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SPECIAL INSP REPORT.pdfOTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing CONSTRUCTION INSPECTION REPORT Report Number: 395895 Project: Ingalls Dormer Addition Address: 20531 85'h Place W., Edmonds Client: Interex LLC Ins Steel Decking Other (specify); Structural Steel Fabrication Structural Steel Erection X Inspector Permit Number: Job Number: Client Address: ons Performed BLD2019-0286 19-0410 716 121h Avenue East, Seattle and Date Remarks Ernest Leimkuhler On site for periodic visual inspection of structural steel welds, to AWS D1.1, AISC 360, IBC 2015, 5/31/2019 and signed approved documents. Inspected Items: Erection of HSS structural frame. Per: Details/S3, At: West side of main floor 1. HSS beam to HSS beam 2. HSS beam to HSS column 3. HSS beam to mount plate 4. HSS column to base plate Welder: Jeremiah J. Austin, WABO #W21230, Exp. Apr. 1, 2020; Structural FCAW Conforms Copies to: Client X Engineer Others Owner X Contractor Technical Responsibility: �.�-�� 5 X Architect X Building Dept. Isaac Ruoff, 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, without written permission from our firm is strictly prohibited. Page 1 of 1 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 or 1-888-OTTO-4-US — Fax (206) 723-2221 Form No.: ADMIN-63-05 (Rev 10/10)