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07120122 SI
,SIGNET FILE Testing Labs, Inc. —` DATE: Z DSA FILE/APPL.NO. PROJECT NO. 65934 OSHPD NO. PROJECT: V FIV, 6 ) PERMIT N0. O 7 ) -z- LOCATION: LOCATION: �WEATHER: TEMP: 1EI REBAR ❑ TENDON ❑ TENDON STRESSING Inspected the placementof REINFORCING STEE /TENDONS/AB'S/HD'S/TIE DOWNS r r the following location: VJ ❑ Observed post-tensioning operations, measured and recorded elongations of tendons for the following location: ❑ CONCRETE ❑ cip ❑ 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 set(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: To the best of my knowledge, the above�AS WAS NOT performed in accordance with the approved plans! peci icalio s, nd rJgulatoiy requirements. O Except As Noted Superintendent/Representative: InspectorlTechnician: U 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive#A 1320 S/mpso Ci cle 75 d Ve ra Olitan Dr. #205 Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anaheim, CA 92806 San Digo CA 92108 (510)887-8484 (916)568-5858 (707)665-3950 (714)399-1500 11(619')682-3820 JOB SITE COPY FORM#304(REV 01/08) SIGNET Testing Labs, Inc. March 25, 2010 COPY TO: CUPERTINO BLDG INSP DEPT E El 10300 TORRE AVENUECUPERTINO, CA 95014 PROJECT: 46225651 gqVIILL��AQQSERRA APARTMENTS BLDG 75 `2 IWHOMESTEAD ROAD CUPERTINO, CA 95014 PERMIT NO: 07120122 SUBJECT: WEEKLY SUMMARY OF SPECIAL INSPECTIONS Special inspections were performed for the above referenced project. The inspections were performed by our certified inspector(s)as described in the attached daily report(s)week ending 03/12/2010. 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. 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$484 FAX:(510)783-4295 SIGNET Testing Labs, Inc. * DATE: A (� DSA FILE/APPL.N0. o 0 0 0 0 0 o T PROJECT N0. Z S SSSS-J OSHPD NO. -7 PROJECT: LLA a AV-15. (.•.DG,� /J ) PERMIT N0. n-7 12- Q t ZZ LOCATION: ,C / WEATHER:Cris 2_ TEMP: ❑ PROOF LOAD ❑ TORQUE �E)' WITNESSING ❑ Testing was performed on the following items. All tests were performed with the following calibrated equipment: RAM: GAGE: TORQUE WRENCH: RAM: GAGE: TORQUE WRENCH: LOCATION OF TEST TYPE!SIZE TESTED I TOTAL or Ft Lbs ACC. R. RETEST EXP. DATE 1 ► Type of�/grout used: 1 I Z Method of ap lica ion/ r fr�Si� A R� ' al inspection was performed on t I I I.l H114 - EHE b h1FHII I NM THE E F X L$LN LL A)S AT" 16, N Obi c_-r_ - _TV t o IAir� I � FOUNDAT►a R S A4T TNS SUt�s�iDE OF 5k-14 ❑ Show up/Stand by time. Job Canceled/Delayed due to: ❑ All non-compliance items were brought to the attention of: at the job site. ❑ NON-COMPLIANCE REPORT ATTACHED ❑ ADDITIONAL TESTS ATTACHED NOTES: 1 ` To the best of my knowledge, the abov WAS/ AS NOT performed in accordance with the app'rov IaJ, p cati regulatory requirements. Superintendent/Representative: Inspector: 3121 Diablo Avenue 4741 Pell Drive#8 520 Mercantile Street#A 3i0 W 5th Street#203 Hayward CA 94545 Sacramento CA 95838 Cotati, CA 94931 Santa Ana CA 92701 SIGNET F I L F Testing Labs, Inc. DATE: DSA FILE/APPL.NO. PROJECT N0. 2 6 I SS�g7 OSHPD NO. PROJECT: VILLA Sty (S. �,)LDL- —75 � ) PERMIT N0. `Z (0 I LOCATION:? )ME�IEA1� fib.60POMNO� WEATHER: CLE1,2 TEMP: ❑ PROOF LOAD ❑ TORQUE !R- 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: p %of LOAD Ib ( ) ACC. REJ. RETEST LOCATION OF TEST TYPE/SIZE TESTED TOTAL or A Lbs GAGE PSI EY F. /_,Ag) /i o - vf plication �lea l n '�M�f�it�s�aNh Ai QType of!epoxy_ Visual inspection was performed on -T-PF- It� Ste})f AT7(11.1 IAI 1"1►n( : r- �-AC l INPi7� IiJ_ _CVICTt/ t/ C1 Ap CS0 �J2 ' �y+vi1-c��C\ y� IAJt;-m: �n Ihl[�T �/1t }r� I ,IT JI T1 nv wIC ' x(11 R 11C �57��i ,C � 'r ♦ . . I Z C1�1>'4 . }66 6 LL d El Show up/Stand by time. Job Canceled/Delayed due to: ❑ All non-compliance items were brought to the attention of: at the