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6171 E. Paseo Rio Verde BUILDING PERMIT NO. BLD2004-03213 ('1'~;';;d[:l'~:':2\ . CITY Q:IHI~t1)HEIM \~~j;{~;t?~,/ r BUILDING DIVISION 200 S. ANAHEIM BLVD. (714)765-5153 INSPECTION Ri;duESTUNE, (714) 765.4626 . CENSUS CODE: 101 QUARTER SECTION: 190 TYPE OF PERMIT New Residential Construction DATE: 9/1 0/2004 JOB ADDRESS: 6171 E PASEO RIO VERDE LEGAL DESCRIPTION: , I APPLICANT: CARLA FRAKES L OWNER INF0.RMATION: CONTRACTOR INFORMATION: Ruilson OUyang ROBERT DFRAKES II 1 8641 Hillcrest Rd . 32 DEERFIELD PL. . Buena' Park, CA 90621 0000 TRAil'uCO CANYON, CA' ''(~!)79 0000 . . .' BUSINESS PHONE: 949 4ojl~9211 JOB DESCRIPTION New 2 story SFD 2805s1 livlng/6os1 porch & 62951 garag'HPlan 2) '. VALUATION: . 274,464.00 . ';1,'" .___ PROCESSED BY: KaT. .' . I . .' '. '. OWNER-BUILDE~{I)ECLARP.TIO~' .__~__' ~ I here~y affirm under penalty of perjury that I am exempt fl'om the CCiltract9~4sjkic;enseL!lw for the foJlC:-Vi:'1g r8as.on (Sec. 7031.5 qL;siness and Professions COO.' e: ~.ny tity. or ~cur..,tYWh.ICh. rcpuir':';$ a p~rm. it. '.,0 c.cnstruct,~.)i$,(.'i~'1..rr;_t.~rq.ve,,'dCrT'Or:S!1o....rr~p.air. ~ny Sifuc;turo:;.,.prior,to i~ issU<;]n?e,'a!so requires the 'applicant for such permit to.frie a signed statement, that he is lid~$eo pursl!ant to- thcprovisions of the Cor.tractor's License Law (Chapter 9}(cornmencing with Ser..:tio:1 7000 of Divisio:m 3 of.the Business ar:d ?rcie8-_s.i~!j,S C~oc:e)"or,th8t he ~s"~xenlt:-~tr:erefrom and th~ basis tor the aUeged . 7;;~~~ion. /:>,,,y Vio\~tion of Section 7031.5 by any app1Jc.ant flJr a ~er~it ~t~*~~t."> ~h~_~,~~licant 10 a dvil p~r:~lty of n.ot inore t~an ft~e.hundred ~OHars o i.,.-a~v."''Nr.er of PiOperty,o.r my eMployees ,W.ith wages as ttleirsof.e.__ C(;r:i.~.'.H~ns,.a.t.i!J(":"~W do the w~(f(. an.d .1;1E": 3tructura'iS..Q!;'ti!1. tended oj O.ffe. red for' sa!e ($~,c~:'7044. Business an.? Profe~siCins Code: Th~ Contro.C{Oj<s UGense&W&~~-9ces n6tapplyto 211 owner of pr"Jper~y wi!:;fh~!lds or !mprov~s theredrij ,~n,~ ........he doss SUc.'r'\.'/!)rkh!mseJf' or, nOl'se!f Of ~hroL.:Gr~ his. or~e;o...;~~. :~nlt,!oy.;:es. ;:-i~)V.ided thal,:::-uch.Jmproveme;;ts,are not"nter.dedor O. ffer e.d i.6~ ~:are. if, howewr,H.le building or;;nprovernent L<; said w!th 0' r.e i.f-: ~~,'~.f._O :~1f):.C tkm, 1he 0W!1?r-c.liiidf',r.'f..,:n h2..'!e .1ilC>.b.tJfden ofpro:,!ll\g 'that 1':6 ~aO.rK?t builCQr improve fc..~ In.;; P)Jrposs of salE.). . , ,;;.':;- ')'(Y'.;~>. ' <' , . ,_ '. ,,', _ . '_',: - ,'.. [J '!, as .toc.cv-mer of irie ~r(,:.:erty: am e>:c1:JsivefY contraL1ir-:g with I!co;;nse-d: ,~-)!~tro:!,:tcrs!o CC:1stj"uctt:-:~ pmject {Sec. i"O~4 Bueiness and Pl(~feS$iofls Code: The ~(:r'!,lr"-lr..:!cr's Ue;ensC'.ldw dO~s nc.t apP,I~t?a.