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B-2016-1302CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1302 19339 STEVENS CREEK BLVD CUPERTINO, CA 95014 (316 20 114) DEVCON CONSTRUCTION INCORPORATED MILPITAS, CA 95035 OWNER'S NAME: ( MAIN STREET CUPERTINO AGGREGATOR LLC) DATE ISSUED: 04/22/2016 OWNER'S PHONE: 408-639-9322 PHONE NO: (408) 942-8200 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lie. #a9216 Contractor DEVCON CONSTRUCTION INCORPORATED Date 02/28/2017 X BLDG —ELECT —PLUMB MECH RESIDENTIAL X COMMERCIAL 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. JOB DESCRIPTION: APPLE (OFFICE 1 MAIN STREET) - INTERIOR RECONFIGURATION I hereby affirm under -penalty of perjury one of the following two declarations: TO CREATE (N) CAFE (1 ST FLR)(1,205 S.F.) 1. 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 Sq. Ft Floor Area: Valuation: $200000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 316 20 114 316 A (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS ®F PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INS CTION. ignS aure Date 4/22/2016 Issued by: Alex VallelunEa 4�6i�L Date: 04/22/2016 I OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. 1, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 4/22/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the s. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505 5533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Ow 'era[�tho�idtag@17 APPLICANT CERTIFICATION Date: 4/22/2016 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 4/22/2016 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE a CUPERTINO, CA 95014-3255 `- - I�d(408) 777-3228 e FAX (408) 777-3333 • buiid!na(c�cupetfino.org / CPIER'Ci1N� (3-�- ❑ NEW CONSTRI3CTION ❑ ADDITION W/ALTERA.TION / TI ❑ REVISION / DETERRED ORIGINAL PERMIT # PROJECTADDRESS R B a r� Q� y� 47► APN it ZQ OIVNER NAMERIA�[�� r e - PHONE 0g. �� � • �j� q � EMAIL STREET ADDRESS,Aj ( , STATE, ZIP &"/.SE CONTACT NAME ``f A� r s y PHONE -MAIL „ `® 0#k• 3 l 370 r®e sr CVe&7 - Cdr.151 STREET ADDRESS CITY, STATE, ZIP FAX Cl OwNER ❑ OwNER-BUIL)ER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEf �A� Lf��;�� LICE NSE NUMBER •� T ^J/6� L•ICENSETYPE BUS. LIC it r 1 10/ Sa COMPANY NAME �,4C6Vt6$-t '0^- E-MAIL « �,cs FAX co^ V- �il'Ytv�•- tof*� c�M STREET ADDRESS �® /,-JL L ® L)OIp�� 'P�o CITY, ST i E, [P J ` d ` ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS, LIC a IIfM �i�IMO - _ COMPANY NAME fir - E-MAIL e���� FAX v u� v r S `� . STREET ADDRESS CITY, STATE, ZIP t PHONE DESCRIPTION OF WORK -„/A , /?a - EXISTING USP E CONSTR. TYPE R STORIES 6� �� L �o/ 2r.-.8USE TYPE OCC. SQ•FT. VALUATION (S) EXISTGNEW AREA /44or FLOOR AREA --- DEMO TOTAL AREA JdLTAREA BATHROOM KITCHEN OTHER REMODELAREA REMODELAREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECWORCH AREE GARAGE AREA: DETACH I ATTACH I P DWELLING IMTS.- IS A SECOND UNIT ❑ YES SECOND STORY EYES BEINGADDED? No ADDITION? []No PRE -APPLICATION © YES IF YES, PROVIDE COPY OF PLAI,%TINGAPPLO ©NO PLANNING APPROVAL LETTER IS THE BLDG AN © YES EICHLERHOME? E] NO B ”"`...._;-' = _ _ _ - = _- TOTAL VALUATION: By my signature below, I certify to each of the following; I am the property owner or authorized agent to act on r perry owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of }Work an ' I 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 aboY•id rtified property for inspection purposes. Signature of Applicant/Agent: Date: t� SUPPLEMENTAL REQUIRED �'ti�•' OVER THE CO TEFF �_`R '�•••.