14100182CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20450 STEVENS CREEK BLVD
CONTRACTOR: SC BUILDERS INC PERMIT NO: 14100182
OWNER'S NAME: CUPERTINO CITY CENTER BUILDINGS
910 THOMPSON PL DATE ISSUED: 01/07/2015
OWNER'S PHONE: 4089338836
SUNNYVALE, CA 94085 PHONE NO: (408)328-0688
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
APPLE;IST, 4TH AND 5TH FLOOR; COMM .TI TO
License ClassLic. 9 VOR Cie
INCLUDE
ContractorNEW
<�( v /25 C Date 01 .y
OFFICE, LABS SPACE. 10,000 SQ FT
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.
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
Sq. Ft Floor Area:
Valuation: $1500000
performance of the work for which this permit is issued.
1 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: 36901027.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that l 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
Iss Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source re tip per the Cupertino Municipal Code, Section
9.18.
Signature_ Date 81 o 1vl�-
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.
❑ 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 (See.7044,
Business & Professions Code)
1, 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. 1 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
I 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, 2 and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: Dater)
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, l
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, l 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 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,
ARCHITECT'S DECLARATION
costs, and expenses which may accrue against said City in consequence of the
l 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
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.orq
❑ NEW CONSTRUCTION ❑ ADDITION L2 ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT
PROJECT ADDRESS J � �
7APN, of c)2_7.Uv
OWNER NAME
PHONEE-MAIL
31777"
(- t"W cD
STREET ADDRESS
CITY, STATE, ZIP
FAX
tea{ , a � L� �
Cv �ee:7-too,C5a a 14
CONTACT NAMEPHONE
.>
Hog.133 883
E-MAIL
STREET ADDRESS
I zt++ 1 a, LnoP
CITY, STATE, ZIP �;
C� atzT r`c� C'GA Cit So lwr,
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ O - ER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITEC / ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME.
G ?D \j
LICENSE NUMBERLICENSEFYPE
1 �v .I t q �-e16
BUS LIC k
COMPANY NAM[
�.� ?Jv,t.D�CLS, z�G-
E-MAIL
i'�-uSC.b� �LD'tiQS nk.. Co
FAX
STREET ADDRESS
1 �1 �c� Q$orl � �
CITY,E,ZIP
SQ,A VI•LG CIA ��O
PHONE
�O . Sa$• C71o6'�-
ARCItITECT/ENGINEER NAME
LICENSE NUMBER
BUS LIC 9
Glace 4�2
GI`��S
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
Soak
PHONE
Lk)S .
DESCRIPTION OF WORK
WDD rT nO b+ SSC V 2t : Ve5� I $J ULS TO C-C:S �$ <SnL )Yc>o 2S�llrcl� 1
ti 0i V- Q'v D\V\CP'T' t1 IE CPA\JC��ZCt CANS- �iJQ rig T Off\CC)
EXISTING USE
PROPOSED USE CONSTR
TYPE
9STORIES
'JI+asS
—b
S
USE
TYPE
OCC,
SQ.FT.
VALUATION (S)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA . —1
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECKTORCH AREA
GARAGE .AREA DETACH
E] ATTACK
At DWELLING UNITS
IS A SECOND UNIT [] YES
SECOND STORI' []YES
BEING ADDED? ED
ADDITION? ❑NO
PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEIVED BY: �,�"
TOTAL VALUATION:
PLANNING APDL b ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME? ❑ NO
r/'
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct.i e r the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to bili it o construe I juthorize resentatives of Cupertino to enter lire above -identified property for inspection purposes.
Signature of Applicant/Agent Dale: �Zo� �'t. �ol
SUPPLEMENTAL INEOR REQUIRED
PLANCHECKT]TE
ROUTING SLIP
❑ OVER-THE-COUNTER
�BUILDINGPLANREVIEW
New Sf D 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 I IazardouS Materials DISCIOSUre
AIFANDARD
❑ PUBLIC WORKS
form If ail)' I lazarclous Materials are being Used as part Of this pr0)ect.
❑
LARGE
le FIRE DEPT
__ Copy of Planning Approval Letter or Meeting With Planning prior to
El
submittal Of Building Permit application.
MAJOR
SANITARY SEWER DISTRICT
❑ ENVIRONNIENTAL HEALTH
B1c1gAj)p 201 ].d Jc revised 0012! /1 /
CITY OF CUPERTINO
I�/II FEE ESTIMATOR -BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: 20450 scb
DATE: 10/30/2014
REVIEWED BY: Mendez
PC FEE ID
APN:
BP#: ?"
