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OTTO ROSENAU & ASSOCIATES, INC. <br /> Geotechnical Engineering,Construction inspection&Materials Testing <br /> PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT <br /> Job Number: 16-0804d Report Number: 339767 Permit Number. C1606-069 to 075 <br /> Project: Eclipse Townhomes-Bldg.1 Client: Polygon Northwest <br /> Address: 3302 31 sf Drive,Everett Address: 11624 SE 5th Street,Bellevue <br /> Inspector: Darren Reid Date: 4/13/2017 <br /> Description/Location: Inspected the epoxy grouted installation of(1)7/8"diameter x 18°long all thread anchor into thickened slab <br /> footing for HDU8 holdown at building#1 unit 1.1 interior shearwall(south end). The inspected work was found <br /> to be done as per approved project documents. <br /> Intended Use: Anchor bolt for HDU 8 Holdown Building Code&Year <br /> ❑Reinforcing Steel All Thread' <br /> Bar/Dowel Size&Quantity: Anchor Size&Quantity: 7/8"(1) <br /> Rebar Manufacturer: Type of Steel(ASTM): ®A-36 ❑A 325 0 A-449 <br /> Rebar Grade: ❑40 ❑60 ❑Other: 0 Other. <br /> Type of Bar: ❑A-615 0 A-706 0 A-775 ❑Other. <br /> Special Ductile Quality(SDQ): 0 Yes 0 No <br /> Anchor Length: 18" Hole Depth: 11 16° Required Embedment 9" <br /> Hole Diameter 1" Concrete Thickness: Concrete Strength: <br /> Hole Orientation: ®Vertical Down 0 Vertical Up 0 Horizontal <br /> Base Material: ®Normal Weight Concrete 0 Light Weight Concrete ❑CMU 0 Brick 0 Composite Deck <br /> Hole Cleaning: ®Compressed Air 0 Hand Pump 0 Other Compressed Air PSI: 80-100 <br /> Brushed: ®Yes 0 No Hole Condition: ®Dry ❑Damp 0 Water Saturated 0 Submerged <br /> Drill Bit(ANSI B212.15): ®Yes 0 No Approved Diamond Cored Hole: ❑Yes ®No <br /> Adhesive Type: Simpson AT XP Expiration Date: 1/4/2018,12/4/2018 ICC ESR#: ER <br /> 263 <br /> Weather: Overcast with rain Ambient Temperature: 52°F Substrate Temperature: 50°F <br /> vComtrients <br /> s <br /> Reference Standard(s)Used: Conforms X Does Not Conform <br /> Copies to: <br /> Client X Engineer X Others <br /> Owner X Contractor Technical Responsibility: <br /> Architect X Building Dept. Wa r ansen,Project Manager <br /> This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates,Inc. Reproduction of this report, <br /> except in full,without written permission from our firm is strictly prohibited. <br /> Page 1 of 1 <br /> 6747 M.L.King Way S.,Seattle,Washington 98118 Phone(206)725-4600 or 1-888-0TTO-4-US-Fax(206)723-2221 <br /> Form No.:ADM/N--86-02(Rev.05/13) <br />