05100223CITY QF_CUPERTINO i
s"'en>m ,. �' -^'� '� (� 7'','A -'�T 'o
yip
RC()i\`-rRAQT NFOR
"
.. BUILDING DIVISION PERMIT
-A'TTOi�
BURDINO ADDRESS:
D.C. TAYLOR COMPANY
PERMrrno.05100223
R'S NAME:PFRNOT
ISSUE DATE
PACIFIC GAS AND ELECTRIC Q)
340 MASON
PHONE
SANITARY N0. CONTROL NO.
925)603-1100
ARCNITECT/ENCINEER:
BUIIDINO PERMIT INFO
BLDG ELE= PLUMB NECH
0 0
LICENSED CONTRACTORS DECLARATION
Job Description
P
1 beR.frim that .fthat 1 fm Ranted undo povivmu of Chpv 9 (wmmeMng
with Sxtmn 7000) W Di ..3 of Or Budncu W ProfeaMvo Codc, aad my Bcewrm
� pin"_39 4f51 65 4
T/O BUR W/CAP SHEET.ADD SARNAFIL SINGLE
m ��
D,r %
PLY MEMBRANE MECHANICALLY FASTENED
ON
Iu.icra my phna alWl _
.
Llcmued PmfnaiwW
OWNER-BUILDER DECLARATION
1 M.by afrm that 1 .m eavnpt I. the Contractor, Ucmr Law for thc
following Rion. (Sccdw 701.5. 8 si—,s am PaWevvw. C. Any cny or county
which rtaubn . Icrmlt to cvwtrt abu, mn . drmalhh, m OOPW my funnuR
prmrmiaiaw�..me trytMnh Wldit.ni for aunt pmnitm filcadgneJ atuevrut
W cww.cmrt lune Law (Chpmr 9
Sq. Ft. Floor Area
Val�yi
ff 4 8 0
that be u Baoscd pmw.nt to h pm.nbo. h
(rnommcng with S iw 7000) W Divuim 1 of h 9mmea W Profeaion code) a
that a % emmpt tbnefrom W h bad. for h a0eiea nalaplav AMY NNaIIOn Of
APN Number
Occupancy Type
smaho 7ml3 by myapplicant ror a Voda abfeca de.ppEant lo. CMI mralty of
wtmaR tha nK tmdRd hua. (ssm).
'31603045.00
❑ t u owar W h pmpaty, ar my erepb)eea rRb w.gn u dent oak mmOpeoadm,
Required Inspections
ti Pe
worm h .m.maK m�amnn maed aRo urea «.e s� a,.e d�
and PrWeadon Cade The Cuacmf. T i— law don a t. Iy m m oweu W
paopmtywbo WildaorlmpaRadarwn. wbo— work
orfiredth sa ff.
O ataetedrdopicoad fms.le. B,
owm mopbyc., W.Atlol Imp. hot 1.
W.1aate
bv.ever, the btwing m hopo yew of cont the
and wrid
Me nm
roar
NR baK tk buNen W Vowing that K rid not m(d or Impure (or pwpola W
ba not
ale).
).
71 1, o ower W Re p t. 704.B eulodvdy ft(cscd.i with ) Tho d otwcwa b
cansoua h proka ]tlaa, No(ntiw Coda) Tho Cammm�t.
))
/
d
<uue law don ort gryly n m owac a(prnprnY'wbo builds at n.ac W
IY �au Of Ort
Q�
ono w thO COOL
wt cmaaca for.ud pokes wuhameuaw(s)Ideated pm.uammthe Conucmta
Jane law.
❑Iw camp vodm Sac .B•Pefor lhia was
Date-
WORKERS COMPENSAT'KXf DECLARATION
1 hereby.ffum wdcr patty W pOJury me of the fmbwhii ixl.rWonc
Ilan W wladfor aiv.CeNOam of Coaeub
for Wd..
Cod,% ft of the
wbn, for by Salon 7T00 W the VIYi Code, far h pdamtma ar the
r hick
rwtk (a width Ihu pur.lt u hsmd.
ft1 haw W will mdaum wor . Campmvdav I., a rtgnvrd by Seam.
.
'1(10 W the Labor Cock. for the p.famtma of h wort far rb" thi. pump %ialyd
My wor scont buxrma nrticr W Polity nunoc.R:
`^-
carter. 5- Pol:n' No.:43`1-04-J09-7
CERTIFICATE OF E%FMFfION FROM WORKERS' "
COMPENSATION INSURANCE
(This aumof orsd wtbe complecd ifthe mhot m for ow buntrrddWWa MOM
orIna)
I cofy that m h put.. W h wort fm whit Ni. pmmh if Isuad, I .hall wt
employ arty pumn in my mammon as b bccmne abklt m h WmYaY Canpuaadm
laws of C.tlfomh Dam
Appilat,
NOTICE TO APPLICANT: If, alta m Wag Nb Cm(iae of E.empian, you wad
boom mbJm b h WateY. ewprnauae povhlwo W the labor Code, Y. tam
.
forthwith comply wdb each povitlma or this mrrna mall be loured motad.
CONSTRUCf10N I.PNOMG AOENCY
Ibor lium thatthen h. Wtmnv30nt perfarW
l7.Cm.te^c/Ihmrwe
' IM rah far which this lxmdt b ilaueE (Sx 1(191, Civ. C)
IandaYf Name
� Leudet. Addw
) I amfy Nat 11aK Rad W f apgliaiw and a.v thu h WOK mformfdm u
^ condi lag m wroply with all city avd cmmry odww.nd oar Lan rtwleg a
building canarnccion,myherbyaothodRrtosta. of this city murge uponh
%r
aboK namumrd ffvpcny for m.pccdw o
l kt
(Wc) ag— b aK, iodunwfy W hap h.nNm h City of C'mieo.gdnt
h
.
roj mbdnma)uEpvcw.cawa.d caprara whim may In my way ante namt laid City
P %carmyuutaar the grfndni W rises prmit.
