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HomeMy WebLinkAboutB11-0496 Special Inspector Application Page 1 of 1 Special Inspector Applications There are 2 applications, one for Dennis Humphrey and one for George Benecke. They both are regarding Permit#611-0496 and project#PRJ11-Q701 _.. , Download � powered by sharefile http s://tov-permitapp licationsubmittals.sharefi le.com/downlo ad.aspx?id=9d2 87c 8 a 165 04... 06/27/2014 .' TnWN OF VA1L ' SPECIAL INSPECTOR APPLICATION FORM 1. Applicant Information Name: �"�Nrv��1��V 1JC�X1�'1i5 �.. L�st First M.I. Address:�7�0 A��Roc� Q�.�Z, � ��,c �'Tq�^ city: Qcecke�cic�e,. State: CA z�P: 80 N 2y Phone Na _q��- �S�^`�j.0►�� Fax Na r E-Mail: t'�.�1c�w��T�c'�"��tlw�DSoa�.cow� Age: ��� AgencylEmployer: eTL "L^1�cw,cTso� Employer Location: �"�qb AirQoC� �:�2 . Qp �Hq2� Qt'�G�CQV1t1c�P Address City CO $OH2N �0 yH.S3-2o'1� �. State Zip Phone Number Fax Number 2. Type(s)of Work for Whlch Applicant is Seeking Registration Inspectors may become registered for any one or more of a number of types of work(testing and inspection). Check each type of work the inspector is appfying for below: Reinforced Concrete _ Piling and Drilled Piers J Retaining Walls Pre-Cast Concrete Pretension Tendons �Verification of Soils Erection _ Post-Tension Slabs _ Welding � Non-Destructive Testing Exterior Insulation and ^ High Strength Bolting � Sieel Frames __� Finish System Smoke Control ^ Seismic Resistance � Special Cases Sprayed Fire Resistant Structural Masonry � Material �--�-� sl�Z���y Signature Date -9- CTLiTHOMPSON Dennis Humphrey, E.I.T. Engineering Technician Office Location Overview Summit County,Colorado Mr. Humphrey recentlyjoined CTL�Thompson.as an Years of Experience Engineering Technician in our Summit County office.He received his Bachelors degree in zoii.He obtained an M.S.of 1 Year Civil Engineering with an emphasis on Geotechnical Engineering in May zoir,. Mr. Humphrey interned for a Education geotechnical firm where he gained practical knowledge in field M.S.Civil Engineering with focus in work and report preparation.He most recently worked for a Geotechnical Engineering firm where he performed ground penetration radar(GPR) surveys on multipie rail lines in the U.S.and Canada. B.S.Civil Engineering University of Massachusetts, zoiz As an Engineering Technician for CTL,his responsibilities include field work and report preparation for Summit County commercial and residential projects. Professional Registration Engineer-in-Training(EIT) Pro}ect Experience Training & Ce�tifications strataatvaii Performed utilities backfill compaction,concrete compressive OSHA zo Course strength and asphalt testing. AMTRAK Contractor Safety Training Town of Breckenridge Main Street Revitilization, Breckenridge�Colorado Wilderness First Responder,SOLO Performed soil compaction,concrete compression,and asphalt compaction testing. ACI Grade I Field Testing Technician Decatur Street Row Homes Denver Colorado Nuclear Gauge Operator Performed sewer line backfill observation and compaction testing. Professional Affiliations Quartz Hill Remediation�Central City�Colorado American Society of Civil Engineers(ASCE) Performed site grading and compaction testing. Engineers without Borders Le�en Rock,Arvada�Colorado Performed compaction testing and observation on the sub- Association of General Contractors excavation. Reunion Subdivision,Commerce Ci�.y,Colorado Performed residential wall backfill compaction testing. ,i�f±,�^ ti'�^ti�.!ti?