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2023-04-06-Sprague Street Residence-PAA453080OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT Report Number: PAA453080 Job Number: 23-0165 Project Name: Sprague Street Residence Permit: BLD2022-1731 Project Address 821 Sprague St, Edmonds Client Name: Smith, Ryan Inspector: Paul Kanikkeberg Insp. Date: 04/06/2023 Description / Location / Intended Use 5/8" anchor bolts epoxied into existing foundation walls for HDU5 holdowns along A/2-3 and A-13/2. Inspected to aDDroved clans and details. Building Code & Year: 2018 IBC ❑ Reinforcing Steel 0 All Thread _ Bar/Dowel Size & Quantity: Anchor Size & Quantity: 5/8" (7) Rebar Manufacturer: Type of Steel (ASTM): W A-36 ❑ F-1554 ❑ A-307 Grade: 0 36 ❑ 50 ❑ 75 ❑ Other: Rebar Grad ❑ 40 ❑60 ❑ Other: Type of Ba ❑ A-615 ❑ A-706 ❑ Other Does Contractor Need to Schedule Torque Verification? 0 Yes ❑ No Reason (If No): Special Ductile Quality (SDQ) Steel: Anchor Length: 36" Hole Depth: 12" Required Embedment: 12" Hole Diameter: 3/4" Concrete Thickness: 10" Concrete Strength: Existing Hole Orientation: 0 Vertical Down ❑ Upwardly Inclined ❑ Horizontal Base Material: 0 Normal Weight Concrete ❑ Lightweight Concrete ❑ CMU ❑ Brick ❑ Composite Deck Hole Cleaning: W Compressed Air ❑ Hand Pump ❑ Vacuum Drill Bit ❑ Other Compressed Air PSI: 100 Drill Bit (ANSI 13212.15): Yes Brushed: Yes Hole Condition: 0 Dry ❑ Damp ❑ Water Saturated ❑ Submerged Adhesive Manufacturer/Type: Simpson SET XP Expiration Date: 06/07/2024 ICC ESR #: 2508 Certified Installers: N/A Weather: Indoor Ambient Temperature: 52 Substrate Temperature: 52 Reference Standard(s) Used: Conforms? 0 Yes ❑ No Comments Copies to: � cR- 4 Date: 2023.04.13 ❑ Client ❑� Engineer ❑ Others Technical Responsibility: CJ 1 1 :29:01-07'00' 0 Owner ❑ Contractor Isaac Ruoff, Project Manager 0 Architect 0 Building Dept 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. 6747 M.L. King Way S., Seattle, Washington 98118 - Phone (206) 725-4600 - Fax (206) 723-2221 Form No.: ADMIN-86-03 (Rev 08119) Page 1 of 1