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HomeMy WebLinkAbout20500 Olympic Pl_BLD3170_2026 NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 3 APPROVED ff ll PERMIT#: I M PM DATE: l�" ! "21 JOB ADDRESS: ( 1L ) i YI ILOT#: PRO ECT: iJ,. l fit.,_ 90 Jil- 4-7 TYPE OF INSPECTION: OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION l THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 _ n INSPECTOR DATE / i Y c Cl PLANNING Cl CIVIL O BU bING CITY OF ARLINGTON NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL XCORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: 1'1 0 AMP DATE: Vt I �7.7 JOB ADDRESS: b8i4= NG LOT#: PROJECT: PYb A.W_, TYPE OF INSPECTION: I OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. Cl CONTACT INSPECTOR 360-403-3551 Cl CALL FOR REINSPECTION tJo csQejrs THE ACTIONS OR CORRECTIONS INDICATED ABOVEARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 INSPECTOR �z DATE O PLANNING p CIVIL O BUILDING CITY OF ARLINGTON i' I� �; 1 -� 4 ' ti NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL P'CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: �)rl o AM JP DATE: i 2,0-to JOB ADDRESS: ��(;� `! '�_ ;��,y1,� PIS LOT#: PROJECT: 'J 6 TYPE OF INSPECTION: E OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT I Cl CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK Cl STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION � n1 i THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 �f,/ �1 > INSPECTOR DATE Cl PLANNING ❑ CIVIL ❑ BUILDING CITY OF ARLINGTON • 1 9 ESICC AWidely EvaluationSERVICE RESL,'-Ith LABS Report ES ' 1 ICC-ES 1 :00 This report is subject to renewal 10/2018. 4 DIVISION: 04 00 00—MASONRY SECTION: 04 05 19.16—MASONRY ANCHORS REPORT HOLDER: HILTI, INC. 7250 DALLAS PARKWAY, SUITE 1000 PLANO,TEXAS 75024 EVALUATION SUBJECT: HILTI KWIK HUS-EZ (KH-EZ) AND KWIK HUS-EZ P (KH-EZ P) CARBON STEEL SCREW ANCHORS FOR USE IN MASONRY ICC ICC ICC C ` c� PMG LISTED Look for the trusted marks of Conformity! "2014 Recipient of Prestigious Western States Seismic Policy Council ■INTER�■ WSSPC Award in Excellence" CODE COI TI � � A Subsidiary of cooecoi icir ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not °C�Xi° specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as ISOIIEC 17055 to any finding or other matter in this report, or as to any product covered by the report. "R'dWIVU w :e Copyright 0 2017 ICC Evaluation Service, LLC. All rights reserved. JUN 15 2020 ESIcc Accepted and Trusted IMES Evaluation Report ESR-3056 Reissued October 2017 Revised December 2017 This report is subject to renewal October 2018. www.icc-es.org 1 (800)423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 04 00 00—MASONRY manufactured from carbon steel and is heat treated. It has Section:04 05 19.16—Masonry Anchors a minimum 0.0003-inch (8 pm) zinc coating in accordance with DIN EN ISO 4042. The anchoring system is available REPORT HOLDER: in a variety of lengths with diameters of 1/4 inch, 3/B inch, 1/2 inch, 5/8 inch, and 3/.t inch (6.4 mm, 9.5 mm, 12.7 mm, HILTI,INC. 15.9 mm and 19.1 mm). The KWIK HUS-EZ (KH-EZ) is 7250 DALLAS PARKWAY,SUITE 1000 illustrated in Figure 1. PLANO,TEXAS 75024 The hex head is larger than the anchor diameter and is (800)879-8000 formed with serrations on the underside. The anchor body www.us.hilti.com is formed with threads running most of the length of the HiltiTechEnclous.hilti.com anchor body. The anchor is installed in a predrilled hole with a powered impact wrench or torque wrench. The EVALUATION SUBJECT: anchor threads cut into the base material on the sides of the hole and interlock with the base material during HILTI KWIK HUS-EZ (KH-EZ) AND KWIK HUS-EZ P (KH- installation. EZ P) CARBON STEEL SCREW ANCHORS FOR USE IN The KWIK HUS-EZ P(KH-EZ P)anchors are comprised MASONRY of a body with round pan style head with an indented area 1.0 EVALUATION SCOPE in the top of the head with a six point star configuration. The anchor is manufactured from carbon steel and is heat- Compliance with the following codes: treated. It has a minimum 0.0003-inch-thick (8 um) zinc ■ 2015, 2012, 2009, and 2006 International Building coating in accordance with DIN EN ISO 4042. The KWIK Code'(IBC) HUS-EZ P(KH-EZ P) is available in %inch diameter. See ■ 2015, 2012, 2009, and 2006 International Residential Figure 2. Code"(IRC) Product information is found in Table 1, installation ■ 2013 Abu Dhabi International Building Code(ADIBC)t parameters are found in Table 2 and described in Section 4.2, and the Manufacturers Published Installation rThe ADIBC is based on the 2009 IBC.2009 IBC code sections referenced Instructions(MPII)are depicted in Figures 5 and 6. in this report are the same sections in the ADIBC. Property evaluated: 3.2 Grout-filled Concrete Masonry: Structural The compressive strength of masonry, fim at 28 days must be a minimum of 1,500 psi (10.3 MPa). Fully grouted 2.0 USES masonry walls must be constructed from the following The Hilti KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P materials: (KH-EZ P) screw anchors are used as anchorage to resist 3.2.1 Concrete Masonry Units (CMOs): CMUs must be static, wind and seismic tension and shear loads in grout- minimum Grade N, Type II, lightweight, medium-weight, or filled concrete masonry units. normal-weight conforming to ASTM C90. The minimum The Hilti KWIK HUS-EZ and KWIK HUS-EZ P screw size of the CMU must be a nominal 8 inches anchors are alternatives to cast-in-place anchors described wide by a nominal 8 inches high by a nominal 16 inches in Section 8.1.3 (2013 edition), or Section 2.1.4 (2011, long. 2008 or 2005 edition) of TMS 402/ACI 530/ ASCE 5, as 3.2.2 Grout: Grout must comply, as applicable, with 2015 applicable, as referenced in Section 2107 ofthe IBC. IBC Section 2103.3, 2012 IBC Section 2103.13, 2009 and The Hilti KWIK HUS-EZ and KWIK HUS-EZ P screw 2006 IBC Section 2103.12, or IRC Section R606.2.11 anchors are permitted to be used in structures regulated by (2015 IRC) or R609.1.1 (2012, 2009, or 2006), as the IRC, provided an engineered design is submitted in applicable. Alternatively, the grout must have a minimum accordance with IRC Section R301.1.3. compressive strength, when tested in accordance with 3.0 DESCRIPTION ASTM C1019, equal to its specified strength but not less than 2,000 psi (13.8 MPa). 3.1 KWIK HUS-EZ: 3.2.3 Mortar: Mortar must be Type M or S in compliance Hilti KWIK HUS-EZ (KH-EZ) screw anchors are comprised with Section 2103 of the IBC, or Section R607 of the IRC, of a threaded body with hex washer head. The anchor is as applicable. !cc-1iS Evaluation Reports arc not to be consn'ued us representing aesthetics or any other attributes no!.specifically addressed,nor are they to be construed as an endorsement of the subject of the reporl or a recommendation f r its use.There is no warranty by ICC Evaluation Semcc,LLC,express a)--implied,as Jil - to anvfinding or other matter in this report,or us to any product covered by the report. Moot"w6 Copyright©2017 ICC Evaluation Service,LLC. All rights reserved. Page 1 of 9 ESR-3056 j Most Widely Accepted and Trusted Page 2 of 9 4.0 DESIGN AND INSTALLATION 4.3 Special Inspection: 4.1 Allowable Stress Design: Anchors must be installed with special inspection. For the 4.1.1 General: Anchors described in this report are IBC and IRC, special inspection must conform to Sections assigned allowable tension and shear loads for designs 1704 and 1705 of the IBC. based on allowable stress design (ASD). For fasteners installed with special inspection, the 4.1.2 Design of Anchors Installed in Uncracked Grout- following items, as applicable, must be inspected: fastener filled Concrete Masonry: Allowable tension and shear type, diameter and length; masonry dimensions and compliance with ASTM C90; grout and mortar compliance loads for anchors installed in the face of uncracked grout- with standards listed in Section 3.2, and, where required, filled masonry are noted in Tables 3 and 4. The allowable tension and shear loads are for anchors installed in the masonry prism compressive strength; drill bit diameter and compliance with ANSI B212.12-1994; and fastener grouted cells, the center web of concrete masonry units embedment, spacing, and edge distance. The special and horizontal mortared bed joints of fully grouted CMU inspector must verify that anchor installation complies with construction. Allowable loads for anchors installed within this evaluation report and the manufacturer's published 1 /4 inches(32 mm)of the vertical (head)joint, as depicted installation instructions. in Figure 3, are beyond the scope of this report. Critical and minimum spacings and edge distances are given in 5.0 CONDITIONS OF USE Table 2. Allowable load reduction factors for anchors The Hilt KWIK HUS-EZ and KWIK HUS-EZ P Screw installed at reduced spacing and reduced edge distances Anchors described in this report are suitable alternatives to (between critical and minimum) are noted in Table 3 and what is specified in the codes listed in