2019-12-09 - Leftcraft TI - PAA404219Geotechnical Engineering, Construction Inspection & Materials Testing
PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT
Job Number: 19-1024
Report Number: 404219
Permit Number: BLD20190992
Project: Leftcraft TI
Client: 519 Main, LLC
Address: 519 Main Street, Edmonds
Address: 2151 N. 128w Street, Seattle
Inspector: Brian Robertson
Date: 12-09-2019
Description / Location
/ Intended; Use
Northeast main floor stair infill.
Building Code & Year: IBC 2015
El Reinforcing Steel
N
All Thread
Bar/Dowel Size & Quantity:
Anchor Size & Quantity: 3/4" x 7" (15)
Rebar Manufacturer:
Type of Steel (ASTM): ❑ A-36 N 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? N Yes ❑ No
Reason (if `No'):
Special Ductile Quality (SDQ): ❑ Yes ❑ No
Anchor Length: 7"
Hole Depth: 4"
Required Embedment: 4"
Hole Diameter: 7/8"
Concrete Thickness: 8"
Concrete Strength: Existing
Hole Orientation: ❑ Vertical Down ❑ Upwardly Inclined N Horizontal
Base Material: N Normal Weight Concrete ❑ Lightweight Concrete ❑ CMU ❑ Brick ❑ Composite Deck
Hole Cleaning: N Compressed Air ❑ Hand Pump ❑ Vacuum Drill Bit ❑ Other:
Compressed Air PSI: 100
Drill Bit (ANSI B212.15): Yes
Brushed: N Yes ❑ No
Hole Condition: N Dry ❑ Damp ❑ Water Saturated ❑ Submerged
Adhesive ManufacturerfType: Simpson AT XP
Expiration Date: 10-07-20
]CC ESR #: #263
Certified Installer(s):
Weather: Indoors
Ambient Temperature: 44'
Substrate Temperature: 480
Comments
Reference Standard(s) Used:
Conforms N Does Not Conform ❑
Copies to:
x Client Engineer Others
Owner Contractor Technical Responsibility:` }
x Architect x Building Dept. I aac Ruoff, Pro ect 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.
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Form No.: ADMIN-86-03 (Rev. 08119)