07120161 SIGNET
Testing Labs, Inc.
February 18,2011
COPY TO:
CUPERTINO BLDG INSP DEPT
10300 TORRE AVENUE
CUPERTINO, CA 95014
PROJECT: 46225653 VILLA SERRA APARTMENTS BLDG 78
20800 HOMESTEAD ROAD X
CUPERTINO, CA 95014
PERMIT NO: 07120161 X
CONTRACT NO:
SUBJECT: WEEKLY SUMMARY OF SPECIAL INSPECTIONS&TESTING
Special inspections were performed for the above referenced project. The inspections were performed as described
in the attached report(s)as of week ending 02/11/2011.
SPECIAL INSPECTION REPORTS
02/09/11:WITNESS DOWEL/ANCHOR INSTALLAT 02/10/11:REBAR PLACEMENT INSPECTION
The work completed or in progress for this report is in accordance with the approved plans,specifications,and/or
any approved change orders. This is a progress report of our special inspections&testing. A final report will be
issued upon request at the completion of the special inspection/testing requirements provided that all outstanding
issues have been resolved and/or corrected.
Respectfully submitted,
Signet Testing Laboratories,Inc.
Michael Everson
Division Manager
TO: PROMETHEUS REAL ESTATE GROUP I CC: CUPERTINO BLDG INSP DEPT
CC: .FILE COPY"
3121 DIABLO AVENUE HAYWARD,CA 94545 MAIN:(510)887-8484 FAX:(510)783-4295
�� SI GNE T
��11■11 Testing Labs, Inc. �� �
DATE: 2_- 1'— (( DSA FILE/APDL. NO. * O n n O O O O
PROJECT NO. OSHPD NO.
PROJECT: V l /L PERMIT NO. b' Z O I (�
LOCATION: a�.�� WEATHER: TEMP:
❑ PROOF LOAD ❑ TORQUE ❑ WITNESSING
❑ Testing was performed on the following items. All tests were performed with the following calibrated equipment:
RAM: GAGE: TORQUE WRENCH:
RAM: GAGE: TORQUE WRENCH:
LOCATION OF TEST # %of LOAD Ib GAGE PSI # # #
TYPE/SIZE TESTED TOTAL or Ft Lbs ) ACC. REJ. RETEST
❑ Type of epoxy I grout used: Method of plicaica o �a ng 7 1 �
❑ Visual inspection was performed on
❑ Show up I Stand by time. Job Canceled I Delayed due to:
�—t ❑ All non-compliance items were brought to the attention of: _ at the job site.
LJ NON-COMPLIANCE REPORT,ATTACHED ❑ ADDITIONAL TESTS A fACi-ED
DOTES:
To the best of my knowledge, the above WAS/WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements.
SuperintendentlRepresentative: Inspector:
3121 Diablo Avenue 4741 Pell Drive#8 636 Martin Avenue#1 3'10 1IN 5th Street#203
Hayward CA 94545 Sacramento CA 95838 Rohnert Park CA 94928 Santa Ana CA 92701
�r
SIGNET
Testing Labs, Inc.
DATE: — L — ^' ` DSA FILE/APPL.N0. n n n n n
PROJECT N0. o��((J�� T OSHPD NO.
PROJECT: �) �� Gj,e_oiy�� PERMIT NO. 0-7 1 'Z — 17 1 /',l
LOCATION: age C,�c� � � �_)(:n WEATHER: TEMP:
REBAR ❑ TENDON ❑ TENDON STRESSING
Inspected the placement of REINFORCING STEEL/TENDONS/AB'S/HD'S/TIE DOWNS for the following location:
❑ Observed post-tensioning operations, measured and recorded elongations of tendons for the following location:
'01-boONCRETE ,Q�p ❑ Pc ❑ PT ❑ SHOTCRETE ❑ NS GROUT
❑ Inspected the batch plant operations. Batch Plant/Location:
Observed placement of CONCRETE/SHOTCRETE/NON-SHRINK GROUT at the following location:
❑ Cast Nset(s)of compressive strength samples. Mix# Total cu.yds. placed
Slump(s): %Air: Unit wt(s):
❑ Show up/Stand by time. Job Canceled/Delayed due to:
❑ All non-compliance items were brought to the attention of: at the job site.
NOTES:
ro the best of my knowledge, the above WAS I WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements.
:1 Except As Noted
3uperintendent/Representative: Inspector/Technician:
3121 Diablo Avenue 1417 No.Market Blvd.#1 520 Mercantile Dri A 1320 Simpson Circle 7580 tropo6bn Dr. #205
Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anaheim, CA 92806 San Diego CA 92108
(510)887-8484 (916)568-5858 (707) 665-3950 (714)399-1500 (619) 682-3820