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CONSOLIDATED ENGINEERING
L A B O R A T O R I E S
5/16/2014
City of Cupertino
Building Inspection Department
10300 Torre Avenue 1p
Cupertino, CA 95014
RE: First Republic Bank Cupertino
10297 S. De Anza Blvd
Cupertino, CA 95014
Permit# 13010126
CEL #: 1027796
11403 IM1111
MAY 2 7 2014
BY
Inspection Date:
08/09/13
Location:
Jobsite
Inspector:
S. Kmitt
Report #:
0809Field
STEEL AND WELDING FIELD INSPECTION REPORT
On the above date, our representative 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 date.
Work inspected was in compliance with approved plans and specifications.
REVIEWING ENGINEER: GREG LeROY, R.C.E.
CC:
Robert Allazio (E)
First Republic Bank (E)
RMJ Structural Engineers (E)
Enclosures (2)
D. Leq
Robert Allazio (E) No. C11111 1 y3.1114
Novo Construction (E) Exp°
CMS./
All reports are submitted as the confidential property of our 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
r
Form ID 17 Rev.O CP
�1
CONSOLIDATED ENGINEERING
Page 1 Of 2 L A B O R A T O R 1 E s
STRUCTURAL STEEL - WELDING
Project Name: 11 st Republic Bank
EL Project #: 11027796
Project Location: 110297 S De Anza Blvd.
Drawing No.:
Cupertino
Detail No.:
Work at: r Shop r Jobsite Type of work: ri Structural Steel
DSA FILE#
DSA APPL#
LEA#
OSHPD#
PERMIT /APPL# 13010126
Testing /Inspection 2013 -08 -09
Date(s):
Contractor: I Novo Construction
Other:
For shop inspections:
Shop Name: Reported to (Name): Ed Evans
Address: Company: Novo Construction
Material Identification F-1 Collected r Checked mill certificates Sampled:
Verified: r Welder qualification r, Procedure qualification r Weld procedure specification
Visually inspected the: r In progress r Completed Welding performed by: 1 Qualified welders using:
r SMAW Filler Metal Type(s) E
r' FCAW Filler Metal Type(s) E 71T-8
r OTHER: Filler Metal Type(s) E
Preheat temperature maintained r at
Weldments consisted of: r Groove welds
F_ SAW Filler Metal Type(s) E
F GMAW Filler Metal Type(s) E
r Verified proper electrode storage.
r Maintained per WPS requirements. r Maintained per AWS D1.1.
F_ Complete penetration r Partial penetration r Flare -bevel
Fillet welds: r' single -pass r multi -pass r Direct r' Indirect butt splice on reinforcing steel r Other
For: r Base plate r Gusset plate C Connection plate r Moment plate r Plate -to -plate splices r Stiffener plate
r Brackets r Bent plate ❑ Beam to column connections r, Other: Tube Steel Storefront Header Framework
at: r Wide flange columns r Wide flange beams r, Tube steel columns r Tube steel beams r Beam to column r Girder to column
r Column to column splices r Diagonal brace to r Angle to
r Studs to r Chord bar splices r Embeds r Other:
Metal Deck/Studs Inspected on metal decking F Arc spot welds r Stitch welds r Shear studs r Button Punch
Report Summarx Refer to the attached: r Field Inspection Record r Member Completion Record r Material Identification Record
Work inspected was: r Completed rj In progress r Pending approval r W.I.P. punch list r Non - compliance report was left with contractor
r Items were reinspected and r! Accepted ri Remain in progress See the attached r Punch list r Non - compliance Item #
r Reinforcing steel
Issues /Problems? r No r Yes, describe below Notified:
Reference to RFI # 1
Company name:
The Work: r' WAS r WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE r DSA r OSHPD r CITY APPROVED DOCUMENTS
The Work Inspected: r MET r DID NOT MEET THE REQUIREMENTS OF THE r DSA r OSHPD r CITY APPROVED DOCUMENTS
Material Sampling: r WAS r WAS NOT r N/A PERFORMED IN ACCORD CE WITH TH DSA r OSHPD r CITY APPROVED DOCUMENTS
CC: Project Architect
Signature of Special Inspector: Date: 2013 -08 -09
Structural Engineer Print Name/Title- Stan Kmitt CWI
Project Inspector
DSA Regional Office AWS QC -1 #04020141
School District CERTIFICATION #:
Form ID 20 Rev.1 A077 DSA FILE#
LEAAPPL#
FIELD INSPECTION RECORD
CONSOLIDATED ENGINEERING A#
L A B O R A T O R 1 E S
Page 2 of 2 OSHPD#
Project Name: 1st Republic Bank PERMIT /APPL# 13010126
Testing /Inspection 2013 -08 -09
CEL Project #: 1027796 Date(s):
Project Location: 10297 S De Anza Blvd. Cupertino Contractor: I Novo Construction
Weld /Connection Type
Member /Joint Type
N.D.E.
