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Ragsdale Residence PAA 05-19-21OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing PROPRIETARY ANCHOR ADHESIVE INSPECTION FIELD REPORT Job Number: 21-0339 Report Number: 430032 Permit Number: BLD2020-0835 Project: Ragsdale Residence Client: Ragsdale, Georgia Address: 10624 Nottingham Rd Edmonds, WA Address: 10624 Nottingham Rd Edmonds, WA Inspector: Brian Robertson WABO #01181 Date: 5/19/2021 Description / Location / Intended Use South elevation HDU2's Building Code & Year: 2015 International Building Code ❑ Reinforcing Steel ® All Thread Bar/Dowel Size & Quantity: Anchor Size & Quantity: %"X16" (4) Rebar Manufacturer: Type of Steel (ASTM): ® A-36 ❑ F-1554 ❑ A-307 Grade: ❑ 36 ❑ 50 ❑ 75 ❑ Other: Rebar Grade: ❑ 40 ❑ 60 ❑ Other: Type of Bar: ❑ A-615 ❑ A-706 ❑ Other: Does Contractor Need to Schedule Torque Verification? ® Yes ❑ No Reason (if `No): Special Ductile Quality (SDQ): ❑ Yes ❑ No Anchor Length: 16" Hole Depth: 12" Required Embedment: 12" Hole Diameter: %" Concrete Thickness: 8" Concrete Strength: NHA Hole Orientation: ® Vertical Down ❑ Upwardly Inclined ❑ Horizontal Base Material: ® Normal Weight Concrete ❑ Lightweight Concrete ❑ CMU ❑ Brick ❑ Composite Deck Hole Cleaning: ® Compressed Air ❑ Hand Pump ❑ Vacuum Drill Bit ❑ Other: Compressed Air PSI: 100 Drill Bit (ANSI 13212.15): Yes Brushed: ® Yes ❑ No Hole Condition: ® Dry ❑ Damp ❑ Water Saturated ❑ Submerged Adhesive Manufacturer/Type: Simpson SET 3G Expiration Date: 7/14/22 ICC ESR #: 2508 Certified Installer(s): Weather: Cloudy Ambient Temperature: 52' Substrate Temperature: 48' Comments Reference Standard(s) Used: Conforms ® Does Not Conform ❑ Start Time: 9:30am Finish Time: 12:OOpm Inspected by: 4Q Is this a re -inspection? ❑ Yes ® No Original inspection date: Reviewed by: 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 6747 M. L. King Jr. Way S., Seattle, Washington 98118 - Phone (206) 725-4600 or 1-888-OTTO-4-US - Fax (206) 723-2221 Form No.: INSP-86-03 LT (Rev 08119)