2021-06-22 - Kienzel Residence - PAA430086OTTO ROSENAU & ASSOCIATES, INC.
Geotechnical Engineering, Construction Inspection & Materials Testing
PROPRIETARY ANCHOR ADHESIVE INSPECTION REPORT
Report Number: PAA430086
Project Name: Kienzle Residence Permit Number: BLD2021-0413
Project Address: 17103 Talbot Road, Edmonds Job Number: 21-0438
Client Name: Stromme Homes Inspector: Brian Robertson
Insp. Date: 06/22/2021
1L. AL Description / Location / Intended Use _
Inspected the epoxy grouted installation of horizontal reinforcing steel dowels from the footing at the front of the house.
Building Code & Year: IBC 2015
or 1111ff Reinforcing Ste W ❑ All Thread
Bar/Dowel Size & Quantity: #4X24" Anchor Size & Quantity:
Rebar Manufacturer: Cascade
Type of Steel (ASTM): ❑ A-36 ❑ F-1554 ❑ A-307
Grade: ❑ 36 ❑ 50 ❑ 75 ❑ Other:
Rebar Grade ❑ 40 060 ❑ other:
Type of Bar WA-615 ❑A-706 ❑Other:
Does Contractor Need to Schedule Torque Verification? ❑ Yes 0 No
Reason (If NO
Special Ductile Quality (SDQ) Steel: No
Owl— 'MMq-10EEEL--
Anchor Length: 24"
Hole Depth: 4"
Required Embedment: 4"
Hole Diameter: 5/8"
Concrete Thickness: NA
Concrete Strength: NA
Hole Orientation: ❑Vertical Down ❑ Upwardly Inclined W Horizontal
Base Material: W 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 B212.15): Yes
Brushed: Yes
Hole Condition: W Dry ❑ Damp ❑ Water Saturated ❑ Submerged
Adhesive Manufacturer/Type: Simpson SET-XP
Expiration Date: 10/30/2022
ICC ESR #: 2508
Certified Installers:
Weather: Clear
Ambient Temperature: 72
Substrate Temperature: 68
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Comments:
Copies to: 4VI4
0 Client ❑ Engineer ❑ Others Technical Responsibility: (/�'
❑ Owner ❑ Contractor
❑ Architect ] Building Dept Jeff Rabe, 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-86-03 (Rev 08119) Page 1 of 1