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14120058CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10500 N DE ANZA BLVD CONTRACTOR: ICOM MECHANICAL INC PERMIT NO: 14120058 OWNER'S NAME: MISSION WEST PROPERTIES LP IV 477 BURKE ST DATE ISSUED: 12/11/2014 OWNER'S PHONE: 4088622341 SAN JOSE, CA 95112 PHONE NO: (408)792-2292 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL APPLE- REPLACE (E) COOLING AIR HANDLERS IN M (� License Class20 c36 Lic. # 7 � 2 BASEMENT Contractor I COM tqt L tIAV mate 226t ,{ . (7. If 1 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $800000 ,Pfrformance have and will maintain Worker's Compensation Insurance, as provided for by ction 3700 of the Labor Code, for the performance of the work for which this APN Number: 31622017.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 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 WITHIN 180 A PERMIT ISSUANCE OR 180 DAYS R LAST CALLED INSPECTION. 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 wh' may accrue a ' t said City in consequence of the Date: f 2 it ddition will comply Issued by: granting of this pe t. a appl ant understands and with all non -poi s rce regula ons per th upertino Municipal Code, Section 9.18. Signature _ Date ( !I—L i le- —(( 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 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health &Safety Code, Section 255 (a) shoo a or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I equ' ent or d ices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined b Bay rea ality Management District I performance of the work for which this permit is issued. will maintain compliance wit a Cupe ti Mu i ipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, 'ons 2550 25533, a d 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized ag 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 CONSTRUCTION LENDING AGENCY 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 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building0cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION lel ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS/() 5() � �J `/L I/ /D APN # 31t,- /t,- 2—o/-7 OWNERNAME f PHONE EMAIL L/ ft s�A&�_ STREET ADDRESS �. / I N r -(N r Loo CITY, STATE, ZIP r^ Cti �'�T I 9� Jr AX CONTACT NAME _ PHONE � 2 Z 2 03 ��""" EynAIL .. - � J D� ✓e/•I / Gv.►1! n C• Cowl STREET ADDRESS 5 -f -CI T� , Z �� ��r� 29Z f6�' C_ o$- ❑ OWNER 11OWNER-BUILDER❑ OWNERAGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT 11 ENGINEER 11DEVELOPER❑ TENANT CONTRACTOR NAME' t� LICENSE R I( BUS. LIC # 8-00 C*j22 C O COMPANY NAMECO � C� AJ ( /N E MAH. FA7lad- 2-12 zf�gk STREET ADDRESS/ (7 ^ 4K� SAfTE \ A P � 79 O V Z I ARCHITECT/ENGINEER NAME/ LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK �^L^ QC)(LOOLL 6) D(Z CS (t,3 36S4kA-C�J1 EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES I USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCII AREA GARAGE AREA: DETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT [)YES SECOND STORY❑YES BEING ADDED? ❑NO ADDITION? []NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY: OTAL VALUATION: PLANNING APPL # []NO PLANNING APPROVAL LETTER EICHLER HOME? []NO I 0 M O � 0O Kf By my signature below, I certify to each of the following: the property owner or authorized agent to act on the property owner's behalf. I halve read this application and the information I have ided i rre ve read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to lJding c s c on. I thorizc representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: 201 -1. 12. 0T SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP OVER-THE-COUNTER �y VAUILDING PLAN REVIEW /❑ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ElEXPREss PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH B1dgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION im,ADDRESS: 10500 n de anza blvd DATE: 12/11/2014 REVIEWED BY: Mendez MISC ITEMS APN: BP#: 58' *VALUATION: $800,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building 1 0.0 hrs PENTAMATION PERMIT TYPE: 1 GENCO WORKa le- re lace a coolinq air handlers in basement $0.00 SCOPE f NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public worgs, rare, 3anuary Sewer, uisrricr, acnool District etc) These fees are based on the nrelimina information available and are only an estimate. Contact the Dept or addn'1 info. FEE ITEMS ff ee Resolution 11-053 ff 711113) FEE QTY/FEE NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public worgs, rare, 3anuary Sewer, uisrricr, acnool District etc) These fees are based on the nrelimina information available and are only an estimate. Contact the Dept or addn'1 info. FEE ITEMS ff ee Resolution 11-053 ff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? () Yes Q No $0.00 1 2 hours Plan Check, Hourly $286.00 ISTPLNCK Suppl. PC Fee: Q Reg. 0 OT 1 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Feer Reg. Q OT 0.0 lirs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ("onsfroction Ktv: I.C O Work Without Permit? 