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11060134 (2) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10600 N TANTAU AVE CONTRACTOR:XL CONSTRUCTION PERMIT NO: 11060134 • OWNER'S NAME: 10590 TANTAU INVS LLC 851 BUCKEYE CT DATE ISSUED:08/25/2011 ER'S PHONE: 4089744876 MILPITAS,CA 95035 PHONE NO:(408)240-6000 ❑ LICENSED CONTRACTOR'S DECLARATION (- BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lie.t , LOLA--74"v� MECH RESIDENTIAL COMMERCIAL Contractor `a� 7 Com)ate C� �i 51 i hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: APPLE-COMMERCIAL TENANT IIM PROVEMENT(23.529SQFT) (commencing with Section 7000)of Division 3 of the Business& Professions EXTERIOR UPGRADES(RF.MOVAL OF SINGLE DOOR/WINDOW ('ode and that my license is in full force and effect. ASSEMBLY&ADDITION OF NEW DOUBLE DOOR&CIVIL I hereby affirm under penalty of perjury one of the following two decla •t I have and will maintain a certificate of consent to self-insure for Worker's 41‘ Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$2200000 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is APN Number:31618035.10600 Occupancy Type: correct I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify'and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non-point source regula ions per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 918. Signature ..ir. ' _ - e Issuett'liy: � � Datez OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of RE-ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is I.as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for .will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) I.as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the labor Code,for the performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Safety Code,Section 25532(a)should I store or handle hazardous material. permit is issued. Additionally,should I use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Compensation laws of California. lf,atter making this certificate of exemption,I Health&Safety 'ode,Sections 25505,25533,and 25534. become subject to the Workers Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. O sr or aut o 'zed a ent: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating I hereby affirm that there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.) i,•')n the above mentioned property for inspection purposes.(We)agree to save Lender's Name vtify and keep harmless the City of Cupertino against liabilities,judgments, ..,,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCHITECT'S DECLARATION 9.18 I understand my plans shall be used as public records. Signature _-- Date Licensed Professional CONSOLIDATED ENGINEERING L A BOR ATOR01-g I ESU 9/21/2011 OCT 31 2011 City of Cupertino By Building Inspection Department 10300 Torre Avenue Cupertino, CA 95014 RE: Apple Tenant Improvement Project 00600 Tantau Blv Cupertino, CA 95014 FILE Permit# 1.1.06-0134 CEL#: 1025093 ?_a 1 LAB#: S110919-04 LABORATORY REPORT Consolidated Engineering Laboratories has performed testing of materials for the above project as noted below. Testing was performed in accordance with the indicated test method. Results are as follows: Material: Native Mixed with Rock Location: SW of Building#3 Source: Stockpile Sample Date: 09/16/11 Sampled By: B. Taylor Please refer to the attached data sheets for results. REVIEWING ENGINEER: E.A. "Rick" Navarro,P.E. CC: Apple,Inc.(E) Apple,Inc.(E) XL Construction(E) Apple,Inc.(E) Enclosure(1) All reports are submitted as the confidential property of our clients.Publication of statements,conclusions,or extracts is reserved pending our written approval. 