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S 4338 (2)APPLICANTTO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY N CITY OF CUPERTINO BUILDING - ELECTRICAL PERMITNO. BUILDING DIVISION APPLICATION/PERMIT _ PLUMB NO „MECHANICALT•,- • , ,Col A -4'1 [1 SyCLLofee LdC�c�l m 5 —' PHONE: TRACTOR S Nt swH/k51J 0. I2114N I coil I/r1` 6`7+ - 0`77. i ❑ Consultant{ Fees Paid by Applicant (Initial) ❑aZ 1-PERMIT W F Pz W� F O rn Z O y 7� O Z.. o LICENSED CO RACTOR S DECLARATION 1 hereby affirm that I a licensed d provisions f Chapter 9 (commencing with Section7000)of Division 3 ofthe Business and Professions Code and mylicense is In full Toro .rod offs 1. O / C Lie LinseC 1 Lic# Date 2 Conlacor N QTY 'r„ !t) (gEEGTRIGPERMIT�t t '" rl ISSUANCE APPLIANCES�RBSIDENTIAL ARCHITECTS DECLARATION I uad... and my plans shall be mad as Public records PANELS UPTO NS) AMPS F r31;W d J Wg C al x O y U W ION Licensed I'moseionm OWNER -BUILDER DECLARATION I hereby idnim that 1 om exempt from the Counci y License Law for the following reason. (Section 7031.5. Business and Professions Code: Any city or county which requires a permit to constrad, .lien improve, demolish, or repair any structure prior o iteissuance, also requireslhe appllcam Imsuch permit to file asignedsimemen' that he is licensed pursuant to the provisions of the Commences License Law (Chapter9 201-1000AMPS OVER 1010 AMPS SIGNS ELECTRICAL 1 SPECIAL CIRCUIT/MISC. SO 4 TEMP M ETER OR POLE INST. Gy ammC (c.rmir, with Section 7000) of Division 3 of the Business and Professmis Code) or that he is exempt Ihemfmm and the basis for the alleged exemption. Any violation of iYC1 4y Section 9031.5 by troy apinhavi t for o permit subjects the applicant to a civil penalty of POWER DEVICES G.' lay m more Than five hundred dollar, ($5 W). ❑Las owner of the prnpeny,mmyemployees with wages us iheirsole compensmion, will im The work. and me structure is not intended or offered for sale (Sec. 9044, Business and Professions Cade: The Contractor's License Law does not apply in an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for SWIMMING POOL ELECTRIC OU'TLE'I'S- SWITCHES -FIXTURES NEW RESIDENTIAL ELECTS 5 sale. If, howeveq the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for par, wave of le). I f the property, am exclusively contracting mh licensed counselors to TOP ' intrinsic h gridez, Sce,9044B ss andP f. on' Code) The Contractor L' cerne 1 a w doe. not apply t f property who builds or improves thereon and •{ PT : ' PLUMBING PERMITI t who contoonsf a ch projects with a cnmmdods) licensed Pursuant to the Contractor's f + •" t'• - PERMIT ISSUANCE License Law. ❑ I am exempt under Sec. , B & P C for this reasim ALTER - DRAIN & VENT- WATER (EA) Owner Date WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT. DEVICE I hereby affirm under penalty of perjury one of the following declarations: Ihaveard will maimaln a COliflum of Consent to self -insure for Workers Cori DRAINS- FLOOR, ROOF, AREA, COND. tlon, as provided for by Section 3700 of the Labor Code, for the performance of the work for which dus permit is issued. FIXTURES - PER TRAP 0 1 have and will maintain Worker's Compensation Insurance as required by Section 3700 ofilm Labor Cade, forth yPan ormna- of the work for which f(his permit is issued My Comeoder'e_Owrjyttior�l surogcswrierolcy No,Polia�oT� GAS- EA. SYSTEM -I INC. 4 OUTLETS GAS -EA. SYSTEM -OVER 4(EA) CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE GREASEANDUSTRL WASTE INTERCEPTOR GREASETRAP (Thissediouirmulatbe completed if thepernit is francs hundred dollars ($100) or loss.) ._. SEWER -SANITARY -STORM EA. 200 FT. Icertify that inthe performance ofthe work forwhichthis permi' is issued. I shall not employ any person in any manner so as to become subject to the Workers' Coupon- WATER HEATER WNENT/FLECTR - ,$ �/O�/ O smian Laws of California. Date Applicant F7 rj abecame Ly Q �z NOTICE TO APPLICANT: If, after making this Cenificme id Exemption, you should subject to the Workers Compensation provisions of the Labor Coda you must forthwith comply with. such provisions or this permitshml be deemed revoked CONSTRUCTION LENDING AGF.NCY I hammy nffrm ihavhere is a construction IwJing agenty for the performance of the work for which this permit is issued (Sec. 3097, Cis. C) Leaders Name WATER SYSTE V TREATING WATER SERVICE NEW RESIDENTIAL PLMB. SQ. FT. �" Iy m U ,7. Lender's Address Tr?V I certify that I have d this ppli f d state that th bove informations cored l agree to comply 'th all city d ty r➢n a ti I relat gt bulldmg construction, and hereby authorize representatives of city[ trupotthe i r .• i QTY. ±-, MECHANICAL PERMiT PERMIT ISSUANCE obove-aren'immd property far inspection purposes. (We) agreem save, indemnify and keep harmless the City of Cupertino against ALTER ORADDTO MECH. habilhles,judgmenm, costs and expenses which may in any way domemagalnst said City in consequence of me granting of this permil. APPLICANT U RSTANDS AND WILL COMP T A NON -POINT AIR HANDLING UNIT (TO 10,000 CFM) SOURCEREC .ATIONS. -_ AIR HANDLING UNIT (OVER 10A00 CFM) gnamre of Applicant/ Date EXHAUSTHOODOVIDUCT) HEATING UNIT (TO IW,IXIO BTU) HAZA US MATERIALS DISCLO RE Will the applicant or inure huilJing occupant store or handle hazardous material s defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety Cade, Section 25532(e)P ^ HEATING UNIT (OVER IOgf)(gO BTU) EYea ❑Na VENTILATION FAN (SINGLE RESID) will'M1e appliaantor future building occupant nee equipment or devices which min hazardons air am manihunts as defined by the Bay A. Air Quality Management BOILER- COMP LIFT OR IW,OW BOILER- COMP (OVER 100,000 BTU) �I• stria! ❑Yes ❑No i have read the hazardous materials requirements mill Chapter 6.95 of The Cali- AIR CONDITIONER NEW RESIDENTIAL MECH. SQ. PT. - forms Health & Safety Code Second 15105. 255J3 an 3 1 rstend that if the raspon' it tBymeaacny. he= t of lenity aaknapt•tnar ofthere,dg ismiIhwvE, (', `��Rjfce'e of(kwpaney. o BLD(i ELECT. PLUME-_ ML'Cy' rL�51 L�/Jt JOB DEDIEESCRIPLTION D SFDWL ❑ KITCHEN REMODEL [I ADDITION PLUMBING RE -PIPE ❑MULTI -UNIT El STRUCTURAL MODIFICATION ❑ INTERIOR ❑ CHIMNEY REPAIR IMPROVEMENT SWIMMING POOLS ❑ BATH REMODEUREPAIR ❑ DEMOLITION r / ( EW BLDG/ADDITION ❑ ❑DEMOLITION TENANT FOOD SERVICE IMPROVEMENT [)OTHER / SQ. FT FLOOR AREA -y'r3,C_y S/SQ. Fr. is 3_5 FEE' VALUATION 3 `r� do 0 STORIES TYPE CONSTRUCT OCC. GROUP APN PAID Dam Receipt # BUILDING FEE ^^O SEISMIC FEES _ r l FEE PAID -- Date Receipt#, g� V•Z —• g� OFFICE �J�JRRXYBa»M MARVIN D. KIRKEBY 2397 FOREST AVENUE SAN JOSE, CA 95128 (408) 984-0331 August 24, 1999 Job No. 99024 Building Department 10300 Torre Avenue Cupertino, CA 95014 Re: 10939 Sycamore Drive Lot 47, Tract No. 9077 Gentlemen; Per Section 7014 of the Uniform Building Code, we have inspected the rough grading for the subject lot and hereby state that it is in substantial conformity with the approved grading plan. Finished building pad was measured to be with 0.2 feet, plus or minus. of the approved design grades. • If further information is required please contact the undersigned. / �u�rs't'rul-y Mary D Registered Civil Engineer J 0 • MARVIN D. KIRKEBY 2397 FOREST AVENUE SAN JOSE, CA 95128 (408)984-0331 August 24, 1999 .lob No. 99024 Building Department 10300 Torre Avenue . Cupertino, CA 95014 Re: 10939 Sycamore Drive Lot 47, Tract No. 9077 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. o r truly,, --� QpOFESSIpNq arvin 13. trkeby ,,Q��J�� D. �9F Fy Registered Civil Engineer No. 