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Page 1 of 1 <br />I...Kluzan & A s s o c i a t e s, I nc. <br />Geotechnical Engineering • Environmental Engineering <br />Construction Testing and Inspection <br />Field <br />Report NO.: 09623048DFR212023JA <br />DATE: 2/l/2023 Set Count: CONTRACTOR: Nighthawk <br />PROJECT #: 09623048 PERMIT #: B2210-026 <br />PROJECT: KAas Residence INSPECTOR: Joseph Aranas <br />LOCATION: 1326 551h St. SW JURISDICTION: City of Everett <br />KA P.M.: JM WEATHER: Cloudy TEMP: 50' F <br />Adhesive Anchor Inspection: <br />A krazan and associate Inc. arrived onsite on time as requested for adhesive anchor inspection, contractor use <br />SMIPSON Strong -Tie SET-3G, product no#1000308212, expiration date: 09/25/24, HDU8 7/8-in diameter all <br />threaded rod with embedment depth 6-in, a total of 2 holes. Location of Adhesive Anchor Inspection existing shear <br />wall floor framing & foundation plan, before they put the epoxy, we verified the cleanliness of the holes. See <br />structural details and per manufacturer Instruction for Epoxy. <br />In our opinion, the epoxy anchor installation we're placed in general accordance to the approved structural plans and <br />manufacturer Instruction. <br />Reviewed By: ASTM Test #: Asset Numbe s : <br />G <br />To the best of y knowledge, the above WAS performed in accordance with the approved plans, specifications and <br />regulatory requirements. <br />Superintendent/Representative: Technician: <br />Joseph Aranas <br />Offices Serving the Western United States <br />Lynnwood (425) 485-5519 • Poulsbo (360) 598-2126 • Tacoma (253) 939-2500 <br />The information provided on this report is prepared for the exclusive use of the client. This report may not be reproduced in any format without the written permission of the client and Krazan & Associates. This report <br />indicates our inspectors observation and testing results based on site conditions and contractor activities. This information is subject to review prior to final submittal. By signing this report, our inspector does not accept <br />responsibility for validity of results. The same information has been provided by others on site. The test results apply only to the specific locations, and items inspected or tested. <br />