HomeMy WebLinkAboutSpecial Inspection Correspondence 2011-3-14
a
Carlson Testing, Inc.
Bend Office (541) 330-9155
GeotechnicalOffice (503) 601-8250
Eugene Office (541) 345-0289
Salem Office (503) 589-1252
. Tigard Office (503) 684-3460
1- --..
"
/
: ~.
-. ~'. ,
~!: ."" ",' -" ~) 'i, ,;'... .~.'
. ","',::' ".,,~..
,. - ~"; -, '" . .
, "; t:'.._;:, " '.' r...,' . _ _" -:,'::.~. :::.~./~:~.:.~....i (;t ;.'.:, '::... _
; _ Special Inspection ". .._.0. ..'. ..~ ,: '." ',..'
. - -"1 ~ ,. ~..' H
FINAL SUMMARY tETTER :, S ':..;.. . ... .~;.,r,' ',: ':i<.:
,
I,'....~_ . I, ....
March 14, 2011
E1101131.CTI
-' .
"., .
'.".' :
" ,-
. ,.' .-" , ': ~ ~ .;'~'
..' ~I: ,J,
.-, '.
City of Springfield
225 Fifth Street
Springfield, OR 97477
Re: McDonalds Springfield - Remodel
3405 Gateway Street - Springfiela, OR
Permit No. :SPR201 0-00269
Dear Sir:
This is to certify that in accordance with Section 1704 of the International Building Code we have performed
special inspection of the following item(s) per our inspection reports only:
Reinforced Concrete
Installation of Epoxy & Wedge Anchors
Structural Steel - Shop (includes verification of weide-certifications, weld procedures and material certifications)
All inspections and tests were performed ~~d rk'p6rte'c{:accbrdlng:to the requirements of Project Documents
and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and applicable workmanship provisions of the State Building Code
and Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested/i nspected only. Information contained herein is not to be
reproduced, except in full, without prior authorization from this office
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
---
Eugene Branch Manager
DB/Is
cc: McDonald USA LLC - Clint Cameron
Dibble Engineering - Robb Dibble
Rich Duncan Construction Inc - Scott Jackson
Rich Duncan Construction Inc - Nate Cooke
.
,-,
....;l
u
~ ~
I:: ....
.... rJl
~ ~
I:: rJl
.-
.... 8
rJl
CI; CI;
Eo-< ....
....
I:: ~
0 CI;
rJl ....
- CI;
10 -
ell Q.
U 8
0
OJ
I::
....
...~
'"
0
H
"' cl
0
0 H
" "'
"' H
'" '"
D
"
H
0 '"
H '"
"' Ul
H
'"
D
" ~
H Ul
'" '"
'" ~ '"
Ul ,,; N
'" 0
Ul "' 0
0 ~ 1
H ,,; 0
,,; D '"
" 0
0 "' N
0 0 '"
U ~ '"
" M Ul
~
0.; ~
"
E h
0 '0
- '" '0 <:;
N '" :z: <:z:
"' - <:;
- u t) .~ :z:
'" .~.~ E
t;; - ci
- e e (])
:::; '" 0.0.0. 0.;
'"
U
,,;
"'
H
'"
." '"
~ 0
~- N
u "-
-~
" h ~
Qh '"
0 "-
U M
0
I::
0
C
..
Vi
1= "
u ~
'"
'"
0
'"
H '" '"
H 0 1
,,; '"
~ " '" '"
u "' "' 1
=
o~ "' M
'" " 0
Co "' H
E '" D 0
0 " "'
u "' "' ~
H ,,;
~ "' 0
'"
~ ~ 0
'" '"
"' " 0
U 0 U
U '" "'
,,; '" '"
Ul
H
'"
~
'" "' Ul '"
0 '" " " '"
'" D H 0
~ 0 '"
"' 0 "'
U '" "' '" '"
~ 0 III H 0
'" H D '"
~ '" 0<
'" Z U OJ Ul
"' 0 Ul '" D
U H "' Z
= U ~ D Ul H
" ,,; H ~
0:< U Ul
C. Z H ,,; ~
o~ "' '" '" 0
u ~ ~ "' 0
~ ~ ~ '" 0
~ H '" "' "'
Q '" '" :>
E '" '" '" 0
~ 0 Z '"
::: 0 "' 0 '"
~ Z '" H '"
0 D ~ ,,;
H Ul U
'" ~ 0 "' 0
"' H H '" Z
H 0 U Ul
:> Z Z Z 0
"' 0 "' H :2
'" U
'" '"
Ul Ul 0 '"
- ~ ~ '" 0 0
'" H Ul ~ "'
"' H ~ " "
OJ D Ul U '"
Z III H - H 0
H 1 "' "' '" '"
D Ul "' ~ '" '"
Z ;'= ~ ,,; ,,; "'
"' Ul 0 '" '"
'"
'"
0
~ N
- "-
" '"
Q '"
"-
N
0
ci. 0
~ H
..: Ul
'"
'It
E
::
III
'-'
"
~
=
'"
:::;
10
"
B
h
0.
