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MAYES TESTING ENGINEERS, INC, � aley <br /> Road <br /> Suite 110 <br /> Lynnwood,WA 98036 <br /> Project No. L16176 ph425.742.9360 <br /> Project Our Saviors Lutheran Church fax 425.745.1737 <br /> Address 215 W MUkilteo Boulevard, Everett, WA Tacoma Office <br /> Permit No. B1508-005 10029 S.TaoomaWay <br /> SLAe E-2 <br /> Bldg Dept. City of Everett Tacoma,WA 98499 <br /> ph 253.584.3720 <br /> Client Olympic General Contractors fax 253.584.3707 <br /> Engineer Kosnik Engineering PordafdOffibe <br /> Contractor Olympic General Contractors 7911 NE 33rdDriee <br /> Suite 190 <br /> Portland,OR 97211 <br /> ph 503.281.7515 <br /> Record No. 001 fax 503.281.7579 <br /> Date 03/31/16 <br /> Weather Sunny <br /> Inspection Proprietary anchors <br /> Sample(s) N/A <br /> Observed the anchoragE! into hardened concrete (2) 5/8" diameter galvanized threaded rods at a <br /> minimum 3-1/2" of embedment with project approved Simpson SET-XP epoxy (lot#159V244V, <br /> expiration 04/28/17). The threaded rods were installed for(3) column post base anchors along the <br /> Fellowship wall running north to south, per verbal from Dave Kosnik (structural engineer) to Tobin <br /> from Olympic General Contractors. Informed Tobin to get formal RFI per email from Mr. Kosnik <br /> and send to Mayes Testing Engineers' office to change report from "preliminary." <br /> PRELIMINARY INSPECTION <br /> Threaded rod was anchored at 3-1/2" of embedment; need confirmation email or RFI to make <br /> report conforming. <br /> Inspector: Randy Dohrman <br /> Reviewed By: <br /> Information in this report applies only to the actual items inspected or tested and shall not be reproduced except in full,without the approval of Mayes Testing Engineers,Inc. <br /> Page 1 of 1 <br />