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OTTO ROSENAU & ASSOCIATES, INC. <br />Geotechnical Engineering, Construction Inspection & Materials Testing <br />PROPRIETARY ANCHOR ADHESIVE INSPECTION FIELD REPORT <br />Job Number: 23-0102 <br />Report Number: 447309 <br />Permit Number: B2204-072 <br />Project: Helion Energy Control Room <br />Client: <br />Address: 1415 75th St SW, Everett <br />Address: <br />Inspector: Ethan Dunaway <br />Date: 4/3/2023 <br />Description / Location <br />/ Intended Use <br />Inspected adhesive all thread installation for holdowns for steel to concrete connection located at grids 6 / C.5 — C.8 (HDU4, 8" <br />embed requirement, 2 holdowns) and at grids 5.1 / C.5 — C.7 (HDU6, 11" embed requirement, 2 holdowns) <br />Building Code & Year: IBC 2018 <br />❑ Reinforcing Steel <br />® All Thread <br />Bar/Dowel Size & Quantity: <br />Anchor Size & Quantity: 5/8" (4) <br />Rebar Manufacturer: <br />Type of Steel (ASTM): ® A-36 ❑ F-1554 ❑ A-276 <br />Grade: ® 36 ❑ 50 ❑ 75 ❑ Other: <br />Rebar Grade: ❑ 40 ❑ 60 ❑ Other: <br />Type of Bar: ❑ A-615 ❑ A-706 ❑ Other: <br />Does Contractor Need to Schedule Torque Verification? ® Yes ❑ No <br />Reason (if `No): Contractor will verify if torque verification is required. <br />Special Ductile Quality (SDQ): ❑ Yes ❑ No <br />Anchor Length: 12", 15" <br />Hole Depth: 8" to 8 %", 11 '/4" to 11 Y2" <br />Required Embedment: 8", 11" <br />Hole Diameter: 3/4" <br />Concrete Thickness: ----------- <br />Concrete Strength: -------- <br />Hole Orientation: ® Vertical Down ❑ Upwardly Inclined ❑ Horizontal <br />Base Material: ® Normal Weight Concrete ❑ Lightweight Concrete ❑ CMU ❑ Brick ❑ Composite Deck <br />Hole Cleaning: ❑ Compressed Air ❑ Hand Pump ❑ Vacuum Drill Bit ® Other: Vacuum <br />Compressed Air PSI: N/A <br />Drill Bit (ANSI B212.15): Yes <br />Brushed: ® Yes ❑ No <br />Hole Condition: ® Dry ❑ Damp ❑ Water Saturated ❑ Submerged <br />Adhesive Manufacturer/Type: Simpson Set 3G <br />Expiration Date: 09/02/23 <br />ICC ESR #: 4057 <br />Certified Installer(s): N/A <br />Weather: Indoors <br />Ambient Temperature: 58 °F <br />Substrate Temperature: 57 °F <br />Comments <br />Installation per notes on S1.1 and per general notes on approved structural plans. <br />Reference Standard(s) Used: <br />Conforms ® Does Not Conform ❑ <br />Start Time: <br />Finish Time: <br />Is this a re -inspection? ❑ Yes ® No <br />Original inspection date: <br />Inspected by:��> _f 2 �� ` '� Reviewed by: <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, except <br />in full, without written permission from our firm is strictly prohibited. <br />Page 1 of <br />6747 M. L. King Jr. Way S., Seattle, Washington 98118 - Phone (206) 725-4600 or 1-888-OTTO-4-US - Fax (206) 723-2221 <br />Form No.: INSP-86-03 LT (Rev 08119) <br />