Section 1.0 of this Table 4. report, subject to the following conditions: Allowable tension and shear loads for �/z-inch and 5/e-inch (12.7 mm and 15.9 mm) anchors installed in the 5.1 Anchors are identified and installed in accordance top of uncracked fully grouted concrete masonry walls are with this report and the manufacturers published noted in Table 5. Separate values are given for shear installation instructions. In case of conflict, this report loads towards the edge and parallel to the edge of the governs. masonry wall. Allowable loads for anchors installed within 5.2 Anchors resisting static, seismic or wind load in grout- 11/4 inches (32 mm) of the head joint are beyond the scope filled concrete masonry must be designed in of this report. accordance with Section 4.1 of this report. Allowable loads for anchors installed in uncracked grout- 5.3 When using the basic load combinations in filled masonry subjected to combined tension and shear accordance with IBC Section 1605.3.1, allowable loads must be determined by the following equations: loads are not permitted to be increased for seismic or �Pe\ �Vt\ wind loading. When using the alternative basic load + ) < 1.0 for all diameters installed in combinations in Section 1605.3.2 of the 2009 and the top of the wall 2006 IBC that include seismic or wind loads, the allowable shear and tension capacities for anchors (rss/s vsls/a included in this report may be increased by rtll + (vtl 5 1.0 for all diameters installed in 331/3 percent, or the alternative basic load the face of the wall combinations may be multiplied by a factor of 0.75. where: For the 2015 or 2012 IBC, the allowable loads or load combinations must not be adjusted. Ps = Applied service tension load 5.4 Since an ICC-ES acceptance criteria for evaluating Pt = Allowable service tension load data to determine the performance of screw anchors Vs =Applied service shear load subjected to fatigue or shock loading is unavailable at this time, the use of these anchors under these Vt=Allowable service shear load conditions is beyond the scope of this report. 4.2 Installation 5.5 Where not otherwise prohibited by the applicable Installation parameters are provided in Tables 2, 3, 4 and code, anchors are permitted for use with fire- 5, and Figures 3,4, 5 and 6.Anchor locations must comply resistance-rated construction provided that at least with this report and with plans and specifications approved one of the following conditions is fulfilled: by the code official. The Hilti KWIK HUS-EZ (KH-EZ) and . Anchors are used to resist wind or seismic forces KWIK HUS-EZ P (KH-EZ P) must be installed according to only. this report and the manufacturer's published instructions (MPII) as depicted in Figures 5 and 6. • Anchors that support fire-resistance-rated In case of conflict, this report governs. Anchors must be construction or gravity load—bearing structural installed into base material perpendicular to the surface elements are within a fire resistance-rated using carbide-tipped masonry drill bits complying with envelope or a fire-resistance-rated membrane, are ANSI B212.15-1994. The nominal drill bit diameter must protected by approved fire-resistance-rated be equal to that of the anchor. The minimum drilled hole materials, or have been evaluated for resistance to depth is given in Table 2. Prior to installation, dust and fire exposure in accordance with recognized debris must be removed from the drilled hole using a hand standards. pump, compressed air or a vacuum. The anchor must be Anchors are used to support nonstructural installed into the predrilled hole using a powered impact elements. wrench or with a torque wrench until the proper nominal embedment depth is obtained. The maximum impact 5.6 Since an ICC-ES acceptance criteria for evaluating wrench torque and the maximum installation torque for a the performance of screw anchors in cracked manually calibrated torque wrench must be in accordance masonry in unavailable at this time, the use of with Table 2. anchors is limited to installation in uncracked ESR-3056 I Most Widely Accepted and Trusted Page 3 of 9 masonry. Cracking occurs when ft> f,due to service 6.0 EVIDENCE SUBMITTED loads or deformations. 6.1 Data in accordance with the ICC-ES Acceptance 5.7 Prior to installation, calculations and details Criteria for Predrilled Fasteners (Screw Anchors) in demonstrating compliance with this report must be Masonry (AC106), dated November 2015; including submitted to the building official for approval. The tests for seismic qualification, edge distance and calculations must be prepared by a registered design spacing, and installations for top of fully grouted CMU professional where required by the statutes of the masonry wall construction. jurisdiction in which the project is to be constructed. 6.2 Quality control documentation. 5.8 Special inspection must be provided in accordance 7.0 IDENTIFICATION with Section 4.3. 5.9 Anchors are limited to dry, interior use. The HILT[ KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P (KH-EZ P) anchors are identified by packaging with the 5.10 Anchors must be installed in holes predrilled in company name (Hilti, Inc.) and contact information, anchor masonry as described in this report, using drill bits in name, anchor size, and evaluation report number (ESR- compliance with ANSI 13212.15-1994. 3056). The anchors have KH-EZ, KH-EZ P, HILTI, and the 5.11 The KWIK HUS-EZ and KWIK HUS-EZ P screw anchor diameter and anchor length embossed on the anchors are manufactured by Hilti AG, under a quality anchor head. Identifications are visible after installation, for control program with inspections by ICC-ES. verification. ESR-3056 Most Widely Accepted and Trusted Page 4 of 9 1 L J FIGURE 1—HILTI KWIK HUS-EZ SCREW ANCHOR lb 16 FIGURE 2—HILTI KWIK HUS-EZ P ANCHOR TABLE 1—KWIK HUS-EZ(KH EZ)AND KWIK HUS-EZ P(KH-EZ P)PRODUCT INFORMATION DESCRIPTION NAME AND SIZE DIAMETER TOTAL LENGTH tlKDE'R THE ANCHOR,HEAO KH-EZ'/4"xi'/e" 1/4, 17/0" KH-EZ'/4'x25/," 1/4" 25/s" KH-EZ'/4'x3" 1/4" 3" KH-EZ 1/4„x31/2" 1/4. 31/2 KH-EZ 1/4"x4" 1/4' 4" KH-EZ'/B'xi'/a, 3/8. it/a., KH-EZ'/B,x21/e" 3/8., 21/B„ KH-EZ 3/9'x3" 3/e. 3„ KH-EZ'/B'x3'/2' 3/8,, 31/2 KH-EZ 3/8,x4„ 3/0'. 4„ KH-EZ'/e"x5" 3/e, 5" KH-EZ'/2'x21/2 1/2. 21/2 KH-EZ'/2'x3" 1/2' 3" Screw Anchor with KH-EZ1/2'x31/2, 1/2' 31/2, Hex-Head KH-EZ 1/2"x4" 1/2' 4" KH-EZ 1/2,x41/2 112" 41/2" KH-EZ 1/2'x5" 1/2" 5" KH-EZ'/2'x6" 1/2' 6" KH-EZ 5/a'x31/2 5/8', 31/2 KH-EZ%"x4„ s/B, 4„ KH-EZ 5/e"x51/2 B/a'' 51/2' KH-EZ 5/B'x61/2 5/e, 61/2 KH-EZ 5/,"x8" 5/e' 8" KH-EZ'/4"x41/2i 3/4„ 41/2., KH-EZ 3/4'x51/2 3/4'. 51/2 KH-EZ 3/4'x7" 3/4. 7" KH-EZ 3/4,x8,. 3/4., 8.� KH-EZ 3/4,x9,, 3/4, 9.. Screw Anchor with Pan KH-EZ P 1/4"x17/B, 1/4" 1'/e' Head I KH-EZ P 1/4"x21/2' 1/4" 21/2' ESR-3056 I Most Widely Accepted and Trusted Page 5 of 9 TABLE 2—KWIK HUS-EZ(KH-EZ)AND KWIK HUS-EZ P(KH-EZ P)INSTALLATION INFORMATION AND ANCHOR SPECIFICATION 1,2,3.4 INSTALLATION DETAIL UNITS NOMINAL ANCHOR DIAMETERS(INCHES) '/a 3/8 1/2 5/8 34 Drill Bit Diameter in '/a 3/8 '/Z °/8 3/4 Minimum Baseplate Clearance a/ 1 5 s 7 Hole Diameter n a /z /e la /8 Maximum Installation Torques ft-Ibf 21 22 34 38 70 Maximum Impact Wrench Torque Ratings ft-Ibf 114 114 114 332 332 332 332 332 332 332 Minimum Nominal in. 1% 2% 1% 314 214 4'/2 31/4 5 4 61/4 Embedment Depth Minimum Hale Depth in. 2 27/a 11/e 1 3% 12% 45/a 3% 53/a 4% 6% Critical Edge Distance in. 4 6 8 1 10 12 Minimum Edge Distance in. 4 Critical Spacing Distance in. 4 6 8 10 12 Minimum Spacing Distance in. 4 Wrench Socket Size I in. `/16 9/16 34 11/16 1'/e 'Values in this table are to be used in conjunction with load values contained in Tables 3,4,and 5,and the appropriate figures in this report, with the exception of the minimum spacing,edge,and end distances for anchors installed in the top of grout filled concrete masonry,which are listed in Table 5. 2Critical spacings and edge distances are the anchor spacing and edge distances for which no reduction in load capacity is required. 3Minimum spacings and minimum edge distances in this report are the smallest values for which anchor installation is allowed. °Anchors may be installed anywhere in the fully grouted masonry wall except within 11/4 inch of a vertical joint(see Figure 3). 'Maximum Installation Torque applies to installations using a calibrated torque wrench. 613ecause of the variability in measurement procedures,the published torque of an impact tool may not correlate properly with the above setting torques.Over-torquing can damage the anchor and/or reduce its holding capacity. TABLE 3—ALLOWABLE TENSION LOADS FOR KWIK HUS-EZ AND KWIK HUS-EZ P(KH-EZ P)IN THE FACE OF GROUT-FILLED MASONRY WALLS(POUNOS)1.3,6 ANCHOR MINIMUM ALLOWABLE EDGE DISTANCE SPACING DIAMETER EMBEDMENT TENSIONCRITICAL MINIMUM LOAD CRITICAL MINIMUM LOAD z LOADS FOR CaR CMIN REDUCTION SCR SMIN REDUCTION (INCHES) (INCHES) IBC/IRC' (INCHES) (INCHES) FACTOR" (INCHES) (INCHES) FACTOR' 1/4 2% 7288 4 4 1.00 4 4 1.00 s e 3/e 6 4 1.00 6 4 0.80 31/a 968 1 1/2 2/a 556 8 4 1.00 8 4 0.60 4'/a 1,212 1 8/1 3/a 924 10 4 1.00 10 4 0.57 5 1,388 3/4 6628 4a 1,156 12 4 1.00 12 4 0.53 Anchors shall be installed in base materials in compliance with Section 3.2 of this report. 