0 Yes Q No $0.00 Advanced Planning I ee: $0.00 6 hours Inspections $858.00 ISTINSP Inspection, Hourly iz�a�xr Lrrc°rrlraz�a%. !i„rt T"t>c>: Strong Motion Fee: IBSEISMICO $224.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $32.00 SUBTOTALS: 1 $256.001$1,144.001 TOTAL FEE -.T $1,400.00 Revised: 10/01/2014 CUPERTINO STATEMENT OF SPECIAL INSPECTIONS, 2013 CBC 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 - building6bcupertino.org SITE 10500 N. De Anza Blvd. APN 316-22-017 ADDRESS Signature.... ....... ........ -'--.Lic1 ... §�?!? ............ . .... -. Date: Exp. W30/16 . .......... ..... .. ..... ............................* Owner ,,APPLE, .... INC.. ............ ......... -- . . . ................... ........... ........... Contractor.. ICOM MECHANICAL, INC. ........ Date: 1 INFINITE LOOP Address...... ..... . .................................................... ...... ........................ ........ 4770 BURKE STREET Address ....... -.- ...................................... .......... ........................... CUPERTINO / CA 95014 city/St- .......................................... Zip- ................. .... .Phone ........... ......... City/St-§NL�2SE / CA 95112 792-2292 ............. . ...... ......... Zp ...................Phone. ....... .. ....... .......... . ....... Applicant.I.COM...ME.C.HAN.ICAL.,...,INC.... ............ ...... .... EEMLneer/Architect...�y�.��ructural, Inc. ........ Address 4 7 7... B...U..R. .K E STREET .......... .-................................ .............................. Addressy­.............. g..-. 17582San Benito W .......................................... City/St,SAN JOSE /.,CA 95112 ...... 792-2292 .................. ......... ....... zip� ..... ......... Phone ...... ...... Monte Sereno, CA Zip..P�qqP.. City/St .... -.1 ....... I ......................... Phone.................... 01-199.0623 PROJECT DESCRIPTION: Seismic anchorage of replacement AH units located in basement. This *STATEMENT OF SPECIAL INSPECTIONS" is submitted in fulfillment of the requirements of nd 1705. This form is structured after and used by permission from the Structural Engineer Association of Nod W(WINC) mode statement of Special Inspections. Also, included with this form is the following: 0 "LIST OF SPECIAL INSPECTION AGENCIES (page 2), A list of testing a encies and other special inspectors that will be retained to conduct the tests and inspections for this project I I "SCHEDULE OF SPECIAL INSPECTION" (page 3 — 6). The Schedule of ecial Inspections summarizes the Spec Inspections and tests required. Special Inspectors will refer to the approve plans and cifications for detailed spebal inspection requirements. Any additional tests and inspections required byte approved=d-spgWid6tions; shad also be performed. Special Inspections and Testing will be performed in accordance with the approved plans and specifications, this statement and CBC Sections 1704, 1705, 1706, 1707, and 1708. Interim reports will be submitted to the Building Official and the Registered Design Professional In Responsible Charge in accordance with CBC Secti I on 1704.1.2. CUPERTINO A Final Report of Special Inspections documenting required S s. ctions, tesogjand",rra , 1p"i*Aty discrepancies noted in the inspections shall be submitted prior to issuance of a Certifil and Occupancy (Section 1704.1.2). The Final Report will document: • Required special inspections. • Correction of discrepancies noted in inspections. REVIE\NED FOR CODE COMPLIANCE The Owner recognizes his or her obligation to ensure that the construction com lig; with =tjap ,prov ,0qPP AWt documents and to implement this program of special inspections. In partial fulfillment of thg"61163%1I ins, wnerhid'retain and directly pay for the Special Inspections as required in CBC Section 1704.1. �71 This plan has been developed with the understanding that the Building I wIlp" T7- 7� Review and approve the qualifications of the Special Inspecto wnl`06if&iin tk)�i�spa'i Monitor special inspection activities on the job site to assure thV5Sp66IaI'4n*chW ar�%Vlid and are performing their duties as called for in this Statement of Special Inspection. • Review submitted inspection reports. • Perform inspections as required by the local building code. I have read and agree to comply with the terms and conditions of this statement Prepared By: V Project Engineer LI Architect Registered Design ProfpsSiDnal in Charge Signature.... ....... ........ -'--.Lic1 ... §�?!? ............ . .... -. Date: Exp. W30/16 . .......... Owner Name: Hl-rlL Name: I)T A Signature...... ......... --- ............................................................ Date: Inspection Agency I Inspector Name: Biggs Cardosa Associates .......... Signature......... ...... ...... .. ...... ...... - ................ Date: Building Official or designee: .22nature .j ..... . . ...... .................................................Date: UA SpeciainspectionForm-2012.doc revised 09106112 LIST OF SPECIAL INSPECTION AGENCIES APPROVAL OF SPECIAL INSPECTORS: Each special inspection agency, testing facility, and special inspector shall be recognized by the Building Official prior to performing any duties. Special Inspection agency's listed on this form must be pre -approved and listed on Cupertino's approved Special Inspector's list. Special inspectors shall carry approved identification when performing the functions of a special inspector. Identification cards shall follow the criteria set by the California Council of Testing and_las�ectccn A,,,tgciies. No personnel changes shall be made without first obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a "Stop Work Order" and possible permit revocation. To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout. Please allow two weeks to complete the application process. The following are the testing and special inspection agencies that will be retained to conduct tests and inspection on this project-, EXPERTISE FIRM I INSPECTOR INFORMATION * 1. Special Inspection (except for Firm.., .8f�5 The Alameda geotechnical) city,.,, San, JoSe................................................................................... State __q&____.Zip..95126 Telephone .AQ&_-ZK-,5515_. ... Fax....AW-M-811A... ...... Email mwgoqRpig.c—lsc,ar.do.sa,..co,m, .. ... .... .... ... ... 2. Material Testing Firm ..... ........ __ ........ .................. Addr ....... __ ........ .............. .......... _ .... ...... ___ City....... ......... ___ ....... ___ ...... ...... State .,.....,...............Zip ..................... Telephone...,__ ..................... Email................,. ............. .......... ......... 3. Geotechnical Inspections Firm .... __ ............... ...... ..................... ­* ........ * ...... ............. * ...... _ City ...... _.................. __,.......... State .......................Zi ....... ............. Telephone,.. _ _. __ ..... ___ ...... Fax............................................ Email...,..,........,,.........................,............,. 4. Other: Firm.. ... _.__ .......... __ ......... ........ ...... _ .................. .......................... _ ....... City_ .... ....... ......... .......... ...... __ ....... ... .. State ...............,.....,.Zip ... ____ ...... Telephone,... . _ _ _ . .... ...... ___ Fax....,..,..,............,.........,.......... Email............._........................................... *All agencies specified on this form must be pre -approved and listed on the City of Cupertino's Approved Special Inspector's List. SEISMIC REQUIREMENTS (Section 1705.3.6) Description of seismic -force -resisting system and designated seismic systems subject to special inspections as per Section 1705.3*. Seismic anchorage of replacement AH units located in basement. The extent of the seismic -force -resisting system is defined in more detail in the construction documents WIND REQUIREMENTS (Section 1705.4.1) Description of main wind -force -resisting system and designated wind resisting components subject to special inspections in accordance with Section 1705.4,2: The extent of the main wind -force -resisting system and wind resisting components is defined in more detail in the construction documents, revised 09,V0, 12 SCHEDULE OF SPECIAL INSPECTION SITE 10500 N. DE ANZA BLVD. APN 316-22-017 BP# PROJECT DESCRIPTION: Seismic anchorage of replacement AH units located in basement. 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. 4dditional detail regarding inspections and tests are provided in the project specifications or notes on the drawings. - - VERIFICATION AND INSPECTIONC P REFERENCED 1 IBC REFERENCE STANDARD 1 INSPECTION OF FABRICATORS 1. ❑ Inspect fabricator's fabrication and quality control 1704.3 procedures. I — L ......... . . .. _.__._._..._�___.._.....__.__ INSPECTION OF STEEL 1. Material verification of high-strength bolts, nuts and washers. _....._......