- n owne..r'6.f-p,ope:t..(tt\'~i;~~qtn,!:!c:; 'J.r im,proves thc.,"_on, (J:1d.....'..hO col"1trncis- torsu ch P(<,)j:~t~ with' 2,>;. ,ontractor(Sj l,cens~c1 pursuant to t~l;l: C~n~r<:iCiO~S L:cense_ L8W)... '. >::!t ,",:^,-,__. '. ..-. .' < .. L.,J, I dn1,exBmtJtundel'Sec~ _~..;.___ .' 8,~ P.C. forthisrC?1:isor.: _--.::::~'.'r;;:,,:,:__._~~___.__.......~_______.. _.:.... Cte: '~r~~-WOR~;;~ CQMF""i~~A-ffi~~F-hTlOl'!_--~J. g<:- -~'r Ll2~NSED ~or:jTRA'CT~RS DECLdRATiON~ I hereby affirm under penalty of perj~ry one ofthc fo::owir.g deda!('.lt;c.ns: :- :;',:: ,'. --I he(eby-5tTirm undf:!f pr<nc!t)' o~ per1t.j:'Y.~~2:I I a~ U ! ha~8 .:.nd wiii fi1ain. .taln ::l ce rtifjca~d of '50r',~ont1o seif.in:H:ru 10r 't.or:~~:-'.. .O'~.~.'rilc.C'nSi.ition, I .!\r._. ensed un(If.:; pl0'-i:sic;;~.;.of ::;r~.a. pte;r 9 {C~~.llt!1O::>~I~C Jfl~' as providc.-c for by Section 37.00 of the lClbo; Code. fo,r the perfoTnmoce eft.:. ;'.vork. f.:;rwp:ch i ~;th. s.._e~tion ~eIt. ~ /.:)1 Drv$.l(l~ 3 ?~" Bllsfness ;;nd .this perrnit IS issu&d. -; .>" I P,rofesslons (,;0 flJ I I", r /'},A" '.' '. []. I have and will mai.nta._in work~r's >;cmp=,n~.;i:!tj0rl insur,am::e, as required c-l;3?ctie.r; 3ftlD 011 8!lQ.'/2004 ____~--.--:E.=====-:- the Labor CodE:, for ihe performance ,?f the. work. tor which thi.S p.arm!t ~ ;~~"\b. :AY1f;('lrk~r's I Oat,:;,: Contractor Corl"lpensatfon insurance carrier ar:d policy are: , ...:1" I G8.rri~r; . , , P9!;cy Nl1fr:ber: EY-EMPT1 I NUMBER 'EXPIRATiON DAlE , t 6'j9012: 8/31/2005 Thi!;sp.ctiGl1 need not-be comptetediftl1e permit isfcrono hundred dollars ($~O~" cr ~e5S. TYPe A [J I CE;rt~fy ~h:Jt in the pf)rt'cormance of t~,e work fOi .N:....(ch th:s ~.rrt\it is issua: ~, I'shc::i\ r,ot ! T'":'PE 8 emp. Joy anYPE"r~on in a ny man nflr so as to become subject to the worlcel,~,~,",.,~~,rlpens.:;tiOI1 taws I, . ,?f qa!jforni~, c:md agree tnat if I should become subject to the worker's co~f.p~;"Si:ltioll' " , . _ . . . provisions 01 Section 3700 ofV,e Labor 7'1~,i ~u~.,tortiW.'-it~nAIY ~h~1h'~~e..~r.~"iSionS'J' i,S~~\~tr~cion ,'/pes: Date: 9/10/2004 Applicant: .--.l...!W'l..A-tJ.-.. f/ .~___~ . OccuoancvGrotJ0s: WARN ING:. FAILURE TO SECURE WORKER'S COMPENSATioN COVEF. :.GE'iS I R3. U1. UNLAWFUL,'AND SHALl SUBJECT AN, EMPLOYER TO CRIMINAL PEN...\::-(!ESAND C,l.VIL FireSprinklered'~ FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100;000), IN .A.DD'-~jON _TO l' HE. Dwellinq vnlts: COST OF COMPENSATION, DAMAGES AS PP,QVIDED FOR IN SECTIC,': pC" OF THE LivinQ AT.a: LABOR CODE, INTEREST AND ATTORNEY'S FEES. . . ' Garaae Area I .' CONSTRUCTION LENDING AGIONCY :'. . ',:.,,:. I Patio Area: I hereby affi;n, under penalty of perju. ry that, there is a construction lend in9, a.