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2023-04-10-Sprague Street Residence-PAA454677OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT Report Number: PAA454677 Job Number: 23-0165 Project Name: Sprague Street Residence Permit: BLD2022-1731 Project Address 821 Sprague St, Edmonds Client Name: Smith, Ryan Inspector: John Fraser Insp. Date: 04/10/2023 - Description / Location / Intended Use Garage Hold Downs (aD West wall Building Code & Year: IBC 2018 einforcing Steel W All Thread Bar/Dowel Size & Quantity: Anchor Size & Quantity: 5/8"(2) Rebar Manufacturer: Type of Steel (ASTM): d❑ A-36 ❑ F-1554 ❑ A-307 Grade:❑ 36 ❑ 50 ❑ 75 ❑ Other: Rebar Grad ❑ 40 ❑60 ❑ Other: Type of Ba ❑A-615 ❑A-706 ❑Other Does Contractor Need to Schedule Torque Verification? W Yes ❑ No Reason (If No): Special Ductile Quality (SDQ) Steel: Anchor Length: 25" Hole Depth: 12.5" Required Embedment: 12" Hole Diameter: 3/4" Concrete Thickness: 18"+ Concrete Strength: Existing Hole Orientation:❑ Vertical Down ❑ Upwardly Inclined ❑ Horizontal Base Material:❑ Normal Weight Concrete ❑ Lightweight Concrete ❑ CMU ❑ Brick C Composite Deck Hole Cleaning:❑ Compressed Air ❑ Hand Pump ❑ Vacuum Drill Bit ❑ Other Compressed Air PSI: 90 Drill Bit (ANSI B212.15): Yes Brushed: Yes Hole Condition: W Dry ❑ Damp ❑ Water Saturated ❑ Submerged Adhesive Manufacturer/Type: Simpson/SET XP Expiration Date: 12/6/2024 ICC ESR #: 2508 Certified Installers: N/A Weather: Indoors Ambient Temperature: 54 Substrate Temperature: 55 Reference Standard(s) Used: IBC 2018 Conforms? W Yes ❑ No Comments (Placed per MPII Copies to: (_%L �/ Date: 2023.04.13 G�G ❑ Client ❑.I Engineer ❑ Others 1 1 :29:24 -07 00 Technical Responsibility: ❑d Owner ❑ Contractor Isaac Ruoff, Project Manager ❑d Architect ❑d 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