2Embedment depth is measured from the outside surface of the concrete masonry unit. 3Refer to Section 5.3 of this report for modifying allowable loads in this table for anchors resisting short-term loads. .1Allowable loads are based on installation at critical spacing and edge distance.Load reduction factors are applicable at the minimum spacing and edge distance. Linear interpolation of reduction factors is allowed for spacings and edge distances between critical and minimum. `''Tabulated allowable loads for the IBC/IRC are based on a safety factor of 5.0. 'Special inspection must be provided in accordance with Section 4.3 of this report. 'Load values for installations within 1'/.inch of bed joint for diameter at 15/6 inch embedment shall be reduced by 21%. Load values for installations within 1'/,inch of bed joint for'14 inch diameter at 2'/2 inch embedment and '18 inch diameter at 15/e inch embedment shall be reduced by 13%. ESR-3066 Most Widely Accepted and Trusted Page 6 of 9 TABLE 4—ALLOWABLE SHEAR LOADS FOR KWIK HUS-EZ AND KWIK HUS-EZ P ffH-EZ P)INSTALLED IN THE FACE OF GROUT-FILLED MASONRY WALLS(POUNDS)"-6 SHEAR LOADS SPACING EDGE DISTANCE Sc,,' ANCHOR MINIMUM at CcR AND DIAMETER::MBEDMENT ALLOWABLE CRITICAL MINIMUM LOAD CRITICAL MINIMUM LOAD DIRECTION DIRECTION (INCHES) (INCHES) SHEAR LOADS SCR SMIN REDUCTION CcR CMIN PERPENDICULAR FOR IBC/IRC (INCHES) (INCHES) FACTOR' (INCHES) (INCHES) TO EDGE PARALLEL TO EDGE 5 1/4 1 /e 532 4 4 1.00 4 4 1.00 1.00 21/2 650 1.00 3/8 1 /B 912 6 4 0.94 6 4 0.61 1.00 31/4 952 0.70 2'/4 1476 0.50 '/z 8 4 0.88 8 4 1.00 4'/4 1959 1 0.40 3'/4 2432 0.36 5/e 5 2731 10 4 0.62 10 4 1.00 0.34 3/4 4 2432 12 4 0.36 12 4 0.36 1.00 61/4 2731 1 1 1 1 1 0.34 'Anchors shall be Installed in base materials in compliance with Section 3.2 of this report. zEmbedment depth is measured from the outside surface of the concrete masonry unit. 3Refer to Section 5.3 of this report for modifying allowable loads in this table for anchors resisting short-term loads. 'Allowable loads are based on installation at critical spacing and edge distance.Load reduction factors are applicable at the minimum spacing and edge distance.Linear interpolation of reduction factors is allowed for spacings and edge distances between critical and minimum. 5Tabulated allowable loads for the IBC/IRC are based on a safety factor of 5.0. Special inspection must be provided in accordance with Section 4.3 of this report. TABLE S—ALLOWABLE TENSION AND SHEAR LOADS FOR KWIK HUS-EZ INSTALLED IN THE TOP OF GROUT-FILLED CONCRETE MASONRY CONSTRUCTION"3,4,5,s SHEAR(POUNDS) MINIMUM MINIMUM ANCHOR EDGE MINIMUM LOAD DIRECTION EMBEDMENT END TENSION DIAMETER DEPTH DISTANCE SPACING DISTANCE (POUNDS) PARALLEL TO PERPENDICULAR (INCHES) (INCHES)2 (INCHES) (INCHES) (INCHES) EDGE OF MASONRY TO EDGE OF WALL MASONRY WALL 1/2 1 41/4 13/4 8 8 540 885 245 5/9 5 1 13/4 10 10 1045 930 245 Anchors shall be installed in base materials in compliance with Section 3.2 of this report. zEmbedment depth is measured from the outside surface of the concrete masonry unit. 3Refer to Section 5.3 of this report for modifying allowable loads in this table for anchors resisting short-term loads. 4See Figure 4 for details of anchor location in top of CMU wall.Additionally,anchors shall be installed with a minimum 4-inch distance to the head joint. 5Tabulated allowable loads for the IBC/IRC are based on a safety factor of 5.0. GSpecial Inspection must be provided in accordance with Section 4.3 of this report. ESR-3056 i Most Widely Accepted and Trusted Page 7 of 9 Anchor Installation is Restricted to Shaded Areas 4'MYATum Pepe oltnna COW Edge gstm No het 1913e W40M (See Lied T") 1114.o1 hmw)*d Read vAw for IA'6 3r I"WIMICR5 rl'0 1-14•of bed oats(See tWa 3 S t). 4'Nlnlmum Edge D6tmroe Cftal 6Ape oblame (sea Load T") YsstsDst�M mb arse I&kA aPKJY kw ledur In d6 re a Err AA ►Wray id-4 - Caste Mmmq 1Arlt WOM eepacRy and twit+ pales) stem t maids wipe cspecl7 FIGURE 3—ACCEPTABLE LOCATIONS(SHADED AREAS)FOR HILTI KWIK HUS-EZ AND KWIK HUS-EZ P(KH-EZ P)ANCHORS IN GROUT-FILLED CONCRETE MASONRY 1 3/4" Edge Distance Kwik HUS-EZ Anchor End Distanced FIGURE 4—EDGE AND END DISTANCES FOR THE KWIK HUS-EZ ANCHORS INSTALLED IN THE TOP OF CMU MASONRY WALL CONSTRUCTION a. IT oa nor in sew metorw M q proper a mo*dry eat aeon orerd nor to mmme oasts - eu}�senor uemp proper errpeet tool or toryw eeerren f;e-senor ngnelJ agffiw t rammed port FIGURE 5—INSTALLATION INSTRUCTIONS—HILTI KWIK HUS-EZ(KH-EZ) ESR-3056 Most Widely Accepted and Trusted Page 8 of 9 13 d013 90 i Ad tdo ✓ � 0 FIGURE 6—INSTALLATION INSTRUCTIONS-HILTI KWIK HUS-EZ P(KH-EZ P) ESSLRVW1* Most Widely Accepted and Trusted ICC-ES Evaluation Report ESR-3056 FBC Supplement Issued December 2017 This report is subject to renewal October 2018. www.icc-es.org I (800)423-6587 I (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 04 00 00—MASONRY Section: 04 05 19.16—Masonry Anchors REPORT HOLDER: HILTI, INC. 7250 DALLAS PARKWAY,SUITE 1000 PLANO,TEXAS 75024 (800)879-8000 www.us.hilti.com HiltiTech Engpus.hilti.com EVALUATION SUBJECT: HILTI KWIK HUS-EZ(KH-EZ)AND KWIK HUS-EZ P(KH-EZ P)CARBON STEEL SCREW ANCHORS FOR USE IN MASONRY 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Hilti KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P (KH- EZ P) screw anchors in grout-filled masonry, recognized in ICC-ES master evaluation report ESR-3056, have also been evaluated for compliance with the codes noted below. Applicable code editions: ■ 2017 Florida Building Code—Building ■ 2017 Florida Building Code—Residential 2.0 CONCLUSIONS The Hilti KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P (KH-EZ P) screw anchors in grout-filled masonry, described in Sections 2.0 through 7.0 of the master evaluation report ESR-3056, comply with the Florida Building Code and Florida Building Code—Residential , provided the design and installation are in accordance with the 2015 International Building Code" provisions noted in the master report. Use of the Hilti KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P (KH-EZ P) screw anchors in grout-filled masonry for compliance with the High-Velocity Hurricane Zone provisions of the Florida Building Code and Florida Building Code— Residential has not been evaluated, and is outside the scope of this supplemental report. For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued October 2017 and revised December 2017. ICC-SS/,,valuation Reports are not to be construed as representing aesthetics or anv other attributes not specifically addressed,nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranh,by ICC hNalualion Service,LLC,express or implied,as to anv finding or other matter in this report,or as to anv product covered by the report. coo c'wx'ui •-� - .F Copyright©2017 ICC Evaluation Service,LLC. All rights reserved. Page 9 of 9 Permit#: 3170 Permit Date: 05/19/20 Project Name: AmeriGas Site Address: 20422 Olympic Place Company/Applicant AmeriGas Propane Name: Company/Applicant 1150 First Ave. Ste#500 Address: City, State, Zip: King of Prussia, PA 19406 7 Contact: Rachel Orlando Phone: 610-768-3858 Email: rachel.orlando@amerigas.com L' V Permit Type: Operating �kv Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Type of Construction: Occupancy Type: Scope of Work: Installation of(1) 18-count propane cylinde ''� . �i►a Y-t2.._ -1t��� Center#1522 MIC/Opportunity Zone: Permit Issued: Permit Expires: 11/15/2020 DNU: Status: IN PROCESS Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00847300000800 20500 OLYMPIC PL SAFEWAY INC 541 Groceries(With CPTS or Without Meat) Contractors Contractor Primary Contact Phone Address Contractor Type License License# AmeriGas Dale Culbertson 253-395-3001 19244 East Valley CONTRACTOR L&I AMERIPLO55LL wY Plan Reviews Date Review Type Description Assigned To Review Status 05/19/2020 Operating Permit Building In Review OSI19/2020 Operating Permit Fire In Review Uploaded Files Datc File Name 05/19/2020 6686632-3170 Safeway Fuel Center 1522 SITE PLAN.pd 05/19/2020 6686631-3170 CAGE SCHEMATIC- 18 CT.pdf 05/19/2020 6686630-3170 Appjication.pdf Part IV To be completed by the City of Arlington Building Department Inspection Required:0 Yes ❑ No Inspections Performed: ❑ Yes M No Date of Inspection: Tests or Reports required verifying compliance? ❑ Yes F�No If YES, have Tests or Reports been received? ❑ Yes ❑ No Application(s) Approved: TZYes ❑ No Operating Permit Issued by: k C9L A.tJ'[7L� Date Operating Permit Issued: 5/Z,0/Z:42 Date Operating Permit Expires: Type/Description of Operating Permit: Pt�1v` Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit): 1. K)C—IP_c"Tc l.