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INSPECTION WORK LOG - ONE PER PAGE DETAIL FORMAT PAGE-001
PRINTED ON Q3/09/11
PERMIT NUMBER: 06080017 10150 N WOLFE RD CUPERTINO
PERMIT TYPE: COMML-NEW DO NOT USE
USAGE CLASS: PUG1/11FR PUBLIC GARAGES 1/11 FR
SPECIAL TEMP. PERMIT FOR JC PENNY' S PARKING STRUCTURE
PERMIT -.TEMPORARY PERMIT EXPIRES 09/02/06
CONDITIONS:RENEWED 9/5/06 NEW EXPIRATION 10/05/06
AND NOTES :
PARCEL ID: 31620038 - 00
LOT: BLOCK:
SUBDIVISION:
OWNER NAME: VALLCO INTERNATIONAL
OWNER ADDRESS :
CONTRACTOR ID: 28087
CONTRACTOR NAME: RICHARD G WALTERHOUSE
CONTRACTOR PHONE: (510) 893-8337
INSPECTION TYPE: 104 REBAR
INSPECTION AREA:
SCHED DATE: 11/15/06 INSPECT TIME:
CONTACT INFO:
INSPECTOR:
INSTRUCTIONS: 973-1603 TOBY
COMMENTS: TEMP PERMIT EXPIRED
RESULTS: PASS FAIL CANCEL RE-FEE FAIL CODE.-
NOTES:
PRIOR INSPECTION RESULTS :
104 REBAR 11/15/06 C TEMP PERMIT EXPIRED
104 REBAR 11/14/06 C TEMP PERMIT EXPIRED
104 REBAR 11/13/06 C TEMP PERMIT EXPIRED
104 REBAR . 11/10/06 C TEMP PERMIT EXPIRED
104 REBAR 11/09/06 C TEMP PERMIT EXPIRED
104 REBAR 11/08/06 C TEMP PERMIT EXPIRED
104 REBAR 11/07/06 C TEMP PERMIT EXPIRED
104 REBAR 11/06/06 C TEMP PERMIT EXPIRED
104 REBAR 11/03/06 C TEMP PERMIT EXPIRED
104 REBAR 11/02/06 C TEMP PERMIT EXPIRED
104 REBAR 11/01/06 C TEMP PERMIT EXPIRED
104 REBAR 10/31/06 C TEMP PERMIT EXPIRED
104 REBAR 10/30/06 C TEMP PERMIT EXPIRED
104 REBAR 10/27/06 C TEMP PERMIT EXPIRED
104 REBAR 10/26/06 C TEMP PERMIT EXPIRED
INSPECTION WORK LOQ - ONE PER PAGE DETAIL FORMAT PAGE-002
PRINTED ON 03/09/11
*** INSPECTION SHEET - CONTINUED
INSPECTION TYPE: 104
PRIOR INSPECTION RESULTS )
104 REBAR 10/23/06 C TEMP PERMIT EXPIRED
104 REBAR I
06 C TEMP PERMIT EXPIRED
104 REBAR 10/19/06 C TEMP PERMIT EXPIRED
104 REBAR 10/18/06 C TEMP PERMIT EXPIRED
104 REBAR 10/17/06 C TEMP PERMIT EXPIRED
104 REBAR 10/16/06 C 'TEMP PERMIT EXPIRE])
104 REBAR 10/13/06 C TEMP PERMIT EXPIRED
104 REBAR 10/12/06 C TEMP PERMIT EXPIRED
104 REBAR 10/11/06 C TEMP PERMIT EXPIRED
104 REBA-R 10/10/06 C TEMP PERMIT EXPIRED
104 REBAR 10/09/06 C TEMP PERMIT EXPIRED
104 REBAR 10/06/06 C TEMP PERMIT EXPIRED
104 REBAR 10/05/06 P LS
104 REBAR 10/05/06 P LS
104 REBAR 10/04/06 C GST
104 REBAR 10/03/06 P RM
104 REBAR 10/02/06 P BG
104 REBAR 09/29/06 P LS
104 REBA-R 09/28/06 P LS
104 REBAR 09/27/06 P SUSPENDED SLAB LS
104 REBAR 09/26/06 P LS
104 REBAR 09/25/06 P LS
104 REBAR 09/22/06 P BG
104 REBAR 09/21/06 P LS
104 REBAR 09/20/06 C LS
104 REBAR 09/19/06 P LS
104 REBAR 09/18/06 F LS
104 REBAR 09/15/06 P LS
104 REBAR 09/14/06 1 LS
104 REBAR 09/13/06 P SPEC INSP REPORT LS
104 REBAR 09/12/06
N WORK LOG - ONE PER PAGE DETAIL FORMAT PAGE-003
N 03/09/11
■ owl
INSPECTION SHEET - CONTINUED
BER- 0608OQ17 10150 N WOLFE RD CUPERTINO
yo
N T PE: 104
PRIOR INSPECTION RESVLTS (Qont 'd) -.
109 BLOCKWALL 09/28/06 P LS
114 PLUMBING UNDERGROUND 09/29/06 P LS
114 PLUMBING UNDERGROUND 09/26/06 P LS
114 PLUMBING UNDERGROlUND 09/21/06 F LS
114 PLUMBING UNDERGROUNL) 09/11/06 1 LS
114 PLUMBING UNDERGROUND 09/07/06 P LS
202 UNDERFLOOR PLUMBING 09/26/06 C LS
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-W— *FPR-W% - I L i i .. -,-0tidr1w
mom
ITY OF CUPERTINO
BUILDING DIVISION PERMI
ILDING ADDRESS: ECaS LP PERM1717 NO 06080017
0150 N WOLFE--Ra
2�. PERMrT
NAMMSUE DATE
E.
