B 0415 (2){
C
APPLICANTTO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY '
CITV'OF CUPN.RTINO BUILDING-ta.ecT'RICAI, �-.
APPLICATION/PRRMIT PLunfalNr,-nfeck.ANlGnI. %
BUILDING DIVISIONCot
- - -_ y Rv�--
/ I-Ii.DINO YROIHCT IDEMI'IPICA'1'IOM'+" " f,
UILDINGADDRESS: _ _ -, _ r- 4
OW ItSNAME PHONE ,JNTRACTOR ' N E L ' NO'.
�a 'S./
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PERMITNO'
SANI'1'ARYNO. APPLICATION SUBMITTAL DATE
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ADDRESS:QPF
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CONTs�n/AAi�CT, P'I1IO'Nqq 7x,�•�
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-
❑ Cnnsullnnl Fees Paid by Applicant (Initial)
.r '. HUILDING PERM✓IT I�N✓FO_',
al,pC / .ECT PLUMP M1IIiCII
�T BI.DG
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LICENSED CONTRACTOR'S DECLARATION
hereby affirm [hat Iam licensed under provisions or Chuper 9 (commencing_
with Section 7000)ofDlvlsion3of the Unions, and Profo,,masCode,ad my license is
_SUANCE
In roll li,rce and effect.
laccnwu>.ES-RESIUF.NTIAh
Datc Contractorot.ARC141'I
' ELECTRIC PERM�iT,'i,
_
-rITF:I
DES(RIPrla%Z
I TI 1
'DWI,❑KITCHIiN kIiMODEh
❑ADDITION ❑PLUMBING RE-PIPiz
❑MULTI -UNIT' ❑STRUCTURAL
❑INTERIOR ❑CHIMNEY REPAIR
E201�i"AMPS
cEcrs DECLARATION
I mistreated my plar,shall fe used a, publirword,MODIFICATION
MPS
F4�W
a C K se
�ig506U
a
�SWIh1M111NG PO01.5
❑ BATH RU,MODEIAREPAIR El DEMOLITION
❑(rill IER
Licensed Professional
OWNHR-BUIIDCRDECLARATION
I hereby affirm that 1 am exempt from the Contractor. License Law for the
h1hmvlugraama(Section]03L5.Bminelland Profession, Code: Any city or county
P$IMPROVF.MfiNT
AMPS
SICNS ELECTRICAL
t+f oil
t0o
�•GD
A, y y'
WX Wy
which requires a permit m construct, alter, improve, demolish, or repair any stmcture
prior it) its issuance, also requires the applicant for such Permian flea signed statement
that he is liecried,matunan the provision; of the Comments License Law(Chapter 9
(commencing with Section ]O(Npof Dr—mis3oftbe Bminess and PmrR,xions Code)or
that he is exempt themirom and the basis for the allegnl uxcuu,iu . Any violmion of
Section7031.5 hyany applicant ran permit suhlects the applicant n a chilpenally of
SPECIAL CIRCUIT/A115C.
TEMP. METER OR POLE INST,
COMMERCIAL'
❑ NEW IB.UG/ADDITION ❑ DEMOLITION
❑TENANT ❑POODSERV ICE
POWER DEVICES
6
Yl
m morn than rive Iamdarl dollars (SSW ).
❑1:¢xowderofthe dromrchae kma unuyeesureffe d aslhei(Sce. cnmpemeion,
will do the work, nnJ the amcmmisnm imenJed ornfferW for sale (Sec. ]IW4, Business
and 1'rofussinnc CW¢ The Conwmors I.leenso Law Jac, not apply m an owner of
property who builds,+improves thereon, and who dual such work himself or through
Lis we cmpinyces, provided the such imptovcmems are not intended or offered for
sale. IL however, the building orimpmvemenl is sold within one ycarnfcompletina the
owner_bmider willhave thburden fpown,ll 1 he did notbild or i,pve to, -
q.uyf'' le. ).
S.f of tire property, exclusivelycontracting Ili licensedcontradictst
w .. sod Ror Col .p, C t I L'
.s un p j apply la mnmpro cs there, J
ens 1 does not applyl fp Perty h builds
to
%line n t. fir such# jean xnhacommemrts)l tanuJ pursuum ratite Crnvaa,rs
License law.