^ APPLICANT UND STANDS AND W COMPLY WITH ALL NON-POINT
Issued by: Date ).A--I OS
S W RCE REGULPONS.
a
J'/
'09tlas
Re-roofs aJ .,u
Type of Roof
Slgtmae of {anYCwtmar Due
HAZARDOUS MATERIALS DISCLOSURE
MU Wc.pplicaot or future Wit mg owu rmt ante or b.ndle hardo ra =WrW
a @(lard by h Copmiw Monbi* Code. Chaptu 9.12. W h Tkdth W Sddy
tyre, s ,tan u532(0]
All roofs shall be inspected prior to any roofing material being installed.
C3 �. rl Na
If a roof is installed without first obtaining an inspection, I agree to remove
Wtu the.pplkmt w funR hilwni aavpavt um cgwpmcm or ticv which
emit laradoua air conumimna a dobwd by h Bay Arta Air Q"hy Maagacm
all new materials for inspection.
Diauict7
6fai
(��/J7 u� .•ui
I ham ¢.dhhvaArustr uOuJcrChaxcro r.
5aWeuhpuCLLa
ew�3 �i��7/yygi7fcii.'r7
niaFNINkSa.S;25 13arx] 1MmbwMNhng
olff
don Ec mfy t6ic.9
tom°❑Yn
aeA,roaJ or>�wm'
Signature of Applicant Dale
�
All roof coverings to be Class "B" or better
owauRmthan n oom
Item 2 of 2
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp': Rng: Sub: Elk: Lot:
APN ........: 31603045.00
DATE ISSUED.......: 10/27/2005
RECEIPT #..........: 31768
REFERENCE ID # ...: 05100223
SITE ADDRESS .....: 10900 N BLANEY AVE
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: suem
COPY # : 3
OWNER ............: PACIFIC GAS AND ELECTRIC CO
ADDRESS ..........:
CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014
METHOD OF PAYMENT AMOUNT
----------------- ------------
OTHER 2212.33
------------
TOTAL RECEIPT 2212.33
VOICE ID DESCRIPTION
________________________________
305 FRAME
601 ROOF TEAR OFF
603 ROOF BATTENS
NUMBER
------------------
VISA
VOICE ID DESCRIPTION
307 INSULATION
602 ROOF PLYWOOD NAIL
604 ROOF IN -PROGRESS
RECEIVED FROM ....:
BONITA JENKINS
CONTRACTOR .......:
BILL TAYOR LIC # 23898
COMPANY ..........:
D.C. TAYLOR COMPANY
ADDRESS ..........:
140 MASON CIRCLE STE D
CITY/STATE/ZIP ...:
CONCORD, CA 94520
•
TELEPHONE ........:
(925)603-1100
FEE ID
UNIT QUANTITY
AMOUNT PD -TO -DT
THIS REC
NEW BAL
BPERMFEE
VALUATION 351,000.00
' 1935.36 0.00
1935.36
0.00
BSEISMICOM
VALUATION 351,000.00
73.71 0.00
73.71
0.00
TOTAL PERMIT
2009.07 0.00
2009.07
0.00
METHOD OF PAYMENT AMOUNT
----------------- ------------
OTHER 2212.33
------------
TOTAL RECEIPT 2212.33
VOICE ID DESCRIPTION
________________________________
305 FRAME
601 ROOF TEAR OFF
603 ROOF BATTENS
NUMBER
------------------
VISA
VOICE ID DESCRIPTION
307 INSULATION
602 ROOF PLYWOOD NAIL
604 ROOF IN -PROGRESS
CITY OF
'OUPEkTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS:
PERMIT #
OWNER'S NAME:
PHONE # 6
GENERAL CONTRACTO : Lam, Co
FAX #
%0 I am not using any subcontractors:I—
-7 aS
Signature Date
Please check applicable subcontractors and complete the following information
er/Contractor Signature
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring. Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile.
er/Contractor Signature
Date
SCITY of
CUPEkTINO
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION FORM
0 S/U0aa3
APN # 316
/ O
�0 6 3 SGS-'
Date: / /
`i/( �� l Qs
Building Address: /O 4.00
-)1
Owner's Name: F
BUILDING
Phone #:
S Z_ B
Contractor:
Phone #:
92s X03 —// 6 U
License #:
4-S G s 6
Contact:
Phone #:
Cupertino Business License #:
Plan Check Fee
BUILDING
2.3 89 V
Business License
Type of Roof Covering:
Existing:
Proposed:
Built -Up Roof
❑ Built -Up roof
❑ Asphalt Shingles
❑ Asphalt Shingles
❑ Wood Shakes
❑ Wood Shakes
O Wood Shingles
❑ Other (Specify)
❑ Wood Shingles
'�( Other (Specify).1-76
Number of existing coverings
❑ Provide I.C.B.O. Report # -f % 2
❑ To be Removed
❑ Provide Mfgr. Installation Specs.
Have Read, Understand and Will Cpmply With Cu ertino's Tear Off Polic :
Job Description: -//-a w C`P ' 4,,4
-->�
- Ld -
Residential ❑
CommercialE-
Fire Zone: Yes ❑ No &
Confirmed with Planning De t. if
there are any restrictions: LJ
Cost of Project: oo
Type of Construction: Occupancy group:
3So V &)
Qty. if
Applicable
Fee ID
Fee Description
Fee Group
BPERMFEE
Bldg Permit Fees
BUILDING
BENERGY
Energy
BUILDING
BSEISMICRE'
Seismic Fee Res
BUILDING
BSEISMICOM
Seismic Commercial
BUILDING
BPLANCHK
Plan Check Fee
BUILDING
BUSLIC
Business License
BUILDING
CITY OF
CUPEkTINO
Community Development Department
Building Division
City of Cupertino
10300 Torre Avenue
Telephone: (408) 777-3228
Fax: (408) 777-3333
Building Department
Subject- Re -roofing policy for the City of Cupertino
1. Prior to permit issuance, you must agree to comply with 1997 UBC Standards
and manufacturers specifications on re -roofing.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re -roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre -inspection and/or tear off approval.
2) In -progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
. 5. If plywood is installed, a plywood nail inspection is required.
6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re -inspection fee of $176.18. The re -inspection fee must
be paid before another inspection can be scheduled.
IMPORTANT:
1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re -roofing.
