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15040111CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 15040111 OWNER'S NAME: APPLE COMPUTER INC 1460 O'BRIEN DR DATE ISSUED: 04/15/2015 OWNER'S PHONE: 4084380968 MENLO PARK, CA 94025 PHONE NO: (650)701 -1500 ❑ JOW LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] APPLE- 2ND FLOOR WEST WING. COMM .TI 2375 SQ FT License Class Lic. # 9 oar TO INCLUDE CONFERENCE ROOMS & LABS NON -LOAD _ BEARING WALLS. Contractor Lt Date S DEF # 1 - STRUCTURAL DETAILS F R MOVABLE I hereby affirm that I am licensed under the provisions of hapter 9 PATITION WALLS - ISSUED $ _2 S� (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self- insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $240000 performance of the work for which this permit is issued. AA I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this APN Number: 31602110.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 8 f RE- ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER- BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous 1 have and will maintain a Certificate of Consent to self - insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this 00 Owner or authorized agent, _ Date: // r, permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 950143255 (408) 777.3228 • FAX (408) 777 -3333 • bullding:a�cupertino orq NF:W CONSTROCTION ADDI IION ALTFRAIION TI x RUVISION DLFFRRIiD oRIGINAI PFRMCI Ir 15040111 PROJLCI ADDRESS VPN h ( o Z- — /T 1 _ AA lJ f7 6 Infinite Loo OAA NL.R NANU: Apple, Inc PHONE 408.438 - L I A11 P aul_bo er @a PP le "com Rk:SS ('I IA', 5'I ATh:_LIP Cupertino, CA 94015 I. -AA S'IRfiFI ADU 1 Infinite LooP CONI -A('I NA'All, Novo Construction 111IONF 650 - 399 -5449 F - "IAII mdimonaco @novoconstruction -com STRPL: i ADDRLSS (11) , s l A I'F" LIP I ,A,A ❑ OWNLR ❑ OANNFR- BI:IIDER ❑ OV,NI RADENI ❑ CON I RA( "IOR ❑CONTRACTOR -WI:NI ❑ AR('HITF('1 ❑ LNG INI -,I!R ❑ D!_AI I.OP6R ❑ 1EN,1NI ('ONTR.ACI OR N,AtvlP Michael DiMonaco t'R I I( "EN'& NI'NIB 791022 LINSL FA PL B C'F Bt's I W, CONIPANA N `\It Novo Construction P-NI '`[I mdimonaco@novoconstruction.com I SIRI,FI 3DDRFSS 1460 O'Brien Dr C'rrA. Sl'A I E, LIP Menlo Park, CA 94025 PI I ONI' 650 - 399 -5449 AR('I Ilfl:('T F.NCrINEER NtAiAIG LICFNSF NEMBIiR BUR I_II 4 Diva Winje CONIP- ANSNAML - HGA E -NIAlt dwinje @reelgrobman. com I' -AS S- IRFA;i ADDRI'SS 96 North 2nd Street CllI Sr.AEL.LIP San Jose, CA 95113 PHONE 408.213.8214 DFSCRI111R7N OF WORK Deffered submittal for structural drawings for movable partitions. EXISTING USE PROPOSED USF CON S "rR TYPE B S'FORIFS LISC_ il'Pk Of'(' SQ.F'r V'AI UATION (5) EMS TG NEAVElOOR DEMO TOTAL AREA Ak1, A AREA NET AREA $0 BATHROOM KITC1IFN OTHER RENIOI)F1 AREA RFNIODFL AREA RFNIODFL:AREA PORCH AREA DECK ARFA TOTAL DLCKIPORCH AREA GA RAGE AREA DE'T'ACH CT "I A('H t u DWFI LING I iNITS Is A sECONU I'N1 "I' 0) EN SN COND STORY �YLS BEING ADDED? 0 N ADDITION? ONO IRE- ANTICATION ❑YES IF )TS. PROVIDE COPY OF ISTHE BLDG AN ❑ YPS TOTAk,A',ALt. ;ATION: PLANNING APPI -n ONO PLANNING- APPROVAI II - IIFR EICHLERDOME? ONO $0 By nw signature below, I certify to each of the following I am the property owner or authorized 46t —t, --41 roperty ovvner's behalf' I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate- I agree to comply with all applicable local ordinances and state laws relating to ng constrtl on. autl )rive representatives of Cupertino to enter the above- Identified propem for inspection purposes. ro Signature ApplicantAgent Date- ?/2-8016 of SIJPPLFMFN "fAl. INFORMATION RFOLI IRFD PLAN CHECKTVPE ROUTING SLIP ❑ OVER—THE-COUNTER ❑ BUILDING PLAN REVIEW New SF D o1" Multifamily dwellings: Apply for demolition pemllt for existing building(s). Demolition permit is required prior to issuance orbuilding permit for new building" ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials DISCIOSUre ❑ STANDARD ❑ PUBLIC WORKS form if any flazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to 11 ❑ SEWER DISTRICT SU bnlltlal Oh Brlllding Permit application. MAJOR SANITARY ❑ ENVIRONMENTAL HEALTH f h/g. 1/)/) 30/ 1,doc revised 06 21, / / CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 6 INFINITE LOOP DATE: 07/28/2015 REVIEWED BY: MELISSA APN: 316 02 116 BP #: 15040111 "VALUATION: Iso PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1 GENCOM USE: PERMIT TYPE: WORK DEF # 1 - STRUCTURAL DETAILS FOR MOVABLE PATITION WALLS - ISSUED Yl3 /< SCOPE NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School hictrirt atr 1_ Thoco fooe aro hacod an the nroliminary infarmatian available and are nnly an estimate_ Cantact the Dent for addn'1 info. FEE ITEMS (Pee Resolution 11 -053 E ff. 7/1,13? FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 1 # $286.00 Deferred Submittal IDEFSUBM Suppl. PC Fee: Q Reg. 0 OT p.