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HomeMy WebLinkAboutREINFORCING STEEL INSPECTION REPORTmtterra .BOUTH -F LORt.AA Reinforcing Steel Inspection Report SCANNED BY St. Lucie Countv Tested For,. Carrick Contracting Corporation Report Generated: 10/24/2016 1450 Kinetic Road TSF Project #. 7112-16-343-OOIA Lake Park, Florida - 33403 Project: City Site West - Motorola Attention: Troy Melnick Address: 14191 R9ngeLineRoad- Title: Project Manager Part St. Lucie, Florida • 34982` Ce. TroyMelnick(tmu ` .com) Permit #: X InitialInspection Re -Inspection / Date of Previous inspection Members / Area Inspected: Floor Level (Floor or Elevation): i oentiow(Calm m Linz .Plans Reference w/ Dates & RFP test results Inspector. BN #: Set-Backsfferaite Application rests/Soil Report Forma Clean Grade Size, Spacing, Quantity. Shape, Tying - Reber Clearance from Forts and Earth Embeds/Anchor Bolts in Place and Secure X Shoring & Re -shoring Inspection Report (by others) Area Approved ORe-Inspection Required for only to the specific locations noted and may not represent any other location. Reports may not be Xsvier,Burbano 46SO 2765 VISTA PARKWAY, SUITE 10 • WEST PALM BEACH, FLORIDA 33411 . (561) 687-8539 r FAX (561) 687-8570 - - - SM of RoddaWesforW Engines Lkme 028073. - . SOUTH FLORIDA '.. tic NyJ u¢wonammm•ummmve..umw.asm Sample Pick-up Tested For. Carrick Contracting Corporation Report Generated: 10/21/2016 ;1450,r-meticRoad �TSfrProject#: 7T112-16-343402 Lake:Park Norida-33403 Project: City..Site West -Motorola AtUatien: -;Tmy;:Melmek Address: 44Y9l?4a%gcL=- Toad Title: ProjectManager Fort St.lucie,Florida-34982 Cc: Troy Melnick (tmehvck®carrickcontracting.com) Permit M Work Order Details Test Type: Sample Pickup - Proctor Jbb<Dgtoscfiedulot 10P20tZOM12;IOTM, Site Contact, Contact Phone #1 Task Details: Field Data Collection Details Travel Time: ;StnndDyspime 11"Spector. 5mmpk.Source Visual Classification: Test To Be Performed: No of Samples / Sets: Assigned Lab Tech: hrs >hra -MisesMora _lbwerYOenter}im Sample, pied: up AASHTO T-180 (Proctor) I jrosa Start Time: Departure -Time; Job Date Completed: •10/20/2016 Notat This work. order -is genemted:intemally to track job status. This is intended; only for the assigned techaician or inspector. It' may not becsprvducedexceptin firllrwatitoutpermiraien:hg...Tierra:3vuttiFlorida;.Inc. 2765 VISTA PARKWAY, SUITE 10 WEST PALM BEACH. FLORIDA 33417 - (561) 687.8539 FAX (561) 687-8570 SM o(Aatdo PmAmbrml fa&,es tktnc#28073 - Report of Moisture Density Relationship - Proctor Tested For. Carrick Contracting Corporation 1450 Kinetic Road Lake Park, Florida - 33403 -il4tentkrn: Troyick Tula: Preiectwenalw Tray Melriick {tmdbiickQcar#ckcodhaemg=m) Report Generated: 11/03/2016 TSF Project #: 711216-343-003 Project: City Site West -Motorola Address: .14191+11anged ineRoad ?mtSt. Lucie;Tlorida-349S2 -Inspector. Juan Rasa .:Permit.#: Visad01RS ifieation: Vark3.irownSand kvAhSocks Samplelsouree: Tower;Center IrmPA sling Material) Method of Test: AASHTO T-1 OVroctor) TtstBssults Maximum Dry Density: 114.5 pof Optimum Moisture: 10.5 % ate., iese test results apply;for only.to',the'spedfic;liocationsnot&'and',may nor represent any -.other focatioiL Reports may not 276svim PARKWAY, SurrE 10 • • W6SF PALu BEACH, FLORIDA 33411 (56'd) 687-5539 - FAX 061) 687-9570 Sane pjAoMa Pfi3skad Fngfneus lken #M073 , sou-rH FLORIDA Report of Concrete Compression Test Tested For. Carrick Contracting Corporation Report Generated: 11/2212016 AmNincticsoad Tw7rojectm. 7112-16343-004 1a1m-PWk,1?AWa -33463 *11cation: Troy Meinick Address: 14191Rm,18eLiriekRoad Title: Project Manager Port St. Lucie, Florida - 34982 Cc: Troy Melaick (tinelnick@canickcmtract*mg.com) Inspector: Contractor Permit #: General Location: SE Anchor Sam ,pled@: SE Anchor DatePlaced: 10MV2016 Supplier: Thilm MikbWn & Pkapordons. NIL" Slump (ioJ(ASTM C14j,):, NA TruckWo; NPA Air Content (%Y,(ASTM:G I 73/C-23 1): WIA DielivezyTi-ckerNo; NIA doucrate Temperature (F) (ASTM C-1064): Date Received in rab: 10M/2016 Air Temperature (F): capping Meffiod. ASTM C-1231 COMPRESSIVE TEST RESULTS. ASTM C-39 L21;Au i IDNumber Ti Teat Age Date offest ad, Total Load.,, aw Cylinder Diameter Cylinder , Area -".In) -1 Compressive, !Strea9thfp50- (Ila") (in) ---76 3 I0131120115 - -j -1-W90 - 'IS —6 2936 1 '�4955-- -3 B 14 -1-YO712016 -15-0440 -28.26 5320 5 �6 3 C 28 11/21/20I6 16 I —M0 —6 28.245 5720— Sped cations —29 4000 fjrladets made by TSF° x Ted Results Comply with applicable. specifications These test results apply for only to the specific locado Cyllh*mmude by Contractor Cji1111&rwpicka&up by.. Contractor Test Results does not Comply, with applicable specifications noted and may act represent any other location. Reports may not be M INNONNE-malow E7 -k 2765yisrApAkywAyiSuiTsLO-.WEST PALM MCH.FLOPJDA33411 061) 687-8539 - FAX (561) 687-8570 :Q2nmif� SOUTH FLORIDA ewmeoiwa4wa,rw..unm,.cra�asoais Report of Concrete Compression Test Tested For: Carrick Contracting Corporation Report Generated: 11/2212016 d450Mnetic Rmad :T5F Project #: 7112-16-343.005 Lake P.ark,-Florida-33403 3Prajert: XaySite -Mest-.Motoroia ;Attention: TrormeiA?Qc - Address: 1419111angeilnelkaad 'Tlaw. "Ikoject'Manager Fort St. Lucie, Florida -34982 Cc: Troy Melnick (tmelnick@carrickcontmcdng.com) Inspector. Contractor Permrt#: General Location: Center Pin Sampled @: Center Pin DatePlaced: IOt2012416 Supplier Timer Mi sNoi,&'Prupoitigna: WA SumP(in).(ASTM-Ct43): -NA FniclEllsa -NA Air content(%) (ASTM.C=1731C,231);:. NtA:.., Delivery, TicketNa: NIA Concrete -Temperature (F) (AST&f C-1064): Date Received in.lab. 1012112016• Air Temperature Capping Method: ASTMC-1231 COMPRESSIVE TEST RESULTS ASTM C-39 Lab No Test Age Dete of Test Total Load Cylinder Diameter Cylinder Compressive Type of Break (DR33) (Ibs), :: Arra{eg.1019 hEDNumbei -..:.1Z7/20 :'e06-1`4-" 'YiY031 OM —"T4380 t4-.06 12-,94 .: '5750 .4 1 28 11117/2016, 86026 -4.06 12.94 6650 .4 3 ecifications 28 4000 Cylinders made by TSE, SC, . CylindemmadebyCiintriator �: Cyiindets:picketiulrbyislF C,�lindcrspcladgp:tiYr.Caniraetor. X TestResults,Comply,unlhapplccable TcaResultsdomnotComplywitllapplicable'., specifications specifications - These test results apply for only to the specific locations noted and may not represent any other location. Reports may not be I I g—gi, �_. 