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OTTO ROSENAU& ASSOCIATES, INC. <br /> PROPRIETARY ANCHOR MECHANICAL INSPECTION REPORT <br /> 298',.)2.0 <br /> Job Number: Permit Number: 15 t RV - 9 7. . <br /> Project: d <br /> 1 ` _� ' �' �' �;��;� Client: <br /> Address: 7,�- .: (:. . . , r , .�'F Contractor: � �a��* '7 "'i`' e+E�-rs�► . ' <br /> Inspector (' :. ` �` Date: t .<` L / 7 c�s ? C- <br /> DESCRIPTION/LOCATION <br /> - c.. - . 'e .t <br /> [�i�� f rs� � �1.$..,t'• ��y ff��__® [� f ��-y'd ,� <br /> 4/'JC I'ot ) 'L..� ��e4 ,rE.. �'.i �,� ! I res;, f 4,o w •'rte' , i�.., �e..r ,,.,•. <br /> `1--1.) i xru'd 46°tire es ; r1 e) COAJC EC Te:„-. VA rot .57 <br /> aro- rti1 . l' t,.j T t^6. 01C.)f r, a ' igolj ::A.Ei1 <br /> rYf CvoJic 7rw J ) <br /> Intended Use: AOC f jZ- R F �.: Building Code&Year: 2.17( Ems" <br /> Anchor Style: 0 Expansion Q Screw 0 Sleeve 0 Drop In Anchor Size&Quantity: 14/-6,6i e, LT +.( CIL`t /`iL,.) <br /> ESR Number: ;3 Anchor Manufacturer: / ) 1{ g f Anchor Type: 4' /i.. <br /> Hole Diameter: Hole Depth: `. % Required Embedment: <br /> Anchor Length: Concrete Thickness: r r. Concrete Strength: <br /> Base Material: I Normal Weight Concrete 0 Light Weight Concrete 0 CMU 0 Brick D Composite Deck <br /> Hole Cleaning: ❑ Compressed Air 0 Hand Pump ❑ Other: <br /> Drill Bit(ANSI B212.15): O Yes ❑ No ORA Torque Wrench ID: ''.i/c7 Torque: ft-lbs <br /> Weather: LP Ambient Temperature: o " <br /> COMMENTS <br /> Reference Standard(s)Used: Conforms; Does Not Conform <br /> Is this a re-inspection? ❑'No 0 Yes-Original inspection date: <br /> Inspected by: = Reviewed by: <br /> Start Time: Finish Time: <br /> This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates, Inc. Reproduction of this report, <br /> except in full,without written permission from our firm is strictly prohibited. <br /> Page of <br /> 6747 M.L.King Way S.,Seattle,Washington 98118-Phone(206)725-4600 or 1-888-OTTO-4-US-Fax(206)723-2221 <br /> Form No.:INSP-87-02(Rev 05/13) <br />