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FL #

FL38731-R1

Application Type

Revision

Code Version

2023

Application Status

Approved

*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary.

Comments

Archived

Product Manufacturer

Screw Products

Address/Phone/Email

9401 Bujacich Rd
Unit 1B
Gig Harbor, WA 98332
(608) 310-6720
fpa@qualtim.com

Authorized Signature

Chris Scoville
fpa@qualtim.com

Technical Representative

Address/Phone/Email

Quality Assurance Representative

Address/Phone/Email

Category

Structural Components

Subcategory

Anchors

Compliance Method

Certification Mark or Listing

Certification Agency

DrJ Engineering LLC

Validated By

Jeffrey P. Arneson, P.E.

Validation Checklist - Hardcopy Received

Referenced Standard and Year (of Standard)

Standard	Year
ANSI/AWC NDS	2018
ASTM B117	2016

Equivalence of Product Standards
Certified By

Product Approval Method

Method 1 Option A

Date Submitted

12/06/2023

Date Validated

12/15/2023

Date Pending FBC Approval

Date Approved

12/30/2023

Summary of Products


FL #	Model, Number or Name	Description
38731.1	Nova, Yukon, CLG and BLG Fasteners	Fasteners
Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other:		Certification Agency Certificate FL38731_R1_C_CAC_231206_FL38731_TER2010-03_2101-03_CAC.pdf Quality Assurance Contract Expiration Date 07/01/2027 Installation Instructions FL38731_R1_II_231206_FL38731_InstallationInstructions.pdf Verified By: DrJ Engineering LLC Created by Independent Third Party: Evaluation Reports FL38731_R1_AE_231206_FL38731_TER2010-03_FINAL.pdf FL38731_R1_AE_231206_FL38731_TER2101-03_FINAL.pdf Created by Independent Third Party: Yes

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