Homeowner's Name: �"` ` R CLI
Job Site Address:
Roofing Company Name: - e
Applicant's Signature: /2 Date: f pS
• Greg Casteel
Building Official
Revised 11/2/04
Printed on Recycled Paper
0
12/12/2005 MON 9:32 FAX
®002/002
Trident Environmental Arra Engineering, Inc.
yds' 110 L Street, Suite 11, Antioch, California84509 Lia/ A•760516 Phone (0251706-6831 fax (9251778.9067
101�3/ I pu%23 I0 ti
December 12, 2005
Subject: New Roof at PG&E's Cupertino Service Center, 10900 N. Blaney Avenue.
Cupertino, California
To Whom it May Concern:
On Saturday, December 10, 2005, I inspected the installation of insulation and roof membrane at
the subject location. The insulation was secured with 6 fasteners per sheet and the membrane
with fasteners at 6" O. C. at the perimeter and 12" O. C. through the field. An area 10' x 20' (2
squares) was re -roofed.
On Sunday, December 11, 2005, I inspected the installation of insulation and roof membrane at
k the subject location. The insulation was scoured with 6 fasteners per sheet and the membrane
is
with fasteners at 6" O. C. at the perimeter and 12" O. C. through the field. Two areas were re -
roofed, an area 20' x 40' and an area 6' x 100 (total 14 squares).
Re'spQec_tfidly,
S. Garratt Sharp
Project Manager/Chemist
•
11/01/2005 10:31 9256031109
1,0/29/2005 17:03 FAX 408 777 3333
• 10/26/2806 15:59 9256031109
10/25/2005 22:45 5105383202
CUPWINO
1 6
1Q I•AII1riQt a66II,g
/4900
DC TAYLOR CO
CITY CUPERTINO
GC TAYLOR 00
LEDALITIU INK
s'�rr' Womin Q:—%s
.t •f.,•_
PAGE 02
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PAGE 01
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DMIM TICENsB #
Keller Canyon • ❑
Ox Mountain ❑ Newby Island EI, Forward
Sanitary Landfill
Sanitary Landfill
Sanitary Landfill Landfill
901 Bailey Road -
12310 San Mateo Road
1601 Dixon Landing Road 9999 S. Austin Road
Pittsburg, CA 94565
Half Moon Bay, CA 94019
Milpitas, CA 95035 Manteca, CA 95336
Phone (925) 458-9800
Phone (650) 726-1819
Phone (408) 945-2800 Phone (209) 982-4298
X2871
Fax (925) 458-9891
Fax (650) 726-9183
Fax (408) 2 62 Fax (209) 982-1009
-
NON -HAZARDOUS WASTE MANIFEST
R
WASTE ACCEPTANCE NO.
DRESS
G
FHONE
REQUIRED PERSONAL PROTECTIVE EQUIPMENT
E, ZIP
C'1GLOVES❑GOGGLES I]RESPIRATOR 0•HARD HAT
�'•�y-- _--5, ;�,<y
Z1TY-VEK GOTHER
CONTACT PERSON
SPECIAL HANDLING PROCEDURES:
SIGNATURE OF AUTHORIZED AGENT/TITLE DATE
GENERATOR'S CERTIFICATICN. I hereby;miry that the abo+e named material is M a lwwdoue
waste ae dented try 40 CFR Pan 261 a has = of Vw CaGlomia code d regulatloro, hes been properly
tl ribad, Geseifiad end packaged, and is h proper condltnn to harmponat',on a'cadi,g b applicade
regulahorm', ANO, If the wssts Is • b tment residua of a prsvlouey resbiets l has ue snare
subpcl b drs Land Cbposal R nddclona, I cem'y and warrent gal Vta waste has been healad in
eRIXda o whh bte squire m nhi of 40 CFR Pert 266 snd is no longer a hezaidous wash as defined by
M CFR Pan 261. _.
i
❑ DISPOSAL
O CONSTRUCTION
❑ DEBRIS
❑ SPECIAL WASTE
❑ SLUDGE
i Fw
1 _ 1'
i
FACILITY
I hereby certify that the above named material has been
accepted and to the best of my knowledge the foregoing DISPOSAL METHOD:
is true and accurate.
O SOIL
• CONSTRUCTION
DEBRIS
O NON -FRIABLE
ASBESTOS
O WOOD
❑ ASH
O SPECIAL OTHER
0
0
(TO BE COMPLETED BY LANDFILL)
DISPOSE I OTHER
SCHEDULING MUST BE MADE PRIOR TO 3:00 P.M.THE DAY PRIOR TO EXPECTED ARRIVAL -ANY UNSCHEDULED LOADS ARE SUBJECT
TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE.
GENERATOR COPY MANIFEST A 4 A 6 4 7 1
I
10/24/2005 15:22 9258383121 S GARRATT SHARP PAGE 01
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wo )V, 13L407
w
9-22-1998 S:e6AM,
FROM
•
Laboratory Test Repor
3400 Crow Canyon Road
S:m Rarnnn, CA 94583
TES 24 -Hr. Service Line: 8-251.3
1181
SUBJECT:
ASBESTOS ANALYSIS
TES LAB'FILE NO. 05C
On April 21, 2005, twenty 5
(building 6454) were taken I
samples were then submittee
(8, 11, 16, and 23) all of wh
asbestos ranged from 2% to
the chain of custody form is
The attached map shows wh(
patches containing asbestos'
the small oblong dark patch
large dark colored rectanguh
• patch as the small egg shape
923 patch as the rectangular
Pc: Ed Conner
Report #: 562.2-05.60
97 or (925) 866-3197
ROOF SAMPLES AT CUPERTINO SERVICE CENTER
it samples of the roof of the Administrative Engineering building
y certified building inspector Robert de Haas of TES. The roof
to TES for asbestos analysis. Asbestos was found is four samples
h were found in patched areas, Roof layers containing chrysotile
%. Results are compiled in the following lab test report. A copy of
e samples were taken, and the attached photos show what the
ok like. Photo 1 shows the sample 48 asbestos containing patch as
the middle foreground. Photo 2 shows the sample #1I patch as the
roof in the middle of the photo. Photo 3 shows the sample 916
patch in the middle right foreground. Photo 4 shows the sample
zterial at the base of the low wall.
Date: 5/2/05
Tested by:
p Y E. m6e�
Approved by: �rt_�
Clement 0. Da Silva
adFurs.
01.