job site. ❑ NON-COMPLIANCE REPORT ATTACHED ❑ ADDITIONAL TESTS ATTACHED NOTES: t n r l To the best of my knowledge, the aboveWASWAS NOT performed in accordance with the approve cl�p�lana,specifications, and regulatory requirements. Superintendent/Representative: �� Inspector: + / I A tt 1 Ey`i 3121 Diablo Avenue 4741 Pell Drive#8 520 Mercantile Street#A 310 W 5th Street#203 Hayward CA 94545 Sacramento CA 95838 Cotati, CA 94931 Santa Ana CA 92701 JOB SITE COPY FORM 301 SIGNET Testing Labs, Inc. * 000000o i • DATE: I Z O DSA FILE/APPL. NO. PROJECT N0. /zv_t�>Z� J q5934 OSHPD NO. PROJECT: ' J PERMIT NO. Z ZZ LOCATION: Z WEATHER: TEMP: "EBAR ❑ TENDON ❑ TENDON STRESSING Inspecte the placement o REINFO G STEE /TENDONS I AB'S/ HD'S/TIE DOWNS r e following location: � -7 S ViE L ❑ Observed post-tensioning operations, measured and recorded elongations of tendons for the following location: ❑ CONCRETE ❑ clP ❑ 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—set(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: To the best of my knowledge, the abov WAS /WAS NOT performed in accordance with the approve plan , pecati s,jndogulal y requirements. O Except As Noted Superintendent/Representative: Inspector/Technician 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive#A 1320 Sifnpsob Circle8 etr politan Dr. #205 Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anaheim, CA 92806 Di go CA 92108 (510)887-8484 (916)568-5858 (707) 665-3950 (714) 399-1500 (619)682-3820 SIGNET c� E Testing Labs, Inc. F I DATE: f�-7 A Q DSA FILEIAPPL. NO. PROJECT NO. z's(O'7 1 j'ja� OSHPD N0. PROJECT: V IL_L.4 rSr juA- ArrS 7.17) PERMIT NO. n-712.n��'�, LOCATIOE(%�/'00 t111����� P 1),Ct ) p-ntq() WEATHER: C �i2 TEMP: l""REBAR ❑ TENDON ❑ TENDON STRESSING Inspected the placement of REINFORCING-STEEII I TENDONS/ABS/HD'S I TIE DOWNS for the following location: ❑ Observed post-tensioning operations, measured and recorded elongations of tendons for the following location: �R] CONCRETE ,o-cip ❑ PC ❑ PT ❑ SHOTCRETE ❑ NS GROUT ❑ Inspected the batch plant operations. Batch Plant/Location: Observed placemenf�of-CONCRET/SHOTCRETE/NON-SHRINK GROUT at the following location: GA etc VEL 'I-'t�wrF�i A a�E JE£ ❑ Cast set(s)of compressive strength samples. Mix# FG5, 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: /�(�- Aso 7 at the job site. NOTES f Y Li KII) QS C�l� -17)t-14,1 AT 1_Y ,-* � 7 IK L 1`' so �C/ M\/G r-:� GANUM-E 'PLIED ,err- —r c- lr�c cox / 1 „ n nn 1 To the best of my knowledge, the above WAS/WAS NOT performed in accordance with the app1rovEplan)s,specifications, aid regulatory requirements. ❑ Except As NotedSuperintendent/Representative: Inspector/Technicla 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive#A i320 Simpson circle 7580 Metropolitan 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 JOB SITE COPY FORM#304(REV 01/08) _ _ _ SIGNET EMMMEMEMNIMEMEM Labs February 26, 2009 CUPERTINO BLDG INSP DE T 1® 10300 TORRE AVENUE CUPERTINO, CA 95014 COPY TO: PROJECT: VILLA SERRA APARTMENTS BLDG #6 20900 HOMESTEAD ROAD, CUPERTINO, CA SUBJECT: WEEKLY SUMMARY OF SPECIAL INSPECTION(S) STL NO.: 0024669 PERMIT: 7120122 Special inspections were performed for the above referenced project. The inspections were performed by our certified inspectors as noted below. Please see the attached daily report(s). Date Inspection Type 07/14/08 Reinforcing Steel 07/19/08 Reinforcing Steel [Except as noted below, the] 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. 