~'.:'f;?Y ~?r th.. .o.,---j.. Ferfrlo~'~an;e_ of~t~e ~ork far which this permit is issued (See. 3097 .Civ .C):T {;, .__ ~ ._P..n~E.C:S- In.o.rr.dlon. _ _ _._ __ _ - . , I ARCHITECT/ENGINEER INFORMATION: CHARLES D STEICHEN 1801 E. EDINGER AV'f'. #225 SANTA ANA: CA 92705 0000 NO '1 .2,805 '629 ""0 I certify that I have read thi~ application and state that the above information is C6rrect I agree to comply with all city ordinances and state Jaws relating to building_cor:struction.'and hereby authorize rep'(esentives of this city to enter upon the above mentioned property far inSPedt!~ . ,/) /J ~ . ~ g, f./ ~ '.' Date: 9/10/2004 . . Signature of Applicant or Agent The permit shall expire by limitatiQn and become null and void if the building or work has not passed final inspection 365 days from the date of permit issuance. A new permit 'is required to commence or c~:mtinue'work. Fees paid for Per:mit: Total: 5.150.12 , INSPECTION RECORD FINALIN$PECTIONS , Dale Inspector "'INSPECTION ' DATE INSPECTOR E,leclrical Final ' " 1w.;\Of -r~' Temporary Power Pole , , Plumbing filial ',' " leIU\o( -r:~ 11-.' , Plumbing (Orain/Waste Pipe) Mechanical Fine!1 WlU 10,( -t. ~\.&-OrJ. Eledrical Ground Electrode/lifer , .f '" ' Gas TeSI " ettz.\ \Dr" j, fl<Urcjor~ SelbacklFormslTrenches (Footings), " Do nol install subflooror pour floor slab ufllilthe " engineering/Grading Final 765-5126 , following applicable items have been signed: . , , Plumbing (Water Pipe.Sprinkler Valves) JJ, Fire Dept. Final 76541140 , , J MeChanical (GroUndwork) , ' 1/ 1/1.- 0./ (,~ Waler E,nginee,ring 765;5268 ' ' Eledrica,l (Underground Conduit) , //" , . " Sub'L.;stlBusinessLicense 765-519' ,V ; Pre-slab (CompactionlMembrane.Reinf. I//e /rth. ;/1.. / , : , Underpinning (Floor Joist/Girders) , , Zoning 765-5139 " Do nolcover or conc:ealthe work below un,lil the , Building Final '~ast Inspection. Only , reMlo~ r. p-\..f~, iOllowing, applicable items have been signed:', , ' , fler Above Complete) 1st floor Shear ' , /- '2t>-tJ '{ .} , PARTIAL INSPECTIONS FireSprinkler (Rough) , " A' ,Buiidina Insoections 2nd Floor Shear ' , ,/. '>. isC k:/., A - " RoOf (ShealhjnglDiaphragm'Frlipe) /r ~b$ If,' ; ''?-17-~ ~ -15 u.:t::t. A,~_~tJiJu~ ;4",,.,, j . . Masonry (ReinfJBond BearnlPre-Gro\Jt) ~ " RQugh Plumbing (TQP Out) iJ.<(-<>r <v- , ' , " RQugh Mechanical ' : rz"'l-oS ' " , I KOugh E1ectrlCaI\ury Wall) , ~ ~' V , Rou!lh Electrical ' ,," , kln.