VALLCO INTERNATIONAL 2101 WEBST 1 qnn ------- QAJQ2f 2DQ6
ONE: SANITARY NO. CONTROL NO.
(510) 893-8337
RC HMCT/F-NGI NEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MSCH
LICENSED CON'TRACTOR'S DECLARATION Job Description
I hereby affirm Owt I am licensed under provWons of Chapter 9(commencin.g
th Section 7000)of Division 3 of the Business and Professions Code,and tic sets
full force and cffect. P TEMP. PERMIT FOR JC PENNY' S PARKING STRUCTURE
cense f. 3 , Lic.N 41 Z4 1
ate Contractor— TEMPORARY PERMIT EXPIRES 09/02/06
AR rnrE(CrS DECLARATION
I understand my plans shall be used as public records
censed Professional
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
llowing re&wn.(Section 7031-5,Business and Profasions Codc:Any City or county
—hie h requires a pemit to cnnar=4 alter,improve,dcmolLsh,or repair any suuctum
or to iix issuance.also requires ft applicant for such permit Lo file a signed statement S q.FtFloor Area Valuation 0
i hc is licensed pursuant to the provisions of the Con is License Law(Chapter 9 . 45
ommencing with Section 7000)of Division 3 of the Business and Profcssions Code)or
at he is exempt therefrom and ft basis for the alleged c=pdon.Any ala'on of ---
tion 7031 y any applicant for a permit subjecu the applimt.to a civil penalty Of APN Number Occupancy Type
t more than rive hundred dollm(S5M 31620038 . 00
1,as owner of die property,or my employees with wage3 its their solc cornpemdon,
ill do the work.and the structum is not intended or offered fors (Sec.7044.Business Required Inspections
d Professions Code--The Conuacwi's Lktm LAw does not apply to alto wner of
roperty who builds or improvts thereon,and who does such work UmwJf or thmugh his
n employees,provided that such improvemeMs am not intcrided or offered for sale,11,
i owever.the building ori is sold within one year of completion,the owner-
uilder will have the burden of proving ftt he did not build or imprme for purpose of
le.).
L as ow=of the property,am exclusively conng with licensed conLractors to
onstruct the project(Sec.7 ,Businc3s and Profcssions Code:)The C Li-
e=Law does not apply to an owner of property who builds or® tbemon.and.
ho contracts fors projects with a contractor(s)licensed pur3uant to the Contr=toes
icense LAW,
I am exempt under Sec B&P C for tWs reason
Wner DJLC
WORKEWS COMPENSA`nON DECLARATION
I hereby affirin under p=1ty of pcdury om of the following declarafions:
I havc and will maintain a Cerkificaie of Consent to self-insare for Wv Compcn-
tion.as provided for by Section 3700 of the Labor Code.for Um performance of ft
ork for which this pemit.is issued.
I have and will mainWn Workces Compensal on Instinince,as required by Section
700 of ft Labor Code.for ft perfornmce of the work for which this permit is issued.
y Workees ompensation Innuw=cxTicr and Policy number arc:
niw. X�CI
--Policy No.:---bRKERS'
CERTWI dF EXEMPnON FROM W
COMPENSATION INSURANCE
q1is section need nal bc completed if the pcnniL is fora hundred dollars(S 100)
r lcs&)
I certify that in the performance of the work for which this perinit i3 issued,I shaJI not
employ any person in any m-anncr so as lo become subject to the Workm'Compensation
Law3 of Californi&Date
Appficam
INOTICE TO APPUCANT:If.of making ibis Certificatc of Excmption,you should
becomesubjecE to the Wortces Caon provWons of die Labor Code,you must
forthwith comply with such provWons or this permit shall be deemd rewked-
CONMUCTION LENDING AGENCY
I hemby aMrrn that there is a construction lending agency for the performance of
Lhc work for which this pennit Is issued(Sm 3091,Civ,C.)
Lendces Nam
Lender's Address
z
I ccnify that I have re3d Ws application and s ft above information Is
ca t.I agme Lo comply with all city and county or s and siate laws relating to
building cans tion,and hcmby authori represe Ely Of this city to enter upon the
A
U ahovc-mcnfioncd property for inspection rpu I"
4 (Wc)agree to save,indcmnify Css LM City of Cupertino against /1
v) I iabilitim judgments,costs an pe - whic m in any way accrue agai t said City
Z in consequence of die gmnti f W
APPLICANT UNDER D L COMPLY WITH A OINT lssued by.- Date
SOURCEREGULAM
Re-roofs
Signature of Appliclan Date
OU MATERIALS ICL
1I lype of Roof
r
4 � idle
Will the applicant�or f�ujt ilding occupant stom or ha e hwardous matezial
as defined by the Cupertino M icipal Codc.Chapicr 9.12.and the HtOth and Safety
Co&,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
0 Yes E?rr4o If a roof is installed without first obtaining an inspection,I agree to remove
Will the applicant or to bujidi pant usc cquipment or devi=which
emit h;vazdous air con ts as y the Bay Area Air Quality Mariagment all new matefials for inspection.
Disuict?
[]Yes N
I have rcad a alsmquiremeamundcr(Nmpicr6,P5o(tkCalifor-
nia Health&S .25533 and 25534.1 if Lk building
does not curre a 1, at it is my responsi flit notir occupant of the
ry
requirenr-nts ust prior to issuance of r, ()C Signature of Applicant Date
. All roof coverings to be Class" rt Bor better
Lqnc—r-or authori7ed aont Datc
IWITY OF CUPERTINO
CUPEI�TINO PERMIT APPLICATION FORM ice,
� o076
APN# Date.-,,
� 2bb �
- 2- o
Building Address. Mailing Address (if different from building address).
�
ate n. t .