*VALUATION: 1$1,500,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
IBTIPLNCK
PENTAMATION 1 B TI
PERMIT TYPE:
WORK
comm. t.i
SCOPE
Suppl. Insp. Feer Reg. Q OT
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
(s.f.)
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
I -AJ -B
10,000
$4,053.80
IBTIPLNCK
$9,850.20
IBTIINSP
Permit Fee:
$9,850.20
Suppl. Insp. Feer Reg. Q OT
0,0
lirs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Work Without Permit? 0 Yes Q) No
$0.00
TOTALS:
10,000
1 $4,053.80
1
$9,850.20
Strong Motion Fee: 1BSEISMICO
MECH, HOURLY Yes G No PLUMB, HOURLY 0 Yes G No ELEC, HOURLY ®" Yes (E) No
fold:?-C�i .ii .. �s""'•�j')
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
Dictrirt otr_ 1_ Thoco foot aro hacod nn tho nroliminam information availahlo and aro only an -comate_ Cnntaet the Dent for addn'1 info_
FEE ITEMS (Fee Resolution 11-053 E . 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$4,053.80
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: ) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$9,850.20
Suppl. Insp. Feer Reg. Q OT
0,0
lirs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Work Without Permit? 0 Yes Q) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential 0
Building or Structure 0
i
Strong Motion Fee: 1BSEISMICO
$420.00
Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC
$60.00
SUBTOTALS:
14,384.001
$0.001 TOTAL FEE: 1
$14,384.00
Revised: 10/01/2014
Building Department
C'rtc Of Cupertino
IGV10 Tb,it .Av;nu,
CA 95014-3?,;
Tele;,h, e: -tip---
Fax: KJS___� 1
CONTRACTOR / SUBCO\TR_-�CTOR LIST
1Q11-3 AUI)IZI~S5: 2Q4 50 S ver+ S �Y�t vd E PHRMIT
at; NER ti°AML: bFnl G PHON . - o R 33 bS3(o
C,E' FR,1I_ C'O C -TOR: SC/ fail d
_ ..._..-.__ tv5 nG � � BUSINESS t_10ENSE
ADDRr__s�:glo�om� „" P1a� -- -- _..._ ctrl r11�co�i 5Lv, y Aj r- Ct4-D85--
``Our municipal code requires all businesses working in the cite to ha%e a Chin of Cupertino husiness lieense.
NO BUILDING FINAL Oil YINM., OCCUPANCY I\SIIECTIO\(S) "ILL BE SCHEDULED U.NT.IL THE
GENERAL CO\TR-AC ORA D ALL S1-II('0\1IZ-`tC'1-0R5 HAVE OBT1I\FI) A C'll'r OF CUPERTI\0
BUSI.NLSS LICENSE.
I am not usin,nani subcontractors:
SInnarllre I);1tL
Please check applicable subcontractors and complete the follosiins; information:
✓ SUBCONTRACTOR BUSINESS NAME - BUSINESS LICENSE ;F
Cabinets C Millwork
Ccrnznt Finishing N!
J
! Electrical _
iLidWG��i G�eC.tG C'tYcs
�I to 0
Excavation
N%Q
Fencing
J
Flooring /Carpeting,
Linoleum I Wood
Cara%rA C A -t PiDoll(✓�A
1
1AIZi r-
l
Glass iGlazingTyi
V�tiU S L.'�1rS
32�'le-1 Z
IICad nEl
ei4ror, IIAXUAA MiCAAAv i6AJ
12(A.y
i
f In3ulatttrn
Sgyn� aS -54n-tom" t�DC.k -
___ i
_
Landscaping-
i
Lathina
'Irl p
i
Masonr v
✓
?Painting Wallpoper
Paving
- IN #Q
Plasterina
j ✓
Plumbing
i✓�-1 NL{C�ILGtM�ti�ctQ
'?�rso2
Roohne
Septic Tank
Sheet Metal
— SiG j -i %a,{ -i►^-`) Ai 947vf- -
,
'
,J
Sheet Rock _ J Mti vt,ttn+n.� (�trv�W61..I.,W ,-
--E 1018200
f Tile
_.__ tiincr,Co
ractnr_Si�nanrre - --
Date
STATEMENT OF SPECIAL INSPECTIONS, 2013 CW,
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
�' ..
i E,•.
jALBERT SALVADOR, P.E , C B 0, BUILDING OFFICIAL �. ��
(
CUPERTI N 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
O
(406) 777-3228 • FAX (408) 777-3333. tuld'naftivioerting org
SITE 046 Stevens Creek Blvd (Ph 2 -1st, 4th, & Sth Floors)
APN sp#ADORE
Dwrw..ApRh...__..
Contractor,SC ,BuliderS.................................. _...,
Address,7Arif rite.19.01?.._.._.................... ..... .,................._...
