HomeMy WebLinkAbout1046 CORONADO DR - Building Permits61
NCITY OF COSTA MESA
BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • wwm; ci.00sta-mesa.ca.us
PERMIT TYPE: B COMBO
Sub Type: SFD—NEW
FOR INSPECTIONS CALL: (714) 754-5626
JOB ADDRESS: 1046 CORONADO DR CM
APN: TPNO08045 Zoning:
Vicinity:
Const Type: V -B
SQ. FT: 2644
PERMIT NUMBER: BC08-00553
STATUS: ISSUED
DATE ISSUED: 10/12/2009
ISSUED BY: RMD
Suite/Unit:
Primary Occ: R -3U1
Valuation: $218,821.48
SCOPE OF WORK: PLAN 1 (1 BR)
CONSTRUCTION OF A NEW 2,165 SF 2 -STORY SFD WITH A 54 SF PORCH AND A 425 SF ATTACHED GARAGE WITH 1 FAU <
100 K BTU, 1 REFRIG SYS < 100 K BTU WITH NEW DUCTING, 1 HOOD W/MECH EXHAUST, 1 FACTORY FIRE PLACE, 3 VENT
FANS, NEW ELECTRICAL FOR A 2,165 SF SFD, ELECTRICAL FOR A/C PKG, 2 LIGHT FIXTS, 4 OUTLETS
AND 1 SWITCH FOR GARAGE, 2 BATH TUBS, 1 DISHWASHER, GAS OUTLETS (1-4), 1 GAS SERVICE, 1 LANDSCAPE
IRRIGATION, 1 LAUNDTRY(fUB WASHER, 1 SHOWER, 1 KITCHEN SINK, 5 WASH BASINS, 3 WATER CLOSETS, 1 WATER
HEATER, 1 WATER SERVICE. FIRST FLOOR - 958 SF SECOND FLOOR - 1,207 SF
REF: PA -05-29, T61917 3 BEDROOM, 1 BONUS ROOM, 2 1/2 BATHROOM SFD.
OWNER:
OXBOW 101 LLC
Phone:
949-719-4975
APPLICANT:
EMERSHAW, KIRSTIN
Phone:
949-274-2015
CONTRACTOR: T R CO
Phone:
949-719-4975
Cell:
ARCHITECT:
ENGINEER: HUAN NGUYEN
COMBINATION PERMIT FEE SUMMARY
Address: 160 NEWPORT CENTER DR
City/State/Zip: NEWPORT BEACH, CA
Address:
City/State/zZip:
License No. 832198
Address: 160 NEWPORT CENTER DRIVEUnit:
City/State: NEWPORT BEACH, CA
License No.
License No.C64238
Building Plan Check:
$269.77
Building Fees:
$1,660.15
Electrical Fees:
$215.60
Mechanical Fees:
$23.50
Plumbing Fees:
$23.50
SMIP Residential:
$21.88
SMIP Commercial:
$0.00
Bldg Std Admin Fund
??
TOTAL FEES:
$2,223.40
"Refer to fee receipts for all fees paid for project
Unit: SUITE 240
Unit:
STE 240
ZipCode 92660
PHONE:
PHONE:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE DATE INTMALS CODED INSPECTION TYPEGATE INTmAI
1616 Fixed System Final Fire Prevention 206 Final Mechanical U
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical
201
Final Block/Retaining Wall
212
Final Fire Prevention
202
Final Factory Fire Place
220
Final Planning Approval
203
Final Sign
222
Final Site
204
Final Demolition
250
Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy
number are:
c .;:> S %a� e C o».rae.�sc�loh ��Y•d
(Thissepgn neeenotthhle tnmP'etedff thepermRrsaluedat one hundred dolfars(SIX) wlass)
Polis 1 b o
tuber: 1 Z �, — C) 1
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the L bor Code, I shall forth "th comply with these provisions.
tot1Y1o°l,
Awkinantr5draure cgn>
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
15 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect. (�
L'ic.Jl�" O 2- 1 r—Class # C6
10 0
GontracleA`Signature Dates
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued. (Sec. 3097, Civil Code),
Lender's Name:
Lender's Address:
Dale
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).):
❑ I, as owner of the property. or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner -builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Low does not apply to an owner of
property who builds or improves thereon, and who contracts for such project with
a contractors) license pursuant to the Contractors License Laws.).