Owner's Name: Phone#:
1�NIDMA-gK P_RoF_E7�t E5 Mq N�T_ `7-7-7
Co ctor, License#:
1�1�4�<O �0 8 �1"7 2
Contct: Phone: Cupertino Business License#:
G ��3rmezt Fax:(,C/0) 2(pg• �j?zoo
-------- ------
r -*v
0001- 11L A
Building Permit Info: 400,�AMF I r �C QeY)n OL rA<f Tv
Bldg Elect Er Plumb EK M ech E100,00,
Job Description: S'T'RV fq?,r,-
Residential ElP2.�0fCommercial 5C
tie,
Sq.Ft. Floor Area: Sq.Ft..*
Cost of Project: Occupancy Group:
----------------------- 71
Type of Construction: Please check this box if the project is a
C2 second-stoKy addition: El
-Project Size-. Standard El Large El Major El
Quanti Fee ID Fee DescrVion Fee Group
BAPPLOTHER Other Awliances MECHANICAL
BBOILER1 Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to IM Btu MECHANICAL
BBOILER4 Boiler> IM to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax-Resi/Mobile BUILDING
BELEC 1000 Elec 600V <= 1000A ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
BELEC200 Elec Svcs 600V<=200A ELECTRICAL
BEN-ERGY Energy BUILDING
BEN-ERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
I of 3
4_7 �ITY OF CLTPERTINOA
CUPEkTINO
PERMIT APPLICATION FORM
Quanti, Fee ID Fee Description Fee Group
BMISCELL Miscellaneous Fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BNUCOMME New Comm Electric ELECTRICAL
B].VIICOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pb1g Fixture PLUMBING
BPGAS Gas PipLmgSystem Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check R eat Fee BUILDING
------ BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Dis osal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER InstalVAlter Water Pie PLUMBING
BPWHEATER Water Heater/Vent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 1000 cfin MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI A liance Install MECHANICAL
BREMBUSWAY Remodel Buswa s ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFLTRN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res A liance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Re air/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Lkp Hance ELECTRICAL
2 of 3
CITY OF CUPERTINO
Item 1 of 1 PERMIT RECEIPT OPERATOR: kiersaw
COPY # 3
Sec: Twp: Rng: SUb: Blk: Lot:
APN
. . . . . . . . . 31620038-00 ■
DATE ISSUED. . . . . . . : 08/02/2006
RECEIPT #
. . . . . . . . . . 35492
REFERENCE ID # : 06080017
SITE ADDRESS 10150 N WOLFE RD ■
ki
SUBDIVISION
. . . . . . .
CITY
. . . . . . . . . . . . . . CUPERTINO
IMPACT AREA
. . . . . . . rn
OWNER . . . . . . . . . . . . : VALLCO INTERNATIONAL
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . :
RECEIVED FROM . . . . : CHRIS RAEL
CONTRACTOR . . . . . . . : RICHARD G WALTERHOUSE LIC 28087
COMPANY . . . . . . . . . . : PANKOW SPECIAL PROJECTS LP
ADDRESS . . . . . . . . . 0 : 2101 WEBSTER ST STE 1500
CITY/STATE/ZIP . . . : OAKLAND, CA 94612
TELEPHONE . . . . . . . . : (510) 893-8337
G
k)
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- --------
-- ---------- -------®-- ---------- ------ --BTEMPPERM FLAT RATE 1.00 200.00 00 200-00 0.00
---------- ---------- ---------- ----------
TOTAL PERMIT 200.00 0.00 200.00 0.00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ------------------
OTHER 200.00 VISA
TOTAL RECEIPT 200.00
4t*P
DISTRICT MANAGE R-ENGI NEER BOARD OF DIRECTORS ■
CID
MARK THOMAS&COMPANY,INC. WILLIAM A.BOSWORTH
DAVID E.ROSS DR.JOSEPH F.BROWN
JOHN M.GATTO
DISTRICT COUNSEL
ATKICURTIS
NSON 0 FARASYN,LLP B.HARRISON
WENDELL H.KERR,JR.
HAROLD S.TOPPEL 20833 STEV RD,SUITE 104
CUPERTINO,CALIFORNIA 95014-2154
(408)253-7071 PHONE (408)253-5173 FAX
August 9, 2006 File: CuSD— 104-01
(54-00112B)
■
Mike Rhode
c/oChris Real Jr., Construction Manager
General Manager
Vallco Internalional Shopping Center, LLC
c/o Landmark Properties Management
10 123 North Wolfe Rd
Cupertino, CA 95014
Re.- Woy'e Road Sanitary Sewer Improvements, Cupertino, California
Enclosed are the following documents for execution by the owners of the subject development:
Installer's Agreement
Three copies of the enclosed Agreement,properly executed by the managing partner, together
with required project security M* the amount of Two Hundred Seventy Thousand Dollars
($270,000.00)to be returned to this office as soon as possible for execution by the Cupertino
Sani'tary District Board of Directors. This item has been age=* ed for August 16,2006, for
action by the District Board.
■
In addition to the above,, •the following fees and/or deposits must be paid to the District:
•
I. Checking& Inspection Deposit:
Total Deposit Required $6�200.00
Deposit Paid (I�200.00)
n
Additional Deposit Due $5,000.Ou
(The difference between the deposit and the actuW costs fficurred by the District shall either be
refimded or billed to the owner).
SUPPLYING SANITARY SEWERAGE SERVICES FOR: CITY OF CUPERTINO, PORTIONS OF THE CITIES OF SARATOGA, SUNNYVALE, Los ALTOS An SURROUNDING UNICO RPORATE o AREAS
ww w.cupertin osanitorydisttict.com
Vallco Intemational Shoppi*-ng Center, LLC
Landmark Properties Management
August 9 ■
, 2006
Page 2
(Note: All of the above fees are subji
ect to revew and approval of the Board of Dixectors of the
Cupertino Sam' •
tary District).