~~ , ' ' ,Framing (Only afler PftJg.. Elec.. Mech ,.and Firep, ' ' , InsiJlalioo (SoundlEnergy) Mechanicallnsoections Do not tape or plaster, until the follOWing applicable items. have been signed:. .' ' " . " ,~ . ' " Drywall ' ' ' ' CC(" , ../ ' , ,PenetraliQIlS(Fire Rated) Electrical" ' , ' , ' , ,,' , . , PenetraliQns (Fire Rated). Mechanical " ' ,c, , PenetraliQIlS (Fire Raled)Plumbil!!l 1, , ' " . , " Interior Lath ' ' , ' , Exterior Lath " Plumbina Inspections , GENERALITE MS " ' Exterior Plaster, (Brown CQaI) " q..X-o~ .A T -Bar ,Electrical' " , , T -Bar Mechanical, , , " ' T -Bar Structural , Sewer ' ' , W"ter Engineering'Backflow , " ' , Electricallnsoections ' , Water Service , .. , , ' , , ~"< SOUTHWEST ,INSPECTION (-lND TESTING INC. 101326' S.No\~'"alk UA Santa Fe'Sp"ings, -CA 90670 71If'::'526~81+I, 1 Fax~5E,2-9Ii.6"-ili026 562--9',1--29':')0 .',," ..,' .:'. ""-'. ,- ...; .',-' .' ' :::::::::::::::::::::::.:::::.:::::::::::::::=:::::::::::::::::::::::::::::::==:::::::::::=::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;::;::::=::::'~::::::::::::::::::::::::::::::=:::::::::::::===:::::::;:::::::::::::::==:::::::=:::::::::::::::::::::::::::::: FIELD DATA ON TEST. SPEC I MENS ASTM C31, C1313, C143, :ONCHETE: X GHOUT: MOHTAR:. C172, C173,C231, C1064 SHOTCHETE: CORES: GUNITE: ~DDRESS: 6171 E. PASEO RIO VERDE. JOD ~,AME: STARLIGHT DAKS ~RCHITECT: LANGSTON STEICHEN ARCH. :ONTFIACTOR: REGAL CONSTRUCTION JOB ,I: '403;:::3 DATE: 01/07/20>215 PERMIT #: 2004-03213 ISSUED BY: ANAHEIM ENGINEER: .AMIR '('lMIRFAR & ASSOC. SUB CIJNTRACTOH: CONCRETE CONSTRUCTION CORP. _OCATION IN STRUCTURE: LOT 4* 3 I SUlB :ONCRETE SUPPLIER: CEMEX fYPE OF CEMENT : V . 3LUMP : '511 :ONCRETE TEMP: 66 F PLANT: OI~ANGE ADMIXTURE: .wnER RDDED,.Hi 'GRL MIXING TIME: 50 MIN MIX l*: CC":G45431 TICI"\ET #: 51510364 .AIR TEMP: 58.F. TIME CAST: 1. PM )ATE CAST: 11/30/2004 RECEIVED AT LABi 12/112004 5PECIMENS MADE BY: JONATHAN E. MACLEAN SPECIFIED PSI: ',500 . . _~~.___.~ _. ~___...M~_ _~ _.___. ___M__"__ _ ._.~~~~. _'_ ~_ _~ __~_ _.~.~__ ___w_.___._ _ _ __ _~ _w_ _ _w ._~.._~_.___ _ __ _. ___,_~ _,_ w.' w_ ~_ _ _._ ___ _ __ _ __ =IELD IDENTIFICATIONI A B C D E _AD IDENTIFICATION : 4.15185 : '1.16185 : 4.16185 __~___'___'_.____~__~___.______~_w_~..._____~_.__ww._,__~'__~___'~~__'_~_'_."".R__._'____~~__'.~_'_'___"_W_~___.__.______.___ =lGE DAYS. )ATE TEST SIZE -IN. =lREA-SQ. IN. :RUSH LOAD-LBS :OMP'''STR. -PSI. I HID :ORR FACTOR :ORR.STR.-PSI rr ME TESTED BREAK TYPE :. T. M. USED 7 12/7/2004 5.001X12 : E:8.. 28 107030 28 : 12/28/200'" 6. 003X12 28.30 13;:~900 ;: '~.695 28 12/28/~:::004 , 6. 00'.X 1. 2 :: 28..31 134300 4745 : : .. :37B5 : , " : : . . : : : REMAHl-<S: :OMPLI ES : X ASTiYl G39, C17L" C192, C470, C617, CLj.2 DOES NOT COMPLY: THIS REPORT SHALL NOT DE REPRODUCED, EXCEPT IN FULL WITHOUT THE~ APROVAL DF SITI flESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING SAiYlPLES CAST BY OTHERS: RENAN R. LAB. MA~ I~GER tlSTM C39 BREr-lKS A= cone B= cone and split C= cone D'=shea,- E=co 1 umna\.' ,. SOUTHWEST INSPECTION AND TESTING INC. 10826 S. Norwalk #A Santa Fe Springs, CA 90570 714-526-8441 Fax-562-946-0026. 