❑lam exempt r e. ,it&1'C for thri reason
91 HER I?MI?N'f
OI HI?It
SWIMMING POOL ELECTRIC
OUTLETS -SWI'1'CI1E.5-PI%'11JRC5
NEW RESIDENTIAL ELEC'1'R SQ Irf.
SQ.IT PI OCR AREA
O"y
`(�
V/
S/SQ. IrI'.
/ �0
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1
- .. /-,
QTY':- '1'I.UM RING PERMIT )
. FF.F,
PERMIT ISSUANCE
Owner Dme
AUGER - DRAIN & VENT -WATER(EA)
� VA CATION
✓1�
OI :R'S M1 F,NSATION DECLARATION
i I hereby a find under shy ofp jury one of the following Jeclannion,
BACK FLOW PRUIECE DEVICE
1
'have and will maintain a Cenifieto ofComenftoxelf-insure for Worker's Compen-
nor. as provided fir by Son 3]W of @o Labor Cale, teethe performance of the
DRAINS -FLOOR, ROOP,AREA, COND.
S'I'R?ILS
TYPE GONSTR "ION
work rnr which This permit is issued
FIXTURES -PER TRAP
❑ 1 have and will maintain Worker's Compensation Insurance, as required by Sation
3700.fthe LahorCWe for the Performance of the work forwhich his permit is Issued.
GAS - EA. SYSTEM -I INC. 4 OUTLLTS
CGR
APN
s�
CynWorke�FotpPen'eygn hlsvrSmm carrle Policy NnY Ln a^ L�,v A
CH RTIFICATE OF EXEMPTION FROM WOR KERS'l `V I
COMPENSATIONINSURANCE
('Ibisseetinn neW not COMunpleftal PENSATION
tis (Drone hundred dollars (YlOfp
nr loss.)
GAS -EA. SYSTEM-()VIiR4(FA)
GREASFANDUSI'RL WAST17 INTERCEPTOR
" !
-
D Ir L
G )IVI
GREASRT'RAh I
VLf
PLANCIICCK PE
SIiWER-SANI'fAItY -STORM EA, 2(kIIT.
ENERGY FEE
Zz
12
I roody lira in heperformanceofthework for which this penuir is Luucd.I shall
no, employ any person in ¢ny mvnnur en ns Io become subj«I m the Workers' Cmmpen-
smlon laws of California. Date
I
WATER HEA'1'Ek WNENI'/F.LF.CTR
-
y
)d R I; A --
F" ?
W0
R'
L)Ol
f!" F
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y
Applicant
NOTICE TO APPLICANT, If, after making this Comifirale of Ii.rurn" on, you sheuld
heenme subject to hC W..krs Compensation prnv sine of the Lulwr Cade. you mast
Ionnwilh comply with such prrvisinnx .,,his permit shill be deemed rcvnkeJ.
CONSTRUCTION LENDING AGENCY
CT
hereby affirm that is a conduction lending agency for the performance of
he work far which this pennir is I ... W(Sec. 3099. Co. C.)
Lenders Name
WATER SY$'rEMrrREAI'ING
WATER SERVICE
SOILS TEE
tl
AID
'j✓I
NEW RILSIUENTIAL PLMB. SQ. PI'.
Ime tccciptN
IOTAI:
'rUTAL:
s
Lender's Address
BUILDING FEE
�—
1 croily that 1 have read his apnicalioriand state that he aMrve iofnmetion is
rA
U
ecirer,lugmem comply with all city and county ordinances and lose lawsrcladngto
building cnnawmion, and hereby amhodre rcpre.mnotives of Ibis citytoemerupooshe
aftme-memioned property lid ins#«lino purposes.
(We) agree net save, indemnify and keep fannies, the City of Cupertino against
QTY. MECHANICAL PERMIT, ,'I
FEE
Sit SMIC fE
-Q
/
PFRMrr ISSUANCE
ELECTS] lLAW-
PLUMBING +G
'
IiaFdhies',judgmants,Costs and expense, which may in anyway aceme against said City
; ;sequence of the granting of I is pseard.
ALTER OR ADD TO MECH.
AIR HANDLING ON IT(7010.000 CUM)
MECH AI, ITE
-
APPLICANT UNDE S AND ANO WILL COMPLY WITH ALL NON -POINT
-
SOURCE REPI A f S.