Sincerely,
MARK THOMAS & COM:PANY. INC.
_-.et Manager-ET'n m' eer
David E. Ross
M,
DER.-CHB:cam
Encl (as)
7
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CONSOLIDJ�.*: _ ; I I N EERI NG
■
4
CEL FRO 109
Rev. 0 STRUCTURAL MAS% -'r' ECTION REPORT
r0i CEL No. 1
c.t 41
MU
Project A
• .. 1 _ a2lll A' ' �IVf' M. a fir• I
Inspector:
t
� ■
Jq Samplm* g K Inspection [ I Continuous Pen'odic
I. Obtained samples of a[ block b[ brick C[ 12. [ 1 Non-Compliance Report left at jobsite.
veneer. copy a
hours spent performing reinspection.
•
2.
teel and Unusual
a circumstancesnt
mason.ry for-
AM
• , •
Notified at
_ t
#., jobsite and at CEL.
ry f
wx
• Masonryajs consist oflREggWveneer/brick:
location.Size
4. Cast specunens representing
a[ Type S
b[ Type M mortar for the above
5. Inspected cleanouts prior to high-lift grouting.
6. Inspected a[ high-lift bV low-lift grout
placement •
• .,
A r
i aF
_ 0
i
•
Cast specimens representing groutplacement for the above location.•
ar
preparation
• Witnessed
prism. (One per 5000
of wall area)
a a
H Job cancelled due to
r
10. [] Work inspected was in compliance wit-h
approved plan and specifications,
•
noted.
except as
+ + i
C`0�i'SOL3"DATED E�4GHJE',
■
U_
CEL FR0097 Rev.0 SHOTCRETE NSPECTION REPORT
P 'ect Name: 4,1 1A k tr"..C. Project No.:Zo Permit No. Ob 03 007(v
Project Address/
j1Z/7,X IV 6ZPY Inspector-
WA
Type of Work: Nozzleman Certificatfon Required? [I Yes No
----------- ----------- ----------
1.V Mock-up rueProduction
loor V% Location No.Nifeas. ;Req:d: Actual
-loft
Ito A at the jobsite.
2. Reported to -:>eVt.!3 &A
3J] Checked rebar for specified size,grade,and spacing at the
following locati"ons:
13. Verified blow-pipe removal of rebound.
4. Verified installation of/a. [] anchors/b.1'] sleeves
c. [I penetrations/d. [I alignment controf devices. 14. Checked repair of deficient areas.
15. Witnessed preparation of(no.) of shotcrete test
hd Inspected preparation and predampening of surfaces to
'OF N panels by/a.Acertified nozzleman(name):
receive shotcrete. ,07
Ojos.j&7 -Dn-Mix ShQtcrete 0 16. H Job cancelled due to
6. [1 Verified that materials and proportions meet
specifications&/or UBC requirements. 17X Work inspected was in compliance with approved
plans and specifications,,/a. [] except as noted.
741 Materials were measured using/a. [] shovel/b. [] scoop aft
loader with bucket size. IS. per approved drawings no.:
8.)� Materials were mixed by (method) beti-ck d 19. Non-Compliance Report left at jobsite. (Lab copy
attached).
20. hours spent performing re-inMection.
9-A Verified that shotcrete mixture is unfform without sand
streaks, sagging, sloughing. Unusual circwnstances or problems?)�No Yes*
*Describe below. Notified at the jobsite
10. Inspected placement of cu. yds. of/a.)(wet-mix and at CEL.
shotcrete,,nux no. U. -mix shotcrete for the
following locations:
J] NOTES/Comments:
AOK
I I- Performed thickness measurements of shotcrete placed
at the above locations.
12. Measurements meet minimum design thickness
requirements/a. H except as the foLlowing locations:
MINIMUM SHOTCRETE THICKNESS
FAhLftA106JL dlPLWhI I ■ —
CONSOLIDATED ENGINEERING LABORATORIES, INC. 534 23rdAvenue
Oakland, 94606-5307
(5 10)436-7626
DATE OF ISSUE:10/23/2006
COMPRESSIONT
R-PT TCity of Cupertino ;P�����ys- a In
10300 Torre re ve e N. Wolfe Road
Cupertino, 5 Cupertino,. CA .