❑ lam exempt under sec.
Business and Professions Code for this reason:
Signature Date
005716(am7)
Owner ID verified by driver s I . ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorized
by this permit, and that no building structure, scaffolding, falsework, a demolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp
2, Ari 2, Sec. 341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above. unless
such person has a permit to do such work from the division.
Applir2nt'S Signature
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this application a permit for such construction
or modification from the South Coast Air Quality Management District or from
any other air pollution control district or agency? ❑ Yes ❑ No
(Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If yes". attach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Si nature of Legal Owner 1�y
ArNla'Aut Ap ican�
D to
1 Ooa�e� O
BN ROBIN B. HAMERS & ASSOC., INC.
RCIVIL ENGINEERS' PLANNERS' SURVEYORS
... since 1981
September 22, 2009
City of Costa Mesa
Building Dept.
77 Fair Drive
Costa Mesa, CA 92626
Attention: Grading Inspector
Subject: Civil Engineer's Rough Grading Certification
234 E. 17TH ST., SUITE 205
COSTA MESA, CA 92627
Phone 949/548-1192
Fax 949/548-6516
Reference Project Address: 1046 Coronado Drive. BC08-00553,
Lot 18, Amended Tract No. 16917
I hereby approve the rough grading for the referenced project in accordance with my
responsibilities under the Orange County Grading and Excavation Code. Rough grading
of the building pad has been completed substantially in conformance with the approved
Grading Plan as determined on September 22, 2009.
Sincerely,
Ro in B. Harriers
Registered Civil Engineer
RCE 31720
RCE31720
l EXP 12/31/2010
( I ,,. ous /nspeciian a Pofnterin 2s Testing
I _ _ _ _
SOUTHWEST ®®vrw
1I15 pCCliUu & ICSLRi g, Inc. 441 Commercial Way, La Habra, CA 90631-6168
(562)941-2990 -(714)526-8441
FAX (562)946-0026
FIELD DATA ON TEST SPECIMENS
- - - ASTM C31, C138, C143, C172, C173, C231, C1064 ---
CONCRETE:
--
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 1046 CORONADO DR. COSTA MESA JOB #: 90116 ,f33 W-OOSS:3 DATE: 12/18/2009
JOB NAME: THE GROVE @ MESA DEL MAR PERMIT # 6198 9966a ISSUED BY: COSTA MESA
ARCHITECT: BASSENIAN/LAGONI ARCHITECTS ENGINEER: GOUVIS ENGINEERING CONSULTING GROUP
CONTRACTOR: TR CO. SUB: DIAZ CONSTRUCTION INC.
LOCATION IN STRUCTURE: SLAB - NORTHEAST CORNER
TRACT: PHASE: LOT M 18
CONCRETE SUPPLIER: CEMEX PLANT: 4487A / ORANGE MIX #: 1418320
TYPE OF CEMENT: V ADMIXTURE: WRDA-64 TICKET M 23264231
SLUMP: 4 in. WATER ADDED: 0 gal. AIR TEMP: 71 OF
CONCRETE TEMP: 80 OF MIXING TIME: 57 min. TIME CAST: 08:40
DATE CAST: 11/11/2009 RECEIVED ATLAS: 11/12/2009
SPECIMENS MADE BY: JUSTIN PARRISH SPECIFIED PSI @ 28 Days: 3000
LAB #: 1005
TESTING INFORMATION:
LAB IDENTIFICATION:
3213
3214
3215
AGE DAYS:
7
28
28
DATE TEST:
11/18/2009
12/09/2009
12/09/2009
SIZE (in.):
8.000 X 4.004
8.000 X 4.011
8.000 X 4.011
AREA (in.2):
12.59
12.64
12.64
CRUSH LOAD (lbs.):
27200
44200
43600
COMPRESSIVE STRENGTH (psi.):
2160
3500
3450
HEIGHT -DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.):
BREAK TYPE:
IV
III
III
C.T.M. USED:
Forney
Forney
Forney
REMARKS:
ASTM C39, C174, C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT SHALL NOT 9E REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC.