534 23rd Ave. • Oakland, CA 94606-3507•Tel. 510 436-7626• FAX 510 436-7699 • COMPACTION TEST REPORT 150 140 130 d7_\\_\• a) 0 120 110 _ _ ZAV for Sp.G. = 100 2.75 0 5 10 15 20 25 30 Water content, % Test specification: ASTM D I 557-02e1 Procedure C Modified Elev/ Classification Nat. %> %< Depth USCS AASHTO Moist Sp.G. LL PI 3/4 in. No.200 2.9 TEST RESULTS MATERIAL DESCRIPTION Maximum dry density= 133.5 pcf Native Mixed w/Rock Sampled on 9-16-11 by B.Taylor Optimum moisture= 7.5 % Project No. 1025093 Client: Remarks: Project: Apple Tenant Improvement Project • Location: Stockpile SW of Building#3 Consolidated Engineering Laboratories Oakland, California Figure S110919-04 rj ( CONSOLIDATED ENGINEERING L A BOR ATORIES 11 9/21/2011 OCT 3 1 2 011 I I City of Cupertino u' Building Inspection Department By 10300 Tone Avenue Cupertino, CA 95014 RE: Apple Tenant Improvement Project 10600 Tantau Blvd. 7e - Cupertino, CA 95014 Permit# 1106-0134 X FILE CEL#: 1025093 / �7 re U36. LAB#: S 110919-05 LABORATORY REPORT Consolidated Engineering Laboratories has performed testing of materials for the above project as noted below. Testing was performed in accordance with the indicated test method. Results are as follows: Material: Recycled Class II AB Location: Reid &Graham Source: San Jose Plant Sample Date: 09/16/11 Sampled By: B. Taylor Please refer to the attached data sheets for results. REVIEWING ENGINEER: E.A. "Rick" Navarro,P.E. CC: Apple,Inc.(E) Apple,Inc.(E) XL Construction(E) Apple,Inc.(E) Enclosure(I) All reports are submitted as the confidential property of our clients.Publication of statements,conclusions,or extracts is reserved pending our written approval. 534 23rd Ave.• Oakland, CA 94606-3507•Tel. 510 436-7626•FAX 510 436-7699 i • COMPACTION TEST REPORT 150 140 130 7".."411N. U a y N 0 120 — 110 - ZAV for Sp.G. = 100 2.65 0 5 10 15 20 25 30 Water content, % Test specification: ASTM D 1557-02e1 Procedure C Modified Elev/ Classification Nat. %> ""o Sp.G.G. LL PI Depth USCS AASHTO Moist. 3/4 in. No.200 2.3 TEST RESULTS MATERIAL DESCRIPTION Maximum dry density= 131.0 pcf Recycled Class II AB Sampled on 9-16-11 by B.Taylor Optimum moisture= 6.5 % Project No. 1025093 Client: Remarks: Project: Apple Tenant improvement Project • Location: Reid&Graham-San Jose Plant Consolidated Engineering Laboratories Oakland, California Figure SI 10919-05 CONSOLIDATED ENGINEERING L A BOR ATOR IES 10/5/2011 City of Cupertino R&D E Building Inspection Department 10300 Torre Avenue Cupertino, CA 95014 RE: Apple Tenant Inspection Date: 07/19/11 Improvement Project Location: Shop 10600 Tantau Blvd. Inspector: L. McLaughlin Cupertino, CA 95014 Report#: 001 Permit# 1106-0134 ^) CEL#: 1025093 STEEL AND WELDING SHOP INSPECTION REPORT On the above date, our representative inspected the referenced project. Reported to Benchmark Steel in Hollister, CA. Please refer to the attached report for details and locations of our inspection services for the above noted date. Work inspected was in compliance with approved shop drawings and structural drawings. REVIEWING ENGINEER: CHRIS KAVALARIS,R.C.E. CC: Apple,Inc.(E) Apple,Inc.(E) XL Construction(E) Apple,Inc.(E) Enclosures (2) All reports are submitted as the confidential properly of our clients.Publication of statements,conclusio ��.