P. 2
10/24/2005 15:22 9258383121 S GARRATT SHARP PAGE 02
9-22-1996 8:06AM FROM P.1
10 PACIFIC GAS ai
SuildingDesiggn a
TO:
NAME-
DEPT/COMPANY:
ADDRESS:
PHONEIEXT:
FAX NO.:
d ELECTRIC COMPANY
d Project Services
FAX COVER LETTER
DATE: 1 um
N OF PAGES SENT
(INCLUDING COVER PAGE): 4
FROM:
Thomas O tpng, RPA ShM CFM
. Load Project Manager
Pacific Gas and Eleet fc pony
34OU Crow Canyon Road
San Ramon; CA 94583
External; (923) 888.629
Intemel: 8-281-5298
Fax External: (925)
Internal: 8-251-5446 TPB2
Internet TPB2@PGE-COIW
COMMENTS:
Rich, At Scott's requ hero Is gof thfil
Ploacn earl m. roreuoatlnruc
0
0 90IO �l• 3��j
9-22-1998 8:0SAM FROM P.1
PACIFIC GAS ar d ELECTRIC COMPANY
Building Design aj id Project Services
'FAX COVER LETTER
DATE: 10/19/05
# OF PAGES SENT
(INCLUDING COVER PAGE): 4
TO:
NAME:
DEPT/COMPANY-
ADDRESS:
PHONE/EXT:
FAX NO.:
FROM:
Thomas Bitting, RPA, FM Ik, SMA, CFM
• Lead Project Manager
Pacific Gas and Electric Company
3400 Crow Canyon Road
San Ramon, CA 94583
0
External: (925) 866-529E
F 0 d
Internal: 8-251-5298
Fax External: (925)86
Internal: 8-251-54467
5446
LAN TPB2
Intemet TPB2@PGE.CO
COMMENTS:
Rich, At Scott's request, here is E
copy of the asbestos report for the Cupertino admin bldg.
Please call me for questions.
Thanks,
Donn A�. 13/,4
p,6''
' 11/07/2005 14:35 7074514881
• Fax Memorandum
/0?00 Al -
To: Rich Springer
From: Gary Hite
GARY HITE SARNAFIL PAGE 10
ISSA"M
olvldon
N, 6MA" P
Regarding: P G & E - Cupertino
Date: 11 /7/05
Fax Number 925 603 1109
Number of Pages: 11
L i`-' LkhC%1 iZoo"
CaLL.v�d i`X No %1 13 4vja aOaKcr
CO hZ 4 C 47r Seb is
M o e tiT 13.4-
9 -0 g
.4 -9-0g e)XS' -1oi4
• Rich, here is the letter and data sheets you asked for. On the S-327 data sheet the 2
meters is the 6 ft. sheet and the 3 meter is the 10 ft. sheet. If they question the
difference, the 6 ft sheet is special order in the white ( energy smart) color. Give me a
call if you need anything else.
Thanks, Gary
samafll - Wald Clara Rooling and WabmproOng InWnot MtPJMw-samat➢us.com
11/07/2005 14:35. 7074514881 GARY HITE SARNAFIL
Santafll Inc., (Westam Region ) 10701 Holder Strebl Cypress, Ca. 90630
phone ( 800 ) 421.1662 Fax ( 714 ) 821-9356
November 7, 2005
Rich Springer
D.C. Taylor Company- Western Office
140 Mason Circle
Concord, Ca. 94520
RE: Pacific Gas & Electric
1090 N. Blaney Ave.
Cupertino, Ca. 95014
Samaf) Project Number: 018748-1005
PAGE 09
s 1aSama
Barnsfil VIVIslon
Dear Mr. Springer,
In reference to the above mentioned project, please be advised that when installing multiple layers of insulation it is not
required of necessary to fasten the inmflation layers independently. Satnafil specifications and Industry standards regitha
the top layer be fastened in a manner to penetrate each layer installed and into the roof decking a minimum I inch. The
insulation joints shall have at least a 12 inch stagger between layers.
1 hope this letter will clarify any confusion on the matter. Thank you for contacting Sarriafil.
Regards,
Clary A. Hite
Western Area Technical Servicc Representative
CC: Darryl Terry
Tim Heaney
Job File / 018748-1005
satna/it - World claaa Roo" and WaOerprouflng Internet: httplAvww.sam3fibA.00m
11/07/2005 14:35. 7074514881 GARY HITE SARNAFIL PAGE 02
0 :i'Sarna
Berd•rllDivision
world dl... dean.• .ed *e1orpe•n.■
ACCEPTANCE OF NOTICE OF AWARD
TO: D.C. Taylor Company - Western Offi 19 -Oct -05
140 Mason Circle
Concord, CA 94520
PHONE: 925-603-1100 CONTACT: Rich Springer
On 17 -Oct -05 we received your Notice of Award for a Samafil application at:
PROJECT NAME:
LOCATION:
REGION:
BUSINESS
MEMBRANE:
SYSTEM:
COLOR:
BLDING USAGE:
Pacific Gas Br Electric
10% North Blaney Avenue
Cupertino, CA 95014
Western Region - Cypress, CA
Flat Roof PVC - 01
S327-15
Stunafast
6110 - EnergySmart
Commercial - Office
SQ.FT.: 33,400
WTY. 20 year(s)
WTY. System
WTY. FEE: $4,008.00
sonar Ind.
107p1 Holder Mad
C-spr000.CAa
Rion (a0aM71.1002
Fit (714)Ul-6350
He Ii oe
•From this date forward this Project Number is: 018748-1005
• Membrane rolls shall be stored lying down on pallets and fully protected from the weather with clean canvas tarps nim.
• Use only Saroafil approved details, submit any non-standard (not in catalog) details for technical review and acceptance
prior to installation.
• Check existing substrate. Remove any wet or damaged components and replace with new dry dues of equal performance.
Apply roofing materials over even, clean, dry substrates only.
• Conditions causing a positive pressure environment under the Sarnafil membrane must be eliminated.
• A cross section of the proposed roof system is required.
• A roof plan is required showing sheet and fastener layouts, plan dimensions and roof heights.