�;�n�-`��'�';l_NewSFDorMulfifam'1 ❑ BUILDI\G PLS X000,4 dveD6s. A nolitiou permit existing building(s). Demolition permit is required prior to issuance of building penxrit for new building. x —;=S ;L7 E�TRESS r ❑ �za\L\G PLAT RESTER r } Counnercial Bldgs: Provide a Completed Hazardous Materials Disclosure sTa\nAUD ❑ YUBLICR/ORIS+ J_ _ form if.any Hazardous Materials are being used as part of this project, r n5 z ❑ ❑� _ Copy of PIanning Approval Letter or Meeting with Planning prior to LARCE ❑ ,n FJRE DEPTM. ❑ Submittal of Building Permit application, b14JOR SA\ITAR1 SE1\ERDISTRLCT E\VIRO\11zEi\TALI�EALTH .. Bldg Opp— 2011, do revised 06/21/11 AdMbk TESTING ENGINEERS, INC 2811 Teagarden St., 510-835-3142 510-834-3777 fax San Leandro, CA 94577 800-660-3142 San'Leandro - San Jose - Martinez INSPECTION REPORT Week Ending-, 516/16 PROJECT # 62588 PROJECT: 19339 Stevens Creek Blvd. VP03 Bldg. Cupertino, CA Permit # B2016-1302 DATE 4130/16 HOURS 4 � INSPECTOR M. Ardizzone Reported to Ron of Devcon Construction at the jobsite as requested. TYPE OF INSPE( Concrete PLACE OF INE Jobsite ** Revised Report Monitored loads arriving at the jobsite for correct n-dx and proper slump. Inspected placement operations and vibrating procedures. Performed 1 slump test (4") and cast 1 set of compression test specimens (5 each), Sample # 252572, for Concrete Mix # 4EFEC5Q1 from Central Concrete Supply Co, (specified strength 3000 psi, slump V) for concrete placed at plumbing trench in -fill at room 10$1. Total cubic yards placed: 2. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing P3,1. Inspection Division Manager 1cc: Apple Computer Inc. / R. Bassinger Devcon Construction / R. Lessing City of Cupertino/Bldg. Inspection Dept The results presented in this reportxelate only to the item(s) tested/inspected and maybe reproduced only inits entirety unless writtenpam-ds,,lon from TEl is -obtained. Page 1 of I qw;� TESTING ENGINEERS, INC. 2811 Teagarden St. 510-835-3142 510-834-3777 fax San Leandro, CA 94577 800-660-3142 PROJECT # 62588 PROJECT: 19339 Stevens Creek Blvd. VP03 Bldg. Cupertino, CA DATE HOURS Permit # B2016-1302 4/23/16 INSPECTOR J. Allen f Reported to the jobsite as requested. San Leandro a San Jose . Martinez INSPECTION REPORT Week Ending: 4/29/16 ** Revised Report TYPE OF INSPECTI0N, Concrete Placement J .Epoxied Dowels PLACE OF INSPECTION: Jobsite 4/28/16 4 L. Granilto Monitored loads arriving at thejobsite .fox correctmix and proper slump. Inspected placement operations and vibrating procedures. Performed 1 slump test (4-1/2 `) and cast 1 set of compression test specimens (5 each), Sample # 255856, for Concrete Mix # 4EFEC5Q1 from Central Concrete Supply Co., (specified strength 3 00 0 psi, slump e) for concrete placed at trench in -fills at slab on grade from lines 3.3 to 4.3 between F.3 and E.3. Total cubic yards placed: 1. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing P3.1. 4128A6 Reported to lion of Devcon Construction at the jobsite as requested_ Inspected predrilled holes for proper diameter and depth. Observed the cleaning of holes and the injection of Simpson Set XP epoxy (exp. 9/17). Witnessed the proper insertion of thirty-five. (35) #3 reinforcing steel bars, 24" in length, embedded 4-1/2` for water heater closet footing at plumbing trench on line D.3 from 3.3 to 4.3. The preceding work was, to the best of my knowledge, in compliance with approved job plans and spec' 'cations, including revisions by engineer, and Drawing A2.01. Reviews y:. — Du"ppero Scial Inspection Division Manager 1cc: Apple Computer Inc. / R. Bassinger Devcon Construction j R. Lessing City of Cupertino/Bldg. Inspection Dept. Theresults presentedintl-dsreportrelate orilyto theitem(s) tested/inspected and may be xeproducedonly.in its entirety unlesswrittenpemiissionfrom TO is obtained. Page 1 of 1 Adahkik •� TESTING, ENGINEERS, INC. 2511 Teagarden St. 510-835-3142 510-834-3777 fax San Leandro, CA 94577 800..660-3142 San Leandro • San Jose 0 'Martinez WA INSPECUION REPORT Week Ending. 