AIR HANDLING UNIT (OVER I(L000 CUM)
CONS] RII ON TAX
S
igrunu el 'onto r Date
C NAZA US MATERIALS DISCLOSURE
Will1 apPlical inureIc
building occupant store or handle hazardous material
EXCAUST HOODIW/DUCG
HOUSING MITIGATION FEE
I IEATI NO UNIT (TO 1000)(I BTU)
as dmined by the 32m)? no Municipal Code. Chapter 9.12, and the Hculrh xnA Spray
Code Section he Caliendo.
HEATING UNN ETU)
^'
(SINGLE
VEMI'ILAUION PAN (SINGLIi RESIO)
FAN
❑Yes [I No
PAID
--
Dote Receipt#
BOILER-COMY(311Y OR IW,WB 0'I'U)
�Will he apPlicam or future huilding «cupant use equipment or devices %Bich
hasallous air eomamintlllls us ds•IineJ by the Buy Arica Air Qunlily Munngensent
BOILER -COMP (OVIi1t 1 W (M RTIJ)
'toC11
f' ❑Yes ❑Net
AIR CONDITIONER
I have nrad the hasurdnm malcdals mquiren,mis muter Chapter 695 of the Call-
fnmia Hea sh & Safety ode, Sections 25505. 25533 and 25534. 1 nndersmnd fund he
I,nyor
huildingd« n r sty haveatenan6 hart ma'aref,I ihilitytonollythc,urr"m
IS U N .0 Th
O
A
NEW RESIDENT AI, MECH, SQ. FE
of din emu lc and seam ofu Coutiffic
ISSUED By.
TOTAL:
eta arm net c,gentnu Dam
OFFICE
0
KIHLTHAU, INC. Consulting Engineer
1030 Connie Drive, Campbell, CA 95008 • (408) 379-6561
Kelly -Gordon Development Corporation February 4th 2000
12241 Saratoga -Sunnyvale Road
Saratoga, CA 95070
RE: Supplemental, As -Built Structural Design Review for the Rough Framing Sign Off
for the Lot 4 Residence, Oak Valley Unit 2 Subdivision, Cupertino, CA (Steve Miller's .lob)
After my jobsite meetings with Bobby on 1/27/00 and today, and my cursory review of the above referenced design, the
following list itemizes both what was visible and verified, and what has been concealed at this stage of construction. Please
note that since I am not the engineer of record on this job, my observation services are provided as a matter of
convenience for Mr. Miller to save a driving trip to the Bay Area. My visual reviews covered items only indicated on the
approved job copy set of plans and calculations, any interpretations, or sign off paperwork required as to structural item
concerns noted below need to come from Mr. Miller's office.
I) Since the plywood Floor and roofing felt had been installed prior to my visits, the fallowing items could not he
verified as properly completed during this visit. However, they may he verified as properly done by reviewing the City of
Cupertino's sign off paperwork.
a) The foundations, underfloor grade clearances, anchor bolt and ground floor holdown bolt installations
b) The subftoor nailing, below, walls.
c) Any roof collector nailing or strapping hidden by the roofing felt.
JW) Based upon the limitations noted in item (1) above, the only items which could be verified by me at the time of
these visits are the following. (Note: All the items listed were found to substantially comply with the engineering design
intent at the completion of my second visit).
a) The holdown anchors were visible because the wall insulation had not been installed.
b) The perimeter frieze block shear transfer detail at the exterior roof to wall connection.
c) The roof strut bracing and ceiling support beams f'or the roof.
d) The interior and exterior shear walls and transfer details.
e) The sole plate nailing details.
The only items of concern found during my first visit were itemized in a punch list fashion when Bobby and I
walked through the residence. The second visit was used to verify that all the requested structural issues had been
resolved to my satisfaction. A copy of the punch list is enclosed for file purposes only. For my proposes, the second visit
satisfied me that the requested items had been completed.
This letter was writte mg s dard engineering principles and visual.techniques subject to the limitations noted above.
This documeh is ' tende to a supplemental review of the exposed framing visible during my visit and should he
:.
considered � land al ne do urneq('thdgpendent ol'the City of Cupertino inspections. Should there be any additional
ques 'ons, a do no i it ca71')(rlfaa� office at (409) 379-8430.
