3003 W CASINO RD BLDG 40-27 2025-05-28

OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT Report Number: PAA460443 Job Number: 23-0861 Project Name: Boeing - Bldg. 40-27 Side of Body Access Stands Permit: B2309-055 Project Address: Building 40-27, Everett Client Name: The Boeing Company Inspector: Mark Gray Insp. Date: 12/29/2023 = Description/Location/Intended Use Slab dowels at utility excavation, tunnel level, approximate grids T.6—T.7/6.57-6.9 per layout on sheet 1 S10-27 of plans, dated 03/02/2023, supplied by the contractor; all work approved by Boeing Engineer via email dated 12/27/2023 Building Code &Year: IBC 2015 W Reinforcing All Thread —44 Bar/Dowel Size &Quantity: #5 (135) Anchor Size&Quantity: Rebar Manufacturer: Cascade Type of Steel (ASTM): ❑ A-36 ❑ F-1554 ❑ A-307 Rebar Grade❑40 ❑�60 ❑Other: Grade: ❑ 36 ❑ 50 ❑ 75 ❑ Other: Type of Bar ❑d A-615 ❑A-706 ❑Other: Does Contractor Need to Schedule Torque Verification? ❑ Yes ❑d No [Special Ductile Quality(SDQ)Steel: No Reason (If No): Anchor Length: Varied Hole Depth: 6" Required Embedment: 6" Hole Diameter: 3/4" Concrete Thickness: NA Concrete Strength: 5000 Hole Orientation: ❑Vertical Down ❑ Upwardly Inclined W Horizontal Base Material: ke Normal Weight Concrete ❑ Lightweight Concrete ❑ CMU ❑ Brick ❑ Composite Deck Hole Cleaning: ❑Compressed Air ❑ Hand Pump ❑ Vacuum Drill Bit W Other vacuum Compressed Air PSI: NA Drill Bit(ANSI B212.15): Yes Brushed: Yes Hole Condition: W Dry ❑ Damp ❑ Water Saturated ❑ Submerged Adhesive Manufacturer/Type: Hilti HIT-RE 500 V3 Expiration Date: 4/2024 ICC ESR#: 3814 Certified Installers: John Brady& Merle Guthrie Weather: Indoors Ambient Temperature: 66 Substrate Temperature: 65 Reference Standard(s) Used: Conforms? ❑ Yes ❑ No Comments ��// Date: 2024.01 .05 Copies to: CJECcCrC ❑ Client ❑ Engineer ❑ Others 10:51 :01 -08 00 Technical Responsibility: 0 Owner ❑d Contractor ❑ Architect ❑d Building Dept Isaac Ruoff, Project Manager 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 in full,without written permission from our firm is strictly prohibited. 6747 M.L.King Way S.,Seattle,Washington 98118—Phone(206)725-4600--Fax(206)723-2221 Form No.:ADMIN-86-03(Rev 08119) Page 1 of 1