„�.: .� r{���,� ��1':' ���'rfO�fj^�.�,�.�i *.`�^ �.�,�`,�r�'i i,. rr/' -.;;.��,F•.,-�.ht�� _ ,.:.i`�.�"�';r/f,�% �_,�.���,.: ,55'iS!`�f/('�•:/;�-.�:.-��•'`"!$'1"�1 ,f� /y*-r.^ ��,. ,I �- .��, .,(�{�. tf'�;.*f'�i^^^!r,..1�,��, !� _ itr//`�`��`l: :I� .<<��,�,/^.�-.-' .t. - �� t".l�r.. .����i l+i' ':\`iii�l.s :_�S? .a. ., -i•� y ��' rr.. � -%� M. : ¢ �,,;i, ���.:.c � ,� -_���, ,y,:ra � '.:�,,�.i��,.. ':.- _ °���,'���' •.-`,r'�' - +.3��� ,1;`�' ,���:::'�':. � �-r�s�'!��.n';;;�':. „}' ��; ..�--•k`,'�-�� �. •�. �. k,7%;�:�-•.,'�'�..��.{t %'.'• �,i�,•''�:"�,'•- � /'-�� '� _��'�`G� '`�y - 'c- �' , z'"y� • i .. �� � �- �� 5 � � ���yA� �`��S- � �afr ����y��`�. "� �-1",__� ;,'�-'��`tiy��.�' �r^� _�� ��'�`��°.<r^x�—ti, r !t --J�•"y��}'� t r; � � ``"a f'n._. °�:>-�- �J y 1. ._`� _ .�?A� 1� -�c;�S� h 4 .^ ^c-.; ��'r'�'/' �Y .S:-l w`Yx �� " -.�� �^�:_' � j�. 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' �... a� a-'� -� �'-�£. � - � ����f�� � t � ` ,y,_ ,� �L � �.. � --"• . •T�; . ��l f � ���,,,,�,.�..r.�.. `^e, �''1.�;y� � a'.`-9. � ,? ��,.� .��.'�?, f.". `, l'r' +�t .; �.-' 'st;'�!` t�^- ;rii���.�_. .�ou. ..a � 'c;,+, f .�^;,' .i ..� •f="�' �c?.• ��,'.�,c:� S�`..-�� ,.'?�,.� � `r^�, :.,'Fn;. :.�'t� i":.•. `.,�'' .,2'.S f 't�..� .t�':. ��- ' ..S'k , r �_,�� ,�� ��-,-z -- -��;s�. ,�. ,�.�..,..�� - - ,., � _ � ,`:�; ' .., �, ' ` . '�: ' ;, ; - ° � �.., � �: ��: as re uired b U.S. DC7T and IATA � v This certifies that Dennis Humphrev has been trained and tested in accordance with the U.S. Department of Transportation and -� International AirTransport Association (IATA) hazardous material requirements for general awareness/familiarization, fu�ction-specifi�, safety, and security awareness training as re�ated to the transportation of nuclear gauges. A description of the training course materials is avaifable from Troxler Electronic Laboratories, Inc.This certificate expires three years from the training date shown below. >� �a March 28, 2014 ,� - EMPLOYER CERTIFCATION �' I certify that the hazmat employee identified on this certifcate has been trained and tested as required by -� U.S. DOT Hazardous IUlaterial Regulations (49 CFR 172 5ubpart H). � `.� Signature ��6�d Title /��-5C� �� � Troxler Electronic Laboratories, Inc. �������� PO Box 12457-3�08 Cornwaltis Road - Research Triangle Park, NC 277Q9 ;�� TheLeaderinConstructionTestingEquiPment Phone: (919) 549-8bb1 - Fax (919) 549-0761 -www.troxlerlabs.�om Course: Hazmat Tracking Code:AIJ5LGAKKC56JLE_54112 _ . � ��-.�-�.-� � .�. .'41': ..�._ , W'�..a.._�tn'a�i: ��s. ,..,.'., .....:... .. �' _ '.2s "'o'�;Y ..r^ ...::: w.�*f'3 . .. _ . �..;.::..13.. ... ....... .. .. _... . .,.:�. . " . . - �. . .... . .,�. , .�...� �?`-v`.:,.. `�a...�. ... '.�... . .. . .. � . . .. . '�. �.� ' . ... ,�.:.- .c,. .. .._ ...:.. �� -. ... ... :�. ,. . .. ...;.. . ' .. .� _.. .�t v. .... �. . . � �.. . -�:. . �... _. . :;:. . . . . .� . .. ."