0a. C040 3I G
'imolhy ill hat Eq. ✓I
R.C.E. 0834 JT C VI` �P
*anelosure 11 OF�%
PFgINE !O. Jan. 14 2000 04: 15�19 FL
13RIAN KELLY INC.
l :E' LY GOR;✓ON UE;'ELCP TENT CORK
PaxYo.: (408)717:. 81c
FACG IILE COVED SHEE-1
Phone No.: (408) 87%8', 74
Far.no.:
Total pages inci adi.t_v,
From: NJ
Comment;: _�� _�._. �}C.r� �'V. qua `•=,�?'1'`u✓\ `i .
2) a €TrC 1 LI.IF, C7v,C. Nd7—IrOS7Au 90
w� y�2ap v�i7wcs 4IJV It l
Jirecre,�:,
i� :5,10C fLA7l£ WAIL1-Ji -1E
e eio-t,7t',Eit ;vu
RL0- fa �Lpor- / 4JD C.dAj'itc7a---j Afifk/ti
1 Iy
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I/lj/ldAff (�)
INY:
"k; A
ENGINEERED WOOD SYSTEMS
(jv I G_-n �a � Ll
Certificate of Conformance
Certificate 054319
THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of
Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards
and associated specifications indicated below:
ANSI Standard A190.1-1992, For Wood Products —Structural Glued
Laminated Timber
NER-486 Glued Laminated Timber Combinations And "GAP"
Computer Program For Determining Design Stresses
AITC 117-93 — Manufacturing — Standard Specifications For Structural
Glued Laminated Timber Of Softwood Species
IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members
were produced in a manufacturing facility subject to regular audits in accordance with the Engineered
Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the
manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify
conformance to industry standards for lumber grade and glueline bond quality.
by — �JL l l
Thomas G. Williamson
Executive Vice President
�p
ENGINEERED WOOD SYSTEMS Is a related corporation 81 APA— THE ENGINEERED WOOD
7011 South 19th Street • P.O. Box 11700 • Tacoma, WA 96411-0700
Telephone: (253) 555-6600 • Fax Number: (253) 565-7265
I
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�- S'&HEN L. MILLER - CIVIL ENGINEER
17400 Northwoods Blvd. Suite 04
Truckee, CA 96161
(530) 587-8848
FAX (530) 587-2836
JOB ?1� '� a'1- flk!� V-6,weo Vl
SHEET NO. I OF 2
CALCULATED BY �'�-' 1 DATE
CHECKED BY DATE
G✓U��I.�.N�Nrp1. S'(7NLYV�AL (�pC�GVIiD'fepl.l5 �� tr-.SS!(),
LOT 4 TIz T go54 oA-�r- irAw-" uN,T
C u Pj�:>z--Tl,l o I CA1�I FOIZ-P, A ; No. 35127
�Z �u Exp.®-30-03
(V OF Po nl r w a w k 6NI f "V2, 1LArr/ W
rwil-
-I"4��i� GOsLGUI�A-TioNS P+g-� �'r �5�oN5F� To �N O�) -SITE
-:-pT-PvGTvfzA1� �LI070 OF TH-51 "OVE i=e;ft;�P IP2
51�tiN DouE 1'�? -nt-4 �114LTWA� j I Q,E.
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poor- 4d'e;�-rA-W6 .
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N;PP100L4 A -(JP -"'Lti Pool,-1 wra2-E rWlVern WM4 L46
rT IS My peC0Ht1"vA-rI00 MAY. qhlj�, �,0LT5
U96 }7 L)UL.E55 70"'Qk IS A 5o(,l4 M Dt�PIE;OW
T UATG? , S UG(4 � 4 S- Vo o,L 4uAoo - . I N T4c)96
5t✓s A 5/eIto x ro'( LAB PL)LT HAvI pit~ . UINFAP.
Consulting Engineers and Scientists
425 ROLAND WAY
OAKLAND, CA 94621
. (510) 568-4001
TO r l i -n
t .
Date �'nl-?h•l, 11N a- ��i ... IG�i �J(trtJ r `,C(G
1iiF;u .•
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Hours Charged To Project Nuclear Density Tests
Field Task Number ,. UI 7 Concrete Cylinders,_
THE FOLLOWING WAS NOTED:
"
DATE
JOB N0.
