12110120 - MISC . • 324 Earhart Way
� Livermore CA 94551 �CEI�TED
P 925.315.3151
Associates F 925.315.3152
Engineer�aboratories WWW,bskassociates.com MAR 2� 2013
Name: � � ���'
O1 February 2013
Permit No. 12110120
BSK Job No. C13-010-60P
, Mark Taylor
YESCO
875 National Drive, Suite 107 .
Sacramento, California 95834
Subject: Summary of Special Inspections and Material Testing Services
aloft—New Illuxninated Community Art Monument
10165 N. De Anza Blvd.
Cupertino, California
(Period Covered: O1/15/2013)
Special Inspections and Materials Testing Services were performed for the above
referenced project. Enclosed is a summary of our field activity.
We appreciate the opportunity to be of service to you. If you have any questions or
comments,please contact our office.
Respectfully submitted,
SSK Associates
/
Tim driguez James Auser, P.E.
Con uction Servi s Group Manager Senior Materials Engineer
Distribution:
City of Cupertino Building Department; Building Official
An Employee-Owned Company • Analytical Testing • Construction Observation • Ecological Services • Engineering Geology
Environmental Engineering • Geotechnicai Engineering • Materials Testing • Water Resources
!
• SUMMARY REPORT
Date: 01/15/2013 DSA File No.:
Project No.: C13-010-60P App. No.:
ASSOC11teS Project Name: aloft-New Illuminated Permit No.: 12110120
Enginee aboratories Location: 10165 N. De Anza Blvd., Cupertino
Inspection Report for Structural Steel, Welding and Bolting
Erector/Fabricator: NASCO Electric Sign Co., LLC
Reported To: Inspection per�Shop Drawings ❑Structural Drawings Dated:
Type of Inspection: Welding �✓ Shop Inspection❑Onsite❑Continuous❑Periodic❑After the fact
✓ Attachments Mill Certs P g� Lo ❑UT❑MT❑PT
❑ ❑Sam lin ✓ Material I.D. g
❑Job Caneelled(see notes)�Show up�hrs.) ❑Stand-by�hrs.) ❑Gorrective/Rework�hrs.)
Certified Welders Identification Process
S. Ott D4527983 ❑FCAW ❑� SMAW
❑Other:
❑ Wire/Electrodes
❑Refer to the attached list of welders. ❑✓ Number of welders today � ❑✓ Verified proper electrode storage
Received❑✓ Mill Certifications❑✓ Reviewed Weld procedure❑✓ Qualifications❑✓ Verified Parameters/Preheat
❑Single Pass Fillet ❑MuIEi-Pass Fillet Penetration:�CJP❑PJP�Arc Spot 0 Seam❑ Sheaz Stud
❑Flare-Bevel Groove❑Direct Butt Splice❑Indirect Butt❑Rebar Grade No. ❑Embeds 0 HS Bolts
Notes:
Items inspected as complete:Tube Steel, Pipe sign frame
❑✓ Additional pages attached. 4
❑Member Completion Record Attached
❑All non-compliance items were brought to the attention of at job site.
❑Final acceptance is pending written approval or corrective action as noted.
❑Show-up;❑Stand-by time;❑Job Cancelled;❑Job,Delayed;❑Re-inspection; Time:
ProjedRegulatoryAgency:❑DSA ❑OSHPD Q✓ Other: Clty of Cup2rtin0
The work ❑✓ was Q was not inspeded in accordance with the regulatory agency approved documents.
The work inspected❑✓ met Q did not meet the requirements of the regulatory agency approved documents,❑except as noted.
Material sampling Q was❑was not Q✓ N/A performed in occoidance with the regulatory agency approved documents.
Inspector: Ken Olsten Date: 01/15/2013
Received by: Date: