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12060090El STATEMENT OF SPECIAL INSPECTIONS, 2010 CBC COMMUNITY DEVELOPMENT DEPARTMENT ` BUILDING DIVISION ALBERT SALVADOR, r.E_Ca.U. BUILDING OFFICIAL 1OonoT0Rns AVENUE `CuPE*T|w0.CAS5n/4'3255 (4OO) 777'J228^ FAX (4OO)7r7`a333` building0cupprtino.o SU1310ITTAL � SITE ADDRESS 20580 & 20590 Homestead Rd. Cuperbno, CA APN Project U, Engineer 0 Architect 108496-0676 415-318-MO PROJECT DESCRIP'nON: (N) Shell Building Ilk This 'STATEMENT 0F SPECIAL INSPECTIONS' is submitted ufulfillment of the requirements of CBC Sections 1nD4 and 1n05. This form .s structured after and used by permission from the (SEAONQmode statement o/ Special Inspections. Also, included with this form is the following: [] 'LIST 0F SPECIAL INSPECTION AGENCIES (page 2). A|iot of testing agencies and other special inspectors that will »e retained mconduct the tests and inspections for this project LJ *SCHEDULE 0F SPECIAL INSPECTION- (page 3—x). The Schedule vf 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 SvGtiono1704.17O5 1706, 1707, and 1708. Interim reports will be submitted to the Building Official and the Registered Design Professional in Responsible Charge in accordance with CBC Section 1704 1.2 A Final Report of Special Inspections documenting required Special InspecUons, testing and correction ofanyUmompondexnotedin 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 o, her obligation m ensure that the construction complies with the approved permit umwmonts and w implement this program o/upoda| inspections. In portia|fumxmoo/ormcwaob|igahoos.8mOwmewiuopoaioandmreunvpayxvmc Special Inspections wvrequired in CoC Section 170*.1 . & Th�omnhas been dove�yeo`�mmovnuenua"dmg*mt�e Building 00o�|wiUi � • Review and approve the qualifications of the Speba| 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 ao required hy the local building code. / have read and agree m comply with the terms and conditions ofthis statement Prepared By� Project U, Engineer 0 Architect Owner's Authorization Signature�e"...L.�� .............. Lic,# ....................................... Date: .................... Inspection Agency / Inspector Name revised OX09,O 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 Testirla nd Inspection Agencies. No personnel changes shall be made without first obtaining the approval of the Building Official. Any unauthorized personnel changes may result in a 'Stop Work Order' and possible permit revocation To be pre- approved by the City of Cupertino, refer to the SPECIAL INSPECTION CRITERIA handout Please allow two weeks to complete the application process. The following are the testinq and special inspection agencies that will be retained to conduct tests and inspection on this project: EXPERTISE FIRM / INSPECTOR INFORMATION' 1 Special Inspection (except for Firm &Z? ............... .. ... ........... .................Addr.... �.�(j....6�QRxfl .. ..]Y.Z........_ ............... geotechnicaq City.. n........ _.........I......I.... State ....�a..7...........Zl .�.0.�.. Telephone�R�''.C��.�... Fax..-. �0_�.I�..Email..`:.1r.ual.!.e.. 2. Material Testing -- — Firm..r. C City ��!Sa* Add � ........ .- ................ State '.......Zip L..�.�t�. ... .....1 C.,..... ........ r .... ............................... ........ s 99t.6. Telephone r}'..✓.i Fax. mail... 3 Geotechnical Inspections Firm ..................................................................... Addr....................... .......................- ....................... .... .... ...... ..... City........................................................................... ............................... State .......................Zip ...................... Telephone........ .............................. Fax .......... ................ .................. Email ........... .. .................................. .......... 4. Other: Firm ..................................................................... Addr.... ............................... City .................... .......- ............... State ..Zip Telephone....... ............................... Fax..... ............................... _. .. Email........ ............................... ' 'All agencies specified on this form must be pre- approved and listed on the City of Cupertino's Approved Special Inspector's List. SEISMIC REQUIREMENTS (Section 1705.3.6) Description of seismic - force - resisting system and designated seismic systems subject to special Inspections as per Section 1705.3. Special reinforced masonry shearwalls The extent of the seismic - force- resisting system is defined in more detail in the construction documents. WINp KhUUIKLAnLN i b (becuon -i rvo.s. i Description of main wind - force- resisting system and designated wind resisting components subject to special inspections in accordance with Section 1705.4.2: Special reinforced masonry shearwalls The extent of the main wind- force - resisting system and wind resisting components is defined in more detail in the construction documents. SjmcirrGu/�eeliunFornr 2012 rku rrvised 07 09 12 SCHEDULE OF SPECIAL INSPECTION SITE S 20580 & 20590 Homestead Road, Cupertino, CA APN BP# ADDRES PROJECT DESCRIPTION: (N) Shell Building 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. P Inspect fabricator's fabrication and quality control NOT gjuQ lREC� IF procedures. r� FJ04zJC4-TC 2 1704.3 IAFFVo.&C A,cx,cRt_Awch w/ "v, 1 an% 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 C� Pretensioned and slip - critical joints using tum -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 tum -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 construction documents. material standards Manufacturer's certified test reports. __ X SpecialnspeclionForm_2012.doc revised 07109112 VERIFICATION AND INSPECTION C P REFERENCED STANDARD I 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 _ IY" Manufacturer's certificate of compliance required. - X - -- - -- 5. Inspection of welding: a. Structural steel and cold- formed steel deck: P( 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 F_ VERIFICATION AND INSPECTION C P I 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 1 ❑ Welding of stairs and railing systems. - -- X SpeciolnspectionForm_2012.doc revised 07109112 VERIFICATION AND INSPECTION C P REFERENCED IBC STANDARD REFERENCE INSPECTION OF CONCRETE 1.j Inspection of reinforcing steel, including prestressing tendons and placement. _ X ACI 318: 3.5, 7.1 -7.7 1913.4 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 sampler) 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. jai 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: 1818.4 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. 13.0, 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 • Prequalification test for bolts and other types of X anchors. 14. ia, Other S H Ems( S i I U12 ttiDD lTtO ��L 1 �� SpeciobupeclionForm_2012.doe revised 07109112 SpecialnspectionForm 2012.dac revised 07109112 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402 /ACI TMS 4021ACI SECTION 5301ASCE 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 fR, and fmc prior to construction X -- Art 1.46 except where specifically exempted by this code. 3. ❑ Verification of slump flow and VSI as delivered to X - — - -- Art. 1.56.1.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. ❑ Prestressing technique. - -- X - - -- Art. 3.66 Grade and size of prestressing tendons and X ___ Art. 2.48, 2.4H anchorages. 5. During construction the inspection program shall verify: ; i, Size and location of structural elements. – X - -- - -- Art. 3.3F Type, size, and location of anchors, including Sec. 1.2.2(e), other details of anchorage of masonry to -- X 1.16.1 structural members, frames or other construction. Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and - -- X - -- Sec. 1.15 Art. 2.4, 3.4 anchorages. Welding of reinforcing bars. X — — -- Preparation, construction and protection of masonry during cold weather (temperature below ___ X Sec. 2104.3, ___ Art. 1.8C, 1.8D 40 degrees F) or hot weather (temperature above 2104.4 90 degrees F). ❑ Application and measurement of prestressing X ___ - -- ___ Art. 3.66 force. 6. Prior to grouting the following shall be verified to ensure compliance: Grout space is dean. -- X - -- - -- Art. 3.2D )� Placement of reinforcement and connectors and X __ Sec. 1.3 Art. 3.4 prestressing tendons and anchorages. Proportions of site - prepared grout and X prestressing grout for bonded tendons. __ -_- Art. 2.6113 Construction of mortar joints. - - X - - -- Art. 3.38 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.dac revised 07109112 SpecialnspectionForm 2012.doc revised 07109112 REFERENCE FOR CRITERIA VERIFICATION AND INSPECTION C P IBC TMS 402 1ACI TMS 4021ACI SECTION 630 /ASCE 6 630 1ASCE 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 fR, and 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. 1.5B delivered to the site. 4. ❑ Verification of slump flow and VSI as delivered to X -_- __ Art. 1.56.1.