2765 VISTA PARKWAY, SUITE io • WEST PALM BEACH FLOW OA 33411 , (56 t) 687-8539 • FAX (561) 687-8570 _ - 5*.acalF�u7a.f. Report of Concrete Compremon Test Tested For: Carrick Contracting Corporation Report Generated: 11/22/2016 1450 Kinetic Road TSFProject#- 7112-16-343-006 L-&vPatk,Floxlda-33403 woje&. Alm"w. TmMtWdk Address: M191 Range Lim Road `Title. IftojectmMulger -?AftIMLU&4 Florida - 34982 -Cc: Troy 'Uspgctor- :Pontractor Permit 4: General Location: North Anchor Sampled @: North Anchor Date Placed: 10/21/2016 Supplier: THW.I hfirblm &PIroportionsa. NLA- SIump(ih).(ASTM C143)-- NA TruckNo. NfA Air Content, E*1 fPMM C-IC23t)t WIA Dtffvm Tickow r'O' CGncrdvTempm%=,(F,I(ASTX(:�-1064)r Date Received imlebt, 10[22MM& AbTemPemfttre in Method:. ASTM C4231 COMPRESSIVE TEST RESULTS, ASTM C-39 Lab No ID Number Test Age Date of Test Total Load Cylinder Diameter Cylinder Compressive Type of Break (Days) (Ibs) Area (sq.in) Strength (psi) d . L Z— 7ZVQ— = --13M— — -- 4 I .-B 14 1-1104r2016 '75660 4.06 '12.94 585D �6 - 2 -C IS -WI812016- 34520 T—AX6 -T2:94 -031) 4 PI --Sipecilff cations 28 1 1 4000 Remarks: — Cylinders made by, TSF x CyI3hdhmpWmdupb2TSF X TistResulmCbmiply-vaaappE x Cyl inders made by, Contractor Qjbirderspicked-Wby-Contractor location. Reports may not be 'rype Ot lar"Ic Codes *or CAW46M C..7® aj IN Fq � D 11 SX-4 --w—r IR-4 Types, - WFST PALM MACH, FLOM M 33411 - FAX (561)687-8570, wlwfture Lkell 5n :-ar' terra S OIS.T'H; PLO.RJ MA Rep ort of Concrete Compression Test Tested For: Carrick Contracting Corporation Report Generated: 11/22/2016 44503CincticRoad OFFrolert4h 731246-M437 ?zrI4Tlcrida--33403 iYnjetk ZitySwteVest-Motorola Attention: Zw'Ildifiluk Marew 14191 Range Lin Road 7#1z' _?wjwIMmaaffffP SLiufti El ila-:34982 Cc: -Troy Melnick (tinaltilck@panickrontracting.com) jnspector. -Contractor remit* General Location: Southwest Anchor Sampled@: Southwest Anchor ,DO_-Plmwd:- ImWI& , lim: Timer =w&'&ftpQrdo=w% Shnnp(inj�OKSTI&Cl4a),; WRI Ttu&Nb.' '_W& Air ConM(%) (ASTMC-173/C-231)- MA- DeliveiyTickctNbr MA COncritc-Ten3peratora,(F) (ASTM C-1 064)-- Dateltecblvedlwlabt, 10126/2016., 6 Ali Temperature M: Capping Method: ASTM C-1231 COf"RESSIVE TEST RESULTS, ASTM C-39 Lab No ID Number Test Age Date of Test Tot" Load Cylinder Diameter Cylinder Compressive Type of Break Am (sqAn)f Stmalith (vQ 4 -A '11101MI-6- _-.13MO 6 ­77=6 -,480D 5 14 44YOM16, 441291) .16 2826 T -5000 -5 A IC a IMMIllf i IR860 6 2926 sw A6 Specifications 28 400D - OAM=,m&&by TSB M Cylinderamadaby Contractor. X CylladerspickoLupbFTSIF Wi]3d= pwked upby ContmeWr _)i -TestM:sWWCbmplywffh,appUcablq TespRmdtsdorA-not,.Cbmplyvftkapplicablt,,,, specificatians