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 FORMS  Appendix D CONTENTS Prelimina ry Design Request Form D-1 HeliCAP ® Helical Capacity Design Softw are Buyer Qualification D-3 and Order Form Chance ® Helical Anchor/Pile Axial Test Form D-5 Atlas Resistance ® Piers Installa tion Log D-7 Chance ® Helical Anchor/Pile Installat ion Log D-9 Helical P ulldown ® Micropile Installat ion Log D-11 Atlas Resistance ® Piers - Project Summary Log D-13 DISCLAIMER The information in this manual is provided as a guide to assist you with your design and in writing your own specifications. Installation conditions, including soil and structure conditions, vary widely from location to location and from point to poi nt on a site. Independent engineering analysis and consulting state and local building codes and authorities should be conducted prior to any installation to ascertain and verify compli ance to relevant rules, regulations and requir ements. Hubbell, Inc., shall not be responsible for, or liable to you and/or your customers for the adoption, revision, implementation, use or misuse of this information. Hubbell, Inc., takes great pride and has every confidence in its network of dealers/installing contractors. Hubbell, Inc., does NOT warrant the work of its dealers/installing contractors in the installation of CHANCE ® Civil Construction foundation support products.  v1.0 D-i Oct/2006
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Chance Technical Manual Appendix D

Apr 14, 2018

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FORMS Appendix D

CONTENTS

Preliminary Design Request Form D-1HeliCAP®Helical Capacity Design Software Buyer Qualification D-3

and Order FormChance®Helical Anchor/Pile Axial Test Form D-5Atlas Resistance®Piers Installation Log D-7Chance®Helical Anchor/Pile Installation Log D-9Helical Pulldown®Micropile Installation Log D-11Atlas Resistance®Piers - Project Summary Log D-13

DISCLAIMER

The information in this manual is provided as a guide to assist you with your design andin writing your own specifications. Installation conditions, including soil and structureconditions, vary widely from location to location and from point to poi nt on a site.

Independent engineering analysis and consulting state and local building codes andauthorities should be conducted prior to any installation to ascertain and verifycompliance to relevant rules, regulations and requir ements.

Hubbell, Inc., shall not be responsible for, or liable to you and/or your customers for theadoption, revision, implementation, use or misuse of this information. Hubbell, Inc., takesgreat pride and has every confidence in its network of dealers/installing contractors.Hubbell, Inc., does NOT warrant the work of its dealers/installing contractors in the

installation of CHANCE®

Civil Construction foundation support products. 

v1.0 D-i Oct/2006

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PRELIMINARY DESIGN REQUEST FORMContact at CHANCE

®Civil Construction:

 _____________ ______________________ ______________  

Installing Contractor 

Firm: ______________________________________________ Contact: ___________________________________________ 

Phone: _________________________ Fax: ____________________________ Cell: ____________________________ 

Project

Name: ________________________________ Type: Foundation Underpinning/Shoring

Address: _____________________________  New Construction Rock

 _____________________________  Tieback Retaining Other: _______________ 

 _____________________________  Soil Nail Retaining ________________________ 

Project Engineer ? Yes No

Firm: _______________________________________________ Contact: ___________________________________________ 

Address: ___________________________________________ Phone: ___________________________________________ 

 _____________ ______________________ ________ Fax: ___________________________________________ 

 __________________________ _________________ Email: ___________________________________________ 

Geotechnical Engineer ? Yes No

Firm: ____________________________________________ Contact: ___________________________________________ 

Address: ________________________________________ Phone: ___________________________________________ 

 _____________ ______________________ _____ Fax: ___________________________________________ 

 ________________________________  Email:  ___________________________________ 

Loads 

Design Load FS (Mech) #1 FS (SSI) #1 Design Load FS (Mech) #2 FS (SSI) #2

Compression _____________ ____________ ____________ ____________ ____________ ____________ 

 Tension _____________ ____________ ____________ ____________ ____________ ____________ 

Shear _________ ____ ____________ ____________ ____________ _________ ___ ____________ 

Overturning _________ ____ ____________ ____________ ____________ ____________ ____________ 

Define the ow ner’s expectati ons and the scope of the project : ___________________________________________________  

 ____________________________________________________________________________________  ____________________________________________________________________________________  ____________________________________________________________________________________ 

The following are attached:  Plans Soil Boring Soil Resistivity Soil pH

If any o f the above are not attached, please exp lain: ___________________________________________________________ 

 _________________________________________________________________________________________________________ 

Date: ___________________ Requested Response: ___________________ Chance®#: _______ Response: _______ 

Please copy and complete this form to submi t a design request.

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HeliCAP® Helical Capacity Design SoftwareBuyer Qualification and Order Form

Qty Description Price Each Hard Drive Serial #(see instructions on reverse)

1 HeliCAP®Helical CapacityDesign Software

$250.00

  Please send me a copy of HeliCAP®on CD.

