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13010126 SI } CONSOLIDATED ENGINEERING L A B O R A T O R I E S 5/16/2014 RECEIVED City of Cupertino Building Inspection Department MAY 2 7 2014 10300 Torre Avenue Cupertino, CA 95014 7 ` BY RE: First Republic'Bank Cupertino Inspection Date: 08/09/13 10297 S. De Anza Blvd Location: Jobsite Cupertino, CA 95014 Inspector: S. Kmitt Report#: 0809Field Permit# 13010126 CEL#: 1027796 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. FESS REVIEWING ENGINEER: GREG LeROY,R.C.E. G0. m CC: No.C73002 � Robert Allazio(E) Robert Allazio(E) First Republic Bank(E) Novo Construction(E) EV.12131114 RMJ Structural Engineers(E) CN .. Enclosures(2) - OF CAIS 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.0 DSA FILE# DSA APPL# CONSOLIDATED ENGINEERING LEA# Page 1 Of 2 L A B O R A T O R 1 E 8 OSHPD# STRUCTURAL STEEL-WELDING PERMIT/APPL# 13010126 Project Name: list Republic Bank Testing/Inspection 2013-08-09 CEL Project#: 1027796 Date(s): Project Location: 10297 S De Anza Blvd. Cupertino Contractor: Novo Construction Drawing No.: Detail No.: Other: Work at: r Shop FX_ Type of work: r Structural Steel For shop inspections: Shop Name: Reported to(Name): Ed Evans Address: Company: Novo Construction Material Identification 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 SAW Filler Metal Type(s)E r FCAW Filler Metal Type(s)E 7117-8 r GMAW Filler Metal Type(s)E r OTHER: Filler Metal Type(s)E r Verified proper electrode storage. Preheat temperature maintained ❑ at r Maintained per WPS requirements. r Maintained per AWS D1.1. Weldments consisted of: rl Groove welds r Complete penetration r Partial penetration Flare-bevel Fillet welds: rsingle-pass r7 multi-pass r Direct r' Indirect butt splice on reinforcing steel r Other For: r Base plate r Gusset plate F7! Connection plate r Moment plate r Plate-to-plate splices r Stiffener plate r Reinforcing steel F_ Brackets r Bent plate ❑ Beam to column connections rl Other: Tube Steel Storefront Header Framework at: r Wide flange columns rl 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 F_ Studs to r Chord bar splices r Embeds r Other: Metal Deck/Studs Inspected on metal decking r Arc spot welds r Stitch welds r Shear studs r Button Punch Report Summary Refer to the attached: C Field Inspection Record r Member Completion Record r Material Identification Record Work inspected was: r Completed r In progress r Pending approval r W.I.P. punch list r Non-compliance report was left with contractor r Items were reinspected and n Accepted r Remain in progress See the attached r Punch list r Non-compliance Item# Issues/Problems? r No r Yes,describe below Notified: Company name: Notes/Comments Reference to RFI#1 The Work:r WAS 1­7,WAS NOT INSPECTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE r DSA F OSHPD r CITY APPROVED DOCUMENTS The Work Inspected: r;MET h DID NOT MEETTHE REQUIREMENTS OF THE CI DSA C OSHPD r CITY APPROVED DOCUMENTS Material Sampling:f-WAS❑WAS NOT❑N/A PERFORMED IN ACCORD,NNCE 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 D5A Regional Office AWS QC-1 #04020141 School District CERTIFICATION#: Form ID 20 Rev.1 DSA FILE# CIO DSA APPL# FIELD INSPECTION RECORD CONSOLIDATED ENGINEERING LEA# L A 13 O R A T O R 1 E B Page 2 of 2 OSHPD# Project Name: 1st Republic Bank Testing/Inspection 2013-08-09 PERMIT/APPL# 13010126 CEL Project#: 1027796 Date(s): Project Location: 10297 S De Anza Blvd. Cupertino Contractor: Novo Construction Weld/connection Type Member/Joint TWue N.D.E. CP-Complete Penetration Groove Weld HSB-High Strength SC Bolt PC-Plate to Column TA-Tube Steel to Angle PreC-Precast Connections VT-Visual PP-Partial Penetration Groove Weld 5-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 GS-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-Column to 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-Rebar Lap Splice IRS-Indirect Rebar Splice DRS-Direct Rebar Splice IX Field Inspection Note:Use separate line for each rejected weld.Upon reinspection,if weld is rejected,list weld as a new rejected weld. 1 st F W BC Line A Lines 2-3 V T Accept Comp Reference to RFI#1 TS Tube Steel Header Beam Reference to SK-6 For Storefront Glass Notes/Comments Approved Welders from Summit Steelworks Corp. The Work: r WAS 1— 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 f— OSHPD r CITY APPROVED DOCUMENTS CC: Project Architect Signature of Special Inspector: Date: 2013-08-09 Structural Engineer Project Inspector Print Name/Title: Stan Kmitt CWl DSA Regional Office School District CERTIFICATION#: AWS QC-1 #04020141