These test results apply i6iouly to the specific locations noted and may not represent any other location. Reports may not be --h-4 ­44­.rhy'MQ�,,fh M44. N� Type of Or"Ic C*4*s for CWIndom VN 1P711 [Elm M Fq � F-I 11 2765VIS'rA PARKWAY, SUITE 10 -WEST PAW BEACK FLoRIDA33411 (561) 687-8539, FAX (561) 687-8570 .13 tiers SOUTH FLORIDA RECEI �D JUN 26 pp�/ Report of Concrete Compression Test ABY EV Tested For: Carrick Contracting Corporation Report Generated: 11/22/2016 St. 1450 Kinetic Road TSF Project #: 7112-16-343-007 Lucie COunk Lake Park, Florida - 33403 Project: City Site West - Motorola Attention: Troy Melnick Address: 14191 Range Line Road Title: Project Manager Port St. Lucie, Florida - 34982 Cc: Troy Melnick(tmelnick@carrickcontmcting.com) Inspector: Contractor Permit #: General Location: Southwest Anchor Sampled @: Southwest Anchor Date Placed: 10/25/2016 Supplier: Time: Mix No. & Proportions: N/A Slump (in) (ASTM C143): NA Truck No: N/A Air Content (%) (ASTM C-173/C-231): N/A Delivery Ticket No: N/A Concrete Temperature (F) (ASTM C-1064): Date Received in lab: 10/26/2016 Air Temperature Capping Method: ASTM C-1231 COMPRESSIVE TEST RESULTS, ASTM C-39 Lab No ID Number Test Age Date of Test Total Load Cylinder Diameter Cylinder Compressive Type of Break (Days) (lbs) Area (sq.in) Strength (psi) 4 A 7 11/01/2016 135740 6 28.26 4800 5 4 B 14 11/08/2016 141290 6 28.26 5000 5 4 C 28 11/22/2016 157860 6 28.26 5590 6 Specifications 28 4000 Remarks: Cylinders made by TSF X Cylinders made by Contractor X Cylinders picked up by TSF Cylinders picked up by Contractor X Test Results Comply with applicable Test Results does not Comply with applicable specifications specifications These test results apply for only to the specific locations noted and may not represent any other location. Reports may not be reproduced except in full, without permission by Tierra South Florida, Inc. to: Respectfully Submitted;i Ecoish' 'orida, Inc. 'iyD'eofOreaK Codes l('`r�.00rrv'CV/IOdert Ell] r7s, RX er' Type ry"2 ryvet ryge4ryoes ryes- Florida Registrati onNo.56381 2765 VISTA PARKWAY, MATE to - WrIsT PAui BEACH, Fi6puUA 33411 (561) 687-8539 • FAX (561) 687-8570 - Stde ojAmida PfejesM,al Engu,ees hens:#28073 k'LECOPY Berra SOUTH FLORIDA a mxEnc. xenaaiu.aa;,esaaaevrorzu Report of Concrete Compression Test Tested For: Carrick Contracting Corporation Report Generated: 11/22/2016 1450 Kinetic Road TSF Project #: 7112-16-343-006 Lake Park, Florida - 33403 Project: City Site West - Motorola Attention: Troy Melnick Address: 14191 Range Line Road Title: Project Manager Port St. Lucie, Florida - 34982 Cc: Troy Melnick(tinelnick@carrickcontracting.com) Inspector: Contractor Permit #: General Location: North Anchor Sampled @: North Anchor Date Placed: 10/21/2016 Supplier: Time: Mix No. & Proportions: N/A Slump (in) (ASTM C143): NA Truck No: N/A Air Content (a/o) (ASTM C-173/C-231): N/A Delivery Ticket No: N/A Concrete Temperature (F) (ASTM C-1064): Date Received in lab: 10/22/2016 Air Temperature (F : Capping Method: ASTM C-1231 COMPRESSIVE TEST RESULTS, ASTM C-39 Lab No ID Number Test Age Date of Test Total Load Cylinder Diameter Cylinder Compressive of Break (Days) lbs ( ) Areas m (9� ) Strength(psi)Type St M 2 A 7 10/28/2016 72060 4.07 13.00 5540 4 2 B 14 11/04/2016 75660 4.06 12.94 5850 6 2 C 28 11/18/2016 84520 4.06 12.94 6530 4 IF S ecifications 28 4000 Remarks: Cylinders made by TSF X Cylinders made by Contractor X Cylinders picked up by TSF Cylinders picked up by Contractor X Test Results Comply with applicable Test Results does not Comply with applicable specifications specifications These test results apply for only to the specific locations noted and may not represent any other location. Reports may not be Type or Break Cedes for Cylinders Type r Type r Type 7 Tive 44 Type S Type a xespecuinry sunmureo, Tie aSouthFlorida,Inc.', F cois Tli inns, It:E PrincipalEn itfeer'. Florida Reeistration-No.56381 ' 2765 VISTA PARkwAY. SUITE 10 - WESTPALM BEACH. FLORIDA 33411 (561) 687-8539.•FAX (561).687-8570 a,,,^ of RaWa Pwfe-val,Engmevs If¢nse#28073 tiers SOUTH FLORIDA ummwuacnona; nwrzwtmieoeewaoarcaxo Report of Concrete Compression Test Tested For: Carrick Contracting Corporation Report Generated: 11/22/2016 1450 Kinetic Road TSF Project #: 7112-16-343-005 Lake Park, Florida - 33403 Project: City Site West - Motorola Attention: Troy Melnick Address: 14191 Range Line Road Title: Project Manager Port St. Lucie, Florida - 34982 Cc: Troy Melnick(tmelnick@carrickcontracting.com) Inspector: Contractor Permit #: General Location: Center Pin Sampled @: Center Pin Date Placed: 10/20/2016 Supplier: Time: Mix No. & Proportions: N/A Slump (in) (ASTM C143): NA Truck No: N/A Air Content (%) (ASTM C- 173/C-23 1): N/A Delivery Ticket No: N/A Concrete Temperature (F) (ASTM C-1064): Date Received in lab: 10/21/2016 Air Temperature Capping Method: ASTM C-1231 COMPRESSIVE TEST RESULTS, ASTM C-39 Lab No ID Number Test Age Date of Test Total Load Cylinder Diameter Cylinder Compressive Type of Break (Days) (lbs) Area (sq.in) Strength (psi) 1 A 7 10/27/2016 70300 4.06 12.94 5430 4 1 B 14 11/03/2016 74380 4.06 12.94 5750 4 1 C 28 11/17/2016 86020 4.06 12.94 6650 4 Specifications 28 4000 Remarks: Cylinders made by TSF X Cylinders made by Contractor X Cylinders picked up by TSF Cylinders picked up by Contractor X Test Results Comply with applicable Test Results does not Comply with applicable specifications specifications These test results apply for only to the specific locations noted and may not represent any other location. Reports may not be Type of Break Cocks for CV11nders Type Typet TypeI Type4 Types Type$ Respectfully Submitted , Tie fra Soutli Fl9rida; Iuc.