12110059 - SI - SIGN � Qualify.Assurance Services
Materials Consulting
� �'ES�'ING EN�I�T�E�S, �T�TC. Since 7954
Apri12�, 2Q13
City of Cupertina TEI Praject No. 57517
B�uilding Ins�ectian Department permit No. 1211�3059
1034Q Torre Avenue
Cupertino, California 95014
Subject: FINAL REPORT
Project: 1Q165 N. DeAnza &lvc�
AlQ ft Hot�l—Sign�age
Cupertino, Ccclifor-nia
(�entlemen:
Tn accordance with Section 1704 af the California L'�ilding Cade, we nave pravided special inspection of:
- Installation of expansian anehors in existing concrete.
These i�spections were perfc,rmed by persorizael under the general supervision af a Registered Civil Engineer in
the State of California. Based upon our in�pectians performed and our substantiating reports, tlie inspected wor�C
requiring specia� inspection was, to the best of our kno�,7vledge, in aonforsi�ance with the approved plans and
specifications, the ap�lic�ble vtrorkmanshi�,provisions of this Code, and any changes by the Engineer of Record.
Details of our wark on this project are contained r.n our testing and�nspection reports that were submitted during
the progress of construction.
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TESTING ENGINEERS,IN � e y
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�`er�y L. Eglar�d, F . r �
CE#34132, Exp. 6/30/13 ��',j� ,��
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cc; Infinite Loop Hotel LLC f D Gupta
Azul Hospitali�y Gro�ap/J. Durbin
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Corporate Office—2811 Teagarden Street—San Leandro,California 94577—(514)835-3142—FAX(510)834-3777
www.Testing-Engineers.corn I1CCR�DITED
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� TESTING ENGINEERS, Il`�TC.
2811 TeagardQn St. 5�4-835-3142 510-834-�777fax
Sayt Leandro,CA 9�577 800-660-3142
San I.eandro • San Jose * Marbnez
INSPECTi�hT REPORT Week Ending: 1/18/13
** Revised Report clated 4/`l2,/13
PROJ�CT#575T7 TYPE OF IIVSI�EC'I'ION:
Expansion Anchors
PROJECT: PLACE OF INSPECTIQN:
101b5 N.De Anza Blvd. JobsiEe
�'� Aloft Hotel-Signage
Cupertir►o,CA
Permit# '�'� 32110059
1�f1�
bATE 1/14/13
HO�S 4
INSPECTOR �'.P�Te�.son
Reporfed to Jos�at the jobsite as requestec�.
Wifinessed the drilling of holes of propex diamefer and depti�. Qbserved the cleaning of hales and witrtessed the proper
insertian of f�venty-two(22)3/e" diameter Hilti KB-TZ expai�sion anchors,4-1/z"in lez�g�kli.,embedded 4°for sign at front
corner.
The preceding work was,to the liest of my icnowiedge,in campliance with engineer approved plans and specifications,
including revisions Uy engineer.
�
Reviewed by. �
Dav' Chippero �
Sp ial Inspec�ian Division Manager
1ec: I�ifuufe Loop Hotel LLC/ D.Gupta
*`� Azul Hospitalit��Group/J.Drsr�rzn
City of Cupertino/ Bldg.Inspection I�ept.
T1us report can be r�produced only in its entirery unless written permission from T'EI is obtained.
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