• We understand there are no U.L. or F.M. requirements for this projed. However, FM 1-90 criteria must be followed when
requesting a 20 year warranty
• Please note this assembly only meets the intent of a FM rating due to substrate type and or thickness
DENS DECK AND INSULATION SECUREMENT
• Fastener pull out tests MUST BE CONDUCTED. Submit results to Saroafil for acceptance.
• Stagger joints at least 12 inches between layers.
• Fasten insulation boards at a rate of I fastener and insulation plate per 5.33 square feet (6 per 4'xg' board).
• Foro perimeter and corner attachment of insulation refer to Factory Mutual Data Sheet 1-28 & 1-29. -_-- - -------------------- -_-------_- ----
MFMBRANESECUREMENT:SARNAFAST
• Use only Maxload Samafastener and Maxload Samadisc for S327 membrane attachment.
Page 1 of 2
r1
L_I
11/07/2005 .14:35 - 7074514881 GARY HITE SARNAFIL PAGE 01
0JOSarna
aarn•rl1 Division
world dl•a• Iba/bs and wuppri•flow
a.netrw.
107014 MW er.r
Cypr•r, CA a0m0
Phar(!0 AV -tam
fax(714)471-M
• For Factory Mutual 1-90 attachment of the membrane, install 2 half rolls in the perimeters and comers fastened at 6 in. on
center around the entire building perimeter and at the high side of elevation changes. Additional half rolls may be required
based on actual building dimensions.
• Insall perimeter fasteners in a Picture frame manner $o the rows of fasteners are one continuous line from one edge of the
building to the other.
• Fasten interior full sheers 12 in. on center.
SEAMS
• A minimum of two seam cuts per day is required (start up AM/start LIP PM). Mark the samples with the date and time
taken. Hold for Samfil Technical Service Rep.
• All membrane areas to be het -welded must be cleaned with Sarn soly and MEK as needed to achieve consistent and proper
welds.
• Enclosed is a sample of our 20-ycar System warranty we will provide upon successful completion and close out of this
project
• Upon completion of this project, please insure the items on the enclosed "Foreman's Compktlon Checklist" has been
completed prior to scheduling a Final Inspection or Sending is the "Request for Warranty inspection" forms to the Stunafil
Regional Technical Manager in your area.
NOTE: THIS ACCEPTANCE IS FOR THE RELEASE OF MATERIALS ONLY. DEVIATIONS FROM
THE ACCEPTED NOTICE OF AWARD PROPOSAL MAY PREVENT THE JOB FROM BEING
WARRANTED BY SARNAFIL, INC. THIS DOCUMENT CONTAINS IMPORTANT
INFORMATION. PLEASE BE SURE TO FORWARD A COPY TO YOUR PROJECT FOREMAN.
Darryl Terry
AUTFIORI7,ED SARNAFIL REPRESENTATIVE
CM
Ce: Gary Hite (Tech Rep)
Dnice Adami (Tech Rep)
eTim Heaney (Sales Rep)
Technical Department (Canton)
Hie (Cypress)
1 J
Fp-
Page 2 of 2
•
•
SARNAFAST SYSTEM
Insulation installation
1. Insulation shall be Installed according to the Insulation manufacturer's Instructions and in
accordance with contract docunwts. .
2. Insulation shall be laid on acceptable substrate or vapor/air retarder with tight joints in parallel
courses, with end joints staggered. (If more then one layer Is used, the second layer of Insu-
lation shall be laid with all joints sts9WW.)
3. Insulation shall be neatly cut to fit around penetrations and projections.
4. Insulation shall be secured to deck with accepted fasteners and plates according to the contract
documents.
5. Install tapered insulation in accordance with the insulation manufacturer's shop drawings.
6. Install tapered insulation around drains to create a drain sump.
7. Do not install more insulation board that can be covered with Samafil membrane by the and of the
day or onset of Inclement weather.
8. Use at least 2 layers of insulation when the total insulation thickness exceeds 2.5 Inches (64 mm.
Stagger joints at least 12 inches (0.3 m) between layers.
Typical fastening patterns below:
01/04
CO 39Gd
1 Emy 52 FL' (5)
1 every 4 FL' (4)
1 Eery 72 FL+(10)
1 Every 4 FL' (6)
M.
-1I3CNaVS 31IH ANV9
1 Cory 6.15 FU (6)
T886T9VLU SE:bL 5002/L0/II
11/0.7/2005 14:35 r 7074514881 GARY HITE SARNAFIL PAGE 04
kailabil'(ty: Samafastener-MAXLoad Is available dire* from Samafil Authorized Applicators when
used within a Samafil roof system. Contact your Samafil Regional office for further
information.
Warranty: As a Samafil-supplied accessory, Samafastener-MAXLoad is included in Samafil's
Standard or System Warranty to the Building Owner.
Maintenance: Samafastener-MAXLoad requires no maintenance.
Technical: Samafil provides technical support via. Corporate and Regional offices. Technical staff
Is available to advise Applicators as to the correct installation method of
Samafastener-MAXIoad.
U.S. Regional Otfloes
Length
Useable Thread Length
Packaging
Weight
2 inch (25.4 mm)
1-3/4 inch (44.5 mm)
1000/Bucket
34 Ib (15.4 kg)
3 Inch (76.2 mm)
2-3/4 inch (69.9 mm)
1000/Bucket
49.5 Ib (22.5 kg)
4 inch (101.6 mm)
3-3/4 inch (95.3 mm)
500/Bucket
33 lb (15 kg)
5 inch (127 mm)
3-3/4 inch (95.3 mm)
5001Bucket
40 Ib (18.1 kg)
6 inch (152.4 mm)
3-3/4 inch (95.3 mm)
500/Bucket
47.5 Ib (21.5 kg)
7 inch (177.8 mm)
3-3/4 inch (95.3 mm)
250/Bucket
28 Ib (12.7 kg)
• 8 inch (203.2 mm)
3-3/4 Inch (95.3 mm)
250/Bucket
31.6 th (14.3 kg)
Mg0L,M
FOR MORE WORS"T10N COMACT
Corporate Oflioe
U.S. Regional Otfloes
Canada Office
SemefY, Inc.
New England
Tel:
(781)821.0885
Fax (781)821-9205
Same" L10.