4/22.116 PROJECT # 62588 PROJECT: 19339 Stevens Creek Blvd. VP03 Bldg. Cupertino, CA HOURS Permit # B2016-1302 4/22/16 4 INSPECTOR . L. Granillo Reported to Ron of Devcon at the jobsite as requested. TYPE OF INSPECTION. Epoxied Dowel PLACE OF INS Jobsite ** Revised Report Inspected predrilled holes for proper diameter and depth.. Observed the cleaning of holes and the injection of Simpson Set XP epoxy (exp. 9/17). Witnessed the proper insertion of one hundred twenty (120) #3 deformed reinforcing steel bars, 24" in length, embedded 5" at plumbing trenches at VP03 Bldg The precedingworkwas, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing 1-3.1. Inspection Division Manager 1cc: Apple Computer Inc. / R. Bassinger Devcon Construction / R_ Lessing City, of Cupertino/Bldg. Inspection Dept. The results presented in this reportrelate only to the items) tested/inspected and may be reproduced only inits enbretyunless written permissionfrom TEl is obtained. Page 1 of 1 —ffliiia� Ammik 11 = TESTING ENGINEERS, I INC. July l2, 2016 cllk,-v of CUU-Perfifgo Building Inspection Depaitn 10300 Torre Avenue Cupertino, California 95014 Subject: Project: 99339 SYMIRS creek igivik Y, P03 Blag. cuperana Cal pit, Gentlemen: Quality Assurance Service's Materials Consulting Since 1954 TEl.Project No. 62588 , Permit No. B2016-1302 In accordance with Section 1705 of the California Building Code, we have provided special inspection of. Placement of concrete. Sampling and laboratory compression testing for concrete. Installation of epoxied dowels in existing concrete. These inspections were performed by personnel under the general supervision of a Registered Civil 'Engineer iti th the State of California. used: upon our inspections performed and our substantiating reports, the inspected work requiring special inspection was, to the best of our knowledge, in conformance with the approved plans and specifications, the applicable Nvork-manship provisions of this Code, and any changes by the Engineer of Record. Details of our work on this project the progress of construction. TF, S T7 XG EjVG- TNE ER 8 � TeL. Eggland. PIV C E 4 13 2, a-, -p.9/3 ol 17 cc: Apple Computer Inc. / R. Bassinger De-Nrcon Construction / R. Lessing in, our testing and. inspection report that -ivere submitted durjj .ng Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — 510) 835-3142 — FAX �510) 834-3777 www.Tesfing-En.gineers.com Testing Engineers, Inc. Quality Assurance Services Materials Consulting Since 1954 Regular Concrete Compression Test Report Project No. :62588 Client - _.APP337Sampie No.. 255856 / Page I of 1 Project Name: - Report Date: 05/20/16 19339 Stevens Creek 131 Sample Date: 04/23/16 VP03 Bldg. Time; Sampled : 1100AM Cupertino, CA Date Received: 05/42/16 Permit # B2016-1302 Inspector: J. Allen. TEI Supplier: Central Con( Mix: 4FFEC5Q1 Ticket No.: 18206278 Location: Trench in -fills at slab on grade from lines 3.3 to 4.3 between F.3 and E.3. ** Revised Report. Specimens Cast (ASTM C-31): 5 Air Temperature (ASTM C-1064): 74deg F Mixture Temperature (ASTM C-1064): 70deg F Slump (ASTM C-143): 4-1/2 inches Capping Specimens ASTM C-617 ASTM C-1231 Date Tested, 05/03116 05/20/16 05/20116 05/20116 HOLD ID Number 1A 113 1 C I D