Loading...
11060038 - SI (2)CONNELL GEOTECHNICAL, INC. Consulting Engineers By ems- all and Mail January 6, 2012 Project No. 203.011 rl F IL Mr. Dipesh Gupta l Shashi Corporation 20660 Stevens Creek Boulevard Cupertino, CA 95014 / SUBJECT: CONSTRUCTION OBSERVATION SERVICES — PROGRESS REPORT Hyatt Place Hotel, 10165 N. De Anza Boulevard, Cupertino, California Reference: Connell Geotechnical, Inc. Geotechnical Investigation Report, dated February 6, 2009, Update Report dated April 21, 2011, Plan Review Letter, dated November 14, 2011, and Consultation Letter, dated October 24, 2011, Hyatt Place Hotel, 10165 N. De Anza Boulevard, Cupertino, California. Dear Mr. Gupta: This letter presents the results of our observation of the basement subgrade preparation for the Hyatt Place hotel in Cupertino, California. Recommendations for the planned hotel were provided in the above -referenced geotechnical report, update report, and supplemental letters. During the week of January 3 through 6, 2012, we observed the preparation of the exposed subgrade for the basement. For the sandy soils exposed at the site, we recommended that the surface be smoothed with equipment and any loose material be run over with a smooth drum roller or rubber tired equipment. Based on our observations the basement subgrade was prepared in accordance with our recommendations. If you have any questions, please call. Very truly yours, CONNELL GEOTECHNICAL, INC.,�F`=w,'vr- No.230 EXP 12-31-R David .Connell Geotechnical Engineer #230 r�P3 \� Expires 12/31 /2013 9lFOF CAUt��� Cc: RYS Architecture, Attn: Bhavini Hardev, By e-mail (Bhavini(a-)-rysarchitects.com) Dick Loorz, By e-mail mail (dickloorz(aD-loorzcm.com) SD Deacon, Attn: Mike Vandegrift, by Hand DHC: H AProjects\203.011.A01 2134 Old Middlefield Way, Suite E ♦ Mountain View, CA 94043 ♦ Tel 650 962 9588 ♦ Fax 650 962 9587 mb� ENGINEE fZING January 6, 2012 SD Deacon Attn: Mike Vandergrift 7745 Greenback Lane, Suite 250 Citrus Heights, CA 95610 Re: Hyatt Place Cupertino Dear Mr. Vandergrift, The above -referenced building pad was checked for elevation on January 6, 2012.The elevation was found to be within 220.03'and 220.14'. Should you have any questions, please do not hesitate to contact me at (209) 571-1765. Sincerel , Dylan Crawford, P.L.S. Professional Land Surveyor x x 220.06 x 220.06 x x 220.04 x 2 220.09 220.08 220.07 x 220.10 x 220.11 x 220.09 220.11 x x 220.08 x 220.03 220.06 GARAGE FF=220.50 PAD =FF-5" PER MIKE V. PAD=220.08 \\ x 220.05 x 220.07 A. 220.1 x 220.12 x 220.09 L--L x 220.04 x 220.06 x 220.12 220.07 220.09 220.04 220.03 0 x 220.08 x 220.09 x 220.13 220.05 x 220.10 x 220.09 x 220.10 x 220.05 220.03 x 220.06 220.08 \ .c x 220.06 220.06 O O x 220.07 ° ° x 220.06 220.06 FX220.12 220.09 x 220.10 22010 220.10 HYATTCUPERTINO ■ 220.09 220.14 20.09 •NG1N��R1N0 -___ \ k PAD CERW7--AT70N 0 mft� ENG1 N-E-Ef:K1 NG January 26, 2012 Mike Vandergrift SD Deacon 7745 Greenback Lane, Suite 250 Citrus Heights, CA 95610 '�j 4DC 416 1toWo3W Re: Hyatt Place Cupertino— Building Setback Certificate Dear Mr. Vandergrift, The above -referenced building was staked for location on October 6, 2011. The layout was based on the dimensions as shown on sheet Al.10 dated March 08, 2011. Should you have any questions, please do not hesitate to contact me at (209) 571-1765. Sincerely, 4.4j Dylan Crawford, P.L.S. Professional Land Surveyor 1165 SCENIC OR1VEq SUITE $ MODESTO CA 95R50 P41 EO9.571.1765 PAx E09.571.2466 0 OE LLE N GI NEERIN G. C 0M A CRLIFORNIA CORPORATION Testing Engineers, Inc. Flowable Gro Quality Assurance Services Materials Consulting Since 1954 Report Project No.: 55123 Client: INF000 11 0) . . _ ., 1 11 11 Sample No.: 240518 Project Name: �X UU U Report Date : 01/17/12 10165 N. De Anza Blvd. ' Sample Date : 12/20/11 Cupertino Hotel for Infinite Loop Hotel, LLC By Time Sampled: 0935AM Cupertino, CA Date Received : 12/22/11 Permit # 11060038 Inspector : M. Tellesen, TEI Supplier: Mix: Job Mix Location: Tie back. Specimens Cast (ASTM C-109) : 5 Air Temperature (ASTM C-1064) : 55 deg F Mixture Temperature (ASTM C-1064) : EFLUX (ASTM C-939) : Date Tested 12/23/11 12/27/11 01/17/12 01/17/12 HOLD ID Number 1A 113 1C 1D 1E Mark Sample Dimension, Inches Diameter 4 4 4 4 Length 8 8 8 8 Area, sq. inches 12.57 12.57 12.57 12.57 Ultimate Load, lbs 49000 78000 161000 168000 Ultimate Str., psi 3900 6210 12810 13370 Average, Sir., psi 13090 Age Tested, Days 3 7 28 28 HOLD Fracture Type 1 1 1 1 Dry Unit Weight, pcf Specified Strength, psi I 1 3000 1 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD The Material _)-(---WAS —WAS NOT The Material Tested MET _ DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with ASTM C-109 1 cc. City of Cupertino 1 cc. Deacon 1 cc. Loorz Construction Management, LLC 1 cc. RYS Architects 1 cc. Infinite Loop Hotel LLC Reviewed By: Robert Green Concrete Lab Supervisor Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777 ------- -, j.. c,duc,y uu,ea wneenpertNsslon'lmnl-IEl is obtained. Page 1 of 1 Assam r e DSA File.# ® TESTING ENGflV RS IN r � d G SA Appl. # C z-/G/_/2 SAL'EA#33 S PD # Project No.: Project Name: as Het led to: EPDXIED DOWELS -125 ❑ EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 Witnessed the drilling of holes of proper diameter and depth. r Inspected predrilled holes for proper diameter and depth. Expiration Date of Epoxy Observed the cleaning of holes and theinjection of — epoxy. or ❑ Witnessed the proper insertion of: the insertion of epoxy capsules. Remarks/. Notes: ❑ Type 0 Do not We was was not De pectetl in Accordan ' h the Requirements of the Building cartment or DSA Aonrnvori Lerformed'v1 Accordance with c: Project Architect Structural Engineer Project Inspector DSA Regional office L was U was nct ifding Department or DSA AT General Contractor Building Jurisdiction N/A i Documents r The Requirements of the B met 0 did not meet q the Buildin artment or DSA Approved Documents Signatuve o S ect Inspector /z/2�� D—�— Print Name 8 Cenillcatlon No. Corporate Office — 2811 Te q rasn Street — San Leandro. California 94577 _ =FFtLE5�7[IFormslS�acm �ncp;ctm, Fa _wNnv Testino-Enoineers com f'10) 835-31a2 _ FAX (510) 834-3777 »y_Mmon;_egatela.00c I — Date: Project No.: Project Name: Address: City: Requested by: TESTING ENGINEERS, INC. S z !fof'c( � vet '/ �✓O rt�rv� DSA File #: \ PSI]PR No. PernmtJ SF App. Start Time: t AW4 FILE 2-23- 2 DSA A: Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) ��1 � LJ Inspected the placement of 0 re/infor/sing steel; ❑ tendons; ❑ AB's; ❑ Ws;❑ tie downs (180) at the following locations: < ! r�, U f✓ (� ! / G FJ, 4W& ltJit!i tPLrr:.'c X i?0ZV 6 //,Y 'F _ Gt16 G A- Pr r, /3',2 +., i3 W ;r !.(/H (/ -/ //va /-$ rCoc-C/ Ci if v /i / re- t a r f-v Clow$ r q / c• .r ' r ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed Unit weight tests. ❑ Performed air entrainment tests ❑ Performed _ slump test(s) (,� and cast _ set(s) of compression test specimens �_ ea.) Sample # , for Concrete Mix # from (supplier) , specified strength , air %, and slump inches for concrete placed at Total cubic yards placed: ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of Notes: St S(taa ; -,weiS Ip4op 04, Wr;IIg //� at jobsite. 0;." m C7`or Y ✓iG�ir .� �G E'/� GI/ / /i¢. iLSf9 ;%ai ��/cr Chu tr�SiHa /Cc r j , �� CA k�yYi� /G 1• r9 vc rot f[9c.�. o,vCi<Tc-� ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work Drwas ❑ Mulct not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The wLJ.ork inspected met ❑ did not meet the requirements of the Building Department or DSA'or OSHPD approved documents - ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings `Tirm pa v'/ Dared ❑ City ❑ County ❑ Shop Inspector: `2 /.//� Y.l./Ad-y----- Certification# fi)W, Date: r / Received by: ,Wk-e 441 Intl 1- � U''/ -J� I b- 1. Date: Z _ / 4� — Corporate Office - 2811 Teagarden Street - San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testing-Engineers.com AdEM ' U E ® 2 MTING.ENGINEERS, INC. e to: rel C✓F'c=✓'�r NO of: of: DSA File.# DSA Appl. # DSA LEA # 33 OSHPD # L-YEPDXIED DOWELS -125 ❑ EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 ❑ W!tn ssed the drilling of holes of proper diameter and depth. Eg-nnsspected predrilled holes for proper diameter and depth. Expiration Date of Epoxy ®'Observed the cleaning of holes and the injection of P P epoxy. or the insertion of epoxy capsules. itnessed the proper insertion of: Dle lit° ., .. ;. cation ffL 8— 'g (.` :/O r/2.0 f Mo[r Sr.,p[ Goa. CtI Z-s lc s F i c Remarks/: /SSA //A Fi Per Notes: ❑Type ❑ Do not type rk U was, ❑ was not The Work'Ins ected In Accordance with the Requirements of the BuildingP,❑ met did not meet ifor DSA Approved Documents The Requfrements'of the Building Department or DSA Approved Documents MateriafSamplfn9 was ' was not WA ' Pertormed in:Acconlance with Building Department or DSA Approved Documents :c: Project Architect General Contractor Structural Engineer ' Building Jurisdiction Signature of t Project Inspector DSA Regional Office - ez—/&—/Z Da— t Corporate Office — 2811 Teagarden Street — San Leandro, California 94577— (510) 835-3142 — FAX (510) 834.8777 - eE FILMTEIFwms\spec1W Inspection F.AEporyJMchore_pe0107a.00c www.Twting-EnQineers.com TESTING ENGINEERS, INC. L iLE Z 23 00 Date: oZ •- q C, — f , DSA File #\ DS�aApp.'it: Project No.: / of 3, WRLD No.: N Project Name: ' a7`G C vier %.vim erm' SF App. #\ 0 Address: lot Al> A,v2,f— Uu) Tow Code: �'`b� /07 City: C. vPe,r t Al b Start Time: i0 U Requested by: MI k<.