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GEOT E S T I Oak '.SZ' <br /> Bellingham�Arlington Oak Harbor <br /> wvvw.geotest-inc.com <br /> rsma ; <br /> ADHESIVE ANCHOR INSPECTION REPORT <br /> PROJECT: Calvert JOB#: 23-2587 <br /> ADDRESS: 1102 Wetmore Ave, Everett, WA REPORT#: AA001 <br /> PERMIT#: B2210-027 DATE: 8/29/2023 <br /> CLIENT: C. West Construction PAGE#: 1 of 2 <br /> CONTRACTOR: C West Construction INSPECTOR: Scott Milligan <br /> Item(s) Inspected Location <br /> 5/8"All-Thread Hold Downs Garage Stem Walls <br /> Reference Drawing(s): HD Schedule on S5.1 and 14/S5.1 <br /> Item(s) Inspected -16 Comments <br /> Base Material Condition Dry and Sound Concrete <br /> Drill Bit Type Drilled Prior <br /> Hole Diameter/Depth /� 3/4"/12" <br /> Hole Cleanliness Blow,Brush,and Blow <br /> Anchor Spacing/Edge Distance /� Per Plans <br /> Anchor Type /� All-Thread <br /> Anchor Diameter/Length 5/8"/18" <br /> Anchor Embedment 12" <br /> Adhesive Type Simpson Strong-Tie Set XP <br /> Adhesive Expiration Date 3-1-25 <br /> Adhesive ICC-ES Report [� 2508 <br /> Other ❑ <br /> The above items were conforming V Nonconforming Items(see below) ❑ <br /> Comments: GeoTest was on-site as requested for an adhesive anchors inspection at the <br /> above locations. The anchors were installed per the above-referenced drawings and the <br /> manufacturer's installation instructions. GeoTest will return for further inspections and testing <br /> upon request. <br /> COPIES:bfox@rmacompanies.com,c.westconstruction@frontier.com Reviewed by <br /> This report shall not be reproduced except in full,without the written approval of GeoTest Services,Inc. <br />