Loading...
Report Bend Office (541) 330 -9155 Geotechnical Office (503) 601 -8250 s� Ha Inc. Eugene Office (541) 345 -0289 Carlson Testing, c Salem Office (503) 589 -1252 Tigard Office (503) 684-3460 Daily Report of Proprietary Anchors Client: CASCADE CONSTRUCTION & REMODELING - STEVE SCHNEIDER Project: ACKLEY RESIDENCE - REMODEL CTI Job #: T1003168. Address: 14650 SW 139TH AVENUE TIGARD OR Jurisdiction: TIGARD CTI representative G. FLEMING OBOA 814 was on site this date Oct. 01, 2010 to perform Special Inspection for: Permit MST2006 -00088 DFS #(s) PO Number: SCOPE OF INSPECTION Location of proprietary anchors inspected [to include grid lines, elevations (floors) and drawing details]: 1. Checked in with superintendent or client representative. OBSERVED PLACEMENT OF 5/8" DIA GALVANIZED Name: STEVEN ALL- THREAD, 10" EMBED TO (E) STEM WALL FOR Company: CASCADE CONSTRUCTION HTT22 HOLDDOWNS PER APPROVED DRAWINGS: 2. Inspection was "IBC" © Continuous Periodic (8) AT GARAGE (8) AT DINING ROOM CRAWLSPACE PROPRIETARY ANCHORS (3) AT STUDY CRAWLSPACE Yes NoN /A 1. Reviewed previous inspection reports? 2. Reviewed evaluation report? X Verified following items meet manufacturer's ' REPORT SUMMARY published installation instructions. 3. Verified minimum embedment depth of the 1. Work inspected was: © Completed ❑ In progress anchors. X 4.Verified installation of the anchors. 2. Completed work inspected was in compliance with ® Approved plans and specifications El Shop drawings 5. Verified anchor diameter. X 6. Verified steel grade. X RFI El Design change 0 Submittal N/A 7. Verified hole diameter. Document #(s) Dated: 8. Verified type of drill bit used. X 9. Verified hole cleaning method. 3. Noncompliance item(s) were noted this date, details on 10. Verified adhesive application. X following page(s). Yes No El N/A 11. Verified edge distance. X 4. Noncompliance item(s) were reinspected this date, details 12. Verified spacing. X on following page(s). ❑ Yes 0 No E N/A 13. Verified installation torque. X ❑ Conform El Remain in progress Evaluation report number 8z. date: Report(s) findings were discussed and left with ESR -1967 (12/01/06) STEVEN of CASCADE CONSTRUCTION Name of product being installed HILTI HIT HY 150 MAX Batch Number 163007 L3 Expiration Date 06/2011 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. 0 See additional report page(s). ❑ Distribute attachments. Page 1 of 1 Daily Report of Proprietary Anchors For: 10/01/2010 CTI Job #: T1003168 . Project: ACKLEY RESIDENCE - 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. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. Neil Shannon Reviewed Project Manager Review Date: 10/08/2010 GF /CK CASCADE CONSTRUCTION & REMODELING - STEVE SCHNEIDER TO: CITY OF TIGARD BUILDING DIVISION BURGSTAHLER ENGINEERING SYSTEM - NEAL BURGSTAHLER