-. URA,�,q r Hours:: 91 Reported to: S k7r, _ of: J . /D. Z)64 f o A/ Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) Inspected the steel; ❑ tendons; ❑ AAB's; ❑ HD's; ❑ tic downs�180) at the following 1 2•S A-6/e 96.1&— 6-3 for C/, ri/n1 4—l' fj!S0101.ecK-a(1J.•t S 4cl4;/t5 -,r r-,-,7 �7PG.4 c.S 5Z4`9 ebr-415 . Ar/Cfri Ai,W5 ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office)for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant O'ant (123) operations for materials and checked _ loads leaving plant. Perf'ormed continuous inspection of the placement of Lf concrete (107); ❑ non -shrink grout (I68) ❑ Concrete Sample Only (147) /O ca, 134m itored loads arriving at the jobsite for correct mix and proper slump. Inspected acement operations and vibmti yrocedures. ❑ Performed _ Unit weight tests. �� ❑ Performed _ air entrainment tests performed r-�� slump tests) ( ,� and cast _ set(s) of compression test specimens (_ ea.) Sample # of YD l� O D , for Concrete Alix # 701 W P, from (supplier) +A F ' specified strength SOUO air %, and slump Y — / inches for concret pp, at 00' l utt1 S �{�h1< �5 %lt Jl/L . W /) (1 S Co L tn.= !•. i IPotc/ b�(y� fa F� lu✓Pj1�L./ Ba its 33.'K Row S.S-►D BS.g.t �1,..e 41 �(04, B%/ a eS — L iNe 1S kbw B C(I `�-ho F, I Total cubic yards placed: / / ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of at jobsite. Notes: ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work Q war ❑ was not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected 9—met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted ab Material sampling was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drtnvin s g �,�,�/tAt''1 PSDared / b p^CS t /��9 ❑City ❑County❑Shop Inspector: / II lt6 Certifca ' n # ;/�0 o o� / `Date: 2 — 2'D — Received by: /14 t k c ✓pNgf r q n f f S A / PR CG,✓ Date: Z — 2-0 — ( Z Corporate Office — 2811 Teagarden Street — San Leandro. California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Testino-Enoineers.com FILE DSA File ® .# DSA Appl. # TESTING INC. DSA LEA # 33 -ENGINEERS, OSHPD # Permit If Pr No.:Sj-/'z Pro•ect.Name: 7`e C&-loa— oo•ec# Pr'ectAddress: /c/G y be—R-1,2.c-6.-( Ci :C— 'F-t1.� Work Location: obsfte Shop Work as Requested by:14,411161 of: Reported to: / t� ,2. c� r, ScttlisEiriie:. E7e'd�' real , ;:... °: OXIED-DOWELS -125 ❑ EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 ❑ Witnessed the drilling of holes of proper diameter and depth. IInnspected holes for diameter and depth. Expiration Date —� predrilled proper of Epoxy ,--,3 [observed the cleaning of holes and the injection of Srm��Sey �e f t� /� epoxy. or the insertion of U Witnessed the proper insertion at: epoxy capsules. Remarks/: u Jr k P^ r R. F L_ Notes: ❑ Type ❑ Do not type I ne work L1'was LJ was not The Worklnspected [�3'met did not meet Inspected In (accordance with the Requirements of the Building The Requlrements!of the Building Department or DSA Approved ' Departrii ant or DSA Approved Documents Documents Material Sampling LJ was LJ was not 0 N/A Perrarmad ImAccordance with Building Department or DSA Approved Documents cc: Project Architect . General Contractor /..GGS[�— 2 Z� �Z SWctural Engineer Building Jurisdiction Signature of Special Ins ector Date Project Inspectorii�,� DSA Regional Office • Print Name & Certification Nor.':",';' Corporate Office — 2811 Teagarden Street— San Leandro, California 94577— (510) 835-3142— FAX (510) 834-3777 www.Testino-Engineem.com %TEWILESTEIFm NSpedel hspeCbM F=YEp=Y_MMore_0e0107adoc ' V Date: Project No.: Project Name: Address: City: Requested by: TESTING ENGINEERS, INC. 6IV 6e /Ji_yzr ( i4iv c(t et DSA File #: ASH�,iDI` No.: Peer i /SFApp.#: Tow Code: Start Time: Hours: of: .S. D • /De DSA FI g Steel (180), Concrete (107) and Post -Tensioning Report (144) ❑ Inspected the stressing, operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked_ loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed _ Unit weight tests. ❑ Performed _ air entrainment tests (_) ❑ Perfernted —slump test(s) ( ,w and cast _ set(s) of compression test specimens ( ea.) Sample # fftir-Concrete Mix # from (supplier) for concrete placed at Total cubic yards placed: specified strength , air %, and slump inches ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of Notes 1 GA at jobsite. ❑ Showup; ❑ /Stand-by time; ❑ Job Cancelled; ❑ Re-inspectionours ; H: L] The work w'm ❑ w not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings -S�t�f�n'�h�-�r/J Dated ❑City❑County❑Shop Inspector:/Geer_a /.(>1/��a- - Certification # date:2-- Received by: Can/ Date:-2 - 2 3 — (' 2- Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Testinq-Enqineers.com TESTING ENGINEERS, INC. Date: DSA File #: Project No.: 5-S / a OSHPD No.: Project Name: Nc7,e / Ct,� r•ti� ermi - SF App. #: Address: /o/ b IV 7>,- (3ti( Tow Code: City: Gr,,�e. r'h up Start Time: Requested by: A.i t I< V 14.VOI tm r I r% Hours: Reported to: C, fl-,"-e _ of: S• C, i)eq FILE App. #: / O ' O3�5` uv `7"'oo Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) Inspected the placement of []'reinforcing steel; El tendons; ❑ AB's; ❑ HD's; ❑ tie downs (180) at the following locations: ( ",ol�tnN ,`e.,<c'rc rq Lw.:i . SH' row e-5 8 , /39,'/, R /3/ Sty C5 /,a,,. i? r l0 R/" n-n ( /,,,.. F90tv f3_ 5, { ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): .Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked _ loads leaving plant. .❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed _ Unit weight tests. (❑ Performed air entrainment tests ❑ � Performed _ slump test(s) C and cast set(s) of compression test specimens ( ea.) Sample # , `for -Concrete Mix # from (supplier) Total cubic yards placed: specified strength air %, and slump inches ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of �.t atjobsite. Notes:-y.W, ConJta.v,W Ltr✓e IS Ror,., 8etc, 0C. A*, / /0 8Cr L ,ye— I / ag r?0 W li?, f'b F r r ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work ]'was ❑ was of inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ NIA perforated in accordance with the Building Department or DSA or OSHPD approved documents. Drawings �� t4- tz". o)t Dated (O ` S- i ❑ City ❑ Cotmty❑ Shop Inspector: //'/LNQ.I /P -- Certification# Ic 768K5- --c/9 Date: eZf'Q---- Received by: ^/I iki~ V4,VOI�q r7 - (- Date:` — Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Testing-Engineers. com TESTING ENGINEERS, Ili R_ 23 _/ L -S _5 17- 7 • 5 /y c za �r DSA File #: 9SJJPD No.: erm' SF App. #: Tow Code: Start Time: Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) ❑ Inspected the placement of ❑ reinforcing steel; ❑ tendons; ❑ AB's; ❑ FID's; ❑ tie downs (180) at the following locations: ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following locafion(s): Performed ❑continuous ❑ periodic inspection at batch plant (123) operations for materials and checked _ loads leaving plant. '�(Perforned continuous inspection of the placement of concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) fl Monitored loads arriving at the jobsite for correct mix and proper slump. htspecte acemem operations and vibra ng procedures. ❑ Performed _ Unit weight tests. (❑ Performed _ air entrainment tests �) 2Performed __t slump test(s) ( _� and cast �_ set(s) of compression test specimens ( .i ea.) Sample # " / �.� , for Concrete Mix # 70/ ,kWPI from (supplier) j A t , specified strength -yOO air %, and slump y- � inches for concrete placed at `o lWN id eAr:= Lt,urA ,Pv 731/ic 8G Li,: '-"Vc- / -/ plow BCT�F/ Total cubic yards placed: 1 t 6 r L- -1c, I54E 4-1 A, ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of Notes F, LwrA 83.Sf0 �t�S at jobsite. ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; hours: The i, ork �as ❑ ins not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The xork inspected El met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted alb 'e. Material sampling �J was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings �I '4M Inc'"( Dated f a —5-11 ❑ City ❑ County ❑ Shop Inspector: / �%!rwf=� /z/� Cenificat-on# 1o76F6'5- L1el Date: 2 - ) Received by: ,4Aikc— UAIV4:grt�- Date:.'_ - /), ty - 12, Corporate Office - 2811 Teagarden Street -San Leandro, California 94577 - (510) 835-3142 -FAX (510) 834-3777 www Testing-Engineers.mm TESTING ENGINEERS, INC. Date: — DSA File #: DSA App. Project No.: it : �, .•; / 2 i OSHPD No.: Project Name: Permit / SF App. #: j U Address: Tow Code: 0 City: Start Time: Requested by: At LeyM z-,"� , !' 1 !• f--' Hours: Reported to: 5 r?--+`t.r- of: � � • ti 1��1,%Ai /'�. FILE Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) ��°pected the /placement of ❑ Vbtfia�rcing steel; 7❑ tendons; ❑ AB's; ❑(}HD's; ❑ tie downs (180) at the following ,locations: he "O�✓NYA/L!