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. EXCEPTIONS: Daily Reports Dated: N/A Previous Reports Dated: N/A If you have any questions or if we can be of further assistance, please do not hesitate to contact our office. Respectfully submitted, Signet Testing Laboratories, Inc. , Michael Everson Division Manager c; PROMETHEUS REAL ESTATE GROUP/MIKE DUCOTE CUPERTINO BLDG INSP DEPT * FILE COPY" 0024669.001 STL PM: BOBBY HAYNES, JR 3121 Diablo Avenue • Hayward, CA 94545 - (510) 887-8484 • Fax: (510) 732-5060 01vlv1J1 Vesting Labs, Inc. DATE: 7 — / V --O K DSA FILE/APPL. NO. PROJECT N0e,,,?.3/ OSHPD NO. PROJECT: 6 14-- S'CCL& AMA. PERMIT N0. 71 Z6.ZZ -- 13 Id,,, LOCATION: CL)PeiTin 8 WEATHER: TEMP: REBAR ❑ TENDON ❑ TENDON STRESSING Inspected the placement REINFORCING STEE TENDONS AB' HD'S /TIE DOWNS for the following location: tAjArt-e_r.KeATcr te, s p ❑ Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: ❑ CONCRETE ❑ cip ❑ 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 —set(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. oL !Y)U c`%l�r _Prior 777�b Cdi'1e'r -T To the best of my knowledge, the abov AS / AS NOT performed in accordance with the approved plans, specifications, and regulatory requirements Except As Noted Superintendent/Representative: 3121 Diablo Avenue 1417 No. Market Blvd. #1 Hayward CA 94545 Sacramento CA 95834 (510) 887-8484 (916) 568-5858 Inspector/Technician: f 4-r TaSCh .^ 520 Mercantile Drive #A 1320 Simpson Circle 7580 Metropolitan Or. #205 Cotati CA 94931 Anaheim, CA 92806 San Diego CA 92108 (707) 665-3950 (714) 399-1500 (619) 682-3820 ?` .k' ) r'' .. • FORM # 304 (REV 01/08) ►.7 I G NE l Nesting LQdbbs, Inc. DATE: -7 O U PROJECT NO. M .0 21_1 7,�? I n PROJECT: ✓ LOCATION: DSA FILEIAPPL. NO. OSHPD NO. PERMIT No. 1 WEATHER: TEMP: RE BAR ❑ TENDON _ ❑ TENDON STRESSING 9K Inspected the placement FORCING STEEL � TENDONS / AS'S / HD'S / TIE DOWNS for the following location: n Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: ❑ CONCRETE ❑ CIiP ❑ PC ❑ PT ❑ SHOTCRETE ❑ Inspected the batch plant operations. Batch Plant / Location: ❑ NS GROUT ❑ Observed placement of CONCRETE / SHOTCRETE / NON -SHRINK GROUT at the following location: Cast set(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. To thi1'Ybest of my knowledge, the bove WAS I S NOT performed in accordance with the approved plans, specifications, and regulatory requirements. ❑ Except As Noted Superintende'nt/Representative: '4,;Inspector/Technician: 3121 Diablo Avenue 1417 No. Mark�fi3lvd. #1 520 Mercantile Drive #A 41320 Simpson Circle 7580 Metropolitan Di #205 Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 , 'Ajmheim, CA 92806 San Diego CA 92108 (510) 887-8484 (916) 568-5858 (707) 665-3950 (714) 399-1500 (619) 682-3820 r u(. i", .) ? FnRM 9.104 lRFV ni/nRl SI GNE T Testing Labs, Inc. April 06, 2010 COPY TO: CUPERTINO BLDG INSP DEPT 10300 TORRE AVENUE CUPERTINO, CA 95014 PROJECT: 46225651 VILLA SERRA APARTMENTS BLDG 75 20800 HOMESTEAD ROAD a CUPERTINO, CA 95014 PERMIT NO: 07120122 SUBJECT: WEEKLY SUMMARY OF SPECIAL INSPECTIONS '-5 Special inspections were performed for the above referenced project. The inspections were performed by our certified inspector(s) as described in the attached daily report(s) as of week ending 03/26/2010. 03/17/10: 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. 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: ' FILE COPY ` CC: CUPERTINO BLDG INSP DEPT 3121 DIABLO AVENUE HAYWARD, CA 94545 MAIN: (510) 887.8484 FAX: (510) 783-4295 ®®■t SI GNE T Testing Labs, Inc. DATE: 10 PROJECT Nd 266,5j 303 111111111111111111111111I� PROJECT: 0_ r_"k AT 1•Jh ;Z� LX; + ! PERMIT NO. 0-7 J'Z LOCATIOtt�Oi 60 U-,�S'-[�AbK..IJ• (�J�en to WEATHER: CIA5�1_4� TEMP: REBAR ❑ TENDON ❑ TENDON STRESSING Insp cted the placement o IN / TENDONS_E&j�:JHD'S / TIE DOWNS for the following location: C4pqc-7- F-cu1`J.b(n CAL ❑ Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: V CONCRETE Vcip ❑ Pc ❑ PT ❑ SHOTCRETE ❑ NS GROUT ❑ Inspected the batch plant operations. Batch Plant / Location: SFG ❑ El Observed placement f. NCRET / SHOTCRETE /NON -SHRINK GROUT at