Building Insestion Departme
PERMIT/APP 060300761
I :
1020167A
LAB# : 008396
PLACEMENT DATA
Placement# : 68 Mix
Sample date : 10/11/2006 eSpec 2000 psi @ 28 days
Tota I sets : l Agg. Size/Src3/8"1 CEMEX
Material type Grout Prism-Compression Test ASTM C 10 19 Cement factor 5.50 sack
Material lien° : ce eX Slumpsec 10.00 i
n-ii x to r-e type :
T DATA
Set nun-ier : 1 of l : 10.00 in ASTMC143
Sample time : 13:10 Air temp 63 deg
Sampled by : Badaruddin Ahmed MIXtemp 76 degl
064
Ticket/Truck 82503619
Mold type
Placement Location Row .3 lines 1 - 12, lie 19 rowelevator
Sample cati Elevator, lines 1 _9, wall, row es 13.75
Comments :
CYL T 1MAXIMUM
# AGE DATEl (sq. i (psi) TYPE
839 7 10/18/2006 3.97 X 4.01 X 7.81 15.92 191438 1.00 12
008396B 28 11/08/2006 I, 3.75 X 3.75 X 7.50 14.06 1.00 0
008396C 11/08/2006 3.75 X 3.75 X 7.50 14.06 0 1.00 0
008396D H L 3.75 X 3.75 X 7.50 14.06 0 1.00 0
Cur-in F]1y e: L=:l =field
Fracture types: A=cone and columnar, =columnar, = 1 1, = 1 e, E=double side
Unless otherwise noted, samples tested in accordance with 1
IZESPECTFULLY SUBMITTED: o s i ate eer es Powers , LAB MANAGER
CC, -
City eri - Building Inspection De rt e
CONSOLIDATED ENGINEERING LABORATORIES, INC. 534 23rd Avenue
Oakland, CA 94606-5307
(510)436-7626
DATE OF ISSUE:10/23/2006
COMPRESSION TEST REPORT
RPT TO: City of Cupertino RE:Vallco JC Penneys-Parking
10300 Torre Avenue N. Wolfe Road
Cupertino,CA 95014 Cupertino. CA
ATTN: Building Inspection Department
A D
RNI IT/f-1 L
V P#: -06030076
'4
W- LE#:
CEL#: 1020167A
008359
PLACEMENT DATA
Placement# : 67 ix Number 157729
Sample date 10/10/2006 Strength Spec 2000 psi @ 28 days
Total sets : I Agg. Size/Src 3/8"/ELIOT
Material type Grout Prism-Compression Test ASTM C 10 19 Cement factor 5.50 sack
Material SLippher : cemex Slump spec 10.00 in
Adi-niXtUre type wi-da64
SET DATA
Set ntimber I of I Slump 10.00 in ASTM C143
Sample till-le 11:35 Air to 67 deg F
Sampled by : Yolanda Para Mix to 75 deg 1, ASTM C1064
Ticket/Truck 82202987/2938
Mold type : BLK
Placement Location Row G line 6, level P3
Sample Location Same as above
Coniiiients :
CYL TEST TEST CURE DIMENSIONS(in) AREA MAXIMUM COR-R STRENGTH FRAC
# AGE DATE TYPE WIDTH X LENGTH X HEIGHT (sq. in) LOAD(1b) FACT (psi) TYPE
008
35 9A 7 10)17)2006 L 4.19 X 4.10 X 7.83 17-18 A780 1.00 1850
008359B 28 11/07/2006 L 3.75 ._3.75 __7. 1.
008-359C 28 11/07/2006 L 3.75 X 3.75 X 7.50 14.06 0 1.00 0
008 35c 3.75 X 3.7 1.00 0
CL11-11h,) Type: L= lab, F= field
Fracture types: =cone and columnar, B=--colun-inar, C=diagonal, D=slde, E—double side
U n less otler lse noted, sa mples tested in accordance with ASTM C 10 19
RESPECTFULLY SUBMITTED: Consolidated Engineering,James Powers, LAB MANAGER
cc: -
City of Cupertino-Building Inspection Department
CONSOLIDATED ENGINEERING LABORATORIES, . 534 23rd Avenue
Oakland,C94606-5307
51436-7626
DATE OF tSSUE:10/25/2006
COMPRESSION
RPT : City of Cupertino it RE:Vallco JC Penneys-Parking
10300 Torre Avenue - -r �,' - Wolfe,Road
,.6 _.:.
ertin , CA 95014 MC
- - Cupertino, CA
' ~ ` ■
J-
ATTN: Building Inspectione t e
PERMIPAPP# 06030076
CEL#. 1020167A
LAB# : 008458
PLACEMENT DATA
Placement# 69 Mix Number 157035
Sample date : 10/16/2006 Stre t ec 6000 psi @ 56 days
Total sets : 2 Agg. Size/r I" /HANSON
Material type : Concrete Compression Cyl. ASTM C 39 Cement factor 7.50 sac
I aterial Supplier : cemex Slump sec 4.00 in
di-n1Xture type : wi,da64
SET DATA
Set number : 2 of 2 S lump 4.00in ASTM C143
Sample time : 11:55 Air temp 80 deg
Sampled by Samuel C Ekenstam Mix temp : 79 degC 1
064
Ticket/Truck : 82503899 1 71 •
Mold e : C L
Placement Location Suspended deck, level P3, rows C-G lines 6- 1 (pour 5 r
ani le Location Line 9 row
Co n71`]`]e n t :
C` 'L. TEST TESTC iMAXIMUM
# AGE DATE TYPE DIAMETER (sq. in) L C (psi)
008458A 3 10/19/2006 L 6.00 X 12.00 28.27 106,1 375
095 56 12/11/2006 L 6.00 X 12.00 28,27
008458C 56 12/11/2006 L 6.00 X 12.00 28.27 0 1.00 0
008458D H L 6.00 X 12.00 28.27 0 1.00 0
OOS45SE H L 6.00 X 12.00 28.27 0 1.00 0
Curing Type: L=is = field
F ractUre types: =cone and columnar, =colo ar, = is al, =Side, E—double side
Unless otherwise noted, sa les tested in accordance with ASTM C 3
RESPECTFULLY SUBMITTED: Csoli ate Engineering, James Powers , LAB MANAGER
Cc- -
City
c: -
Clty of Cupertino-Building Inspectionear e t
CONSOLIDATED ENGINEERING LABORATORIES, INC. 534 23rd Avenue
Oakland, CA 94606-5307
(510)436-7626
DATE OF tSSUE-.10/25/2006
COMPRESSION TEST REPORT
RPT TO: City of Cupertino RE:Vallco JC Penneys-Parking