SAMPLES CAST BY OTHERS: RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
CRUZ
ASTM C39 BREAKS: 1=CONE - II=CONE AND SPLIT - III=COLUMNAR IV=SHEAR V=SIDE FRACTURES VI=POINTED
t.o i�oas Inspection d, braterials Testing
SOUTHWEST®Cs®®®®®®®:COO
it
IHSI)CCLIUu 81 1 CyLing. 111( 441 Commercial Way, La Habra, CA 90631-6168
1! (562)9-11-2990 - (714152b-8441
FAX (562)946-0026
FIELD DATA ON TEST SPECIMENS
--- ASTM C31, C138, C143, C172, C173, C231, C1064 ---
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 1044 CORONADO DR. COSTA MESA JOB M 90116 DATE: 12/18/2009
JOB NAME: THE GROVE @ MESA DEL MAR PERMIT M BL09-00357 ISSUED BY: COSTA MESA
ARCHITECT: BASSENIAN/LAGONI ARCHITECTS ENGINEER: GOUVIS ENGINEERING CONSULTING GROUP
CONTRACTOR: TR CO. SUB: DIAZ CONSTRUCTION INC.
LOCATION IN STRUCTURE: SLAB - NORTHWEST CORNER
TRACT:
PHASE:
LOT M 19
CONCRETE SUPPLIER: CEMEX
TYPE OF CEMENT: V
SLUMP: 4.5 in.
CONCRETE TEMP: 79 OF
PLANT: 4486A / IRVINE MIX #: 1418320
ADMIXTURE: WRDA-64 TICKET M 23264378
WATER ADDED: 5 gal. AIR TEMP: 70 OF
MIXING TIME: 48 min. TIME CAST: 09:20
DATE CAST: 11/11/2009
28
RECEIVED AT LAB: 11/12/2009
SPECIMENS MADE BY: JUSTIN PARRISH
11/18/2009
SPECIFIED PSI @ 26 Days: 3000
LAB #: 1006
SIZE (in.):
8.000 X 4.004
TESTING INFORMATION:
LAB IDENTIFICATION:
3216
3217
3218
AGE DAYS:
7
28
28
DATE TEST:
11/18/2009
12/09/2009
12/09/2009
SIZE (in.):
8.000 X 4.004
8.000 X 4.009
8.000 X 4.009
AREA (in.2):
12.59
12.62
12.62
CRUSH LOAD (lbs.):
29740
43290
42700
COMPRESSIVE STRENGTH (psi.):
2360
3430
3380
HEIGHT -DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.):
BREAK TYPE:
VI
III
I
C.T.M. USED:
Forney
Forney
Forney
REMARKS:
ASTM C39, C174, C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC.