 Three additional licenses are available per copy. Go to www.abchance.com or contact CHANCE®CivilConstruction for more information.

BACKGROUND INFORMATION

Engineer Contractor    Architect

Structural General   Distributor 

Geotechnical Sub   Government Agency Civil Design-Build   Educational Institute

Mechanical Other _________________    Student

Electrical   Power Utility

Registered Professional   End User 

Other __________________    Other  _________________ 

Previous Helical Anchor/Pile Experience

 APPLICATION REFERENCE

Utility Residential Commercial

Guy Anchors (TransmissionLine)

Underpinning (FoundationRepairs)

Underpinning (FoundationRepairs)

Telecommunication Towers New ConstructionFoundations

Deep Foundations

Pipeline Anchors (BuoyancyControl)

Basement Wall Anchors Earth Retention (Tiebacksand Soil Nails)

DOT/FFA Retaining Walls Tiedowns (Uplift Restraint)

Other _________________  Boardwalks - Walkways 

Registered Professional

Other __________________ 

Other

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System Requirements 

• Windows®95/98/2000/NT/XP• Pentium®100 MHz processor• 32 Mb RAM

• 35 Mb free hard disk space• 2X CD-ROM drive• MAC users must have Virtual PC installed.

How to Find Your Hard Drive Serial Number  

 Your hard drive serial number is required in order to issue a license key for the HeliCAP®Helical CapacityDesign Software. To find your hard drive serial number:

• Click the Start button at the lower left corner of the desktop.

• Click Run in the popup window. The Run dialog box will open.

• Type command in the Open: field and click OK. A DOS window will open and display a DOSprompt. The DOS prompt will normally start with "c:" which is the default drive. If you want to

install HeliCAPP

®

on a different drive, type the drive letter followed by a colon (e.g., "d:") at theprompt and press Enter .

• Type vol at the DOS prompt and press Enter . The hard drive serial number (or Volume SerialNumber) will be displayed.

• Record the serial number and close the DOS prompt window.

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Chance® Helical Anchor/Pile Axial Test

Project: Date: Sheet of 

Anchor/Pile Number: Product Series: SS______  RS_______ 

Helix Configuration: Total Depth:

 Time: Start Finish Recorded by:

DISPLACEMENTPRESS

(psi)LOAD(kip)

 TIME(min) GAUGE A

(in)GAUGE B

(in)GAUGE C

(in)

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 At las Resistance®

Piers Installation Log

Project: Sheet of 

Pier Number:

Pier Designator: Installation Date:

Maximum Work Capacity:

Installation Cylinder Effective Area: Installation Technician:

DEPTH(ft)

PIERSECTION

PRESSURE(psi)

LOAD(lbs)

NOTES

3'-6 1

7'-0 2

10'-6 3

14'-0 4

17'-6 5

21'-0 6

24'-6 7

28'-0 8

31'-6 9

35'-0 10

38'-6 11

42'-0 12

45'-6 13

49'-0 14

52'-6 15

56'-0 16

59'-6 17

63'-0 18

66'-6 19

70'-0 20

73'-6 21

77'-0 22

80'-6 23

84'-0 24

87'-6 25

 Total Full Section Length: Length of Cut-Off Section:

Depth to Pier: Total Depth from Grade:

LIFTING LOG

Lift Ram Effective Area: Date of Lift:

Lift Amount(in)

Pressure(psi)

Load(lbs)Final Lift

Comments:

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Chance® Helical Anchor/Pile Installation Log

Project: Date: Sheet of 

Anchor/Pile Number: Product Series: SS______  RS_______ 

Helix Configuration: Installation Angle:

 Time: Start Finish Recorded by:

DEPTH(ft)

DP-1(psi)

 TORQUE(ft-lb)

COMMENTS

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Helical Pulldown® Micropile Installation Log

Project: Date: Sheet of 

Anchor/Pile Number: Product Series: SS______  RS_______ 

Helix Configuration: Installation Angle:

Grout Column Diameter: Sleeve Depth: From to

 Time: Start Finish Recorded by:

DEPTH(ft)

DP-1(psi)

 TORQUE(ft-lb)

GROUT FLOW (Volume/Shaft/Length)

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 At las Resistance®

Piers - Project Summary Log

Project Completion Date:Project:

Sheet of 

PIERNUMBER

DATE TOTALDEPTH

INSTALLPRESSURE

INSTALLLOAD

STAGE FINAL LIFTPRESSURE

FINALLIFT

LOAD

FINALLIFT

AMOUNT

FSDRIVEvs LIFT

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

⇐ 

DRIVE

⇐ 

⇒ 

LIFT

⇒ 

Report Prepared By: Date:

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