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 F1 0 E) Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure 0 i Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: 1 $0.00 $286.00 TOTAL FEE: $286.00 Revised: 07/02/2015 I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 6INFINITE LOOP I CONTRACTOR: NOVO CONSTRUCTION I PERMIT NO: 15040111 1 OWNER'S NAME: APPLE COMPUTER INC OWNER'S PHONE: 4084380968 WLICENSED CONTRACTOR'S DECLARATION License Class_ _ _5_� __, Lic.. # 7 9 as K Contractor A tj Ind �,� %J �� Date � a � 1 ) I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source re ulations per t Cupertino Municipal Code, Section 9.18. Signat Date p�0 %1 ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 1460 O'BRIEN DR I DATE ISSUED: 04/15/2015 MENLO PARK, CA 94025 1 PHONE NO: (650)701 -1500 JOB DESCRIPTION: RESIDENTIAL [] COMMERCIAL E] APPLE- 2ND FLOOR WEST WING. COMM .TI 2375 SQ FT TO INCLUDE CONFERENCE ROOMS & LABS NON -LOAD BEARING WALLS. REV # I - REMOVE (E) HALLWAY DOOR & PHASING PLAN FOR B211 & B213 - ISSUED 5/21/15 Sq. Ft Floor Area: I Valuation: $240000 APN Number: 31602110.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM -LA ILED INSPECTION. Date: — RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 2$533, and 25534. Owner or authorized agent: e % ^�� Date: J 1 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building(a)cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT # PRZECT ADD1.ESi APN # 3 C, 0 w v- OWNER A 40 _ f P V l V PHONE do E -MAIL Pa,Ul _bo cl a can STREET ADDRESS CITY, STATE ZIP l FAX n V e.s�i.la CONTACT NAME P ONE F-(o�es 6Sa) ZaQ- 3 E -MAIL If1or,-_.5Q nolrocv� -s�r`v ST EET ADDRESS 76 0 fir, CITY STATE, ZIP N�en to w �a d L FAX ❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS LIC # 022 COMP NY NAME E -MAIL C (Y1 1 ! f/ e FAX vc e n n ovo coitJ r v cTr i� to STREET ADDRESS ' CITY, STATE, ZIP k (CA PHONE -- J11 o 0 l q 4 d (i pAJ A o VJ o 3- &-D 70 1- ARCHITECT/ENGINEER NAME LICENSE NC ER BUS. LIC # Isan - 2 v 117 COMPANY NAME E- MAIL �GoI Scel h Q, COr� FAX STREET ADDRESS CITY, STATE, ZIP A -S Y.5m C--% a�r � � ( PH . Q� (Y DESCRIPTION OF WO L t J ;n ldff-A � tKbL ;nGA4 lnor 0 Sec a elA- �V LOnSf ✓ *0n MI-V hlJn - 1 v -mil ��vtlrt A%tr�T��S dne EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES a USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA n �C DEMO AREA TOTAL NETAREA 0 ' � 2Y6 (J BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DEC70RCH AREA GARAGE AREA DETACH []ATTACH S DWELLING UNITS IS A SECOND UNIT ❑YES SECOND STORY ❑YES _ BEING ADDED? []NO ADDITION? []NO PRE - APPLICATION ❑YES IF YES. PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY: TOTAL VALUATION: PLANNING APPL# []NO PLANNING APPROVAL LETTER EICHLER HOME? []NO 2YQ OO/1 VV By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on t e erty owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above - identified property for inspection purposes. Signature of Applicant /Agent: — Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER - THE - COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW — Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 1:1 STANDARD El PUBLIC WORKS rm fo if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doc revised 06 121111 �ivn, coti FM_7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 6 INFINITE LOOP DATE: 05121 /2015 REVIEWED BY: MELISSA MISC ITEMS APN: 316 02 110 BP #: Z56 t0 /// *VALUATION: $0 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY USE: Commercial Building Tin Civil / Religious activities BQ zone? Yes � No PENTAMATION PERMIT TYPE: 1GENCOM WORK REV # 1 - REMOVAL OF HALLWAY DOOR & PHASING PLAN FOR B211 & B213 - ISSUED 5/21/15 SCOPE M ,,..,,, NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District otr )_ Thnco font an, hocod an tho nreliminary information availahlo and are only an owimate_ Contact tho Dent for addn'l info_ FEE ITEMS (Fee Resolution 11 -053 U.711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (E) No $0.00 2 1 hours Plan Check, Hourly $286.00 ISTPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-0 Reg. Q OT Q.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 G Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure I J Strong Motion Fee: $0.00 Select an Administrative Item Bldc Stds Commission Fee: $0.00 SU13TOTALS: 1 $0.001 $286.00 TOTAL »EF_ F $286.00 Revised: 05/07/2015 I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 6 INFINITE LOOP I CONTRACTOR: NOVO CONSTRUCTION I PERMIT NO: 15040111 1 OWNER'S NAME: APPLE COMPUTER INC OWNER'S PHONE: 4084380968 ❑ LICENSED CONTRACTOR'S DECLARATION License Class /1, Lic. # –7q 12 Contractor ,\1 0 U a, _5}! &,60,Date S 1 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature ~� —Date ❑ OWNER - BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1 have and will maintain a Certificate of Consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. _APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 1460 O'BRIEN DR I DATE ISSUED: 04/15/2015 MENLO PARK, CA 94025 1 PHONE NO: (650)701 -1500 JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E] APPLE- 2ND FLOOR WEST WING. COMM .TI 2375 SQ FT TO INCLUDE CONFERENCE ROOMS & LABS NON -LOAD BEARING WALLS. Sq. Ft Floor Area: 1 Valuation: $240000 APN Number: 31602110.