- Fr�cois Thpmas, P.i " t Principal Enk]ineer' ; , Florida Registration No.56381 2765VISTA PARKtVA1: SUITE 10 WEST PALM BEACH, FLoR1DA 33411 1561) 687-8539 FAX (561) 687-8570 itme orflwmaPmressnmatEagi,rc[rs Gi se.418073 Cguerra SOUTH FLORIDA amcw, uamiu�eo:rnwewxu Report of Concrete Compression Test Tested For: Carrick Contracting Corporation Report Generated: 11/22/2016 1450 Kinetic Road TSF Project #: 7112-16-343-004 Lake Park, Florida - 33403 Project: City Site West - Motorola Attention: Troy Melnick Address: 14191 Range Line Road Title: Project Manager Port St. Lucie, Florida - 34982 Cc: Troy Melnick(tmeinick@carrickeontracting.com) Inspector: Contractor Permit #: General Location: SE Anchor Sampled @: SE Anchor Date Placed: 10/24/2016 Supplier: Time: Mix No. & Proportions: N/A Slump (in) (ASTM C143): NA Truck No: N/A Air Content (%) (ASTM C-173/C-231): N/A Delivery Ticket No: N/A Concrete Temperature (F) (ASTM C-1064): Date Received in lab: 10/25/2016 Air Temperature (F): Capping Method: ASTM C-1231 COMPRESSIVE TEST RESULTS, ASTM C-39 Lab No ID Number Test A e g Date of Test Total Load Cylinder Diameter Cylinder Compressive Type of Break (Days) (lbs) Area (sq.in) Strength (psi) in 3 A 7 10/31/2016 139790 6 28.26 4950 6 3 B 14 11/07/2016 150440 6 28.26 5320 5 3 C 28 11/21/2016 161560 6 28.26 5720 6 IF -Specifications 28 4000 Remarks: Cylinders made by TSF X Cylinders picked up by TSF X Cylinders made by Contractor Cylinders picked up by Contractor X Test Results Comply with applicable Test Results does not Comply with applicable specifications specifications These test results apply for only to the specific locations noted and may not represent any other location. Reports may not be Type of Break Codes for Cylinders Type Typo? Type t7 Type Types Type Res ctfully Subni'tied, Ti, a South Florida, -Inc., i z l � ., Fr ois The as, P.E- ^" Principal Engi eer Florida Registration No'.56391 2765 VISTA PARKWAY..SUITE 10 . WEST PAw BEACH, FLORIDA �33411 (561) 687-8539 FAX (561).687-8570 Stme'ofRarda hufaO onnt-Fngb¢v E nce.043073 ra k' SOUTH FLORIDA Report of Moisture Density Relationship - Proctor Tested For: Carrick Contracting Corporation Report Generated: 11/03/2016 1450 Kinetic Road TSF Project #: 7112-16-343-003 Lake Park, Florida - 33403 Project: City Site West - Motorola Attention: Troy Melnick Address: 14191 Range Line Road Title: Project Manager Port St. Lucie, Florida - 34982 Cc: Troy Melnick(tmelnick@carrickcontracting.com) Inspector: Juan Rosa Permit #: c _ 6 Visual Classification: Sample Source: Method of Test: TestResults Maximum Dry Density: 8 10 Moisture Content (%) Lab Activi Dark Brown Sand with Rocks Tower Center Pin (Existing Material) AASHTO T-180 (Proctor) 114.5 pef 12 10/20/2016 Optimum Moisture: 10.5 % test results apply for only to the specific locations noted and may not represent any other location. Reports may not be Report Copied to: Res ectfully Submitted, Tiera South Florida, Inc. Frrcoiss' mas,P.E Principal.En ineer, 1 = _ Florida Registration No.56381 2765 VISTA PARKWAY. SUITE'10 , WEST 1'Aw BEACH, FI.ORIDA 33411 .