8215 BROADWAY CROWN CASTLE ANTENNA 2022-04-04

PLANS PREPARED FOR: MODIFICATION INSPECTION CHECKLIST CROWN BEFORE CONSTRUCTION DURING CONSTRUCTION AFTER CONSTRUCTION �„�I/ CASTLE CONSTRUCTION/INSTALLATION INSPECTION i CONSTRUCTION/INSTALLATION INSPECTION CONSTRUCTION/INSTALLATION INSPECTION PLANS PREPARED BY: AND TESTING REQUIRED(COMPLETED BY ' REPORT ITEM AND TESTING REQUIRED(COMPLETED BY REPORT ITEM AND TESTING REQUIRED(COMPLETED BY REPORT ITEM ENGINEER OF RECORD) ENGINEER OF RECORD) ENGINEER OF RECORD) 1POD X MODIFICATION INSPECTION CHECKLIST DWG X CONSTRUCTION INSPECTION(AS REQUIRED MODIFICATION INSPECTOR REDLINE OR BY CROWN) X RECORD DRAWING(S) POWER OF DESIGN - ENGINEER OF RECORD APPROVED SHOP POST INSTALLED ANCHOR ROD PULL-OUT 1033 E.TURKEYFOOT LAKE RD. DRAWINGS FOUNDATION INSPECTION TESTING SUITE 206 A0K9RO N,O HIIO 44312 332 - FABRICATION INSPECTION - CONCRETE COMP.STRENGTH AND SLUMP X PHOTOGRAPHS TEST CARRIER: X MATERIAL TEST REPORT POST INSTALLED ANCHOR ROD VERIFICATION T • •Mobile• ADDITIONAL TESTING AND INSPECTION - FABRICATOR NDE INSPECTION - BASE PLATE GROUT VERIFICATION DRAWING NOTICE: NDE REPORT OF MONOPOLE BASEPLATE(AS THESE DOCUMENTS ARE CONFIDENTIAL AND ARE - REQUIRED) - THIRD PARTY CERTIFIED WELD INSPECTION THE SOLE PROPERTY OF CROWN CASTLE AND MAY NOT BE REPRODUCED,DISSEMINATED OR REDISTRIBUTED WITHOUT THE EXPRESS WRITTEN X ; PACKING SLIP - EARTHWORK LIFT AND DENSITY (REPORT CONSENT OF CROWN CASTLE. REQUIRED) MODIFICATION DRAWING ADDITIONAL TESTING AND INSPECTION X ON SITE COLD GALVANIZING VERIFICATION 6/75/2027 - GUY WIRE TENSION REPORT 4,ORGE C. X GC AS-BUILT DOCUMENTS ,07'�0Fg1,S �tA, t ADDITIONAL TESTING AND INSPECTION(AS REQUIRED BY CROWN) ,s MODIFICATION INSPECTION NOTES: INSPECTION("FAILED MODIFICATION INSPECTION"),THE GC SHALL WORK WITH �"P0 R�579E • REVIEW THE REQUIREMENT OF THE MODIFICATION INSPECTION CHECKLIST MODIFICATION INSPECTOR TO COORDINATE A REMEDIATION PLAN IN ONE OF r'ISTK" GENERAL: TWO WAYS: �SSIONAL'$' • WORK WITH THE MI INSPECTOR TO DEVELOP A SCHEDULE TO CONDUCT 1. THE MODIFICATION INSPECTION IS A VISUAL INSPECTION OF TOWER ON-SITE MODIFICATION INSPECTIONS,INCLUDING FOUNDATION INSPECTIONS • CORRECT FAILING ISSUES TO COMPLY WITH THE SPECIFICATIONS CONTAINED IN MODIFICATION AND A REVIEW OF CONSTRUCTION INSPECTION AND OTHER THE ORIGINAL CONTRACT DOCUMENTS AND COORDINATE A SUPPLEMENT , J a REPORTS TO ENSURE THE INSTALLATION WAS CONSTRUCTED IN ACCORDANCE • BETTER UNDERSTAND ALL INSPECTION AND TESTING REQUIREMENTS MODIFICATION INSPECTION.OR,WITH TOWER OWNER'S APPROVAL,THE GC WITH THE CONTRACT DOCUMENTS.NAMELY THE MODIFICATION DRAWINGS.,AS MAY WORK WITH THE ENGINEER OF RECORD TO REXANALYZE THE EV. DATE D •IPTION DESIGNED BY THE ENGINEER OF RECORD. 2. THE GC SHALL PERFORM AND RECORD THE TEST AND INSPECTION RESULTS IN MODIFCATION/REINFORCEMENT USING AS-BUILT CONDITION. ACCORDANCE WITH THE REQUIREMENTS OF THE MODIFICATION INSPECTION 2. THE MODIFICATION INSPECTION IS TO CONFIRM INSTALLATION CONFIGURATION CHECKLIST. VERIFICATION INSPECTIONS: AND WORKMANSHIP ONLY AN IS NOT A REVIEW OF THE MODIFICATION DESIGN ITSELF.NOR DOES THE MODIFICATION INSPECTOR TAKE OWNERSHIP OF THE RECOMMENDATIONS: 1. TOWER OWNER RESERVES THE RIGHT TO CONDUCT A VERIFICATION INSPECTION MODIFICATION DESIGN.OWNERSHIP OF THE STRUCTURAL MODIFICATION DESIGN TO VERIFY THE ACCURACY AND COMPLETENESS OF PREVIOUSLY COMPLETED EFFECTIVENESS AND INTENT RESIDES WITH THE ENGINEER OF RECORD AT ALL 1. IT IS SUGGESTED THAT THE GC PROVIDE A MINIMUM OF 5 BUSINESS DAYS MODIFICATION AND INSPECTION(S)ON TOWER MODIFICATION PRODUCTS. TIMES. NOTICE,TO THE MODIFICATION INSPECTOR AS TO WHEN THE SITE WILL BE READY FOR HE MODIFICATION INSPECTION TO BE CONDUCTED. 2. VERIFICATION INSPECTION MAY BE CONDUCTED BY AN INDEPENDENT FIRM AFTER SITE INFORMATION: 3. TO ENSURE THAT THE REQUIREMENT OF THE MODIFICATION INSPECTION ARE A MODIFICATION PROJECT IS COMPLETED,AS MARKED BY THE DATE OF AN MET,IT IS VITAL THAT THE GENERAL CONTRACTOR(GC)AND THE MODIFICATION • THE GC AND MODIFICATION INSPECTION COORDINATE CLOSELY THROUGHOUT ACCEPTED"PASSING MODIFICATION INSPECTION MODIFICATION INSPECTION" INSPECTOR BEGIN COMMUNICATION AND COORDINATING AS SOON AS A POOR THE ENTIRE PROJECT. REPORT FOR THE ORIGINAL PROJECT. FEE LY(SEO169OA) PAYMENT IS RECEIVED.IT IS EXPECTED THAT EACH PARTY WILL BE PROACTIVE IN REACHING OUT TO THE OTHER PARTY. • WHEN POSSIBLE IT IS PREFERRED TO HAVE THE MODIFICATION INSPECTOR AND REQUIRED PHOTOS: GC ON-SITE SIMULTANEOUSLY FOR ANY GUY WIRE TENSIONING OR 8215 BROADWAY MODIFICATION INSPECTOR: REXTENSIONING OPERATIONS. 1. BETWEEN THE GC AND THE MI INSPECTOR THE FOLLOWING PHOTOGRAPHS ARE EVERETT,WA 98203 1. THE MODIFICATION INSPECTOR IS REQUIRED TO CONTACT THE GC AS SOON AS • IT MAY BE BENEFICIAL TO INSTALL ALL TOWER MODIFICATIONS PRIOR TO TO BE TAKEN AND INCLUDED IN THE MODIFICATION INSPECTION REPORT: SITE NUMBER: RECEIVING A PO OR PAYMENT FOR THE MODIFICATION INSPECTION TO: CONDUCTING THE FOUNDATION INSPECTION TO ALLOW FOUNDATION AND • PREXCONSTRUCTION GENERAL SITE CONDITION MODIFICATION INSPECTION(S)DONE IN ONE SITE VISIT. 