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FRO CALLED INSPECTION. Issued by: Date: `1 K,ice RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: _ Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: �-' Date: l CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISIO 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building (d- )cupertino.crq ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI IR REVISION / DEFERRED ORIGINAL PERMIT # ) 50 qQ // I PRO Cf ADDRESS APN # ` J V I r O OWNER AME P ONE E -MAIL up PboYerte. STREET ADDRESS CITY, STATE, ZIP N U l FAX G -�� -��40 JDt�.Y G CONT CT NAME P E -MAIL STREET DRESS CITY, STATE, ZIP FAX r •' I ❑ OWNER ❑ OWNER- BUILDER OWNER AGENT < CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER 11 TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LTC # COMP NAME E -MAIL FAX MV-0 STREET ADDRESS /1-140 owmw CITY, STATE, ZIP Pkwj4 99Rk 9 ZE5 PHONE • &?o - 6 ra ARCHITECT/ENGINEER NAME COT,f CUl.SOt, LICENSE NUMBER C BUS. LTC # COMPANY NAME E -MAIL FAX )VA fi 5191►5 L W.A . cofA STREET ADDRESS `lf� 2�1a Srct�r CITY, STATE, ZIP S BHONE. - 7633 nl, aster CA ?-511b 2AS DESCRIPTION OF WORK 9Ie4(*laJ # 1 �f l04" arc l &-fJ &Y &20K Rn(a Pl SIA14 P�W r-w- $Z/[ ,gre Sgc3- EXISTING USE PROPOSED USE CONSTR TYPE # STORIES I USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJDETACH []ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? []NO ADDITION? ❑NO PRE-APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES - TOTAL VALUATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ N kM y By my signature below, I certify to each of the following: I am the property owmer or prized a on the property owner's behalf. I have read this application and the information I have provided is correct I have read the Description of Work erify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building con cti n. I authorize representatives of Cupertino to enter the above - identified property for inspection purposes. Signature of Applicant/Agent: y Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECKfYIE.r r„ Ro1TINGSiiP 1. New SFD or Multifamily dwellings: Apply for demolition permit for ❑' ❑ BUILDING existing building(s). Demolition permit is required prior to issuance of building OVER THE COUNTER PLAN REVIEW ` permit for new building. ❑; EXPRESS h t ❑ PLnxNmG�LANREViEw r i Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD t : Elk- form if any Hazardous Materials are being used as part of this project. ❑ � � � ❑ ` Copy of Planning Approval Letter or Meeting with Planning prior to LARGE �, � � Ir' x FIRE DEPT ❑' MAJORS r> =' �$ � L7 "SANTTARY $EWERDISTRICI' " submittal of Building Permit application.x ' ❑ 'ENVIRONMENTAL AEALTA y'.. BldgApp_2011.doc revised 06/21/11 FM_7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS. 6 infinite loop DATE: 04/15/2015 APN: BP #: �Z�w REVIEWED BY: Mendez *VALUATION: $240,000 _I *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: BP FEE ID PENTAMATION 1 B TI PERMIT TYPE: WORK apple- 2nd floor west wing. comm .ti 2375 sq ft to include conference rooms & labs non -load bearing SCOPE walls. OCCUPANCY TYPE: TYPE OF CONSTIL FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) I -A,I -B 2,375 $3,436.21 IBTIPLNCK $3,197.14 IBTIINSP hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,197.14 Suppl. Insp. Fee:Q Reg. OT 0.0 hrs $0.00 PME Unit Fee: $0.00 TOTALS: 2,375 $3,436.21 $0.00 1 $3,197.14 MECH, HOURLY 0 Yes 0 No PLUMB, HOURLY ® Yes '0 No ELEC, HOURLY ' 0 Yes (E) No NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School Metrirt otr ) _ Thaco fooc aro hacod nn tho nroliminan? infnrmatinn availahh, and an, nnly an actimato_ Cnntact tho Dont for addn'1 info_ FEE ITEMS (Fee Resolution 11 -053 Eff. 7/03) FEE QTY /FEE MISC ITEMS Plan Check Fee: $3,436.21 0 kW $0.00 Alternative Energy System Photovoltaic System Suppl. PC Fee: Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $3,197.14 Suppl. Insp. Fee:Q Reg. OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure Q Strong Motion Fee: IBSEISMICO $67.20 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $10.00 SUBTOTALS: $6,710.55 1 $0.00 TOTAL FEE: " $6,710.55 Revised: 04/01/2015 STATEMENT OF SPECIAL INSPECTIONS, 2013 CSC COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 96014 -3265 (408) 777 -3228 • FAX (408) 777 -3333 • bjtllo ag Ca-curxgIrin orn SITE ADDRESS 6 Infinite Loop APN 8P# 15040111 owner...... Apple,. Inc .._.... .................... ............................... Construction ... uction .......... ........ ....... ,.., ......................,..., Address -....1 Infinite LAP ........................ ............ Address...1480,Q'Bden Dir CltyiSt.rruRenlnQ.x. Cif.$? �QYn�.... Ztp....! 4�e� „......,...Phonoouaaae;o�ea CityiSi. rrUP. t? niAQ ....... ........ .............. ZIp .�!4>7��.,.....Phone.esa�oca+o Applicant ..Novo Constuuction ... Engineer /Architect ................ ........................ Address....146Q.QR0n.'DT_ ....................................... ............................... Address .............................. ................ .... .... .................. ..................... City /st,Man to. P. afk..