10300 Torre Avenue N. Wolfe Road
Cup
Cupertino,CA ertino, CA 95014
ATTN: Buil,ding Inspection Department IXT 11
PERMIT/APP#: 0603007
FILE#:
CEL#: 1020167A
LAB# : 008457
PLACEMENT DATA
Placeniew# : 69 Mix Number 157035
Sample to : 10/16/2006 Strength Spec 6000 psi @ 56 days
Total sets : 2 Agg. Size/Src V/HANSON
Material type Concrete Compression Cyl. ASTM C 39 Cement factor 7.50 sack
Material Supplier cemex Slump spec 4.00 in
Admixture type : wi-da64
SET DATA
Set Burn ber : I of 2 Slump : 4.50 in ASTM C 143
Sample time 10:45 it temp : 64 deg F
Sampled by Samuel C Ekenstam Mix temp 78 deg F ASTM C 1064
Ticket/TI'Llck 82503885/2961
Mold type ti
CYL
Placement Location Suspended deck, level P3, rows C-G lines 6- 16(pour#5)
Sample Location Line 14 row C
Coniiiients
CYL TEST TEST CURE DIMENSIONS(in) AREA MAXIMUM CORR STR.ENGTH FRAC
# AGE DATE TYPE DIAMETER X HEIGHT (sq. in) LOAD(lb) FACT (-Psi) TYPE
008457A 3 10/19/2006 L 6.00 X 12.00 28.27 94,640 1.00 3350
008457B 56 12/11/2006 L 6.00 X 12.010 '18.27 0 1.00 0
008457C 56 12/11/2006 L 6.00 X 12.00 28.27 0 1.00 0
008457D H L 6.00 X 12.00 28.27 0 1.00 0
008457E H L 6.00 X 12.00 28.27 0 1.00 0
Cui-ingVype: 1,® tab,F—field
Fracture types: A=cone and colunmar, B=colurnnar, C=diagonal, =side,E=double side
Unless otherwise noted, samples tested in accordance with ASTM C 39
RESPECTFULLY SUBMITTED: Consolidated Engineering ,James Powers, LAB MANAGER
cc: -
City of Cupertino-Building Inspection Department
CONSOLI DATED ENGINEERINGINC. 534 23rd
Oakland, -53
(5 436-7626
7
A'fE OF ISSUE:10/25/2006 �
l A~ City o Cupertino
a J e eys- r .i
10300 Torre Avenue 'N. Wolfe Road
Cupertino, CA 95014 - 'Cupertino, CA
ATTN: Building Inspectione art e t
TERMIT/APPP#: 06030076 -.
FILE .
17
007709
PLA(-,'EMENT
lacememi ix Number 158879
Sample ate : 09/21/2006 Strength Spec 3000 psi @ 28 days .�
Total sets : I �� zel rc 1 HANSON .
Material type Concrete Compression Cyl. Cement factor 6.50sack
..
Material Supplier : cemex Slump
see 4.50
AdmiXtUre type wr
SET DATA
Set nLmmll er . I of I Slump : in ASTM C 143 ;
Sample time 13:15 Air temp 88 deg
Sampled by Perla Bernarte Mix temp 80 deg `
Ticket/Truck 3 1 2939
Mold type : CYL
Placement Location Lines -3, rows D-
Sam le Location : Lines 2 -3 row L
Comments :
C Y 1, T (in) AREA MAXIM-UM CORR STRENGTH FRAC
## AGE DATE TYPE DIAMETER (sq. i (psi)
0 77 :A 128/2006 L 6.00 X 12.00 28.27 135124780
107709B 28 10/19/2006 I. 6.00 X 12.0 .27 1645660 1.00 5820
7709C 28 10/19/2006 L 6.0012.00 28.27 160840 1.00 5690
007709D . 12.00 28.27 0 1.00 0
Samples Ales M E specified strength requirement at 28 DAYS. v =57
CL11-i111,Ty e: L= la = fief
Fra tUre types: �A=cone an columnar, = l m r, = 1, =s e, = o e side
Unless tllerwi e noted, s n7 les tested in accordanceit 3
RESPECTFULLY I Consolidated i ee i ,James Powers, LAB MANAGER
cc: -
City of Cupertino- Building Inspectione rt e t
LABORATORIES,CONSOLIDATED ENGfNEERING INC. 534 23rd Avenue
Oakland, CA 94606-5307
51 436-7626
DATE OF ISSUE: 10/25/2006
NPORT
RPT TO: City of Cupertino - l c e e s-Parking
a __�
3 TorreAvenue ,';".- : �_ � -- � le Road
Cupertino, CA 95014 Cupertino,CA
Building Inspection art e '
PERMIT/APP# 06030076
CEL#: 1020167A
LAB : 007647
PLACEMENT DATA
acernent# 47 Mix Number
Sample date : 09/22/2006 to tSpec 8000 psic 28 days
Total sets : 1 _
Material e Hydr. CementlNon Shrink {
Material] I ier dayton superior
1
SET DATA
F ,
r
-rr
Set number : 1 of I
Sample time ".
Sampled by : Samuel C Ekenstam
Mold t e : CUBE
1'1acemerlt Location Row G lie 291, line 30 row E.9
Sample Locatioll Same as above
Co
r�r ments:
C ' iMAXIMUM
# s . l (psi) TYPE
77 7f2006 L 2.02 X 2.00 X 2.00 4.04 34)452 1.00 8520
007647B 28 10/20/2006 1, 2.03 X 2.01 X 2.01 4.06 441829 1.0c, 11040
07 47C 28 10/20/2006 L 2.04 X 2.00 X 2.00 4.08 43, 1.00 10560
7647 1.00 0
007647L 1--1 1.00 0
007647F 1
Samples MEETspecified 28 DAY strengthrequirement t 28 DAYS. Avg=10800
Curing Type: = l field
t,r-actur-e types: A=cone and columnar, =c u ar,C--diagonal, =side,E=double side
Unless otherwise noted, sa les tested in accordanceit 109
RFSPECTFULLY SUBMITTED: Consolidated Engineeri ,James Powers,
cc: -
City of Cupertino- Building Inspectionr e t
C NS _ 1-IDATED ENGINEERING LABORATORIES, INC. 534 23rd Avenue
Oakland, 94606-5307 t•
510)436-7626 ,
DATE OF ISSUE-.10/25/2006
COMPRESSION TEST REPORT
RPT : City Cupertino =�- -= - -�' __ - _ a e y -Parking
1 Torre ve e . WolfRoad e
erti o, - Cupertino,
7
AT Building s etion Departmer, - ' - -
PER-MIT/APP#: 06030076
I .