C� .�, t r
) i 7lri 3 (jT
PROJECT
o
LOCATION
CONTRACTOR
OWNER
G, , C ("C%v I-(
l
yir /l,' 6n.0 L.A
WEATHER
TEMP. at AM
*at PM
PRESENT AT SITE
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Fr�f %-i•n(-r�:%r'
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COPIES TO S.. .'.r GI
\SIGNED
?.
- AGENCY
OCT-01-99 FRI 06:35 AM
P.02
' MARVIN D. KIRKEBY
2397 FOREST AVENUE
SAN JOSE, CA 95128
(409) 984-0331
0
September 30, 1999
Job No. 98062
Building Department
10300 Torre Avenue
Cupertino, CA 95014
Re: Hammond Way
Lot 4, Tract No. 9054
Gentlemen;
Please be advised that the foundation forms for the subject house have been inspected for
compliance with building setbacks as shown on the approved plans. I hereby state that
the forms are as shown on the approved plans.
' If further information is required please contact the undersigned.
Yours truly :
�o FE881p, yq!
Marvin D. Kirkeby
Registered Civil Engineer W No, 14001 i
* Exp, y
OCT-OL-99
FRI
06:36
AM
ie '
P.02
' MARVIN D. KIRKEDY
2397 FOREST AVENUE
SAN JOSE, CA 95128
(408)984-0331
September 30, 1999
Job No. 98062
Building Department
10300 Torre Avenue
Cupertino, CA 95014
Re: Hammond Way
Lot 4, Tract No. 9054
Gentlemen;
Please be advised that the foundation forms for the subject, house have been inspected for
compliance with building setbacks as shown on the approved plans. I hereby state that
the forms are as shovm on the approved plans.
' If further information is required please contact the undersigned.
C QpaFE881pH
Registered Civil Engineer No 14001 k
W
mIF Exp, y
Is
1-26-2000 9:52AM FROM MORRIS STEEL CO 4082989531
sift
r �
INSPECTIONS
' A Div15100 01 RIIO & GRAMAB LABORATORY SIRVICES
P
WELDER AND WELDING OPERATOR QUALIFICATION TEST REPORT
Weider/Weider Operator's Name
Date Welded
Project No.
Salvador Castsle
07/1"9
MOST-1
Welder Identitieation No.
Date Petted
Lab No.
8554
07'16/99
HFO-0033
Client
Welding Code (ID & Year)
AWS331.1.99
Morris Stal Co., lac.
377 Phelon Ave
San Jose, Ca 95112
Bate Metal
Rabat
ASTM A706 Cradt 60 Rebas
Direct X Iedireet_
ASTM A36 Plate
Specltnen
Joint
Pots PI Rebu 7i
7.7oict %PIII
Process
Specimen Furnished
Reber size
Flux cored are Welding (?CAW)
HP Others%-
04
Posldon
Specimen Machined
Dig. & Well Thicknen
IC (Hordzoatul)
HP Othen_
"
Weld Pr4ms3lon _Up -&C. W_ L to R
Reber Sits Range Qualified
_Duo,n _CCW_ R to L
04 and Lsrgar
Qualilled Weldad Joint Type:,
Qualified Positional
Complete Joint Peastratiou Croove
Flu& HatizoaW
(T-Juiot) & Fillet wads
Welding Procedure
VOLTS:30
EbcMcel Cheratudnlcs
Sl44•NR711
AMPS160 _AC DC
IKPs
FILLER METAL
t Spccifmaq'onNo.
Cla"iflutim
F.No.
AWS-A5.10
WIT-8
to
Backing
Diameter
Trade Name
NO
AN
Lincoln
Shielding Gat Flux YY Scif Shielding
VISUAL INSPECTION (AWS ONLY)
Appearance
Undercut
Piping Pory:ity
Acceptable
ram
atone
MACROETCH TEST RESULTS
'fhc Macrcetch Tests were acceptable per AW'S D1.4.98 Seodon 6. The rc3ulu are sac ablo through Lab Number HNO-0033
Tuts Wima3ed By: Owet Baouus -
QUALMCAT10N RESULTS
The WeldsdOperator identified above movie the performaaee qua115uYlons specified in the Code identified above for the variable stated.
