4522 EVERGREEN WAY 2018-01-02 MF Import

OTaT&KOSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT Job Number: 12-0004 Report Number: 249244 Permit Number: B1109-026 Project: Everett Floral Client: Tersuli Construction Services, LLC Address: 4522 Evergreen Way, Everett Address: 1416 NW 46r" Street— Suite 105, PMB #338, Seattle Inspector: Mark Gray Date: 02/29/2012 Description/Location: East and South wall of Annex, located on the west side of existing building; install beam connections via all - thread rods to angle iron per detail 7, sheet 5 of approved plans supplied by contractor. Mdhii.n Cndp P. Yeac IBC 2009 mrenueu Esc. r',c,n "U —I.— ❑ Reinforcing Steel 13 All Thread Bar/Dowel Size & Quantity: Anchor Size & Quantity: (20) %" Rebar Manufacturer: Type of Steel (ASTM): ® A-36 ❑ A-325 ❑ A-449 ❑ Other: Rebar Grade: ❑ 40 ❑ 60 ❑ Other: Type of Bar: ❑ A-615 ❑ A-706 ❑ A-775 ❑ Other: Special Ductile Quality (SDQ): ❑ Yes ❑ No Anchor Length: 8" Hole Depth: 5" Required Embedment: 5" Hole Diameter: 3/4" Concrete Thickness: N/A Concrete Strength: N/A Base Material: ❑ Normal Weight Concrete ❑ Light Weight Concrete ® CMU ❑ Brick ❑ Composite Deck Hole Cleaning: ® Compressed Air ❑ Hand Pump ❑ Other: Compressed Air PSI: 110 Brushed: ® Yes ❑ No Hole Condition: ❑ Dry ® Damp ❑ Water Saturated ❑ Submerged Drill Bit (ANSI B212.15): ® Yes El No Approved Diamond Cored Hole: ® Yes ❑ No Adhesive Type: Simpson ET22 Expiration Date: 12/2012 ICC ESR #: 4945 Weather: Rain Ambient Temperature: 41' Substrate Temperature: 40' Vv...... O.. Contacted Pacific Engineering about northeast corner angle and separate south wall location where only 3'/2" embedment was achieved. Engineer verbally issued approval to proceed with the existing field conditions not meeting plan details. Reference Standard(s) Used: Conforms x Does Not Conform Copies to: Client Engineer Others�'A Owner x Contractor Technical Responsibility: Architect X Building Dept. Jen Rabe, 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, withal written permission from our firth is strictly prohibited. Page 1 of 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 7254600 or 1-888.OTTO-4-US — Fax (206) 723-2221 Form No.: ADMIN-86-01 (Rev 09109)