CP - CompletePenetrationGrooveWeld
HSB - HighStrengthSCBolt
PC - Plate to Column
TA- Tube Steel to Angle
PreC - PrecastConnections
VT- Visual
PP - Partial Penetration Groove Weld
S - Stitch Weld
PB-Plate to Beam
TB -Tube Steel to Beam
TB -Tube Steel to Beam
UT- Ultrasonic Testing
FB - Flare Bevel Groove Weld
BG - Backgouge
PP - Plate to Plate
TS -Tube Steel to Tube Steel
GB - Gusset Plate to Beam
MT- Magnetic Particle Testing
FW- Fillet Weld
BC - Beam to Column
DD -Deck to Deck
GC- Gusset to Column
DT- Dye Penetrant Testing
AS -Arc Spot Weld
CC-Columnto Column
DB -Deck to Beam
GB- Gusset Plate to Beam
RT- Radiographic Testing
SS - Steel Stud
BB - Beam to Beam
SD - Stud to Beam /Deck
MSF /D- Metal Stud Framing /Drywall
TT- Torque Testing
RLS - RebarLapSplice
IRS - IndirectRebarSplice
DRS - DirectRebarSplice
F�5—,I Field Inspection Note: Use separate line for each rejected weld. Upon reinspection, if weld is rejected, list weld as a new rejected weld.
71F W 7BC Line A Lines 2 -3 7VT Accept Comp Reference to RFI # 1
T S Tube Steel Header Beam Reference to SK -6
For Storefront Glass
Notes /Comments Approved Welders from Summit Steelworks Corp.
The Work: r WAS r WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE r DSA r OSHPD r CITY APPROVED DOCUMENTS
The Work Inspected: fx MET r DID NOT MEET THE REQUIREMENTS OF THE r DSA r OSHPD r CITY APPROVED DOCUMENTS
CC: Project Architect Signature of Special Inspector: 6"&Mt Date: 2013 -08 -09
Structural Engineer
Project Inspector Print Name/Title: Stan Kmitt CWI
DSA Regional Office
School District CERTIFICATION #: AWS QC -1 #04020141
f
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
CUIPIERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • buildinqa.cupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS 10297 S. De Anza Blvd
APN #
DATE
October 15, 2013
OWNER NAME Robert Allario
FAX
415.288.1482
PHONE 408.867.3060
E-MAIL
13- 010126
STREET ADDRESS 14169 Okanogan Drive
CITY, STAaatoga, CA 95070
10/15/13
FAx
CONTRACTOR NAME NOVO Construction
2
PHONE 650.283.5329
E -MAIL
Rwerbe @novoconstruction.co
STREET ADDRESS 608 Folsom St
CITY, STATE, ZIP San Francisco, CA 94107
Site Work Modification to parking lot.
FAX
MAIL CERTIFICATE TO: (Please allow uu to 10 business days for deliverv):
CONTACT NAME Corinna Wan
PHONE 415.392.1400
E -MAQ,
cwan@firstrepublic.com
STREET ADDRESS
111 Pine Street
CITY, STATE, ZIP
San Francisco, CA 94111
FAX
415.288.1482
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
OCCUPANCY DATA:
PERMIT
NUMBER
SUBMIT
DATE
ISSUE
DATE
DATE
FINALED
INSPECTOR
SCOPE
1
13- 010126
3b
6/14/13
10/15/13
Larry
TI for First Republic Bank
2
13- 080030
9/3/13
3
Larry
Site Work Modification to parking lot.
3
4
OCCUPANCY DATA:
BUILDING DATA:
# STORIES
BELOW GRADE
USE
OCCUPANCY
TYPE
FLOOR AREA
OCCUPANT LOAD
1
Bank
B
3b
4,235
53
2
3
4
BUILDING DATA:
# STORIES
BELOW GRADE
# STORIES
ABOVE GRADE
OVERALL
FLOOR AREA
MAX OCCUPANT
LOAD
FIRE SPRINKLERS
REQUIRED YES OR NO
FIRE SPRINKLERS
PROVIDED YES OR NO
0
1
1 4,235 -
53
No
No
# PARKING
REQUIRED
# STANDARD /COMPACT
PARKING PROVIDED
# ACCESSIBLE
PARKING PROVIDED
NOTE: ATTACH A COPY OF THE SIGNED
INSPECTION CARD TO THIS APPLICATION.