'i 4001 � zt Exp. 2M 01 OF 0 dZZA� Consulting Engineers and Scientists 425 ROLAND WAY OAKLAND, CA 94621 (510) 568-4001 TO Date Fr1r, Hours Charged To Project Nuclear Density Tests Field -Task Number Concrete Cylinders THE FOLLOWING WAS NOTED: DATE JOB NO. PROJECT LOCATION CONTRAC76R OWNER K, I l - , "r 'r! , " WEATHER TEMP. at at AM PM PRESENTLATI ITE r-f'; 'A C r Rh C)i e V1, Cc OG t tvi t J --T'l 1--( m4v-, -7-: e e /-n-) I-) n 779 I C r.' I f p"', h o r0 yv, COPIES TO C12(` SIGNED k" KIHLTHAU, INC. Consulting Engineer 1030 Connie Drive, Campbell, CA 95008 • (408) 379-6561 Kelly -Gordon Development Corporation February 10th 2000 12241 Saratoga -Sunnyvale Road Saratoga, CA 95070 RE: Supplemental, As -Built Structural Design Review for the Rough Framing Sign OIT for the Lot 47 Residence, Oak Valley Unit 5 Subdivision, Cupertino, CA (Our Job No.: 99080) Atter my jobsite meetings with Gordon on 2/4/00 and today, and my review of the above referenced design, the following list itemizes both what was visible and verified, and what has been concealed at this stage ofconstruction. 1) Since the plywood floors had been installed prior to my visits, the following items could not be verified as properly completed during this visit. However, they may be 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 subtloor nailing, below walls. 2) 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 fohnd to substantially comply with the engineering design intent). 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 tier 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 Gordon 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 purposes, the second visit satisfied me that the requested items had been completed. This letter was written us' ngineering principles and visual techniques subject to the limitations noted above. This document i� ' ended be a su lemental review of the exposed framing visible during my visit and should he considered a a stand alo d e t¢pendent of the City of Cupertino inspections. Should there be any additional questions, a do not I ' .fit WA I 'I office at (408) 379-8430. M. No. C04t��f34 Fn Timothy ihl tau Exp.j/3t R.C.E."40834/� P� VI enclosure igjfOF CALtF I , r�.;j 3 - �8 ,, f�v � 1 •� 'f-lP.u.' ��L A-h.d� s�u„�5 . 5Sloc-s Le d s,o- o -f (434 Cea �i 4r QJ )'0kL �3zfc) f IVAiL ��c�t•/���! F s�eA2 ^ D22 CLW2vep R4r 4OraS-.,. �pV�'lt .FwlJi 7 srRp.-P s © Pln�cs skrie•R w1fak,s 9�tti looms S�D2s �s�ew�'..._SiA�e, _. L-� 5%�A�S � �p.•�cs �iNin16 sL�lyt ./pep �o �e 04514 Gz3c sP- sl 37 - `� I 1-26-2000 9:Sl AM FROM MORRiS STEEL 00 4082982531 d D.6 (4�-, E� .- L..Vd� ' TESTING ENGINEERSR INCORPORATED BAN"NA"clBco DAKLAND 2BI I AOELINE ST, R0. BOX 24016 OAKLAND, CA 04621 14161 036.3142 �Im SANTA CLAAA !AACAATOAINULADER Y3028 STRUCTURAL WELDER CERTIFICATION onr( 3/22/89 21151 3/17/89 I'LF V,0. N0. —� —_OAYC Of iIi1 CLIENT Morris Steel Comoan�Kent A. wlrNEaln BY YIPIrtR —.-.SA LY_C,y�S Ce IO.. _ mcln(rrcUruly Nu. �Gz'P1—R5F4 IYMYO( —Sr WELDING SPECIFICATION — AWS Dl.l-88 wiI DING rTgD(99 FLAW _— MANUAL ._ ---- A9AYAUIOMA11C —I— MACNVA � _— MR,aoN �_.�iQ,L'�,ibntal ., � MAnNIA4VICnlarpN -. —_ ASIM 416 Inn. e.mniL nvrlxlrF or vAnwM, rt Mngn. mb Mglru rpv.y or RMAwYeI ^•— • N1CArDAN(•(lM!MYOy`CYWR(RAEC✓nAIIDNNJ. —.—•.5 18A,,,�� oIA,IlI(R AnwA'AU TNIc9uTWRn'MnOYNIIwIAF AOwr TNCANiR$ _lu Plate _ 110CNNRn&:%MCC 1.4 LIVALIFNIY VILI Ir11116V IR A.Ifpin'urRP U9f,D1 ._^LeS ��—����, FILLER METAL — Lv ]/ Y E^tcRnArnn un AWS A5 ?JI GLAEEIIn11pM �j-Z__ nr 40119E Ru(R LOTAL III NO CWTAADITY AM NPyCAIGrpW DURRDR _.-_Dr PnLArvTY —Str t _. bill .,,__7/64" __.�. AMMAACA GI01I jM EIM\Nn000 ARf pR OAS FOROA9 METAL AMC G1 IL111 GOREDARC W1LDWG INC. II/A GUIDED BEND TEST RESULTS ._.. TYPE RisLLr TYPE Alaulr _ RADIOGRAPHIC TEST RESULTS IAneJI. M.vlp AAMrLL bbNR• Rlwlb ntnn hmvYF OFIiIR SC �Satisfactory Flat.