the following location: .TY Cast —set(s) of compressive strength samples. Mix # F(Q � Total cu. yds. placed Slump(s): % Air: Show up / Stand by time. Job Canceled / Delayed due to: All non-compliance items were brought to the attention of: _ To the best of my knowledge, the a ❑ Except As Noted Superintendent/Representative: M / WAS NOT performed in accordance with the app 3121 Diablo Avenue 1417 No. Market Blvd. #1 Hayward CA 94545 Sacramento CA 95834 (510) 887-8484 (916) 568-5858 Inspector/Tech 520 Mercantile Drive #A Cotati CA 94931 (707) 665-3950 Unit wt(s): at the job site. regulatory requirements. Simpson C�iir 7580 Metropolitan Dr, #205 gim, CA 92 0 San Diego CA 92108 4) 399 1500 (619) 682-3820 1 (nPhA 8 3nd /RF\/ MMAI DATE: STL #: PROJECT: ISIGNET 1 Vesting Labs, Inc. Z )A() El PROOF LOAD 1:1 TOROU Page of * o o' 0, 0 0 0 .1 DSA FILE/APPL. NO. OSHPD NO. PERMIT NO. j Z I'ZZ WEATHER: TEMP: L KWITNESSING Li Testing was performed on the following items. All tests were performed with the following calibrated equipment: RAM: GAGE: TORQUE WRENCH: LOCATION OF TEST TYPE / SIZE # TESTED %ot TOTAL LOAD Lb or Ft Lbs GAGE (PSI) # ACC. # REJ. # RETEST (FDA u f > Type o e y grout used: 7 tPl iS6q vjsual inspection was performed on t I tL ftSl>ii( ❑ Show up / Stand by time. Job canceled / Delayed due to: ❑ All non-compliance items were brought to the attention of _ od of applic tion / c r" V�_e n CoNrn at the job site. NON-COMPLIANCE REPORT ATTACHED ® ADDITIONAL TESTS ATTACHED _ NOTES: EA N' ADW 6 fi ° .7C�`r1$ % U t1l - —7. C� �� Q�;� 5'1 Materials were ❑ TESTED ❑ NOT TESTED in accordance with the documents, plans, specifications, and regulatory requirements. Tested materials'WMEET ❑ DOES NOT MEET the documents, plans, s)5ecif!cations, and regulatory requirements. Superintendent/Representative (regulatory agency) (regulatory agency) Inspector Signature approved approved 3121 Diablo Ave 1417 N. Market Blvd. # 1 520 Mercantile St. #A 1320 S. Simpson Circle. 7586 Met%polltan Dr. 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 November 29, 2010 PROJECT: PERMIT NO: CONTRACT NO: SUBJECT: SIGNET Testing Labs, Inc. CUPERTINO BLDG INSP DEPT 10300 TORRE AVENUE CUPERTINO, CA 95014 46226205 VILLA SERRA APARTMENTS BLDG 80 20g00 HOMESTEAD ROAD CUPERTINO, CA 95014 07120124 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 11/19/2010. SPECIAL INSPECTION REPORTS 11/18/10: FIELD WELDING 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: ' FILE COPY CC: CUPERTINO BLDG INSP DEPT 3121 DIABLO AVENUE HAYWARD, CA 94545 MAIN: (510) 887-8484 FAX: (510) 7834295 � SIGNET Page_- of DATE; Z I i m tO _J -112 1 L D5A FILE/APPL.. NO, STt_ M: l- t'- OSHPD NO, - PROJECT:— `ZS PERMIT NO. r� 1 LOCATION: 7,. 2� s Ci WCATMER., TEMP; STRUCTURAL -STEEL / WELDING VFIELD INSPECTION ❑ SHOP INSPECTION 0 0 0 0 0 0 0 1 Contractor: �C.. �` c, - Erector: Fabricator; --- - Types of inspection: (] Continuous f! � ❑ `arlodic kAfter-the-Fact ❑ Material ID ("} ❑ Sampling ('} [I High Strength Honing ❑ Ultrasonic Testing (") © Magnetic particle Testing ("} ❑ Penetrant Testing (") (") Note: Complete and attach the appropriate forms. ❑ Show -Up time: ❑ Stand -By time: ❑ Corrective / Rework time: Explain: Certified welder(s) e, Previously listed Ulew welders. No, of welders on job this date: Identification Welding process: Electrode / DIA. SMAW ❑ FCAWt-�'� GMAW ❑ SAW ❑ ESW Types of welding performed: Fillet: V,SP ❑ MP penetration: ❑ PCP ❑ CJP ❑ Arc Spot Plug C7 Seam EJ Shear Stud (] Flare Groove ❑ Exceptions noted, final acceptance pending written approval or corrective action noted on [] Non -Conformance reports attached: ❑ Request for Information Report(s) attached: _ Attachments: ❑ UT REPORT ' 0 MT REPORT Cl PT REPORT ❑ MATERIAL ID ❑ SAMPLING FORM ❑ MEMBER COMPLETION SHEET NOTES: s-1 The above <<Vid a WAS NOT inspected in accordanco with the _ _ _. L�J _._ npprovod doeumentq, plans, S 1ecificiillo ? ulator rctt uiremenls. Irx ltilawry agalwyt (40 {regulatory t Inspo rimed ame/Tt1lelCerliticattan N ili;it)tiClr)i S1y11;9tU10 3121 Ol tlfttl Ave I- t7 rt! Af,trkr)t ill 57t) Af+)rt:,uNtlrr Sr tiA t1I11 .S Alain .