_._ __.._...._._........... _ ...�....�....._.__ ...._ ❑ Identification markingto conform to ASTM stds RISC 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 3601 indicator methods of installation. Section M2.5 1704.3.3 ❑ 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 4 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 ,mvialnsheyctionForrn_ 2012. doe revised f)9r'06,12 �C VERIFICATION AND INSPECTION C P REFERENCED IBC VERIFICATION AND INSPECTION P STANDARD REFERENCE 4. Material verification of weld filler materials: ❑ Identification marking to conform to AWS specification INSPECTION OF WELDING 1. ❑ Welded studs when used for structural diaphragms. AISC 360, X in the approved construction documents. --- X Section A3.5 and --- _._....,.,.,..____ ._ ._.._........ 3. ❑ Welding of stairs and railing systems. _.... --- X 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 ❑ -pass fillet welds <= 5116" _ __.... � . - X ..__._ ...........Single .._..........._........................_.___...............,,,.,............,.............._.___....__. _..._. ..-_ ❑ Floor and roof deck welds. --- X AWS DU b. Reinforcing steel. —_ ❑ Verification of weldability of reinforcing steel other than --- X ASTM A 706. ❑ Reinforcing steel resisting flexural and axial forces in intermediate and special moment frames, and X __ AWS D1.4 ACI 318: boundary elements of special structural walls of Section 3.5.2 �- concrete and shear reinforcement. ❑ Shear reinforcement. X -- ❑ Other reinforcing steel. --- X 6. Inspection of steel frame joints details for compliance: ❑ Details such as bracing and stiffening. --- X _. _...__ _.._....__... ❑ Member locations. --- X --- 1704.3.2 ❑ Application of joint details at each connection. --- X 5�acr`al��srrerctzr>rtJ`r>tm_ lJl2.doe revised 09100112 REFERENCED IBC STANDARD REFERENCE INSPECTION OF WELDING 1. ❑ Welded studs when used for structural diaphragms. --- X 2. ❑._... Welding of cold -formed steel framing members. --- X . --- 1704.3 _._....,.,.,..____ ._ ._.._........ 3. ❑ Welding of stairs and railing systems. _.... --- X 5�acr`al��srrerctzr>rtJ`r>tm_ lJl2.doe revised 09100112 VERIFICATION AND INSPECTION ---i-- REFERENCED I IBCSTANDARD IREFERENCE INSPECTION OF CONCRETE 1. 0 Inspection of reinforcing steel, including prestressing . ......... --- X ACI 318: 3.5, 71-7.7 1913.4 tendons and placement. 2. 0 Inspection of reinforcing steel welding in accordance AWS D1.4 ACI 318: with Table 1704,3 Item 5b. --- --- 3.5.2 --- & 0 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. E( Inspection of anchors installed in hardened concrete, ............. X ACI 318: 1912A 5. 0 Verifying use of required design mix. ... . ...... 1904.2.2,1913.2, --- X ACI 318: 1913.3 6. 11 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. 0 Inspection of concrete and shotcrete placement forX --- . ACI 318. 59 5 10 1913.6, 1913.7, proper application techniques. ,, 19118 8, 0 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, 10,0 Erection of precast concrete members, --- X ACI 318: Ch. 16 11.0 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 stabs. 12.0 Inspect formwork for shape, location, and dimensions X ACI 318: 6.6.1 of the concrete member being formed. 13. So" Bolts Installed in Existing Masonry or Concrete, • Direct tension testing of existing anchors. X See ICC ES Reports form special inspection requirements for proprietary • Direct tension testing of new bolts. X . . . . . . . . . . . . ..................... • Torque testing of new bolts. X . ....... products 0 Prequalification test for bolts and other types of X anchors. . ............... . . .... __ .......... 14, n Other: .... . . ......................... . . ............ .... . Speciahispectionfi'orm 2012&v revised 09,06 12 201adoc revised 09106-12 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION G P_. IBC .... MS 40 2 1 r4 'CI SECTION 5301ASCE 5 .6 INSPECTION OF LEVEL'I MASONRY 1, 0 Compliance with required inspection provisions of the construction documents and the approved --- X --- Art. 1.5 submittals shall be verified. 2. 0 Verification of f , and fAAc prior to construction --- X --- --- Art. 1.413 except where specifically exempted by this code. .............. I .......... .......... -1111111111111 ............. 3. 0 Verification of slump flow and VS1 as delivered to X ... Art, 1,5B.1.b.3 the site for self consolidating grout. 4, As masonry construction begins, the following shall be verified to ensure compliance: • Proportions of site -prepared mortar. X --- Art. 2.6A • Construction of mortar joints. --- X --- --- Art.3.313 • Location of reinforcement, connectors, --- X --- Art. 3.4, 3.6A prestressing tendons, and anchorages. . ...... 