562--941'-2':3';30 :====:::::-=:::;:==::::::=:::::::::::=:=:=::::::::=::::::::::::::==::==~.:=::::::=".:=::::::::::::::.-::::::::;:::::::::=:::::::::=:::=::::::=:;::;::::=::::=::::::::::::::::::::::::::::::::::::::::::::::::====:::::::::::::::::==:::::::::::::::::=::::: FIELD DATA ON TEST SPECIMENS ASTM C31, C138, C143, C172, C173, C231, C1064 :ONCHETE: X GHOUT: t~ORTAR: SHOTCRETE: CORES: GUNITE: ~DDRESS: 6167 E. PASEO RIO VERDE. JOB NAME: STARLIGHT OAKS ~RCHITECT: U1NGSTON STEICHEN AnCH. :ONTHACTOR: REGAL CONSTRUCTI ON JOB #: 40323 DATE: 01/07/2005 PERMIT #: 2004-03212 ISSUED BY: ANAHEIM ENGINEER: AMIRAMIRFAR & ASSOC. SUB CONTRACTOR: CONCRETE CONSTRUCTION CORP. __.____~__.____'.._._R..____M._______.__.______.____h___.___.____.__________.__.___.__.__________.___.._____.___~.._____.___ _OCATION IN STRUCTUHE: LOT # 2 / SLAB ---- --.-.--------------.------------..-------.------.------------.....---.----------.---------------.------ :ONCRETE SUPPLIER: CEMEX fYPE OF CEMENT : V 3LUMP: 5" :ONCRETE TEMP: 59 F PUiNT: ORANGE ADMIXtURE: WATER ADDED: 0 GAL MIXING TIME: 60 MIN MI X #: C2G'.5431 TICKETtf: 5J..5:l0353 AIR TEMP: 58 F TH1E CAST: H':50 AM. _._.___._____...____.__.___..._..M._.__..__.___._"_...MM_._____...____....._.._.H.....__._.__._...H__.__H___.__"._..__H_._M__.___._..._HH.__._._._._____.___M____ )ATE CAST: 1. J./ 30/2004 RE:CEIVED AT LAB: 12/1/2004. .._._.__.____.._...._.__....__._..___.__M_._.___________._____.._._M______.__._M._....M__M_____.__.___._._._._.._.___HM___H____________ 3PEClt'tlENS MADE BY: JONATHAN Eo MACLEAN SPECIFIED PSI: A500 --------------------------________________________________________M_______________ ~IELD IDENTIFICATIONI A B C D I E _.___.__._____._.._.._._._._______'_.___._._MM.____...__H_______..___._.....___"M._._..._____.._._H________._.MM...._.......____.______....___M____H__ _AB IDENTIFICATION : 416186 : 41.618f, : 4.1.6186 ___._________________.M__M_..___.....___.___M.M___.....__._._.____.___._._._._M____...____._M___.M_'_.__M_M_....__._____.___._...._ ~GE DAYS )ATE TEST 3IZE -IN. ~REA-SQ. IN. :RUSH LOAD-LBS :OMP-"STR.--PSI. I H/D :ORR FACTOR :ORR.STR.-PSI nt~E TESTED ~REAK TYPE :.T.M. USED 7 1217/2004 0. 0\ZJ0X 1. c: 28..27 .105850 .: 37'+5 i:=:8 12/28/2004: :: 6.01Z13X 12 28..30 135100 4775 28 12/28/2004: 0.001XJ.2 28..28 13280fi.l 4695 : : : : : __.__M___.__.____.__________M_M__.___.._____.._._.____.-.__.______...._.._._______.n__MM._______.__._H___._..M._._______M_. ~EMARI.ZS : ------------------------------------------------------------------------------~--- :OMPLI ES: X ASTM C39, C174, C192, C4.70, C617, CI.,2 DOES NOT COMPLY: .H.__._._.______._____.______M_______.._._.___._._.n__M._..M_._M____.___..,...__.___M._.________MM._____M_._~_____._H__.___.