Existing
Existing
- OFFICE USE ONLY (To be completed by inspector of record) -
SPECIAL STIPULATIONS OR CONDITIONS:
CofO Application. doc revised 05107112
UTY OF CUPERTINO BU[LD N(. PERMIT INSPECTION CARD
l +t IE.11ING ATMR F S,: 10297 5 ICE ANZA BLVD CO%TIt .Io t: ] OVO PLI0IlrNO: 13010126
CONSTRUCTION
t1 %NEII'S NAME:: RORER r [.LARK] 1460 O'BRIEN DR 11.L IE: ISSUM: 06'04!2013
(1'%NYIR'S PlIONE:4088673060 MENLO PARK, CA 94025 rllosFN'O: (650)701 -1500
F(ALNDAIRjN M1, ASH L)5
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1RESIDENTIA1. r COMMERCIAL.
JOR DESCRIPTIO : FIRST REPUBLIC BA TK T-1- (4235 SQ FT)
WILDI,%ND URRA 1NTF.RFAC'E FIDE AREA r ERi!
TO ARIt%NGF. INSPECTION
001777 -32x8 between 7:30 am and 3:30 pm .%kndag through Friday, at least 24 hours
IttS RlE:ti 51{: \F.t3 before requires! Inspection. Job address and Permit Numbers are needed when
requesting an inspection.
CUPERTINO SANITARY DISTRICT
Closed circuit video inspection of properly line clesnout, point ofconnection
and street lateral required prior to passing FINAL CITE' PLUMBING
INSPECTION. Call the District (408 -253 -7071) for an appointment.
f_� NO DMI.DItiC FINALS INSPECTION".; UNTIL ALL REQUIRED
RUSItiE.SS LICENSES ARE 00TatMED
IF.E1 SIGN [S PERMIT EXPIRI'S IF WORK IS NOT STARTED WITHIN 180 DAPS OF PERMIT
ISSUANCE OR 180 DAYS FRONT LAST CALLED INSPFCI'ION.
{ I}1Pt71;TANT
Then ■ permit has expired, a charge totaling one -hat the fees to obtain a new perm it
must be paid in order to reactivate the permit. If permit has been expired for more
than one yrnr, a chnrgt rotaling the full fees to obtain anew permit must be paid
to reactivate the permit.
21 -111
LLCIRIC MLrIRF..FF.kAtia,
p
PRr•Iti51'rCTT0N W;wrtur
fiA% TEST ATI'TI- R RI I L/UE
TFAR -01T Inspcclor
— - Date
C,12.A01-- PLI141 -W tAORAS
hale
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ttkl: (- ALLiiurl7iKsralu
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Jar r7
fr R✓
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SANIIAR) j409) .15 14071
1LFC I IRICAt
� • %'#I
NOT PERMITTED 1INTIL BUILDING FINAL IS SIG%FD 81'
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('
P[- UMBING
• }
I QkNOICAN
FNEMROY
Bull01NCi
5.
€ 1RT13ICATI: OF [ c CUPANC V -
NOTES:
SI'MAL ItiSPEMOaNS Inspector; Date;
ROOF INSI'FC7H0%S
PRr•Iti51'rCTT0N W;wrtur
Pate
TFAR -01T Inspcclor
— - Date
PLY% %001) Inspector
hale
BATILNS tnspcccor
hate
AN i'ROGRFS5 Ins�clnr
Dale
FTtiAL InsNc(or
late.