1020167A
LAB# 006633
PLACEMENT DATA
Placement 22 MixNumber
Sample date : 08/24/2006 tTe tSpec 6000 psi @ 56 days
rota I sets : I Agg. izel 1/2"1 HAN SON
Material type creta Compression Cyl. ASTM C 39 Cement factor 8.00 sac
Material Supplier : cemex Slump sec : 7.00 i
Admixture type : wrda64 adva140
SET DATA
Set nuan er I of 1 l .5 0 in ASTM C 1 3
Sample tine: it temp 68 deg
Sampled y : Samuel C Ekenstamix temp 80 deg1
064
Ticket/71-Lick : 825013321 2954
Mold type CYL
Iac.enietit Location Row G line 4, lie 9 row
Sample Location First lift, row G line
Comments
meats
Y L TEST
TEST 1
ft AGE TE TYPE DIAMETER X HEIGHT (sq. 1 l (psi)
63 1 L 6.00 X 1100 28.27 95)020 1.00 3360
{l 3? 2 09/21/2006 L 2. .2? 1-6217 1. 57
006633C 5 10/19/2006 12.00 28,27 1667430 1.00 5890
00663.3D 11/16/2006 L 6.00 X 12. 1.00 0
Samples FAILED [MEET s ecifi 56 DAY strength requirement at 56 DAYS. Avg==5890
CUlAn� e: L= la =fief
1i racture types: A=cone and columnar, =c lu = is 1, =side, E=double side
Unless otherwise noted', samples tested in accordance with
RESPEC-1-TULLY SUBMITTED: Consolidated Engineering,James Powers , LAB MANAGER
cc: -
City Of Cll erti - Building Inspectionear e t
CONSOLIDATED ENGfNEERING LABORATORIES,INC. 534 23rd Avenue
Oakland,CA 94606-5307
(510)436-7626
DATE OF ISSUE:10/25/2006
COMPRESSION TEST REPORT
RPTTO: City of Cupertino allco JC Penneys-Parking
10300 Tor-re Avenue N
Wolfe Road
--%A
Cupertino, CA 95014 upertino,UA
OCT
ATTN: Building Inspection Department
ERMIT/APP 06030076
TILE#:
1020167A
008508
PLACEMENT DATA
Placenient# 70 Mix Number 157035
Saniple date 10/17/2006 Strength Spec 6000 psi @ 56 days
Total sets : 2 Agg. Size/Src I"/HANSON
Material type Concrete Compression Cyl. ASTM C 39 Cement factor 7.50 sack
Material Supplier cemex Slump spec 4.00 in
Admixture type wrda64
SET DATA
Set nuns ber : I of 2 Slump : 4.00 in ASTM.C 14 3
Saniple time 08:55 Air temp 60 deg F
Sampled by Perla ern rte Mix temp 5 deg F ASTM C 1064
Ticket/Ti-Lick 82203307/2949
Ah
Mold type CYL
"n 5 deg F
Placenient Location Suspended deck, lines 6- 16 rows B -C,3rd level
Sample Location , Row B line 16
Coninients :
CYL TEST TEST CURE DIMENSIONS(in) AREA MAXIMUM CORR STRENGTH FRAC
# AGE DATE TYPE DIAMETER X HEIGHT (sq. in) LOAD(lb) FACT (psi) TYPE
008508A 3 10/20/2006 L 6.00 X 12-00 28.27 1061310 1.00 3760
008508B 56 121112/2006 L 6.00 X 12-00 28.27 0 1.00 0
008508C 56 12/12/2006 L 6.00 X 12-00 28.27 0 1.00 0
008508D H L 6.00 X 12-00 28.27 0 1.00 0
00850SE H L 6.00 X 12-00 28.27 0 1.00 0
('Liring Type: L-- lab, F—field
Fracture types: A=cone and coluimar, =columnar, C—diagonal, =side, E—double side
Unless otherwise noted, samples tested in accordance with ASTM C 39
IZESPECTFULLY SUBMITTED: Consolidated Engineering,James Powers , LAB MANAGER
cc: -
City of Cupertino- Building Inspection Department
CONSOLIDATED l 1 534 23rdAvenue
Oakland,CA 94606-5307
1 436-7626
DATE . t.T : 10/25/2006
COMPRESSION TEST REPORT
RPT TO: City of Cupertino 7-- c e y - Parking
3 re Avenue y_ . Wolfe Road
Cupertino, CA 95014 ,upertino,CAr
�
Building S ctl Department
s. 1 /APP#: 06030076
W 40 <<
1020167A
LAB # : 008509
PLACEMENT DATA
aceme17t# 70 MixNumber 157035
Sample date 10/17/2006 Strengthc 6000 psi c 56 days
Total sets : 2 Agg. Size/Src "
Material y e Concrete Compression Cyl. ASTM C 39 Cementfactor 7.50 sack
1 teria Supplier : cemex Slumpc 4.00 i
l-i-ii x til re type
SET DATA
Set 17111x] er 2 of 2 Slump : 4.00 in ASTM C143
Sample till-le 11:40 Air temp 78 deg
Sampled by Perlaer r x temp 75 deg
is etT ruc' 82203342/2983 Ea.
