HomeMy WebLinkAboutSpecial Inspection Field Test & Inspection Report 1998-3-26
....
:..
,'..:t-,.
,Buildin& Penn it #
~r 7.1 S- 5'""" S
Date'
3/~/Cje
..:- -0
\ III ,
. City of Springfield
Community Services Division
225 Fifth Street ,
Springfield, OR 97477
Telephone: (541) 726-3759
Fax: (541) 726-3689
, Special Inspection And Testing.
Project Title
107
U/~ST Q <;, T.
Project Address
To applicants of project~'requiring s'pecial inspection or testing as per Section 1701.5 of the Oregon Structural Specialty Code. Please review.the information below. When you
have finished, acknowleage an understanding of the information by signing below, and return this fonn to th~, City.
BEFORE A PERMn\CAN BE ISSUED: The owner or owner's representative, on the advice of the responsible Project Engineer or Architect, shall complete, sign, and submit
to the City for review and approval this form completed on both the front and back.
The_Ownerand,General Contractor,,}'I,here applicable, shall also acknowledge the following'conditions applicable to Special Inspection and/or Testing.
1. Contractor is responsible for proper notification for the Inspection or Testing of items listed,
2. Testing la bora tory shall take appropriate samples and transport them to their laboratory for proper evaluation or testing.
· Copies of all laboratory reports and inspections are ,to be sent to the City by the Testing Agency.
3: Special Inspection Agcncy is to submit names and qualifications of on-site Special Inspectors to the City'for approval.
4. Special Inspcctor shall provide inspection reports to the building official of all inspection activities.
5. Contractor is responsible to review the City approved plans for additional inspection or testing requirements that may be noted.
BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED: The Special Inspection Agency shall submit to the Building Official a statement that all items requiring
inspection have been fulfilled and reported and were to the best of the inspector's knowledge, in confonnance with the approved plans, s'pecifications and applicable workmanship
':,.
provisions. Those items not tested and/or inspected shall be noted in the statement. The report is to be submitted to the City prior to a request for final inspections.
ACKNOWLEDGMENTS
-
/ott::/d /orfe.y
Owner Name (Printed) .
~~\~\).\
Engineer or Architect Finn (Printed)
Eh+vtJ ~7EG
Testing Laboratory Name (Printed)
.
~
Genrral Contractor, Signature
~cZ~
Owner Signature /
~lE c.o~'t. t:'\.lC-
Gen, Contractor Finn Name (Printed)
-.O~
' ,
. " \
Engin@ rchi~ct Signature
Ef<A-VN ...LJ-rE.K.J I:=.L-
Special Inspection Agency Name (Printed)
. --:::> <
1.. ~\\~~l_~\\
BUlldin~'~Name (Printed) _
/1. ~ ~~
. Special Insp.(~~e4 ~ Sign.
cl~~J-
Building Official Signature
/JJ. 7f. ~
Testing Laboratory R6P Signature
...
t)~
SPECIAL INSPECTION AND TESTING SCHEDULE
t..~'"
.
A~re~ate Test of Mix Desi"n
Reinforcin~ Test
Mix I2.e..sigr1- We i 2l.1m.S.J r C e rt"
Reinfocing Placement
Continuous Satch Plant Ins!"
Irt:mect e1ll:iM
, Cast SarrmJes
Samnles (Pickup/Delivered)
Comnression Test. ,
GRADING,EXCAVATION, AND FILL
Acceptance tests * PSF
Establish final grade
Fill placement inspection/continuous
Soil Density
Reinforced Concrete, Gunite, Grout and Mortar:
~rete Gun,ite Grout MID1a.r
t'recastlPre-stressed Concrete:
Jiles Post-Tells P~s Claddin~
<:..
STRUCTURALSTEELAVELDING:
, Sample and test (list specific members below)
Shop material identification (mill cert)
Weld inspection Xi Shop U Field
Ultrasonic inspection _ Shop _ Field
High strehg~h bolting 'Shop 'li Field
A32'5 N X F
A490 N X F
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
A€~reeflte furs
Reinforcin2 Tests
T~n Test
Mix Desi(7ns.
Reinforcin2 Placement
Insert Place~t
. C'ohcrete Salchin"
Concrete ,Placement
Installation Inspection
Cllst Samples
Pick-up Samples
Compression Tests
;MOKE CONTROL:
, Leakage testing
Control verification
FIREPROOFING:
Placement inspection
Density Tests
'Q1ickness tests
Inspect batching
STRUCTURAL WOOD:
Shear wall nailing inspection
Shear wall anchors
Inspection of Glu-Iam fab, * , _ T/C psi
Inspection of truss joist fab.
Sample and test c~mponents
Fabrication welding of steel accessories
ROOFING ''; ;
. '., i..
Insi.ilatio.~ instafratXoq/R-value*
Test strips/senills ' '
'..~ ,~~ ..
~'+.{"~.,>'
. ~'.
- '.
MASONRY: .
Special inspection stresses used.' , fm fg
Preliminary acceptance tests (nlasonry units, wall prisms)
Subsequent tests (mortar, grout, field wall prisms) .,
Placement inspection of units, and reinforcement .
Mosonary, mortar, grout, and reinforcing'steel certificates
"
ADDITIONAL INSTRUCTIONS, OTHER TES't;.&.iNSPEOFIONS:, "
~. '\ "': .. .
Form completed by:
Date
/ 2..Q
. -.-.>>....