0 Prestressing technique. --- Art, 3.613 . . .... . ..... . . 0 Grade and size of prestressing tendons and . ... ...... . X Art. 2.413, 2.41-1 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 --- --- --- .... . 0 Preparation, construction and protection of ..... . masonry during cold weather (temperature below --- X Sec, 2104.3, Art, 1.8C, 1.80 40 degrees F) or hot weather (temperature above 2104A 90 degrees F). i 0 Application and measurement of prestressing X --- --- Art. 3.613 force. I 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. 0 Proportions of site -prepared grout and --- X --- Art. 2.613 prestressing grout for bonded tendons. . . . .............. 0 Construction of mortar Joints. X --- --- Art. 3.313 7. Grout placement: . . ................ 0 re Grout placement shall be verified ensu . X . . ......... Art, 3.5 compliance. .... . .... . ......... 0 Observe grouting of prestressing bonded X --- --- Art 3.6C tendons. 201adoc revised 09106-12 2012 doe revised 09, 06,42 ............. . .. . .............. .... REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS; 402/ACI TMS 402/ACI SECTION 530/ASCE 5 530/ASCE 6 8, 0 Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be x 21052.2, Art. 1.4 observed. 1 2105.3 INSPECTION OF LEVEL 2 MASONRY 1. 0 Compliance with required inspection provisions of the construction documents and the approved --- x Art, 1,5 submittals. .. . ............ . . ..... 2, 0 Verification of f , and fAAr, prior to construction and for every 5,000 square feet during --- x --- Art, 1,413 construction. 1 0 Verification of proportions of materials in premixed or preblended mortar and grout as x --- --- Art. 1.513 delivered to the site. ........ ..... . . ................ . -:i-. _Ove��,_ficationof slump —flow an_d_V_S__1a s_`delivered`"" '"" t x --- F- --- Art. 1.5B.I.b.3 the site for self consolidating arout. .. . . 5. The following shall be verified to ensure compliance: 0 Proportions of site -prepared mortar, grout, and --- 7 x Art. 2.6A prestressing grout for bonded tendons. . . . .......... . ..... ...... ..... .... .. ..... . . ...................... ................... 0 Placement of masonry units and construction of x --- . --- I .... . 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. 3.2D ......... .. • Placement of grout. x --- --- --- Art. 3.5 • Placement of prestressing grout. x --- --- --- Art. 3.6C • Size and location of structural elements. --- x --- Art. 3.317 • 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. 0 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 See. 2.1.9.7.2, 133.4 (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. 0 Preparation of any required grout specimens, Sec. mortar specimens, and/or prisms shall be x --- 21052.2, --- Art, 1 A observed, ............. - ............... . . 2105.3 . .... . 2012 doe revised 09, 06,42 VERIFICATION AND ..". INSPECTION C I P REFERENCED STANDARD JIBC REFERENCE INSPECTION OF WOOD .. . ....... .......... . .. .... - — - ------- ..... . . . . . ........... . 1. 0 Inspect prefabricated wood structural elements and --- --- assemblies in accordance with Section 1704.2. 1704.6 2. 0 Inspect site built assemblies. 3. Inspect high -load diaphragms: 0 Verify grade and thickness of sheathing. --- --- 0 Verify nominal size of framing members at adjoining panel edges. --- 1704.6.1 0 Verify nail or staple diameter and length, --- • Verify number of fastener lines, • Verify spacing between fasteners in each line and at edge margins. 4. 0 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. 0 Verify materials below footings are adequate to X achieve the desired bearing capacity. 2. 0 Verify excavations are extended to proper depth and X have reached proper material. ............... 3. 0 Perform classification and testing of compacted fill X materials. Table 1704.7 4. 0 Verify use of proper materials, densities and lift thicknesses during placement and compaction of X compacted fill. 5. 0 Prior to placement of compacted fill, observe subgrade X and verify that site has been prepared properly. REQUIRED VERIFICATION AND INSPECTION OF DEEP DRIVEN FOUNDATION ELEMENTS 1. 0 Verify element materials, sizes and lengths comply X with the requirements. 2. 0 Determine capacities of test elements and conduct X additional load tests, as required. 1 0 Observe driving operations and maintain complete X and accurate records for each element. 4, 0 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. 