Roofing and wetaiproo" SyaMnrs
Ramsey, NJ
Tel.:
(201)3270479
Fax: (201).327-4089
1260 Lakeshore Road East
100 Den Road
Lemont. tL
Tel.:
(630)739-9740
Fax: (630)739.9741
Mississauga. Ontario
Carton, MA 02021
Norcross, GA
Tel.:
(770)141 -MSS
For (770)441-1681
LSE 399 C11114KIa
Tal.: (781)828-5400
Downey. CA
Tel,:
(502)4014151
Fax. (562)401-4160
Tel.: (906)271-7009
14800-451-2504
Tacoma, WA
Tel.:
(253)274.1500
Fax: (253)2741501
141MM-0/79
Fax: (761)828 -SM
Hotaton, TX
Tel.:
(713)9544864
Fax (713)780.8294
Fax: (905)271-6808
Frtak
Sale Lake City, UT
Tel.:
(801)575-8848
Fax: (801)358-4407
DISCLAIMER
•Ali statements herein are expressions of opinion, which by performance and testing are believed to
be accurate and reliable and are presented without any knowledge that such recommended uses may
infringe any patent. No implied warranty of any kind whatsoever is made or intended.
._._ _.
Wald Gass Roofing Q WeterpruaAnp 7702
11/07/2005 14:35. 7074514881
Sarna
Samafll Division
GARY HITE SARNAFIL PAGE 05
PRODUCT DATA SHEET
Samadisc MAXLoad
Overview: The Samadisc MAXLoad is a large diameter high strength plate used with the
Samafastener MAXLoad to attach the 120 Inches (3 meters) wide Samafil 5327 roof
membrane to the roof deck within the Samafast (seam attached) system.
Composition: The Samadisc MAXLoad is a 3.5 inch (88 mm) round steel plate made from 20 gauge
(0.9 mm) minimum AZ -50 Galvalume coated steel that meets the Factory Mutual 4470
criteria foroorrosion resistance.
Features: The Samadisc MAXLoad has three concentric rings of 6 patent pending Eyehooks.
The 18 Eyehooks grip the membrane without initiating tears, and are easier to handle
than barbs. High ribs and an extruded center hole provide increased strength,
Packaging: The Samadisc MAXI-oad is packaged in 6 gallon (22.7 liter) buckets of 500 pieces
each. Each bucket weighs approximately 52 lbs (23.5 kg).
Installation: The Samadisc MAXLoad is positioned on the surface of the 5327 membrane and a
Samafastener MAXLnad is placed through the center of it. The Samafastener MAXLoad
is then set into the roof deck, clamping the S327 membrane in place.
Wald Claw Roofing 6 Waterproofing 2103
TI/P7/2005 .14:35 • 7074514881
, t
miff Sarna
asmafll Dlvlalon
Com/
GARY HITE SARNAFIL
PAGE 06
PRODUCT DATA SHEET
Sarnafastener = MAXLoad
M % "6,- FAS iT,
• overview: Samatastener-MAXLoad is a specialty designed threaded fastener used wlthin the
Samafil Express double-weldsystem to secure Samarail and Samafil 5327 roof mem-
brane to (22-24 gauge) steel roof decks.
Composition: Samafastener-MAXLoad is made from carbon steel, treated with a blue colored
Climaseal coating to meet the Factory Mutual 4470 criteria for corrosion resistance.
Features: Samafastener-MAXIoad is an oversized roofing fastener with a pronounced buttress
thread and a mini -drill point which increase both surface area and fiction against the
steel deck for excellent backout and pull out resistance. The shank diameter is approxi -
matey 0.26 inch (6.6 mm) and the thread diameter is approximately 0.33 inch (8.4
mm). The driving head has a diameter of approximately 0.66 inch (16.8 mm) with a #3
Phillips recess for positive engagement and simplicity of application. The thread den-
sity is 13 turns/inch (approximately 5 tumsJcm).
Packaging: Sarnafastener-MAXLoad is packaged in buckets of 1000, 500, or 250. See Technical
Data section for lengths and weights.
Installation_ For S327 roof membrane attachment, the Samafastener-MAXLoad is placed through
Samarail, membrane, insulation, and set into steel roof decks with an extra heavy duty
(min. 6.0 amps) variable speed (max. 2000 rpm), reversible screwgun with dutch re-
lease and a #3 phillips bit. Sarnafastener-MAXLoad must penetrate the steel deck a
minimum of 1". Care must be taken to not damage the roof deck. Choose the correct
• fastener length and do not overdrive or underdrive the Samefastener-MMI-oad. Pulk
out tests may be required prior to job start for Technical evaluation.
wodd Oaw Roofing a were�ng 7/02
11/07/2005 14:?4 7074514881 GARY HITE SARNAFIL PAGE 02
:W Sarna
• Samafll Division
•
•
PRODUCT DATA SHEET
Samaplate
Overview: Samaplate is a specially -designed stress plate used with Samafasteners to attach an
insulation board directly to steel roof decks prior to the installation of the Samefil me-
chanically -attached or adhered roof membrane.
Composition: Samaplate is a 3 inch (75 mm) square, 26 gauge stamping of SAE 1010 steel with an
AZ 55 Galvalume coating to meet Factory Mutual 4470 criteria for corrosion resistance.
Samaplate has a high -rib design to increase strength and to provide protection to the
Features: membrane underside from abrasion by the fastener head. Samaplate (notched ver-
sion) can be installed with theAcartrac II fastening tool for improved productivity and for
consistency of application (contact Sarnafil forAccutrac II availability).
Samaplate is packaged in boxes of 1000. Each box weighs approximately 54 lbs (24
Packaging: kg).
Samaplate is positioned on the surface of the Insulation board. A Samafastener is set
Installation: through the center of it and drilled Into the roof deck. The Samaplate damps the insula-
tion board in place. Alternatively, theAccutrac It fastening tool positions the Samafastener
through the Samaptate automatically and sets both in place through the Insulation and
into the roof deck.
Wald Gass Roo&V d Waterproofing
Mrld pass RooMlp a Wareproonng
r�
II/Q7/2005 .14:35- 7074514881 GARY HITE SARNAFIL PAGE 07
Maintenance:
Technical:
Technical Data
(as manufactured):
r 1
Upon suasssful completion of the installed roof by the Samafll AuthorizedAPPlicator, Samefll
can provide a Warranty to the Building Owner via the Authorized Applicator.