-� S Verify A Gertification Page 1 of 2 � g� /y ', � American Concrete Inst(tute LA�f�y:g Alwnys advoncing Ftome>�r if��at{gn>Venfy_A Gdilifcalion SEARCH RESULTS Name:Huntphrey CONTRACTORS Your search returned 1 records f�,� Humphrey,Dennis L .�k a.�, `"'��j, ACI CONCRETE FIELD TESTING TECHNICIAN-GRADE 1 � , ��-� , F.�cpires:May 7,20]9 � � � _.Y���>�:��� Breckenridge,CO 80424•8817 United States � ACI offers numerous cartificulions,[raining programs, warkbaoks,web sessions,and technical resources specibcally designed for concrele coMradors. EXP(,ORE» ENGINEERS �-�h�.�.'.. . (����a�� �]� . .. ��� 4'A��I�A�l� From mem�ership to condnuing education to some oi Ihe industry's most-used publications,ACI has resourcas for engineers around the wortd. EXPI.ORE. AC Ho e ac News Career Center 8rowse 6y lndustry Role... Enaineers �ducators 8 Researchers � Contractors � Students Too�s http:lh�w�v.conci�ete.orglCertificatioi�V erifyACertificatiou.aspx?m=results&type=Search... 6/26/2014 .__. , _. _.._. __.._.. ►vame �2�nr-i��S �'��w�p��'�� C`TL. �o�;c;� First Try� Second Try Retry � C-172 Sampling C-1064 Temperature �`d,��'�: �'-�'`�''" '�.. C-143 S1ump �� , :t ,.. G31 Making Cylinder � : C-138 Density{Unit Weight} C•173 Air Volumetric C-231 Air Pressure .' �ow�oF vnrL ' SPECIAL INSPECTOR APPLICATION FORM 1. Applicant Information Name: IaQr��¢.�e. � V�� �. �_ Last irst M.I. Address: � q d l����°C� Qa• �2 , Pa C�x H9 28 c�ty, ��ecke��d�e State: CO _ Zip: �N2� Phone No: `�'1�0 �-��S =Z(�W� Fax No: "' E-Mail; q�2h2t'�C����O�Q���. Com Age: �_� Agency/Employer: ��. ,��w,�Sov� Employer Location: 1�q� A��Qo�� �a '�Z�QO�oxN9Z(� �eckeh��(�q� Address City CO �y_ q�0-N53=2oN� - State Zip Phone Number Fax Number 2. Type(s)of Work for Which Applicant is Seeking Registration inspectors may become registered for any one or more of a number of types of work(testing and inspection). Check each type of work the inspector is applying for below: Y Reinforced Concrete �Piling and Drilled Piers �Retaining Walls /� Pre-Cast Concrete Pretension Tendons M Verification of Soils Erectfon � Post-Tension Slabs _ Welding � Non-Destructive Testing Exterior Insulation and _ High Strength BoRing ^ Steel Frames � Finish System _ Smoke Control _ Seismic Resistance � Speciai Cases Sprayed Fire Resistant Structural Mas ry � Material � � Sign e Date -9- Exterior Insulation and Finish System IBC Section 1704.12 1. Registered Architect. (EIFS) 2. Current Association of Wall and Ceiling Industry(AWCI)EIFS Inspector Certification. Special Inspection for Smoke Control IBC Section 17Q4.14 1. Current NICET N-II-FPAS certification. 2. Current NICET N-II-FPFAcertification. 3. Current Nationa{Environmental Balancing Bureau certification. 4. Current Associated Air Balance Councii certification. Quality Assurance for Seismic Resistance IBC Section 1705 Professional Engineer Quality Assurance for Wind Requirements IBC Section 1706 Professional Engineer Speciai inspections for Seismic IBC Section 1707 Professional Engineer Resistance a) Mechanical and Electrical IBC Section 1707.7 Components Stnicturai Testing for Seismic Resistance IBC Section 1708 Professional Engineer Structurai Observations 18C Section 1709 Professionai Engineer Design Strengths of Materials IBC Section 1710 Professional Engineer Alternative Test Procedure IBC Section 1711 Professional Engineer Test Safe Load IBC Section 1712 Professional Engineer In-Situ Load Tests IBC Section 1713 Professional Engineer Pre-construction Load Tests {BC Section 1714 Professionaf Engineer Material and Test Standards IBC Section 1715 Professional Engineer -7- •^`v ht`� c� i �. � . s�s t,'.