SAMPLES CAST BY OTHERS: RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
RENAN' .. C UZ
LA)3!MANAGER
ASTM C39 BREAKS: 1=CONE 11=CONE AND SPLIT III=COLUMNAR IV=SHEAR V=SIDE FRACTURES . VI=POINTED
'i ( l.ar otic Oispectiari &. braterials Testing
SOUTHWEST 1w��MF�I�®®�1W�1w'w'w
IIIS11CCt.ioll & I-CSI-irig'. IIIc'. 441 Cmnmcrcial Way. La Habra, CA 9063 1-6168
(562)941-2990 - (714)526-8441
FAX (562)946-002ti
FIELD DATA ON TEST SPECIMENS
--- ASTM C31, C138, C143, C172, C173, C231, C1064 ---
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 1042 CORONADO DR. COSTA MESA JOB #: 90116 DATE: 12/18/2009
JOB NAME: THE GROVE @ MESA DEL MAR PERMIT #: BL09-00360 ISSUED BY: COSTA MESA
ARCHITECT: BASSENIAN/LAGONI ARCHITECTS ENGINEER: GOUVIS ENGINEERING CONSULTING GROUP
CONTRACTOR: TR CO. SUB: DIAZ CONSTRUCTION INC,
LOCATION IN STRUCTURE: SLAB - NORTHEAST CORNER
TRACT: PHASE: LOT #: 20
CONCRETE SUPPLIER: CEMEX PLANT: 4486A / IRVINE MIX #: 1418320
TYPE OF CEMENT: V ADMIXTURE: WRDA-64 TICKET M 23264554
SLUMP: 4 in. WATER ADDED: 0 gal. AIR TEMP: 72 OF
CONCRETE TEMP: 80'F MIXING TIME: 91 min. TIME CAST: 11:00
DATE CAST: 11/11/2009 RECEIVED AT LAB: 11/12/2009
SPECIMENS MADE BY: JUSTIN PARRISH SPECIFIED PSI @ 28 Days: 3000
LAB #: 1018
TESTING INFORMATION:
LAB IDENTIFICATION:
3253
3254
3255
AGE DAYS:
7
28
28
DATE TEST:
11/18/2009
12/09/2009
12/09/2009
SIZE (in.):
8.000 X 4.003
8.000 X 4.008
8.000 X 4.008
AREA (in.'):
12.59
12.62
12.62
CRUSH LOAD (lbs.):
28350
45530
45020
COMPRESSIVE STRENGTH (psi.):
2250
3610
3570
HEIGHT -DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.):
BREAK TYPE:
IV
III
III
C.T.M. USED:
Forney
Forney
Forney
REMARKS:
ASTM C39, C174, C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT $HALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC.
SAMPLES CAST BY OTHERS:
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
ASTM C39 BREAKS: I=CONE 11=CONE AND SPLIT - III=COLUMNAR - IV=SHEAR V=SIDE FRACTURES - VI=POINTED
t (0ous Inspection h hlnterinls Testing
SOUTHWEST 0000000®®®0000
't
111SIjeclion &'.-I-CSLIHG, Ills. 441 Commercial Way, La Habra, CA 90631-6168
(562)941-2990 1714)526-8441
FAX (562)946-0026
FIELD DATA ON TEST SPECIMENS
--- ASTM C31, C138, C143, C172, C173, C231, C1064 ---
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS; 1044 PALMETTO WY. COSTA MESA JOB M 90116 DATE: 12/18/2009
JOB NAME: THE GROVE @ MESA DEL MAR PERMIT #: BL09-00356 ISSUED BY: COSTA MESA
ARCHITECT: BASSENIAN/LAGONI ARCHITECTS ENGINEER: GOUVIS ENGINEERING CONSULTING GROUP
CONTRACTOR: TR CO. SUB: DIAZ CONSTRUCTION INC.
LOCATION IN STRUCTURE: SLAB - NORTHEAST CORNER
TRACT: PHASE: LOT #: 1
CONCRETE SUPPLIER: CEMEX PLANT: 4487A / ORANGE MIX #: 1418320
TYPE OF CEMENT: V ADMIXTURE: WRDA-64 TICKET #: 23264135
SLUMP: 4 in. WATER ADDED: 0 gal. AIR TEMP: 70 °F
CONCRETE TEMP: 80 °F MIXING TIME: 65 min. TIME CAST: 08:20
DATE CAST: 11/11/2009 RECEIVED AT LAB: 11/12/2009
SPECIMENS MADE BY: JUSTIN PARRISH SPECIFIED PSI @ 28 Days: 3000
LAB #: 1019
TESTING INFORMATION:
LAB IDENTIFICATION:
3256
3257
3258
AGE DAYS:
7
28
28
DATE TEST:
11/18/2009
12/09/2009
12/09/2009
SIZE (in.):
8.000 X 4.004
8.000 X 4.008
8.000 X 4.008
AREA (in .2):
12.59
12.62
12.62
CRUSH LOAD (lbs.):
26940
42730
43500
COMPRESSIVE STRENGTH (psi.):
2140
3390
3450
HEIGHT -DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.):
BREAK TYPE:
V
V
III
C.T.M. USED:
Forney
Forney
Forney
REMARKS:
COMPLIES: X
ASTM C39, C174, C192, C470, C617, C42
DOES NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC.