Address .9IQ Th.Qm P. Q. n. Maw................. ,. ,...... ........ . ......
city/St .CuPerlln:o..C.P.►.... ......zip.2604.......... . Phone....Qaae).._._..,..
citytst.SurinmO ........... .....zip..Ca.,..._...Phone.9400._.., .
Ownss Authorizatiiotn
Signature ............ ........ ............................................... .......... Date..............,..........
Applicant ��t ..i {II,i¢f;}....................._...............,._..............
EngineedArchitect..StudloS,Architecture
address. 910 Tharnpson.,Qlace........_._... .....
Address 4Q5 Howard Street,_Sulte,488
,,zip....4rA...._....... _.Pnone_.; 4Q$b,...,
Cit ist. San Fr3f1C15c0 ..: 9A Phone .041.Q_5......
PROJECT DESCRIPTION. Minor demo and tenant improvement of 1st, 4th, and 6th floors for private offices
and open offices ace.
This 'STATEMENT OF SPECIAL INSPECTIONS' Is submitted in fulfillment of the requirements of CBC Sections 1704 and 1705. This
form is structured after and used by permission from the �UWW al E!2+neer Assccaatirn of _N!xlhem Callfc?rnia'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 specifications 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 o
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;
• 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 special 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 buadmg code.
1 have road and aarse to comnty with the terms and conditions of this statement
Prepared By:
Project W Engineer O Architectl
SE5192 11.19.14
Re istered Professional in Cha a
Slanalure ......... /.1 ... ........ ........ .........Uc# ...—....... ... ... .. ............ Date ........ ..__ ....
Owner N rtte:
Rt� C
Ownss Authorizatiiotn
Signature ............ ........ ............................................... .......... Date..............,..........
Inspection Agency Inspector Name:
i'h oNr crf legAleX
..............__.`_.............. . Date, ..f...l..a.!i,...,
Building Utficfal or designee
Skinature........................_............................................ f ................. ! ..... "
r012 docrevised 09106112
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 or, 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 C:r_Itfornip Gojna of -.1--sung arra Inspect, n P:, :ee. No personnel changes shall be made without first
obtaining the approval of the Building Oficial. Any unauthorized personnel changes may result in a 'Stop '' fork Order' and possible
permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout. Please allow
riwo weeks to complete the application process.
The following are the testing and special inspection agencies that will be retained to conduct tests and inspection on this project:
EXPERTISP
FIRM f INSPECTOR INFORMATION
1. Special Inspection (except for
Firm.:.a'�-, . t r, ` . = . F . . ....................
Addr...'.:?.`..........'............................................
geotechnical)
city 1-
...................`.....................................
.i
....................
. ..Zip
St .................
. -....:..
leph.e:nea.L�'. ax.':
r.........
Emai1..4 ;.: Gly 4 .i c'. ? sa.,a .:....:.� ...:.
2. Material Testing
Firm..............Addr..�.`€.c?...0%;�il�;cl
.�....: �.d.:.................
City.SA.eJ.rrzr..°'....�S.f.:J............................................................State....!;?
m&...........Zip..`.?.i.:..:�1....
Telephone...`.{.t.r....
............ � ..Fez.....'•..;:..:..°`..:.
�.........
Email . ..... :...... ,e,R,
3. Geotechnical Inspections
Firm ............ ........ __......... ...................................
-Addr................
..................... ......................... ........... ................
City-..............................................................................................._.......
State .............. ......... Zip ......................
Telephone..................................... Fax .......................
...................
- Email ............................................ .............
4. Other:
Firm.....................................................................Addr.........................................................................................
City..........................................................................................................
State .......................Zip .... I., ............. ..
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 9706.3.6)
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 defied in more detail in the construction documents.
Speciah7speciioi?kor:,i.i012 floc re viscd 09,%0671
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 IBC REFERENCE
STANDARD
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
X
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
SpeciabzspectionForm_2012.doc revised 09/06/12
VERIFICATION AND INSPECTION
C
p
REFERENCED
STANDARD
IBC
REFERENCE
4. Material verification of weld filler materials:
❑ Identification marking to conform to AWS specification
in the approved construction documents.
---
X
AISC 360,
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
AWS D1.4 ACI 318:
Section 3.5.2
❑ Reinforcing steel resisting flexural and axial forces in
intermediate and special moment frames, and
boundary elements of special structural walls of
concrete and shear reinforcement.
X
-_-
❑ 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
SpecialnspectionForm_2012.doc revised 09106112
VERIFICATION AND INSPECTION
C p
REFERENCEDIBC
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.E 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
;M Prequalification test for bolts and other types of
X
anchors.
