14110009-Spec InspFILE`
STATEMENT OF SPECIAL INSPECTION
DATE:
11/26/14
TO:
Community Development Department—Building Division
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
Phone:
408.777-3228 Fax: 408.777.3333
FROM:
Dan Pineda, P.E. Phone: 925.984-0682
159 Paddington Ct.
San Ramon CA 94582
SUBJECT:
Special Inspection for wedge anchor installation
Project Name:
Water Heater Replacement
Project Address:
22590 Voss Ave. Cupertino
Contractor:
Legacy Mechanical & Energy Svcs. Inc.
Permit #:
14110009
INSPECTION REPORT:
The wedge anchor installation for (4) 1/z" KB -TZ SS304 concrete expansion anchors was inspected and was
in compliance with the approved plans and specifications. Hole depth, hole size, hole cleanliness, bolt size &
length and tightening torque were verified.
Sincerely,
Dan Pineda, P.E.
Eq
IC
OF