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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: Report Number: 468347 Permit Number: Remodel spaces 4& <br /> 24-0053 5 for gym, ada ramp <br /> &office, minor demo <br /> Project: Waterline Gym Client: <br /> Address: 2900 Grand Avenue, Units 4, 5 Address: <br /> Inspector: John Fraser SI#02055 Date: 5/8/2024 <br /> Description/Location: West Mezzanine: SOMD tie-in dowels <br /> "RFI#004 from Matt Wion-QCE 518124 specified use of grade 40 reinforcing steel <br /> Intended Use: Secure dowels to existing wall Building Code&Year: IBC 2021 <br /> Reinforcing Steel All Thread <br /> Bar/Dowel Size& #4(23) Anchor Size& <br /> Quantity: Quantity: <br /> Rebar Manufacturer: Nucor Type of Steel(ASTM): A36 ❑ F-1554 ❑ A304/316❑ <br /> Grade: NA Other <br /> Rebar Grade: ® 40 60 El Other: 36 ❑ 50 ❑ 75❑ Other: <br /> Type of Bar: ® A-615 ❑A-706 ❑ Other: Does Contractor Need to Schedule Torque Verification? ® Yes ❑ No <br /> Special Ductile Quality(SDQ): ❑Yes N No Reason (if`No): <br /> Anchor Length: 8" Hole 6„ Required 41/2" <br /> Depth: Embedment: <br /> Hole Diameter: 9/16" Concrete 12„+ ConcreteExisting <br /> Thickness: Strength: <br /> Hole Orientation: ❑ Vertical Up ❑ Vertical Down ® Horizontal <br /> Base Material: ® Normal weight concrete ❑ Light Weight Concrete ❑ CMU ❑ Brick ❑ Composite Deck <br /> Hole Cleaning: ❑ Compressed Air ❑ Hand Pump Other: Vacuum Compressed Air PSI: NA <br /> Brushed: ® Yes ❑ No Hole Condition: ® Dry ❑ Damp ❑ Water Saturated ❑ Submerged <br /> Drill Bit(ANSI ® Yes ❑ No Approved Diamond Cored ❑ Yes ® No <br /> B212.15): Hole: <br /> Adhesive Simpson Set 3G Expiration Date: 10/2024 ICC ESR#: 4057 <br /> Manufacturer/Type: <br /> Weather: Indoors Ambient Temp: 640 Substrate Temp: 65° <br /> Inspected by: l_— 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, <br /> except in full,without written permission from our firm is strictly prohibited. <br /> Page 1 of 2 <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.:INSP-86-02 LT(Rev 05113) <br />