I E Mark Sample Dimension, inches Diameter 4 4 4 4 Length 8 8 8 8 Area, sq. inches 12.57- 12.57 12.57 I2.57 Ultimate Load, lbs 43000 86000 81000 76000 Ultimate Str,, psi 3420 6840 6440 6050 Average, Str., psi Age Tested, -Days -10 27 27 27 HOLD Fracture Type 1 1 1 1 Dry Unit Weight, pd Specified Strength, psi 3000 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD The Material IWAS WAS NOT The Materiat Tested /MET _DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with ASTM C-39 I cc. City of Cupertino I cc. Apple Computer Inc. I cc, Devcon Construction Reviewed By: Supervisor The results presented in this report relate only to the item(s) tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777 Testing Engineers, Inc. Quality Assurance Services Materials Consulting Since 1954 Regular Concrete Compression Test Report Project No.: 62588 Client: APP337 Sample No.: 252572 / Page l of I Project Name: 19339 Stevens Creek Blvd. VP03 Bldg. Cupertino, CA Permit # B2016-1302 Supplier: Central Concrete Mix: 4EFEC5Ql Ticket No.: 18210442 Location: Plumbing trench in -fill at room 1081. 'Revised Report. Report Date: 05127116 Sample Date: 04130116 Time Sampled: 0844AM Date Received: 05/06116 )ector: M. Ardizzone, TEl Speplimens, Cast (ASTM C-31): 5 Air1 emperature (ASTM C-1064), 60 deg F -Y fixture Temperature (ASTM C-1064): 70deg F Slump (ASTM C-143): 4 inches Capping Specimens _ASTM C-617 ASTM C-1231 Date Tested 05/06/16 05/27/16 05/27116 05/27/16 HOLD ID Number 2A 213 2C 2D 2E Mark Sample Dimension,,Inches Diameter 4.01 4.01 4.01 4.01 Length 8 8 8 8 Area, sq. inches 12.63 12.63 12.63 12.63 Ultimate Load, lbs 39000 78000 80000 77000 Ultimate Str., psi 3090 6180 6330 6100 Average, Str., psi Age Tested, Days 6 27 27 27 HOLD Fracture Type 1 1 1 1 Dry Unit Weight, pef Specified Strength, psi 3000 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD The Material —/WAS WAS NOT The Material Tested —ZMET DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with ASTM C-39 1 cc. C4 of Cupertino 1 cc. Apple Computer Inc. Reviewed By. 1 cc. Devcon Construction /Robert GrWn-- Concreteb Supervisor / a The results presented in this report relate only to the item(s) tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777 engineered systems 1133 Aladdin Avenue San Leandro, CA 94577 Tel: (510) 346-4300 Fax: (510) 347-1331 Contractors Lic#120696 TEST AND BALANCE ANALYSIS REPORT Job Name: Apple Cafe MAC-VP03 19339 Stevens Creek Blvd. Cupertino, CA 95014 ACCO Job #: 620956 Contractor: Devcon Construction Engineer: acco engineered systems AIR DISTRIBUTION SYSTEM HAS BEEN COMPLETELY BALANCED AS PER REQUIREMENTS OF SPECIFICATIONS AND RESULTS OF TESTS HEREIN LISTED. Date: June 17, 2016 Technician: Ernie Rodriguez Approved By: Amber Ryman S— ACCengineered systems Air Balance Symbols CFM Cubic Feet Per Minute FPM Feet Per Minute Ak Free Area Factors CSD Ceiling Supply Diffuser CSG Ceiling Supply Grille CRR Ceiling Return Register EAG Exhaust Air Grille SWG' Sidewall Grille EAG Exhaust Air Grille LT Light Troffer LSD Linear Slot Diffuser VAV Variable Air Volume Box AHU-1 Air Handling Unit #1 EF -1 Exhaust Fan #1 SF -1 Supply Fan 41 T=stat Thermostat D.A. Direct Acting R.A. Reverse Acting DDC Direct Digital Control N. 1. Not Installed N/L Not Listed N/A Not Applicable DNA Data Not Available FLA Full Load AMPS V Volts A Amperage PH Phase HP Horsepower BHP Brake Horsepower RPM Revolutions Per Minute SP Static Pressure TSP Total Static Pressure TES Total External Static Pressure VP Velocity Pressure OSA Outside Air RA Return Air MAT Mixed Air Temperature EAT Entering Air