� •; •� nding our written approval. Exp. 06/30/12 9?.6", CIVIL • P CALIFOC� 2001 Crow Canyon Road, Suite 100 •San Ramon,CA 94583-5387 •Tel. 925 314-7100• FAX 925 855-7140 4- 4 o - . , .5- ii , Revised 07r1.f2u10 CONSOLIDATED ENGINEERING LABORATORIES- STRUCTURAL STEEL-WELDING PAGE 1 of I IX- r§ari Ramon,2001 Crow Canyon Rn tl 100.San Rarnurr.CA I; 1 Windsor, 7757 Bell Rd.Windsor,CA r Sacramento.950 Riverside Parkway Suite 60,W.Sacramento,CA )-\ �` 0 /' Project Name Date Inspector Name IDSA File Number A?i'L-c- cu7C-g-nNo 07/Iq/1/ Loe, Mc)-4,11,•(r.; N/A Project Address Prjoject Number DSA Application No./OSHPi� Io6O(J TAt.! 1'AL! SL✓P. 1DZ Sa93 1�uf AV A a�,.6y r / CLIPe-)e- 1do s //OAO —O/3� Work at: jX Shop r Jobsite Type of work X Structural Steel For shop inspections: Reported to(Name) Pe r2 a Shop Name 3 Cis-/ c H /✓1 A c is s1-6- G- c— Company: Be e,1C t-)M /,,, r K 5!L G— L Address 1511 ,SkLe(-(-ton 'D,/r✓e f.47 ((,S-f-Ce" Material Identification 1--- Collected r. Checked mill certificates Sampled: Checked welder /r\ procedure qualifications Visually inspected the r in progress I- completed welding performed by qualified welders using: SMAW Filler Metal Type(sl E f-- SAW Filler Metal Type(s)E AFCAW Filler Metal Type(s)E 7/ /---_, I 1 G• MAW Filler Metal Type(s)E E" OTHER: Filler Metal Type(s)E r- V• erified proper electrode storage. Preheat temperature maintained r at maintained per WPS requirements. .. maintained per AWS D1.1. Weldments consisted of: Groove welds � complete penetration j partial penetration r flare-bevel Fillet welds: single-pass r multi-passe/ " Direct f— Indirect butt splice on reinforcing steel 1— Other For: X base plate r• gusset plate IX connection plate r-•• moment plate I-- plate-to-plate splices n stiffener plate r•• reinforcing steel ( brackets 1- bent plate j beam to column connections T other: at: r wide flange columns f wide flange beams K tub'e steel columns ( tube steel beams i--' beam to column j- girder to column r column to column splices r- diagonal brace to /\ I._ angle to r- studs to j-- chord bar splices r embeds r." other: Metal Deck/Studs Inspected on metal decking j A• rc spot welds r- Stitch welds (.. Shear studs (• • Button Punch Report Summary Refer to the attached: F.• Fielrl Inspection Record I X Member Completion Record j.... Material Identification Record Work inspected wa /completed 1 in progress (.... p• ending approval r W.I.P. punch list r" Non-compliance report was left with the contractor Items were reinspected and r-- accepted 1- remain in progress See the attached j-- Punch list 1 Non-compliance Item fl Work inspected was in compliance with I approved plans and specifications approval by: DSA 1.-- City/County Other: I unapproved shop drawings, structural drawing(s)nolsl• KX approved shop drawings j \ pending DSA approval -- except as noted below Issues/Problems? K No Yes,describe below Notified . C.omparry name: INSPECTOR NOTE:Refer to Structural Drawings for Shop and Field Inspections.Shop Drawings may be used for Reference Only. Suuclural Drawings were X Available j NO1 Available !INCH Available,Notified. Field Supervisor j• Project Man:rgeror 1.- Engineer at CEI. Signature Block Inspector name(prim) Lb lect - KA C Li U s I'd ivy -- CERT n 5 3a351. 2_, 41111rSi•�nature: . +�� r••• r-.rrrw nl•n)u.',-.pyr•.ur•.ar:n urvirAc••:01111rn•:rrn;;in.r ci'rd 11.,4 r n.r, Or,f0.n,rtt i, _u,rgJt,d„Cr':/Irn ri:e 1.... (JSHPD or j f7SA ur City approved nueunrenrs Note:OSA for Schools,City/County or OSHPDfor all other projects •_'t.f^01'1.ilev.;rr tt.:rrto CONSOLIDATED ENGINEERING LABORATORIES Structural Steel Welding/Bolting Member Completion Record / San Ramon.2001 Crow Canyon Rd t1 100,Sart Ramon,CA I— Windsor,7757 Bell Rd,Windsor.CA r Sacramento.950 Riverside Parkway Suite 60.W.Sacramento,CA Project Name Date DSA File Number Af?LE ct.r?ER-rl O o7/l9/ 11 /20 - Project Address lo 6 vg TA nl i Av T3-V.P. Project Number DSA Application N./OSHP City C4-4PCg--n^-'. I o2_S'9 3 N ,..13.--:-.-&----..".