Report 4/1/2011 1:24 PM carison 'resting Inc. -> ib035Z43b81 1
Fax
Attention to:- From: -
Name: 1- 503 - 624 -3681 Name: Emily Helm
Company: Carlson Testing, Inc.
Date: 04/01/2011 Telephone: 503 -684 -3460
Time: 01:24:13 P Pages: 2
RE: Final Summary Letter(Fisherman's Marine & Outdoor - Pallet Racking / Permit
#BUP2011 -00014 / T1104093)
Comments /Notes:
This is the Final Summary Letter for:
Project: Fisherman's Marine & Outdoor - Pallet Racking
Address: 10355 SW Cascade Avenue - Tigard, OR
Permit #: BUP2011 -00014
Please call if you have any questions.
Emily Helm
Office Assistant
Carlson Testing, Inc.
Phone (503) 684 -3460
Fax (503) 670 -9147
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Bend Office (541) 330 -9155
Geotechnical Office (503) 601 -8250
C arlson Testing, Inc. Eugene Office (541)345 -0289
Salem Office (503) 589 -1252
Tigard Office (503) 684 -3460
Special Inspection
FINAL SUMMARY LETTER
Date: April 1, 2011
Job #: T1104093
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Project Name: Fisherman's Marine & Outdoor — Pallet Racking
Address: 10355 SW Cascade Avenue — Tigard, OR
Permit #: BUP2011 -00014
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Installation of Expansion Anchors
All inspections and tests were performed and reported according 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 /inspected only. Information contained herein is not to be reproduced, except in
full, 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.
IV45710(..AA-ka
Neil S. Shannon
Project Manager
NSS /eah
cc: Fisherman's Marine & Outdoor — Steve Wills swill @fishermans- marine.com
City of Tigard Building Division
Eaton General Construction — Eric Eaton Mail / Fax: 503- 489 -0550
P:\Projects\Genera1\201111 Final Letter.doc
Bend Office (541) 330 -9155
Geotechnical Office (503) 601 -8250
Inc. Eugene Office (541) 345 -0289
Carlson Testing, n Salem Office (503) 589 -1252
Tigard Office (503) 684-3460
Daily Report of Proprietary Anchors
Client: FISHERMANS MARINE & OUTDOOR - STEVE WILLS
Project: FISHERMANS MARINE & OUTDOOR - PALLET RACKING CTI Job #: T1104093.
Address: 10355 SW CASCADE AVENUE TIGARD OR Jurisdiction: TIG_ARD
CTI representative S . HOPPE OBOA 791
was on site this date Mar . 31, 2011 to perform Special Inspection for:
Permit BUP2 011 -0 0 014
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.
**NAME OF PRODUCT BEING INSTALLED: PORTEOUS
E RIC
Dame' FASTENER WEDGE ANCHOR.
Company: EATON GENERAL CONSTRUCTION
2. Inspection was "IBC" ® Continuous Periodic WAREHOUSE RACK ANCHOR BOLTS AT BASE PLATE
(INSTALLED PRIOR TO ARRIVAL). FASTENER USED WAS
NOT FASTENER STATED ON PLANS. PLANS STATE 1/2"
PROPRIETARY ANCHORS ANCHORS, 3-1/2" MINIMUM EMBED, (2) PER LEG. (4)
YesNoN /A PER LEG AND 5 -1/2" ANCHOR WAS USED.
1. Reviewed previous inspection reports? X (CONTINUED IN NOTES)
2. Reviewed evaluation report?
Verified following items meet manufacturer's REPORT SUMMARY
published installation instructions.
