15020093-Spec InspCONSTRUCTION
TESTING SERVICES
CTS Project #:
Project Name _
Project Location
CTS Representative
TESTING
• INSPECTING
• ENGINEERING
DAILY FIELD REPORT
Date
Permit#: hco "? 00 3
Appl. #:
Time Arrived Time Departed
Reported to &S f en with S&k mart at ^r -)t]b,54 o Asnmt cancelled by _
Concrete Batch Plant Operations
Observed concrete batch plant operations at for mix no. 28 -day strength
Specified slump inches. Monitored loads leaving for
ConcretelShotcrete
Observed placement of / Sampled only (circle)
Concrete/Shotcrete/other (circle) for mix no.
- day strength psi, specified slump inches, total cubic yards placed. Monitored loads
for mix no., slump, temp. and time limit. Prepared test specimens sampled from
Set# Set#_ Set# Set# Set# Set# . Set# Set# Set#
Slump
Mix Temp.
Air Temp.
Air Cont.
Unit Wt.
Truck #
Location
Per Set Sets Total
Masonry
Observed placing of masonry units for
Observed placing of lift grout for Prepared samples
from Prepared masonry prisms for
Mortar —Per Set Sets Total Grout Per Set Sets Total Prisms Sets of
Rebar / Post -Tensioning 1 Epoxy -Set Bolts and Dowels
Observed placing of for
Observed stressing of PT Tendons for
Reviewed calibration data for jacking equipment
Monitored stressing forces and tendon elongation. Recorded data on PT Report Enclosed On File
Observed placing of chor Bolts Epoxy -Set Bolts Epoxy -Set Dowels, for�l�G�j'S`
Epoxy: Material W114 Depth 43 r! Diameter Holes cleaned Y6s No
Performed Pull Torque - test on epoxy -set Bolts Rebar Dowels, for
Material
Reviewed Material Identification and MTR's for
Obtained samples of Cement Aggregate Rebar PT Tendons
identified as Picked up samples at job site consisting of
Conformance
Masonry Units Soil AC
Work observed was, to the best of my knowledge, in conformance with approved plans, specifications and applicable
s andards of workmanship_
With the following exception (s). See attached Non -Compliance Report.
Non-compliance conditions noted were brought to the attention of for corrective action.
Additional Notes:
3/:a 4i A,-
TESTING
r
Inspector Signature Date
2118 Rheem Drive I Pleasanton, CA 94588 1 Phone (925) 462-5151 1 Fax (925) 462-5183
4770 Duckhom Drive, Suite A I Sacramento, CA 95834 1 Phone (916) 419-4747 1 Fax (916) 419-4774
The Sobrato Organization
Attn: Rich Truempler (email)
10600 N. Anza Blvd, Suite 200
Cupertino, CA 95014
Job No: J10438
Job Name: Stein Mart
20600 Homestead Road
Cupertino, CA
Permit #: 15020093
February 17, 2015
Summary Report #1
TESTING
INSPECTION
ENGINEERING
FEB 2 5 2015
:Z_BY
Adam Cherrie reported to Austen with Stein Mart at the jobsite. Observed placement of (56) 3/8"x4" Tapcon screw
anchors for storage rack anchorage at storage room. Drilled to a depth of 3 1/4" and a3/8" diameter. Verified
depths and cleanliness for 3/8"x4" Tapcon screw anchors per details provided by structural engineers incorporated
sheet SKI. All work was completed as per plan, code and job specifications.
Note: 3/8"x4" Hilti Kwik KH -EZ screw anchors were noted for use per sheet SK -1. Screw anchors used are the
same dimensions but a different manufacturer.
Work observed was, to the best of Adam's knowledge, in conformance with approved plans, specifications and
applicable standards of workmanship.
Laboratory test results are enclosed if testing was done during the period covered by this report.
Limitations: These inspections were performed in accordance with requirements, but please note this report shall
not be relied upon by others, as acceptance or guarantee of the work. Even with diligent inspection techniques, the
contractor is solely liable for defects or failures to adhere to the code.
2/18/2015
Reviewed by Cole Phil Date
Staff Engineer
Technical Contact: Timothy Casey, Senior Engineer (tcasey@cts-Isom)
Administrative Contact: Yolanda Deras (yderas@,cts-I.com)
cc: Building Department — City of Cupertino
Architect — ARC TEC, Inc (email)
CTS PM —Don Camello (email)
CTS Staff Engineer — Cole Philley (email)
LH
2118 Rheem Drive, Pleasanton, CA 94588 a Phone (925) 462-5151 • Fax (925) 462-5183
4770 Duckhorn Drive, Sacramento, CA 95834 a Phone (916) 419-4747 a Fax (916) 419-4774
One Embarcadero Center; Suite 535, San Francisco, CA 94111 i Phone (415) 334-4747 Fax (415) 438-2357
246 30`x' St., Suite 101, Oakland, CA 94601 a Phone (510) 444-4747 ® Fax (510) 835-1825
• TESTING
AdAll GONSTRl1CTION ® INSPECTING
TESTING SERVICES ENGINEERING
DAILY FIELD REPORT tS0'2-00 f-T
CTS Project#: /0y69 Date
Project Name L4¢g;/7 &a Permit#: I)LOD r3
Project Location 4622ftcfe9d Appl.#:
CTS Representative ; &bgrL;B Time Arrived Time Departed
Reported to A(aSf en with S&i2 a-f at S4&,, Asnmt cancelled by
Concrete Batch Plant Operations
Observed concrete batch plant operations at for mix no. 28-day strength
Specified slump inches. Monitored loads leaving for
- Concrete/Shotcrete
Observed placement of / Sampled only (circle)
Concrete/Shotcrete/other (circle) for mix no.
-day strength psi, specified slump inches, total cubic yards placed. Monitored loads
for mix no.,slump,temp.and time limit. Prepared test specimens sampled from
Set# Set#_ Set# Set# Set# Set#.` Set# Set# Set#
Slump
Mix Temp.
Air Temp.
Air Cont.
Unit%t.
Truck#
Location
Per Set Sets Total
Masonry
Observed placing of masonry units for.
Observed placing of lift grout for Prepared samples
from Prepared masonry prisms for
Mortar _Per Set Sets Total Grout Per Set Sets Total Prisms Sets of
Rebar/Post-Tensioning!Epoxy-Set Bolts and Dowels
Observed placing of for
Observed stressing of PT Tendons for
Reviewed calibration data for jacking equipment
Monitored stressing forces and tendon elongation. Recorded data on PT Report Enclosed On File
Observed placing ofchor Bolts Epoxy-Set Bolts Epoxy-Set Dowels,for sS'
Epoxy:Material Depth 1/ f/Diameter / Holes cleaned Wes No
Performed 7U--11 Torque-test on epoxy-set Bolts Rebar Dowels,for
Material
Reviewed Material Identification and MTR's for
Obtained samples of Cement Aggregate Rebar PT Tendons Masonry Units Soil AC
identified as Picked up samples at job site consisting of
Conformance
., Work observed was,to the best of my knowledge, in conformance with approved plans,specifications and applicable
s at ndards of workmanship.
With the following exception(s). See attached Non-Compliance Report.
Non-compliance conditions noted were brought to the attention of for corrective action.
Additional Notes: / /Q q
£' � r/ ij
Q . i b
F
Inspector Signature Date
2118 Rheem Drive I Pleasanton,CA 94588 1 Phone(925)462-5151 1 Fax(925)462-5183
4770 Duckhorn Drive,Suite A I Sacramento, CA 95834 1 Phone(916)419-4747 1 Fax(916)419-4774