` t. +''iflo A-h4lop)hl,I)i !3r' Hayward (;A 101- `i `).ir.rammito (:A 'JT0,1 i'.rJt It1 CA'I kt.t l anfa Ana ('A %V07 S.iri Oti?'o) CA '12108 f) II)I Ill)/ tt 1JI,i 016.) 11621-! IWI i 11)1) 665-3,P)) I / H). IG1 9!)1 ;t; 0 pt' ;!I?fl V 1 T MENEMEMEM Testing Labs, Inca 1 � DATE: ( ,� i � i ,' DSA FILE/APPL. NO. PROJECT NO �', -'- % OSHPD NO, PROJECT:'>�'r 1 F,t w PERMIT NO. LOCATION: WEATHER: f i� ' TEMP: El RE AR ❑ TENDON ❑ TENDON STRESSING '❑ Inspected the placement of -,REINFORCING -ITEEI'l / TENDONS / AB'S / HD'S / TIE DOWNS for the following location: t is W ❑ Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: ® CONCRETE ® cip ■ Pc ■ PT ■ SHOTCRETE El NS GROUT ❑ Inspected the batch plant operations. Batch Plant / Location: Observed placement bf CONCRETE / SHOTCRETE / NON -SHRINK GROUT at the following location: ,Y Cast ' sets of compressive strength samples. Mix # t. �' ` ��.r� t i •Q T (.) p g p 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. 1 NOTES. r 7A i r t •'_o ! �t ,- % C ,% i To the best of my knowledge, the above WAS / WAS NOT performed in accordance with the approved,plans, speciticatfgns, and regulatory requirements. ❑ Except As Noted Superintendent/Representative: Inspector/Technid� ,p.� li ! j � i �. •sir € t sl f 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive #A 132'0'Simpsor circle's` 7580 Metropolitan Dr. #205 Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anaheim, CA 92 06 San Diego CA 92108 (510) 887-8484 (916) 568-5858 (707) 665-3950 (714) 399-1500 (619) 682-3820 )OP S (f . `,,,tJ '� FORM # 304 (REV 01/08) November 29, 2010 COPY TO: PROJECT: PERMIT NO: CONTRACT NO: SUBJECT: SIGNET Testing Labs, Inc. CUPERTINO BLDG INSP DEPT 10300 TORRE AVENUE CUPERTINO, CA 95014 46225651 VILLA SERRA APARTMENTS BLDG 75 20800 HOMESTEAD ROAD CUPERTINO, CA 95014 07120122 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 11 /19/2010. SPECIAL INSPECTION REPORTS 11/16/10: REBAR PLACEMENT INSPECTION 11/17/10: CONCRETE 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: * FILE COPY * CC: CUPERTINO BLDG INSP DEPT 3121 DIABLO AVENUE HAYWARD, CA 94545 MAIN: (510) 887-8484 FAX: (510) 7834295 Testing Labs, Inc. 1111111111 DATE; 1ADSA FILE/APPL. NO. * 0 0 0 0 0 0 0 1 PROJECT N0. ' OSHPD NO. PROJECT: A ,� S PERMIT N0. / 12� LOCATION: W'/ /-1 ND WEATHER: ( ,tjFy Q TEMP: tSrREBAR ❑ TENDON ❑ TENDON STRESSING Inspected the placement oREIN RFO LING Sf�EEL TENDONS / AB'S / HD'S / TIE DOWNS for the following location: NEW l'7�7 , ., . -Jt '_7 ❑ Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: ❑ CONCRETE ❑ cip ❑ 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 —set(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. To the best of my knowledge, the abo t/ AS NOT performed in accordance with the approved pla s, s ificE tcept As Noted §irintendent/Representative: Inspector/Technician: 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive #A 1320 Simpso Circle Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anaheim, CA 2806 (510) 887-8484 (916) 568-5858 (707) 665-3950 (714) 399-1500 L' d re jul4orA requirements. lltan Dr. #205 7ego CA 92108 9) 682-3820 ,tJ I G NE T 11111, Testing Labs, Inc. DATE: DSA FfLEIAPPL. N0. 111111111111111111111111111111111111111111 * 0 0 0 0 0 0 0 1* PROJECT NO, j OSHPD NO. PROJECT: l_!