SAMPLES CAST BY OTHERS:
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
RENAN R. CRUZ
LAIC MANAGER
ASTM C39 BREAKS: 1=CONE - 11=CONE AND SPLIT III=COLUMNAR - IV=SHEAR V=SIDE FRACTURES - VI=POINTED
so
00'.." Ihtspection $ Materials Testing
tSOUTHWESTIWV 'W'&-s®'W&' Aw'&'`09'10"t'10 'VOO"t't'10
111spCCl.l Ull S -I-CStilig. 111C. 441 Commercial Way, La Habra, CA 90631-6168
(562)941-2990 17141526-8441
FAX (5621946-0026
FIELD DATA ON TEST SPECIMENS
- - - ASTM C31, C138, C143, C172, C173, C231, C1064 ---
CONCRETE:
--
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 1040 CORONADO DR. COSTA MESA JOB #: 90116 DATE: 12/21/2009
JOB NAME: THE GROVE @ MESA DEL MAR PERMIT #: BL09-00358 ISSUED BY: COSTA MESA
ARCHITECT: BASSENIAN/LAGONI ARCHITECTS ENGINEER: GOUVIS ENGINEERING CONSULTING GROUP
CONTRACTOR: TR CO. SUB: DIAZ CONSTRUCTION INC.
LOCATION IN STRUCTURE: SLAB - SOUTHEAST CORNER
TRACT: PHASE: LOT #: 21
CONCRETE SUPPLIER: CEMEX PLANT: 4486A / IRVINE MIX #: 1418320
TYPE OF CEMENT: V ADMIXTURE: WRDA-64 TICKET #: 23265385
SLUMP: 4 in. WATER ADDED: 0 gal. AIR TEMP: 70 OF
CONCRETE TEMP: 80'F MIXING TIME: 50 min. TIME CAST: 08:15
DATE CAST: 11/12/2009 RECEIVED AT LAB: 11/13/2009
SPECIMENS MADE BY: JUSTIN PARRISH SPECIFIED PSI @ 28 Days: 3000
LAB #: 1020
TESTING INFORMATION:
LAB IDENTIFICATION:
3259
3260
3261
AGE DAYS:
7
28
28
DATE TEST:
11/19/2009
12/10/2009
12/10/2009
SIZE (in.):
8.000 X 4.010
8.000 X 4.010
8.000 X 4.010
AREA (in.=):
12.63
12.63
12.63
CRUSH LOAD (lbs.):
34060
43690
44700
COMPRESSIVE STRENGTH (psi.):
2700
3460
3540
HEIGHT -DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.):
BREAK TYPE:
II
III
V
C.T.M. USED:
Forney
Forney
Forney
REMARKS:
COMPLIES: X
ASTM C39, C174, C192, C470, C617, C42
DOES NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC
SAMPLES CAST BY OTHERS: RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
RENAN R. CRUZ
LAErMANAGER
ASTM C39 BREAKS: 1=CONE 11=CONE AND SPLIT III=COLUMNAR - IV=SHEAR V=SIDE FRACTURES VI=POINTED
t..a ous Inspection 8: bletcrials Testing
I
SOUTHWEST VF VF WW v w W
I 111Spe CLiUn &'. I eSLing. 111C. 441 Commercial Way, La Habra, CA 90631-6168
} (562)941-2990 17141526-8441
FAX (5621946-0026
FIELD DATA ON TEST SPECIMENS
--- ASTM C31, C138, C143, C172, C173, C231, C1064 ---
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 1038 CORONADO DR. COSTA MESA JOB #: 90116 DATE: 12/21/2009
JOB NAME: THE GROVE @ MESA DEL MAR PERMIT M BL09-00361 ISSUED BY: COSTA MESA
ARCHITECT: BASSENIAN/LAGONI ARCHITECTS ENGINEER: GOUVIS ENGINEERING CONSULTING GROUP
CONTRACTOR: TR CO. SUB: DIAZ CONSTRUCTION INC.
