HomeMy WebLinkAboutB15-0469_B15-0469 Special Inspection epoxy_1453997100.pdfFINAL REPORT OF SPECIAL INSPECTIONS
Project:Permit Number:
Project Location:
Owner ____________________________________________________________________________
Address City:Zip:
Design Professional In Charge:
Address:
City:State:Zip:Phone:
Fax:E-mail:
To the best of my information, knowledge, and belief, the special inspections and/or testing required for
this project, have been completed in accordance with the contract documents.
Interim reports submitted prior to this Final Report of Special Inspections form a basis for, and are to be
considered an integral part of this final report. Any discrepancies that were noted in all interim reports
have been corrected.
Prepared by:
Type or Print Name
Signature
Date
Preparer’s Seal and Signature Required
-12-
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Special Inspections Agency
GROUND Engineering Consultants, Inc.
PO Box 464
Gypsum CO 81637 (970)524-0720
(970) 524-0721
Carl Henderson, P.E.
chris.hutto@groundeng.com
carl.henderson@groundeng.com
Billingsley Remodel Remodel
1170 Ptarmigan Rd
1-27-2016
*Please see "16-6501.epoxy.16027.ch.prt"
*Drilled Epoxied Rebar Only
Lucy Billingsley
1170 Ptarmigan Rd Vail 81657
B15-0469
Client:
www.groundeng.com
Englewood, Commerce City, Loveland, Granby, Gypsum, Grand Junction, Casper
Billingsley Remodel - 1170 Ptarmigan Road
Ms. Heather Duncan
Shaeffer Hyde Construction
PO Box 373
Vail, CO 81620
Comments or Photos:
Yes No
Discrepancies Reported this Date?
No. of Pages Attached:
Field Representative:
Drill and Epoxy Cover Report
Date:Date Job NameJob Number:Job Number
As scheduled, a representative visited the project site to perform special inspections for drill and epoxy at
locations requested.
General Contractor:General Contractor Rep. Notified:Rep Notified
January 27, 2016 16-6501
Shaeffer Hyde Construction Bob Batten
1
Chris Hutto / Shane Sorensen
Client:
www.groundeng.com
Englewood, Commerce City, Loveland, Granby, Gypsum, Grand Junction, Casper
Billingsley Remodel - 1170 Ptarmigan Road
Ms. Heather Duncan
Shaeffer Hyde Construction
PO Box 373
Vail, CO 81620
Additional Comments or Photos:
Comments
Date:Date Job NameJob Number:Job Number
General Contractor:General Contractor Rep. Notified:Rep Notified
January 27, 2016 16-6501
Shaeffer Hyde Construction Bob Batten
Client:
www.groundeng.com
Englewood, Commerce City, Loveland, Granby, Gypsum, Grand Junction, Casper
Billingsley Remodel - 1170 Ptarmigan Road
Ms. Heather Duncan
Shaeffer Hyde Construction
PO Box 373
Vail, CO 81620
Location: 1.)
2.)
3.)
4.)
Orientation (vertical/horizontal): 1.) 3.)
2.) 4.)
Hole Diameter (inches): 1.) Length (inches): 1.)
2.) 2.)
3.) 3.)
4.) 4.)
Hole Spacing (inches): 1.) 3.)
2.) 4.)
Drilling Equipment:
Method to Clean Hole:
Epoxy Type:
Epoxy Expiration:
Placement Method:
Type (rebar/bolt/anchor): 1.) Size: 1.) Length (inches) 1.)
2.) 2.) 2.)
3.) 3.) 3.)
4.) 4.) 4.)
Placement Method:
Additional Reinforcing Steel:
Field Representative:
Comments:
Reinforcement
Epoxy
Documents Used:
Drill and Epoxy
Drilling
Subcontractor: Rep. Notified:
pGeneral Contractor: Rep. Notified:
p
Job Number:Report Date:January 27, 2016 16-6501
Shaeffer Hyde Construction Bob Batten
RMS Concrete N/A
Structural plans, detail dated 1-19-16
Foundation walls and footing at SE corner of addition
Foundation walls and footing at NW corner of addition
Horizontal
Horizontal
3/4 6 1/2
3/4 6 1/2
15
12
Hammer drill
Wire brush, compressed air
Hilti HIT-HY 200-A
5/2016
Hilti epoxy gun
Rebar #5 57
Rebar #5 57
Hand-set
N/A
Chris Hutto / Shane Sorensen
Required epoxied dowels were previously installed and inspected by others. We observed the installation of additional dowels to
verify proper means and methods. Upon visual observation, epoxied dowels at noted locations appeared installed in general
accordance with project plans and specifications.