„- S>h.Y Leo c is TI-v.4`--/ //6' —p/.;; Building/Structure Number Inspector Name A Pr e C✓ ?rne - --' Log MCL-1 Fabricator 36 /JCI-1 r r/ Air Address S-ic-Cc. 159) St-ie f[ D.r./e 1--loll,s}ee- The items listed below have been checked for Material Identification and visually inspected and/or Non-destructively examined as required by the Project Specifications. • Abreviation Legend BC Boa Column C Lhannel Weld Type NOE[Kann WC WE Column R Rectangular FW fillet Weld U7 Ultrasound G Girder CB imbed SS Steel Stud Welding MT Magnetic Panicle BW Beam(welded] RB Reinforcing bar FB Flare Bevel Weld PT Liquid Dye Penetrant B NW Beam(no welding CP Complete Penetration T Tube Steel pp Partial Penetration Inspections Piece Piece Description Quantity Lam Check Accept/Reject Weld Type/Remarks Identification Visual NDE Yes/No I Mill Certidicates Received G " .- +('2y -ISS Column c K I Ace.p+- F 1/B#see PI_Are Tc ' t:q T r o. e - 5 -1 SS Co►f.mt' I X Acce.pi- e - 6 HSS CaILAMn I Acce- pi- G - 7 I-ISS C o l kr4I X A cc.e P- t. C - 8 I-ISS Co I u Mn 1 J( /cce f7+ _ ALL- I'C 5 ,p DC AL-n-4 1 — 1 C 1 n- C1 ').01-67 619/_2_,,t o i —— — LL- -- i. -- L- i ------- ---- --.--- V;rlrJrrs• RAFiaCL S oiia J. zc 0 7 Lf'S.— -- -- -- ---- — -- ---- -- Welding Methods FCAW 1 . GMAW I. SMAW SW :.` SAW I. - ESW ; Other ,:on•druction..v.v.- `` I//X In;pecterl 1_. NOT impr.cted tow.iccot dance:.rich the reipmeinenls of the D,A.rppi.ived l-- O;HPDr.iprove f rinc,riii nts Wcrk mstiecIed was:)( In Compliance I NO(in i.r,mpli;rnee .'1h ii' 'eft.i.r.'r'n:;Iii tl.. I D•.,'ono.,.rrrI ..,i I''i.u.p.rr.-•::d.0 ^:+.r1 Signature Block In,pednr name'pi inil ..J.<7 a- 1____.)1/1..C..1-411"I I h 5elnrrn4111111110. /1 c i- tI.now,Jltry,nvn l:nit.,rn.rlk.n.),Aed.:n'1h:11 MI, eel Ii.,',1...r.n 1_.vf,,ui•1:c1 ireuin ipli,un,., Mill the r _ ,r:r,...,...I r... o'a IPI?.y:pr.wcrl'l.;(til..-f-11: ,.l •.• _., r1 6 CONSOLIDATED ENGINEERING 1 C� 1 U T 1 L A BOR ATORIES OCT 122011 J 10/5/2011 By City of Cupertino Building Inspection Department 10300 Torre Avenue F U L E Cupertino, CA 95014 �_?,1- G RE: Apple Tenant Inspection Date: 07/22/11 Improvement Project_ Location: Jobsite r---10600 Tantau Blvd. x Inspector: R. Puntso `-"Cupertino, CA 95014 Report #: 002 Permit# C1---------;7106-0134 X CEL#: 1025093 EPDXY DOWEL INSTALLATION REPORT On the above date, our representative inspected the referenced project. Please refer to the attached report for details and locations of our inspection services for the above noted date. Work inspected was in compliance with structural drawings. REVIEWING ENGINEER: CHRIS KAVALARIS, R.C.E. CC: Apple,Inc.(E) Apple,Inc.(E) XL Construction(E) Apple,Inc.(E) Enclosures (7) All reports are submitted as the confidential property of our clients.Publication of statements,conclusions,or ex!_. is reserved pending our written approval. QPOFESS/0N/ C2 cp1;KAV. F 4 .% , 1.. eE,, s�9TF0F C IA�1F°VIL ce. 2001 Crow Canyon Road, Suite 100 • San Ramon, CA 94583-5387•Tel. 925 314-7100 • FAX 925 855-7140 iml 0-)___ CEL FIi005.her.07/1'/2010 CONSOLIDATED ENGINEERING.LABORPIT ii I+ O lES 1 2 2011 /� DOWEL/ANCHOR INSTALLATIONU JI IX"'ISan Ramon,2001 Crow Canyon Rd✓• 100,San Ramon,CA P Windsor,7757 Bell Rd.Wi fds r,CA I I�Sacramento,950 Riverside Parkway Suite 60,W.Sacramento,CA ! - Project Name k F `c �u0 dAr+�A O Date ?' 2,2,-` f DSA File Number f Project Address I 0(.; O NOC•4-k Project Number DSA Application No./OSHP /Cit TA"4 a K ) CGiiins-k,v►o t 0150 °l2) //v(v- 0/.3 Building/Structure Number Inspector Name 'F.E I Iv PLN T50 Type of work: f— New gRework T.Repair r Retrofit Location/Use: Reported to: 504 Company: Drawing No.: AY — tom- Detail No: S— RFI No: Engineer/Letter Fax dated: Other: eh t5- 2.0 I1 Insert Type: [ Reinforcing Steel dowel [ All-Thread Anchor r Wedge Anchor Other: Dowel/ Hole Level Grid Line Location Anchor Hole Position Hole Number of Size Size Depth Dowels/Anchors ll EP c 9 ��2i'#0t! `' fl tat' ct;y�, A11 1 Type of Adhesive: I ��a. '�0 Note: lit �' rtli-4+n c9 • vC r.