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B-2016-2451CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2451 19333 VALLCO PKWY CUPERTINO, CA 95014 (316 20 076) NOVO CONSTRUCTION INC MENLO PARK, CA 94025 OWNER'S NAME: APPLE INC DATE ISSUED: 08/03/2016 OWNER'S PHONE: 415-310-5791 PHONE NO: (650) 701-1500 BUILDING PERMIT INFO: LICENSED CONTRACTOR'S DECLARATION License Class GENERAL BUILDING CONTRACTOR L c. #791022 Contractor NOVO CONSTRUCTION INCDate 02/28/2017 X BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH _ RESIDENTIAL X COMMERCL&L with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: BLDG A - 1ST FLOOR - CENTER; T.I. OFFICEILAB (3370 S.F.) - i. I have and will maintain a certificate of consent to self-insure for Worker's APPLE DEF # 1 - DETAILS FOR RESTROOM & SITE WORK - ISSUED 9/21/16 Compensation, as provided for by Section 3700 of the Labor Code, for the . p&rformance 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 Sq. Ft Floor Area: Valuation: $800000.00 CER11FICSTION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and herebyauthorize 316 20 076 A (Tenant Improvements ,B ) (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 this permit. Additionally, the applicant understands and will comply with all non-point all WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature_:% Date 09/21/2016 Issued by: OWNER-BUILDER D RATION Date: 08/03/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the RF-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, 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: 09/21/2016 I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self-insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUSMATERIALS DISCLOSURE 2. 1 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 3. 1 certify thatin 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 Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Bay Area Air Quality Management District I exemption, I become subject to the Worker's Compensation provisions of the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent r APPLICANT CERTIFICATION Date: 09/21/2016 I certify that I have read this application and state that the above information is CONSTRUCTION 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 DECLA ATION Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 09/21/2016 Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DTVI 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 CUPERTINO I (408) 777-3228 • FAX (408) 777-3333 • building ancupertino ora ❑ NEW CONSTRUCTION n ATx)TTT(-)N rr I T TDD A TInll Tt , . _ . _____ _ __ �n I . � � —------- • r i rvr� , � � u x.c V ISIO / DEFERRED ORIGINAL PERMIT #, PROJECT ADDRESS SPN L O',VNERNAME t PHONE { /� f "� oe 1Y�C- t }�S-31C Cj�Gj( E-hIA.IL ✓��Q�`ovp IG.C(��%1 t STPEET.ADDPESS CITY. STATE, ZIP FAX 1 lyt t+� Leo M S (b -DX C Cl) e n �a Cly, �i S C) i �j CONTACT NAi,AE PHONTE C �a v(� D�lt� C��S fi 1 C b�oZq E-MAIL &- emnc oco��S c;t STREET ADDRESS [ f `f b%�I�%1 CITY; STATE, ZIP FAX evil jpavV C'k '7q a2 OA'N'ER ' ❑ o117NER-BL%IIDER ❑ OWNER AGr'T'T CONTRACTOR CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER :G) DEVELOPER TFNANT CONTRACTOR NAME Pala , cr vs LICENSENU vMER -1 q (O L, tLICENTSETYPE 5 BUS. LIC COMPANY NAME ��JWO (-OA�JDn E-MAIL C UQ3 CC-'V-LW-0cals* 666 • (iii FAX STREET ADDRESS t r V l �' e� CITY, STATE, ZIP �e6�Ed aVV C4 J az PHONE SSD Sea- �z ARCHITECTIENGIMER NAI IE LICENSE NLiMBER Si SS CC- 2O`n � Iy BUS. LIC -'.- COMPANY N??AhdE E :NLAIL S C o 1 S o FAX -�` --- n G. ✓vI STREET ADDRESS '1 u * ` -G CITY, STATE, Z.IP G� Jj� j PHONE LTS DESCRIPTION OF WORK v- EXISTING USE - PROPOSED USE CONSTR TYPE r STOP.IES - USE TYPE OCC, i SQ.FT. VALUATION (S) EXISTG NEW FLOOR DaIO TOTAL - - AREA AREA AREA NET AREA . BATHROOM KITCHEN OTHER - - - - REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA - _ TOTAL DECK_PORCH AREA GARAGE AREA: DETACH - -- ❑ATTACH DWELLING UNITS: - ISA SECOND rT.N E]YT-S. SECOND STORY ❑YEs - -- - BEING.ADDED? NO ADDITION? []NO I PRE -APPLICATION` ❑ YES IF YES, PROVIDE COPY OF PLAN'N'ING APPL : E] NO PLA\^SLN�G APPROVAL LEITER IS THE BLDG A_'t YES EICHLER H01,1E? ?: ✓° ,.We E 51'� TAL VALUATION: 13y my signature below; I