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2024-01-16-Shen-Federman-SW462427OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing CONSTRUCTION INSPECTION REPORT Report Number: SW462427 Project Name: Shen -Federman Job Number: 24-0029 Project Address: 23310 Humber Lane, Edmonds Permit: BLD2023-0401 Client Name: DLH, Inc. Inspections Performed Steel Decking ❑ Other (specify): Structural Steel Fabrication U Structural Steel Erection ❑ Inspector: John Fraser Inspection Date: January 16, 2024 Remarks On site at Custom Steel Fabricators, Seattle for ORA at contractor's request for inspection of structural steel fabrication. Inspection covers the requirements set forth in engineer's specifications and approved construction documents. Weld Procedures available and conform to AWS D1.1 and approved contract documents. Inspected '/4" fillet welds in multiple locations to fabricate the following: -(1) C3: HSS Column w/ base plates, and beam attachment clips -(1) C4: HSS Column w/ base plates, and beam attachment clips Reference: Custom Steel job #10805 The above welds conform to AWS D1.1 acceptance criteria WABO Certified welder: Hung Nguyen #W06409 expires 10/1/2024 Conforms Copies to: Client U Engineer ❑ Others Technical Responsibility: ❑ Owner U Contractor Architect 0 Building Dept Date:2024.01.19 08:30:23-08'00' Isaac Ruoff, Project 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. 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 — Fax (206) 723-2221 Form No.: ADMIN-63-06 (Rev 11123) Page 1 of 1