14. ❑ Other:
SpecialnspectionForm_2012.doe revised 09/06/12
SpecialnspectionForm_2012.doc revised 09106/12
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'R, and franc 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 ofmortarjoints.
---
X
---
---
Art.3.313
❑ 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, 1.81D
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. 3.21D
❑ 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. 3.313
7. Grout placement:
❑ Grout placement shall be verified ensure
X
compliance.
___
-_-
-_-
Art. 3.5
❑ Observe grouting of prestressing bonded
X
___
---
-_-
Art 3.6C
tendons.
SpecialnspectionForm_2012.doc revised 09106/12
SpeciahsspectionForm 2012.doc revised 09/06/12
REFERENCE FOR CRITERIA
VERIFICATION AND INSPECTION
C
P
IBC
TMS 402/ACI
TMS 402/ACI
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 fmand faac prior to construction
and for every 5,000 square feet during
---
X
---
---
Art. 1.413
construction.
3. ❑ Verification of proportions of materials in
premixed or preblended mortar and grout as
---
X
---
---
Art. 1.513
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 rout.
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. 3.313
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. 3.21D
❑ 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. 3.613
force.
6. ❑ Preparation of any required grout specimens,
Sec.
mortar specimens, and/or prisms shall be
X
---
2105.2.2,
---
Art. 1.4
observed.
2105.3
SpeciahsspectionForm 2012.doc revised 09/06/12
VERIFICATION AND INSPECTION
C
p
REFERENCED
STANDARD
IBC
REFERENCE
INSPECTION OF WOOD
1. ❑ Inspect prefabricated wood structural elements and
assemblies in accordance with Section 1704.2.
--_
1704.6
2. ❑ Inspect site built assemblies.
---
---
3. Inspect high -load diaphragms:
❑ Verify grade and thickness of sheathing.
---
El 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,
---
El Verify 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
X
have reached proper material.
-
3. ❑ Perform classification and testing of compacted fill
materials.
_ _
X
---
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.
SpecialnspectionForm_2012.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,X
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
application.
X
❑ Verify ventilation of area during and after application.
---
X
2. ❑ Measure average thickness per ASTM E605 and
S
Section 1704.12.4.
---
'--
---
1704.12.1
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]
SpecialnspectionFonn_2012.doc revised 09/06/12
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
system.
-_-
X
❑ 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
--
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.
SpecialnspectionForm_2012.doc revised 09/06/12
❑ 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___
X
1707.5
and access floors.
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
where required by Section 1707.7.
_ -
X
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
qualified.
___
1708.4
12. ❑ Obtain system tests as required by ASCE 7 Section
1708.5
17.8.
---
---
___
SpecialnspectionFonn_2012.doc revised 09/06112
CUPERTIINO
RECOGNIZED SPECIAL INSPECTION AGENCY LIST
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333 - buildingC@cugertino.org
The following list of Special Inspection Agencies and their special inspectors are approved by the City
of Cupertino to provide specific inspection in their respective field until the expiration date listed.
Agency Name, Address
and expiration date
Special Inspectors
RC
PC
Special Inspection Field
SM SW HB FP S W CG
Achievement Engineering Corp.
434 Camille Cir. #13
San Jose, CA 95134
Tel: (800) 653-1397
Fax: (408) 852-0331
Expires: 07/22/2015
Firouz'aei, Arash
FP = Spray -Applied Fireproofing
CG = CalGreen Code
X
X X X
Hooshdar, Sina X X
X X
Khodadadi, Mohammad X
Safaian, Farshad
Applied Materials & Engineering,
Inc.
980 415t Street
Oakland, CA 94608
Tel: (510) 420-8190
Fax: (510) 420-8186
Expires: 12/19/2014
Email: info(aD_aPPmateng.com
Aaron Hardy
X
X
X
AnthonyKlarich X X X
X X
Armen Ta'irian, P.E.
X
Bryan Jackson X X
David Jackson X X X X
X
Diego Bertolino X X X
Harold Walrath X X X
X
Ken Maloney X X
Michael Knowles X X X X
Oswaldo Dominguez X X X X
Sean Guches X X X
Bagg Engineers
847 West Maude Ave.
Sunnyvale, CA 94085-2911
Tel: (650) 852-9133
Fax: (650) 852-9138
Expires: 7/16/2015
www.bagaengineers.com
Brown, Christian
X
X
X
X
X
Cole, Michael
Hepper, John X X X
Knudsen, Steven J.