(561) 687-8539 - VAX_(561) 687-8570 love of Rwdo Frofmwd Engineers limrse #=73 tierra SOUTH FLORIDA omrmew:arnnreo,waoxsam,nsum scam Sample Pick-up Tested For: Carrick Contracting Corporation 1450 Kinetic Road Lake Park, Florida - 33403 Attention: Troy Melnick Title: Project Manager Cc: Troy Melnick (tinelnick@carrickcontracting.com) Work Order Details Test Type: Job Date Scheduled: Site Contact: Contact Phone #: Task Details: Sample Pickup - Proctor 10/20/2016 12: 10 PM Report Generated: 10/21/2016 TSF Project #: 7112-16-343-002 Project: City Site West -Motorola Address: 14191 Range Line Road Port St. Lucie, Florida - 34982 Permit #: Field Data Collection Details Travel Time: hrs Start Time: Stand By Time: hrs Departure Time: Inspector: Ulises Mom Job Date Completed: 10/20/2016 Sample Source: Tower Center pin Visual Classification: Sample pick up Test To Be Performed: AASHTO T-180 (Proctor) No of Samples / Sets: 1 Assigned Lab Tech: jrosa Note: This work order is generated internally to tmckjob status. This is intended only for the assigned technician or inspector. It may not be reproduced except in full, without permission by Tierra South Florida, Inc. to: Submitted, 1 Florida, Inc. Florida Registration No:56381, 2765 VisTA'PAwl"VA-Y, SUITE 10 - WEST PALM BEACH.. FLOIUDA 33411 (561) 687-8539 - FAx (561) 687-8570 Sint of Florida ProfessionatFaain U=se#28073 tiers '.9"D UTH FLORIDA om�w.nawmo:+.va.cmw:,erww.w.a Reinforcing Steel Inspection Report Tested For: Carrick Contracting Corporation Report Generated: 10/24/2016 1450 Kinetic Road TSF Project #: 7112-16-343-OOIA Lake Park, Florida - 33403 Project: City SiteWest- Motorola Attention: Troy Melnick Address: 14191 Range Line Road Title: Project Manager Port St. Lucie, Florida - 34982 Cc: Troy Melnick (tmelnick@carrickcontracting.com) Permit #: X Initial Inspection Re -Inspection / Date of Previous Inspection Field Activity Date: 10/20/2016 Members / Area Inspected: Caisson foundation Floor Level (Floor or Elevation): Foundation Location (Column Lines): Tower center foundation Plans Reference w/ Dates & RFPs: Structural drawings The following have been inspected for compliance with the permitted plans, contract documents approved for compliance with Florida building code and accepted practices. COMPLIES X Building Set-Backs/Termite Application X Density Tests/Soil Report Inside of Forms Clean X Wire Mesh Reinf, Size and Lap Rebar Grade Size, Spacing, Quantity, Shape, Tying Splices & Dowels Rebar Clean and Free of Oil Rebar Clearance from Forms and Earth Embeds/Anchor Bolts in Place and Secure X Shoring & Re -shoring Inspection Report (by others) n / Area Approved Re -Inspection Required In Progress Deficiencies or Other Comments: These test results apply for only to the specific locations noted and may not represent any other location. Reports may not be reproduced except in full without permission by Tierra South Florida, Inc. Re ort Copied to: Respectfully Submitted, Tie ra South -Florida; Inc. Inspector: XavierBurbano BN #: 4650 F cois Th as, P:E Principal Eng lees Florida RegisLion No.56381 2765 VIYEA- MU. VA SUTIE 16 - 'AIM PALM BEACH FLORIDA 33411. .(i61) G87-8539 - FAX (561).W-8576 Um cf flarida Pmfenh=1 F. *Ous lkwn 028073