3. Verified minimum embedment depth of the 1. Work inspected was: ® Completed 0 In progress
anchors. x
4.Verified installation of the anchors. 2. Completed work inspected was not in compliance with
X IN Approved plans and specifications ❑ Shop drawings
5. Verified anchor diameter. x
6. Verified steel grade. x RFI 0 Design change Submittal N/A
7. Verified hole diameter. x
Document #(s) Dated:
8. Verified type of drill bit used. x
9. Verified hole cleaning method. x 3. Noncompliance item(s) were noted this date, details on
—
10. Verified adhesive application. x following page(s). Yes No N/A
11. Verified edge distance. x 4. Noncompliance item(s) were reinspected this date, details
12. Verified spacing. x on following page(s). 1=1 Yes No N/A
13. Verified installation torque. x ❑ Conform ❑ Remain in progress
Evaluation report number 8,z. date: Report(s) findings were discussed and left with
NONE ERIC
of EATON GENERAL CONSTRUCTION
Name of product being installed
Batch Number N/A
Expiration Date N/A
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.
See additional report page(s). 0 Distribute attachments. Page 1 of
Daily Report of Proprietary Anchors For: 03/31/2011
CTI Job #: T1104093.
Project: FISHERMANS MARINE & OUTDOOR - PALLET RACKING
Notes:
(CONTINUED FROM LOCATION)
THE FOLLOWING NON - COMPLIANCE ITEMS WERE ADDED:
-NCL #1: PER PLAN - WAREHOUSE ANCHOR BOLTS TO BE KWIK BOLT TZ, 1/2" DIAMETER - 3 -1/2" MINIMUM
EMBED. BOLTS INSTALLED WERE PORTEOUS FASTENER CO WEDGE ANCHORS - 1/2" DIAMETER AND 5 -1/2" LONG.
-NCL #2: PER PLAN - (2) ANCHORS PER LEG TO BE INSTALLED. (4) ANCHORS PER LEG WERE INSTALLED, TORQUE
UNKNOWN.
3/31/11 (UPDATE): NCLS #1 & 2 HAVE BEEN CLEARED. THEY ARE APPROVED AS BUILT PER RFI -002 & PROJECT
MANAGER NEIL SHANNON PHONE CONVERSATION WITH AOR JERRY CONDUFF OF CONDUFF ARCHITECTURE.
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.
Reviewed By: Neil Shannon
Review Date: 04/01/2011
SH /EAH
FISHERMANS MARINE & OUTDOOR - STEVE WILLS SWILLS @FISHERMANS - MARINE.COM
TO: CITY OF TIG_ARD BUILDING DIVISION
EATON GENERAL CONSTRUCTION - ERIC EATON MAIL /FAX /503- 489 -0550
Carlson Testing, lnc.
Iticonipleted Items List (NCL)
Apr 04, 2011
T1104093.
Project Name: FISHERMANS MARINE & OUTDOOR - PALLET RACKING
Project Address: 10355 SW CASCADE AVENUE TIGARD OR
Permit No: BUP2011 -00014
P.O. No: Project Manager: NEIL S . SHANNON
Item # Insp. Dale Item Description Compliance CTI Sign -Off Date
Corrected
1 SH 03/31/2011 PER PLAN - WAREHOUSE ANCHOR BOLTS TO BE KWIK BOLT APPROVED AS BUILT PER NEIL S. SHANNON 03/31/2011
TZ, 1/2" DIAMETER - 3 -1/2" MINIMUM EMBED. BOLTS RFI -002 & PHONE
INSTALLED WERE PORTEOUS FASTENER CO WEDGE ANCHORS CONVERSATION WITH AOR
- 1/2" DIAMETER AND 5 -1/2" LONG. JERRY CONDUFF OF CONDUFF
ARCHITECTURE.
2 SH 03/31/2011 PER PLAN - (2) ANCHORS PER LEG TO BE INSTALLED. APPROVED AS BUILT PER NEIL S. SHANNON 03/31/2011
(4) ANCHORS PER LEG WERE INSTALLED, TORQUE RFI -002 & PHONE
UNKNOWN. CONVERSATION WITH AOR
JERRY CONDUFF OF CONDUFF
ARCHITECTURE.
FISHERMANS MARINE & OUTDOOR - STEVE WILLS
TO :CITY OF TIGARD BUILDING DIVISION
EATON GENERAL CONSTRUCTION - ERIC EATON
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