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 prestressing grout for bonded tendons. _ - Art. 2.6A ,`tZ Placement of masonry units and construction of X mortar joints. _ Art. 3.3 13 Placement of reinforcement, connectors and _ X ___ Sec. 1.15 Art. 3.4, 3.6A prestressing tendons and anchorages. Grout space prior to grouting. X - -- - - -- Art. 3.2D �$ Placement of grout. X — - --- Art. 3.5 ❑ Placement of prestressing grout. X - -- — -- Art. 3.6C Size and location of structural elements. — X - -- - -- Art. 3.3F Type, size, and location of anchors, including other details of anchorage of masonry to X __ _ Sec.1.2.2(e) - " structural members, frames and other construction. Specified size, grade, and type of reinforcement, anchor bolts, prestressing tendons and - -- X Sec. 1.15 Art. 2.4, 3.4 anchorages. Welding of reinforcing bars. X 4 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 force. _ -- __- Art. 3.6B 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 SpecialnspectionForm 2012.doc revised 07109112 VERIFICATION AND INSPECTION C P REFERENCED IBC STANDARD IREFERENCE 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. - -- - -- ❑ Verify nominal size of framing members at adjoining panel edges. - - 1704.6.1 ❑ Verify nail or staple diameter and length, - -- - -- ❑ Verify number of fastener lines, - -- - -- ❑ Verify spacing between 'fasteners in each line and at edge margins. -" 4 ❑ Metal- plate - connected wood trusses spanning 60 feet or greater: Verify temporary installation restraint/bracing and the permanent individual truss - X - -- 1704.6.2 member bracing are installed in accordance with the approved truss submittal package. REQUIRED VERIFICATION AND INSPECTION OF SOIL 1. Verify materials below footings are adequate to achieve the desired bearing capacity. X 2. Verify excavations are extended to proper depth and X have reached proper material. 3. Perform classification and testing of compacted fill X materials. - -- Table 1704.7 4. Verify use of proper materials, densities and lift thicknesses during placement and compaction of X - compacted fill. 5. Prior to placement of compacted fill, observe subgrade X and verify that site has been prepared properly. 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. SpecialnspecrionForm_2012.doc revised 07109112 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 substratgs • 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. ❑ Verify ventilation of area during and after application. - -- X 2. ❑ Measure average thickness per ASTM E605 and Section 1704.12.4. "" - 1704.12.1 3. ❑ Verify density of material for conformance with the approved fire- resistant design and ASTM E605. (Ref. - -- - -- Secfion 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 5. Seismic Resistance ❑ Suspended ceiling systems and their anchorage. -- -- 1705.3 [4.3] SpecialnspeclionForm_2012.doc revised 07109112 _T VERIFICATION AND INSPECTION C p REFERENCED STANDARD IBC REFERENCE 6. Wind Resistance • Roof cladding and roof framing connections. - - -- --- ❑ Wall connections to roof and floor diaphragms and framing. • Roof and floor diaphragm systems, including collectors, drag struts and boundary elements. • Vertical wind - force - resisting systems, including braced frames, moment frames, and shear walls. ❑ Wind- force - resisting system connections to the foundation. - - ❑ Fabrication and installation of systems or components required to meet the impact resistance requirements - -- -- of Section 1609.1.2. SPECIAL INSPECTION FOR WIND REQUIREMENTS 1. Structural Wood • Inspect field gluing operations of elements of the main X wind -force- resisting system. ___ 1706.2 • Inspect nailing, bolting, anchoring, and other fastening of components within the main windforce- resisting X system, including wood shear walls, wood -_ diaphragms, drag struts, braces and hold- downs. 2. Cold- Formed Steel Framing ❑ Welding of elements of the main wind - force - resisting X system. Inspection of screw attachments, bolting, anchoring, and other fastening of components within the main 1706.3 wind - force - resisting system including shear walls, - -- X braces, diaphragms, collectors (drag struts) and hold - downs. 3. Wind - resisting components ❑ Roof cladding. — X - -- 1706.4 ❑ Wall cladding. - -- X SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE 1. Special inspection for welding in accordance with the X _ 1707.2 quality assurance plan requirements of AISC 341. 2. Structural Wood ❑ Inspect field gluing operations of elements of the X seismic-force- resisting system. ❑ Inspect nailing, bolting, anchoring, and other fastening of components within the seismic - force- resisting 1707.3 system, including wood shear walls, wood X diaphragms, drag struts, braces, shear panels and hold- downs. 3. Cold- Formed steel light -frame construction Welding of elements of the seismic- force - resisting W X 1707.4 system. SpecialnspectionForm_2012.doc revised 07109112 Jk Inspection of screw attachments, bolting, anchoring, and other fastening of components within the seismic- force - resisting system including shear walls, braces, X diaphragms, collectors (drag struts) and hold - downs. 