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OTTO ROSENAU & ASSOCIATES, INC. <br /> Geotechnical Engineering,Construction Inspection&Materials Testing <br /> PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT <br /> Job Number: 16-0804g Report Number: 339535 Permit Number: C1604-026 to 031 <br /> Project: Eclipse Townhomes-Bldg.3 Client: Polygon Northwest <br /> Address: 3313 to 3323 31st 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"and 5/8"diameter all thread anchor bolts into thickened <br /> slab footings for HDU11,HDU8,and HDU5 holdowns at building#3 stairwell/party walls per Ct Engineering <br /> bulletin CT-07. <br /> Intended Use: Anchor bolts for holdowns Building Code&Year: 2015 IBC <br /> ❑:Reinforcing Steel J�All Thread - <br /> Bar/Dowel Size&Quantity: Anchor Size&Quantity: 1"(4),7/8"(4),5/8"(4) <br /> Rebar Manufacturer: Type of Steel(ASTM): ®A-36 0 A-325 ❑A-449 <br /> Rebar Grade: 0 40 0 60 0 Other: 0 Other: <br /> Type of Bar: 0 A-615 0 A-706 0 A-775 ❑Other: <br /> Special Ductile Quality(SDQ): ❑Yes ❑No • <br /> Anchor Length: 16"-18" Hole Depth: 10",9",8" Required Embedment 10",9",8" <br /> Hole Diameter: 1 1/8",1",3A" Concrete Thickness: Concrete Strength: <br /> Hole Orientation: ®Vertical Down 0 Vertical Up ❑Horizontal <br /> Base Material: El 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: El Yes 0 No Hole Condition: ®Dry El Damp ❑Water Saturated ❑Submerged <br /> Drill Bit(ANSI B212.15): El Yes 0 No Approved Diamond Cored Hole: 0 Yes ®No <br /> Adhesive Type: Simpson AT XP Expiration Date: 1/4/2018, 12/4/2018 ICC ESR#: 263 <br /> Weather: Overcast with rain Ambient Temperature: 52°F Substrate Temperature: 50°F <br /> Comments , <br /> Reference Standard(s)Used: Conforms X Does Not Conform <br /> Copies to: <br /> Client X Engineer Others t <br /> Owner X Contractor Technical Responsibility: <br /> Architect X Building Dept. r Ha , roject 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-OTTO-4-US-Fax(206)723-2221 <br /> Form No.:ADMIN-86-02(Rev.05/13) <br />