,--
"
,
, ,
,.;.:....,~
'_~ __~_ '~.:" \: ::.:\.. f. \,
" ..... ....,.~
. \- ~ \.
,
. _' ',. to
';t"\~\ \-~.- \.
"
"'\.\..\ . -'.
,,~ ~.:' _,I . ~
.... ." .....- '."..;..: ~.
>l<pROVIDE STRENGTH REQUIRED BY ARCHITECT OR" ENGINEER OR CONTRAc;T DOCUMENT LOCATION OF VALUES
~.s:-
.... ..; .,--/'
I I' "'51390 P.Ol I
· WEfl, ge :~i ~c .1'1I~ 1 toolEEFi! I NC:. I He.
D ~ ~~~~ ~~~G.O~& '''''~I
._--. . ' !~~1 InverOrwlHelDhl8, MN G~ONJ
... '(~12) 4'7 .. 7789
.,' ,...'J; ~:1~i~7<~t-tt~,;} : :",~;';::: Y;?~~~;~I;~(~;,~tt'*l~"i~'t1, :i~~~~~\~~'~f';:'~\~f4H\i~':?\"WJl1...it1M;")I1i~
. " '. ': .. '".' ."'.": ,::', '~',. .'};' i ',,'.,':'::' i'~~r~: ,~.:' ,~~~',:V~;~:" :-:.i\~' '.. '):':!\.':'i.~, :J.;~I;':;';"~;" :\';:'~~\l'~~.~~~'...;;" "'::,".1 I
-'.1 . . . ...... ". ','. .. ~ '. . .. ..:-....... ,,;.'. ~.. '" ".:'h..., ~~.j.\I-..,.,. I\"~"""!.",, f~iJ:-'''',''''I'' '...,VP<i...,.......,r...,.~..."'~M..'''J4..J;,., ,.c',\ j
I"
Maro~ i~\1998 -# '/1/ 5' S' 5 ·
Rick Oble '
Oble COn8tructron
3978 W61t 13th Avonuo
Eugene, OR 87402
Dear Rick:
For Drawing II 97..112 dlted 10/18/9711 th& CII'fIl&d &h.n foundation'. oho&Gn as th&
option, the oonoret& Cbt"l malotaln a minImum eOmpttJlllvfi strength of fo-aa2600 psI !n
28 dlya. Howtver, If the block tyPtJ foundation, II dbplot&d on pagG 3 of 3 Is
choaen, th&n the mInimum concrete comprtt,slve strength of fo~3000 p&1 m(j$t b~
obtained ., denoted In the .paclftcatlons of thEt drawfngs tltle block.
The ,peelellnspection end teltlng agreen,.nt you tont roe will be Ilgtlod and
returned vi. fed.ex with the 12')( 24' 4 poat WOOd build you reqUQated.
Aest Regard.,
ff'O'1'"
Nore: 7t4i15T t/56 'SIMFT "TYpe
FO'./N/)~t)1V 7b MlflvliY,()
d~ f7(~ ~~,74- /$tJ4,
....
rcvA)~^,. ~t:Jrk
#0(76
Jeff Dlqul
Structural Ooslgn Oroup
,
l
/
...'-..J ,.,'. . _ .
,. .
.f.i: :, ~ c ~
~..
1\
it
II
1\
\
,
\
I~
, II
l
I
i
: i
city of Springfield
225 N. 5th Street, Springfield, Oregon
Section
(541) 726-3759
community Services Division
Building Safety
(
COM MEN T S
P LAN
REV I E W
DATE: December 5, 1997
JOB NO,
971555
PROJECT:
Billboard - semi-flag type
LOCATED AT: 107 W, Q Street
APPLICANT: Julia and J,L,Donohoe/T-com Signs
plans submitted for the proposed construction at the above project address have
been reviewed for conformance with the City of Springfield building safety codes,
The following list of items require correction, clarification or additional
detailing before they can be approved:
1, This billboard is being located over an existing commercial building, The
4-1/2' round by 17' deep footing for the billboard will be located within
six feet of the building foundation. The design specifications require
that the engineer be notified when the billboard is to be located near a
building. Acknowledgement in writing from the engineer that such
notification has been made shall be submitted to this office and shall
include a determination whether any additional requirements are necessary
as a result of the proximity of the billboard and footing to the existing
building,
2, Special inspection is required for this project, The City's Special
Inspection Program requires that an approved inspection agency be employed
by the owner and that all parties involved, Owner, Engineer, Contractor,
Inspection Agency and the City Building Official sign an agreement form
describing the types if special inspections required for a project, The
project engineer shall designate the Code required special inspections for
the project. (refer to chapter 17 of the State s'tructural Specialty ,Code
(UBC)) , A form for that purpose is enclosed, ,The form must be filled out
and signed by all parties prior to issuance of a building permit,
3, Due to proximity to the building, the cylindrical type footing shall be
used for this project instead of the rectangular footing unless otherwise
required by the engineer,'
ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF PLA}lS, SPECIFICATIONS AND OTHER
DATA SHALL NOT BE CONSTRUED TO BE A PERMIT FOR, OR APPROVAL OF, ANY VIOLATION OF
ANY OF THE BUILDING SAFETY CODES OR OF ANY OTHER ORDINANCE OF THE CITY OF
SPRINGFIELD.
ANY CHANGES OR ALTERATIONS ,made after the date of this review must be approved
by the Building Official,
i\
I I;;::: ~ '
'I. ~ .
,i
'fOp' :/
"'I'
.. ,
'- .