Temperature LAT Leaving Air Temperature AT Differential Temperature AP Differential Pressure W.C. Inches of Water Column N/T Not Taken engineered systems 1133 Aladdin Avenue San Leandro, CA 94577-4311 (510) 346-4300 9 (510) 347-1331 9 License * 120696 AIR OUTLET TEST REPORT DATE: 06/17/16 PAGE: 1 PROXcr Apple Cafe MAC-VP03 SYSTEM NO. Existing Supply Air TEST APPARATUS Flow Hood AREASERVED 1st Floor OUTLET MANUFACTURER Titus,Seiho E&il 1:1pWlizi-km MGM 101 Address 50 Blom mim • l : a �a®moo MEN==EMMM Emm ■mom ■mom REMARKS: BALANCE TECH: Ernie Rodriguez I engineered systems 1133 Aladdin Avenue San Leandro, CA 94577-4311 (510) 346-4300 • (510) 347-1331 9 License # 120696 AIR OUTLET TEST REPORT DATE: 06/17/16 PAGE: 2 PRO]ECT Apple Cafe MAC-VP03 SYSTEM NO. EF -5 TEST APPARATUS Flow Hood AREA SERVED 1St Floor OUTLET MANUFACTURER Titus SUB -SYSTEM OUTLET DESIGN CFM PRELIMINARY FINAL IDENTIFIER NO. TYPE SIZE Ak EXHAUST EXHAUST EXHAUST EF -5 1 CE 2408 175 133 2 LE 4' 180 99 3 LE 4' 180 189 4 LE 4' 180 231 5 LE 4' 180 178 Total - - - - 895 0 830 REMARKS: BALANCE TECH: Ernie Rodriguez TESTING ENGINEERS, INC. July 12, 2016 City of Cupertino Building Inspection Department 10300 Torre Avenue Cupertino, California 95014 Subject: FTNAL-REPORT Project: 19339 Stevens Creek Blvd. VP03 Bldg. Cupertino, California Gentlemen: Quality Assurance Services Materials Consulting Since 1954 Rrej,ed-No. 62588 Permit No. B2016-1302 In accordance with Section 1705 of the California Building Code, we have provided special inspection of. Placement of concrete. Sampling and laboratory compression testing for concrete. Installation of epoxied dowels in existing concrete. These inspections were performed by personnel under the general supervision of a Registered Civil Engineer in the State of California. Based upon our inspections performed and our substantiating reports, the inspected work requiring special inspection was, to the best of our knowledge, in conformance with the approved plans and specifications, the applicable workmanship provisions of this Code, and any changes by the Engineer of Record. Details -of -our work -on this-proj the progress of construction. TESTING ENGINEERS, Teffy- L. Egland, PX' CE #34132, Exp. 6/30/17 Nk9:FC:A1 cc: Apple Computer Inc. / R. Bassinger Deveon Construction / R. Lessing our -testing -and that w rifitted-du–tiffg—_ RECEIVED Corporate Office — 2811 Teagarden Street — San Leandro, California 94577 — (510) 835-3142 — FAX (510) 834-3777 www.Testing-Engineers.com . = TESTING ENGINEERS, INC. 2811 Teagarden St. 510-835-3142 510-834-3777 fax San Leandro, CA 94577 800-660-3142 San Leandro • San Jose • Martinez INSPECTION REPORT Week Ending: 4/22/16 PROJECT # 62588 PROJECT: 19339 Stevens Creek Blvd. VP03 Bldg. Cupertino, CA Permit # B2016-1302 DATE 4/22/16 HOURS 4 INSPECTOR L. Granillo Reported to Ron of Devcon at the jobsite as requested. TYPE OF INSPECTION: Epoxied Dowels PLACE OF INSPECTION: Jobsite ** Revised Report Inspected predrilled holes for proper diameter and depth. Observed the cleaning of holes and the injection of Simpson Set XP epoxy (exp. 9/17). Witnessed the proper insertion of one hundred twenty (120) #3 deformed reinforcing steel bars, 24" in length, embedded 5" at plumbing trenches at VP03 Bldg. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing P3.1. 