{ l in . `{ if of 4"e-A . Expiration date: 1 1 N` 9_0k1f��L�, 91 • Vic • sC- t ? - a - l.f ( Lu c4-� ,, ) Inc Structural Drawings were Available r NOT A ailable II oT A .ilable,Notified: 1 Field Supervisor fl Project Manageror f- Engineer at CEL Signature Block Inspector name(print) ft •t ?LA f %0 CERT 44 !D q b0,4';9 Signature: !� I% I know of my own personal knowledge that the work inspected has been performed in compliance with the OSHPD or (— 05.4 or fit(City approved documents Note:DSA for Schools,City/County or OSHPDfor all other projects CONSOLIDATED ENGINEERING L A BOR AT OR IES 10/5/2011 liTcEo w IE City of Cupertino OCT Building Inspection Department 1 2 2011 10300 Torre Avenue By Cupertino, CA 95014 RE: Apple Tenant Improvement 10590 Tantau 10590 Tantau Blvd. F ' Cupertino, CA 95014 LE Permit# 1106-0133 — CEL#: 1025093A FINAL LABORATORY AFFIDAVIT (Effective Through 08/03/11) THIS IS TO CERTIFY that in accordance with Section 1704 of the California Building Code, Consolidated Engineering Laboratories has provided special inspection and testing on the subject project as listed below: 1. Installation of epoxied reinforcing steel dowels. These inspections were performed by personnel under the general supervision of a Registered Civil Engineer in the State of California. Details of our work on this project are contained in our testing,and inspection report, issued during the course of construction. Based upon the inspections performed and upon our substantiating report, it is our professional judgment that the inspected work was performed substantially in conformance with the approved plans and specifications, approvals by the Engineer of Record and the applicable workmanship provisions of the California Building Code. REVIEWING ENGINEER: C•i' - •s '.C.E. Apple,Inc.(E) •pple,Inc.(E) XL Construction(E) v N0.CE3317. Apple,Inc.(E) Exp.06130112 All reports are submitted as the confidential property of c • t blicati Rf stat onclusions,or extracts is reserved pending our written approval. 111- OF CA�-\F° 2001 Crow Canyon Road, Suite 100 •San Ramon,CA 94583-5387•Tel. 925 314-7100 • FAX 925 855-7140 6 HICIT1 -- CONSOLIDATED ENGINEERING OCT 1 2 2011 L A BOR AT OR IE S 10/5/2011 By City of Cupertino Building Inspection Department 10300 Torre Avenue FELE Cupertino, CA 95014 RE: Apple Tenant Inspection Date: 07/25 & 27/11 Improvement Project _ Location: Jobsite 10600 Tantau Blvd�� Inspector: W. Bryson/R. Puntso Cupertino, CA 95014 Report#: 003 Permit# 1106-013 CEL#: 1025093 STEEL AND WELDING FIELD INSPECTION/ EPDXY DOWEL INSTALLATION REPORT On the above dates, our representatives inspected the referenced project. Please refer to the attached reports for details and locations of our testing and/or inspection services for the above noted dates. Work inspected was in compliance with approved plans and specifications and structural drawings. REVIEWING ENGINEER: CHRIS KAVALARIS,R.C.E. CC: Apple,Inc.(E) Apple,Inc.(E) XL Construction(E) Apple,Inc.(E) Enclosures(3) All reports are submitted as the confidential property of our clients.Publication of statements,conclusions,or extracts is reserved pending our written approval. ,./ ,497---••rvii!.").-li L o.. 'E3 • 9 * Exp. 06/30/12 - `r)1' CIVIL \- . -7TFOF CALO\ 2001 Crow Canyon Road, Suite 100• San Ramon, CA 94583-5387 •Tel. 925 314-7100• FAX 925 855-7140 c !` Revised o7/1 2/2010 CONSOUDATED ENGINEERING LABORATORIES-STRUCTURAL STEEL-WELDING PAGE 1 of 1 Ka.r' Ramon,.2001 Crow Canyon Rd f`-100.San Ramon.CA - r Windsor.7757 Bell Rd.windsor,CA N. Savam o.950 Flivessicie Parkway Suite 60,W.Sacramento,CA .:F Co 3 Project Name iqpprz_ • • Date I Inspector Name DSA File N r 7-2S-zvrl ; L�;LG8 /-?