Mold type CYL
Placement Location Suspended deck, lines 6- 16 rows B -C, 3rd leve
Sample ati .7 line
C n7177e 17 is :
CYL TEST TEST CURE DIMENSIONS(in) AREA MAXIMUM CORR STRENGTH FRAC
# AGE DATE TYPE DIAMETER X HEIGHT (sq. 1 (psi)
008509A 3 10/20/2006 . 7 94,550 1.00 3340
008509B 5 112/12/2006 L 6.00 X 12.00
56 12/12/2006 L 6.00 . . 1.00 0
008509D H L 6.00 X 12.007
008509E H L 6.00
C ring J-'y e: L= lab, F== field
c r —diagonal, =si e, = siractUre types: =ce columnar, ,
J ti le s otherwise noted, samples tested in accordancei 3
RESPECTFULLY s i t i ei es Powers, LAB MANAGER
cc: -
City Of CLIpertino- Building Inspectionr e t
CONSOLIDATED ENGINEERING LABORATORIES, INC. 534 23rd Avenue
1.
TD Oakland, CA 94606-5307
II
(510)436-7626
N6
DATE OF ISSUE:9 4
/6/2006
■
.........................................................
■
RPT TO: City of Cupertino RE:Vallco JC Penneys- r ®
10300 Torre Avenue N.Wolfe Road
Cupertino,CA 95014 Cupertino,CA
ATTN: Building Inspection Department
PERMIT/APP#: 06030076
FILE#:
CEL#: 1020167A
LAB# : 005958
Placement# : 8 PLACEMENT DATA Mix Number 8467
Sample date : 08/02/2006 Strength Spec 3000 psi @ 56 days
Total sets : 2 Agg. Size/Src 3/4"/ELIOT
Material type Concrete Compression Cyl.ASTM C 39 Cement factor 5.00 sack
Material Supplier cemex Slump spec 4.00 in
Admixture type wrda64
SET DATA
Set number I of 2 Slump 4.50 in ASTM C143
Sample time : 09:00 Air temp 80 deg F
Sampled by: Peter D.Unpingco Mix temp 82 deg F ASTM C1064
Ticket/Truck 1020137A
Mold type : CYL
Placement Location: Shear wall,grade beam footing,colunm
footing,(B/12,13,15,19,21,23,25),(30/D.3,B.7),(26/D.3,E.7)3(G/23525,27528)9(C/2O.j2l327529)
Sample Location: Same as above
Conunents
CYL TEST TEST CURE DIMENSIONS (in) AREA MAXIMUM CORR STRENGTH FRAC
# AGE DATE TYPE DIAMETER X HEIGHT (sq. in) LOAD(lb) FACT (psi) TYPE
005958A 7 08/09/2006 L 6.00 X 12.00 28.27 565520 1.00 2000
005958B 28 08/30/2006 L 6.00 X 12.00 28.27 82260 1.00 2910
005958C 28 08/30/2006 L 6.00 X 12.00 28.27 80760 1.00 2860
005958D 56 09/27/2006 L 6.00 X 12.00 28.27 0 1.00 0
Curing Type: L lab,F field
Fracture types:A=cone and colurtmar,B=colunmar,C=diagonal,D=side,E=double side
Unless otherwise noted, samples tested M' accordance with ASTM C 39
RESPECTFULLY SUBMITTED: Consolidated Engineering,James Powers,LAB MANAGER
cc: -
City of Cupertino-Building Inspection Department
CONSOLIDATED ENGINEERING LABORATORIES,INC. 534 23rd Avenue
Oakland,CA 94606-5307
(510)436-7626
DATE OF ISSUE:9/6/2006
COMPRESSION TEST REPORT
RPT TO: City of Cupertino RE:Vallco JC Penneys-Parking
10300 Torre Avenue N. Wolfe Road
Cupertino,CA 95014 Cupertino, CA
ATTN: Building Inspection Department
PERMIT/APP#: 06030076
FILE#:
CEL#: 1020167A
LAB#: 005959
PLACEMENT DAT.A
Placement# 8 Mix Number 8467
Sample date : 08/02/2006 Strength Spec 3000 psi @ 56 days
Total sets : 2 Agg. Size/Src 3/4"/ELIOT
Material type Concrete Compression Cyl.ASTM C 39 Cement factor 5.00 sack
Material Supplier: cemex Slump spec 4.00 in
Admixture type wrda64
SET DATA
Set number. 2 of 2 Slump : 4.00 in ASTM C 143
Sample time : 11:15 Air tenip 81 deg F
Sampled by : Peter D. Unpingco Mix temp 83 deg F ASTM C1064
Ticket/Truck: 13222520/3018
Mold type : CYL
Placement Location: Shear wall,grade beam footing,column
fo • 329)
Sample Location: Same as above
Conunents :
CYL TEST TEST CURE DIMENSIONS(in) AREA MAXIMUI\4 CORR STRENGTH FRAC
# AGE DATE TYPE DIAMETER X HEIGHT (sq. in) LOAD(lb) FACT (psi) TYPE
005959A 7 08/09/2006 L 6.00 X 12.00 28.27 58870 1.00 2080
005959B 28 08/30/2006 L 6.00 X 12.00 28.27 803910 1.00 2860
005959C 28 08/30/2006 L 6.00 X 12.00 28.27 781080 1.00 2760
005959D 56 09/27/2006 L 6.00 X 12.00 28.27 0 1.00 0
Curing Type:L=lab,F=field
Fracture types: A=cone and columnar,B=colunmar,C=diagonal,D=side,E=double side
Unless otherwise notedsamples tested in accordance with ASTM C 39
RESPECTFULLY SUBMITTED: Consolidated Engineering,James Powers, LAB MANAGER
cc: -
City of Cupertino-Building Inspection Department