04_22_2022_22_196_Brubaker_Foundation_Repair_BLD202_Daily_Field_Report_RedmondDAILY FIELD REPORT
AAR TESTING AND INSPECTION, INC.
7126 180th Ave NE, Suite C101
Redmond, WA 98052
425-881-5812
Inspection Date
04/22/2022
Report Number
SCG042222C
CLIENT INFORMATION
PROJECT INFORMATION
Contact
Terianne Brubaker
Project No.
22-196
Company
Terianne Brubaker
Project Name
Brubaker Foundation Repair
Address
PO Box 745
Address
9712 242nd PI SW
City
Deer Park
City
Edmonds
Contractor
Permit No.
BLD2021-1665
INSPECTION TYPE(S) STRUCTURE(S) / LOCATION(S)
Proprietary Anchors - Epoxy Dowels #4 dowel for into stem walls for new garage slab.
Weather Temperature (°F) Start Time End Time
Overcast 53 11:52 AM 12:25 PM
DRAWINGS / DOCUMENTS REFERENCED
Approved structural plans, details, RFIs, and shop drawing for reference.
INSPECTION OBSERVATION / REMARKS
On site for epoxy inspection for garage slab.
Verified holes to meet or exceed the 4" emended per details 4/S2.1. Holes were cleaned per manufacturers recommendations.
#4 rebar dowels were placed and secured using Simpson Set-XP lot# 1000167882 exp: 6/15/23.
Items inspected are in conformance with approved plans, specifications and jurisdictional requirements
Inspectors Name Report Date Reviewers Signature Reviewed By Reviewed Date
Inspectors Signature Shawn Glass 04/22/2022 Teajalam (TJ) Gounden
E51F552F-E5C0-4386-96F1-01F4A399966A
DAILY FIELD REPORT Inspection Date04/22/2022
r AAR TESTING AND INSPECTION, INC.
7126 180th Ave NE, Suite C101 Report Number
Redmond, WA 98052 SCG042222C
425-881-5812
PHOTOS
- 1
Inspectors Name Report Date
Inspectors Signature Shawn Glass 04/22/2022
Reviewers Signature Reviewed By Reviewed Date
Teajalam (TJ) Gounden
E51F552F-E5C0-4386-96F1-01F4A399966A
DAILY FIELD REPORT
/ r AAR TESTING AND INSPECTION, INC.
7126 180th Ave NE, Suite C101
Redmond, WA 98052
425-881-5812
Inspectors Name Report Date
Inspectors Signature Shawn Glass 04/22/2022
Inspection Date
04/22/2022
Report Number
SCG042222C
Reviewers Signature Reviewed By Reviewed Date
Teajalam (TJ) Gounden
E51F552F-E5C0-4386-96F1-01F4A399966A
DAILY FIELD REPORT
/ r AAR TESTING AND INSPECTION, INC.
7126 180th Ave NE, Suite C101
Redmond, WA 98052
425-881-5812
Inspectors Name Report Date
Inspectors Signature Shawn Glass 04/22/2022
Inspection Date
04/22/2022
Report Number
SCG042222C
Reviewers Signature Reviewed By Reviewed Date
Teajalam (TJ) Gounden
E51F552F-E5C0-4386-96F1-01F4A399966A
DAILY FIELD REPORT
/ r AAR TESTING AND INSPECTION, INC.
7126 180th Ave NE, Suite C101
Redmond, WA 98052
425-881-5812
F 1!� -1000.16i 8S
Inspectors Name Report Date Reviewers Signature Reviewed By
Inspectors Signature Shawn Glass 04/22/2022 Teajalam (TJ) Gounden
Inspection Date
04/22/2022
Report Number
SCG042222C
Reviewed Date
E51F552F-E5C0-4386-96F1-01F4A399966A