Remade & Report Distribution (-denotes data not provided or NOT applicable)
Submitted by: hN
�gyIjN001
Tony gotta i
r.teA
AWS QC-1 CWI R96041001 r{ ue
-%vt
550 Sunol Street, San Jose, CA 95126 a Phone: 408-287-7722 " Fax: 408-271-OW2
P. 7
•
1-26-2000 9:51AM 'FROM MORRiS STEEL CC 4082989531
TESTING ENGINEERS, INCORPORATED
Grp
2811 ADELIN6 ST. P.O. SOX 24075 OAKLANO, CA 64623 (415) 035,3142
P, 6
SAN PRANCISCO
OAKLAND
SANTA CLARA
Lgarao. NUMnrn Y3028 - STRUCTURAL WELD8R CERTIFICATION DAn 3/22/89
21151 RONo 3117189
r„I Morris Steel Conlpa y —�— WITNMgDRY Kent A. Stnkellj r _
wl,rtA iVador.C�stolo„ _-_ SocIALrrcvnIIYND. �G2--?1_R654 SyPi —Sr
WELDING SPECIFICATION — AWS D1.1-88
'.vfl?'I+f enrK'($8 CA.. -_ AIANVAL
ICRian, _—�3 HQr„-�,zontal IIarSCNICATION ..._ ASTM 416
nr wN 11 ,a1gN. rl bnrytl. "Ill rvOgWi upwrH or newewYnl ^•
N Aff,CIDANCf -Itu rRtt<wRf nn(CVICA 1104 ivo.
CIA It CIII0`NALI T„ICA„JW III "WE) OTHERWISE JOIN I YHICkII -- III Plate - —
.ICI,IRM. RIKET1111OUALIRE5 ur11 united _ _—
IA+.cMNCSrRIPusew
FILLER METAL 70 Y
yrl,.nlc Arq„AID—ISJ-J:ul J.� .. �- GL ,S,wftmw � -!__
N ".Cnlq RLLIn LIITAL Irr V01 co' /IRlow AIN, 11fyC,QA,OAII
No NJA
CVRR(N/ -.—_D — POLARITY Strlt.I- t, _-
SIZE -.__7/64" _._., AMrETAM _ 350
r I l fn NIWL DIAMETER nun runt NAME --
I, u r f CR EIMNIM}eC AnC OR OAS ICE OAS M(TAL MSC On IMIA COPED ARC WRDNG
' GUIDED SEND TEST RESULTS
�• TYPL R(ELM1r TYPE RESULT
RADIOGRAPHIC TFST RPCI It TC
Pin,
IAn.p I'. MnVlp pTmil WA1141. R1Aji RyrA.41
�RIOx N1r011
SC _Satisfactory —
If! 01A M.AI All I QR nnooVt WLLCiI„fN{ TLl1.,..D1 HDri zpn&II. n 1 t8 orld,._on pipe or_t&riii r jL in Nr,TpN„
,IwG^iftm."—F(AAW-.aBr-i-0S ._ .— diameter
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,.Du al FC14W Series
-��- ---IL(CTRODES ON A No I 97E10 Of ANY I NICKM
:p VNDIP 510 NS0 CLr In1IR 111A1 Tit "tLOD AND 10IS WER? Matt IN ACCORDANCE WIT II T111 A(DURL MANIC LA AWE D1.1. V9VCryRAL MTLOINC C00E
I(I "'Lt'° Morris Steel Co.
',C _+.vl Pnvn 6lCe — GA O 9T'V1SD7"•^., ..
1-28-2000 9:50AM FROM MORRIS STEEL CO 4082989531 P.5
b
H 111 W111111
Consolldtated
Engineering
Laborcitories
415 Peterson Street
Oakland, California
94601
415 933 0333 welder or welding operator's name-_S�lz�i000PAte42 — Identification no. 462-21-8554
WELDER AND WELDING OPERATOR QUALIFICATION TEST RECORo
Welding process ._—_,^ Manual ......X.......... Semiautomatic ,.....,..,.— Machine
Poslrion _.._..YP.1V-Tf AT (Uj1)
(Flat, horizontal, overhead or veilical — it vertical, stale whether upward or downward)
In accordance with prooltduia specification no D1 1
Material specification A 3( '
1.