/L/�i' C:. Kim/ / •`�) .. ei5. j' w7+ 1 �!Nr [� FO 4/ J 7 /24 w /2, , 1 fp ". fr' ki,tw/ r? /• %•(—°_ IAJrVil :u'�..•ril ,'�. ::C?CV .K ��. �� lr� U 4u % �i- , ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked _ loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed _ Unit weight tests. ❑ Performed _ air entrainment tests C—__) ❑ Performed slump test(s) ( ,� and cast _ set(s) of compression test specimens ( ea.) Sample # for Concrete Mix # from (supplier) , specified strength air %, and slump inches -tbr�otre Ce al �'`'[l�l !� �'/? �� ff.J/f'7_LCm/'✓�?% %'.� �f /? �CI -1 J v� %f• Total cubic yards placed: ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of at jobsite. Notes: in / G' F✓i?-// c. q: C� r� ,rt f1 %1/rr t`. rie r� Sr ., .; fG/✓i; ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours r ray/ The work LJ was ❑ wa of inspected in accordance with the Building Department or DSA or OSHPD approved documents. The workinspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. - Drawings S P 3.�. /' Dated t,;0 ' / / ❑ City ❑ County ❑ Shop /FYI. :_ 76 ""`�' G :� ' 2 ; _ ' c••. Inspector: _ /�'iu • 'tom Certification # ,M �! � i / Date: Received by: % /K'✓ (•rL'!/i !?- % i / % -_ Jc'•' , iJ. /_.r>r//ri(s,/' Date: Corporate Office— 2811 Teagarden Street— San Leandro. Califomia'94577 — (510) 835-3142 —FAX (510) 834-3777 www.Testina-Enoineers.com TESTINGENGMEERS, INC. 79 E V , 2- - / 2 -e/ DSA File.# DSA Appl. # DSA LEA # 33 OSHPD # Permit # ( - Cr/. <l Work Location: Jobsite' Shnn of: L_�l EPDXIED DOWELS -125 ❑. EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 ❑;Witnessed the drilling of holes of proper diameter and depth. Inspected predrilled holes for proper diameter and depth. LExpiration Date of Epoxy / bserved the cleaning of holes and the injection of S/rn42512i .1 X P epoxy. or the insertion of epoxy capsules. Witnessed the proper insertion of: Remarks/: Notes: ❑Type ❑ Donot _type u wds u was not Thi In (accordancewith the Requirements of the Building The L?7 met U did not meet Building Department or DSA Annrnvnrl Material sampling U was El was not EJ N/A Perform ad imAccordance with Building Department or DSA Approved Documents ' cc: Project Architect General Contractor x� ; DQ r7 _.� �•� Structural Engineer Building Jurisdiction ignature of Special Inspector Project Inspector Date DSA Regional Office9�K-c. �ti'��'rS e/✓ (p7C Print Name & Certatcation No:•., . r Corporate Office - 2811 Teagarden Street -San Leandro, California B4577- (510) 835-3142- FAX (510) 834-3777 www.TestinQ-Eng[neers.com aTEFirEs�ir-on�lsyeam wa«ao„ wm.,l PM-MM-w 08oio7i doc .. ... U TESTING ENGINEERS, INC. cnFILE CMU Masonry (108) and CMU Grout Inspection (168) Report Inspected the placement of concrete masonry ❑ ck units for I �Gvr`Sc 4AC ttrS�Cv�cS An ❑ performed by masons. ota square fo to e placed: ❑ Cast specimens (Sample # ) ferjobsite mix Type (specified strength si) re�resentin ,gnAortarplacement ❑ fortheabove eollong 57 i, - ;/ ❑ Inspected the placement of reinforcing steel (186) for Performed ❑ continuous ❑ periodic inspection of batch plant (123) operations at: ❑ Inspected the ❑ high ❑ low lift grout placement for ❑ Cast (4 min.) specimens (Sample # from (batch plant supplier) representing grout placement ❑ for the above ❑ for: ❑ Total cubic yards placed: - slump � ins.) for Grout Mix # (specified strength psi, slump ins.) ❑ Inspected placement of ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of diameter ledger bolts. at thejob site. ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work was ❑ w rot inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did Prot meet the requirements of the Building Department or DSA or OSHPD approved documents, ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. n Drawings .qi/ t ' tC/ Dated /0 ` !�-- / ❑ City ❑ County ❑ Shop inspector://t"L'tlC.r -�A�� - ����-- Certification # /V7G_ �J S f� �y Date: Received by: / ff K, ��Q-yGit7i%/- �f r/C/ 11. &Zw'/ 1..-Date: 2 2r! ;4 Corporate Office - 2811 Street - S n Leandro, California 94577 - (510) 835-3142 -FAX (510) 834-3777 www.Testino-Enaineersxom UTESTING ENGINEERS, INC. Date: — 2 I `L DSA File #: Project #: 5' / Z D #: Project Name: flofr/ CY,4Je-jt; Per / SF App. #: Address: /y�G 5- 4/ Ape A 718t ?gel j Tow Code: City: C,-/-/,v Start Time: Requested by: /411,e Hours: Renortedto: Mtly of(ComoanvName 0 FILE @ DSA App.#: OGdv3R /v fJ CMU Masonryl108) and CMU Grout Inspection (168) Report ❑ Inspected the placement of Wconcrete masonry ❑ brick units for C• AA ❑ performed by 3 masons. Total square footage placed: ❑ Cast specimens (Sample # ) forjobsite mix Type (specified strength representing mortar placement ❑ for the above ❑ for the following a Inspected the placement of reinforcing steel (180) for <,J2!sC_ .q /I--$oV-e- Performed ❑ continuous ❑ periodic inspection of batch plant (123) operations at: ❑ Inspected the ❑ high ❑ low lift grout placement for ❑ Cast (4 min.) specimens (Sample # slump ins.) for Grout Mix # from (batch plant supplier) representing grout placement ❑ for the above ❑ for: ❑ Total cubic yards placed: (specified strength ❑ Inspected placement of ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFL ❑ All non-compliance items were brought to the attention of Notes: ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: slump ins.) diameter ledger bolts. at the job site. The work 'was ❑ wr not inspected in accordance with the Building Department or DSA or OStIPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents, ❑ e ceps as noted above. Material sampling ❑ was ❑ was sot ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings Sys M*,P2&c( Dated 10 —S —(i ❑ City El county El Shop Inspector: ///'lck(�e 2i / Cenific ' n Date: Received by: /14 1 Kle- VA-Aldfq fl / S• �r 0124COAl Date: 2 , %ZiiZ— Corporate Office - 2811 Teagarden Str6et - San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testinq-Enqineers.com Date: Project No.: Project Name: Address: city: Requested by: Reported to: � FILE TESTING ENGINEERS, INC. DSA File #: DSA App. #: -S-15-/2. 3 O DNo.: te/ C� oer-t'e errs SF App. #: ! 0 / (- S- Al /)e- 4 24L ,Qa/ Tow Code: Cry per'f"wU Start Time: M t Acs C'1.M./A.c on Hours: . ,.b of: q,A, r)o,1 /io � o3sr !/'u d y Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) ❑ Inspected the placement of reinforcing steel; ❑ tendons; ❑ AB's; ❑ HD's; ❑ tie downs (180) at the following locations: WAU Li,.7eKP-o-t, I,i4-o 22�S1 WA-Ii Li,.e— !./Xor.. 66/r4w t3H2 ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations far materials and checked_ loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed Unit weight tests. (_❑ Performed air entrainment tests ❑ Performed _ slump test(s) ( and cast _ set(s) of compression test specimens (_ ea.) Sample # .,'for, Concrete Mix # _ from (supplier) , specified strength air %, and slump inches for concrete placed at Total cubic yards placed: ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of at jobsite. Notes: ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: p The work � was ❑ w rat inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ wasnot ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings � ��-5, +ft—/rJy PgA Dated (0 - $ n ❑ City ❑ County El Shop Inspector: /{',7'/,a^,t'i lP�(/�(r2Q�— j Cerlific 'on# 1,j�]�oMDate: 2-z / Received by: /yl t t�t kad! j rl t- U1 h l� �� Date: Corporate Office - 2611 Teagarden Street - San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testing-Engineers.com AdEhL 1 0 FILE TESTING ENGINEERS, INC. 3 - 6� Date: { - �f (2- DSA File #: DSA App" #: Project #: S (2 OSHgp #: Project Name: NJ rr G ri vd erm / SF App. #: //pG CJ O,3 Sr Address: /CJ((oS f,B .4tiZArRut Tow Code: / 6$ City: Cv P2.C�tN o Start Time: Requested by: ;V t 1c, I/ A /Vo7•q r t 6, i- Hours: CMU Masonry (108) and CMU Grout Inspection (168) Report ❑ Inspected the placement of ❑ concrete masonry ❑ brick units for ❑ performed by masons. Total square footage placed: ❑ Cast specimens (Sample # ) forjobsite mix Type (specified strength representing mortar placement ❑ for the above ❑ for the following ❑ Inspected the placement of reinforcing steel (180) for Performed ❑ continuous ❑ periodic inspection of batch plant (123) operations at: Cast 161— (4 min.) specimens (Sample # from (batch plant supplier) (specified strength SUU psi, slump ins.) representing grout placement alflor the above ❑ for: ❑ Total cubic yards placed: / 1- S" ❑ Inspected placement of diameter ledger bolts. ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: at the job site. Tire work .was ❑ w not inspected in accordance with tire Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents, ❑ except as notedab ov . Material sampling was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings I Dated��_S � ❑ City ❑ County, ❑ Shop Inspector: / OY��a.a---- Certification tU - y9 Date: 2Z— /fL/iLUA/ rq Received by: 41 k�P L/�Zo % / t'� CG%�S� %,� %:)41Date: 0 - '-Z I ( Z , Corporate Office - 2811 TedEfirden Street- Saryf eandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 .www.Testing-Engineers.com Date: Project No.: Project Name: Address: City: Requested by: TESTING ENGINEERS, INC. —/—I-- �'-ate-C. DSA File #: OSHPD No.: erm' / SF App. #: Tow Code: Start Time: Hours: //696 00 3 Sr l g:0 " 71 00 to: _'5fi�c_ ., . .... - _.- Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) R<spected the placement of D reinforcing steel; ❑ tendons; ❑ AB's; ❑ HD's; ❑ tic downs (180) at the following locations: WE - El Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked _ loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed _ Unit weight tests. (_� ❑ Performed _ air entrainment tests (� ❑ Performed _ slump test(s) L�_��I and cast _ set(s) of compression test specimens (— ea.) Sample # from (supplier) for concrete placed at Total cubic yards placed: Cpr,Concrete Mix # specified strength , air _ %, and slump inches ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention Notes: ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: at jobsite. The work 13 was ❑ot inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not❑ NIA performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings �YetYn p=eA Dated /0 '.S" I ❑ City ❑ County ❑ Shop Certification# e02&9RS' yy Date: -7 Z' Inspector: q D.e W e 0 A/ Date: Received by �l rk °tom VP�;ofLg �t 4+- VA, li Corporate office - 2811 Teagarden Street- San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www TesOna-Enaineers.com s_ TESTING ENGINEERS, INC. Date: 3— / _ j Z DSA File #: Project #: OSHPD #: Project Name: SF App. #: Address: /D/OS Al /Je Tow Code: City: 0-- -*,w o Start Time: Requested by: M 51« l%!fn/c{' -t— Hours: Reported to: 1-G of (Company Name FILE 3-/-r2 //O&OU CMU Masonry (108) and CMU Grout Inspection (168) Report D-�In-spected the placement of [-concrete masonry ❑ brick units for L e— Li 2. S R=w 6 G( f-o R t7 t r4 6 ❑ performed by & masons. Total square footage placed: �ast 3 specimens (Sample # c G ) forjobsite mix Type ._(specified strength ;Z. SD U psi) representing mortar placement for the above ❑ for the following 2/�pected the placement of reinforcing steel (180) for Pt Q ay -e­ Performed ❑ continuous ❑ periodic inspection of batch plant (123) operations at: ❑ Inspected the ❑ high ❑ low lift grout placement for " ❑ Cast (4 min.) specimens (Sample # from (batch plant supplier) representing grout placement ❑ for the above ❑ for. ❑ Total cubic yards placed: - slump_, ins.) for Grout Mix # _ (specified strength psi, slump ❑ Inspected placement of ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of ins.) diameter ledger bolts. at thejob site. ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work 13 was ❑ "pq�of inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected &met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents, ❑ except as noted ab K. Material sampling Z was ❑ wwas not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings It m E Dated O/0 � � ❑ City ❑ County ❑ Shop Inspector: r Certification # /v71, O O .� $ %t Date: -- / ' /Z— Received by: �/ ,UAn/eil4 t t � L W/ , 1),a`i R Date: Z— Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www Testing-Engineers.com DSA File.# DSA Appl. # TESTING ENGINEERS, INC. 3. 12DSA LEA# 33 OSHPD # mil oHPD Ff Project No.:.SS/A 3 Pro ect.Name: Project Address: 1 it 5 - Ar ac At2a- U / Ci z .�, Ffoi s_ Work Location: ©--Jobsite ❑. Shop 9w;..Code:;: Ins' Work as Requested by:, taco( ,,�f of: lJ, �Pqc�-�/,:'i''::=: "" n-:':<>;<;...:: Re ortedto: B94±w -k1 D,a 1e1 of: :. rKiva��"f•irrie;`Z:. Schtl{�" ...> = ' Depafi[�re" Tjine '':.. LET EPDXIED DOWELS -125 ❑ EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 ❑ Witnessed the drilling of holes of proper diameter and depth. Inspected predrilled holes for proper diameter and depth. Expiration Date of Epoxy% / 3 Lry Observed the cleaning of holes and the injection of 5rm(25cni -Se�% or the insertion of Witnessed the proper insertion of: epoxy. epoxy capsules. Remarks/: t PG y Per Dcf ,a l ( �• n Notes: ❑ Type ❑ Do not type The Work was' was not The Workfnspected met did not meet Inspected a Accordance with the Requirements of the Building The Requiremenis''of the Building Department or DSA Approved Department or DSA Approved Documents Documents Material Sampling EJ was El was not EJ WA Performed ImAccordance with Building Department or DSA Approved Documents cc: Project Architect General Contractor ///1.0(.. /��Q Structural Engineer Building Jurisdiction Signature of Special Inspector Date P Project Inspector _ Me- ke- Tc-//G Sen/ DSA Regional Office Pnnt Name 8: Cerhhcatlon Corporate Office — 2811 Teagarden Street — San Leandro, California 94577— (510) 835-3142— FAX (510) 834-3777 ' www.Testina-resting- \\TEFFILESTEIrwms\Spetlal WPection FormslEPoxy�nr�ors OeetWa.doc I I Date: Project #: Project Name: Address: City: Requested by: TESTING ENGINEERS, INC. _ / Z— DSA File #: OSHPD #: fEE990 SF App. #: Tow Code: Start Time: Hours: of (Companv Name DSA App.#: /(Oc-UC> 39 CMU Masonry (108) and CMU Grout Inspection (168) Report the placement of [concrete masonry ❑ brick units for ❑ performed by 6— masons. Total square footage placed: Cast specimens (Sample # a G ) forjobsite mix Type M _(specified strength Z 50 0 psi) representing mortar placement for the above ❑ for the following [inspected the placement of reinforcing steel (180) for y >^e Q O V �— Performed ❑ continuous ❑ periodic inspection of batch plant (123) operations at: ❑ hnspected the ❑ high ❑ low lift grout placement for ❑ Cast (4 min.) specimens (Sample # from (batch plant supplier) representing grout placement ❑ for the above ❑ for. ❑ Total cubic yards placed: slump _, ins.) for Grout Mix # (specified strength psi, slump ins.) ❑ Inspected placement of ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of diameter ledger bolts. at the job site. ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work 0 ow� ❑ w not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements ojthe Building Department or DSA or OSHPD approved documents, ❑ except as noted ati e. Material sampling was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings _Amj b Dated /o ' �� ❑ City ❑ County ❑ Shop Inspector: /�— Ceertification # /U%6 O 2�j %� Date: /y[r.& Received by: U�ufl4 f f t - �.t�/s• 7�- ti?_RGJif/ Date: 3 Corporate Office - 2811 Teagarden Street- San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testi na-Eno i neers.com No.: TESTINGENGINEERS, INC. t._�—'V DSA File .# DSA Appl. # DSA LEA # 33 OSHPD # Permit# vv 3 Work as Requested by: jMtk, of: IJ.I��gc�N I Reported to. f3Rystvv 'r✓ QraLQ/U Of: �rFiN'�rrid$S+T.>n'+7 &EPDXIED DOWELS -125 ❑ EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 ❑ Witnessed the drilling of holes of proper diameter and depth. E� Inspected predrilled holes to? proper diameter and depth. Expiration Date of Epoxy % / 3 LT//'Observed the cleaning of holes and the injection of 51 m/J.S,-,✓ -5 e-+ epoxy. or ff/the insertion of epoxy capsules. Witnessed the proper insertion of: �.1y. t oaf � } 1 r Yf,e cepgm, rymoea Locat(op . Dia 1n ,� . �... ._ . _ . ..... �. �,✓ l ,,,.�., ,. t�.�o::� ...you 43 .�, c. _ .. At t _ . .................. �dq is ,. - .. .. Remarks/: Notes: ❑Type ❑ Do not type " r fie WVOFK I L✓J was, U was not The Work Inspected met El did not meet Inspected in Accordance with the Requirements of the Building The Require mants!of the Bullding Department or DSA Approved Department or DSA Approved Documents Documents Material Sampling U was El was not 0 N/A Performed in'Accordance with Building Department or DSA Approved Documents cc: Project Architect General Contractor a—Z y�w�! 3—/-eL W Setural Engineer ' Building Jurisdiction Signature of Special Inspector D Date Project Inspector Mike- / - seN DSA Regional Office Print Name , Cerdflcation Ndi' Corporate Office -2811 Teagarden Street -San Leandro, California 94577- (510) 835-3142- FAX (510) 834-3'777 ' www.Tesfino-Engineers.com VEWI ES17EIFo slSpecW Wpevion Fo 1EPDXY- nO-8 080101atloc , . TESTING ENGINEERS, INC Date: DSA File il: Project No.: SvFdZer" Project Name: /`e r2`r �✓U F App.Address: /�� ,(% Dz "'ZA �iG : City: z— Start Time: Requested by: /o r /-<e Q/L IQI -Z Hours: Reported to: C.4 i. of. C' _ n n. FILE DSA App.' #: 0 !/ 0AzOo3 5Z /0 7 Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) ❑ Inspected the placement of ❑ reinforcing steel; ❑ tendons; ❑ AB's; ❑ HD's; ❑ tic downs (180) at the following locations: ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked _ loads leaving plant. Pe � Performed continuous inspection of the placement of concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) Monitored loads arriving at the jobsite for correct mix and proper slump. Inspecte acement opemtions and vibrating procedures. ❑ Performed _ Unit weight tests. ( ❑ Performed _ air entrainment tests (_) Z Performed slump test(s) and cast _p�, set(s) of compression test specimens Ll§-- ea.) Sample N 91106 9y06 2 � � ,<for Concrete Mix Nt- from (supplier) r specified strength Sao air_ %, and slump — t inches for concrete placed at Total cubic yards placed: l A � 4— ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of Notes:&o at jobsite. ❑ d nS $�2� 3, Bd� B!o @,gf Showup�y❑Stand-by time; ❑❑ Job Cancelled; Re -inspection; Eiours:,6 H�� 8/!.a � � f 3 The work µ'a wa or inspected in accordance with the Building Department or DSA or OSHPD approved documents. ❑ The work inspected net ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted abov . Material sampling was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings MP Dated /�—.7 '!