4. Storage racks and access floors ❑ Anchorage of storage racks 8 feet or greater in height and access floors. " "" X 1707.5 5. Architectural components ❑ Inspect erection and fastening of exterior cladding weighing more than 5 psf and higher than 30 feet - -- X above grade or walking surface. ❑ Inspect erection and fastening of veneer weighing more than 5 psf.and higher than 30 feet above grade - -- X or walking surface. - -- 1707.6 • Inspect erection and fastening of all exterior non- bearing walls higher than 30 feet above grade or - -- X walking surface. • Inspect erection and fastening of all interior non- bearing walls weighing more than 15 psi 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 equipment. X ❑ 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 when mechanical and electrical equipment must be — " -" 1707.8 seismically qualified. 8. ❑ Seismic isolation system: Inspection of isolation X system per ASCE 7 — Section 17.2.4.8 _ -_ __ 1707.9 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 requirements in AISC 341. " -" --" - 1708.3 11. ❑ Obtain certificate that equipment has been seismically qualified. -- -- __ 1708.4 12. ❑ Obtain system tests as required by ASCE 7 Section 17.8. - - - -- — 1708.5 Specialnspectionl•brm 2012.doc revised 07109112 RECOGNIZED SPECIAL INSPECTION AGENCY LIST COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL CUPERTINO 10340 TORRE AVENUE - CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building@ctjpertino.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 Insp ectors Special Inspection Field RC PC SM SS 8w FP S W CG Biggs Cardosa Associates, Inc. B65 The Alameda San Jose, CA 95126 Tel: (408) 296 -5515 Fax: (408) 296 -8114 Expires: 7/11/2014 Castro, Roberto Chan, David X X Ghorbani, Behrooz Lazzarini Dan Rivas Ricardo Rosales Adolfo Roseilini Daniel Sanchez, Adam To an, Claudiu X X Wooley, Mark X X X X X Yamane, Robert 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 X Chow, Erwin 1105 Belmont Ave. Long Beach, CA 90804 Tel: (562) 449 -7491 Expires: 4/24/2014 Erwin Chow X X RC = Reinforced Concrete SS = Structural Steel Welding/8olting S =Sods PC= Pre- stressedlPost- tensioned Concrete FP = Spray - Applied Fireproofing I W - Wood SM =Structural Masonry SW = Structural Welding CG = Ca lGreen Code Speciallnrpectionl ist.doc revised 07125112 Agency Name, Address and expiration date Special Inspectors Special Inspection Field RC PC SM ss sw 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 Alexander, David X X X X Andersen, Calvin X X X Bartlett, Dennis Bobrovitsky, Edward X X X X X Bolen, Michael X X X X Brooks Brendan X X X X X X Brown Ronald X X X X X X Buchmiller, Kenn Cottin ham Paul Currier, James X X Eschliman Duaine Eschliman, Kevin Fuller Mark X X X Halloran, James X X X X X X Harrington, Wayne X X X Hassebrock, Scott X X X X X X Healy, Michael X X Heilmann, Mark X X X X Hom ak, John X X X X X Hyslop, John X X X X X King, Phillip X X X X X Kmitt Stanley X X X Liebold, Jeffrey X X X X X X Lozano Alfonso Art Ma, Steven X Marlik William X X X McCutcheon, Thurmond X X X McKenzie, Quinten McLaughlin, Lori X X X Miner Dwight X X X Murphy, Don X X Pastora, George X X X X X Rodriguez, Sandra X X X Si mon, Josephine Sisson, James X X X X Small, Michael X X Van Hom, Bradford X X X X Walters, Michael Zuemer, Robert X X X RC - Reinforced Concrete SS , Structural Steel WeldingMalting S s Sop" PC - Pre- s&wweWPost- tensloned Concrete FP = Spray - Applied Fireproofing W = Wood SM ■ Structural Mason SW = Structural Welding CG = CelGreen Code SpeciallnspectionList.doc revised 07125112 Agency Name, Address and expiration date Special Inspectors Special Inspection Field RC PC sM ss SW 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 X Edward Bindert X X X X X Jeremy Brown X X X X James Brumley X X Jared Byers X X Richard Collin X X X X Robert Cortez X X X X X X Robert Criswell X X X X Mark Doman X X X X X Tom Edwards X X X X X X Tim Farley X X X X X X X Gary Fechner X X X X Mike Gaunt X X Ron Harr X X X X X Neal Hoellwarth X Richard Jones X X X X X Rick Mann X X X Kevin McCurdy X X Kevin Meyers X X Kevin Moore X X Craig Nagle David Puskarich X X X X William Radulovich Brian Ragan X X X X X X John Rink X X George Rockenstein X X Larry Rothey X X Erin Salazar X X Robert Schulze X Donald Shirley X X X Tom Shuster X X X X X X Larry Slater X X Daryl S ieker X X Gary Stapleton X X X X Matt Swope X X Travis Taylor X X X Vinny Vinavong X X Shawn Vucenic X X John White X X X X X X Isidoro za ien X X i X X RC = Reinforced Concrete SS = Structural Steel WeldingMolting S - Soils PC= Pre- stressed/Post- tensioned Concrete FP = Spray - Applied Fireproofing I W = Wood SM • Structural