('rt? ............... YIp..94925 .............. Phone. ate. "asua.... CitylSt............................. .............Zip............... Phone.................... PROJECT DESCRIPTION; installation of operable partitions. This "STATEMENT OF SPECIAL INSPECTIONS' is submitted in fulfillment of the requirements of C6C Sections 1704 and 1705. This foam is structured after and used by permission from the Stnirt�t tal Encnnner As!�ccirttion of Nathan : fomin's (SEAONC) mode statement of Special Inspections. Also, included with this form is the following: ❑ "LIST OF SPECIAL INSPECTION AGENCIES (page 2). A list of testing agencies and other special inspectors that will be retained to conduct the tests and inspections for this project ❑ "SCHEDULE OF SPECIAL INSPECTION" (page 3 — 6). The Schedule of Special Inspections summarizes the Special Inspections and tests required. Special Inspectors will refer to the approved plans and speclflcaftris for detailed special Inspection requirements. Any additional tests and inspections required by the approved plans and specifications shall also be performed. Special Inspections and Testing will be performed In accordance with the approved plans and specifications, this statement and CBC Sections 1704, 1705, 1706, 1707, and 1708. Interim reports will be submitted to the Building Official and the Registered Design Professional in Responsible Charge in accordance with CBC Section 1704.1.2. A Final Report of Special Inspections documenting required Special Inspections, testing and correction of any discrepancies noted in the inspections shall be submitted prior to issuance of a Certificate of Use and Occupancy (Section 1704.1:2). The. Final Report will document: r” • Required special inspections. ' • Correction of discrepancies noted in inspections. The Owner recognizes his or her obligation to ensure that the construction complies with the approved permit documents and to implement this program of "clot Inspections. In partial fulfillment of these obligations, the Owner will retain and directly pay for the Special Inspections as required In CBC Section 1704.1. This plan has been developed with the understanding that the Building Official will: • Review and approve the qualifications of the Special Inspectors who will perform the inspections. • Monitor special inspection activities on the job site to assure that the Special Inspectors are qualified and are performing their duties as called for In this Statement of Special Inspection. • Review submitted inspection reports. • Perform inspections as required by the local building code, I have read and aoree to coma /iv with the terms and conditions of this statement Prepared By: Project Engineer al Architect (Brandow & / � ��{�f,{j,{, 06/26/2015 Registered Design Professional in Gha a , Johnston Inc SE # 4896 Si nature ....,.. J......"" ................ ........................:).Uc.# ...... ............................... Date:.............. ,....... Omer Nannei -f Jr Owner'sAuthorizat(on Si nature... .... ....` ............ ...................................... ..... ...........Onto: .�r....��•.-4 Inspection Agency / Inspector Name: C J Si na r L... ,...1. ........ ............................... Date: ! Building Official or designee: Signature ... ...... ..--_......... ....... Date: . SpeciahtspechanFonn_2012.doc reriNed 09;0&J 2 LIST OF SPECIAL INSPECTION AGENCIES APPROVAL OF SPECIAL INSPECTORS: Each special inspection agency, testing facility, and special Inspector shall be recognized by the Building Official prior to performing any duties. Special Inspection agency's listed on this form must be pre - approved and listed on Cupertino's approved Special Inspector's list. Special inspectors shall carry approved Identification when performing the functions of a special inspector. Identification cards shall follow the criteria set by the California Council of Testing and Inspection Agencies. No personnel changes shall be made without first obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a "Stop Work Order" and possible permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout. Please allow two weeks to complete the application process. The following are the tastino and special insoection agencies that will be retained to conduct tests and insoactlon on this project: EXPERTISE FIRM / INSPECTOR INFORMATION 1, Special Inspection (except for Firm.... ��.. �^? . ✓1.. /,.!u. Addr......�.� ... ..................97 ......... ., geotechnical) city .........5 .. fit' ` ... State , '.'IP.:�....,.... ip s1 .. �."3�,�.ZFax.. Telephone5.Q..t�. ...Q.....�?y.� Emeflli!�'�r�� . 2. Material Testing Firm... ................... .................. ......... ........ _Addt ............ ,.,...... .,................. .................. ............... .... .... .... City....................... tk .... ........... ................... ,..,.... .... , ................. ...,.......... State.. ..... Y ...........,Zip ...................... Telephone... .................................... Fax ............ ....... __ ........... Email... ......... ............ ........ ................ 3. OeotechnicalInspections Firm ................................................ ..................... Addr ........... ..................... .....,........... ............ ................. ........... City...... ...................... -, ..,..................I.................,... ................,....,......,.. state .......................Zip Telephone...... ............................... Fax. ................... .................... ..,. Email ........... ........... .............. ,................... 4. Other: Firm ..................................................................... Addr.......................,.....,..............,............. ............................... City..... ...................... ........................ ........................... _ ....... .................. State .......................Zip ......,............... Telephone....... ............................... Fax,.,....,..... ............................... Email........................., ............................... 'All agencies specified on this form must be pre - approved and listed on the City of Cupertino's Approved Special Inspector's List. SEISMIC REQUIREMENTS (Section 1708.3.8) Description of seismic-force• resisting system and designated seismic systems subject to special inspections as per Section 1705,3: The extent of the seismic-force- resisting system is defined in more detail in the construction documents. Description of main wind- force- resisting system and designated wind resisting components subject to special Inspections in accordance with Section 1705.4,2: The extent of the main wind- force - resisting system and wind resisting components is defined in more detail in the construction documents. SpeciabispecliouFonn_2012.doc revised 09106112 �Y,sue SCHEDULE OF SPECIAL INSPECTION SITE APN BP# ADDRESS PROJECT DESCRIPTION: Notation Used in Table: Column headers C Indicates continuous inspection is required. P Indicates periodic inspections are required. The notes and /or contract documents should clarify. Box entries: X Is placed in the appropriate column to denote either "C" continuous or "P" periodic inspections. - -- Denotes an activity that is either a one -time activity or one whose frequency is defined in some other manner. Additional detail regarding inspections and tests are provided in the project specifications or notes on the drawings. VERIFICATION AND INSPECTION C p REFERENCED STANDARD IBC REFERENCE INSPECTION OF FABRICATORS 1. ❑ Inspect fabricator's fabrication and quality control 1704.3 procedures. INSPECTION OF STEEL 1. Material verification of high- strength bolts, nuts and washers. • Identification marking to conform to ASTM stds AISC 360, specified in the approved construction documents. - -- X Section A3.3 and applicable ASTM material standards • Inspect fabricator's fabrication and quality control procedures. 2. Inspection of high- strength bolting: • Snug -tight joints. - -- X • Pretensioned and slip - critical joints using turn -of -nut with matchmarking, twist -off bolt or direct tension --- X AISC 360, indicator methods of installation. 1704.3.3 Section M2.5 • Pretensioned and slip - critical joints using turn -of -nut without matchmarking or calibrated wrench methods X - -- of installation. 3. Material verification of structural steel and cold- formed steel deck. • For structural steel, identification markings to conform X AISC 360, to AISC 360. Section M2.5 • For other steel, identification markings to conform to Applicable ASTM ASTM standards specified in the approved - -- X material standards construction documents. • Manufacturer's certified test reports. - -- X Specrulnspeclranl brm 2012.doc revised 09 00,1? VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE 4. Material verification of weld filler materials: - ----- ----- - - - - -- ❑ Identification marking to conform to AWS specification AISC 360, in the approved construction documents. X Section A3.5 and applicable AWS A5 documents • Manufacturer's certificate of compliance required. - -- X - -- - -- 5. Inspection of welding: a. Structural steel and cold- formed steel deck: ❑ Complete and partial joint penetration groove welds. X --- AWS D1.1 1704.3.1 ❑ Multipass fillet welds. X --- ❑ Single -pass fillet welds > 5/16" X - -- ❑ Plug and slot welds. X - - ❑ Single -pass fillet welds <= 5/16" - -- X ❑ Floor and roof deck welds. - -- X AWS D1.3 b. Reinforcing steel: • Verification of weldability of reinforcing steel other than ASTM A 706. X • Reinforcing steel resisting flexural and axial forces in intermediate and special moment frames, and X - -- AWS D1.4 ACI 318: boundary elements of special structural walls of Section 3.5.2 concrete and shear reinforcement. • Shear reinforcement. X --- ❑ Other reinforcing steel. - -- X 6. Inspection of steel frame joints details for compliance. ❑ Details such as bracing and stiffening. - -- X - -- 1704.3.2 ❑ Member locations. - -- X ❑ Application of joint details at each connection. - -- X VERIFICATION AND INSPECTION C P REFERENCED STANDARD IBC REFERENCE INSPECTION OF WELDING 1. ❑ Welded studs when used for structural diaphragms. - -- X - -- 1704.3 2. ❑ Welding of cold- formed steel framing members. - -- X 3. ❑ Welding of stairs and railing systems. - -- X Speccdnspecljonhorin 2012.docrevised09'06,12 VERIFICATION AND INSPECTION C L-], p REFERENCED IBC STANDARD REFERENCE _ INSPECTION OF CONCRETE 1. ❑ Inspection of reinforcing steel, including prestressing - -- X ACI 318-.3.5,7.1-7.7 1913.4 tendons and placement. 