HomeMy WebLinkAboutSpecial Inspection Field Test & Inspection Report 2000-12-22
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City ofSpringfJeld
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225 Fifth Street
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Project Address
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Telephone: (541) 726.3759
Fax: (541) 726-3689
Special Inspection And Testing
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To apj>licants of projects requiring special inspection or testing as per Section 1701.5 of the Oregon Structural Specialty Code. Please review .che information below. When you
have finished, acknowledge an understanding of the information by signing below, and return this fonn co the City.
BEFORE A PERMIT CAN BE ISSUED: The O'.'ffler or owner's reprcsentatLve, on the advice of the responsible Project Engineer o. Arc},itect, shall complete, sign, and submi.
to .he City (or review and approval this fonn completed on both the front and back.
The Owner and General Contnlctor, where applicable, shall also aCKnowledge the following conditions applicable to Special lnspe::tion 2.ndlor Testing.
J. Contractor is responsible fOT proper notification for the lnspeccion or Testing of items listed.
2. TesHng labof<ltory snail take appropriate samples and transport them to their laboratory for proper evaluation or testing.
. Copies of all [aooratory reports and inspections are to be sent to the City by the Testing Agency.
3. Spedal Inspection Ag~nc:y is 10 submit names and qualifications of on-stte Special Inspectors to the City for approv31.
4. Spedrcllnspcctor shall provide inspection reports to the building officia[ 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 CERTIFJCA TE 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 conformance with the approved p[ansi specifications and applicable workmanship
p~ovisions. Tho5C items not tested and/or inspected shall be noted h the statcment. The report is to be submitted to the City prlor to a request for f:r.al inspections.
ACKNO\VLEDGMENTS
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Owner Name (printed)
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S:lgineer or Architect Firm (Printed) Engineer or ~hitecl Signature
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Gen. Contractor Firm Name (Printed}
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Special Inspection Agency Name {Prinled)
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Building Official Name (Printed)
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General Contractor Signature
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Specla~ I~sp. Agency Rip Sign,
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Building Official Signature
MASONRY:
Special inspection stre~ses used- fm fg
Preliminary acceptance tem (masor.T)' units, wa:1 prisms)
Subsequent tests (mortar, g:-Oll:, field wall prisms)
Placement inspectiGII of UIii15. and rein rorccmcllt
Masonary, mortar, grout. and reinforcing steel certjficates
SPECIAL INSPECTION AND TESTING SCHEDULE
Reinforced Concrete, Gunite, Grout and Mortar:
Concrete GlJniJe {Trput I Mortar
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GRADING,EXCAVATION, AND FILL
Acceptance tests" ..' .PSF
EstabUsh final grade
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A~~ate Test nCilillDe..icr"
Reinforcing Test
_ ~1i"l( Design-Weighmstr Cert."'
Reinf{Jdn~ Placement
Com'nuolJU3atch PWll.lnsn
k~~t Pla~1!
C':a..r Samples
Samples (Pickup/DeJivilldl
Comnrewon TW.
STRUCTURAL STEEL/WELDING:
Sample and test (list specific members below)
Shop material identification (mill cert)
Weld inspection Shop
Ullr~sonic inspeclioil Shop
High 'strength bolting Soop
A325 ~ N X
A490 ~ X
Metal deck welding inspection
Reinforcing Steel welding inspectior.
Reinforcing steel mill cel1it"icate
Metal stud welding iaspectio:1
Concrete insert welding inspecticn
Moment resisting steel frames
Fif! placement inspection/continuous
Soil Density
Precast/Pre-stressed Concrete:
Piles Post. Tens -..ere-Tens
C lacding
Ag-gregate Teo;~S
Rein r()r~~~..
Tendon Te~t
Mix Desii1]s"
R~inrnrcing Placement
[mert Plac~T!1erlt
Concrete Batchinf'
C:'1ncrete Placement
[osUlllation Inspection
Cast Samples
Pick-un S~
Compression jest..
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STRUCTURAL WOOD:
Shear wall nailing inspection
Shear wall anchors
Inspection ofGlu-lam fab. ·
Inspection of truss joist fa:'.
Sample and tese componen'ts
Fabrication welding of steel accesso:-ies
SMOKE CONTROL:
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Leakage testing
Control verification
FIREPROOFING:
Placement inspection
Density Tests
Thickness tests
Inspect batching
ROOFING
tnsu latian ins~allacion/R'\'ake
TeSl scrips/seams
ADDITIONAL I(\'"STRVCTIONS, OTHER TEST1 & INSPECTIONS:
Form completed by:
.PROVIDE STRENGTH REQUIRED BY ARCHiTECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES
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