REMODEL
Notes:
In some cases more than one box may be checked for a given item on the front page.
Our reports pertain 10 the material tested/inspected only. Information contained herein is not to be reproduced, except in fi
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 cn has distributed this report shall be entitled to use or rely upon the information contained in this
document.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, 1Ne.
Reviewed
Review Date: 02/09/2011
SD/KMF
MCDONALDS USA LLC - CLINl CAMERON
TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT
DIBBLE ENGINEERING - ROBE DIBBLE
RICH DUNCAN CONSTRUCTION INC SCOTT JACKSON
RICH DUNCAN CONSTRUCTION INC - NATE COOKE
Carlson Testing, Inc.
Bend Office
Geotechnical Office
Eugene Office
Salem Office
Tigard Office
(541) 330-9155
(503) 601-8250
(541) 345-0289
(503) 589-1252
(503) 684-3460
Daily Report of Proprietary Anch6rs
Client: MCDONALDS USA LLC - CLINT CAMERON I
Project: MCDONALDS SPRINGFIELD - REMODEL I en Job #: E1101131.
Address: 3405 GATEWAY ST - SPRINGFIELD, OR Jurisdiction: I SPRINGFIELD
cn representative S. DAUGHTRY OBOA 658,685
was on site this date Feb. 18, 2011 to perform Special Inspection for: I
Permit SPR2010-00269
DFS #(s)
PO NumbJr:
I
I
Location of proprietary anchors inspected [to include grid
lines, elevations (floors) and drawing details):
(42) #4 REBAR DOWELSI INSTALLED HORIZONTAL INTO
I
EXISTING TR..Zl.SH ENCLOSURE FOOTING WITH 2 1/2"
I
EMBED, (10) #5 REBAR DOWELS IN THE NORTH WEST AND
I
SOUTH WEST CORNERS OF THE TRASH ENCLOSURE EMBED
I
6". EXISTING CONCRETE STRENGTH UNKNOWN
I
I
I
I
I
REPORT SUMMARY
I
I
Based on the Code, approval is required from the Building Official before the SPECIAL INSPECTED items noted above can
be covered. Carlson Testing has no authority to direct work of contractors or subcon~actors.
SCOPE OF INSPECTION
I. Checked in with superintendent or client representative.
Name: SHAWN
Company: RICH DUNCAN CONSTRUCTION
2, Inspection was "IBen W Continuous
o Periodic
PROPRIETARY ANCHORS
Yes NaNIA
1. Reviewed previous inspection reports?
2. Reviewed evaluation report?
x
X
Verified following items meet manufacturer's
published installation instructions.
:>. Verilled minimum embedment depth of the
anchors. x
4.Verified installation of the anchors. x
5. Verified anchor diameter. x
6. Verified steel grade. X
7. Verified hole diameter. x
8. Verified type of drill bit used. x
9. Verilled hole cleaning method. x
10. Verified adhesive application. X
11. Verified edge distance. x
12. Verified spacing. x
13. Verified installation torque. X
Evaluation report number & date:
lee 2322
4/1/2010
Name of product being installed
HILTI RE 500 SD
Batch Number 191110
191110
191110
Expiration Date 11/2011
11/2011
11/2011
o See additional report pagers).
D Distribute attachments.
I. Work inspected was: iii Completed . D In progress
2. Completed work inspected was in compliance with
GJ Approved plans and rpecifications D Shop drawings
GJ RFI 0 Design clange D Submittal 0 N/A
Document#(s) 7/S3 &SK2,1 Dated: 1/5& 16/11
3. Noncompliance item(s) lere noted this date, details on
followingpage(s). . I DYes D No GJ N/A
4. Noncompliance item(s) were reinspected this date, details
on following pagers). I 0 Yes D No GJ N/A
D Conform D Remain in progress
Report(s) findings were diLussed and left with
SHAWN I
I
of RICH DUNCAN CONSTRUCTION
Page _of _
Daily Report of Proprietary Anchors
CTI Job #: E1101131.
Project: MCDONALDS SPRINGFIELD - REMODEL
For; 02/18/2011
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 Ii
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 cn has distributed this report shall be entitled to use or rely upon the information contained in this
document:.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
Reviewed By: Steven Dugger
Review Date: 02/21/2011
SD/KMF
MCDONALDS USA LLC - CLINT CAMERON
TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT
DIBBLE ENGINEERING - ROBB DIBBLE
RICH DUNCAN CONSTRUCTION INe SCOTT JACKSON
RICH DUNCAN CONSTRUCTION INe - NATE COOKE