1cc: Apple Computer Inc. / R. Bassinger Devcon Construction / R. Lessing City of Cupertino/Bldg. Inspection Dept. Inspection Division Manager The results presented in this report relate only to the item(s) tested/inspected and may be reproduced only in its entirety unless written permission from TEI is obtained. Page 1 of 1 TESTING ENGINEERS, INC. 2811 Teagarden St. 510-835-3142 510-834-3777 fax San Leandro, CA 94577 800-660-3142 San Leandro • San Jose • Martinez INSPECTION REPORT Week Ending: 4/29/16 PROJECT # 62588 PROJECT: 19339 Stevens Creek Blvd. VP03 Bldg. Cupertino, CA DATE HOURS Permit # B2016-1302 4/23/16 4 INSPECTOR J. Allen Reported to the jobsite as requested. ** Revised Report TYPE OF INSPECTION: Concrete Placement / Epoxied Dowels PLACE OF INSPECTION: Jobsite 4/28/16 4 L. Granillo Monitored loads arriving at the jobsite for correct mix and proper slump. Inspected placement operations and vibrating procedures. Performed 1 slump test (4-1/2") and cast 1 set of compression test specimens (5 each), Sample # 255856, for Concrete Mix # 4EFEC5Q1 from Central Concrete Supply Co., (specified strength 3000 psi, slump 4") for concrete placed at trench in -fills at slab on grade from lines 3.3 to 4.3 between F.3 and E.3. Total cubic yards placed: 2. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing P3.1. 4/28/16 Reported to Ron of Devcon Construction at the jobsite as requested. Inspected predrilled holes for proper diameter and depth. Observed the cleaning of holes and the injection of Simpson Set XP epoxy (exp. 9/17). Witnessed the proper insertion of thirty-five (35) #3 reinforcing steel bars, 24" in length, embedded 4-1/2" for water heater closet footing at plumbing trench on line D.3 from 3.3 to 4.3. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing A2.01. Inspection Division Manager 1cc: Apple Computer Inc. / R. Bassinger Devcon Construction / R. Lessing City of Cupertino/Bldg. Inspection Dept. The results presented in this report relate only to the item(s) tested/inspected and may be reproduced only in its entirety unless written permission from TEI is obtained. Page 1 of 1 Testing Engineers, Inc. Quality Assurance Services Materials Consulting Since 1954 Regular Concrete Compression Test Report Project No.: 62588 Client: APP337 Sample No.: 255856 / Page 1 of 1 Project Name: 05/03/16 Report Date: 05/20/16 19339 Stevens Creek Blvd. 05/20/16 Sample Date: 04/23/16 VP03 Bldg. 1A Time Sampled: 1100AM Cupertino, CA 1 D Date Received: 05/02/16 Permit # B2016-1302 Inspector: J. Allen, TEI Supplier: Central Concrete Mix: 4EFEC5Q1 Ticket No.: 18206278 Location: Trench in -fills at slab on grade from " lines 3.3 to 4.3 between F.3 and E.3. ** Revised Report. Specimens Cast (ASTM C-31) : 5 Air Temperature (ASTM C-1064) : 74 deg F Mixture Temperature (ASTM C-1064) : 70 deg F Slump (ASTM C-143) : 4-1/2.inches Capping Specimens _ ASTM C-617 _ ASTM C-1231 Date Tested 05/03/16 05/20/16 05/20/16 05/20/16 HOLD ID Number 1A 1 B 1 C 1 D 1 E Mark Sample Dimension, Inches Diameter 4 4 4 4 Length 8 8 8 8 Area, sq. inches 12.57 12.57 12.57 12.57 Ultimate Load, lbs 43000 86000 81000 76000 Ultimate Str., psi 3420 6840 6440 6050 Average, Str., psi Age Tested, Days 10 27 27 27 HOLD Fracture Type 1 1 1 1 Dry Unit Weight, pcf Specified Strength, psi J 3000 1 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD The Material IWAS WAS NOT The Material Tested Y MET DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with ASTM C-39 1 cc. City of Cupertino 1 cc. Apple Computer Inc. 1 cc. Devcon Construction Reviewed By: Supervisor The results presented in this report relate only to the item(s) tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777 Testing Engineers, Inc. Quality Assurance Services Materials Consulting Since 1954 Regular Concrete Compression Test Report Project No.: 62588 Client: APP337 Sample No.: 252572 / Page 1 of 1 Project Name: Report Date: 05/27/16 19339 Stevens Creek Blvd. Sample Date: 04/30/16 VP03 Bldg. Time Sampled: 0844AM Cupertino, CA Date Received: 05/05/16 Permit # B2016-1302 Inspector: M. Ardizzone, TEI Supplier: Central Concrete Mix: 4EFEC5Q1 Ticket No.: 18210442 Location• Plumbing• trench in -fill at room-! 