K�111E: 014111A AITROVED ACCESS TO ROOF STIALI.13E PROVIDED FOR INSPECTION,
• oc'ct'P.ttiCY OF IItIlARNG
NOT PERMITTED 1INTIL BUILDING FINAL IS SIG%FD 81'
IN:;i' 71b1t
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CITE' OF CUPERTINO RU1I.I)ING PERMIT INSPECTION CARD
nr,'IL0tNG ADOIRF_SS: 10297 S D1; ANZA BLVD CON -TR U-10k NOVO PLmil : so: 13{ X0030
ONSTRUCTION
OWNER'S N:A%IE. ROBERT AL.LARIO 1460 O'BRIEN DR 09'03/2013
{ WNTIR'S NIONY.: 6503200280 1 hlE~NLO PARK, CA 94025 PlIONF NO: (650)701.1500
INSPECTION'S DATE INSPECTOR
FOUtiDAT10N NI RS Fl U S
OFEk (i Rot JN:)
PAD %[.T BACK -CF.RT
UARu4CiE SLOWS I'RL{ 1JINIiE
POI. 7R NO CONL'KvirF- a rm AROVE 11,4.5. BECM SIGN Fm
t'MA W;IMUNtx SL.AIi
UND RGk0UN'IJPI.I NjbI -C
L7'ir}EkGRC7L.'tit] 1.' [ -I�C I KICAL
ITO NOT FOI. R FLOOR UNTIL ABOVE ITAS BEEN SIGNED
tJNDT- 1<.E1.o()R ITUNIIIINU
VNUERFLU[IR N`tFCILAL4K:AI-
IJN1*RFLCK)R FI.F.C:TRIC;IL
ONt71 RH(K)R IRA4IN6 Vi_NTS
UNDI -IM m ok 1titi( LATIL)N
1'L.AC:E N'05U'UL.(TC)R t:N'I IL.AI 0VE ILAS BEEN SIGNED
K( YOF ', I I I: A I HiN( i
F01, 1i PI u"MI G
11)11S & 1, 1 LOW Lk I'AN
ROUG11 %TF:CIiAN ICAL
K0Utilt LLLE:I RIC Al- IMUL BON
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SC.K.AIc ICOAt
Impecto*
BATTENS
tl.titi .R WA'I ER
IN PROGRFSS.
In5pcCtar
1- 11AIt -SLC I.ELEC;T ABOVE CEIL
FINALS
I [ FC rk1C mS ,, l ER RFLLAM4
71, IE51 %1E'I'LR RELEASL-
C;RADF. - IT411.IC %4'0RT:S
fME - (AL 1. Dull) 3'841)K
1.1. AN N I NO (; .) a 17 77.3 508
SAN II'ARY (S Ng) . -53 -79'1
ELI C rTklCAL
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PI.I'htllltiLa
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I Nfh(xy
II III LDE NG
C L IIFIC'AIL OP UCL'L"PANC:Y '
ITI`1C.hitif; PF:kwtlF ItiFC}; n1,rH: r FLEcr PLl'!ITR r ]Tl:t'FI r
HES117IENTIA11 r CoNiNIERI IAL r
JORDF:SCRIP'TIO%o: ACCESSIBILITY UPGP -knRS TO INCLUDE NEW ADA
PLIAMT WALKWAY TO PUBLIC RIGHT AWAY, INCRFASE
CAPE AREAS, MINOR STORM DRAIN IMPROVEMENTS
WILDL AND URBAN INTERFACE FIRE AREA r ERN
TO ARRANGE INSPECTION
Call 777 -3228 between 7:311 am and 3.30 pm Nlonday tbTough Friday, at least 24 hours
15ef4Te required inspection. Jot) address anti Permit Nnntibers are needed when
requrstint An Inspection.
CUPr- RTl%'O SANITARY DISTRICT
Closed circuit video inspection of property line cleanoat, point of connection
and street lateral rewired prior to pressing TINA L CITY PI,US1ITING
INSPECTION. Cal] the District (408 -253 -7471) for an appointment.
NO 13 111LDING FINAI S INSPECTIONS UNT11,,ALI. REQUIRED
BUSINESS LICENSES ARF. OBTAINED
PER ►CIT EXPIRES IF A5ORV IS MOT STARTED WITIIIN ISO BAYS OF PERS1IT
IS5UANCF, 0R 180 DA VS FRONT LAST CALLEII INSPECTION.
IMPORTANT
When a permit has expired, a charge totaling enr -half the feel to obtain A ntw permit
must be paid In order to reactivate the permit. If a permil has been expired for more
than one }ear; a charge totaling the full fqji to obtain a new permit must he paid
to reactivate the permit.
NOTES-
SPECIAL INSFEMONS Inspector: Date: _
ROOF INSPECTIONS
PRE-INSPECTION lntnectorn
TEAR -crF lnspcctor
PLYWOOD
Impecto*
BATTENS
Inspccmr
IN PROGRFSS.
In5pcCtar
Daic
[Tale
Tale
[Tate
Date
FOAL Insmi" Datc
NOTE:OSIIA APPRON'Fn,ACCIESSTo 14001' 511.41.1. BY PRttvnTFh F't7Ft ItiSPF;[TItIN.
1CQJFANILN OF Rt'ILDING NOT PERMITTED I INTIL Hi'II.DING VIN %I- Is SIGN171i I14"
INSPECTOR
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