McManus, Alvin X X X
Norris, David L. X X X X
O'Driscoll, Alan
Salceda, Francisco
Sciortino, Brandon
Smith, Louis
Steinbrueck, Bryan
Thai, Minh
Umeki, Takashi
RC = Reinforced Concrete
SW = Steel & Welding
S = Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W= Wood
SM= Structural Masonry
FP = Spray -Applied Fireproofing
CG = CalGreen Code
SpeciallnspectionList.doc revised 02/01/14
Agency Name, Address
and expiration date
Special Inspectors
RC
Pc
Special Inspection Field
SM sw Hs FP s w CG
Biggs Cardosa Associates, Inc.
865 The Alameda
San Jose, CA 95126
Tel: (408) 296-5515
Fax: (408) 296-8114
Expires: 7/11/2014
www.biggscardosa.com
Castro, Roberto
FP = Spray -Applied Fireproofing
CG = CalGreen Code
Chan, David X X
Ghorbani, Behrooz
Lazzarini, Dan
Rivas, Ricardo
Rosales, Adolfo
Rosellini, Daniel
Sanchez, Adam
To an, Claudiu X X
Wooley, Mark X X X X
Yamane, Robert
BSK Associates
Engineers & Laboratories
324 Earhart Way
Livermore, CA 94551
Tel: (925) 315-3151
Fax: (925) 315-3152
Expires: 9/06/2014
www.bskassociates.com
Auser, Jim
X
X
X
Bos ue, Jeff X X
X
Clary, Mike X X X
X
Evans, Keven X
Minerales, Gilbert
Ness, Dennis X X X
Olsten, Ken X X
Reeves, Ben
Rodriguez, Tim X X
X
Schurman, Peter X
Capex Engineering Inc.