Diameter and wall thickness (it Pi el — o_lha�i visa, joint thickness 1 ran DT.p=
Thickest; range this qualifies
FILLER METAL
goocifieoion no. A 5.1 Classification r 701R Fno, ,4
Describe filler metal (if not covered by AWS specification)
L backing strip used?
Filler metal diameter and trade name' l�A '" Flux for submerged are or gas lot gas metill`araor flux,
owed are welding
VISUAL INSPECTION (0.25.1)
Appearance SATISFACTORY Undercut ML _ Piping porosity
Guided lent Test Results
Type Result Type "Result
Test conducted by Laboratory last no.
per — Test dale
Y
Fillet Toll Aeautts
Appearance FlPel site
Fracture test tool penetration ___. Mercoetch
(Describe toe loeatloo, nature, and size at any crack or tearing of the specimen,)
Test Conducted oy — Laboratory lest n6,
' per Test dale
,
RADIOOAAPHIC TEST RESULT!
Film J Film.':'."
idonlili- Resufta Remarks Identili• Results Remarks,
cation cation
462-21-8554 SATISFA=RY
Pest witnussed by ,,,DWH MARL4IANP _„ _ `— Test no. A0
Per _ 1-am —
We, the undersigned. certify that ins statements in this record are correot and toot the welds werepropaled and tested In. ;•'
accordance with the recuirements at 5C or D of AWS 07.1, j 1988 1 Structural Welding Code, ,
year
'
Manuracturrot a Iraobpr Author 'Zed
by _
Date AUK 29 1aRe
1-25-2000 9:SOAM '=ROM MORRIS STEEL CO 4082989531
P. 4
a
Division of
'Fasting and Controls ,
CONSULTANTS, INC.
4 15 Fairchild Drive • Mountain Ylew,CA 94043 • (415) 967-6982
LABORATORY NUMBER; 6-516784A
REPORTTO Morris
372 Pnelan Avenue
DATE; October I I, 1988/m6
T&CNUMBER 3490-MOi' P.O,
DATEOFTEST 5eptember27,)988
WTNESSED BY Ron Osburn
WELDER Salvador Castelo SYMBOL
SOCIAL SECURITY NO 462-21-6554
NSPECTED FOR
SPECIFICATION
Morris Steel Co., Inc.
AWSD1.4-79
TEST MATERIAL 29 Reinforcing Steel
MATSUI SPECIFICATION ASTM A615, Grade 60
ELECTRODE 7018 SIZE 1/8"
OTHER NFORMATION
WELDING PROCESS
Shielded Metal Arc Weldir
- SMAW -
WELDINGMACHINE
AMPERAGE 125
VOLTAGE NA
Lincoln IdealarC 250
CURRENT(AGDC) DC
POLARITY Straight
TYPEOFWELD
BENDS.
HORIZONTAL
VERTICAL
OVERHEAD
FLAT
t;�oove (1G)
ndlrectbuttsplice,
are grove weld
Mocroetch
satisfactory
Satisfactory
Radograph
N/A
Welder s •. qudiedfor posltloNs)and veldtype (a)datedbelow,
APPUCABLE
POSITION
GROOVE
WELDS)
FILLET
WELD(S)
LIMITATIONS
:HORZ%TAL
YERTICAL
OVERHEAD
FLAT
No
Yes
MAT E1:19 THIC KNES 3 (GROOVE) end smaller
RIA
MATEL THICKNESS( FILL ET) �+9ppds ells
ELECTRODEDES"T10N 1
TYPEOFSTEELS 14 c I
WELDING PROCESS
NQ
No
No
Yes
YAR
THEUNDERSiGNED CERTIFIES THAT THE WELDING AND WELD TESTS WERE MEN ACCORDANCE WITH THE
REOUIREMENTS OFAWS.
PERIOD OF EFFECTIVENESS: The welder's quaftall n ae spectfled In this code shell be considered esremelning In off ed
Indefli telyunlees(1)thevoiderunotengagedinagivenprocessofweldingtorvkhheisquepfiedforeperioda»eeding
emmonths or ides(2)there is some specificreesonto quulion aveldeteabddy.
R espectf ullynbmittted,
Testing and Controls
ey QA
-26-2022 9:49AM 'FROM MORRIS STEEL CC 4282969531
P. 3
Testing and Controls
b15 Faircnilu Drive a Mountain view, CA 94043 • (415) 967-6982
ABORATORYNVMBER: 8-5187848 DATE:
RCPORT TO - Morris Stool Co., I
372 Phelan Avenu
NELOER Salvador Costelo SYMBOL.