� ❑City ❑ Cotmty ❑Shop Inspector. / (en"e,/n/Certification H (��G7�(Cp ps—�9 Date: 3-2— /l e/ Received by: , If ?/Vt-7 rk r t } f' 1,✓� . (�;, (Je i+CC /l'--� Date: Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Testino-Enriineers.com Date: Project No.: Project Name: Address: City: Requested by: Renorted to: M FILE TESTING ENGINEERS, INC. DSA File #: DSA App. #: OSHPD No.: .moo erm" /SF App.#: 6/CC'(o 003 © l N2yi Tow Code: �O C'c.PB�`hi vo Start Time: �%i po /itl'i�L I/IH-' to r i Vf Hours: Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) 19 Inspected the placement of reinforcing steel; ❑ tendons; ❑ AB's; ❑ HD's; ❑ fie downs (180) at the following locations: ❑ Inspected the stressing opemtiom (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked _ loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed _ Unit weight tests. Performed _ air entrainment tests �� ❑ Performed _ slump testis) ( and cast _ set(s) of compression test specimens ea.) Sample # •foT,Cc1dcrete Mix # from (supplier) specified strength , air %, and slump inches for concrete placed at Total cubic yards placed: ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of at jobsite. Notes: ❑ Showupp; [3 Stand-by time; ❑ lob Cancelled; ❑ Re -inspection; Hours: E The work was ❑ w not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected f met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings //S41 Pt/d yyytlr JA Dated (O ' S" / l El City ElCounty❑ Shop Inspector: //`G�k+ /.Q,�y�� Certification # l0%/o$RI — Date: Z ? � � 'I Received by: /�/llk e- VA A%olt41—k 11-- V% S, 6- Deweon/ Date: —_ 1 Corporate Office— 2811 Teagarden Street— San Leandro, California 94577 — (510) 835-3142 —FAX (510) 834-3777 www.Testina-Enaineers.com FI LE TESTING ENGINEERS, INC. DSA File .# DSA Appl. # DSA LEA # 33 OSHPD # Pro'ec4 No.: /2 - Prdect.Name: A6f� , mn,n n •. — vv Pro'ectAddress: Je 4VZ,4 /3vC City:::: r a HouCs..,,..-,.,,,.,77 ; Work Location: o site- U. Shop ;Miles. � �.w};:.-.. •..- .: Work as Requested by: c c Of: S,d l)ertc Ins`:,.;;.:; Re orted to: M (t of: Scht! A`rrivalrTime:r;q. .:. . De EPDXIED DOWELS -125 ❑ EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 ❑ Wit essed the drilling of holes of proper diameter and depth. Inspected predrilled holes fo'r proper diameter and depth. Expiration Date of Epoxy_ Observed the cleaning of holes and the injection of ' t n, ocr� t }� —epoxy. or L�J a/ Witnessed the proper insertion of: the insertion of epoxy capsules. Remarks/: Notes: ❑ Type ❑ Do not type The Work was• ❑ was not The Work Inspected met did not meet Inspected in Accordance with the Requirements of the Building The Requlremenis'lot the Building Department or DSA Approved Department or DSA Approved Documents Documents Material Sampling was was not wA Performed in:Accordance with Building Department or DSA Approved Documents I cc: Project Architect General Contractor Structural Engineer Building Jurisdiction Signature of Special inspector Date Project Inspector �— DSA Regional Office-'t��GP_ I C 1/ E-�S Print Name & Certification Nor F— - Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142— FAX (510) 834-3777 www.Testind-Enoineers.com NTEFFILESTEIFo Sn Pedal WSWnF.an Epozy-AnW-3_0e0107x dx t s_ UTESTING ENGINEERS, INC. C3 FILE 32 DSA File #: / Z OSHPD #: J D f Z(C lift e /n/D er / SF App. #: !v (!a s %�� �Nl QU _ ow Code: C41e�(` tA%O Start Time: M, IL -;o� U 4 V t un A ' Hours: Date: Project #: Project Name: Address: Cite: Requested by: Renorted to: Inspected the DSA App.#: u 7e uv CMU Masonry (108) and CMU Grout Inspection (168) Report of concrete masonry ❑ brick units for (,tiµj j (vim LtniL, Ip2 •��nt✓ DCj�'��[� ❑ performed by masons. Totalsquare footage placed: ❑ Cast specimens (Sample # ) forjobsi[e mix Type (specified strength representing mortar placement ❑ for the above ❑ for the following O'inspected the placement of reinforcing steel (180) for eTlt�t`� Performed ❑ continuous ❑ periodic inspection of batch plant (123) operations at: �nspected the high cEl low lift grout placement for V � [ 21/ Q ' Cast (4 min.) specimens (Sample # V— slump , (O in for Grout Mix # % rr from (batch plant supplier) (specified strength psi, slump ins.) representing grout placement for the above ❑for: Lie— .,c.r �(�{ k—) ❑ Total cubic yards placed: 1-1 ❑ Inspected placement of diameter ledger bolts. ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of at the job site. ❑ Showup; ❑ S nd-by time; El Job Cancelled; ❑ Re -inspection; Hours: The work a.was ❑ w not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected 1J metdid not meet the requirements of the Building Department or DSA or OSHPD approved documents. ❑ except as noted aho Material sampling ff was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Dated /L? ^!/ ❑ City ❑ County ❑ Shop Inspector: A Certification # l0%(p� 3 /J �d Date: ,y1 _ q - Received by: S ��� l�'Y�"WU.o Date: d Corporate Office - 2811 Teagard4nreet - San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testin r-Enoineers.com s -S-6i2 a TESTING ENGINEERS, INC. Fit E Date: 3 —6, -- Zr DSA File #: DSA App.#: Project #: Z 3 OSHPD #: Project Name: _ do re/ t! r"f-, n Z) Permit / SF App. #: 1106 Address: / e- n/ = 4 vf Tow Code: T�1 ']LQ—rQ City: C L,PBt- rr"JD Start Time: Requested by: /y t k5-11 t7-%e, ! t E=� Hours: Reported to: !. a... _, ..rt�............. w.,.,,..�. n n CMU Masonry (108) and CMU Grout Inspection (168) Report i Inspected the placement of concrete masonry ❑ brick (IS —Tc�),LA-1.. :7-!-0 20 Lperformed by _ masons. Total square footage placed: R�� a<ast *— specimens (Sample # y 02 ) forjobsite mix Type _ /;� (specified strength si representing mortar placement for the above ❑ for the following Inspected the placement of reinforcing steel (180) for Performed ❑ continuous ❑ periodic inspection of batch plant (123) operations at: ❑ Inspected the ❑ high ❑ low lift grout placement for ❑ Cast (4 min.) specimens (Sample # slump ins.) for Grout Mix # from (batch plant supplier) representing grout placement ❑ for the above ❑ for. ❑ Total cubic yards placed: (specified strength ❑ 'Inspected placement of ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. _ ❑ All non-compliance items were brought to the attention of slump ins.) diameter ledger bolts. at the job site. ❑ Showup;; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work `LJ' n,Ias ❑ uAdm t inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected u met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents, ❑ areept as noted ahov . " Material sampling was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings _yybn 4 Dated (o — 5 ` // city ❑ coun ❑ Ci ry ElShop -- Inspector: /1 Certification # hL4 G � Date: -3 — 6 — 1 Z Received by: liq I !K-e V / t'✓m(Date: Corporate Office - 2811 TeagaT6en Street - San L andro. California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testina-Engineerscom 3 �- i2 TESTING ENGINEERS, INC. cl F 1p17 Date: 3— - , 2_ DSA File #: USA App. #: Project No.: -_s- / �;Z, CIS HPD No.: Project Name: I -of-P cvilerk„vo Permit/SF App.#: // CbO0.39 Address: (o( (nS'" �/ p� /} ,VZI� driI Tow Code: / W O City: GciP&-r Start Time: 7'�p Requested by: .a r t 4-i- Flours: Reported to: 6 k_p -�— of: i- D, F) ni ' Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) Rrinspected the placement of reinforcing steel; ❑ tendons; ❑ AB's; ❑ IID's; ❑ tic downs (180) at the following locations: ?Sr'. �- c�'1'i�r nl� •!i d[%CI)5 Li e .4- now 1- 1 4. C�Z L Lim /c / Fc c[ 4d !\ 2---4S (33-5< , Ltn/v iC QOc✓1— .+S 4-v /� ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked _ loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at thejobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ performed _ Unit weight tests. ❑ Performed _ air entrainment tests ❑Performed _slump test(s) �J � and cast set(s) of compression test specimens L_ ea.) Sample # ;'Cor "Concrete Mix # from (supplier) for concrete placed Total cubic yards placed: specified strength , air %, and slump inches ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of Notes: Pr r, rtn %1o46 n.c. /'or. S !n /-) G/a % Anwe/S T-o eZaz f� /`n,.r.5 !C, r P run' --t'd A//a Cr.^' ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Flours: at jobsite. 11 The workZwasEjwgs,nof inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings Inspector: ❑ City ❑ County ❑ Shop Certification# lo7b$�j -yej Date: .3-%-/Z Received by: /4a,� G/f!