HomeMy WebLinkAboutMiscellaneous Field Test & Inspection Report 2011-6-28
l "'r }~;l Information
I:f!."'. .To Build On
Engineering. Consulting. JestIng
Professional Service Industries, Inc.
1040-A Shelley Street
Springfield, OR 97477
ceB No. 176269
Phone: (541) 746-9649
Fax: (541) 746.7163
l 'J
Special Inspection Daily Field Report Report No: SIDF:0722375-8/1
Issue No: 1
Client: MCKENZIE WllLAMETTE MED. CTR. CC: CITY OF These lest results apply only to the specific locations and materials noted and
1460 G STREET SPRINGFIELD, DAVE may nol represent any other locations or elevations. This report may not be
reproduced, except in full, without written permission by Professional Service
STANGE, GERALD Industries. Inc.
SPRINGFIELD, OR 97477 MCDONNEll & ~ ~-
ASSOCIATES,
MCKENIZE
Project: SURGERY FAN REPLACEMENT COMMERICAl
SPRINGFIELD OR GENERAL CON.. Approved Signatory: Ryan Robley (Department Manager)
Dale 01 Issue: 6/2912011
Date: ~ General Contractor:
Permit( COM201q4l0!,97./ Weather: Cloudy/rain
\. TVDe of InsDection Performed
0 Reinforced Concrete 0 Structural Masonry 0 High Strength Bolting 0 Fireproofing [gJ New Inspection 0 Re-Inspection
0 Reinforcing Steel 0 Soils [gJ Welding 0 Other Standby Time:
. Field Observations & Comments
[gJ Special Inspection 0 Continuous [gJ Periodic
location(s)/Item(s):
On lines D, 6.5, 4.5
Referenced Details/Drawings:
S-100 plan - details S-900 #12
Remarks:
Visual inspection on flare bevel 1" at 12 o.c. at the double studs and at the 12" double joists.
Line D - 3 = double studs place
Line 6.51 = double studs place
Line 4.52 = double studs place and the 12" double joist
To the best of PSI's knowledge, the work inspected to the approved construction documents are:
[gJ Conforming 0 Non-Conforming
Inspector: Charles Meek I Inspector Cert No.: CWI #00061001
Jobsite Representative:
Page 1 of 1