certify to each of the follaNving: I am the property owner or authorized y ownes behalf. I haveead thisapplication and the infonnation I have provided is correct. Ihave read the Description ofW., - and vgree to comply with all applicable local ordinances and state laws relative to 7dina construction. I authorize representatives of Cupertino to enter the above -identified ropelty for inspection purposes. - Signature of Applicant/Agent: Date:i� [ St1PPLETZEN ) FOATlON REQUIREDPI:A_7\ CHECIrT1PE New SFD or Multifamily dwellings: pply for demolition permit for T existing buildinQ(s). Demolition permit is required prior to issuance of building> OVER_ HE COU ITER BUiLDL\G PL4R REYZEii permit for new building. k EZPREss ❑ PL �� \H.GrLAn R> �iE� Commercial Bldgs: Provide a completed Hazardous Materials Disclosure y"s .77 ❑`PIBLICioRl.s _ fora if any Hazardous Materials are being used as part of this project. sTA,ZDARD LARGE ❑ FIREDEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Pennit application. "s 4RITARY SERER DISTRICT `4 x .. f - •�-'E*��IROI�"ATE'�TAT""HEALTH . ,_; B1dgApp_201 ].doc revised 06/21/11 CM CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-2451 19333 VALLCO PKWY CUPERTINO, CA 95014 (316 20 076) NOVO CONSTRUCTION INC MENLO PARK, CA 94025 OWNER'S NAME; APPLE INC I (DATE ISSUED: 08/03/2016 I OWNER'S PHONE: 4089745951 I I PHONE NO: (650) 701-1500 LICENSED CONTRACTOR'S DECLARATION License Class 5 Lie. #791022 Contractor NOVO CONSTRUCTION INCDate 02/28/2017 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. hereby affirm under penalty of perjury one of the following two declarations: a. I have and will maintain a certificate of consent to self -insure for Worker's PERMIT INFO: X BLDG ELECT _ PLUMB" MECH _ RESIDENTIAL X COMMERCLAL JOB DESCRIPTION: BLDG A - 1ST FLOOR - CENTER; T.I. OFFICE/LAB (3370 S.F.) - Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. 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. Sq. Ft Floor Area; Valuation: $800000.00 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 j Date 08/03/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: i. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 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. 2. 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 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 08/03/2016 APN Number: Occupancy Type: 316 20 076 A (Tenant Improvements),B (Tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: PAUL O'SULLIVAN RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without fust obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 08/03/2016 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; 25533, and 25534. Owner or authorized agent:'i1 Date: 08/03/2016 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPUCATI®N 6 ®a 1 COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 110300 TORI E AVENUE - CUPERTIINO,, CA 95014-32 L3 (408) 77I-3228 - FAX () 7i 7-3333 - building cD-cupertino:org GUPE,RTINQ �I NFW CONSTRUCTION F-1 ADDITION ALTERATION / TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 19333 Vo Co V_W C,ua P.,�:M0 APN# OWNER NAME InCi • GS�2Zd`l Aoi(o PHONE 40b-faL.I"_5151 i @j EMAIL-emolld apP1e LOM , • 9 STREET ADDRESS .1 l/fivltl� WO MJ -Ib -MC, CITY, STATE.,, ZIP /� ,yam, ! .lil�`P FAX CONTACT NAMEPHONE C vua e�ws • wsa 3 n— ,0z E-MAIL C�aevrOs ov0c�Jvtisiv�acfi STREET ADDRESS i��Io n't3vev� v, CITY, STATE,.. ZIP ca 2� � V402§❑ FAX /,e� OWNER ❑ OWNER -BUILDER 13 OWNER AGENT @ CONTRACTOR ❑ CONTRACTOR AGENT 0 ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ca. / LICENSE NUMBER ,ZY�l Ey.TYPE BUS. LIC# COMPANY NAM V�fi I C�)� 'J�PRLIECE�N�S� E-MAIL CeNNDWY& FAX , W I �• STREET ADDRESS 14W CITY, STATE, ZIP t� �, e en i o pV0. vy q q 0 � PHONE (^ r.3, 3 @ 0 -e 6 7Pr^y ARCHITECT/ENGINEERNAME (� �al�rt LICENSE NUMBER (-20411 BUS. LIC##-� COMPANYNAME. flfl tt,�, �. �n��r ��C'rot'S ��(rUdY � 1 E-MAIL j_ u M ! Vl FAX STREET ADDRESSCITY, 2"`l STATE, ZIP Savi, 3oz CA .4(s 113 PHONE 0 213 —` 232 DESCRIPTION OF WORK P������--s'�":� �,W � t���tl��aAwv'"1NlJil✓A�at_>�`°I�,yv[�J��Fl��l4v�"�D4��, e,t-E5xAts n00� N ®s7 EXISTING USE _ PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ:FT. VALUATION ($) EXISTG AREA NEW FLOOR AREA DEMO AREA. TOTAL NETAREA'-- ,-.. -, q0 C), WO. W , BATHROOM KITCHEN - REMODEL AREA REMODEL AREA OTHER REMODELAREA PORCH AREA -DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH # DWELLING UNITS: IS A SECOND OYES BEINGADDED? ONO SECONDSTORY OYES ADDITION? ONO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF PLANNING APDL# ONO PLANNING APPROVAL LETTER IS THE BLDG AN 13YES EICHLER HOME? ONOi EIVED BYc p ! fi TQTAL VALUATION: cC'C�O ©OO By my signature below, I certify to each of the following: I am the property owner or authorized agent to act oii 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 and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildin construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: X13 1V SUPPLEMENTAL INPORMATION REQUIRED PLAN.CHECKTYPE ROUTING SLIP ® OVERTHE-'COUNTER "UILDINGPLANREVIEW 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 ❑ PLANNINGPLANREnEw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WOW _ form if any Hazardous Materials are being used as part of this project: LARGE WEPT(( Copy of Planning Approval Letter or Meeting with Planning prior to ❑' MAJOR ElsnNITARY SEWER DISTRICT su_bmittal of Building Permit application. ❑ <EXvTRONMENTAT,HEALTH Bldg4pp_2011.doc revised 06121111 ANNL TESTING ENGINEERS, INC. 2811 Teagarden St. 510-835-3142 510-834-3777 fax San Leandro, CA 94577 800-660-3142 PROJECT # 63681 PROJECT: 19333 Vallco Parkway VP2.A1 Office/Lab Remodel Cupertino, CA DATE ��� Permit #s 2016-2451; 2016-5973 11/22/16 INSPECTOR M. Tellesen San Leandro • San Jose • Martinez INSPECTION REPORT Week Ending: 11/24/16 TYPE OF INSPECTION: Epoxied Dowe9/C�9ncrete lacement PLACE OF INSPECTION: Jobsite v 1� F° 7 11/23/16 L. Granillo Reported to Rick of Novo Construction at the jobsite as requested. 11/22/16 Inspected predrilled holes for proper diameter and depth. Observed the cleaning of holes and the injection of Hilti Hit HY 200-R epoxy (exp. 8/17). Witnessed the proper insertion of one hundred fifty (150) #4 reinforcing steel bars, 27" in length, embedded 4" at utilitv trench repair to slab on grade at rooms 172.173 and 175 (50 each). The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, dated 8/3/16. 11/23/16 Monitored loads arriving at the jobsite for correct mix and proper slump. Inspected placement operations and vibrating procedures. Performed 1 slump test (4-1/ ") and cast 1 set of compression test specimens (5 each), Sample # 251505, for Concrete Mix # 606034FP from Star Concrete, (specified strength 3000 psi, slump 4") for concrete placed at pipe trenches in vendor room #s 172,_ 173 and 175. Total tubi y ds placed: 7. Inspected the placement of reinforcing steel for the above. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions by engineer, and Drawings A.32 and 51.0, Detail 20. Reviewed by: �vid p ero Special Inspection Division Manager 1cc: Apple Computer Inc./E. Molloy HGA Architects/S. Colson Novo Construction/C. Fierros Structural Engineers, Inc./D. Brink, S. E. 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 AddukhL .� 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: 8/27/16 PROJECT # 63681 TYPE OF INSPECTi)6N. Concrete Placemen/ t PROJECT: PLACE OF INSPJTION: � 19333 Vallco Parkway Jobsite :. VP2.A1 Office/Lab Remodel` Cupertino, CA ) / Permit # 2016-5973 / DATE HOURS 8/25/16 4 INSPECTOR M. Tellesen Reported to Rick of Novo 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 # 252239, for Concrete Mix # 606034FP from Star Concrete, (specified strength 3000 psi, slump 4") for concrete placed at slab trench repair in room #s A168, A167 and A165. Total cubic yards placed: 6. Inspected the placement of reinforcing steel for the above. The preceding work was, to the best of my knowledge, in compliance with approved job plans and specifications, including revisions engineer, and RFI 001.0, dated 7/14/16. Reviewed by: Da Chippero Special Inspection Division Manager 1cc: Apple Computer Inc./E. Molloy HGA Architects/S. Colson Novo Construction/C. Fierros Structural Engineers, Inc./D. Brink, S. E. City of Cupertino/Bldg. Inspection Dept. The results presented in this report relate only to the item(s) tested/inspected and maybe reproduced only in its entirety unless written permission from TEI is obtained. Page 1 of 1 Adllkk 1i 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: 12/2/16 PROJECT # 63681 TYPE OF INSPECTION: Visual Welding PROJECT: PLACE OF INSPECTION: 19333 Vallco Parkway Jobsite VP2.A1 Office/Lab Remodel Cupertino, CA Permit # 2016-5973 DATE HOURS 11/30/16 12/1/16 8 8 INSPECTOR J. Pare Reported to the jobsite as requested. 