& Horizontal„�On Diate and_on nine or tubir�over �q" in NfI01RM.AU11lO n9R OA(rnvL wllCilN illl F(fylipµ5l IP1Nr.ARnl,wa crA,.r diameter II�1(RNeR9 RANcsLDwuF¢D', Unlimited Ll���j ��,y��p1 Jh'.OIAOIIAIIrAU4CRfIlIET WE(UR IH IIR J1IIy.,4 Hrrizaayj`COn Dlat$,,;_pipe or tubin- FCAW Series --- Ml VA9F,A9194(0 OLRTII'IA VAT THE WCLDO AND 1E9r9 WERA MADE IN ACCLMOANCA WRIT T14 A(OVINIMIW 9 (A AWl DI.1, pRIICIURAI WClDINO 0001. Morris Steel Cc.. I!(:aw.PAwl Arvb ELEOIA0D19.CgPNe. sTEFIb DNPNR I3iF1LR0TANYIWC4NTA9 �.O�y���� rwl'sor••---- 1-26-2030 9:6DAM FROM MORRIS STEEL CO 4082989531 ?.5 Consolidated Engineering Laboratories 416 Peterson Street Oakland, California 94601 41f! Kea A welder or welding operators name ....$AlSfa4IA�� z .._.. Identification no. 462-21-8554 Welding process Semiautomatic,:,,,,....._...,_. Machine Position _...... tnt-R,3'CAT. ___ _,..__.___. ._ IFtat � hot iAonto I, overhead or ventsxl — I vartiCaI, atata whether upward or downward) In accordance with procedurrespeCulc0l'on no MIS nl Material specification . A 3§ Diameter and wall thickness (it p apr 1_ _ ofher�viae. joint thickness n RTC' Thickeas range this qualities 'h'LIMii'iSIJ FILLER METAL Specification no. A 5.1 __ Classification - R 701 R F not, d DesCrlbe ((lief metal (it not covered by AWS specification I WELDER AND WELDING OPERATOR QUALIFICATION TEST RECORD Is harking strip used? Filler metal diameter and trade name uR '" �' Flux for submerged arc of pas tot gas metal are or flux toted arc welding - VISUAL INSPECTION (9.25.1) AppearanciSBTISF1tMAY Undercut Y.[L Piping porosity Guided Sant Test Reaults Type ResultType 'Result - Test conducted by Laboratory fact no. Per Test date ' FIIIN Test As Bulls Appearance .-... Filiel size Fracture test root penetration _ _.._.. Marcoetch .7" (Describe the location, natvie, and Size of any Crack or tearing of the specimen.) .. Teat Conducted ey _ Laboratory teat no. ' par Test date _ r RADIOGRAPHIC TEST RESULTS Film Film identili• Results Remarks Identifi• Resuhs Remarks, - cation cation 462-21-8554 SMISFACL'ORY Pest wilnessad by nw MsanfatJr .--•--•- � S i - Teat no. 1 0 -- per _ _IABi— We, the undertigned. certify that Ina statements In this record are correct and Ihet the Weida were prepared and fopted In accordance with the requirements of 5C or D of AWS 01.1. (_ 1988 ) 8u lctvral Welding Code, �! year Manufacturer Or C troctof '• Authorized by _ Date AUQISF JjL 1908 1-26-2000 9:50AM FROM MORRIS STEEL CO 4082989531 :3. a 'besting and Controls 415FairchildDrive • Mountain View, CA 94043 • (415) 967-6982 LABORATORY NUMBER: 8-518764A REPORTTO Morris Steel Co., Inc. 372 P nelan Avenue San Jose, California 9$t 12, WELDfA Salvador Castelo SYMBOL SOCIAL SECURITY N0. 462- 21- 8554 TESTMATERAL MATERIAL SPECIFICATION ELECTRODE 7018 OTHERINFORMATION Groove (10) indirect butt WIN, flare grove weld is HORIZONTAL YERTICAL - OVERHEAD FLAT ASTM A615, Orade 60 meoroetoh AA MVWM Of RNCONSULTANTS, INC. DATE: October 11, 1988/mkh TIIC NUMBER 3490-M01 P DATEOFTEST . WITNESSED BY INSPECTED FOR SPECIFICATION PROCESS September 27, 1988 Ron Osburn Morris Steal Co- Inc, AWSD1.4-79 ShieldeC Metal Art - AMAW - SZE 1/8" WELDINGMACHINE Lincoln idealarc250 AMPERAGE 125 CURRENT WAX) VOLTAGE NP POLAR" Strait N/A domed Ior posklon(s)and Vold type to)Wed below, MATE447L MATERIAL TM ELECTRODE LIMITATIONS THE UNDERSIGNED COMFIE9THAT THE WE (DING AMA WELD T ESTS WERE MADE IN ACCORDANCE WITH THE RE"EMENTS OF AWS. PEROD OF EFFECTIVENESS: The woldere quaBffeedlat es epecUledtn this code shall be considered mrertroitdnprcl offact indethAely urdess(1)the wdderIs not engegedin a g6w process of welding for vhich he Is qualified fora pared &weeding eamonthsorvim (2)thereissome apecilcreeeontequeatlonaveldef &*V' Respea* ubrrldted, Testing and Controls By, 1-2e-2000 9:49AM FROM MORRIS STEEL CO 4282989531 ?. 