Masonry SW = Structural Welding CG ■ CalGreen Code SpeciallnspectionList.doc revised 07125111 Agency Name, Address and expiration date Special Inspectors Special Inspection Field RC PC SM SS SW 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 X X Jeff Bryan X X Norman En en X X X X X Cal Hicks X X X 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 X Kevin Lecce James "Chip" Moore X X X Randy Mues X Jonathan Parker X X X X Rich Rose 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 I X X I X Rommel, Daniel X X Saber, Sam X X X Swank, Phillip X X X RC = Reinforced Concrete SS = Structural Steel Welding/aotting Fcswt = Soils PC - Pre - stressed /Post - tensioned Concrete FP = Spray - Applied Fireproofing = Wood SM - Structure! Mason SW - Structural Welding = CalGreen Code SpeciallnspectionList.doc revised 07125112 Agency Name, Address and expiration date Special Inspectors Special Inspection Field RC PC sM ss I sw FP s w CG Krazan &Associates, Inc. 6711 Sierra Court, Ste B Dublin, CA 94568 Tel: (925) 307 -1160 Fax: (925) 307 -1161 Exp: 216/2014 www.krazan.com James Allen X X X James Benefeito X X X X Borges X X X X X -Larry Ron Chandler X X Van DeMent X X X Gregory Fernald Matthew Fernald Lewis Franklin X X X X X X Ken Hafeli X X X X Morris X X X X X -Andy Moss X X X X X -Sidney Matt Romero X Gregory Ruf MatriScope Engineering Laboratories, Inc. 4730 Contractors Common Livermore, CA 94551 Tel: (925) 606 -7701 Fax: (925) 606 -7702 Expires: 7/19/2014 www.matri$cope.com Chalabi Kanoon D'Souza Andrew X X Fannin, Dana X X X X Fleming, Klay X X X Grogan, Mike _ Hernandez, Frank X X X X X X X X Hopelian, Joseph X X X Keller, Don X X X Kohis Kristis, Lake, Adam X X X Lee, Steven Liao, Yin -Chi X Mathis Q. Shane X X X X Nieser, Paul X Palmer Scott X X X X X Reese, Mark Scoble, Kod Selvage, Kevin X Shelton James X X X X X Sta ner, Jack X X X X X Swartz Judy X X X X X Tadlock, K. Scott X X X X X Tadlock, Robert X X X X X Thomas Chris X Varella, Joe X X RC = Rein forced Concrete SS - Structural Steel WeldingSolting S -Soils PC a Pre- stressed/Post- tensioned Concrete FP = Spray-Applied Fireproofing W = Wood SM = Structural Mason SW- Structural Welding CG - CalGreen Code Speciallnspectionbst.doc revised 071'25111 Agency Name, Address and expiration date Special Inspectors Special Inspection Field RC PC SM SS SW FP S W Cr. 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.r)acificinterwest.com Doug Coe X 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 Maurice Alley X X Jeff Bqsque X X X Greg Carr Joe Cecconi X Gordon Chinn X X X X Chris Francis X X Rich Geraghty X X X John Gillespie X X X X X Al Gundersen X X X Tiffany Half Dottie Hughes X X X Jeff Sondrol X X X X Jacob Stocke X Pat Swain X Mike Tellesen X X Bill Tonkovich X X X X Chris Walters X X X X X X Adam Zeiher X Stevens Ferrone & Bailey 1470 Enea Circle, Suite 1551 Concord, CA 94520 Tel: (925) 688 -1001 Fax: (925) 688 -1005 Expires: 3/18/2012 sfandb.com Marty Babione X X X Scott Conner X X X X X X X Brett Fletcher X X X X X X X Richard Fletcher X X X X Matthew Minor X X X Tom Quinn X X X X Jay T. Wolfe X X X X X X X X George Yamaichi X RC a Reinforced Concrete SS - Structural Steel Welding/Bolting S -Sops PC= Pre- stressed/Post- tensioned Concrete FP = Spray - Applied Fireproofing W = Wood SM ■ SWctural Mason SW - Structural Welding CG - CalGreen Code SpeciolInspectionList.doc revised 07125112 Agency Name, Address and expiration date Special Inspectors Special Inspection Field RC PC sM ss SW FP s w CG Testing Engineers, Inc. 2811 Teagarden Street San Leandro, CA 94577 TeL (510) 835 -3142 Fax: (510) 834 -3777 Expires: 11/02/2012 testing- engineers.com Mike Ardizonne X Eric Dixon X John Dougherty X X X X Jim Ganly Frank Hernandez X X X Jeff Messinger X X Bruce pAuzika X X Rich Rose X X X Jason Souza X X Tom Speger X X X X X X Howard Stephenson X X X X X X Mike Tellesen X X Dennis Wertz X X X Brian Williams X Tim Woodbeck X X Tony Woodbeck I X John Yoka I I X I X X RC - Reinforced Concrete SS = Structural Steel Welding/Bolting S Soils PC = Pre- stressed/Post- tensioned Concrete FP =Spray - Applied Fireproofing W = Wood SM - Structural Mosonry Structural Welding CG C 00reen Code SpeciallnspeclionLisr.doc revised 07125112 November 12, 2012 Building Department City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 -3255 Phone (408) 777 -3235 RE: Building Permit Plan Review ARC TEC # 102708.13 Shell Building Major 1 and 2 20580 Homestead Road Permit No: 12060090 In reply to your emailed correspondence dated October 15, 2012, please find our responses to the plan review comments. Buildinq Department Review (408) 777 -3235 Item Sheet # The comment # The response 2nd Comment: Architect's response was that this is in progress, to be submitted at a later date. Comment still in affect; provide 2 copies of the completed Special Inspections Form. r--. Two copies of the Special Inspections Form are included. 