LOCATION IN STRUCTURE: SLAB - NORTHWEST CORNER
TRACT: PHASE: LOT M 22
CONCRETE SUPPLIER: CEMEX PLANT: 4486A / IRVINE MIX #: 1418320
TYPE OF CEMENT: V ADMIXTURE: WRDA-64 TICKET #: 23265421
SLUMP: 4 in. WATER ADDED: 0 gal. AIR TEMP: 71 IF
CONCRETE TEMP: 78 IF MIXING TIME: 69 min. TIME CAST: 08:40
DATE CAST: 11/12/2009 RECEIVED AT LAB: 11/13/2009
SPECIMENS MADE BY: JUSTIN PARRISH SPECIFIED PSI @ 28 Days: 3000
LAB M 1021
TESTING INFORMATION:
LAB IDENTIFICATION:
3262
3263
3264
AGE DAYS:
7
28
28
DATE TEST:
11/19/2009
12/10/2009
12/10/2009
SIZE (in.):
8.000 X 4.007
8.000 X 4.005
8.000 X 4.005
AREA (in.'):
12.61
12.60
12.60
CRUSH LOAD (lbs.):
23010
39290
40550
COMPRESSIVE STRENGTH (psi.):
1820
3120
3220
HEIGHT•DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.):
BREAK TYPE:
II
VI
III
C.T.M. USED:
Forney
Forney
Forney
REMARKS:
ASTM C39, C174, C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC.
SAMPLES CAST BY OTHERS:
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
RENAN R,.CRUZ
LAB. fyANAGER
ASTM C39 BREAKS: 1=CONE - 11=CONE AND SPLIT - III=COLUMNAR IV=SHEAR - V=SIDE FRACTURES VI=POINTED
1 LoOus /nspr. cliou 3. hla tcrin is Testing
SOUTHWEST4wIVVF�IV'w'w'w ���'W
I115PCCII0II & I-CSLIItg, /IIC. 441 Comazcrcirl Way, La Ilabro, CA 90632-6168
(.562)941-2990 , 17141526-8441
FAX (562)94(>-0026
FIELD DATA ON TEST SPECIMENS
ASTM C31, C138, C143, C172, C173, C231, C1064
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 1036 CORONADO DR. COSTA MESA JOB #:
90116 DATE: 12/21/2009
JOB NAME: THE GROVE @ MESA DEL MAR PERMIT #:
BL09-00359 ISSUED BY: COSTA MESA
ARCHITECT: BASSENIAN/LAGONI ARCHITECTS ENGINEER:
GOUVIS ENGINEERING CONSULTING GROUP
CONTRACTOR: TR CO. SUB:
DIAZ CONSTRUCTION INC.
LOCATION IN STRUCTURE: SLAB - NORTHEAST CORNER
12/10/2009
TRACT: PHASE:
LOT #: 23
CONCRETE SUPPLIER: CEMEX PLANT:
4486A / IRVINE MIX #: 1418320
TYPE OF CEMENT: V ADMIXTURE:
WRDA-64 TICKET #: 23265654
SLUMP: 4 in. WATER ADDED:
0 gal. AIR TEMP: 71 OF
CONCRETE TEMP: 79 OF MIXING TIME:
44 min. TIME CAST: 09:30
DATE CAST: 11/12/2009
RECEIVED AT LAB: 11/13/2009
SPECIMENS MADE BY: JUSTIN PARRISH
SPECIFIED PSI @ 28 Days: 3000
LAB #: 1023
3240
TESTING INFORMATION:
LAB IDENTIFICATION:
3268
3269
3270
AGE DAYS:
7
28
28
DATE TEST:
11/19/2009
12/10/2009
12/10/2009
SIZE (in.):
8.000 X 4.005
8.000 X 4.005
8.000 X 4.005
AREA (in.'):
12.60
12.60
12.60
CRUSH LOAD (lbs.):
30800
40830
41660
COMPRESSIVE STRENGTH (psi.):
2440
3240
3310
HEIGHT -DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.):
BREAK TYPE:
IV
V
III
C.T.M. USED:
Forney
Forney
Forney
REMARKS:
ASTM C39, C174, C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC.