2. ❑ Inspection of reinforcing steel welding in accordance AWS D1.4 ACI 318: with Table 1704.3 Item 5b. 3.5.2 3. ❑ Inspection of bolts to be installed in concrete prior to and during placement of concrete where allowable X ACI 318: 8.1.3, 1911.5, 1912.1 loads have been increased or where strength design 21.2.8 is used. 4. ❑ Inspection of anchors installed in hardened concrete. - -- X ACI 318: 1912.1 5. ❑ Verifying use of required design mix. 1904.2.2,1913.2, - -- X ACI 318: 1913.3 6. ❑ At time fresh concrete is sampled to fabricate ASTM C 172 specimens for strength tests, perform slump and air X - -- ASTM C 31 1913.10 content tests and determine the temperature of the concrete. ACI 318: 5.6, 5.8 7. ❑ Inspection of concrete and shotcrete placement for X - -- ACI 318: 5.9, 5.10 1913.6, 1913.7, proper application techniques. 1913.8 8. ❑ Inspection for maintenance of specified curing - -- X ACI 318: 5.11 -5.13 1913.9 temperature and techniques. 9. Inspection of prestressed concrete: • Application of prestressing forces. X - -- ACI 318: 18.20 • Grouting of bonded prestressing tendons in the X - -- ACI 318: 18.18.4 seismic force - resisting system. 10. ❑ Erection of precast concrete members. - -- X ACI 318: Ch. 16 --- 11. ❑ Verification of in -situ concrete strength, prior to stressing of tendons in posttensioned concrete and - -- X ACI 318: 6.2 -- prior to removal of shores and forms from beams and structural slabs. 12. ❑ Inspect formwork for shape, location, and dimensions - -- X ACI 318: 6.6.1 - -- of the concrete member being formed. 13. ® Bolts Installed in Existing Masonry or Concrete • Direct tension testing of existing anchors. - -- X See ICC ES Reports form special inspection requirements for proprietary products • Direct tension testing of new bolts. - -- X ® Torque testing of new bolts. - -- X ❑ Prequalification test for bolts and other types of X anchors. 14. ❑ Other: SpecicthtspeclionFoa-nr 2012.docrerisec109 "06,12 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402 /ACI TMS 402 /ACI SECTION 530 /ASCE 5 530 /ASCE 6 INSPECTION OF LEVEL 1 MASONRY 1. ❑ Compliance with required inspection provisions of the construction documents and the approved - -- X - -- - -- Art. 1.5 submittals shall be verified. 2. ❑ Verification of f,,, and f'AAC prior to construction -_- X - -- - -- Art. 1.413 except where specifically exempted by this code. 3. ❑ Verification of slump flow and VSI as delivered to X - -- -- - -- Art. 1.513.1.b.3 the site for self consolidating grout. 4. As masonry construction begins, the following shall be verified to ensure compliance: ❑ Proportions of site - prepared mortar. - -- X - -- Art. 2.6A ❑ Construction of mortar joints. - -- X - -- - -- Art. 3.3B • Location of reinforcement, connectors, - -- X - -- - -- Art. 3.4, 3.6A prestressing tendons, and anchorages. • Prestressing technique. - -- X - -- - -- Art. 3.613 • Grade and size of prestressing tendons and - -- X - -- - -- Art. 2.413, 2.4H anchorages. 5. During construction the inspection program shall verify: • Size and location of structural elements. - -- X - -- - -- Art. 3.3F • Type, size, and location of anchors, including Sec. 1.2.2(e), other details of anchorage of masonry to - -- X - -- 1.16.1 - -- structural members, frames or other construction. • Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and - -- X - -- Sec. 1.15 Art. 2.4, 3.4 anchorages. • Welding of reinforcing bars. X - -- - -- --- ❑ Preparation, construction and protection of masonry during cold weather (temperature below ___ X Sec. 2104.3, Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 2104.4 90 degrees F). • Application and measurement of prestressing X -- -- -- Art. 3.613 force. 6. Prior to grouting the following shall be verified to ensure compliance: ❑ Grout space is clean. - -- X -- - -- Art. 3.2D ❑ Placement of reinforcement and connectors and - -- X - -- Sec. 1.3 Art. 3.4 prestressing tendons and anchorages. ❑ Proportions of site - prepared grout and - -- X - -- -- Art. 2.613 prestressing grout for bonded tendons. ❑ Construction ofmortarjoints. - -- X -- -- Art. 3.3B 7. Grout placement: • Grout placement shall be verified ensure X - -- - -- - -- Art. 3.5 compliance. • Observe grouting of prestressing bonded X - -- - -- - -- Art 3.6C tendons. SpecialnspeclionFolm 2013.doc revised 09'06 12 SpeckdnspecfionFonn 2012. doc reused 09 06 /? REFERENCE FOR CRITERIA T VERIFICATION AND INSPECTION C P IBC TMS 402 /ACI TMS 402!AC1 SECTION 530 /ASCE 5 530 /ASCE 6 8. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and /or prisms shall be - -- X 2105.2.2, - -- Art. 1.4 observed. 2105.3 --------------- - - - - -- INSPECTION OF LEVEL 2 MASONRY 1. ❑ Compliance with required inspection provisions of the construction documents and the approved - -- X - -- - -- Art. 1.5 submittals. 2. ❑ Verification of f',,,and f'AAC prior to construction and for every 5,000 square feet during - -- X - -- - -- Art. 1 AB construction. 