7. A0.03 2nd Comment: Architect's response was that owner to sign document ARC TIC Arizona 2960 E. Northern Avenue Building C Phoenix, Ai 85028 602.953.2355 t 602.953.2988 f California 99 Almaden Boulevard Suite 840 San Jose, CA 95113 408.496.0616 t 408.496.1121 f www.arctecinc.com n 8d 2nd Comment: Per ESR Report 2598, specify type and thickness of mortar (Type S). i19r16 Specify anchorage requirements. Structural engineer to provide details. 20 ,., Type "S" has been added to Details No. 16 and 20. U:\2010Jobs \102708.adm \City Comments \City Comments Response 11 -9- 12\20580 Bldg Response 11- 9- 12.doc when permit is ready. That is acceptable, but comment will still be outstanding. Owner to sign document when permit is ready. 20. 2nd Comment: Sheet S2.2a and S2.26 and detail 12/S3.5; Per conversation with engineer, show horizontal tie /holdown roof tie on roof framing plan, and specify if this wall requires shearwall nailing. -=r 0 Per ESR report specified on architectural plans, Veneer weighs 15psf N dead load, not including '/ -inch thick mortar (almost 20psf dead load total, per side). Veneer occurs on both sides of wall in some cases, greatly increasing lateral forces. Refer to Hohbach -Lewin response letter dated 12 -4 -12. 23. A4.06 2nd Comment: See comments 20 and 25 dated 10/10/12. elevation 20 Refer to Hohbach -Lewin response letter dated 12 -4 -12. ARC TIC Arizona 2960 E. Northern Avenue Building C Phoenix, Ai 85028 602.953.2355 t 602.953.2988 f California 99 Almaden Boulevard Suite 840 San Jose, CA 95113 408.496.0616 t 408.496.1121 f www.arctecinc.com n 8d 2nd Comment: Per ESR Report 2598, specify type and thickness of mortar (Type S). i19r16 Specify anchorage requirements. Structural engineer to provide details. 20 ,., Type "S" has been added to Details No. 16 and 20. U:\2010Jobs \102708.adm \City Comments \City Comments Response 11 -9- 12\20580 Bldg Response 11- 9- 12.doc City of Cupertino Building Department November 9, 2012 Page 2 Item Sheet # The comment # The response ARC TEC # 102708.13 28. S2.1A 2n" Comment: Detail 16/S5.1: Show how metal stud box framing connects to TS columns. Detail 1/A8.11 does not show method of attachment. See comment 29 below. Refer to Hohbach -Lewin response letter dated 12 -4 -12. 29. S2.1A 2 n Comment: Revise calcs, as they did not include the 15psf dead weight of stone and veneer and the additional 5psf for %2 -inch mortar. Veneer occurs on all 4 sides of S2.1 B columns, increasing dead load by 4 times. Structural engineer show must method of attachment of tube steel. Detail 1/A8.11 does not show method of attachment. Refer to Hohbach -Lewin response letter dated 12 -4 -12. 30. A2.11, 2 "" Comment: On detail 1/S5.2, specify drainage for the retaining wall (hydrostatic S2.1A build -up of CMU retaining wall /foundation). Refer to Hohbach -Lewin response letter dated 12 -4 -12. 33. S2.2A 2n° Comment: Per conversations with engineer, please show ties for the double and veneer arcade walls on grid lines 6/13, and between C/7 and D /7, and at lines F/7 and S2.26 G /7. Refer to Hohbach -Lewin response letter dated 12 -4 -12. 34. S2.213 2nd Comment: Please show tie on line 3 between lines E and F. Refer to Hohbach -Lewin response letter dated 12 -4 -12. 35. S2.2A 2 n Comment: Please see comments 20, 23, 20 and 33 dated 10/10/12. and S2.2B Refer to Hohbach -Lewin response letter dated 12 -4 -12. 42. S3.2 2 n Comment: Detail 12/S7.2: Per conversation with plan checker, please revise detail 8 detail for connections of screws to'/ -inch thick plate. Refer to Hohbach -Lewin response letter dated 12 -4 -12. 43. S3.2 2nd Comment: Per conversation with plan checker; please revise detail to show detail 16 W10x and specify welding connection for end chord (deck to steel beam). Refer to Hohbach -Lewin response letter dated 12 -4 -12. City of Cupertino Building Department November 9, 2012 Page 3 Item Sheet # The comment # The response ARC TEC # 102708.13 46. S5.2 2nd Comment: Detail 15/S5.1: Per conversation with plan checker; please revise detail 3 footing depths. See original comment dated 6/29/12 above. Refer to Hohbach -Lewin response letter dated 12 -4 -12. Planning Dept. Review: Item Sheet # The comment # The response Constructions Management Plan: Please clarify where and when the shell construction fits into the Construction Management Plan (Phasing Plan). Refer to Construction Management Plan in Site Demo Package (Permit No. 12060077) 2. Site and Landscaping Plan: A planning inspection required prior to final occupancy to check the