08i-. ** Revised Report. Specimens Cast (ASTM C-31) : 5 Air Temperature (ASTM C-1064) : 60 deg F Mixture Temperature (ASTM C-1064) : 70 deg F Slump (ASTM C-143) : 4 inches Capping Specimens _ ASTM C-617 ,/ ASTM C-1231 Date Tested 05/06/16 05/27/16 05/27/16 05/27/16 HOLD ID Number 2A 213 2C 2D 2E Mark Sample Dimension, Inches Diameter 4.01 4.01 4.01 4.01 Length 8 8 8 8 Area, sq. inches 12.63 12.63 12.63 12.63 Ultimate Load, lbs 39000 78000 80000 77000 Ultimate Str., psi 3090 6180 6330 6100 Average, Str., psi Age Tested, Days 6 27 27 27 HOLD Fracture Type 1 1 1 1 Dry Unit Weight, pcf Specified Stren th; psi - 3000 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED7MET R 28 DAYS OLD ✓ The Material WAS WAS NOT The Material Tested DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with ASTM C-39 1 cc. City of Cupertino 1 cc. Apple Computer Inc. 1 cc. Devcon Construction Reviewed By: Supervisor The results presented in this report relate only to the item(s) tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777 RECEIVE ANIL. MAY 31 2016 . = TESTING ENGINEERS, INC. B� 2811 Teagarden St. 510-835-3142 5 0-834-3777 fax San Leandro, CA 94577 800-660-3142 San Leandro • San Jose . Martinez INSPECTION REPORT Week Ending: 5/6/16 PROJECT # 62588 TYPE OF INSPECTI a �✓ Concrete 13' aI cements 1�3 � U PROJECT: ���PLACE OF INS ECTIOIN 3 /13�Y7ia llc�^ telly Jobsite �� l Apple VP Cafe Cupertino, CA FIWW HOURS Permit # B2016-1302 4/30/16 4 INSPECTOR M. Ardizzone Reported to Ron of Devcon Construction at the jobsite as requested. Monitored loads arriving at the jobsite for correct mix and proper slump. Inspected placement operations and vibrating procedures. Performed 1 slump test (4") and cast 1 set of compression test specimens (5 each), Sample # 252572, for Concrete Mix # 4EFEC5Q1 from Central Concrete Supply Co., (specified strength 3000 psi, slump 4") for concrete placed at plumbing trench in -fill at room 1081. Total cubic yards placed: 2. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawing P3.1. Reviewed by: — �— DaviRfChippero Special Inspection Division Manager 1cc: Apple Computer Inc./K. Bhowmik City of Cupertino/Bldg. Inspection Dept. The results presented in this report relate only to the item(s) tested/inspected and may be reproduced only in its entirety unless written permission from TO is obtained. Pao -a1 nf1 c -WAS - ® i TESTING ENGINEERS, INC. �� _ � _ /7 2811 Teagarden St. 510-835-3142 � 5 34-3777 fax San Leandro, CA 94577 800-660-3142 / PROJECT # 62588 PROJECT: 1933gVallco Parkway Apple VP Cafe Cupertino, "A— _ DATE HOURS Permit # B2016-1302 5/24/16 4 INSPECTOR C. Wilson San Leandro • San Jose • Martinez INSPECTION REPORT Week Ending: 5/27/16 TYPE OF INSPECTION: Concrete Sampling PLACE OF INSPECTION: Jobsite Reported to Ron of Devcon Construction at the jobsite as requested. Performed 1 slump test (4-1/2") and cast 1 set of compression test specimens (5 each), Sample # 256169, for Concrete Mix # 1561150A from Central Concrete Supply Co., (specified strength 3000 psi, slump 4") for concrete placed at slab at side and front entrance outside of cafe. Total cubic yards placed: 4. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer. 1cc: Apple Computer Inc./K. Bhowmik City of Cupertino/Bldg. Inspection Dept. Reviewed by:a � Da, d�Chippero Special Inspection Division Manager JUN 16 2016 The results presented in this report relate only to the item(s) tested/inspected and may be reproduced only in its entirety unless written permission from TO is obtained. Paas 1 of 1 n -Testing Engineers, Inc® Regular Concrete Quality Assurance Services Materials Consulting Since 1954 ion Test Report Project No.: 62588 Client: APP337 �! h ���6 Sample No.: 255856 / Page 1 of 1 Project Name: ,vN r Report Date : 05/20/16 1933Q Vallco ParkwaySample Date: 04/23/16 AppletVP Cafe �Time Sampled: 1100AM Cupertino, CA Date Received: 05/02/16 Permit # B2016-1302 Inspector: J. Allen, TEI Supplier: Central Mix: 4EFEC5Q1 Ticket No.: 182C Location: Trendh in-fft at cl lines 3.3 to 4.3 bE �1 _ IT on grade from ;en F.3 and E.3. Specimens Cast (ASTM C-31) : 5 Air Temperature (ASTM C-1064) : 74 deg F Mixture Temperature (ASTM C-1064) : 70 deg F Slump (ASTM C-143) : 4-1/2 inches Capping Specimens _ ASTM C-617 XASTM C-1231 Date Tested05/03/16 05/20/16 05/20/16 05/20/16 HOLD ID Number JA 1 B 1C 1D 1 E Mark Sample Dimension, inches Diameter 4 4 4 4 Length 8 8 8 8 Area, sq. inches 12.57 12.57 12.57 12.57 Ultimate Load, lbs 43000 86000 81000 76000 Ultimate Str., psi I 3420 I 6840 I 6440 I 6050 Average, Str., psi Age Tested, Days 10 27 27 27 HOLD Fracture Type 1 1 1 1 Dry-U-nit_Weight,_pcf_-- Specified Strength, psi 3000 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD The Material rr WAS WAS NOT The Material TestedMET DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with ASTM C-39 1 cc. City of Cupertino 1 cc. Apple Computer Inc. Reviewed By: d° of Robert Green Concrete Lab Supervisor The results presented in this report relate only to the item(s) tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777 "Testing Engineers, Inc. Quality Assurance Services Materials Consulting Since 1954 Regular Concrete Compression Test Report Project No.: 62588 Client: APP337 Sample No.: 252572 / Page 1 of 1 Project Name: "� Report Date : 05/27/16 1933 Vallco Parkway Sample Date: 04/30/16 Apple VP Cafe ��16 Time Sampled : 0844AM Cupertino, CA Date Received: 05/05/16 Permit # B2016-1302 Inspector: M. Ardizzone, TEI Supplier: Central Concrete Mix:4EFEC5Q1 Ticket No.: 18210442 Location: ___—PlumBing trench i Somas Cast (ASTM C-31) : 5 Air Temperature (ASTM C-1064) : 60 deg F Mixture Temperature (ASTM C-1064) : 70 deg F Slump (ASTM C-143) : 4 inches ng Specimens _ ASTM C-617 /'� ASTM C-1231 Date Tested 05/06/16 05/27 6 05/27/16 05/27/16 HOLD ID Number 2\A 2 2C 2D 2E Mark Sample Dimension, Inches Diameter 4.01 4.01 4.01 4.01 Length 8 8 8 8 Area, sq. inches 12.63 12.63 12.63 12.63 Ultimate Load, lbs 39000 78000 80000 77000 Ultimate Str., psi 3090 6180 6330 6100 Average, Str., psi Age Tested, Days 6 27 27 27 HOLD Fracture Type 1 1 1 1 Unit Weight, -pcf�— .'-- — -- — --_ --- — Specified Specified Strength, psi 3000 3000 3000 SPECIMENS NOT SCHEDULED FOR TESTING WILL BE DISCARDED AFTER 28 DAYS OLD The Material iC WAS WAS NOT The Material Tested )�_ MET DID NOT MEET THE SAMPLED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. REQUIREMENTS OF THE BLDG. DEPT. OR DSA APPROVED DOCUMENTS. Remarks: Samples Tested in General Conformance with ASTM C-39 1 cc. City of Cupertino 1 cc. Apple Computer Inc. Reviewed By: Robert Green Concrete Lab Supervisor The results presented in this report relate only to the item(s) tested. This report can be reproduced only in its entirety unless written permission from TEI is obtained. Corporate Office - 2811 Teagarden Street, San Leandro, California 94577 - (510) 835-3142 - Fax (510) 834-3777