571 Seville Place
Fremont, CA 94539
Tel: (510) 668-1815
Fax: (510) 490-8690
Expires: 6/25/2014
Gary Hsu X X X X
X
Chow, Erwin
1105 Belmont Ave.
Long Beach, CA 90804
Tel: (562) 449-7491
Expires: 4/24/2014
Erwin Chow X
RC = Reinforced Concrete
S W = Steel & Welding
S = Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W= Wood
SM = Structural Masonry
FP = Spray -Applied Fireproofing
CG = CalGreen Code
SpeciallnspectionList.doc revised 02101114
Agency Name, Address
and expiration date
Special Inspectors
RC
PC
Special Inspection Field
SM SW HB FP S w CG
Consolidated Engineering
Laboratories
2001 Crow Canyon Road,
Suite 100
San Ramon, CA 94583
Tel: (925) 341-7100
Fax: (925) 855-7140
Expires: 6/25/2014
www.ce-labs.com
Ahmed, Badaruddin
FP = Spray -Applied Fireproofing
CG = CalGreen Code
Alexander, David X X
X
Andersen, Calvin X X
Bartlett, Dennis X
X
Bobrovitsk , Edward X X X
Bolen, Michael X X X
Brooks, Brendan X X X X
X
Brown, Ronald X X X X
X
Buchmiller, Kenn
Cottingham, Paul
Currier, James X
X
Eschliman, Duaine
Eschliman, Kevin
Fuller, Mark X
X
Halloran, James X X X X
X
Harrington, Wayne X X
Hassebrock, Scott X X X X
X
Healy, Michael X
Heilmann, Mark X X
X
Hornyak, John X X X
X
Hyslop, John X X X
X
King, Phillip X X X X
Kmitt, Stanley X
X
Liebold, Jeffrey X X X X
X
Lozano, Alfonso Art
Ma, Steven X
Marlik, William X X
McCutcheon, Thurmond X X
McKenzie, Quinten
McLaughlin, Lori X X
Miner, Dwight X
X
Murphy, Don X
Pastora, George X X X
X
Rodriguez, Sandra X X
Si mon, Josephine
Sisson, James X X X
X
Small, Michael X X
Van Horn, Bradford X X X I
I X
Walters, Michael
Zuerner, Robert X X X
RC = Reinforced Concrete
SW = Steel & Welding
S =Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W= Wood
SM = Structural Masonry
FP = Spray -Applied Fireproofing
CG = CalGreen Code
SpeciallnspectionList.doc revised 02/01/14
Agency Name, Address
and expiration date
Special Inspectors
RC
PC
Special Inspection Field
SM SW HB FP s
w CG
Construction Testing Services
2174 Rheem Dr., Ste. A
Pleasanton, CA 94588
Tel: (925) 462-5151
Fax: (925) 462-5183
Expires: 6/26/2014
www.cts-1.com
Brian Arnold
X
X
X
Edward Bindert X X X X
X
Jeremy Brown X X X
James Brumley X
Jared Byers X X
Richard Collin X X X
Robert Cortez X X X X X
Robert Criswell X X X
Mark Dornan X X X
X
Tom Edwards X X X X
X
Tim Farley X X X X X
X
Gary Fechner X X X
Mike Gaunt X
Ron Harr X X X X
Neal Hoellwarth X
Richard Jones X X X X
Rick Mann X X
Kevin McCurdyX X
Kevin Meyers X
Kevin Moore X X
Craig Nagle
David Puskarich X X X X
William Radulovich
Brian Ragan X X X X X
John Rink X
George Rockenstein X X
Larry Rothey X
Erin Salazar X X
Robert Schulze X
Donald ShirleyX X X
Tom Shuster X X X X X
Larry Slater X
Daryl Spieker X X
Gary Stapleton X X X
Matt Swope X X
Travis Taylor X X
Vinny Vinavong X
Shawn Vucenic X
John White X X X X
X
Isidoro Zapien X X X
RC = Reinforced Concrete SW = Steel & Welding S = Soils
PC = Pre-stressed/Post-tensioned Concrete HB = High -Strength Bolding W = Wood
SM = Structural Masonry FP = Spray -Applied Fireproofing CG = CalGreen Code
SpeciallnspectionList.doc revised 02101114
Agency Name, Address
and expiration date
Special Inspectors
RC
Pc
Special Inspection Field
SM sw HB FP S W CG
Earth Systems Pacific
446 S. Hillview Dr.
Milpitas, CA 95035
Tel: (408) 934-9302
Fax: (831) 637-0510
Exp: 6/28/2014
www.earthsystems.com
George Barnett
FP = Spray -Applied Fireproofing
X
X
Jeff Bryan X X
Norman Engen X X X X
Cal Hicks X X I X X
X
Dennis Hurley
X
X rus Me'ia
ENGEO Incorporated
2010 Crow Canyon PI., Suite 250
San Ramon, CA 94583
Tel: (925) 866-9000
Fax: (888) 279-2698
Exp: 7/06/2014
www.engeo.com
Tim Benton
Greg Hudson X
Mike Huener ardt X X X X
Kevin Lecce
James "Chip" Moore X X X
Rand Nlues X
Jonathan Parker X X X
X
Rich Rose X X X
H P Inspection, Inc.
690 Sunol ST, Building H
San Jose, CA 95126
Tel: (408) 288-8460
Fax: (408) 271-0902
Expires: 11/15/2014
Larry Castrence
Tony Cotta X
X
Mark Cotter
Chuck Pinkham X X X
X
David Pinkham X X X
X
P. Scott Pinkham X X
X
Gary Stafford X X X X
X
Jason Waugh X X X X
X
RC = Reinforced Concrete
SW = Steel & Welding
S = Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W = Wood
SM= Structural Masonry
FP = Spray -Applied Fireproofing
CG = Cal Green Code
SpeciallnspectionList.doc revised 02101114
Agency Name, Address
and expiration date
Special Inspectors
RC
PC
Special Inspection Field
SM SW HB FP s
w CG
Inspection Services, Inc.
1798 University Ave.
Berkeley, CA 94703
Tel: (510) 900-2100
Fax: (510) 900-2101
Expires: 03/21/2015
www.inspectionservices.net
Alakbarov, Ha dar
CG = CalGreen Code
X
Amos III, Jessie X
Baccus, Garrett X X
Baek, Byung Gi X X X X X X
Barone, Judith X X X
Celik, Can X X X X X X
X
Colby, Paul X X
Ehrsam, Gary X
Falk, Andrew X X X X
Flynn, Chris X X X X X X
Gaut, Tobin X X X X
Llames, Fernando X X X X
Lon, Rand "Roy" X X X X X X
Patterson, Rodger X X
Putman, Edward X X X X
X
Sandoval, Carlos X X X X X X
Shebesta, Todd X
Simonton, Cy -Leon X
Solis, Winnie X X
Stafford, William X
Stark, Douglas X X X X
Toschi, Patrick X X X X X
Wheeler, Steven X X X X X
Kleinfelder
2601 Barrington Court
Hayward, CA 94545
Tel: (925) 484-1700
Exp: 7/10/2014
www.kleinfelder.com
Anderson, Tim
X
X
X
X
X
X
Brewster, Steve X
Burton, Nathan X X X
Craig, Cliff X X X X X
X
Delabriandais, Gary X X X
Eres, Mark X X X X X
Foster, Stephen X X X
X
Hammon, Robert X X X X
Johnson, Josh X
Kesler, Timothy X
Milla e, Leonard X X X X X
Nicoletti, Johnathon X X
Oandason, Jose X X X X X
X
Rommel, Daniel X X
Saber, Sam X X X
Swank, Phillip X X X
RC = Reinforced Concrete
SW= Steel & Welding
S = Soils
PC = Pre-stressed/Post-tensioned Concrete
7
HB = High -Strength Bolding
W = Wood
SM = Structural Masonry
FP = Spray -Applied Fireproofing
CG = CalGreen Code
SpecialInspectionList.doc revised 02/01/14
Agency Name, Address
and expiration date
Secial Insectors
pp
RC
Pc
Special Inspection Field
SM sw HB FP s w CG
Krazan & Associates, Inc.