�, .a . rr ?5 � �r/�`'.`Z?,r. r A'^+-.+ ,.jrr,.;'r,,� �•� .f -r,! n. ` "'^ .�^'\";f�"' J/' .0 !,� \\',;+..i"!�.� .`�.ri��i�,,s'M�• �y u°q p��'�7V0•t�f�,' ��i�lrl.�r } ` �`G�.f r fr�`'�.� `���ti�\s r�r 3�: �7 '� �r/}i}^2^�? .`5'�'\�•fJ..'J..�' ef,t�y��.1.. �t«�� J /,!�lti ��•';,l \. 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Name Pubiic Address George William 8enecke III Silverthorne,CO 80498 Credential Information License License License OriginalIssue Effective Expiration Number Method License Type Status Date Date Date PE,0038827 Examination Professional Active 12/17/2004 11/O1/2013 10/31/2015 Engineer Board Pro ram Actions Dlscipline There is no Discipline or Board Actions on file for this credential. Generated on: 6/a5/aoia z:4o;zi PM https://www.colorado.gov/dora/licensing/I.00kup/PrintLicenseDetails,aspx?cred=I 14465&... 6/25/2014 CTLITHOMPSON George W. Benecke, III, P.E. Associate Engineer Office Location Overview Breckenridge,Colorado Mr.Benecke recentlyjoined CTL�Thompson with over i5 years of Years of Experience experience. He is the B ranch Manager for CTL's Summit County office. i5 Years Previously tojoining CTL,Mr. Benecke ran his own company, Silverthorne-based Gore Range Engineering,which focused on Education residential geotechnical work that included retaining walls,siope B.S.Civil Engineering stability and surface drainage.Prior to that,he worked in Summit University of Nebraska at Omaha, County for geotechnical firm Hepworth-Pawlak. z000 Mr.Benecke brings very specific regional knowledge to CTL�Thompson Registration and will be responsible for the coordination and analysis of geotechnical investigations,both commercial and residential, Registered Professional Engineer: Colorado Project Experience Training 8 Certlfications Angler Mountain Ranch Radiation Safety Officer, Provided geotechnical engineering and construction observation and materials testing(COMT)services for the development including a Gauge Operator o•33MG water storage tank for Town of Silverthorne. Level i Avalanche Course,American Upper Blue Sanitation District Avalanche Association provided geotechnical engineering and COMT services for plant expansion near Frisco. Was a team member in the design ofthe Professionai Affiliations construction dewatering system. Grand Timber Lodge American Society of Civil Provided geotechnicai engineering and COMT services for Lodge on Engineers Peak 7 in Breckenridge. Challenges met during construction included unsuitable soils and excavation dewatering. Designed a permanent Colorado Association of subsurface drainage system that was installed beneath the structure. GeotechnicFxl Engineers Frisco Bay Marina Provided geotechnical engineering,COMT services and retaining wall design for Phase I of the marina improvements. Challenges met during construction indude excavation dewatering and winter conditions. The proJect had to be constructed during winter months when lake level was low.