3 estinq and Controls F15 roni Faild Drive a Mountain view, CA ABORATORYNUMBER; 8=5187846 REPORT TO — morns z�zesl co„ Ir 372.Phelan Avenue 95112 gLDER Salvatbr Costelo SYMBOL SOCL41 SECURITY NO. 462-21-8654 . 'ESTMATERIAL #9 1ATSW SPECIFICATION ;LECTRODE E71T-II )YHERINFORMATION rdove (10) direct butt splice, re groove weld e (415) 967-6902 ASTM A615, Oro 60 sQE 6/64" Macroetch �A Dlvls`bnlIof XAMfc CONSULTANTS, INC. DATE: October 11, 1988/mkh T&C NUMBER 3490-MOI P.O j_ DATEOFTEST _ September 27, 1988 WTNESSED BY Ron Osburn INSPECTED FOR MOrrIs$teelCo,,Inc. SPECIFICATION AMD1.4-79 - rulry - WELD9JGMACHWE Lincoln laeaierc R35 AMPERAGE 250 CURRENT(WZQ VOLTAGE 27 POLARITY Strall folder is queNBedfapoaitlon(s)andveldtype(a111atedbelow. Satisfactory N/A APPLICABLE 10,SITION GROOVE WELDS) FILLET WELD(S) LIWTATIONS iORIZONTAL rERTICAL �T No Yes MATERIAL THICKNESS (GROOVE) 09and smaller MATERIAITHRCKNESS(FILLET) #9endsmeller , ELECTRODE DESIGNATION TYPEOFSTEELS AW I WELDING PROCESS I Nno No iE UNDERSIGNEDCERTIHES THAT THE WELDING" WELD TESTS WERE MADE IN ACCORDANCEWTH THE EOUEIEMENTS OF AWS. 5VOD OF EFFECTIVENESS: The waldel's QW91catl on as specified in tNs code slid be considered as rerlmnrlg In effect delFlitaiy anises (t)the welderis not engaged in &given process of wilding f orvNch heb queMedforapedod minding tntanhs or unleas(2jthme b some apecUlcreeaonto gwadon nwsidet'e ebdUy. i I I 1-26-2000 9:dbA!d Testing Engineers, Inc. FROM MORRIS STEEL CC 4082969631 D. 2 Quality Assurance Services Materials Consulting Since 1954 WORK REQUEST NO.:-TL_ REINFORCING STEEL WELDER CERTIFICATION DATE: 06/76/98 File P.O. NO., VERBAL Manufacturers MC•RRIS STEEL COMPANY__- Data of Tests 6/03/96 Address, 372 PHELAN &YMM Witnessed bye._ T. GOTTA Welder: ('.SE`f,R--AIVARBZ ___ social security No.1 643.1 -3452 Symbols C.A. WPS N 5/64-NR311-STC-P10-07 REV. 2 Material Specifications A36/A706 GA. 60 Welding Pr000ss1 FCAW Position of Welding; 2 (HORIZ NTAL) Bar Sires Filler Metal Speci£iaation AS-20 Filler Metal Clasai£ications E70T-7 Welding CurrentsDIRECT _ Polarity; STRAIMiT Amperages - Voltages - Type of Joints.. INDIRECT BUTT M5 Preheat Temperatures 70OF (MIN.)._ TEST RESULTS TENSION TEST: PSI: MACROETCH: satrigEectory MACROETCHs Satisfactory Welder Qualified Fors INDIRECT BUTT 4 LM Welds in the 113 (FLAT! AND 20 (HOUNNIAL . position (a) FILUT WELDS IN THE 1F (FLAT) AM'2F (HORXXZONTAL) Reported to: MORRIS STEEL COMPANY '��,;���.TES�INO M;GZNZM, INCORPORATED Reviewed By; Corporate Office • 2811 Adellno Strom. Oeklend, CalltorNa 94608 • (510) 8363142 - FAX (510) $34.3777 SewthMeet Say - 2123 Bering Drive, Suite 5 - $an Jose, California 95131 - (408) 451.2420 • FAX (408) 46b2426 2 3-09-2000 8:32M1 FROM F e� :m F, THIS IS TO Cr srtpinea+od N� j �i,�q ande�ssbclatad�Iupl�q I 1 � SAITlA.t m 1 LL �l rrie WMIfWNR��.�/GM��ii f _ BWStrademarked awotural M aubleof,to ragular audits In i anoe,program. Routina at I the In-plantGA program lber Wade grid Ouellne bond A� .1 r l,. x iA[1fg1y�'�I � by _.4 Thomas BxeeufiW9. .:a 6NO/NBBRBO:Mtlpp� l�686718E .. 1-26-2000 9:52AM FROM MORRIS STEEL CO 40829S9631 , �. 7 • • INSPECTIONS A DIV16I00 DI REED & GRAHAM LABORATORY SBRVICES e WELDER AND WELDING OPERATOR QUALIFICATION TEST REPORT Weldarmoider Operator's Name veto Welded Project No. Salvador Castolo 07/18l98 MOST-1 'waider ldenntication No. Date Tested Lab No, 8564 07/109 HPO-0053 Client Welding Code (ID & Year) AWS D1.1.99 Morrls $%"I Co., Ina 372 Phelan Ave San Jose, Ca 95112 Bate Halal Reber ASTM A706 GAdt 60 Reber Direct X Indlmct� ASTM A36 Flake Specimen Joint Plan PI Reber k 7•Joint X Pltla process Specimen Famished Reber uize Flux cored are weiding IFCAW) 04 Position .. Specimen Mschined Dia. & Wall Thiokness 2C (Hortizonful) HP Others_ e Weld Progression _Op �&CW„-Ltost Reber Site Range Qu8i8ed t CCW_ R to L_ e4 and Wryer _W%n Quelifled Welded Joint Typd:. ctwifled Positions Complete Joint