final site and landscaping. The site and landscaping plan should closely resemble the final exhibits of the ASA- 2012 -07. Please make sure the current site plan, plaza details, and landscape plan are consistent with the ASA- 2012 -07 exhibits. Refer to Landscape Drawings in Site Improvement package (Permit No. 12060078) On Site Trees: A planning inspection required prior to final occupancy to check the trees on site. The trees on site should be as per the prior approvals (U- 2009 -08, ASA- 2009 -08, ASA- 2011 -1). Please note any new tree removals will require separate tree removal permits. Refer to Landscape Drawings in Site Improvement package (Permit No. 12060078) 4. Plan Changes: In order to minimize discrepancies and expedited plan review process provide a separate set of plans, including on planning related sheets, with bubble diagrams to show the changes to site plans approved as a part of the ASA - 2011-17 and U- 2009 -08. Refer to Site Improvement Package (Permit No. 12060078). The relocation of the backflow preventers are the only changes to the site plan. 5. Photometric Plan: Submit photometric plan depicting the lighting on the site and the location, type and height of lighting devices. Please show on the plans and confirm that all the exterior lighting sources have appropriate cut off shield such that the light source is not visible to public view. Refer to Electrical Drawings in the Site Improvement Package (Permit No. 12060078) City of Cupertino Building Department November 9, 2012 Page 4 Item Sheet # The comment # The response ARC TEC # 102708.13 6. Window Storefront Systems: The use of spandrel or any material that obscures the glass in the window storefront systems shall be reviewed and approved by the Director of Community Development prior to the issuance of any building permit. The street front window treatment should be discussed with the staff. All storefront windows are clear glass in this building. Activated Street Facing Storefronts: Please provide the Tentative Floor Plans. Floor plans and site plans for any tenant improvements should ensure that street facing storefronts are activated and many include, but not limited to, store entrances, amenities to promote pedestrian activities, outdoor furniture, eating areas and patios and /or other amenities are provided. There are no tenants for this building at this time, or tentative floor plans available. 8. Mechanical Equipments: Please verify mechanical equipments are fully screened and not visible from the public views. Provide a sight line plan to show the roof top equipment as seen from pedestrian scale from public right -of -way. Utilities and other mechanical equipment shall not be placed on prominent/street facing building elevations unless reviewed and approved by the Director of Community Development prior to issuance of building permits. Refer to Detail Sheet A4.01 for building sections showing mechanical units screened by the building parapet walls. 9. Typically planning staff doesn't review the sprinkler monitoring system plan (Sheet #FA1.00). But for your information- the site plan used in this sheet is not the most current (doesn't match the ASA- 2012 -07 exhibit). Site Plan has been revised on Sheet FA1.00 10. All backflow preventers for water services should be located away from the public right of way and site driveways. Locations should be approved by Cupertino Planning Department, Santa Clara Fire Department and CALWATER. Refer to Sheet FA1.00 for revised locations of backflow preventers. Public Works Department PW File # 52, 537.03 Chad Mosley (408) 777 -7604 Item Sheet The comment # # The response 1. Add these notes to the plan: 1. Approval of these plans does not release the Owner and /or Contractor of the responsibility for the corrections of mistakes, errors, or omissions contained therein. If during the course of construction improvements, public interest requires a modification of /or a departure from the City of Cupertino specification or these improvement plans, the City Engineer shall have the City of Cupertino Building Department November 9, 2012 Page 5 Item Sheet # The comment # The response ARC TEC # 102708.13 authority to require such modification or departure and to specify the manner in which the same is to be completed, at the sole expense of the Owner and /or Contractor. 2. Contact Public Works, (408) 777 -3104, for inspection of grading, storm drainage, and public improvement. 3. All public improvements must be completed prior to occupancy. 4. Contractor is responsible for dust control and insuring the area adjacent to the work is left in a clean condition. 5. Contractor shall review City Detail 6 -4 on tree protection prior to accomplishing any work or removing any trees. 