/Li�:/Q/ •! F L;i%J /� . %]f+ f1 Goy-✓ Date:�- 1 Corporate Office - 2811 Teagarden Street - San Leandro. California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testing-Engineerscom L B I 9 O FILE 2-//1- /2. IUIcoS N- ¢c 1 O (o 00 be - REQUEST FOR INFORMATION RFI No. 41 EWO No. From: SD Deacon PROJECT: Aloft Hotel Cupertino Michael Dietz 7745 Greenback Lane DATE: 2/7/2012 Suite 250 — Cllrus Heights, Ca 95608 SUBJECT: Tie Back covers . To:. Attn: Bhavinl Haldev SPEC REF; RYS Architects DRAWING REP: SP3.1 detail H, 13/A9.01 10 Monterey Blvd. San Francisco, CA 94131 DETAIL REP: ' Phone: 415-841-9090 DESCRIPTION OF REQUEST: Please sea enclosed plan view of control Joints provide: by Structure West, these plans also shows location of the Ito backs covers. Some of these tie back covers will hit on the control Joints and will not be able to Incorporate the 8•Rebar detail shown oh H/SP3.1. Please direct us In how to proceed with the Intent of the plans and existing conditions. PROPOSED SOLUTION: REOuESTED DATE OF RESPONSE: Costlmpact: Possible PRIORITY: Nood by N712012, two aro Schodulo Impact: YES foralln050alle now. -Soo attacllmonts Plan provldo by s1r11Clllfa wool RESPONSE: .y: �,, //: .1 ,<,','...',:• RESPONSE DATE: BY tl (// FIRM 0/' rj RUM= unLuua So. oeawn Corp. a Careornle 7745 GreenbackLeno, SJIa 260, CiUus IsolooB, CA 06010 T: 010.080.0000 • F: 010,720.0200 conbactole Dconso No. 760475 rvrxooacon[07p 66TILE I FORnArD 16ACMIElnO I IRW:E cc POD, UM u lk> '_x7e 'tee 12' BOUNDARY ELEMENT o SHEAR WALLS REBAR LAYOUT BY DETAIL SP3.7 WALL REINF SEE WALL SCHEDULE 2_• ADD'L END BAR H DETAIL SP3,7 (VERTICAL SPACE CAN BE REDUCE TO W MAX, r CUT HORIZ BAR TO ACCOMODATE 54R5) ONLY ATHEAD Or= TIEBACK LOCATION CASE II HEAD OF TIE aacK ADD' ADDITION NAL NOTES: BAR PER D'cTAIL I. FOR WALL .TYPE W 5 = W 11. SP3. H �- 2. BOUNDARY ELEMENT (DETAIL SP31 ) SHALL BE MOVED TO 24' MAX TO AVOID HEA TIEBACK, CASE I. GQ �Q/ 3. BOUNDARY ELEMENT VERTBAR 5PACING- (DETAIL ) CAN BE REDUCED CASE II. SP3.1 4. ALL BOUNDARY ELEMENT MODIFICATIONS MUST OCCURS WITH IN THE SAME W^ W 5. REDUCTION OFWALL SECTION DUE TO HEAD OF TIEBACK SHALL BE TREATED•`AS OP BUT INTERIOR FACE REaAR SHALL REMAIN. ``\* tX 6. ALL WALLS MUST HAVE ADD'L END 5AR5 (2) 5 MAIN. \(P ,�n 1. DRILL EPDXY NEW DOWEL, 10' MIN EMB INTO (E) FTG-. qa 'IUD SCUT HORI_ AHEAD OF TIE BACK, BAR ONLY ADD ADDITIONAL CASE I AT HEAD OF BAR PER DETAIL TIEBACK SP3.1 LOCATION —REBAR LAYOUT BY 0 0 0 0 0 0 R I f b I u's ry pe Nhza S.D. Deacon Corp. of CA REQUEST FOR INFORMATION 7745,GreeirbnckLane, Sute 250 No. 00038 Phone. (916).969-0900 Citnis Heights, CA 95608 Pax: (916)'729-6900 TITLE: Wall Thickness on GL-K DATE: 1/31/2012 PROJECT: Hyatt Place JOB: 986 TO: Athi'Bhavini Hardev LW RYS Architects 10 Monterey Blvd. STARTED: San Pthiicisbo, CA 94131 COMPLETED: phone: 4'l 5.84 i.9690 REQUIRED: 2/7/2012 WORK SCHEDULE COST IMPACT: Utdaiown IMPACT: 'No IMPACT: No REQUEST: On:grid line K at 10.9, the soldier beam is skewed so at 14', (top of wall).there 'is a 12" avall thiokness.'At the top of the footing, tlSaie is a 6" wall thickness. On giid line K at B-12, the soldier beam is skweweil so at 14', (top ofwa11) there is a 12" wall' thickness. At the fop of the footing, there is a}"wall thickness. Please advise a solution forlhis.issue. PROPOSED SOLUTION: ANSWER: Requested By:S.D. Dencon.Corp. of CA Signedi Mike Dietz Date. RFI# 38 Duc to a slioring misplacement of the soldier on K at 10.9 and K at B12 as explained on RA68, the wall thickness of the two walls are being affected since the minimiun thicididss can not be achieved. The solution would be to move.these walls forward to keep the original design. The wall that need to be moved if possible would be W#5 from Wall Joint between 95:9 and 10:1 to Wall joint located at giid B12. I understand that moJiug the wall may generate an issue with the parking space and dimension' so this solution MUST be approved by the architect to see if it is a feasible solution. Wall type W#1 has the dowels in place, but thickness can not be met; since there is a difference of 2" between the transitions of the 10" wall to the 12" wall. An additional 2" In the affected reduced area must be added. This 2" can be partially added until the' wall is'again 10" thick or can be applied to the entire wall W#1 since this decision affects the arch itectural:wall finish the architect shall approve before proceeding. Ivlininmm bar cover at all times shall be 2". If any existing bar does not nleettlie iequirement, add an additional bar in the correct location. Refer to sketch. Juan Valdes 02-07=12 4 ------------ n e IFILE EST FOR INFORMATION RFI No. 41 EWO No. From: SD Deacon pt OJECT;Aloft Hotel Cupertino Michael Dietz 7745 Greenback Lane 2!7/2012 DATE: - Suite 250 Citrus Heights, Ca 95608 SUBJECT: Tie Back covers . To:. Attn: Bhavinl Hardev . SPEC REF; RYS•Archltecls DRAWING REF: SP3.1 detail H,'13/A9.01 10 Monterey Blvd. - - San Francisco, CA 94131 DETAIL -REF: Phone:'415-841-9090 DESCRIPTION OF REQUEST: Please see enclosed'plan view of control joints provide by Structure West, these plans also shows location of the tie backs covers. Some of these tie back covers will hit on the c._onGol joints and will not be able to:incorporate the-B-Rebar detail shown oh H/SP3.1. Please'direct us In how to proceed with Ihe.intent of the plans and existing conditions. PROPOSED SOLUTION: REQUESTED DATE OF RESPONSE: Cost Impact:• Possible PRIORITY: Need by 2r7/2012, wo are Schedule Impact: YES Torulin0 walls now. See attachments Plan provide by Slruclure West RESPONSE: , j ,� /C7 sA -^ RESPONSE DATE: BY FIRM Revised: 0712000 S.D. Deacon Corp. or California 7745. Greenback Lane, Spite 250. Oleos Helpals. CA 95610 T. 91e.969.DDD0 •. F. 016.720.0000 ConbadDesLicense No. 760475 A=disimn.corn UATILE I PORTLAND I SACM101TO I Wi,'E ca File, OM p NZ; Nat "NW, Ve, --ill, ow" t2 ><m+ iS m•, ai -a A M r 12' onnb cm vm— IDx`o n AS+S a ova > x qn zmn one' :xaa o4L0 12, \- BOUNDARY ELEMENT •a SHEAR WALLS, REBAR LAYOUT BY DETAIL H BP3.1 -I i -10' I i 24' MAX ,-ADD'L •END' BAR I'0 0 0. O 1h f '� GUT HORIZ. `—,HEAD OF TIE BACK, BAR ONLY ADD ADDITIONALE CASE I AT HEAD OF BAR PER DETAIL TIEBACK SP3.1 WALL REINF 5EE. 'LOCATION WALL SCHEDULE REBAR LAYOUT BY O O0' CUT HORIZ. BAR ONLY AT HEAD -OF TIEBAC<.LOC4TION CASE H NOTES: 1. FOR WALL TYPE -W •5 e W 11: H 2. BOUNDARY'ELEMENT (DETAIL, , )'SHA:LL:BE MOVED TO'24 TIEBACK CASE I.. SP3:1 H DETAIL SP3.1 (VERTICAL SPACE CAN BE REDUCE T0,(o"MAX, TO ACCOMODATE BARS) HEAD OF TIE BAC<, ADD' ADDITIONAL• SP3.1 E BAR PER DETAIL MAX TO AVOID' 3: BOUNDARY ELEMENT VERTBAR SPACING (DETAIL H, ) CAN BE REDUCED X is l� CASE III. . SP3.1 1 co 4. ALL BOUNDARY ELEMENT MODIFICATIONS MUST -OCCURS, WITH IN THE SAME WA/LL:j a� p 5: REDUCTION OF WALL SECTION DUE' TO',HEAD OF TIEBACK SHALL "BE'TREATEDI <i5 OP= NG,�9�A L BUT'INTERIOR.F.ACE REBAR SHALL'REMAIN. 6. ALL WALLS MUST NAVE ADD'L TEND' BARS.(2) 05 MIN, r 1. DRILL a' EPDXY NEW DOWEL,%10 MIN EMB INTO (E) FTG-. �). �� • �T / \,.o9UC u��� S.D. Deacon Comp.. of CA RLQur,ST FOR iNTORN, kFIOiy 7745 GicenbackLane,-_Sure 250 - No. 00018 °Phone_ (916)969-0900 96. Citrus Heights, CA:95608 R u: (916).729-0900 TITU: Dowel into slab PROJECT: Hyatt Place TO: Attic^Bhavioi'Hard_ev ,RYS Architects 10 Monterey Blvd. San Francisco. CA A9 WORK IMPACT: iUnknown DATE: 1/10/2012 JOB:986 Q®_ STARTED: !' ti COMPLETED: v REQUIRED: 1/17/2012 SCIS//(1Dr1ULE / COST IMPACT: Unknown -IMPACT: Unknown tt����' S�rS, 4%l C 'YYi?' x 1 _ irn 9`w'�rC., .,y_ ' y .. ^rs s t4'�'aa� ✓�� S i� .+Fy H s{3 f�.'•u�zor �.n a�:...� ,On sheet SP3:0details Band C, conciete wall sections, show a dowel coming out of the walland into the slab. With UP walls; this creates great difficulty when iremoving,the wall forms. Subcontractor requests the dowel come,fronrthe footing and;into the slab;so'tlierei's no impact to';the wall form. Please see attached sketch. The dowel comefronr'tlie footing and into the slabso tbcr6 is no'impact to the; wall forin. Please see attached sketch. tlr�z stye Y+y.{c�z -h. 2 <3 a �,t'�- i Fru.,� ail!• ie.:v... t. �.i..:<;, ."ah�..,.-%t+... n�`ae"? :$Re- ...�,*z�" v.a...'3�xoi..,,..:s.::...c. ..:Yat«.w..x 23.rr:�h�..._va±t-R Requested llyi S.D: Deacon Corp: of CA Signed:.._- - --- - - - - Mikebietz —X, .: v f_ll; Dnte: 1/1012012 -N - lNTEP,J.0.,R:C--0NQ-WA-LL 8--E-G-Tfo,..,� 54, FOR `dx3 ag 96EES 'ON M ran co , ... I - . &05 , 50 ii STBTEM. ery 5- at. EXTERIOR CONC L-,;SE. JGN-� Z,5-u �p?ROF S�Slo x C So 0 ILL TESTING ENGINEERS, INC. / Date: S -') DSA File #: DSA App. #: Project No.: S i 3 OSHPD No.: ProjectNamp: ffaY-e/ Gri e Cr-�- V0 Permit/SF App.#: %/liGCJt7 Address: /O l.(� /'G A/VZ A (AL,' I Tow Code: /S"% / v City: Gaper wD Start Time: ; 114> Requested by: AA1(-.(- V6AM14r't L Hours: Reported to: S / * of: .5, Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) © Inspected the placement of rein/forcing steel; ❑ tendons; ❑ AB's; ❑ HD's; ❑'tie downs (180) at the following locations: �i*t%G(mu�7n-<>rM'•lo(v :•!ti /.:J.�INu. .�n.l-`'LPL L /!/„•r'%-f F.. ,../.�Tor.Ji r�I I l/fro� `�7ft)k �-'ncISF`e�r3i St�33.2 Lin,'eK2� i25to!5(o r� S/F0UJ/f 44, 8R i%�"tgZAa.9(W) � Y^SJLl-(-e., 13 H-/ Lt,vL. / . 