EnergySmart S327 membrane requires no maintenance. As a prudent preventative plea-
sure, Samafll recommends that the Owner or that the
indesignated
represent
ive
inspect the installed roof system for damage, plugged drains,
least twice a year and after each storm.
Samafil Provides technical support via Corporate and Regional olflces. Technical staff Is
available to advise Applicators as to the correct installation methods of EnergySmart S327.
The typical initial reflectivity, emissivity and solar reflective Index figures for Samafll
EnergySmart 5327 membrane were measured by Lawrence Berkley National Laboratory.
t�
ASTM
ASM D-4434 Spec. Typical Physical
,a — Test
Parameters Method Requirement Properties
PolyesterReinforcing Matt"
overall Thickness, min., Inches m)' /O 17751 0.045 (1.14) 0.060 (1.5)
Breaking Strength, min., Ibfrin. (KNlrtl) 0751 200 (35.0) 230 (40.0)
20%
Elongation at Break min.
D751
15%
75
85
Seam Strength, min., (% of breaking strength)
D751
(201)32747179
Fax: (201)327-4059
Ralenbon of Properties After Heat Aging
D3045
—
95
Tansile Strength, min.. (% of original)
0751
90
90
Elongation, min., (% of original)
0751
D1004
45.0 ( (200)
50 (220.0)
Tearing Strength, min., Ibf (N)
'F 'C)
D2136
Pass
Pass
Low 7empsralure Bend, -40 (40
Accelerated Weathering Test (Xenon ATC)
G63-96
5,000 Hours
10,000 Hours
Cracking (7x magnMcetion)
—
—
None
Negligible
None
Negligible
Dlscdoratlon (by observadw)
DISCLAIMER
None
None
Crazing (7x magnOcabon)
Linear Dimensional Change
--
D1204
0.5% max.
0.1%
Weight Change A1ber Immersion in Water
0570
s 3.D% max.
2.5%
Static Puncaue Resistance. 33 Ibf (15 kg)
D5602
Pass
Pass
Dynamic Punctlee Resistance, 14.7 tFlbf (20 J)
D5636
Paas
Passo
Initial Solar Reflectance
E903
—
8.3
0.92
Emisslvity
E408, C1371, other
—
Solar Reflective Index (SRI)
E1980
—
>104
Failure occurs through membrane rupture not seam failure. An an ENERGY STARa partner, Sarnaf8 Inc.
has determined that this product meals the ENERGY STAR` guidelines for energy affidency.
FOR MORE INFORMATION CONTACT.
cwporeta Ouse
Barham,Im.
Rooikp and Waterproofkhg 6ysrams
100 Dan Road
cordon. MA 02021
Tal.: (781)828-5400
1-000451-2504
Fax: (781)428-5385
Fmolw webmast"oemsfllus.corn
U.S. Regk wW 01110 9
New England
Tel-:
(781)821-0885
Fax: (781)821.9205
Ramsey. W
Tal.:
(201)32747179
Fax: (201)327-4059
Lemont, IL
Tel.:
(610)730-9740
Fax: (630)739.9741
Norcross, GA
Tal.:
(770)441.5555
Fax: (770)441-1851
Downey, CA
Tel.:
(502)401.4151
Fax: (562)401-4160
Tow ma. WA
Tel.:
(253)274-1500
Fax: (263)274-1501
I-Immton, TX
Tel.:
(713)9544884
Fax (713)780.8294
Sax Lake City UT
Tel.:
(801)575-0646
Fax: (501}355 407
DISCLAIMER
somas Ltd.
1260 Lakeshore Rood East
Mississauga, Ontario
L5E 3B8 Croda
Tel.: (905)271-7009
14WO-268-0479
Fax (WS)271.8808
eAll statements herein are expressions of opinion, which by performance and testing are believed to
be accurate and reliable and are presented without any knowledge that such recommended uses may
infringe any patent. No implied warranty, of any kind whatsoever is made orintended.
Wald Gess Roofing & Waterproofing 410
11/07/2005 ,14:35. 7074514881 GARY HITE SARh1AFIL PAGE 08
PRODUCT DATA SHEET
SairriSfil osarna
EnergySmart� S327 Roof Membrane
60 mil (1,5 mm)
LEl
(� 1/0<
Overview:
The EnergySmart 5327 roof membrane by Samafil is the first and only commercial single
ply membrane to be labeled under the Environmental Protection Agency's ENFRGY STA)e
program that can demonstrate more than 34 years of formulation consistency end history.
EnergySmart S327 is a heat -weldable roof membrane formulated for direct exposure to the
•
weather and is produced with an integral polyester scrim reinforcement for high strength.
EnergySmart S327 is the Samsfil roof membrane used within the Samafil Express, SarltafaW
and Engineered mechanically -attached Systems. EnergySmart S327 roof Membrane is
produced in two standard widths of 78-1% inches (2 meters) and 120 inches (3 meters).
Composition:
EnergySmart 5327 is a high-quality product containing ultraviolet light stabilizers, flame re-
EnergySmart S327 has a unique lacquer coating applied
tardant, biocide and reinforcement.
to the top of the membrane to resist staining from airborne dirt and pollutants. The color of
the weathering surface of EnergySmart S327 is bright white and the underside color is dark
grey.
Features:
The manufacturing process causes EnergySmart S327 to have no buik-in stress at time of
production and to have a fully -encapsulated reinforcement with no risk of delamination or
water -wicking. EnergySmart S327 is thicker than many competitive products which can
improve weldability and service life. EnergySmart $327 has a unique configuration of the
scrim reinforcement for high tearing strength, especially important for the Samafast seem -
attached system.
Packaging:
EnergySmart S327 rolls are wrapped in a protective film and strapped to a wood pallet.
Installation:
EnergySmart S327 is installed by a Samafil Authorized Applicator. EnergySmart 5327 is
rolled out onto the insulation board or acceptable substrate, fastened to the roof deck with
Samafasteners and Samarail, Samadiscs or Samabar and heat -welded together by trained
operators using Samafll's hot-air welding equipment.
. Availability:
EnergySmart S327 is available directly from Samafil Authorized Applicators. Contact your
Samaftl Regional Office for further intortneden.
