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0 <br />OTTO ROSENAU � ASSOClATES, iNC. <br />Geotechnical Engineering, Construction Inspection & Materials Testing <br />PROPRIETARY .QNCHOR ADHESIVE INSPECTION REPORT <br />Job Number i1-0661 Report Number. 117865 PermitNumber 81110-009 <br />Project Rodda Paint Client Davis Schueller, Inc <br />Address 7825 Evergreen Way, Everett Address: 20700 4A�" Ave W, Suite 2�0, Lynnwood WA 98036 <br />Inspeclor: Dick Marks Date: 12/1I2011 <br />DescriptionlLocation� Inspected resteel epowr.d into existing concr�te wall and Ooor slab on grade per engineer of record's revised <br />sketch sheets .Y1-6 dated 11/1 �I2011 with en;ineer'c r,���stercd state stamp. <br />Inlended Use. �Jewwalt opening <br />� � Rcinforcing Stecl <br />E3adDowel Size Z Quantity: #4 (20) <br />ReSar N�anufacturer: Nucor <br />Rebar Grade ❑ AO G] 60 ❑ Other <br />Building Code 8 Year <br />Anchor Size & Quantity: <br />Type of Steel (ASTM): <br />❑ AII Thread <br />❑ A-36 ❑ A325 ❑ A-449 <br />❑ Other. <br />Type of �ar � A-615 ❑ A-706 ❑ A-775 ❑ Other — <br />Special Ductile �uality (SDQ): ❑ Yes ❑ No <br />Anchor Lengttr 1'-6" liole Depth 4" at wall, 6" at slab-on-grade Required Em6edment Same <br />Flole Diameter '/," Concrete Thickness Concrele Slrength: <br />Base Material: � Normal Weight Convele ❑ Light Weight Concrete ❑ CMU ❑ Brick ❑ Composite Dc '� <br />f fole Geanfng � Compressed Air ❑ Hand Pump ❑ Other Compressed Air PSI: <br />�rushed � Yes ❑ No Hole Condi�ion. ❑ Dry ❑ Damp ❑ Water Saturated ❑ Submerged <br />Drill Bit (ANSI B2t2.15): ❑ Yes ❑ No Approved Diamond Cored I lole: ❑ Yes ❑ No <br />Adhesive Type Nilti HY 15G Max Lxpiration Date 08/2012 ICC ESR # 1967 & 2262 <br />Weather. Inside AmbieM TemperaWre� Subslrate Temperature. <br />I---------- ---- - ------� -------- -----�--------------- <br />Commenis <br />Rr.ference S�anda�d(s) Used <br />r.oples �n <br />Clienl X Engineer <br />Ov+ner X CanUaclor <br />Architect X Buildmg Dep�. <br />Olhcr: <br />Technical Responsibihty�. <br />Conforms X Docs Nol Coniorm <br />c <br />��1ana�cr <br />This �eport appiies only to Ihe tlems tested or repoAed and is ihe exchisive propedy ol Olto Ra;enau E Assor.iales, Inc. Repr�iduchon nl this repnrt, <br />e.cept in INi, vnlhout vmUen permission from our hrm is stricity prohibiled. <br />Page 1 0( 1 <br />6747 M.L King Way S, Scallle, Washinglun �8118 � Phone (206) 725-4fi0D or 1•880.0T7�0-4-US - Faa (206) 7234221 <br />1'orm No.: ADM/N-f76-O7 (Rev09/OJ) � <br />� <br />