�/J1 IPA ez�r��y --7-8 e&-?9t2Q0 4A26koe—S �PPL�( �P�s �oCz 1k�c�S Additional Comments: (Attach additional pages if needed) Cc: Fire Department Page 4 of 4 Part II (cont'd) ❑ Special Event. Operating Permit - An Operating Permit is required for any special event that takes place within an occupied building, or an outdoor mass gathering,which is outside the scope of the permitted use (see Appendix F.) Brief description of type of gathering proposed: Part III Premises/Building Information 1. Date of last inspection of Premises: Unknown 2. Has a Certificate of Occupancy been issued for the premises? ❑ Yes ❑ No Type: ❑ Permanent ❑ Temporary Date of Issuance: 3. Are there currently any open Building Permits associated with the premises? ❑ Yes ❑ No If yes, please describe(attach additional sheets if necessary): Unknown 4. Additional Comments: Installation of (1) 18-count propane cylinder exchange cage for resale at Safeway Fuel Center#1522. Cylinders are 20# each, 360# in total. Cylinders will be kept in a ventilated cabinet of metal construction and there is no dispensing of propane. Cage will located in accordance with the 2015 WA IFC, Section 6109. No bollards are required per Section 6109.13. SIGNATURE OF APPLICANT I herby certify that the foregoing information (and all information in attached sheets, if any) is true and complete.:, �cheG�la,�rdo 05/06/2020 Signature of Applicant or Authorized Representatives Signature Date Rachel Orlando Name and Title (if applicable) of person signing Application (Please print) Cc: Fire Department Page 3 of 4 OPERATING PERMIT APPLICATION Department of Community& Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551 Part I Applicant/Building Information Applicant's Name: Rachel Orlando on behalf of AmeriGas Propane Applicant's Address:1150 First Avenue, Suite #500, King of Prussia, PA 19406 Contact Person: Rachel Orlando Telephone:(610) 768-3858 Address of Premises for which Operating Permit is requested: ❑ Same as above © Other(specify): Safeway Fuel Center #1522: 20422 Olympic Place Arlington, Tax Parcel ID#: 00847300000700 Current Occupancy Class:Gas Station Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below. Please indicate the type(s) of Operating Permit(s) requested by checking each applicable box. (If you require assistance, or would like more information, contact the City of Arlington Building Department at 360-403- 3551.) ❑ Manufacturing, storing or handling hazardous materials in quantities exceeding those listed in the Fire Code (see Appendix A.) Identify the materials and quantities and describe the manner in which the materials will be manufactured, stored or handled (attach additional sheets if necessary). Revised 4/1/08 Page 1 of 4 MAY 13 2020 goo --5no Part II (cont'd) ❑ Conducting a hazardous process or activity, including, but not limited to, any commercial or industrial operation which produces combustible dust as a byproduct, fruit and crop ripening, waste handling, spray operations, and high-piled storage (see Appendix B.) Describe the process(es) or activity(ies) to be conducted (attach additional sheets if necessary): ❑ Use of pyrotechnic devices in assembly occupancies (see Appendix C.)Describe the devices to be used and type of event(attach additional sheets if necessary): ❑ Aboveground Storage Tank (AST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑ Underground Storage Tank(UST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑ Temporary Membrane Structures, including tents and canopies (see Appendix E.) Brief description of structure and use: Cc: Fire Department Page 2 of 4 OPERATING PERMIT APPLICATION Appendix A Hazardous Materials Storage Department of Community& Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551 ■ An Operating Permit is required when a hazardous material listed in any of the categories in tables 5003.1.1 (1), 5003.1.1 (2), 5003.1.1 (3), or 5003.1.1 (4) of the Fire Code is manufactured, stored, or handled; and the quantity of such hazardous material exceeds the quantity listed in the applicable table. o This includes any building that is,whole or in part, a "Group W occupancy; is a pre-existing and non-conforming hazardous occupancy; or has outdoor use of, manufactures, and/or stores materials that exceed the tables for physical and/or health hazard. • An Operating Permit will not be issued until an inspection has been performed and establishes, to the satisfaction of the Fire Marshal, that the requirements of the Fire Code are satisfied; including provisions and requirements regarding manufacture, use, and storage,listed in Chapter 50 of the Fire Code. o A previous fire safety inspection will not wave this requirement. ■ Tests necessary to verify compliance with the Fire Code must be performed by the applicant, and the reports of such tests must be provided to the Fire Marshal. These tests and reports vary from product to product; however, they must include the following requirements: ❑Verification of inspection of the fire protection systems ❑Verification of inspection of storage cylinders, tanks, or containers ❑ Presentation of Material Safety Data Sheets (MSDS) ❑Verification of compliance with any other applicable State Agency -�n ono n�� ���,►1� 1 Revised 9/2016 fl%jmnGas5 Colleen.lang@Amer'igas.com America3 Propane Company SURVEY DUE DATE: INSTALL MONTH: District Customer Name & Store Number: Store Address, City, State, Phone/Contact: County, Zip: , or STATE license required: Y or N LOCAL permit required: Y or N DISTIr-T APPLYING: Y or N Diagram below MUST include the proposed location of the cage(s) and vehicle protection; Identify the location of the handicap ramp, ALL exits/entrances into the building (WITH DIMENSIONS), parking; spaces, windows, distances from gas pumps, and current fire extingui. her-location- --------------- ------------------------------------------------ �� �- row �(A f I /'I GV i ry I,T I V �C ' I too ------------------------------------------------------- INSTALL FOUNDATION: Concrete Asphalt CAGE CAPACITY& QTY: 12CT x 18CT COMPLETE ONLY IF ADDITIONAL PROTECTION NOTE: 36" minimum required for handicap access REQUIRED EXISTING VEHICLE PROTECTION: Qty Bollards: circle one Bolt Down or Core Drilled Sidewalk Curb Height: Existing Curb Stop: Y CN CURRENT FIRE EXTINGUISHER NO x YEE Other Lockable, ventilated cabinet of DISTANCE FROM CAGE: 20 FT Other Protection: metal construction. (On gas pump islands.) Store Manager Signature: a e:- e elves Form Completed by: AM Code: I V,Ott 2020 &1�,31TO Safeway Fuel Center#1522- 20422 Olympic Place, Arlington, WA 98223 1522 west s'I'W (1) 18-count cage to go here , r +20FT to entrance u 0 V L 1 0 0 +20FT to nearest gas pump Exchange Cage Idaios 11 1�i�Pr�iiil /•?•ii�iii�t� �;ii+;ii�;i;iii+�i� ! �, ♦iiiii♦ ♦iit►iii-: �iii•r,1 <�+� �'— r1 �iii►i�iii�iil ►i�iiiii�?ii���: �►iwii�'���`�►�i���Pr�► ►ii'i��vt���i1 ►�iiii?i�iiil �iiii��'i�i3iiiiic� ►�i;•�ii1 ►�it►it/•t >iiiiii���t ►�•`i<t.¢tr��`jii ►'�t►�`w'�t►t�iw'`i �jijijij�iijijijij� �;iwot►i;ii�:+S'ii*iw,;i*.�� �►iwi♦iw�w;*iwv�►;*i �♦♦♦♦♦♦ ♦♦♦♦i.�♦ iiiiiii��iii�ii?i� �,/ii�iiiiiii�i�/�/`?•�•�i i��/� �i i i ii i�?�t �ti ♦ii♦ liii?ii?�♦ ',� ���♦���w�,��w��1 ►����,��A'•y TAB/�� +�w��������1 4J �+i�i'�iii�I'� ''1ii+i''iii;1' �i•�+i�'i•i+i•�•�+i' �� A•r!t►w?!< �•??! !?� +iwtliiiiiiit ` I ►�iitrw'��ii�wAV /?�i�i�t/�i�� ��i�tt�O�i;*Tii�?��� �iii�i�i�iiii/ ►��iiliii�i�i1;�: �iii�i�i�i�iiiiiii� • . r►w n.www.►.ww ' y wr �• .ttll F� 1 . +� �1 7 r .7 rTMIC. • NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY APPROVED PERMIT#: VPM DATE: JOB ADDRESS: 2-U1�_i�)[ LOT#: PROJECT: TYPE OF INSPECTION: O OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION: $50 REINSPECTION FEE(PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 t 0 INSPECTOR DATE Cl PLANNING O CIVIL Cl BU ING CITY OF ARLINGTON 4 F ' OPERATING PERMIT APPLICATION Department of Community& Economic Development City of Arlington- 18204 59th Ave NE-Arlington.WA 98223-Phone(360)403-3551 Part I Applicant/Building Information Applicant's Name: Rachel Orlando on behalf of AmeriGas Propane Applicant's Address:1150 First Avenue, Suite #500, King of Prussia, PA 19406 Contact Person: Rachel Orlando Telephone:(610) 768-3858 Address of Premises for which Operating Permit is requested: ❑ Same as above ®Other(specify): Safeway Fuel Center #1522: 20422 Olympic Place Arlington, Tax Parcel ID#: 00847300000700 Current Occupancy Class:Gas Station Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below. Please indicate the type(s) of Operating Permit(s)requested by checking each applicable box. (If you require assistance,or would like more information,contact the City of Arlington Building Department at 360-403- 3551.) ❑ Manufacturing, storing or handling hazardous materials in quantities exceeding those listed in the Fire Code(see Appendix A.)Identify the materials and quantities and describe the manner in which the materials will be manufactured, stored or handled (attach additional sheets if necessary): Revised 4/l/08 Page 1 of 4 Part H (cont'd) ❑ Conducting a hazardous process or activity, including, but not limited to, any commercial or industrial operation which produces combustible dust as a byproduct,fruit and crop ripening, waste