"
~
0.
Z
0
Ul
'" "'
U '"
~ ;3 0
" 0
"' U
" ~
~ ~ "'
z~ 0 ~
U ,,;
0,"", Ul Z
"'",H
",01Il
~Di'l U U
uzo Z Z
H H H
~01Il
"H'" Z Z
HHO 0 0
HD'" H H
UIIl ~ ~
U U
10 D D
HD '" '"
u"'z ~ ~
HHH Ul Ul
H,"'" Z Z
"'"' 0 0
,,;,,", U U
UlHZ
D"'H Z ;'1
'"'" ,,;
UlUlZ U U
0 "' Z Z
H," D D
";0", 0 0
Z H
o~'" '" '"
0~1Il U U
UHH H H
"uo '" '"
u
u
,.
"
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 Anchors
Client: MCDONALDS USA LLC - CLINT CAMERON
Project: MCDONALDS SPRINGFIELD - REMODEL
Address: 3405 GATEWAY ST - SPRINGFIELD, OR Jurisdiction:
eTr representative S. DAUGHTRY CBOA 658, 685
was on site this date Mar. 11, 2011 to perfonn Special Inspection for:
Pennit SPR2010-00269
DFS #(s)
cn Job #: El101l31.
SPRINGFIELD
PO Number:
SCOPE OF INSPECTION
1. Checked in with superintendent or client representative.
Name: SHAWN
Company: RICH DUNCAN CONSTRUCTION
2. Inspection was "IBC" GJ Continuous
o Periodic
PROPRIETARY ANCHORS
Yes NoN/A
1. Reviewed previous inspection reports?
2. Reviewed evaluation report?
Verified following items meet manufa:::mrerTs
published installation instructions.
3. Verified minimum embedment depth of the
anchors. x
4.Verified installation of the anchors. x
S. Verified anchor diameter. x
6. Verified steel grade. x
i. Verified hole diameter. x
8. Verified type of drill bit used. x
9. Verified hole cleaning method. x
10. Verified adhesive application. X
11. Verified edge distance. x
12 Verified spacing. x
13. Verified installation torque. X
Location of proprietary anchors inspected [to include grid
lines, elevations (floors) and drawing details]:
OBSERVED INSTALLATION OF (S) S/S!TX7" HILTI KE3
EXPANSION ANCHORS INTO CONCRETE SLP~ (EXISTING)
UNDER TRASH ENC' .OSURE FOR (2) COLUMNS
- REPORT SUM...I\1ARY
I. Work inspected was: GJ Completed 0 In progress
2. Completed work inspected was in compliance with
o Approved plans and specifications 0 Shop drawings
o RFI GJ Design change 0 Submittal 0 N/A
Document #(s) SK-2
Dated: 1/16/11
3. Noncompliance item(s) were noted this date, details on
followingpage(s). 0 Yes 0 No GJ N/A
4. Noncompliance item(s) were reinspected this date, details
on following page(s). 0 Yes 0 No GJ N/A
D Conform 0 Remain in progress
Evaluation report number & date: Report(s) fmdings were discussed and left with
ICC 2302 SHAWN
12/1/09 of RICH DUNCAN CONSTRUCTION
Name of product being installed HILTI KB3
Batch Number
Expiration Date
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).
o Distribute attachments.
Page _of_
{. .
Daily Report of Proprietary Anchors
CTI Job #: El101l31.
Fo~ 03/11/2011
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 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 CTI has distributed this report shall be entitled to use or rely upon the information contained in this
document.
Ifthere 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: 03/14/2011
SD/KMF
MCDONALDS USA LLC - CLINT CAMERON
TO: CITY OF SPRINGFIELD BUILDING DEPARTMENT
DI.=:.BLE ENGINEERING -- ROBE DIBBLE
/
RICH DUNCAN CONSTRUCTION INC SCOTT JACKSON
RICH DUNCAN CONSTRUCTION rNC - NATE COOKE