7 /e�ec:i � �Yrn 3, ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following Ioeation(s): P erf ormed ❑ continuous El period ic inspection at batch plant (123) operations for materials and checked —loads leaving plant. [RP//erformed continuous inspection of the placement of concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) I3"Monitored,loads arriving at the jobsite for correct mix and proper slump. Inspected.placement operations and vibrating procedures. ❑ Performed _ Unit weight tests. Performed air entrainment tests 0"Performed I slump test(s) " , _� and cast J- set(s) of compression test specimens ea.) p Sample # g407CLf for Concrete Mix # L7 ;7C �'ci i'✓ . r r Y- from (supplier) !Jr^ + P, f- , specified strength air %, and slump /� inches for concrete placed at Skyltp hr -S :{ F4i , V C- Total cubic yards placed: ! / — ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of Notes: ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: at jobsite. /)' The work was ❑ w s not inspected in accordance with the Building Department or DSAor OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA, or OSHPD approved documents ❑ except as noted aba Material sampling g as ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD. approved documents. Drawings Sfi/=�i`n�e�J Dared ❑ City ❑County❑'Shop Inspector: •//�,tn/a�,Fy.-.,o.,3.. Certification# �(J /iGi<f -5-' / Date: ? — s - I2-- Received by: ' rl/ - ' Date: , �' • lL_ Corporate Office - 2811 Teagarden Street -San Leandro. California 94577 - (510) 835-3142 -FAX (510) 834-3777 wwvtTesting-Enoineem.com TESTING ENGINEERS, INC. Date: .5 -/�/- / -?-- DSA File #: Project No.: /2 3 No.: Project Name: ° = �i'eri i^ o �/ SF App. #: Address: / e f f- Tow Code: City: i (iPe t" I ^w Start Time: Requested by: ! "t 6 ecf r t - Hours* S (� Z,)e Renorted to: G of: F1 16 DSA App. Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) Inspected the placement of 3 reinforcing ste �I; ❑ tendons; ElAU's; El HD's; ❑ tie downs(180 at th follow ing Iota s:7� (�olUMNS ' A-�- r Cw _(aSre! jr4*j . 4' L"ve (g/'yC�C�/f �7L �J'• , !� �9.[ U . bH`•,(�-O 6y•br, 6(; I &9,5;7 . tiHafa 05-`1 ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s) Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked_ loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed _ Unit weight tests. ( ❑ Performed _ air entrainment tests ❑ Performed _ slump test(s) �and cast _ set(s) of compression test specimens (_ ea.) Sample # , for Concrete Mix # from (supplier) Cc 0/ r % I , specified strength air /' %, and slump inches Qom` em placed at �<arr.r ,Jft.Juro C`✓/��fS ,I �/Ne.�s�RdW #7 ga�li fDUlr �r,e rs Rom✓t y'foW� �uved,gICow8AY/ioIS' C,ti& kRociRAfa8A/.. VwI-we J wAI I S Sef<<Z,r (•! si (oShaw F4o r-•q_ &4iwell'we115 Be/a•r-,.a/i>`�dlS1:� L�ISf� G(0vJ61e7 -'vre^S Total cubic yards placed: ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of Notes: ❑ Showup; ❑ Stand-by time: ❑ Job Cancelled; ❑ Re -inspection; Hours: at jobsite. The work E -❑ mr, not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected u mel ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was nor ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings F/T'11 ye If Inspector: A/ 71 / r Received by: /41i/k, ❑ City ❑ County ❑ Shop # Date: S, 0, A P.W-.0,v 3-/y- /z-- Date: 3—/1y — / 2— Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Teslina-Enaineers.com FILE) TESTINGENGINEERS, DSA File .# DSA Appl. # DSA LEA # 33 OSHPD # Permit 31 Pro'ecf No.: Pro'ect.Name: l� L'r. �?>� ?ate;;": >'=/ i Project Address: loll z.�, c� City C'e- - /NG Work Location: ❑—Jdbsite . Shop[V� les s�,�- .. _ . Work as Requested by:* of: S-/J•�Jc eo>v :'?'::.c:-i;>.�Y ::_:;:: Reported to: Sri, of: Scftfs Arrivac fi.riie;;� Ar"rivaUPI6W °...`7w�. ,:fie � 4 Tjme EI-19PDXIED DOWELS -125 ❑ EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 ❑ Witnessed the drilling of holes of'proper diameter and depth. Inspected predrilled holes for proper diameter and depth. Expiration Date of Epoxy Q Observed the cleaning of holes and the injection of SrtnDse,✓ Set )CP epoxy. or the insertion of epoxy capsules. �itnessed the proper insertion of: i 1y uar /mil Iype: Le�gm; ala Ifr fkj.. r�rngea; in M1 ! .:. Remarks/: --:.....• 7 / Notes: ❑ Type ❑ Do not type The Work [ was' ❑ was not The Work Inspected met ❑ did not meet Inspected in Accordance with the Requirements of the Building The Requlremenis'of the Building Department or DSA Approved DeparUnentor DSA Approved Documents Documents Material Sampling was ' was not N/A Performed in:Accordance with Building Department or DSA Approved Documents - cc: Project Architect General Contractor�,l�Q�{ Structural Engineer Building Jurisdiction Signature of S/p/ecial Inspector Date Project Inspector lN1l6t_ L'y DSA Regional Office Pnnt Name & Certification No Corporate Office — 2811 Teagarden Street — San Leandro, California 94577— (510) 835.3142— FAX (510) 834-3777 ' www.Twting-Engineers.com ' 1\TF-FII FR\TFIFn..nc\FwYwl InmoNm Finac\Fnnw Oni\InI� OOO,man� I 1 U r I L DSA File .# ® DSA A I # TESTING ENGINEERS, IN �, 3. DSA LEA#33 ® � OSHPD # Parm it 3f //ii/_ vri Z c- 11 Project No.:5st2,3 Project.Name: tI<.rt/ C�e.-/-1,,r, Project Address: lei6 /V d�-' City: , ;..,"; . Work Location: Jobsite' .Shop Miles«'',:..._.::': row Code � ; �z���:;.=,., Work as Re uestedby: 11kc v.(r• I ";— of: 5• I�.O�ac v ;: -�:,:_;.... :.... Re orted to: g of: Schdrrual„Trpe;r; EIIEPDXIED DOWELS -125 ❑ EPDXIED ANCHORS- 126 ❑ EXPANSION ANCHORS - 127 ❑ Witnessed the drilling of holes of proper diameter and depth. 0 nspected predrilled holes fo'r proper diameter and depth. Expiration Date of Epoxy [310bserved the cleaning of holes and the injection of s t Vrp &r'o ,Sc-_t Ktl or /' the insertion of ❑'Witnessed the proper insertion of: Remarks/: Oz . l�, F- 11 r epoxy. epoxy capsules. Notes: ❑ Type ❑ Do not type The Work 0 was ❑ was not The Work Inspected met did not meet Inspected in lNccordance with the Requirements of the Building The Requlrements'of the Building Department or DSA Approved Depart_rnent'or DSA Approved Documents Documents iviatiertai tkampnng ' LJ was ' LJ was not U N/A Performed in:Accordance with Building Department or DSA Approved Documents I cc: Project Architect General Contractor SVuctural Engineer Building Jurisdiction Signature of Special Inspector Date Project Inspector /fir K r j/2ni . DSA Regional Office Pnnt Name & Certnc�hon i ' Corporate Office— 2811 Teagarden Street —San Leandro, California 94577— (510) 835-3142 —FAX (510) 834-3777 ' www.Testing-Engineers.com VEI-FILESTEIFo ASpedW Impn6w F. ms Epe>yjAnr o,a 080107u.doc - EIIEPDXIED DOWELS -125 ❑ EPDXIED ANCHORS- 126 ❑ EXPANSION ANCHORS - 127 ❑ Witnessed the drilling of holes of proper diameter and depth. 0 nspected predrilled holes fo'r proper diameter and depth. Expiration Date of Epoxy [310bserved the cleaning of holes and the injection of s t Vrp &r'o ,Sc-_t Ktl or /' the insertion of ❑'Witnessed the proper insertion of: Remarks/: Oz . l�, F- 11 r epoxy. epoxy capsules. Notes: ❑ Type ❑ Do not type The Work 0 was ❑ was not The Work Inspected met did not meet Inspected in lNccordance with the Requirements of the Building The Requlrements'of the Building Department or DSA Approved Depart_rnent'or DSA Approved Documents Documents iviatiertai tkampnng ' LJ was ' LJ was not U N/A Performed in:Accordance with Building Department or DSA Approved Documents I cc: Project Architect General Contractor SVuctural Engineer Building Jurisdiction Signature of Special Inspector Date Project Inspector /fir K r j/2ni . DSA Regional Office Pnnt Name & Certnc�hon i ' Corporate Office— 2811 Teagarden Street —San Leandro, California 94577— (510) 835-3142 —FAX (510) 834-3777 ' www.Testing-Engineers.com VEI-FILESTEIFo ASpedW Impn6w F. ms Epe>yjAnr o,a 080107u.doc - s TESTING ENGINEERS, INC. Date. it 2 DSA File #: Project #: S$/ 2 3 OSHPD #: Project Name. /-!vTf. / CL,c�r�r.vn Permit / SF App. #: Address: ;o/GS A/ Q� 4A/7✓A (;vl Tow Code: City: Cr �rTw, Start Time: Requested by: tKt (/,a/J tCI r I �} Hours: Reported to: 15 A-m` _ of (Company Name FIL / /06 00 39 /2 ,,00 CMU Masonry (108) and CMU Grout Inspection (168) Report ❑ Inspected the placement of ❑ concrete masonry ❑ brick units for ❑ performed by masons. Total square footage placed: ❑ Cast specimens (Sample # ) forjobsite mix Type (specified strength representing mortar placement ❑ for the above ❑ for the following ❑ Inspected the placement of reinforcing steel (I80) for Performed ❑ continuous ❑ periodic inspection of batch plant (123) operations at: D-Inspectedthe❑ high EKOW lift grout placement for C,nt-LAWa-It< 16pLt vP RZ� Rr-✓ ��Aifc, LSD t B,3 L-:) SGI+o /,''f-O ?O T`o oPo� c�R;LS [glCast G (4 min.) specimens (Sample # 2'W 7O slump �, Q ins.) for Grout Mix # from (batch plant supplier) CMG Ar e. (specified strength j00 psi, slump _ _ ins.) representing grout placement EYfo, the above ❑ for: ❑ Total cubic yards placed: ❑ Inspected placement of diameter ledger bolts. ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of at the job site. ❑ Showup; [I Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; hours: The work was ❑ w not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents, ❑ except as noted aba Material sampling r was ❑ was Plot ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. 