0 For steel elements, perform additional inspections in accordance with Section 1704.3. & 0 For concrete elements and concrete filled elements, perform additional inspections in accordance with --- --- Section 1704.4. .................... . . ................. . ... ............ d4w revised 0.9106112 ...... . ....... ..... REFERENCED . .......... . ........................ IBC VERIFICATION AND INSPECTION C P STANDARD REFERENCE 7. 0 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 0 Observe drilling operations and maintain complete and X accurate records for each element. 1 [3 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. 0 For concrete elements, perform additional inspections in accordance with Section 1704.4. HELICAL PILE FOUNDATIONS 1. 0 Record installation equipment used, pile dimensions, X 170410 tip elevations, final depth, final installation torque. SPRAYED FIRE-RESISTANT MATERIALS Physical and visual tests 1. Condition of substrates. • Inspect surface for accordance with the approved fire - resistance design and the approved manufacturer's written instructions. • Verify minimum ambient temperature before and after --- X application. 1704,12.1 0 Verify ventilation of area during and after application. --- X 2, 0 Measure average thickness per ASTM, E605 and --- --- Section 1704.12.4, 3. 0 Verify density of material for conformance with the approved fire-resistant design and ASTM E605, (Ref. Section 1704.12.5) 4. 0 Test cohesive/adhesive bond strength per Section 1704.12.& 5. 0 Condition of finished application. MISCELLANEOUS 1. Mastic and Inturnescent 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 .... . ... . ....... 170416 5. Seismic Resistance 0 Suspended ceiling systems and their anchorage. 1705.3 [4.3] 1;> csiielnslxactirlrtl'rar�Tr doc revised 0910&72 ,S�)ec°icaltasl)eetiaril,'crrm_ 2012.d(v revised 09f"06 12 REFERENCED IBC VERIFICATION AND INSPECTION C p STANDARD REFERENCE 6. WindResistance • 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. --- -_- C] Vertical wind -force -resisting systems, including braced frames, moment frames, and shear walls. --- --- --- Cl Wind -force -resisting system connections to the foundation. - --- __ © Fabrication and installation of systems or components required to meet the impact resistance requirements -- --- --- of Section 1.609.1.2, 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 Q Welding of elements of the main wind -force -resisting - X system. - _❑ Inspection of screw attachments, bolting, anchoring, and other fastening of components within the main '-- 1 X06,3 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. 0 Special inspection for welding in accordance with the X --- 1707.2 quality assurance plan requirements of RISC 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 17Q7.3 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. ,S�)ec°icaltasl)eetiaril,'crrm_ 2012.d(v revised 09f"06 12 . . .......... 0 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 F0 Anchorage of storage racks 8 feet or greater in height X 1707.5 _ and access floors. 5. Architectural components 0 Inspect erection and fastening of exterior cladding weighing more than 5 psf and higher than 30 feet X above grade or walking surface. 0 Inspect erection and fastening of veneer weighing more than 5 psf.and higher than 30 feet above grade X or walking surface. --- 1707.6 0 Inspect erection and fastening of all exterior non- bearing walls higher than 30 feet above grade or --- X walking surface. 0 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 0 Inspect anchorage of electrical equipment for X emergency or stand-by power systems. 0 Inspect anchorage of non -emergency electrical X equipment. 0 Inspect installation of piping systems and associated mechanical units carrying flammable, combustible, or --- X --- 1707.7 highly toxic contents. 0 Inspect installation of HVAC ductwork that contains --- X hazardous materials. 0 Inspect installation of vibration isolation systems X where required by Section 1707.7. 7. 0 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, 0 Seismic isolation system: Inspection of isolation --- X 1707.9 system per ASCE 7 — Section 17.2.4.8 ....... . .. ......................... 9. 0 Obtain mill certificates for reinforcing steel, verify compliance with approved construction documents, 1708.2 and verify steel supplied corresponds to certificate. 10.0 Structural Steel: Invoke the QAP Quality Assurance --- --- ry 1708.3 requirements in RISC 341. 11.0 Obtain certificate that equipment has been seismically 1708.4 qualified. 12.0 Obtain system tests as required by ASCE 7 Section --- --- --- ... . . ..... . 1708.5 17.& .................. -1 -111 . ...... . . . . . ............. --- 11 doc revised 09;06 I2