Wald pass Roofing Q Wstwproofin9 4103
Trident Environmental AND Engineering, Inc.
. 110 L Street, Suite k1, Antioch, california 94509 Lick A 7 60 516 Phone (925) 7066931 FaM 1925) 7769067
qo �. Bw�y xv�
November 16, 2005
Subject: New�Roofat-PG&E's•Cupertino:Service Center, 10900 N: Blaney-Avenue.-
Cupertino, California
9ETo Whom it May Concern: S1149--or
On Friday, November 11, 2005, (Veteran's Day) I inspected the installation of insulation and
roof membrane at the subject location. The insulation was secured with six (6) fasteners per sheet
and the membrane with fasteners at six (6) inch O. C. at the perimeter and 12 -inch O. C. through
the field. A small area of dry rotted plywood was removed and replaced with new. The new area
is approximately 4 -feet x 4 -feet. New pressure treated 2 x 4 edge framing was added for edge
support. An existing joist with superficial dry rot on its upper surface was treated with a copper
biased wood preservative.
• Mr. Michael Perry of Skyline Engineering, Inc, also inspected this work. Skyline is providing
design and inspection services for this project.
On Saturday, November 12, 2005 no additional tear -off was performed and no new roofing was
installed. The day was spent detailing the areas of previously installed new roof.
Respectfully,
S. Garratt Sharp
Project Manager/Chemist
n
U
,12/05/2005 NON 10253 PAX 2002/002
/D oo Alf P6 �)6,
Eronmental AND Engineering, Inc.
•
A_Irident
nvi
110 L Street, suite 01, Antioch, cellfornie 84608 Lic / A•700518 Phene (82617088831 Fex (82517788087
:December•.'5;2005
Subject: New Roof at PG&E's Cupertino Service Center, 10900 N. Blaney Avenue.
Cupertino, California
To Whom it May Concern:
On Saturday, December 3, 2005, I inspected the installation of insulation and roof membrane at
the subject location. The insulation was secured with 6 fasteners per sheet and the membrane
with fasteners at 6" O. C. at the perimeter and 12" O. C. through the field. An area 20' x 100' (20
squares) was re -roofed.
On Sunday, December 4, 2005, I inspected the installation of insulation and roof membrane at
the subject location. The insulation was secured with 6 fasteners per sheet and the membrane
• with fasteners at 6" O. C. at the perimeter and 12" O. C. through the field. An area 37' x 45'
(-17 squares) was re -roofed.
Resl lyj
a
S. Garratt Sharp
Project Manager/Chemist �..
is
L]
•
•
/0900 N, 1314-,7�"J Aw , R6; �_; - Q
Trident Environmental AND Engineering, Inc.
1101 Struet, Suite N1, Antioch, Californh 94509
December 1, 2005
lie.M AJ60516 Phone 192517066931 Fax 1925) 778.9067
0
Subject: New Roof at PG&E's Cupertino Service Center, 10900 N. Blaney Avenue.
Cupertino, California
To Whom it May Concern:
On Friday, November 25, 2005, (the day after Thanksgiving) rain prevented any roofing activity
On Saturday, November 26, 2005,1 inspected the installation of insulation and roof membrane at
the subject location. The insulation was secured with six (6) fasteners per sheet and the
membrane with fasteners at six-inch O.C. at the perimeter and twelve -inch O.C. through the
field.
Respectfuny,
S. Garratt Sharp
Project Manager/Chemist
00 2101AV1 0a
601TE09SZ6 0E:60 S00Z/Z0/ZT
/ J6nuary 9, 2006
•
0,
Mr Rich Springer
D.C. Taylor Company
140 Mason Circle
Concord, CA. 94520
Re: Pacific Gas dt Electric
SwwAl Project Number: 018748-1005
This letter is to certify that the Sarnafil roofing system at the above named project
was instalW according to SSaznafiPs specifications, and is accepted for the issuance
of the specified warranty.
If you have any questions or need further info madon, please don't hesitate to call. (925) 864-1492
Bruce Adami
Western Region Technical Service Representative
bruce.ademi@smnsfilus.com p a l
A'�`
F C F �
JAN 1 E 2006
Fax Memorandum
iaCSarl�a
Swn0vn
x
®Sarna
Semsfll Divlsioh
INSPECTION FOR WARRANTY
CONTRACTOR
Tle. P14E (An
ADDRESS . 416 In IAS11 e4 t` , Rr iF
CONTACT
TEL. NO.
PROJECT
ADDRESS
SARNAFIL IA.7E <FRJ/- !S%WIGJ
OFFICE %CJ 'l0 I
,A,1L�RfS_S 'eA 90l,3n
DATE �� a
JOB I. D. O ik7 y9'- '00,5 -
INSPECTION TYPE AND DATE: (NOTE DATES OF PRIOR INSPECTIONS, CIRCLE TYPE OF INSPECTION)
'ORIGINAL JAVG'6 'SUBSEQUENT ��_ _l_J— —l—J—// TWO YEAR _J_I_ FIVE YEAR —1___/_
SARNAFIL SPECIFICATION SF)R, IiASf 5' 32'7 _62, 1il 116 afJ✓RS SyS/EA-)
PUNCHLIST ITEMS:
OBSERVATION OF WORKMANSHIP. 4 B 8 10
CONTRACTOR'S REPRESENTATIVE:
PRINT NAME ,- SIGNATURE
SARNAFIL INC. REPRESENTATIVE: �IZ I.IG F. IY.i Rr+r
PRINT NAME SIGNATURE
ACCEPTED FOR ISSUANCE OF WARRANTY.. YES _IJO
LETTER REQUIRED FROM CONTRACTOR
#ONFIRMING PUNCHLIST COMPLETE: _YES NO
RE -INSPECTION REQUIRED: _YES V NO
SHOULD CONTRACTOR BE INVOICED /
FOR VISIT: YES (INCLUDE EXPENSES) V NA
'A PER DIEM CHARGE PLUS EXPENSES MAY BE CHARGED WHENEVER INSPECTIONS SUBSEQUENT TO THE ORIGINAL
ONE ARE REQUIRED.
'WHEN ALL PUNCHLIST ITEMS ARE COMPLETE, PLEASE NOTIFY SARNAFIL INC. IN WRITING.