6711 Sierra Court, Ste B
Dublin, CA 94568
Tel: (925) 307-1160
Fax: (925) 307-1161
Exp: 2/6/2014
www.krazan.com
James Allen
X
X
X
James Benefeito X X X
Larry Borges X X X X
Ron Chandler X
Van DeMent X X
Gregory Fernald
Matthew Fernald
Lewis Franklin X X X X X
Ken Hafeli X X X
Andy Morris X X X X
Sidney Moss X X X X
Matt Romero X
Greqory Ruf
MatriScope Engineering
Laboratories, Inc.
4730 Contractors Common
Livermore, CA 94551
Tel: (925) 606-7700
Fax: (925) 606-7702
Expires: 7/26/2014
www.matriscope.com
D'Souza, Andrew
Fannin, Dana X X X
Hopelian, Joseph X X X X
Keller, Don X X
Kohls, Kristin
Lake, Adam X X
Mathis, Q. Shane X X X X
X
Nieser, Paul X
Palmer, Scott
Reese, Mark X
Scoble, Kod
Selvage, Kevin
Shelton, James X X X X X X
Sta ner, Jack X X X X X
X
Swartz, Jud
Tadlock, K. Scott X X X X X
X
Tadlock, Robert X X X X X
X
Thomas, Chris
X
Varella, Joe
RC = Reinforced Concrete
SW= Steel & Welding
S = Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W = Wood
SM = Structural Masonry
FP = Spray -Applied Fireproofing
CG = Ca/Green Code
SpeciallnspectionList.doc revised 02/01/14
Agency Name, Address
and expiration date
Special Inspectors
RC
Pc
Special Inspection Field
SM SW HB FP s w CG
Neil O. Anderson & Associates, Inc.
902 Industrial Way
Lodi, CA 95240
Tel: (209) 367-3701
Fax: (209) 333-8303
Expires: 2/1/2016
www.noanderson.com
Allen, Eric
FP = Spray -Applied Fireproofing
CG = CalGreen Code
Cozad, Mike X X X X
X
Dickey, David X
Erickson, Rick
Gray, Dave X X X X X
X
Hall, Rollin
Johnson, Carl X X X X
King, Ryan X
Kort, Jason X X X X
Landess, Frank X X X
Lenehan, Gerry
Me'orado, Aaron X
Merrell, Ryan X
Morgan, Daniel
O as, George
Oszut, Gregory X X X X
Roberts, Jason
Westfall, Kimmis X X X X X
Whiting, John
Williams, Roger X X X
PacificlnterWest Bldg Consultants,
Inc.
1600 South Main St, Suite 380
Walnut Creek, CA 94596
Tel: (925) 939-5500
Fax: (925) 939-9561
Expires: 9/6/2013
www. acificinterwest.com
Cope,Doug
X
PSI, Inc.
365 Victor Street, Ste. C
Salinas, CA 93907
Tel: (831) 757-3536
Fax: (831) 757-6265
Expires: 1/10/2015
www.psiusa.com
Albert George
X
X
X
X X
Deborah White
X
Michael Winter X
X
William Monger X X X X
X
Brand Burfield
X
Ezekiel Robles
X
Stephen Ramos
X
Darwin Zackary X
RC = Reinforced Concrete
SW = Steel & Welding
S = Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W = Wood
SM = Structural Masonry
FP = Spray -Applied Fireproofing
CG = CalGreen Code
SpeciallnspectionList.doc revised 02/01/14
Agency Name, Address
and expiration date
Special Inspectors
RC
PC
Special Inspection Field
SM SW HB FP S w CG
RMA Group of Northern California
6296 San Ignacio Ave., Suite A
San Jose, CA 95119
Tel: (408) 362-4920
Fax: (408) 362-4926
Expires: 04/01/2012
www.rmacompanies.com
Alley, Maurice
X
CG = CalGreen Code
X
Bosque,Jeff X X
X
Carr, Greg
Cecconi, Joe X
Chinn, Gordon X X X
X
Francis, Chris X X
Geraghty, Rich X X
X
Gillespie, John X X X X
X
Gundersen, Al X X
X
Haff, Tiffany
Hughes, Dottie X X X
Sondrol, Jeff X X X
X
Stocke, Jacob
X
Swain, Pat X
Tellesen, Mike X X
Tonkovich, Bill X X X X
Walters, Chris X X X X X
X
Zeiher, Adam X
RC = Reinforced Concrete
SW = Steel & Welding
S = Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W= Wood
SM= Structural Masonry
FP = Spray -Applied Fireproofing
CG = CalGreen Code
SpeciallnspectionList.doc revised 02/01/14
Agency Name, Address
and expiration date
Special Inspectors
RC
PC
Special Inspection Field
SM SW HB FP s w CG
Smith -Emery Company
Corporate Office:
