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7409 SW Tech Center Dr,Ste.145
PNAL! Tigard,OR 97223
4."r"{C'b'tYCUT Ph:503-443-3799 Fax:503-620-2748
ILS
MUNN.INC
M.443.3799 Special Inspection
Final Report
Date: 8-29-19 Job# 19-8626-19
Permit#BUP2019-00196
Mail To: Project:
ENGINEERED PRODUCTS a PAPE' NUANCE SYSTEMS INC
COMPANY 7236 SW DURHAM RD#500
9800 40TH AVE S. PORTLAND,OR 97224
SEATTLE,WA 98118 PO#93774-A
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:
Bob Brown/President
BB/sa
Proud to be Nationally Accredited by International Accrediting Service
ACCREDITED
I
f ` 7409 SW Tech Center Dr.Ste. 145
Tigard,OR.97223
sallAALT Ph:503-443-3799 Fax:503-620-2748
itt SE DAILY FIELD REPORT FOR PROPRIETARY ANCHORS
OILY
TESTING, INC
503.443.3799 Date: Aug 27, 2019 permit#: BUP2019-00196
ENGINEERED PRODUCTS a PAPE' NUANCE SYSTEMS INC
COMPANY Continuous 7236 SW DURHAM RD#500
9800 40TH AVE S. PORTLAND, OR 97224
SEATTLE,WA 98118 Periodic f
PO#93774-A
Inspector/Certification# Jason Brown Cert# OBOA 1018 ACS Job# 19-8626-19
Anchor Embedded in: Concrete Is this a re-inspection?: n Yes I/i No
Compressive Strength: EXISTING UNKNOWN Approved plans available?: [7 Yes I I No
HOLE DETAIL/CONDITION Work acceptable per approved n Yes — No
plans?:
Anchor Embed Installation complies with
Size: 1/2" Hole f6: 1/2" Depth: 3.75" p
manufacturer's evaluation report?: ✓I Yes No
Holes cleaned properly?: n Yes n No
LOCATION OF ANCHORS
Embedment per plans?: ✓ Yes I I No
GRIDLINES Warehouse racking
INSTALLATION GRIDLINES
ESR REPORT#
ESR-1917 TZ CARBON & STAINLESS in CONCRETE GRIDLINES
ANCHOR TYPE: WEDGE ANCHOR
IS THERE AN RFI? n Yes ;/I No
EPDXY TYPE: N/A
RFI ATTACHED? n Yes ,/ No
EXP. DATE: N/A
INSPECTION DETAILS:
Image Description:
ACS representative arrived on site to inspect the 1/2"HILT! KB-TZ
• Completed wedge anchors installed into the concrete slab at 3.25"minimum
anchor embedment, using(2)anchors at each baseplate for the connection to
installation at concrete per Note 5 on Page 1 of the approved plans for the warehouse
•ir
baseplate.
w pallet racking.A torque test was performed at 40 ft/lbs per ESR-1917.
The work performed appears to be in conformance with Note 5 and the
- manufacturers installation procedures. No known revisions.
Foreman notified of Yes No Ill N/A
nonconformance items?
Foremans Name:
Reviewed V I'&) Date: cc:
YY 00 08-28-2019 Brian Ferrick
Bob Brown, Presidentn`>
,
BB/JB
ACS-1157 ACCREDITED