6. Utilize Best Management Practices (BMP's), as required by the State Water Resources Control Board, for ANY activity, which disturbs the soil. 7. A work schedule of grading and Erosion & Sediment Control Plan shall be provided to the City Engineer by August 15. No hillside grading shall be performed between October 1 and April 15. 8. All new electrical service (power, phone, and /or cable) shall be undergrounded. 9. To initiate release of bonds, contact the Public Works Inspector for Final Inspection. 12. Prior to beginning any work within the Public Right of Way, the Contractor will be responsible for pulling an encroachment permit from the Public Works Department. Notes added to Sheet A0.01 Fire Department Santa Clara County Plan Review Comments No. 12 3124, Gilery O'brien, (408) 378 -4010 Item Sheet The comment # # The response 1. On this submittal, the "Type of Construction" of the building was changed to "II -B', from the "III -B" indicated on the previous submittal (Sheet A0.01). Please refer to the comments that follow. Refer to Sheet A0.01 for revised allowable area calculations. 2. On "Allowable Area Calculations" on the sheet A0.01, "W" (Width of public way or open space) is noted as 60 and a note referring to the exception for "Unlimited Area Building" complying with CBC #507 is also shown. However, the use of a value of W =60, as well as, the exception to CBC #506.2.1 do not apply to this project. (This building is not an "Unlimited Area Building ", surrounded and adjoined by public ways or yards not less than 60 feet in width, as required under CBC #507.3, nor having a reduced open space, surrounded by 60 feet yards, but having one side of the building with a yard of not less than 40 feet in width, as required under CBC #507.5. This building has a "3 hour rated building separation wall /Fire wall" along the column line H City of Cupertino Building Department November 9, 2012 Page 6 Item Sheet # The comment # The response ARC TEC # 102708.13 on sheet A0.11, and there is "0" yard on that side of the building. Provide revised "Allowable Area Calculations" showing a "Detailed calculation" for "W" (weighted average /width of public way or open space) that demonstrate in detail how it was arrived to the value of "W" to be used on the calculation for "If' (Area increase due to frontage) under CBC #506.2, and using the calculation, along the perimeter of the building, a minimum of 20 feet and a maximum of 30 feet width of open space. Refer to Sheet A0.01 for revised allowable area calculations. 3. With the exception to previous comments above, drawings submitted and the 9/18/12 Architect's response letter address satisfactorily comments 1 and 3 through 9 on the 7/5/12 Fire Department plan review comments. Noted Please feel free to contact me if you have any additional questions. Thank you for your assistance. Sincerely, ARC TEC, Inc. Jeff Oparowski, AIA Project Manager Project Name: Project Addrtu: Pmjad Descri ykm; SECTION 1— CALGREEN SIGNATURE DECLARATIONS TION Complete all lines of Serum 1—'DeWprt bert#icalilm' and submit tha cotttpietad cha*110 (Cvtunnm 1 SM 2) wa1A (ho pons and building pem* SpA to the 64ding Delurtrn t, The owner and deetgn pmfeselonal 4espco*he fbr"il-mm with c*Kk"n 6WWOR11 hm myised the plena and oartiry IW Vw ilerns eNckad eboft die hereby irxorpvrst ad into tt* project plane and Wilt bo implemented into the m*W in eavir0a7w with fit mqulremesfib set bdh i n the 2010 Ca liforr. to Green su lft Standards Catto SS edopted by the City eff Cupefto. o*%tes-%noUro pig 'i Ownrrr'4 PritrU Dow ftf9pC1mo, S$tillSffO tate CRAIG Design 1's Nd oas6 .ntj 2-/3 w lS stper re of Brett r"P forCalGroen aorttpieruae papa -- - CRAiG ALMELEN (400 4%-0676 Nems of License ftfdoes+txmel f%Pw4* imr CAlt3wn wwvftnte(Plum Pr") Rtme. EmaeAddress !or Litanv* Prosessk mul noporr4 bk for CdCwv a aompuance SECTION Z - IMPLEMENTATION VERIFICATION vc>r.pieir', s In and ru mit the comps i#19C1dW, includinro catrrat'f 3, tweitl�t with sit oripuml srgnghues on sea 2 to the Build ng Depertamni prior to ButldiN Department frnal Inspection. J have inspected dhe work and h@yq T*Mv0d stifCl*g dttcA�on to verii`y and oe rlifj'thct ft pf'Q W Id*nts'ted above was cr nstruc:ers in e+000rdanca wrAtf this Green BUNdit Checkw and it accorderve vAth the requirements of the 2010 C:Al"nr ["tPan II 'tan to Cafg at adppied by the City of Cupedno• J a-/ 3 Z°1.5_ SVrla a of L-cefier r-•8ys anal r"PNtW* for calGroon vmnF rwc e ^ 90i CfAG ALLEN (4 0 49frUM Name of Lk a -we Praresstonal respon*le for CeiGreen ooxViarroa(Alease Pritsi) CRWAWCTE{.IiVCaN Errid ftddic-35lor L wabe Pmfewmedrt*oon:Rii —ii—Cil—t'3—ram awmLyxm Plgc vat 9 t'diD r- k'aa.R&IC"*t4NYAVMrrsrd,W.7.11