SAMPLES CAST BY OTHERS:
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTION AND TESTING
1N R. CRUZ
MANAGER
ASTM C39 BREAKS: 1=CONE 11=CONE AND SPLIT - III=COLUMNAR - IV=SHEAR - V=SIDE FRACTURES - VI=POINTED
I bons Lispection & Materiats Testing
SOUTHWEST sOVF 1w 1w 000000:
it
Inspection 8, I'ustllly. Inc. 441 Commercial Way, La Habra, C\ 9063 1-61 68
(562(941-2990 (714)526-8441
FAX (562)946-0026
FIELD DATA ON TEST SPECIMENS
--- ASTM C31, C138, C143, C172, C173, C231, C1064 ---
CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES: GUNITE:
ADDRESS: 1034 CORONADO DR. COSTA MESA JOB #: 90116 DATE: 12/21/2009
JOB NAME: THE GROVE @ MESA DEL MAR PERMIT #: BL09-0552 ISSUED BY: COSTA MESA
ARCHITECT: BASSENIAN/LAGONI ARCHITECTS ENGINEER: GOUVIS ENGINEERING CONSULTING GROUP
CONTRACTOR: TR CO. SUB: DIAZ CONSTRUCTION INC.
LOCATION IN STRUCTURE: SLAB - NORTHWEST CORNER
TRACT: PHASE:
LOT #: 24
CONCRETE SUPPLIER: CEMEX PLANT: 4486A / IRVINE MIX #: 1418320
TYPE OF CEMENT: V ADMIXTURE: WRDA-64 TICKET #: 23265679
SLUMP: 4 in. WATER ADDED: 0 gal. AIR TEMP: 71 OF
CONCRETE TEMP: 79 OF MIXING TIME: 50 min. TIME CAST: 09:40
DATE CAST: 11/12/2009 RECEIVED AT LAB: 11/13/2009
SPECIMENS MADE BY: JUSTIN PARRISH SPECIFIED PSI @ 28 Days: 3000
LAB #: 1026
TESTING INFORMATION:
LAB IDENTIFICATION:
3277
3278
3279
AGE DAYS:
7
28
28
DATE TEST:
11/19/2009
12/10/2009
12/10/2009
SIZE (in.):
8.000 X 4.004
8.000 X 4.007
8.000 X 4.007
AREA (in .2):
12.59
12.61
12.61
CRUSH LOAD (lbs.):
32220
40690
41500
COMPRESSIVE STRENGTH (psi.):
2560
3230
3290
HEIGHT -DIAMETER RATIO:
CORRECTION FACTOR:
CORRECTED STRENGTH (psi.):
BREAK TYPE:
II
III
III
C.T.M. USED:
Forney
Forney
Forney
REMARKS:
ASTM C39, C174, C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY:
THIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT THE APPROVAL OF SOUTHWEST INSPECTION AND TESTING, INC.
SAMPLES CAST BY OTHERS:
RESPECTFULLY SUBMITTED
SOUTHWEST INSPECTI.ON AND TESTING
RENAN,R. CRUZ
LAB!MANAGER
ASTM C39 BREAKS: 1=CONE - 11=CONE AND SPLIT - III=COLUMNAR - IV=SHEAR V=SIDE FRACTURES VI=POINTED