handling, spray operations, and high-piled storage (see Appendix B.) Describe the process(es)or activity(ies)to be conducted (attach additional sheets if necessary): ❑Use of pyrotechnic devices in assembly occupancies (see Appendix C.)Describe the devices to be used and type of event(attach additional sheets if necessary): ❑ Aboveground Storage Tank(AST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑ Underground Storage Tank(UST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑Temporary Membrane Structures, including tents and canopies (see Appendix E.)Brief description of structure and use: Cc: Fire Department Page 2 of 4 Part II (cont'd) ❑ Special Event Operating Permit -An Operating Permit is required for any special event that takes place within an occupied building, or an outdoor mass gathering,which is outside the scope of the permitted use (see Appendix F.) Brief description of type of gathering proposed: Part III Premises/Building Information 1. Date of last inspection of Premises: U nknown 2. Has a Certificate of Occupancy been issued for the premises? ❑ Yes ❑No Type: ❑Permanent ❑ Temporary Date of Issuance: 3. Are there currently any open Building Permits associated with the premises? ❑ Yes ❑ No If yes,please describe(attach additional sheets if necessary): Unknown 4. Additional Comments: Installation of (1) 18-count propane cylinder exchange cage for resale at Safeway Fuel Center #1522. Cylinders are 20# each, 360# in total. Cylinders will be kept in a ventilated cabinet of metal construction and there is no dispensing of propane. Cage will located in accordance with the 2015 WA IFC, Section 6109. No bollards are required per Section 6109.13. SIGNATURE OF APPLICANT I herby certify that the foregoing information(and all information in attached sheets,if any) is true and complete. LKLa© � 05/06/2020 Signature of Applicant or Authorized Representatives Signature Date Rachel Orlando Name and Title (if applicable) of person signing Application (Please print) Cc: Fire Department Page 3 of 4 Part IV To be completed by the City of Arlington Building Department Inspection Required: ❑ Yes ❑ No Inspections Performed: ❑ Yes ❑ No Date of Inspection: Tests or Reports required verifying compliance? ❑Yes ❑ No If YES, have Tests or Reports been received? ❑ Yes ❑ No Application(s) Approved: ❑ Yes ❑ No Operating Permit Issued by: Date Operating Permit Issued: _ Date Operating Permit Expires: Type/Description of Operating Permit: Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit): Additional Comments: (Attach additional pages if needed) Cc: Fire Department Page 4 of 4 Part IV To be completed by the City of Arlington Building Department Inspection Required:0 Yes ❑ No Inspections Performed: ❑ Yes Ed No Date of Inspection: Tests or Reports required verifying compliance? ❑ Yes [�'No If YES, have Tests or Reports been received? ❑ Yes ❑ No Application(s) Approved: TZYes ❑ No Operating Permit Issued by: Date Operating Permit Issued: 5,/:Zwz:0 Date Operating Permit Expires: Type/Description of Operating Permit: Pec)'P�-'-tv`�— Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit): C'©IJL e.C�''l S�IPPL� SP�s �oCz 1��=1kc�5 Additional Comments: (Attach additional pages if needed) Cc: Fire Department Page 4 of 4 1' R ! r R 1 1 rr. ! ! 1, � 1 •.: rr/ i +++++++++1 )'ice++"i'+Pt ►++'+++~i``�� ++++++++++++++A I \r1 M+++��NI&AS4+�r►���� I / lei♦A +AE ♦++++++++1 iiiii';iii►`'►�` i'oyi�`� MAINNAMEWAX irr�lii'C. r iir►ii ' i�i4�►iiri� �i�,►+ice++i�+�i i�'�+�i�i�s�+�i� �t� +�+�+�z�i�+�i� �. ��t1 w 1 SAM ! r C: Sip bar 44W NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL XCORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: AMP DATE: l �� JOB ADDRESS: C, '�la LOT#: PROJECT: PYd 61 V1Qi 0 %i Sc� TYPE OF INSPECTION: ` OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION A LI To V-9- AS 1Jc-ktstZ eM I rnnti -2CfT sQ6T5, r I`10 [sQ?_,r5 nJ ab r_r f2e G���5:M LzQ:2 THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 11-0 0 INSPECTOR DATE M PLANNING Cl CIVIL 0 BUILDING CITY OF ARLINGTON r NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL 'CORRECTIONS REQUIRED ❑ DO NOT OCCUPY ❑ APPROVED PERMIT#: 1 1 0 AM Pm] DATE: ! JOB ADDRESS: -(.-' '� _ ;�!.V1.1' �� �' LOT#: PROJECT: t TYPE OF INSPECTION: OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION ALL. e!:60-wee -Ti;, gr AKir-moe&-r �� r'ri.1r Qlc!(� f�oGTS a I�JO �:DL T '7) r `- ' l6- �117 7 THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BY LAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 D Gt'�i /v INSPECTOR DATE O PLANNING 0 CIVIL O BUILDING CITY OF ARLINGTON NOTICE TO PERMITEE AND/OR OWNER ❑ PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED Cl DO NOT OCCUPY O APPROVED PERMIT#: J I M_PM DATE: L� " ! 1 JOB ADDRESS: �UZ- ,� ) 1 LOT#: PROJECT: TYPE OF INSPECTION: ,c i OTHER: ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION THEACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY. FOR INSPECTION CALL: 360-403-3417 n_ INSPECTOR DATE 4 0 PLANNING ClCIVIL ClBu IN G CITY OF ARLINGTON ( j Amass Colleen.lang@Amerigas.com America's Propane Company SURVEY DUE DATE: INSTALL MONTH: District #: Customer Name & ��,ri�t/`t 7 L Store Number: 11// Store Address, City, State, Phone/Contact: County, Zip: ; STATE license required: Y or N LOCAL permit required: Y or N DISTIcT APPLYING: Y or N Diagram below MUST include the proposed location of the cage(s) and vehicle protection; Identity the location of the handicap ramp, ALL exits/entrances into the building (WITH DIMENSIONS), parking spaces, windows, distances from gas pumps, and current fire extingui:her location. --------------------------------------------------- ----------------------------------------------------------- �o ro01 w A 4 a � doe ' � N ---------------------------------------------------- ----------------------------------_____---------------- INSTALL FOUNDATION: Concrete Asphalt CAGE CAPACITY & QTY: 12CT x 18CT COMPLETE ONLY IF ADDITIONAL PROTECTION NOTE: 36" minimum required for handicap access REQUIRED EXISTING VEHICLE PROTECTION: Qty Bollards: circle one Bolt Down or Core Drilled Sidewalk Curb Height: Existing Curb Stop: Y (N) CURRENT FIRE EXTINGUISHER NO x YES Other Lockable, ventilated cabinet of DISTANCE FROM CAGE: 20 FT Other Protection: metal construction. (On gas pump islands.) Store Manager Signature: Date: Form Completed by: AM Code: Date: Safeway Fuel Center#1522: 20422 Olympic Place, Arlington, WA 98223 1522 west side 477 (1) 18-count cage to go here u '„" +20FT to entrance II _ +20FT to nearest gas pump Exchange Cage ' OPERATING PERMIT APPLICATION Department of Community& Economic Development City of Arlington- 18204 59th Ave NE-Arlington.WA 98223-Phone(360)403-3551 Part I Applicant/Building Information Applicant's Name: Rachel Orlando on behalf of AmeriGas Proapane Applicant's Address:1150 First Avenue, Suite #500, King of Prussia, PA 19406 Contact Person: Rachel Orlando Telephone:(610) 768-3858 Address of Premises for which Operating Permit is requested: ❑ Same as above ®Other(specify): Safeway Fuel Center #534: 3532 172nd Street NE Arlington, Tax Parcel ID#: 31052800201300 Current Occupancy Class:Gas Station Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below. Please indicate the type(s) of Operating Permit(s)requested by checking each applicable box. (If you require assistance,or would like more information,contact the City of Arlington Building Department at 360-403- 3551.) ❑ Manufacturing, storing or handling hazardous materials in quantities exceeding those listed in the Fire Code(see Appendix A.)Identify the materials and quantities and describe the manner in which the materials will be manufactured, stored or handled (attach additional sheets if necessary): Revised 4/l/08 Page 1 of 4 Part H (cont'd) ❑ Conducting a hazardous process or activity, including, but not limited to, any commercial or industrial operation which produces combustible dust as a byproduct,fruit and crop ripening, waste handling, spray operations, and high-piled storage (see Appendix B.) Describe the process(es)or activity(ies)to be conducted (attach additional sheets if necessary): ❑Use of pyrotechnic devices in assembly occupancies (see Appendix C.)Describe the devices to be used and type of event(attach additional sheets if necessary): ❑ Aboveground Storage Tank(AST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑ Underground Storage Tank(UST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑Temporary Membrane Structures, including tents and canopies (see Appendix E.)Brief description of structure and use: Cc: Fire Department Page 2 of 4 Part II (cont'd) ❑ Special Event Operating Permit -An Operating Permit is required for any special event that takes place within an occupied building, or an outdoor mass gathering,which is outside the scope of the permitted use (see Appendix F.) Brief description of type of gathering proposed: Part III Premises/Building Information 1. Date of last inspection of Premises: U nknown 2. Has a Certificate of Occupancy