1 / Dated 10 - 5 " t ❑ City ❑ y ❑ p Drawines _L.7 [L:+„1 s�.A _ / Ci Count Shop Date: 3 - / -- / 2- -I re. California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Tesfinq-Eruiineers.com 1 TESTING ENGINEERS, INC. DSA File.# DSA Appl. # DSA LEA # 33 ' OSHPD # 11 Project No.: S7� Prdect.Nanle: Je( 3 Y-� 11 Project Address: it De 19 v Hours._,:. Work Location: Jobsite' U. ShopItlijcsTs— ' ::Ins"' YKel g5✓ Work as Requested b : kc /l , Reported to: of: Scht 'A. 'qf 1R ;DeofrPsTimA�' 191PDXIED DOWELS -125 ❑ EPDXIED ANCHORS - 126 ❑ EXPANSION ANCHORS - 127 ❑ Witnessed the drilling of holes of proper diameter and depth. nspected predrilled hales fo'r proper diameter and depth. ,cExp�ir/ation Date of Epoxy-l3 9 Observed��the cleaning of holes and the injection of s/yrp,SA ,/ �e / /l epoxy. or the insertion of epoxy capsules. itnessed the proper insertion of: Remarks/: Notes: ❑ Type ❑ Do not type The Work M was- ❑ was not The Worklns Inspected P, met did not meet Inspected in Accordance with the Requirements of the Building The Requiremenis!o1 the Building Department or DSA Approved Depertr6ent'or DSA Approved Documents Documents Mat:erfal Sampling U was EI was not rl N/A Performed imAccordance with Building Department or DSA Approved Documents i cc: Project Architect General Contractor s Y �o_ p/` Structural Engineer Building Jurisdiction Signature of Special Inspector Date Project Inspector Q/[reS — y9 DSA Regional Office Pdnt Name & Ceruhcatlon No: : �— Corporate Office -2811 Teagarden Street - San Leandro, California 94577- (510) 835-3142- FAX (510) 834-3777 ' www.Testing-Fnglneem.com \REFFILES\iElFormsl5oeoal wGUlipl Fotms\EDoaYJ nrtiwn oBel 2811 Teagarden St, San Leandro, CA 94577 510-835-3112 800-660-3142 510-834-3777fax Sail Leandro • San Jnse Martinez INSPECTION REPORT Week Ending: 12/2/1-1 PROJECT # 55123 TYPE OF INSPECTION: Visual Welding PROJECT: PLACE OF INSPECTION: 10165 N. De Anza Blvd:. Jobsite Cupertino Hotel for Infinite Loop Hotel, LLC Cupertino, CA Permit # 11060038 DATE 12/1/11 HOURS 4 INSPECTOR F. Hernandez Reported to Mike Dietz of SD Deacon at the Jobsite as requested by Mike. Dietz of SD Deacon. Checked welder qualification papers (Tony Moran, ID # 6805) using the FCAW process with E71T-8 wire electrode. Reviewed by: _ avid Chippero Special Inspection Division Manager 1cc: Infinite Loop Hotel LLC / D. Gupta L.00rz Construction Management, LLC / D. Loorz SD Deacon / M. Dietz RYS Architects / B. Hardev City of Cupertino / BIdg. Inspection Dept. This report "m be reproduced only in its en€ire€y to less written pernussion front TR is obtained. Pagel of 1 /A/a �. 510-834-3777 fax San Leandro a San Jose • Martinez INSPECTION REPORT Week Ending: 12/23/11 PROJECT # 551.23 PROJECT: 10165 N. De Anza Blvd. Cupertino Hotel for Infinite Loop Hotel, LLC Cupertino, CA Permit # 11060038 DATE 12/20/11 HOURS 4 INSPECTOR M. Tellesen TYPE OF INSPECTION: Concrete Sampling PLACE OF INSPECTION: jobsite Reported to Mike Dietz of SD Deacon at the jobsite as requested by Mike Dietz of SD Deacon. Cast 5 specimens (Sample # 240518) for jobsite mix (specified strength 3000 psi) representing grout placement at tie -back # 87 on line K. 'Me preceding work was, to the best of my knowledge, in compliance with approved plans and specifications, including revisions by engineer, and dated 11/14/11. Reviewed by: Dapero Special Inspection Division Manager 1cc: Infinite Loop Hotel LLC/D. Gupta Loorz Construction Management, LLC/D. Loon SD Deacon/M. Dietz RYS Architects/B. Hardev City of Cupertino/Bldg. Inspection Dept. 'inais report can be reproduced only in its entirety unless written permission from TEI is obtained. Page 1 of 1 AdMikk CFI TESTING ENGINEERS; INC. 2-3 Date: �. ^ ,Z _ DSA File #: D App. #: Project No.: ,S'r.� 1 ;kl 3 05HEP No.: Project Name: c4�or�/ w,����-t%�v SF App. #: U Address: �C>! �o .S /�/Zs! 3u� Tow Code: City: G c, ,er'�,v o Start Time: Requested by: tln t tlA,y4t!Tr I P - Hours: Reported to: of: Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) Inspected the placement of reinforcing steel; ❑ tendons; ❑ AB's; ❑ HD's; ❑ tie downs (180) at the following locations: ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed Unit weight tests. ( ) ❑ Performed air entrainment tests (_) ❑ Performed slump test(s) ( , and cast set(s) of compression test specimens (_ ea.) Sample # , , , for Concrete Mix # from (supplier) , specified strength , air %, and slump inches for concrete placed at Total cubic yards placed: ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of Notes: ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: at jobsite. The work r was ❑ w not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected Zmet ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings SiLi4'�lipP Dated 6�r"-1 / r El City ❑?County ❑ Shop Inspector: �/�2 Certification #A%7� ttJ (/ Date: J Received by: �/ Ul4ni�l y 1 f T C.1� �' +4C d �✓ Date: Z —3 ` 1 2-- Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Testing-Enaineers.com Date: Project No.: Project Name: Address: City: Requested by: Reported to: TESTING ENGINEERS, INC. i — Z S — 1 --- t�a�t' G 0 DSA File #: OSHPD No.: Perm$'/ SF App. #: Tow Code: Start Time: Hours: of- _< , b. Z)e, DSA App. #: r n O L Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) 1? ms ectted the placement of "�7 reinforcing steel; ❑ tendons; ❑ AB's; ❑ HD'sd; ❑ tie downs (180) jat the following locations: AIW1 /04A L A. -le- - /l�`+c At.5- 1 C�.y� t S- o cy �T C� • �. ��[r..LGA/ 1 C 7�e �I.✓{ t U' � / �y j� g� r� i Q @ , S L oved, Q 3. � w - $3 i3(,� LJ •S, L p . �o 8 t7 1 }� p . 3 gol@ 5.5, 808 v. 1, SC3 i1.13D @ 8 14, C-C @ 8/y. &6COF ai y, B 14@- RA,- Pr'140 R 11 e_ 9t*a R11 F.1A ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed Unit weight tests. ❑ Performed air entrainment tests L_) ❑ Performed slump test(s) (, ) and cast set(s) of compression test specimens ( ea.) Sample # , for Concrete Mix # from (supplier) specified strength , air and slump inches /a, /iefq s fa t (�N�uki (o a.@ a.• @ r _IQ e 1 /9/3 .SIiQ,�G�all,�O' S�` tNl a c�•,gJ/ ro��•� S ,� v�enJ 133 o RS 5- A0W S& 7 -'�V a 1 Total cubic yards placed: ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of at jobsite. ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work i J w- ❑ w not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings ,, Dated l d -s �� El City ElCounty El Shop Inspector: /% � Certification # ZO -76 �1T' % Date: I — Received by: _ /0 � eLt Sc�C S Al/ /� LA/�, n ; C.)e-11 C Q A. -,'Date: Z. Corporate Office - 2811 Teagarden Street -San Leandro, California 94577 - (510) 835-3142 - FAX (510) 834-3777 www.Testin4-Enciineers.com TESTING ENGINEERS, INC. Date: ^ �. DSA File #: Project No.: �— �" / 3 OSHPD No.: Project Name: 1.10 {—e-f �v A ermi / SF App. #: Address: �Q�l�S" l�� /¢/U'L �c1l Tow Code: City: Start Time: Requested by: N! c k Hours - FILE -2_�V M Reinforcing Steel (180), Concrete (107) and Post -Tensioning Report (144) Inspected the placement of reinforcing steel; ❑ tendons; ❑ AB's; ❑ HD's; ❑ tie downs (180) at the following locations: ,L t� J A . L / _ _ b.7 / i 1_ /7%L`./ %i...ati__..�/,i.Ji��y A0 4 6;2— ,V,Ll •Pry 9 t4lf. . LvVeg Z- .f#l. ❑ Inspected the stressing operations (144) and recorded elongations (on file at TEI office) for the following location(s): Performed ❑ continuous ❑ periodic inspection at batch plant (123) operations for materials and checked loads leaving plant. ❑ Performed continuous inspection of the placement of ❑ concrete (107); ❑ non -shrink grout (168) ❑ Concrete Sample Only (147) ❑ Monitored loads arriving at the jobsite for correct mix and proper slump. ❑ Inspected placement operations and vibrating procedures. ❑ Performed Unit weight tests. (_J ❑ Performed air entrainment tests ( _� ❑ Performed slump test(s) (, ,_, and cast set(s) of compression test specimens (__ ea.) Sample # , for Concrete Mix # from (supplier) , specified strength , air %, and slump inches for concrete placed at Total cubic yards placed: ❑ Final acceptance is pending written approval or corrective action as noted. ❑ See attached RFI. ❑ All non-compliance items were brought to the attention of at jobsite. * F'' Notes Ca,,J*Kw� o r I *a 1 f rogr�S f��Yt t'll oyiny v ^ ,+- t� ^gar �► 'S� i�"� '� t'\iry G�. �r� �-tr ! C �`'1Cl -�t"�-- ❑ Showup; ❑ Stand-by time; ❑ Job Cancelled; ❑ Re -inspection; Hours: The work was ❑ wa not inspected in accordance with the Building Department or DSA or OSHPD approved documents. The work inspected met ❑ did not meet the requirements of the Building Department or DSA or OSHPD approved documents ❑ except as noted above. Material sampling ❑ was ❑ was not ❑ N/A performed in accordance with the Building Department or DSA or OSHPD approved documents. Drawings .S h - -0 J Dated Inspector: A2 / 0 Certification # 107 6 84�f p Received by: ❑ City ❑ County ❑ Shop Date: '2 — / r E✓ Z_ Date: Z 1 L A� Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Testing-Engineers.com