_A, r &r 04 PERMIT NO, 1 I LOCATION: (�c WEATHER: TEMP 02 REBAR ❑ TENDON ❑ TENDON STRESSING Inspected the placement of EINFORCING STE / TENDONS / AB'S / HD'S / TIE DOWNS fnr tha fnllnwinn Innnfl • ❑ Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: 1@ CONCRETE 5�cip ❑ Pc ❑ PT ❑ SHOTCRETE ❑ NS GROUT ❑ Inspected the batch plant operations. Batch Plant / Location: Observed placement Jf CONCRETE SHOTCRETE / NON -SHRINK GROUT at the following location: �3� Cast Tset( of compressive strength samples Slump(s): el—% Air: Mix # Total cu. yds. placed Unit wt(s): ❑ Show up / Stand by time. Job Canceled / Delayed due to: ❑ All non-compliance items were brought to the attention of: _ t th To the best of my knowledge, the El Except As Noted Superintendent/Representative: o i-, i uiararo Avenue Hayward CA 94545 (510) 887-8484 7477 No. Market Blvd. #1 Sacramento CA 95834 (916) 568-5858 520 Mercantile Drive #A Cotati CA 94931 (707) 665-3950 a e job site. , and regulatory requirements, 7580 Metropolitan Dr. #205 San Diego CA 92108 (619) 682-3820 November 22, 2010 COPY TO: PROJECT: PERMIT NO: CONTRACT NO: SUBJECT: SIGNET Testing Labs, Inc. CUPERTINO BLDG INSP DEPT 10300 TORRE AVENUE CUPERTINO, CA 95014 46225651 �VI LLVERRA APARTMENTS BLDG 75 - -2eW HOMESTEAD ROAD CUPERTINO, CA 95014 07120122 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 11/12/2010. SPECIAL INSPECTION REPORTS 11/12/10: WITNESS DOWEL/ANCHOR INSTALLAT 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, F I L Sianet Testina Laboratories, Inc. `s Michael Everson Division Manager TO: PROMETHEUS REAL ESTATE GROUP I CC: * FILE COPY * CC: CUPERTINO BLDG INSP DEPT 6 (O /Z-.F-/b 3121 DIABLO AVENUE HAYWARD, CA 94545 MAIN: (510) 887-8484 FAX: (510) 783-4295 ISIGNET 1 Testing Labs, Inc. Page _a_ 11111111111111111111111111111111111111111111111 DATE: 2„ DSA FILE/APPL. NO. * O D 0 0 0 0 0 1 STL #: OSHPD NO. PROJECT: APFSo 4 PERMIT NO. (f)-7!Z LOCATION: RD, ��� n�� WEATHER: >< E54a 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: LOCATION OF TEST TYPE / SIZE M TESTED %of TOTAL LOAD Lb or Ft Lbs GAGE (PSI) 8 ACC. ► REJ. i RETEST P.ME L 1971- Type o� grout used: I �,C)p4 ��Li VO4gl inspection was performed on (-{E JR LLJ) d at the job site. ❑ NON-COMPLIANCE REPORT ATTACHED ❑ ADDITIONAL TESTS ATTACHED NOTES:_ EA r-i AflW 6 f1r. SCoyq nt= U ig fT -1+- % J" C, A &) 5 Tl. Show up / Stand by time. Job canceled / Delayed due All non-compliance items were brought to the attention of Materials were 0 TESTED ❑ NOT TESTED in accordance with the A approved documents, plans, specifications, and regulatory requirements. (regulatory agency) Tested materials MEET 0 DOES NOT MEET theFVapproved documents, planlecifications, and regulatory requirements. (regulatory agency) • A -- P-q-2 -, I Superintendent/Representative Inspector Printed Inspector Signature 1 3121 Diablo Ave 1417 N. Market Blvd. #1 520 Mercantile St. #A 1320 S. Simpson Circle. %8VMet)opo1itanDr. 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 PROOF LOAD ❑WITNESSING ❑ Testing was performed on the following items. All tests were performed with the following calibrated equipment: r_AnG• TORQUE WRENCH: LOCATION OF TEST TYPE / SIZE # TESTED % of TOTAL LOAD Lb or Ft Lbs GAGE (PSI) It ACC. # REJ. # RETEST I Type : e �i d gp®rag used: ",-)I ) h �� � �'J � Meth d q application / cleaningt� l' j P SG'- At 1' � s Visual inspection was performed on° �� in '1Ni � Ilt �;�1 3 r, 16 -S l P bn� ' � R ' Show up / Stand bytime. me. Job canceled / Delayed due to: All non-compliance items were brought to the attention of 711 NON-COMPLIANCE REPORT ATTACHED ❑ ADDITIONAL TEST NOTES: , :1 Materials were ❑ TESTED ❑ NOT TESTED in accordance with the documents, plans, sp cifications, and regulatory requirements. Tested materials °MEET ElDOES NOT MEET the documents, plans; specifications, and regulatory requirements. Superintendent/Representative ATTACHED,,, (regulatory agency) / (regulatd agency) nspector Printed Name/Title/C nspector Signature Suc? _ 1_ ) at the job site, approved approved 3121 Diablo Ave 1417 N. Market Blvd. #1 520 Mercantile St. #A 1320 S. Simpson Circle. 