been issued for the premises? ❑ Yes ❑No Type: ❑Permanent ❑ Temporary Date of Issuance: 3. Are there currently any open Building Permits associated with the premises? ❑ Yes ❑ No If yes,please describe(attach additional sheets if necessary): Unknown 4. Additional Comments: Installation of (1) 18-count propane cylinder exchange cage for resale at Fuel Center #534. Cylinders are 20# each, 360# in total. Cylinders will be kept in a lockable, cabinet of metal construction and there is no dispensing of propane. Cage will located in the 2015 WA IFC, Section 6109. No bollards are required per Section 6109.13. SIGNATURE OF APPLICANT I herby certify that the foregoing information(and all information in attached sheets,if any) is true and complete. LKLa© � 05/05/2020 Signature of Applicant or Authorized Representatives Signature Date Rachel Orlando Name and Title (if applicable) of person signing Application (Please print) Cc: Fire Department Page 3 of 4 Part IV To be completed by the City of Arlington Building Department Inspection Required: ❑ Yes ❑ No Inspections Performed: ❑ Yes ❑ No Date of Inspection: Tests or Reports required verifying compliance? ❑Yes ❑ No If YES, have Tests or Reports been received? ❑ Yes ❑ No Application(s) Approved: ❑ Yes ❑ No Operating Permit Issued by: Date Operating Permit Issued: _ Date Operating Permit Expires: Type/Description of Operating Permit: Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit): Additional Comments: (Attach additional pages if needed) Cc: Fire Department Page 4 of 4 Most Widely Accepted and Trusted EICCEVALUATION S . VICE Innovation Evaluation - . . . ICC-ES 1 : ii - This report is subject to renewal 10/2018. DIVISION: 04 00 00—MASONRY SECTION: 04 05 19.16—MASONRY ANCHORS REPORT HOLDER: HILTI, INC. 7250 DALLAS PARKWAY, SUITE 1000 PLANO, TEXAS 75024 EVALUATION SUBJECT: HILTI KWIK HUS-EZ (KH-EZ) AND KWIK HUS-EZ P (KH-EZ P) CARBON STEEL SCREW ANCHORS FOR USE IN MASONRY ICC IN ICC c� PMG cQ LISTED Look for the trusted marks of Conformity! R15-1 a1\ "2014 Recipient of Prestigious Western States Seismic Policy Council ■o■ (WSSPC)Award in Excellence" A Subsidiary of ICGES Evaluation Reports are not to be construed as representing aesthetics or an other attributes not sCCB_Ps p p b Y tcd specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as ISO/IEC 17065 OOPS to any finding or other matter in this report, or as to any product covered by the report. Product CertiNca'on Body Ac redlle CCN #1000 Copyright 0 2017 ICC Evaluation Service, LLC. All rights reserved. ESCC ICC-ES Evaluation Report ESR-3056 Reissued October 2017 Revised December 2017 This report is subject to renewal October 2018. www.icc-es.org 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 04 00 00—MASONRY manufactured from carbon steel and is heat treated. It has Section: 04 05 19.16—Masonry Anchors a minimum 0.0003-inch (8 pm) zinc coating in accordance with DIN EN ISO 4042. The anchoring system is available REPORT HOLDER: in a variety of lengths with diameters of 1/4 inch, 3/8 inch, 1/2 inch, 5/8 inch, and 3/4 inch (6.4 mm, 9.5 mm, 12.7 mm, HILTI, INC. 15.9 mm and 19.1 mm). The KWIK HUS-EZ (KH-EZ) is 7250 DALLAS PARKWAY, SUITE 1000 illustrated in Figure 1. PLANO,TEXAS 75024 The hex head is larger than the anchor diameter and is (800)879-8000 formed with serrations on the underside. The anchor body www.us.hilti.com is formed with threads running most of the length of the HiltiTechEng(cD-us.hilti.com anchor body. The anchor is installed in a predrilled hole with a powered impact wrench or torque wrench. The EVALUATION SUBJECT: anchor threads cut into the base material on the sides of HILTI KWIK HUS-EZ KH-EZ AND KWIK HUS-EZ P KH- the hole and interlock with the base material during ( ) ( installation. EZ P) CARBON STEEL SCREW ANCHORS FOR USE IN MASONRY The KWIK HUS-EZ P (KH-EZ P)anchors are comprised of a body with round pan style head with an indented area 1.0 EVALUATION SCOPE in the top of the head with a six point star configuration. The anchor is manufactured from carbon steel and is heat- Compliance with the following codes: treated. It has a minimum 0.0003-inch-thick (8 pm) zinc ■ 2015, 2012, 2009, and 2006 International Building coating in accordance with DIN EN ISO 4042. The KWIK Code°(IBC) HUS-EZ P (KH-EZ P) is available in inch diameter. See ■ 2015, 2012, 2009, and 2006 International Residential Figure 2. Code®(IRC) Product information is found in Table 1, installation ■ 2013 Abu Dhabi International Building Code(ADIBC)t parameters are found in Table 2 and described in Section 4.2, and the Manufacturers Published Installation 'The ADIBC is based on the 2009 IBC.2009 IBC code sections referenced in this report are the same sections in the ADIBC. Instructions(MPII)are depicted in Figures 5 and 6. Property evaluated: 3.2 Grout-filled Concrete Masonry: Structural The compressive strength of masonry, f�,at 28 days must be a minimum of 1,500 psi (10.3 MPa). Fully grouted 2.0 USES masonry walls must be constructed from the following The Hilti KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P materials: (KH-EZ P) screw anchors are used as anchorage to resist 3.2.1 Concrete Masonry Units (CMUs): CMUs must be static, wind and seismic tension and shear loads in grout- minimum Grade N, Type II, lightweight, medium-weight, or filled concrete masonry units. normal-weight conforming to ASTM C90. The minimum The Hilti KWIK HUS-EZ and KWIK HUS-EZ P screw size of the CMU must be a nominal 8 inches anchors are alternatives to cast-in-place anchors described wide by a nominal 8 inches high by a nominal 16 inches in Section 8.1.3 (2013 edition), or Section 2.1.4 (2011, long. 2008 or 2005 edition) of TMS 402/ ACI 530/ ASCE 5, as 3.2.2 Grout: Grout must comply, as applicable, with 2015 applicable, as referenced in Section 2107 of the IBC. IBC Section 2103.3, 2012 IBC Section 2103.13, 2009 and The Hilti KWIK HUS-EZ and KWIK HUS-EZ P screw 2006 IBC Section 2103.12, or IRC Section R606.2.11 anchors are permitted to be used in structures regulated by (2015 IRC) or R609.1.1 (2012, 2009, or 2006), as the IRC, provided an engineered design is submitted in applicable. Alternatively, the grout must have a minimum accordance with IRC Section R301.1.3. compressive strength, when tested in accordance with 3.0 DESCRIPTION ASTM C1019, equal to its specified strength but not less than 2,000 psi (13.8 MPa). 3.1 KWIK HUS-EZ: 3.2.3 Mortar: Mortar must be Type M or S in compliance Hilti KWIK HUS-EZ (KH-EZ) screw anchors are comprised with Section 2103 of the IBC, or Section R607 of the IRC, of a threaded body with hex washer head. The anchor is as applicable. ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed 1 IN as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,LLC,express or implied,as S_� to any finding or other matter in this report,or as to any product covered by the report. INTE NATIONAL Copyright©2017 ICC Evaluation Service,LLC. All rights reserved. Page 7 of 9 ESR-3056 I Most Widely Accepted and Trusted Page 2 of 9 4.0 DESIGN AND INSTALLATION 4.3 Special Inspection: 4.1 Allowable Stress Design: Anchors must be installed with special inspection. For the 4.1.1 General: Anchors described in this report are IBC and IRC, special inspection must conform to Sections assigned allowable tension and shear loads for designs 1704 and 1705 of the IBC. based on allowable stress design (ASD). For fasteners installed with special inspection, the 4.1.2 Design of Anchors Installed in Uncracked Grout- following items, as applicable, must be inspected: fastener filled Concrete Masonry: Allowable tension and shear type, diameter and length; masonry dimensions and loads for anchors installed in the face of uncracked grout- compliance with ASTM C90; grout and mortar compliance filled masonry are noted in Tables 3 and 4. The allowable with standards listed in Section 3.2, and, where required, tension and shear loads are for anchors installed in the masonry prism compressive strength; drill bit diameter and grouted cells, the center web of concrete masonry units compliance with ANSI B212.12-1994; and fastener and horizontal mortared bed joints of fully grouted CMU embedment, spacing, and edge distance. The special construction. Allowable loads for anchors installed within inspector must verify that anchor installation complies with 11/4 inches (32 mm)of the vertical (head)joint, as depicted this evaluation report and the manufacturer's published in Figure 3, are beyond the scope of this report. Critical installation instructions. and minimum spacings and edge distances are given in 5.0 CONDITIONS OF USE Table 2. Allowable load reduction factors for anchors The Hilt KWIK HUS-EZ and KWIK HUS-EZ P Screw installed at reduced spacing and reduced edge distances Anchors described in this report are suitable alternatives to (between critical and minimum) are noted in Table 3 and what is specified in the codes listed in Section 1.0 of this Table 4. report, subject to the following conditions: 5 Allowable tension and shear loads for 