3. ❑ Verification of proportions of materials in ---- - - - - -- premixed or preblended mortar and grout as - -- X - -- - -- Art. 1.56 delivered to the site. 4. ❑ Verification of slump flow and VSI as delivered to X -- - -- - -- Art. 1.513.1.b.3 the site for self consolidating grout. -- 5. The following shall be verified to ensure compliance: • Proportions of site - prepared mortar, grout, and X - -- - -- Art. 2.6A prestressing grout for bonded tendons. • Placement of masonry units and construction of X - -- - -- Art. 3.36 mortar joints. • Placement of reinforcement, connectors and - -- X - -- Sec. 1.15 Art. 3.4, 3.6A prestressing tendons and anchorages. • Grout space prior to grouting. X - -- - -- - -- Art. 3.2D • Placement of grout. X - -- - -- - -- Art. 3.5 • Placement of prestressing grout. X - -- - -- - -- Art. 3.6C • Size and location of structural elements. - -- X - -- - -- Art. 3.3F • Type, size, and location of anchors, including other details of anchorage of masonry to X - -- - -- Sec. 1.2.2(e) - -- structural members, frames and other construction. • Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and - -- X - -- Sec. 1.15 Art. 2.4, 3.4 anchorages. • Welding of reinforcing bars. X - Sec. 2.1.9.7.2, - -- 3.3.3.4 (b) • Preparation, construction, and protection of masonry during cold weather (temperature below ___ X Sec. 2104.3, - -- Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 2104.4 90 degrees F). • Application and measurement of prestressing X - -- - -- - -- Art. 3.6B force. 6. ❑ Preparation of any required grout specimens, Sec. mortar specimens, and /or prisms shall be X - -- 2105.2.2, - -- Art. 1 A observed. 2105.3 SpeckdnspecfionFonn 2012. doc reused 09 06 /? T_ REFERENCED VERIFICATION AND INSPECTION C P STANDARD IBC REFERENCE INSPECTION OF WOOD 1. ❑ Inspect prefabricated wood structural elements and _ assemblies in accordance with Section 1704.2. - -- u -W 1704.6 __ --- 2. ❑ Inspect site built assemblies. 3. Inspect high -load diaphragms: ❑ Verify grade and thickness of sheathing. - -- --- ❑ Verify nominal size of framing members at adjoining panel edges. - -- 1704.6.1 ❑ Verify nail or staple diameter and length, - -- - -- ❑ Verify number of fastener lines, - -- --- ❑ Verify spacing between fasteners in each line and at edge margins. 4. ❑ Metal- plate- connected wood trusses spanning 60 feet or greater: Verify temporary installation restraint /bracing and the permanent individual truss - -- X - -- 1704.6.2 member bracing are installed in accordance with the approved truss submittal package. REQUIRED VERIFICATION AND INSPECTION OF SOIL 1. ❑ Verify materials below footings are adequate to -- X _ achieve the desired bearing capacity. 2. ❑ Verify excavations are extended to proper depth and have reached proper material. X 3. ❑ Perform classification and testing of compacted fill X materials. - -- Table 1704.7 4. ❑ Verify use of proper materials, densities and lift thicknesses during placement and compaction of X - -- compacted fill. 5. ❑ Prior to placement of compacted fill, observe subgrade and verify that site has been prepared properly. X REQUIRED VERIFICATION AND INSPECTION OF DEEP DRIVEN FOUNDATION ELEMENTS 1. ❑ Verify element materials, sizes and lengths comply X with the requirements. 2. ❑ Determine capacities of test elements and conduct X additional load tests, as required. 3. ❑ Observe driving operations and maintain complete X and accurate records for each element. 4. ❑ Verify locations of piles and their plumbness, confirm type and size of hammer, record number of blows per - -- Table 1704.8 foot of penetration, determine required penetrations to X - -- achieve design capacity, record tip and butt elevations and document any damage to foundation element. 5. ❑ For steel elements, perform additional inspections in accordance with Section 1704.3. 6. ❑ For concrete elements and concrete filled elements, perform additional inspections in accordance with - -- - -- Section 1704.4. SpeciulnspernonFnrnr 20 12.doc revised 09 06 12 VERIFICATION AND INSPECTION C _ P REFERENCED IBC STANDARD REFERENCE 7. ❑ For specialty piles, perform additional inspections as determined by the registered design professional in - -- - -- - -- Table 1704.8 responsible charge. REQUIRED VERIFICATION AND INSPECTION OF CAST -IN -PLACE DEEP FOUNDATION ELEMENTS 1 ❑ Observe drilling operations and maintain complete and X accurate records for each element. 2.. ❑ Verify placement locations and plumbness, confirm element diameters, bell diameters (if applicable), lengths, embedment into bedrock (if applicable), and X - -- - -- Table 1704.9 adequate end - bearing strata capacity. Record concrete or grout volumes. 