7p�80 Metropolitan Or. 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 3 "IGNET NEENNEMEM Testing Labs, Inc. DATE: PROJECT NO. PROJECT: REBAR OTENDON E] Inspected the placement of IREIN FOR- i-v J FILE DSA FILE/APPL. NO. izl!ti,TSB OSHPD NO. N Lt TENDONS AB'S HD'S / TIE DOWNS for the following location: El Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: El Inspected the batch plant operations. Batch Plant / Location: El Observed placement of CONCRETE / SHOTCRETE / NON -SHRINK GROUT at the following location: El Cast —set(s) of compressive strength samples. Mix # Slump(s): % Air: — El Show up / Stand by time. Job Canceled / Delayed due to: El All non-compliance items were brought to the attention of: NOTES: ;j J Total cu. yds. placed Unit wt(s): To the best of my knowledge, the above WAS /WAS NOT performed in accordance with the approved plans,rspecjfic�t E), Except As Noted Superintendent/Representative: Inspector/Technician: at the job site. regulatory requirements. 3121 Diablo Avenue 1417 No. Market Blvd. # 1 Hayward CA 94545 Sacramento CA 95834 (510) 887-8484 (916) 568-5858 520 Mercantile Drive #A Cotati CA 94931 (707) 665-3950 JOB ("'Opy 1320 Simpson Circle t Anaheim, CA 92806 1 (714) 399-1500 San Diego CA 92108 (619) 682-3820 FORM # 304 (REV 01/08) February 11, 2011 COPY TO: PROJECT: PERMIT NO: CONTRACT NO: SUBJECT: SIGNET Testing Labs, Inc. CUPERTINO BLDG INSP DEPT 10300 TORRE AVENUE CUPERTINO, CA 95014 46225651 07120122 VILLA SERRA APARTMENTS BLDG 75 : --p® HOMESTEAD ROAD CUPERTINO, CA 95014 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 02/04/2011. SPECIAL INSPECTION REPORTS 01/24/11: REBAR PLACEMENT INSPECTION 01/24/11: WITNESS DOWEUANCHOR INSTALLAT 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: * FILE COPY * CC: CUPERTINO BLDG INSP DEPT 3121 DIABLO AVENUE HAYWARD, CA 94545 MAIN: (510) 887-8484 FAX: (510) 783-4295 SIGNE l Testing Labs, Inc. DATE: Page of DSA FILE/APPL. NO. 111111111111111111111 STL #: a � ' OSHPD NO, PROJECT: PERMIT NO.� LOCATION: Zeu Rb. WEATHER: — TEMP: ❑ PROOF LOAD ❑ TORQUE W WITNESSING ❑ Testing was performed on the following items. All tests were performed with the following calibrated equipment: RAM: GAGE: TC)ROI IF WRFNr.W- LOCATION OF TEST TYPE / SIZE #f TESTED % of TOTAL LOAD Lb or Ft Lba GAGE (PSI) # ACC. # REJ. # RETEST 14— Type oCe.PR20 grout used: b i H pS6N = Met% application / ,Visual inspection was performed on—n _ R ,/ (cw G F (41 ❑ Show up / Stand by time. Job canceled / Delayed due to: ❑ All non-compliance items were brought to the attention of at the job site. n- -- ------ — - -- I-, ATTAr:NFn Materials were ❑ TESTED ❑ NOT TESTED in accordance with the A approved documents, plans, s cifications, and regulatory requirements. (regulatory agency) Tested materials MEET ❑ DOES NOT MEET the approved documents, plans, s ecifications, and regulatory requirements. (regulat agency) nn11 Superintendent/Representative Inspector Printed Name/Title/Certificatio Inspector Signature 3121 Diablo Ave 1417 N. Market Blvd. #1 520 Mercantile St. #A 1320 S. Simpson Circle, 7 80 Metropolitan Dr. 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 SIGNET Testing Labs, Inc. DATE: Z 1 DSA FILEIAPPL. NO. PROJECT NO, �7%ZG��� OSHPD NO. PROJECT: L 5 G_212A 4TS W.YJ-0-7757 PERMIT NO, 0'7M 1 zz— LOCATION: ZOC WEATHER: TEMP: TEMP: REBAR ❑ TENDON ❑ TENDON STRESSING Inspected the placement o _ / TENDONS / AB'S / HD'S / TIE DOWNS for the following location: =14- ❑ Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: ❑ CONCRETE ❑ ciP ❑ 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 sets) of compressive strength samples. Mix # Total cu. yds. placed 70 Slump(s): % Air: Show up / Stand by time. Job Canceled / Delayed due to: All nampliance items were brought to the attention of: on-V .FV 'TN- Rkn�-AF;NCT of U Unit wt(s): k eest of my knowledge, the abov S ! WAWAS NOT performed in accordance with the approved Ian , s i ic,cept As Noted Superintendent/Representative: Inspector/Technician: 3121 Diablo Avenue 1417 No. Market Blvd. #1 �520 Mercantile Drive #A 1320 SirApson Circ Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anaheim, CA 92806 (510) 887-8484 (916) 568-5858 (707) 665-3950 (714) 399-1500 at the job site. 16V Tv ndIregulatory requirements. 