824022 • REVIEW THE REQUIREMENT OF THE MODIFICATION INSPECTION CHECKLIST • PHOTOGRAPHS DURING THE REINFORCEMENT MODIFICATION • WHEN POSSIBLE,IT IS PREFERRED TO HAVE THE GC AND MODIFICATION CONSTRUCTION/ERECTION AND INSPECTION POD NUMBER: 21-84153 • WORK WITH THE GC TO DEVELOP A SCHEDULE TO CONDUCT ON-SITE INSPECTOR ON-SITE DURING THE MODIFICATION INSPECTION.THEREFORE,THE DESIGNED BY: LT • INSPECTIONS GC MAY CHOOSE TO COORDINATE THE MODIFICATION INSPECTION CAREFULLY ••RAW MATERIALS DRAWN BY: TAJ TO ENSURE ALL CONSTRUCTION FACILITIES AT THEIR DISPOSAL WHEN THE MI ••PHOTOS OF ALL CRITICAL DETAILS CHECKED BY: JGC • DISCUSS ANY SITE SPECIFIC INSPECTIONS OR CONCERNS INSPECTOR IS ON SITE. ••WELD PREPARATION DATE: 06/15/2021 ••FOUNDATION MODIFICATION SHEET TITLE: 2. THE MODIFICATION INSPECTOR IS RESPONSIBLE FOR COLLECTING ALL GENERAL CANCELLATION OR DELAYS IN SCHEDULED MODIFICATION INSPECTION: ••BOLT INSTALLATION AND TORQUE CONTRACTOR(GC)INSPECTION AND TEST REPORTS.REVIEWING THE DOCUMENTS •.FINAL INSTALLED CONDITION FOR ADHERENCE TO THE CONTRACT DOCUMENTS,CONDUCTING THE INXFEILD 1. IF THE GC AND MODIFICATION INSPECTOR AGREETO A DATE ON WHICH THE •.SURFACE COATING REPAIR M 0 D I F I CATI O N INSPECTIONS,AND SUBMITTING THE MODIFICATION INSPECTION REPORT. MODIFICATION INSPECTION WILL BE CONDUCTED,AND EITHER ARTY CANCELS OR DELAYS,THE TOWER OWNER SHALL NOT BE RESPONSIBLE FOR ANY COSTS,FEES, • POST CONDITION PHOTOGRAPHS CHECKLIST GENERAL CONTRACTOR: LOSS OR DEPOSITS AND/OR OTHER PENALTIES RELATE TO THE CANCELLATION OR DELAY INCURRED BY EITHER PARTY FOR ANY TIME.EXCEPTIONS MAY BE MADE IN • FINAL INFIELD CONDITION ANY OTHER PHOTOS DEEMED RELEVANT TO SHOW 1. THE GC IS REQUIRED TO CONTACT THE MODIFICATION INSPECTOR AS SOON AS THE DELAY/CANCELLATION IS CAUSED BY WEATHER OR OTHER CONDITIONS THAT COMPLETE DENTALS OF MODIFICATIONS RECEIVING A POOR PAYMENT FOR THE MODIFICATION INSTALLATION OR MAY COMPROMISE THE SAFETY OF THE PARTIES INVOLVED. TURNKEY PROJECT TO: 2. PHOTOS OF ELEVATED MODIFICATIONS TAKEN FROM THE GROUND SHALL BE w /�I_O A 1 CORRECTION OF FAILING MODIFICATION INSPECTION: CONSIDERED INADEQUATE. I\1//I 1. IF THE MODIFICATION INSTALLATION WOULD FAIL THE MODIFICATION , �•.