<c /i 1 r P jo ect Number Project Address /D G UD A/02T/1 �/tloi R(1 DSA Application NoJQSHPI City Work at r Shop jahsite Type of work jStrucuaal Steel For shop Roomed to(Name) ^ Shop Namepa Address Material Identification F Collected • E Checked millcertificates Sample& Checked &welder 1-7/procedure gimf • Vsualiy inspected the r m progress '✓ completed weldatg performed by, uarrfied welders using /�O • 6lJ �` n ma,�t ¢ C7 r SMAW Filler Metal Type(s)E ) r SAW F�Metal Type(s E FCAW fiilierMetal Type(s)E E 7/ 7 .Q'� • 06. rj I— GMAW Filler Metal Type(s)E r 0TH9t gum-Metal Type(s)E V G I.VettTted proper electrode storage Preheattemperanue maintained r at E maintained per WPS requirements. r maintained per AWS D.i.1. WeldinentS sled of E Groove welds E complete p , atlo, E I�p 'a ion r�lLrrrevel Faletwelds high r muhi-pass E I:Faect r Indaeabutt splice onreinforring steel r-- Other For. E base plate E gusset Plate E connection plate r moment plate E Prate slate splices r sty pe E ung steel _ _.adaeis r bent plate r beam to adornconnections r other: Im , 'a_ ;'V, ; rat r wideflange columns r wide fiateb�s r✓tute steelc columns r attestedbeamsr beamtnmltnn E girdertomt nn E alnico to column spires E cliagorial bre to r-" angle to IT studs to IT chord bar splices IT embeds r other: - Metal Deck/Studs inspected on metal decking r ARS vrelds r Stitdhwelds r Shear studs r Button Punch - Report SumrnaTyk ttteattadted: Field Inspection Record r Member Completion Record r Maisel Ice t icuion Record Wwkimspected was i din progress r pending approval r W1P.ptmch list No report was left with the-contractor• J Items were reirsleand and f F. remain in Program Seethe attached r Punch lita r Non- mphance Item# was in oomprance with Loved plaits and specifications mal r DSA r City/County Other: 7'srnstruPecteddctural rawings)Trots). .275 S RNAay/. . _V • i. . zpproved shop drawin9s r unaPPraved shoptgs. r: except as below OSA approval ,. eZ2r�/n�J" Vi.S✓/.) �. w arO/u 6 ow i H� NSs /�soo 64 3 .9;y� " &e,„, 1 • p Co/v C nf1 Cu,)1)s Cows-sr or ri�,tLe 6cv2�G /910 v, //cfrJL pf ,€ 9 ,,,/E Q, Ci•rCt, 1t t4J#1tL ALL weGt�J //k/SOecTEp weGl �p;J,n/o rO OL t- � T� t �� 13(„is 0/./; 0 r/ ficl/ A/��a�do P/�1.vc. -,✓v r Yes.desabe below Notified �0,rye: `• . piSPECTOO NOTE Refer m jodia,d/Drawings fors�,nd t :7'- �7OP wayes used nor oe ooh,. Structuralwerear able IT NOT Available iNOrAvailable, Notifieck r' BO-Supervisor C Project Manageror IT Engineer at CH Signatur+eB{pd Inspe r¢rne(prirttj (� .s / .. j,�l, >/� m .tom � Q� �=, PERT ��yzy3 SZ -r (jJ1 1 Ki Chow of my own personal tmosdettgethatthe work inspected has 'erFomned In conpllanoe with the r— naliwn • -- .r — CEL F11005.her.07/12/2010 CONSOLIDATED ENGINEERING LABORATORIES OG (... DOWEL/ANCHOR INSTALLATION iiK/ISan Ramon,2001 Crow Canyon Rd><100,San Ramun,CA L 'Windsor,7757 Bell Rd,Windsor,CA P 'Sacramento.950 Riverside Parkway Suite 60,W.Sacramento,CA Project Name Alt,cL 14 /1 V' Date DSA File Number 7 -9.si I I 4///� Project Address l b. 00 k. 0 ,..4_11 Project Number DSA Application No./OSHPDC2L0 faK'4-A,Lt. , CA-A.leir4-i_We 10Z..,g01 //D(v — 0 ( 3 Building/Structure Number Inspector Name P b 4 CZ�.Ia PON 50 Type of work: F.New R.Rework r.Repair C Retrofit Location/Use: Reported to: '606 Ara.. 0^ Company: k L / ni4.rl,t cli 0 frI Drawing No.: 2/S _ 5 Detail No: RFI No: Engineer/Letter Fax dated: Other: . / ,4"` et i," 2011 Insert Type: ! Reinforcing Steel dowel [ All-Thread Anchor fl Wedge Anchor Other: Dowel/ t Level Grid Line Location Anchor Hole Hole Position Hole Number of Size Size Depth Dowels/Anchors 1 10t 5---et L1 At') I V2_4 a " C 122' I 6 " i ):),6---cc, :� I .r 3 I /Z N 6 E al' 4r .1.1 l ,t 1 I 115-6 � ( I 3 I V '1 ( " �. 