40 Metropolitan Dr. #205 San Diego CA 92108 (619) 682-3820 December 07, 2010 COPY TO: PROJECT: PERMIT NO: CONTRACT NO: SUBJECT: SIGNET Testing Labs, Inc. f CUPERTINO BLDG INSP DEPT 10300 TORRE AVENUE CUPERTINO, CA 95014 46225651 VILLA_ RRA APARTMENTS BLDG 75 � r 800' HOMESTEAD ROAD CUPERTINO, CA 95014 07120122 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 11/26/2010. CTR REPORTS 11/17/10: CIP CONCRETE COMPRESSION TEST 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: * FILE COPY * CC: CUPERTINO BLDG INSP DEPT 3121 DIABLO AVENUE HAYWARD, CA 94545 MAIN: (510) 887-8484 FAX: (510) 783-4295 e SI GNE T SIGNET TESTING LABS, INC Testing Labs, Inc. 3121 DIABLO AVENUE HAYWARD, CA 94545 PHONE (510) 887-8484 FAX (510) 783-4295 CONCRETE COMPRESSION TEST REPORT PROJECT NO.: 46225651 PERMIT #: 07120122 PROJECT: VILLA SERRA APARTMENTS BLDG 75 APPL #: LOCATION: 20800 HOMESTEAD ROAD File No: CUPERTINO, CA 95014 MIX DATA Lab Number 109011 Aggregate Size 1.00 Material Type 3111-CIP CONCRETE COMPRESSION TEST Cement factor 6.50 Supplier STAR Spec Strength 3000 psi at 28 Days Admixture Spec. Slump Mix number F6534WRP Spec. Air Content SAMPLE DATA (ASTM C31) Set number 1 of 1 Slump (ASTM C143) 4.00 Sample Date 11/17/2010 10:14 am Ambient Temperature 69 Ad Inspector ROBERT BIGFORD Sample Temperature (ASTM C1064) 73 Ticket 232265 Air content (ASTM C173/C231) Truck 48 Unit Weight Fresh (ASTM C138) Placement Location: NEW STAIR FOUNDATIONS ON THE EAST SIDE OF BLDG.#75 (STRINGER SLAB & FTGS. IN FRONT OF UNIT 75A) Comments: TEST DATA (ASTM C39) SAMPLE TEST AGE DIMESIONS (in.) AREA LOAD CORR CURE FRACTURE TYPE COMPRESS NO DATE (sq in) (Ibs) FACT TYPE STR(psi) 1 11/24 07 6.00 x 12.00 28.27 90250 1.00 LAB 3-CONE AND SHEAR 3,190 2 12/15 28 3 12/15 28 Average 28 day Compressive Strength: 4 H MATERIAL 0 WAS ❑ WAS NOT SAMPLED IN ACCORDANCE WITH THE APPROVED PROJECT DOCUMENTS. RESPECTFULLY SUBMITTED, SIGNET TESTING LABS, INC /. 4� 11/29/10 Concrete Lab Manager Date ON= Testing Labs, Inc. FIL DATE: 1- DSA FILE/APPL. NO. PROJECT No OSHPD NO. PROJECT: PERMIT NO. LOCATION: WEATHER:!' TEMP: E] REBAR EITENDON El TENON STRESSING ,:p inspected the placement df REINFORCING STEEL/ TENDONS AB'S HD'S TIE DOWNS for the following location: It v I El Observed post -tensioning operations, measured and recorded elongations of tendons for the following location: F-1 CONCRETE o cip o Pc El PT El SHOTCRETE El NS GROUT El Inspected the batch plant operations. Batch Plant / Location: El Observed placement of CONCRETE / SHOTCRETE / NON -SHRINK GROUT at the following location: 0 Cast —set(s) of compressive strength samples. Mix # Slump(s): % Air: — Show up / Stand by time. Job Canceled / Delayed due to: All non-compliance items were brought to the attention of: A Total cu. yds. placed Unit wt(s): at the job site. Y To the best of my knowledge, the aboVe WAS //WAS NOT performed in accordance with the approved plans, s�? ecifica�tions, and regulatory requirements. 'El.,Except As Noted Superintendent/Representative: Inspector/Technician: 3121 Diablo Avenue 1417 No. Market Blvd. #1 520 Mercantile Drive #A 1320 Simpson Circle 7z' Hayward CA 94545 Sacramento CA 95834 Cotati CA 94931 Anaheim, CA 92806 (510) 887-8484 (916) 568-5858 (707) 665-3950 (714) 399-1500 j0i:3 StE (_`0F1Y