1/2-inch and 5.1 Anchors are identified and installed in accordance /8-inch (12.7 mm and 15.9 mm) anchors installed in the with this report and the manufacturer's published top of uncracked fully grouted concrete masonry walls are installation instructions. In case of conflict, this report noted in Table 5. Separate values are given for shear loads towards the edge and parallel to the edge of the governs. masonry wall. Allowable loads for anchors installed within 5.2 Anchors resisting static, seismic or wind load in grout- 11/4 inches (32 mm)of the head joint are beyond the scope filled concrete masonry must be designed in of this report. accordance with Section 4.1 of this report. Allowable loads for anchors installed in uncracked grout- 5.3 When using the basic load combinations in filled masonry subjected to combined tension and shear accordance with IBC Section 1605.3.1, allowable loads must be determined by the following equations: loads are not permitted to be increased for seismic or (P ( wind loading. When using the alternative basic load \pt) + I Vt) <_ 1.0 for all diameters installed in combinations in Section 1605.3.2 of the 2009 and the top of the wall 2006 IBC that include seismic or wind loads, the allowable shear and tension capacities for anchors �FPS)s/s + �Vt vt S)s/a included in this report may be increased by <_ 1.0 for all diameters installed in 331/3 percent, or the alternative basic load the face of the wall combinations may be multiplied by a factor of 0.75. where: For the 2015 or 2012 IBC, the allowable loads or load combinations must not be adjusted. PS = Applied service tension load 5.4 Since an ICC-ES acceptance criteria for evaluating Pt = Allowable service tension load data to determine the performance of screw anchors VS =Applied service shear load subjected to fatigue or shock loading is unavailable at this time, the use of these anchors under these Vt=Allowable service shear load conditions is beyond the scope of this report. 4.2 Installation 5.5 Where not otherwise prohibited by the applicable Installation parameters are provided in Tables 2, 3, 4 and code, anchors are permitted for use with fire- 5, and Figures 3,4, 5 and 6. Anchor locations must comply resistance-rated construction provided that at least with this report and with plans and specifications approved one of the following conditions is fulfilled: by the code official. The Hilti KWIK HUS-EZ (KH-EZ) and . Anchors are used to resist wind or seismic forces KWIK HUS-EZ P (KH-EZ P) must be installed according to only. this report and the manufacturer's published instructions (MPII) as depicted in Figures 5 and 6. • Anchors that support fire-resistance-rated In case of conflict, this report governs. Anchors must be construction or gravity load—bearing structural installed into base material perpendicular to the surface elements are within a fire resistance-rated using carbide-tipped masonry drill bits complying with envelope or a fire-resistance-rated membrane, are ANSI B212.15-1994. The nominal drill bit diameter must protected by approved fire-resistance-rated be equal to that of the anchor. The minimum drilled hole materials, or have been evaluated for resistance to depth is given in Table 2. Prior to installation, dust and fire exposure in accordance with recognized debris must be removed from the drilled hole using a hand standards. pump, compressed air or a vacuum. The anchor must be . Anchors are used to support nonstructural installed into the predrilled hole using a powered impact elements. wrench or with a torque wrench until the proper nominal embedment depth is obtained. The maximum impact 5.6 Since an ICC-ES acceptance criteria for evaluating wrench torque and the maximum installation torque for a the performance of screw anchors in cracked manually calibrated torque wrench must be in accordance masonry in unavailable at this time, the use of with Table 2. anchors is limited to installation in uncracked ESR-3056 I Most Widely Accepted and Trusted Page 3 of 9 masonry. Cracking occurs when ft> fr due to service 6.0 EVIDENCE SUBMITTED loads or deformations. 6.1 Data in accordance with the ICC-ES Acceptance 5.7 Prior to installation, calculations and details Criteria for Predrilled Fasteners (Screw Anchors) in demonstrating compliance with this report must be Masonry (AC106), dated November 2015; including submitted to the building official for approval. The tests for seismic qualification, edge distance and calculations must be prepared by a registered design spacing, and installations for top of fully grouted CMU professional where required by the statutes of the masonry wall construction. jurisdiction in which the project is to be constructed. 6.2 Quality control documentation. 5.8 Special inspection must be provided in accordance 7.0 IDENTIFICATION with Section 4.3. 5.9 Anchors are limited to dry, interior use. The HILTI KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P (KH-EZ P) anchors are identified by packaging with the 5.10 Anchors must be installed in holes predrilled in company name (Hilti, Inc.) and contact information, anchor masonry as described in this report, using drill bits in name, anchor size, and evaluation report number (ESR- compliance with ANSI 13212.15-1994. 3056). The anchors have KH-EZ, KH-EZ P, HILTI, and the 5.11 The KWIK HUS-EZ and KWIK HUS-EZ P screw anchor diameter and anchor length embossed on the anchors are manufactured by Hilti AG, under a quality anchor head. Identifications are visible after installation, for control program with inspections by ICC-ES. verification. ESR-3056 Most Widely Accepted and Trusted Page 4 of 9 i FIGURE 1—HILTI KWIK HUS-EZ SCREW ANCHOR FIGURE 2—HILTI KWIK HUS-EZ P ANCHOR TABLE t—KWIK HUS-EZ(KH EZ)AND KWIK HUS-EZ P(KH-EZ P)PRODUCT INFORMATION DESCRIPTION NAME AND SIZE DIAMETER TOTAL LENGTH UNDER THE ANCHOR HEAD KH-EZ'/4,x17/,,, 1/4" 17/," KH-EZ 1/4"x25/$, 1/4" 25/8" KH-EZ'/4"x3„ 1/4„ 3„ KH-EZ 1/4"x31/2, 1/4" 31/2, KH-EZ'/4"x4„ 1/4" 4„ KH-EZ 3/$"x1'/8, 3/$" 17/$, KH-EZ 3/3"x21/8, 3/3" 21/8, KH-EZ 3/8"x3„ 3/$" 3" KH-EZ 3/3"x3'/2, 3/3" 31/2, KH-EZ 3/8"x4„ 3/$" 4" KH-EZ 3/3"x5„ 3/3" 5" KH-EZ 1/2"x21/2, 1/2" 21/2, KH-EZ'/2"x3" 1/2" 3" Screw Anchor with KH-EZ'/2"x3'/2' 1/2" 31/2' Hex-Head KH-EZ'/2"x4" 1/2" 4" KH-EZ 1/2"x4'/2 i 1/2" 41/2, KH-EZ'/2"x5" 1/2" 5" KH-EZ'/2"x6" 1/2" 6" KH-EZ 5/3"x3'/2, 5/3" 31/2, KH-EZ 5/8"x4„ 5/8" 4" KH-EZ 5/3"x5'/2, 5/3" 51/2, KH-EZ 5/8"x61/2, 5/8" 61/2, KH-EZ 5/3"x8" 5/8" 8" KH-EZ 3/4"x41/2, 3/4" 41/2, KH-EZ 3/4"x5'/2, 3/4" 51/2, KH-EZ 3/4"x7„ 3/4" 7„ KH-EZ 3/4"x8" 3/4" 8" KH-EZ 3/4"x9„ 3/4" 9„ Screw Anchor with Pan KH-EZ P'/4"x1'/3" 1/4" 17/8, Head KH-EZ P'/4,x2'/2" '/4" 21/2, ESR-3056 I Most Widely Accepted and Trusted Page 5 of 9 TABLE 2—KWIK HUS-EZ(KH-EZ)AND KWIK HUS-EZ P(KH-EZ P)INSTALLATION INFORMATION AND ANCHOR SPECIFICATION',2,3,4 INSTALLATION DETAIL UNITS NOMINAL ANCHOR DIAMETERS(INCHES) 1/4 3/S 112 5/1 3/4 Drill Bit Diameter in. 1/4 3/8 1/2 5/6 3/4 Minimum Baseplate Clearance 3 , 5 3 7 Hole Diameter in. /$ /z /s /a /a Maximum Installation Torque5 ft-Ibf 21 22 34 38 70 Maximum Impact Wrench Torque Rating 6 ft-Ibf 114 114 114 332 332 332 332 332 332 332 Minimum Nominal in. 15/6 21/2 15/6 31/4 21/4 41/2 31/4 5 4 61/4 Embedment Depth Minimum Hole Depth in. 2 27/8 17/8 3% 25/6 45/a 35/8 5% 43/a 65/8 Critical Edge Distance in. 4 6 8 10 12 Minimum Edge Distance in. 4 Critical Spacing Distance in. 4 6 8 10 12 Minimum Spacing Distance in. 4 Wrench Socket Size in. 7/16 9/16 3/4 15/16 1,/6 'Values in this table are to be used in conjunction with load values contained in Tables 3,4,and 5,and the appropriate figures in this report, with the exception of the minimum spacing,edge,and end distances for anchors installed in the top of grout filled concrete masonry,which are listed in Table 5. 2Critical spacings and edge distances are the anchor spacing and edge distances for which no reduction in load capacity is required. 3Minimum spacings and minimum edge distances in this report are the smallest values for which anchor installation is allowed. 4Anchors may be installed anywhere in the fully grouted masonry wall except within 11/4 inch of a vertical joint(see Figure 3). 5Maximum Installation Torque applies to installations using a calibrated torque wrench. 6Because of the variability in measurement procedures,the published torque of an impact tool may not correlate properly with the above setting torques.Over-torquing can damage the anchor and/or reduce its holding capacity. TABLE 3—ALLOWABLE TENSION LOADS FOR KWIK HUS-EZ AND KWIK HUS-EZ P(KH-EZ P)IN THE FACE OF GROUT-FILLED MASONRY WALLS(POUNDS)''3,6 ANCHOR MINIMUM ALLOWABLE EDGE DISTANCE SPACING DIAMETER EMBEDMENT TENSION CRITICAL MINIMUM LOAD CRITICAL MINIMUM LOAD z LOADS FOR CCR CMIN REDUCTION SCR SMIN REDUCTION (INCHES) (INCHES) IBC/IRCS (INCHES) (INCHES) FACTOR (INCHES) (INCHES) FACTOR s � 1/4 1 /6 424 4 4 1.00 4 4 1.00 2'/2 728" 3/8 15/4 968" 6 4 1.00 6 4 0.80 1 112 21/4 152 2 8 4 1.00 8 4 0.60 , 5/8 3/4 924 10 4 1.00 10 4 0.57 5 1,388 3/4 644 1,156 12 4 1.00 12 4 0.53 628 'Anchors shall be installed in base materials in compliance with Section 3.2 of this report. 