12'j I c4 14 1 I i6'- c.- 7 I .13 I ye ( '' c 122" I C. l(o 1 D 5-c u 8 4-3 1 .4.00 ( L t22 (D- ti 1 C- 0 t �,7 43 y, I/ G)fc `7 t, I, 2 1 C,•.s t ► - 3 3 �_ Y f,►/ i I 1r ' a_i 2c.y 3 l _ - 1 I.5- ..e I If V Z'1 ( " \L" It � 1. 1 Type of Adhesive: 141 Lit I "K I .r Note: * _ MA dir./�� Expiration date: uy ,01 *it DA 1/1 S W etc,ZZ Structural Drawings were IX Available [ NOT A ailable If NOT A :il•. ,Notified: C Field Supervisor r Project Manageror r Engineer at CEL Signature Block Inspector name(print) ....iiillrMrd l CERT tr /O I ( O Signature: __`af ‘-<1 know of my own personal knowledge that the wort:inspected has been peryformed in compliance with the n OSHPD or fl D5A or City approved documents Note:DSA for Schools,City/County or OSHPCDffor all other projects CEL FI1005.he,07/12/2010e.6--> v CONSOLIDATED ENGINEERING LABORATORIES C DOWEL/ANCHOR INSTALLATION San Ramon,2001 Crow Canyon kd ! r 100,San kamon,CA I I Windsor,7757 Bell Rd,Wmdsot.CA [Sacramento,950 Riverside Parkway Suite o0,W.Sacramento,CA l J Project Name �� e Date _ _ DSA File Number Project Address 1.0 49 G .0 if 'ez _ Project Number DSA Application No./OSHP y -+��,. c� I-410 z��3 ` ,,oma �/Cit-o, i Building/Structure Number Inspector Name . D 4- - 4 12-al kJ e IA ki-K-5-, Type of work: IT New riework r;Repair C Retrofit Location/Use: Reported to: /Q PrejZi Company: l — Inke t, ii Drawing No.: 3/ - r Detail No: RFI No: Engineer/Letter Fax dated: '7 Other: ( t;J —) S":24)0 Insert Type: 11 Reinforcing Steel dowel C All-Thread Anchor nWedge Anchor Other: 1 Dowel/ Hole Level Grid Line Location Anchor Hole Position Hole 1 Number of Size Size Depth Dowels/Anchors 1 I C— C) c s-5 I i -3 I /z'' (0"e Z' I cr I 1 Z I C - 9 4: 4 6" I ? I f2i/ (,n e ,Q'1 16 ') I I I I � z I I II l7.4.4 I 2,1i Type of Adhesive: IHIL 7 t` Note: 71A-- i .fb( P-1,t 3 ' i g Expiration date: I h ( nom MI I'IiLC t/I (n b Vi. 5 lA)vu 1 V\ 1,e Irct,,21 u Structural Drawings were Available C NOT Available I NOT Availabl= ified: C Field Supervisor r Project Manaoeror 1--- at CEL Signature Block Inspector name(print) C' ( h — ,J CERT ft (9 (1 �// Signature: '411 ' I know of my own personal knowieage that the work inspected has been performed in co. ice with the C OSHPD or r DSA or any approved documents Note:DSA for Schools,City/County or OSHPDfor all other projects CONSOLIDATED ENGINEERING L A BOR ATORIES 10/10/2011 OCT 122011 City of Cupertino Building Inspection Department BY 10300 Torre Avenue Cupertino, CA 95014 F . SSG RE: Apple Tenant Improvement Project -- — - - ----- Cupertino, CA 95014 Permit# .1.106-01-34 — CEL#: 1025093 FINAL LABORATORY AFFIDAVIT (Effective Through 07/27/11) THIS IS TO CERTIFY that in accordance with Section 1704 of the California Building Code, Consolidated Engineering Laboratories has provided special inspection and testing on the subject project as listed below: 1. Structural steel shop welding. 2. Installation of epoxied reinforcing steel dowels. These inspections were performed by personnel under the general supervision of a Registered Civil Engineer in the State of California. Details of our work on this project are contained in our testing and inspection reports, issued during the course of construction. Based upon the inspections performed and upon our substantiating reports, it is our professional judgment that the inspected work was performed substantially in conformance with the approved plans and specifications, approvals by the Engineer of Record and the applicable workmanship provisions of the - ' : :uilding Code. _ -1111011. REVIEWING ENGINEER: CHRIS KAVALARIS,R.C.E. Apple,Inc.(E) Apple,Inc. No.CE33179 XL Construction(E) Apple,Inc.