3. ❑ For concrete elements, perform additional inspections in accordance with Section 1704.4. _ HELICAL PILE FOUNDATIONS — 1. ❑ Record installation equipment used, pile dimensions, TX - -- - -- 1704.10 tip elevations, final depth, final installation torque. SPRAYED FIRE - RESISTANT MATERIALS Physical and visual tests 1. Condition of substrates. • Inspect surface for accordance with the approved fire - resistance design and the approved manufacturer's - -- - -- written instructions. • Verify minimum ambient temperature before and after - X application. --- 1704.12.1 • Verify ventilation of area during and after application. - -- X 2. ❑ Measure average thickness per ASTM E605 and --- - -- Section 1704.12.4. S 3. ❑ Verify density of material for conformance with the approved fire- resistant design and ASTM E605. (Ref. - -- - -- Section 1704.12.5) 4. ❑ Test cohesive /adhesive bond strength per Section 1704.12.6. - -- - -- 5. ❑ Condition of finished application. MISCELLANEOUS 1. Mastic and Intumescent Fire - Resistant Coating. - -- - -- - -- 1704.13 2. Exterior Insulation and Finish Systems (EIFS). Water - resistive barrier coating when installed over a sheathing - -- - -- - -- 1704.14 substrate. 3. Special Cases - -- - -- - -- 1704.15 4. Smoke Control System - -- - -- - -- 1704.16 5. Seismic Resistance ❑ Suspended ceiling systems and their anchorage. - - - -- - -- 1705.3 [4.3] Speciulnspechnnh��rm ?OL.doc revised 09 06,!? VERIFICATION AND INSPECTION C p REFERENCED STANDARD IBC REFERENCE —_ 6. Wind Resistance • Roof cladding and roof framing connections. - -- - -- --- ❑ Wall connections to roof and floor diaphragms and framing. • Roof and floor diaphragm systems, including collectors, drag struts and boundary elements. • Vertical wind - force - resisting systems, including braced frames, moment frames, and shear walls. • Wind- force - resisting system connections to the foundation. • Fabrication and installation of systems or components required to meet the impact resistance requirements - -- - -- - -- of Section 1609.1.2. SPECIAL INSPECTION FOR WIND REQUIREMENTS 1. Structural Wood • Inspect field gluing operations of elements of the main X wind - force - resisting system. - -- 1706.2 • Inspect nailing, bolting, anchoring, and other fastening of components within the main windforce- resisting X system, including wood shear walls, wood diaphragms, drag struts, braces and hold- downs. 2. Cold- Formed Steel Framing • Welding of elements of the main wind- force - resisting X system. • Inspection of screw attachments, bolting, anchoring, and other fastening of components within the main - -- 1706.3 wind- force - resisting system including shear walls, - -- X braces, diaphragms, collectors (drag struts) and hold - downs. 3. Wind- resisting components ❑ Roof cladding. - -- X - -- 1706.4 ❑ Wall cladding. - -- X SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE 1. ❑ Special inspection for welding in accordance with the X - -- 1707.2 quality assurance plan requirements of AISC 341. 2. Structural Wood ❑ Inspect field gluing operations of elements of the X seismic - force - resisting system. ❑ Inspect nailing, bolting, anchoring, and other fastening of components within the seismic - force - resisting 1707.3 system, including wood shear walls, wood - -- X diaphragms, drag struts, braces, shear panels and hold- downs. 3. Cold- Formed steel light -frame construction ❑ Welding of elements of the seismic - force - resisting X 1707.4 system. Specxilnspeciionl-or•nr 2012.doc revised 0906 1? ❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the seismic- X force - resisting system including shear walls, braces, diaphragms, collectors (drag struts) and hold- downs. 4. Storage racks and access floors ❑ Anchorage of storage racks 8 feet or greater in height and access floors. X 1707.5 5. Architectural components ❑ Inspect erection and fastening of exterior cladding weighing more than 5 psf and higher than 30 feet - -- X above grade or walking surface. • Inspect erection and fastening of veneer weighing more than 5 psf.and higher than 30 feet above grade - -- X or walking surface. - -- 1707.6 • Inspect erection and fastening of all exterior non- bearing walls higher than 30 feet above grade or - -- X walking surface. • Inspect erection and fastening of all interior non- bearing walls weighing more than 15 psf and higher - -- X than 30 feet above grade or walking surface. 6. Mechanical and Electrical Components • Inspect anchorage of electrical equipment for emergency or stand -by power systems. X • Inspect anchorage of non - emergency electrical X equipment. • Inspect installation of piping systems and associated mechanical units carrying flammable, combustible, or - -- X - -- 1707.7 highly toxic contents. • Inspect installation of HVAC ductwork that contains X hazardous materials. • Inspect installation of vibration isolation systems X where required by Section 1707.7. 7. ❑ Verify that the equipment label and anchorage or mounting conforms to the certificate of compliance 1707.8 when mechanical and electrical equipment must be seismically qualified. 8. ❑ Seismic isolation system: Inspection of isolation -_- X - -- 1707.9 system per ASCE 7 — Section 17.2.4.8 9. ❑ Obtain mill certificates for reinforcing steel, verify compliance with approved construction documents, - -- - -- - -- 1708.2 and verify steel supplied corresponds to certificate. 10. ❑ Structural Steel: Invoke the QAP Quality Assurance 1708.3 requirements in AISC 341. ___ 11. ❑ Obtain certificate that equipment has been seismically 1708.4 qualified. - -_ - -- - -_ 12. ❑ Obtain system tests as required by ASCE 7 Section _ -- - -- ___ 1708.5 17.8. Specnrl��specNuuForm 2012.doc revised 09 06 12