2Embedment depth is measured from the outside surface of the concrete masonry unit. 3Refer to Section 5.3 of this report for modifying allowable loads in this table for anchors resisting short-term loads. 4Allowable loads are based on installation at critical spacing and edge distance.Load reduction factors are applicable at the minimum spacing and edge distance.Linear interpolation of reduction factors is allowed for spacings and edge distances between critical and minimum. 5Tabulated allowable loads for the IBC/IRC are based on a safety factor of 5.0. 6Special inspection must be provided in accordance with Section 4.3 of this report. 7Load values for installations within 11/4 inch of bed joint for diameter at 15/6 inch embedment shall be reduced by 21%. 61-oad values for installations within 11 /4 inch of bed joint for inch diameter at 21/2 inch embedment and 3/8 inch diameter at 15/6 inch embedment shall be reduced by 13%. ESR-3056 I Most Widely Accepted and Trusted Page 6 of 9 TABLE 4—ALLOWABLE SHEAR LOADS FOR KWIK HUS-EZ AND KWIK HUS-EZ P(KH-EZ P)INSTALLED IN THE FACE OF GROUT-FILLED MASONRY WALLS(POUNDS)"-"' SHEAR LOADS SPACING EDGE DISTANCE ANCHOR MINIMUM at CCR AND SIR LOAD DIAMETER MBEDMENT ALLOWABLE CRITICAL MINIMUM LOAD CRITICAL MINIMUM LOAD DIRECTION (INCHES) (INCHES)' SHEAR LOADS SCR SMIN REDUCTION CCR CMIN PERPENDICULAR DIRECTION FOR IBC/IRC (INCHES) (INCHES) FACTOR (INCHES) (INCHES) TO EDGE PARALLEL TO EDGE 1/4 15/8 532 4 4 1.00 4 4 1.00 1.00 21/2 650 1.00 15/8 912 0.61 3/8 31/4 952 6 4 0.94 6 4 0.70 1.00 21/4 1476 0.50 '/z 8 4 0.88 8 4 1.00 4'/4 1959 0.40 31/4 2432 0.36 5/6 5 2731 10 4 0.62 10 4 0.34 1.00 4 2432 0.36 3/4 , 12 4 0.36 12 4 1.00 6/4 2731 0.34 'Anchors shall be installed in base materials in compliance with Section 3.2 of this report. 'Embedment depth is measured from the outside surface of the concrete masonry unit. 3Refer to Section 5.3 of this report for modifying allowable loads in this table for anchors resisting short-term loads. 4Allowable loads are based on installation at critical spacing and edge distance.Load reduction factors are applicable at the minimum spacing and edge distance. Linear interpolation of reduction factors is allowed for spacings and edge distances between critical and minimum. 5Tabulated allowable loads for the IBC/IRC are based on a safety factor of 5.0. 6Special inspection must be provided in accordance with Section 4.3 of this report. TABLE 5—ALLOWABLE TENSION AND SHEAR LOADS FOR KWIK HUS-EZ INSTALLED IN THE TOP OF GROUT-FILLED CONCRETE MASONRY CONSTRUCTION''3,4,5,6 MINIMUM MINIMUM SHEAR(POUNDS) ANCHOR EMBEDMENT END TENSION EDGE MINIMUM LOAD DIRECTION DIAMETER DEPTH DISTANCE SPACING DISTANCE (POUNDS) PARALLEL TO PERPENDICULAR (INCHES) (INCHES)' (INCHES) (INCHES) (INCHES) EDGE OF MASONRY TO EDGE OF WALL MASONRY WALL 1/2 41/4 13/4 8 8 540 885 245 5/8 5 13/4 10 10 1045 930 245 'Anchors shall be installed in base materials in compliance with Section 3.2 of this report. 'Embedment depth is measured from the outside surface of the concrete masonry unit. 3Refer to Section 5.3 of this report for modifying allowable loads in this table for anchors resisting short-term loads. 4See Figure 4 for details of anchor location in top of CMU wall.Additionally,anchors shall be installed with a minimum 4-inch distance to the head joint. 5Tabulated allowable loads for the IBC/IRC are based on a safety factor of 5.0. 6Special Inspection must be provided in accordance with Section 4.3 of this report. ESR-3056 Most Widely Accepted and Trusted Page 7 of 9 Anchor Installation is Restricted to Shaded Areas <'Mh)Tin Eege Dhwce CAlal Edge Clva-ice No lrs'.Al ,bn n(t In (Sea L=lade) .V4.of MsC J�h: RKA"J k4jes for 1 4'S 38'IrsUlalc•s 4hln 1-t14'N beC clnts(See tales 3 S 4:• a'►.IITun Eaoe Dlst.-xe 00 F///0 crikal Ed?elstaw (See Lori Tack) t'ssta0a�xu l�ttls area for hA rmi Irstdism In Me Wes V td —Llorar Jcl•: Ccwato Ltasonry Ut tenslm cepacly and relrr.i (D+^000-d) VON bawds edge capactf FIGURE 3—ACCEPTABLE LOCATIONS(SHADED AREAS)FOR HILTI KWIK HUS-EZ AND KWIK HUS-EZ P(KH-EZ P)ANCHORS IN GROUT-FILLED CONCRETE MASONRY 1 3/4" Edge Distance Kwik HUS-EZ Anchor End Distance FIGURE 4—EDGE AND END DISTANCES FOR THE KWIK HUS-EZ ANCHORS INSTALLED IN THE TOP OF CMU MASONRY WALL CONSTRUCTION �C7C=� 3. — Drta nrob m beae adertr aannp proper olrrrater drb wt Clean drove nob to rarnove awns nrbha andwr w"propw serpent tool or twgee rrerrea ►scan agror tlpayagmd fmd—pert FIGURE 5—INSTALLATION INSTRUCTIONS—HILTI KWIK HUS-EZ(KH-EZ) ESR-3056 I Most Widely Accepted and Trusted Page 8 of 9 L�,yoo 13 t I • ' DRS -- FIGURE 6-INSTALLATION INSTRUCTIONS-HILTI KWIK HUS-EZ P(KH-EZ P) ESICC ICC-ES Evaluation Report ESR-3056 FBC Supplement Issued December 2017 This report is subject to renewal October 2018. wwwAcc-es.orq 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 04 00 00—MASONRY Section: 04 05 19.16—Masonry Anchors REPORT HOLDER: HILTI, INC. 7250 DALLAS PARKWAY, SUITE 1000 PLANO,TEXAS 75024 (800)879-8000 www.us.hilti.com HiltiTechEng(cDus.hilti.com EVALUATION SUBJECT: HILTI KWIK HUS-EZ(KH-EZ)AND KWIK HUS-EZ P (KH-EZ P) CARBON STEEL SCREW ANCHORS FOR USE IN MASONRY 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Hilti KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P (KH- EZ P) screw anchors in grout-filled masonry, recognized in ICC-ES master evaluation report ESR-3056, have also been evaluated for compliance with the codes noted below. Applicable code editions: ■ 2017 Florida Building Code—Building ■ 2017 Florida Building Code—Residential 2.0 CONCLUSIONS The Hilti KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P (KH-EZ P) screw anchors in grout-filled masonry, described in Sections 2.0 through 7.0 of the master evaluation report ESR-3056, comply with the Florida Building Code and Florida Building Code—Residential , provided the design and installation are in accordance with the 2015 International Building Code°provisions noted in the master report. Use of the Hilti KWIK HUS-EZ (KH-EZ) and KWIK HUS-EZ P (KH-EZ P) screw anchors in grout-filled masonry for compliance with the High-Velocity Hurricane Zone provisions of the Florida Building Code and Florida Building Code— Residential has not been evaluated, and is outside the scope of this supplemental report. For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued October 2017 and revised December 2017. ICGES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed 1��E as an endorsement of the subject of'the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,LLC,express or implied, to any.finding or other matter in this report,or as to any product covered by the report. INTE NATIONAL Moa Copyright©2017 ICC Evaluation Service,LLC. All rights reserved. Page 9 of 9 Permit#: 3170 Permit Date: 05/19/20 Permit Type: OPERATING Project Name: Safeway#1522 Applicant Name: AmeriGas Propane Applicant Address: 1150 First Ave. Ste#500 Applicant, City, State,Kin of Prussia, PA 19406 Zip: g Contact: Rachel Orlando Phone: 610-768-3858 Email: rachel.orlando@amerigas.com Scope of Work: Installation of(1) 18-count propane cylinder exchange cage for resale at Safeway Fuel Center#1522 Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 06/12/2020 Permit Expires: 11/15/2020 Form Permit Type: Status: COMPLETE Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 00847300000800 20500 OLYMPIC PL SAFEWAY INC 541 Groceries(With CPTS or Without Meat) Contractors Contractor Primary Contact Phone Address Contractor Type License License# AmeriGas Dale Culbertson 253-395-3001 19244 East Valley CONSTRUCTIONHwy CONTRACTOR L&I AMERIPLOSSLL Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 09/01/2020 Inspection 09/01/2020 09/01/2020 BUILDING Completed Plan Reviews Date Review Type Description Assigned To Review Status 05/19/2020 OPERATING BUILDING 05/19/2020 OPERATING FIRE Fees Fee Description Notes Amount Inspection Final Inspection $75.00 Processing/Technology $25.00 Inspection Site Review $75.00 Credit Card Service $5.25 Total $180.25 Attached Letters Date Letter Description 05/19/2020 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 06/12/2020 Rachel Orlando 80747840 $175.00 06/12/2020 80747840 Raelynn Jones $5.25 Outstanding Balance $0.00 Notes Date Note Created By: 06/12/2020 Approved w/conditions:Storage cage to be anchored to concrete w/approved threaded anchors. Raelynn Jones Provide specs for anchors. Uploaded Files Date File Name 09/23/2021 9748781-3170 IC 9.1.2020 Propane.pdf 09/23/2021 9748782-3170 IC 10.12.2020 Propane.pdf 09/23/2021 9748783-3170 IC 9.1.2020 Propane(2).pdf 10/27/2020 7600311-3170 Inspection Report.pdf 06/15/2020 6822219-ACE Cage bolt-HILTI Scew ANC KH Schematics and report including FL Building Code Approval.pdf 06/12/2020 6813253-3170 Approved Part IV.pdf 05/19/2020 6686630-3170 Application.pdf 05/19/2020 6686631-3170 CAGE SCHEMATIC- 18 CT.pdf 05/19/2020 6686632-3170 Safeway Fuel Center 1522 SITE PLAN.pdf