penetration Croove Flat 8s Horla00%Al (T-Juint) & Rlet WkldA Welding Procedure VOLTS:3O Electlosl Chataenrisu" 5/64 •NRJI I I AMPS 260 AC tx xEn FILLER METAL Spcolflcatiot No. Ciessiflawdon F, No. AWS- A6.10 LT71T-8 10' Seeking Diameter Tnde Marta NO � y6s Lincoln Shielding Gas Flux Self Shielding VISUAL fNSPECTION (AWS ONLY) Appearance Undercut I Piping Porw:ity M"puble none neue MACROETCH TEST RESULTS 'the MACNeteh Tes(a ware aecepaebie per AWS Di.0.98 Seodon 6. The result arc traceable though Lab Number RND-0033 Tecis Wimessed By: Gaunt Ba icus QUALIFICATION RESULTS The Welder/Operator Identified above meats the performwee quahfleatiohs specified in the Code identifled above for the variable stoted, Remarks & Report Distribution (-cmates ass not pmvided or NOT ■pplieablt) Subm`intillbby: Wr.aast Tony Coils V/ AWS QC-1 CWI #96041001 e1 yes SSG Sunol Street, San Jose, CA 95126 a Fnone: 408.281-7722 a Fax, 408-271-0902 Jul 10 01 10: 10e Y•� • Commercial Roof Management San Jose, Inc. Residential Ren,'Swrem Inspecacn Repon Project: Co.4 inspection Date: Address: -- City: State: qA Client: The O'Brien Group Contact: '71,,cJc.a• Roofing Contractor: ILd •d .r CRM Inspector: l=. Lot Number: 3" N � Type of Inspection: Felt Final Type of Roof: Shingle ✓ Tile _ Other _ • Underlayment: Sht Metal Flashing: Gutters: Skylights: Attachments: Vents & Pipes: Valleys: Ridges: Eaves: Comments/Observations: J., CvmNcrE rws7-4a47-zz l or YiP -e-R1b48, ? , REMvdE Exc6sS vtil h178�r/}C Z. t?EMoVE r6E Sor?RO 7"A6K5 + 3o AMT J(, P11 r see 6We6r,Me!7-,#1L FVS-OdO 5e-\ r ,1 7 . ��M1S ltir{ �COABT INSULATN C IO Ihauletion Corrthactors; Inc. 1086 fJ ",11th St • San Jose, GSA 95112 This Is to Certifythat insuldtlon has been installed in'conforrn �kil ''Cal iformla.. Ad ministrative, Cdd, Title 4; State of C" ifomia, the uil SITE ADDfiESS -pppp FFFFFFFFFF FLOORS:. . ,;.Manufacturer"" Thlckness/Type' '. EXTERIOR WALLSi:. 'Manufacturer OWENS CONNING/MV Thickness/1'ype': CEILIN BATTS.': Manufacturer OWENg-CORNING/MV ThicknessITypa s,. : BLOWNi Manufacturer by4 uar66 . Thickness/Type Weight/Bag 35 Sq Ft: Covered' `;.. AIR INFILTRATION SEALANT .,INSTALLED: YES ❑ NO ❑ 5 MAAL CONTRACTOR LICEfJ '. BY TITLE ��A r�`U 710N NT�tA� bAS, INC uCl=lV i ^ Page of Engineering Company, Inc. 425 Roland Way, Oakland, CA 94621 1 Tel: (510) 568-400I Fax: (510) 568.2205 DSA File #: 2601 Barrington Ct., Hayward, CA 94545 Tel' (510) 636-2162 Fax: (510) 670.0127 DSA Application #: 14 Spreckles Ln., Salinas, CA 93908 Tel: (831) 455-8180 Fax: (831) 455.8181 - �- nnwrnnV'rs Dlr A9v MR1VT 1r1UCPF!`TinN RRPnRT Project Name: ,- y� // Date:/ /n' j / " u� Job No./ — Project Location:; �J Re : Client: iPn !. P m / e .f i r-s Present at Site: Contractor: Repo U�.9s • �' �+✓��� -. �//o,�s5 '. Project Manager. Arrival Time: :i uM 1) Task Hours: Code 8.04/, Os�I 2) Task Hours: Code 3) Task Hours: Code Per 1997 UBC Section 1701.5.4, pre -concrete placement special inspection is required for reinforcing steel and PT -tendons for concrete required to havespecial inspection by 1997 UBC Section 1701.5.1 IfApplicable;The pre -placement inspection was conducted by Inspector: All work.In-progres6 deficiency items punch listed by the pre -placement inspector have been checked and verified to have been corrected: ❑ Yes ❑ No 1) Mix No.: Sack Content: Supplier: /�/ Strength Req.;3o a L") Slump Req.: 1,) Mix No.: I Sack Content: Supplier: Strength Req.: Slump Req.: PRE -PLACEMENT PLACEMENT Specs/Notes Checked (YIN): r Joints OK (YIN): Time Cone. First Batched: G ✓ n Workability: Forms Satisfactory (YIN): Coverage (Y/N): Method of Placement:; 'a.nP ( /at L Rebar Disturbed (Y/N):. Rebar OK (YIN): Embedments (Y/N): Slump Satisfactory (Y/N): Set Normal (YIN): Forms/Bed Dampened (YIN): DowWp OK (Y/N): Base Satisfactory (Y/N): Consolidation OK (Y/N): Ports Satisfactory (Y/N):' Keyways OK (Y/N): No. of Vibrators on Hand: dr No. in Placing Crew: Con cr � e ent Lc/ Ation(s): / V t Time Placement'Started: T o.