11130A6 S�-Llc�44 I Checked welder qualification papers Gose Urruticochea, ID # 8696). Checked WPSs and verified welding parameters. Verified proper electrode storage. Verified proper preheat. Visually inspected fit -up. Performed continuous visual inspection of the in - progress welding performed by one qualified welder using the FCAW process. Weldments consist of 3/16" fillet welds joining 1/4" x 31/2' x 10-1/16" shear tab plate to W16 x 31 assemblies marked P13 (6) between lines 5 and 6 at EA.1;1/4" fillet welds joining 3/s" x 31/2' x 15" shear tab plate to W16 x 31 assemblies marked P23 (2) on lines 5.25 and 5.5 at FA.3; %" fillet welds joining 3/s" x 211" x 15" shear tab plate to W16 x 31 assemblies marked M22 (2) on lines 5.25 and 5.5 at FA.3; and 1/4" fillet welds joining 1/4" x 3-1/2' x 10" shear tab plate to W21 x 55 assembly marked P11(6) on line GA at 5.35 (in -progress). 12J1/16 Checked WPSs and verified welding parameters. Verified proper electrode storage. Verified proper preheat. Visually inspected fit - up. Performed continuous visual inspection of the in -progress welding performed by one qualified welder using the FCAW process. Weldments consist of 3/16" fillet welds joining 1/4" x 31/2' x 10-1/16" shear tab plate to W16 x 31 assemblies marked P13 (6) between lines 5 and 6 at EA.1;1/4" fillet welds joining 3/a" x 31/2' x 15" shear tab plate to W16 x 31 assemblies marked P23 (2) on lines 5.25 and 5.5 at FA.3; 1/4" fillet welds joining 3/8' x 211" x 15" shear tab plate to W16 x 31 assemblies marked M22 (2) on lines 5.25 and 5.5 at FA.3; and 1/4' fillet welds joining 1/4" x 31/2' x 10" shear tab plate to W21 x 55 assembly marked P11(6) on line GA at 5.35 (complete). The preceding work was, to the best of my knowledge, in compliance with approved plans and specifications, including revisions by engineer and Drawing S1.0, Detail 22, dated 5/29/16. Reviewed by: Sped Ins = r n�Di � an"ager 1cc: Apple Computer Inc. / E. Molloy FEB 2 2 2017 Novo Construction / C. Fierros Structural Engineers, Inc. / D. Brink, S. E. BY HGA Architects / S. Colson A) City of Cupertino / Bldg. Inspection Dept. The results presented in this report relate only to the item(s) tested/inspected and can be reproduced only in its entirety unless written permission from TEI is obtained. Page 1 of 1 ImP TESTING ENGINEERS, INC. 2811 Teagarden St. 510-835-3142 San Leandro, CA 94577 800-660-3142 PROJECT # 63681 San Leandro • San Jose • Martinez 510-834-3777 fax INSPECTION REPORT Week En ' g: 9/9/16 TYPE OF INSPECTION: Visual Welding PROJECT: PLACE OF INSPECTION: 19333 Vallco Parkway Jobsite VP2.A1 Office/Lab Remodel Permit # 2016-5973 , DATE 9/9/16 HOURS 4 INSPECTOR S. Merino Reported to Rick of Novo Construction at the jobsite as requested. Checked welder qualification papers (Roberto Villanueva, ID # 2425). Checked WPSs and verified welding parameters. Verified proper electrode storage. Verified proper preheat. Visually inspected fit -up. Performed continuous visual inspection of the in - progress welding performed by one qualified welder using the FCAW process. Weldments consist of 1/4" fillet welds joining C -Channel to open web structural joist existing truss at roof framing on line C from 7 to 8. The preceding work was, to the best of my knowledge, in compliance with approved plans and specifications, including Reviewed by: D 'd Special Inspection Division Manager 1cc: Apple Computer Inc. / E. Molloy Novo Construction / C. Fierros RECEIVED Structural Engineers, Inc. / D. Brink, S. E. HGA Architects / S. Colson FEB �oj� City of Cupertino / Bldg. Inspection Dept. ICY The results presented in this report relate only to the item(s) tested/inspected and can be reproduced only in its entirety unless written permission from TO is obtained. Page 1 of 1