(E)(E) Exp.06/30112 * d>. Mk o0 All reports are submitted as the confidential property of clients.Publication of statements,conclusions,or extracts is reserved pendin. %%Zeei•�•. 2001 Crow Canyon Road, Suite 100• San Ramon, CA 94583-5387•Tel. 925 314-7100 • FAX 925 855-7140 Ir CONSOLIDATED ENGINEERING L A BOR ATOR IE S LLD (`,7I� 111/1/2011 e/ (� �1City of Cupertino A2011 ,�Building Inspection Department 10300 Torre Avenue ----_ Cupertino, CA 95014 RE: Apple Tenant Improvement Project - Inspection Date: 09/16/11 Location: Jobsite (0600 Tantau Blvd. JX Inspector: B. Taylor Cupertino, CA 95014 Report#: 004 b tvbi34? Permit# C:16-1—P6)-341j 1-106=0134 x FILE, CEL#: 1025093 EARTHWORK REPORT Our representative observed site operations and/or performed nuclear gauge moisture and density determinations on compacted soils at the above project. Enclosed are the results of this testing. QROFESSA9 46, REVIEWING ENGINEER: RAGHUBAR SHRESTHA,Ph.D.,P.E. �� ,`4" \pAR SHpF Fy W � s CC: No.C73464 v If" Apple,Inc.(E) Apple,Inc.(E) * Exp. 12.31. XL Construction(E) Apple,Inc.(E) J, CIVIL e Enclosure(1) qTF OF CAt.gc) All reports are submitted as the confidential property of clients.Publication of statements,conclusions,or extracts is reserved pending our written approval. 2001 Crow Canyon Road, Suite 100•San Ramon, CA 94583-5387 •Tel. 925 314-7100• FAX 925 855-7140 f- s Cooc..9 CONSOLIDATED ENGINEERING DAILY FIELD REPORT LABOR A T ORIE B "Partners in (Duality" Report N: Date: 1•h/1 Project Name: _pJe ?.e44A.L 4 I piton,/ Project Number: /02.5 65*3 Page / of i___ Field Rep: JV 711- 1S)_112.-- Project Manager: - Scope of Work: ❑Mass Grading ❑ Pavement ❑Utilityirench g Other Hours Charged: 0 Full Time ICJ Part Time Contractor: X L Sunny 0 Windy 0 Hot Mild P a, Conditions: Contractor Representative: ❑ CloudyCI Rain ❑ Cold 0 Fo Equipment Type Number Nuclear Type: C PA Density Testing CI Tube Compaction Equipment -— Moving 0 Sand Cone Water ❑ Native Fill Source — Support 0 Import Plan Engineer Date Fill Location: .4. G 1 Car ( .VKPS it, Ober- civil lV►a OUtS(c°i of b U( (d t tno15 4 �f,.J Structural 3 " 1 Geotech Curve g Description Max Density Opt.Moisture Required Compaction Required Moisture 0 5t oft tI•a( tkah v2 vtA.te. IJV R-vcie--- 133.5 Z.S ❑ 90% ❑ opt.+2% pr 95% 0 Opt.+2%to 5% ❑ Other: ❑ Other: Wet Density Moisture Dry Density Curve q Percent Pass/ Test P Blots 3 Location Elevation (pd) Content (pd) Compaction Fail 1 _NE oc r 5 5�—r 11.I- 121o.5 6 9s P 2 2r1d door /4 o ''SC corner 10.7 12.7. ( `3)C P 3 1 s¢• door LI I I 13.5 IVp-3 qS p `1 Randicr p rarNP 5 W CoYvse 10.0 128. I 9 b P do gld�__ 9.10 128.4 9tb P 5 it, Ea+�dl rarAf 6 N1 Lanae' 1 1. 1 127.E `�5 P �46o,m OF tco4t roAr Ir► + l l •�1 1210.9 95 b s tc N w(Amer 1 7 Top ok InaLndlcap ramp� -+— (o . 3 128.0 -� b `P 8 Comment/Sketch: NOTICE W NeYpmrnaa:mreprner an Icesrtlry m aMmeaperamnalrheson norm idndred oremoWnlam+ban theWegwryotume apmllom.mdrorepmrmmeawn- 0 This DFR is Preliminary-A preliminary report Is provided This OFR Is Final-A final report is an Instrument at professional iamto oadant The prnmceand minion ormufield represenuumdaear reiiewany ssumana solely as evidence that field observation was performed.Observations and/ service.Any conclusions drawn from this report should be dntussed with and hon its stdlaANn iommsmm+nuNrnpmnnmu Ne ene pt an,dientm+7 'moor or conclusions and/or recommendation conveyed in the final report may vary evaluated by the professional involved. findings and opinions.the sanumor retains sale respambury fa sire Leery rinds, from and shall tate precedence over those indicated in a preliminary report. operNmy and sequenmol=maim I , *4' db y . 16. 1I Field Representative: Date: Reviewed By: t Date: D.F.R.Page 1(04-08)