%M Time Placement Finished:o Total Cu. Yds. Placedx+�/0 Concrete Placed in Accordance with Plans and Specs: e' _S / A If "NO" Explain in Comments ® Sets of test cylinders were cast. Each set is comprised of cylinders. A total of [ cylinders were cast. A "Coperato Sample Field Form" was attached to each set of cylinders. Each form contains the following Information: Project Name, Sample Location, Area Represses" Age to be tested, Required 28-day Strength, Slump, Concrete Temperature, Ambient Temperature, Mix Number, Truck Number, Tag Number, .Truck Batch Time, Sample Call Time, Concrete Supplier, and remarks pertinent to the sample set. Comments: / 1I All tests and inspections were performed in accordance with (jh ce k one) 0, See below ❑ DSA approved requirements All materials inspected MEET toe requirements of (check below) ❑ Some materials inspected DO NOT MEET the requirements of (check below) ...._........ .,,.."...................................................... USA approved documents; ❑ Approved plans &'specs, ❑ UBC, yr _, ❑ Title 24, yr._ ❑ A W S code: vr;_; ❑See "Comments" box Drawipgs: Dated: Permit #: Application. #: Non.compliaAce and Discrepancies, reported to: Report copy loft atjobsite •� .. Iosp.INturroi.. , �'' inn Signature:.__`ryn ' .,/CCC%�+.i-- #: �), Co Lett Onsite w/ Project Ins actor IOR's name): School Distrior &Rep; Structural Engineer & Rep: Architect & Rep: DSA &Rep: . lncnectinnRenort9.1.00ch.doc -' CP•1 nprlafNlaN]NIp4m {"" ,' „ti"nuup•n............ ....�.-.........._, .. _ _ . _ _ White I ... ()rininrl - P.ni:-"t Mnnaonr White 1 rnn,r V,Ilnw — ('Bent f nnv Pink — Incnrrtnr Firhl.Filr r'nnv r . . � 1 1 Oak Valley, Cupertino ENGINEERING WEST INC. OBSERVATION CHART PIN.O. = pyyaMot Observed D B ID O O N N 17 m z c� z m m H z ci m m In —I O W 18-APr-1 Kevin Visser dba A.AAAAA Leak Finders & Repair P.O. Box 3091 - - - ($� �J )/ Santa Clara, CA 95055-3091 q J Leah Located Electronically In: Pools, Spas,. - j Buildings & Underground Pipes, All Types of -Plumbing Repairs Made; . > Contractors Lic. #699113 (209) 941-0440 (510) 839-5898 (707) 552-1120 (408) 288-6932 a (650) 366-0111 (916) 331-9999 (415)979-9509 (707)527-7035 (925)939-2359 All Other Areas Fax 1-800-573-1234 .(888)296-4882 - lob Work Order/Invoice - Please Pay From This Invoice On Presentation loe LL =L: CC N& TOTAL AMOUNT DUE IS PAYABLE ON PRESENTATION OF INVOICE cln v 3 JOB TYPE: - - RE w d O L Y f V Z' � T O Lff �9 rt jGLCiZor 'o - GA.S 7 -2 O T_` �yx=r>1 i- Cf TE •J GL V O f B ( STATE M NO - BY WORK DONE ON CONTRACT BASIS / N.B. NO OTHER LEAKS WERE APPARENT AS AT TIME OF TEST a PHONE: - - TOTAL: S >. WORK ORDERED BY: THE OWNER OR TENANT HAS THE RIGHT TO REQUIRE THE CONTRACTOR TO HAVE A PERFORMANCE AND PAYMENT BOND. I FIND THE WORK SATISFACTORY AND THE CHARGES AS AGREED, AND AGREE TO PAY THE TOTAL AMOUNT DUE ON PRESENTATION OF v ° THIS-INV E WITHOUT ANY DEDUCTION WHATSOEVER. I FURTHER AGREE TO PAY REASONABLE CHARGES FOR COLLECTION, INCLUDING > - S E- " , ATT �r FEEVN THE EVENT OF MY DEFAULT, AS WELL AS PENALTY INTEREST AS ALLOWED BY LAW. > — .... • i o ce scenseO an0 re9Wate0 Cy me Convenors Slale Lcxnse Boaro. Arry auesums cor�camn�9 a cunvaaor ma Oe rolerre0 �o v,e Re¢sttar Conlydvps State Lcerae BoaN. 9615 Goevre Roao Savamenlo Caviwru AlaMg (:OntraClOrs are reC a ,v9ra Maw iwmly (pl says Irpm IM appozurWle tlele spealcb m n,e <an[2R �t<n wpt rn9�i5 a vglatwn Of AtlNeaa PO Bo+ _ . GaWorma 95826 19161 255-J900 faawe by are cgnragor wntqu11aw1W eacvse to suowmwW IFe Conlraetors U[anse Ph. _lLothtei�2 / 2 CJ • 0 Street Address f City State_ Date when notice to commision system was given. _I_I_ Resch Date if M ..k.