Report y /
7409 SW Tech Center Dr,Ste. 145
Tigard,OR 97223
Ph:503-443-3799 Fax:503-620-2748
503.443 3799 Special Inspection •
Final Report
Date: 9-20-19 Job# 19-8730-12
Permit#BUP2019-00215
Mail To: Project:
SPEEDRACK WEST 7245 DURHAM RD#180
11100 NW GORDON RD TIGARD,OR 97224
NORTH PLAINS,OR 97133
To Whom It May Concern:
ACS Testing, Inc.attests that their inspectors performed special inspection(s)on a continuous and/or
Periodic basis as required by the specific jurisdiction and/or IBC. Special inspection(s)were performed
For the following:
Anchors-Expansion
Based on personal observation, inspection and reports reviewed by me for the above project, I attest on behalf
of ACS that work was performed to the best of my knowledge, in accordance with approved plans,
specifications,and the applicable codes and standards for the jurisdiction.
Approved by:
Bob Brown/President
BB/sa
•
tie
Proud to be Nationally Accredited by International Accrediting Service
ACCREDITED
7409 SW Tech Center Dr.Ste. 145
Tigard,OR.97223
="eruecr Ph:503-443-3799 Fax:503-620-2748
"`T` DAILY FIELD REPORT FOR PROPRIETARY ANCHORS
resr,nc, eic
503.143.3799 Date: 9-16-19 Permit#: BUP2419-00215
SPEEDRACK WEST 7245 DURHAM RD#180
11100 NW GORDON RD Continuous I I TIGARD, OR 97224
NORTH PLAINS, OR 97133
Periodic
Inspector/Certification# Greg Gillman Cert#OBOA 751 ACS Job# 19-8730.12
Anchor Embedded in: Concrete Is this a re-inspection?: Yes Q No
Compressive Strength: EXISTING UNKNOWN Approved plans available?: Q Yes n No
HOLE DETAILICONDITION Work acceptable per approved Yes n No
plans?: 71
Anchor Embed
1/2" Hole Q1: vr
Size: Depth: manufacturer's evaluation report?: ❑✓ Yes No
Holes cleaned properly?: C Yes n No
LOCATION OF ANCHORS
Embedment per plans?: �/ Yes No
GRIDLINES Perimeter walls at main warehouse
INSTALLATION GRIDLINES
ESR REPORT#
GRIDLINES
ESR-1917 TZ CARBON&STAINLESS in CONCRETE
ANCHOR TYPE: Torque controlled mechanical expansion IS THERE AN RFt? E Yes n No
RFI ATTACHED? L Yes Q No
EPDXY TYPE: N/A
INSPECTION DETAILS:
EXP. DATE: N/A ACS representative arrived on site to verify installation of approximately
(72)112"diameter x 5 1/2"long torque controlled mechanical expansion
anchors at column base plates for new storage rack system.
Work completed per General Notes and Details 6,Sheet SED1, revision
0.
Verified required 40 feet per pound torque.
Foreman notified of Yes n No n N/A
nonconformance items?
Foremans Name: Bill with Speedrack West
Reviewed {_j.7, Date: CC:
Meals
ijAd1k 9-17-19 Bill Louis,ChMeals
na:
Bob Brown,President
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REFERENCE#: ❑ ❑ ❑
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