SOCIAL SECURITY NO, 462-21-8554 .
A D10W of
Pmu CONSULTANTS, INC.
October 1 I, I988/mkh
TdC NUMBER 3490-MOI P.o,# _
DATEOFTEST Septemoer 27, 1988
WITNESSED BY
Ron Osturn
INSPECTED FOR
Morris Steel Co., Inc.
SPECIFICATION
AWSDIA-79
EST MATERAL '�9 Reinforcing5teel WELDNQ PROCESS _ Flux Cory Arc Welding
tAT8%4 SPECIFICATION ASTM A615, Grade 60 _ FCAW -
?LECTRODE E71T-II srZE 5/64" WELDINQMACME LlnooinlcealarcR35
iTHEANPOAMATION AMPERAGE 250 CURRENT(ACW)
VOLTAGE 27 POLARTy Strati
TYPEOFWELD BEND:
roow (iG)
%direct Dutt splice, Macroetch
are groove weld
N/A
!rider 1s q D n(s1 uaMedfor oswo Wdweld type(e)listed belov.
----r-
OPLICABLE
IOSITION
GROOVE
WELDS)
FILLET
WELDS)
LbutlTATK?NS
K)RI20NTAL
YE
r AL
LAI
No
Yes
MATERIAL THICKNESS (GROOVE) '9andsmaller
MATERIALTMCKNESSMLET) VqMdArWlar
ELECTRODE DESIGNATION AW 4 .21
TYPEOFSTEELS AW, 1
WELDING PROCESS
o
o
�= vn�cn�nyvty �crr i ittit5 IMAT TME WELDING AND WELD TESTS WERE MADE IN ACCORDANCE WITH THE
EOMBAENTSOFAWS.
ERIOD OF EFFECTIVENESS: The veldaPe quaWication es specified In tNs code shell be considered as remaining in effect
dafk tdirunlossit)thevelderianotengagedinapivenprocessofweldingforvhichheIsqualifiedfora,periodexceeding
craontM or unless (2)thers Is some speculo rseson to queadon nvelder a %fruity.
1-26-2000 9:46AM FROM MORRIS STEEL CC 4082989531 P.2
u0
Testing Engineers, Inc.
F
Quality Assurance Services
Materials Consulting
Since 1954
WORK REQUEST NO.: P723 REINFORC/NC STEEL WELDER CERTIFICATION DATE: oCL01
Piles
P.O. NO.; V2RRAL
Manufacturer: MORRIS STEEL COMPANYData of Teat: 6/03/93
Addreaa, 372 PHZIAN &=E Witnessed bys T. g9TTA
SAN JOSE CA 95112
Welder, ;ESAR ALVAREZ
social security
No., 643-12!i-3472
Symbol: C.A.
WPS 4 5/64-241311-8TC-P10-CF
REV. 2
Material Specification: A36/A706
GR. 60
Welding Prooaaas
FCAW
Position of Welding, 2O (HORIZONTAL„
gar Size,
Filler Metal Specification
A5.20
Filler Metal Claaaifid4tionsA70T-7
Welding Currents DIRECT _
Polarity, gmicm
Amperages
Voltages --
Type of Joints INDIRECT ALITT #5
Preheat Temperatures
70OF (Mlr1.)
TEST RESULTS
TENSION TdS .
PSI:
MACROETCH: Sati4facactory M'ACROETCHt satisfactory
Welder Cuali Eied Fors INDIRECT BUTT 6 LAP
f.L•Z�V a . _
Position(s) FILLET W£Lno 114 THE 1F (FLAT) A1,T 27 (MORX ONTAL)
Reported to: MORRIS STEEL COMPANY r,f,`,.p., TES INO ENOINE8R8s INCORPORATED
�
Reviewed By;
' w
Corporate 08ioa - 2811 Adellno Street, Oakland, Callfornla 94608. (510) 836.3142 - iAX (610) 834.3Tr7
50utftW6a1 Bay - 2123 Sedng D.Iva, Suits E -San Jose, Callornla 95131 . (408) 451.2420 -FAX (408) 461.2425