^I, Vac Nn if nn list enrrartiva action" Data Complel Gas meter is installed. 7-7 ower a ec rica su Is connected Breakers at sun ane are on. us uses are installed at disconnect isconnec swi c is on. switch is on. Gas su is o on a w I s s em s wire in. ousm is clean an damage r is on ensa a are set with posith on ensa a in are se in ec Si 12) condensate an is clean an ama eIrl,eran ines are sea e a c uc s are sea a an unres rice . Ducts are strapped wi less an x 16) -s a connecons made a housing panels are secure. 18) compressor and cooling ns are dar 19) compressor to pad straps rolled in om ressor penetrations into wait a is-simi ar metal contact separated T.-stat connections made at com res 23) om re, ssore an a are level. S em I with reTrigerant. Refrigerant ines an caps are ea r 25) compressor n ousin ane s are sec 27) om ressor an connec e o Furnace an run and tes ed. m ient temperature measured at ra Is es a lanced throughou ou S a rsaremasua72 e is earenion M-Rs s rsare se eve o nearewa Ir i er Is ins a e er o ion. Isc.: 75,1WI—Sc.: C HVAC Technician signature L Llh0b2c;0 Date O'Brien Group Mgr. signature Date_/_/` Both signatures required when system has been fully commissioned. Turn into quality control prior to quality assurance inspection. INSTALLATION CERTIFICATE of 4) - CF-6R rinstallation certificate is required to be posted at the building site or made available for all appropriate inspections. CThe information provided on this form is required; however, use of this form to provide the nformation is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment g of Efficiency Duct Duct or Heating Heating Equip. etc.)' Location Flping Load Capacity 7ype(pkg, CEC Certified Mfr Name Identical UFOE. ) tuPor Btu/hr heat um and Model Number systems iCF-IR value °ttiU� e�lc� R v°I°° s��eAvm�7-lz �� AND ,� �,r2Ayo9�'�ib Cooling Equipment - Cooling Cooling Equip. CEC Certified Compressor 0 of Efficiencyi Duct Wet Load Capacity Typs (pkg. Unit Mfr Name and Identical (SEER, etc.)Location Attie ale. R-value Btulhr tumr heat um Model Number systems 2CF-IR value is t 4 y 2Nli �,��T a�sr� —�-- eads greater than or equal to. p equivalent to or more 1, the undersigned, verify that equipment listed above is: )) is the actual equipment installed,ed for compliance with the Energy efficient than that specified in the certificate of compliance (Form CF•IR) submmitt Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for. manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner WATER FIVATING SYST .M : Distribution If Recir- qof Rated' Tank EHi- External Heater CEC Certified Mir Type (Std, culation, Identical input Volume eieney° Standby° insulation e S stems or Btuhr) (gallons) (EF, RE) lass (a/) R-value Type Name & Model Number Point-of-Usc) Control rs Y d heat pump water heaters. list Energy Factor. 2 For small gas storage (rated input of less than or equal to 75,000 Btulhr), electric resistance an For large gas storage water heaters (rated input of greater than 75,000 Btulhr), list Recovery Efficiency, Standby Loss and Rated Input. For Instantaneous gas water heaters, list Rewvery Efficiency and Rated Input. Faucets & Shower Heads: pursuant to Title 24, Part 6, Subchapter 2, Section All faucets and showerheads installed are certified to the. Commission, p Ill. 1, the undersigned, verify that equipment listed above my signature: 1) is the actual equipment installed; 2) is equivalent to or more efficient than that specified in the certificate of compliance (Form CF•IR) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) the equipment meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Ejciency Regulations or Part 6), where applicable. ignature, ate COPY TO: Building Department Building Owner at Occupancy Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner —1 1. 1 L a .nor