Reportr .
7409 SW Tech Center Dr,Ste.145
Tigard,OR 97223
1111=0
'°`"sTS Ph:503-443-3799 Fax:503-620-2748
OILS
503.443.3799 Special Inspection
Final Report
Date: November 14,2019 Job#19-8626-24
Permit#BUP2019-00278
Mail To: Project:
ENGINEERED PRODUCTS a PAPE' CASCADE WINDOW
COMPANY 6713 SW BONITA SUITE 2701
9800 40TH AVE S. TIGARD,OR 97224
SEATTLE,WA 98118
PO#95024
To Whom It May Concern:
ACS Testing, Inc.attests that their inspectors performed special inspection(s)on a continuous and/or
Periodic basis as required by the specific jurisdiction and/or IBC. Special inspection(s)were performed
for the following:
Anchors-Expansion
Based on personal observation, inspection and reports reviewed by me for the above project, I attest on behalf
of ACS that work was performed to the best of my knowledge, in accordance with approved plans,
specifications,and the applicable codes and standards for the jurisdiction.
Approved by: �k.--
Bob Brown/President
BB/KS
/ e-
Proud to be Nationally Accredited by International Accrediting Service
ACCREDITED
7409 SW Tech Center Dr.Ste. 145
Tigard,OR.97223
ariuu Ph:503-443-3799 Fax:503-620-2748
c ""E DAILY FIELD REPORT FOR PROPRIETARY ANCHORS
a�
TESTING, INC
a03. 1,i.3799 Date: Nov 13, 2019 Permit#: BUP2019-00278
ENGINEERED PRODUCTS a PAPE' CASCADE WINDOW
COMPANY Continuous 6713 SW BONITA SUITE 2701
9800 40th AVE S. TIGARD, OR 97224
SEATTLE, WA 98118 Periodic n
PO#95024
Inspector/Certification# Jerry Frampton Cert#OBOA 859 ACS Job# 19-8626-24
Anchor Embedded in: Concrete Is this a re-inspection?: ❑ Yes ❑✓ No
Compressive Strength: EXISTING UNKNOWN Approved plans available?: ❑✓ Yes ❑ No
HOLE DETAIL/CONDITION Work acceptable per approved n Yes El No
plans?:
Size:Anchor 1/2" Hole 0: 1/2" Embed 3-1/2" Installation complies with
Depth: manufacturer's evaluation report?: n Yes ❑ No
Holes cleaned properly?: ❑✓ Yes No
LOCATION OF ANCHORS
Embedment per plans?: El Yes ❑ No GRIDLINES New racking base anchors
INSTALLATION GRIDLINES
ESR REPORT#
GRIDLINES
ESR-1917 TZ CARBON&STAINLESS in CONCRETE
ANCHOR TYPE: WEDGE ANCHOR IS THERE AN RFI? ❑ Yes Q No
RFI ATTACHED?
EPDXY TYPE: N/A ❑ Yes 7 No
INSPECTION DETAILS:
EXP. DATE: N/A ACS representative on site for inspection of installed mechanical
anchors for new racking base connections per the approved racking
details, no revision.
All required anchors were installed and met the manufactures published
installation torque requirements. No issues noted.
Foreman notified of ❑ Yes Li No ❑✓ N/A
nonconformance items?
Foremans Name:
Reviewed ,c),)( Date: cc:
11-14-2019
Bob Brown, President
BB/JF
ACS-1 I s7
ACCREDITED