781 E. Washington Blvd.
Los Angeles, CA 90021
Testing Facilities:
1940 Oakdale Ave.
P.O. Box 880550
San Francisco, CA 94124
Tel: (415) 642-7326
Expires: 4/09/2015
www.smithemervsf.com
Allder, Scott
FP = Spray -Applied Fireproofing
CG = CalGreen Code
Brunett, John X X X
Caraisco, Thomas X X X X X
X
Chuong,Jason X
Contreras, Roberto X X X X X
Cross, Len
Cunningham, Jim
Daniels, Jodie X X
Daquinag, Bonafacio
Docena, Bernard
Drake, Barry X X
Joakimson, Robert X X X X X X
Klopson, Paul X X X
Mazuk, Ray X
McCarron, Liam X X X
Merino, Salvador X X X X X
Miranda, Allen
Murphy, Mike
Nadler, Joel X X X
Nickerson, Scott X X X X
Ross, Jason X X
Serrano, Ramon
Sherwood, Tony X X X X X X
Starkey, Raymond
Stevenson, Wylie
Viramontes, Keith X X X
Stevens, Ferrone & Bailey
1600 Willow Pass Court
Concord, CA 94520
Tel: (925) 688-1001
Fax: (925) 688-1005
Expires: 8/09/2014
www.sfandb.com
Babione, Martin
X
X
X
Conner, Scott X X X X X
X
Fletcher, Brett X X X X X
X X
Minor, Matt X X
X
Quinn, Tom X X X
X
Thielges, Jon
RC = Reinforced Concrete
SW = Steel & Welding
S =Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W = Wood
SM = Structural Masonry
FP = Spray -Applied Fireproofing
CG = CalGreen Code
SpeciallnspectionList.doc revised 02/01/14
Agency Name, Address
and expiration date
Special Inspectors
RC
PC
Special Inspection Field
SM SW He FP s w CG
Terracon Consultants, Inc.
3140 Gold Camp Drive, Suite 170
Rancho Cordova, CA 95670
Tel: (916) 858-1579
Fax: (916) 858-8277
Expires: 7/17/2015
www.terracon.com
Houts, Walter
X
X
X
X
X X
Mears, Steven X X X X
X X
Testing Engineers, Inc.
2811 Teagarden Street
San Leandro, CA 94577
Tel: (510) 835-3142
Fax: (510) 834-3777
Expires: 4/22/2015
testing-engineers.com
Ardizonne, Mike
X
Dougherty, John X X X
X
Ganly, Jim
Geraghty, Richard X X X
X
Grossman, Peter, P.E.
X
Gunderson, Al X X X
X
Hernandez, Frank X X X X X
Mendosa, John X
Muzika, Bruce X X
Ronald, Seth X
Souza, Jason X X
Tellesen, Mike X X
Thomas, Paul X X X
X
Watanabe, Dan X
Williams, Brian X
White, Walker X
Yoka, John X X
X
Western Technologies, Inc.
3480 South Dodge Blvd.
Tucson, AZ 85713
Tel: (520) 748-2262
Expires: 8/29/2014
www.wt-us.com
Tiedemann, Thomas X
RC = Reinforced Concrete
SW = Steel & Welding
S = Soils
PC = Pre-stressed/Post-tensioned Concrete
HB = High -Strength Bolding
W = Wood
SM = Structural Masonry
FP = Spray -Applied Fireproofing
CG = CalGreen Code
SpecialInspectionList.doc revised 02101/14
FILE
January 9, 2015
Albert Salvador
City of Cupertino
10300 Torre Avenue
Cupertino. CA95014
Re: 20450 Stevens Creek Boulevard
Dear Albert,
In response to your building inspector's comments Apple will comply by keeping all balcony
access doors at City Center 4 floors 4 and 5 locked to prevent access. The doors are locked NN ith
the Landlord key at this time and will remain so during Apple's occupancy.
Apple will also work with the landlord to correct the code deficiencies that preclude us from
using said balcony areas in the hopes that we will be able to utilize the areas in the future.
Thank you for your consideration.
Yours trul
itor
ea Estate & Development
Apple Inc
Ce: SC Builders
Lease Administration
Bryan Whitfield