__ fHIS REPORT SHALL NOT BE REPRODUCED, EXCEPT IN FULL WITHOUT THE APROVAL OF.SITI __.__..._.M......_._._M__.._.____M___.___._.__H_._.__._H_...._.._..MH__.______._...M.____M_.___~_M_._._.__.___._..___M____._.___.______ RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION AND TESTING 3AMPLES CAST BY OTHERS: ~STM C39 BREAKS A= cone B= cone and split C= cone D:::::sheat" E:==co lurnncrr'" 562---9Lf 1-29'30 SOUTHWEST INSPECTION ~lND TESTING ING. 10826 S. N01-'wal k *;A Santa Fe Springs, CA 90670 714-526-8441 Fax-562-946-0026 = =::::: = :::::::::::::::::::::::::::::::::::::::::::::::=:::::::::::====::::=::::::::::::::::::=:::==:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;::::::::::::i:::::::::::::::::::::::::::::::::::::::::::::::=::::: FIELD DATA ON TEST SPECIMENS ASTM C31, C138, C1Lf3, C172, C173, C,::31 , CU1164 :ONCRETE~ X GROUT~ - MORTAH: SHOTCRETE, CORES~ GUNITE, ~DDRESS, 6163 E. PASEO RIO VERDE. JOB NAME~ STARLIGHT OAKS ~RCHITECT: LANGSTON STEICHEN ARCH. :ONTRACTOR, REGI'lL CONSTRUCTION JOB #, 40323 DATE: 01/07/2005 PERMIT ~*: 2003-0Lf138 ISSUED BV: ANAI-IEIM ENGINEER: AMIR AMIRFAR & ASSOC. SUB CONTRACTOR~ CONCRETE CONSTRUCTION CORP. ,_______._____.__M_.__....._~.MM____.___.'.M_____n.___._________.'"w_.___________MH._______________________________ _OCATION IN STRUCTUI~E: LOT # 1. I FOOTINGS :ONCRETE SUPPLIER, CEMEX rVPE OF CEM8~T : V 3LUMP : Lr II :ONCRETE TEMP, 62 F PLANT, ORANGE ADMIXTURE: ~JATER ADDED: 0 G~~L MIXING TIME: 60 MIN MI X #: C2GLf5431 TICKET #: 51411716 AIFl TEMP: 51 F TIME CAST: 9: 15 AM ___.._.._._._._.._..__......___._______..____.__..,H._____._..________.__.,___.__...._._._.____._.______________..___.____._____________.___ )ATE CAST, 11/30/201ZiLf RECEIVED AT LAB, :l2/1/200'~- - - -------_._._.__._--_..__.__._.__.._._._-~-~~--------_._._----_._.._-------.,....__.._--_._._._---~-._-_._-~-~-~--_._--------~--- 3PECIMENS MADE BV: JONATHAN E.MACLEAN SPECIFIED PSI: Lf500 -------------_._------~---------~----------------~-------------------_._~---------- ~IELD IDENTIFICATION I A B C D E -----------------------------_._----------------~--~--------~-----~-------------- _~m IDENTIFICATION : 4-16187 : Lf16187 : 'd61.87 ~GE DAYS )ATE TEST 3IZE -IN. ~REA-SQ. IN. :RUSH LOAD-LES :OMP-STR. -PSI. I HID :ORR FACTOR :ORR.STR.-PSI rIME TESTED ?REAI-( TVPE :. T. I~. USED 7 12/7/2004 G. 000Xl;::: - 28u27 11098121 28 1.2/28/2004, G. 0JZi,::X 12 28.29 13Lf100 : 4740 E:8 12/28/200LI- , 6.001X1.2 28.28 :L325iZ10 '+685 , 3925 , , ._-----~-_.-._--_.~--_._._---_._--_._-_._------,--_._.-_._~~._~----~-~_._---_._~-_.__._------_._------.-----_.~----~_. REMAI~I-(S , --_._-~-----_._.- -- ~.._- --- -. -~.;. - -- - ._~- - _._._-~.~._----_.. - - - -_... -~_. ---.- --.- -- --.- ~.. --- -.- -:--.--.- --',..- -~ -----~- - - - -~- :OMPLI ES: X ASTM C39, C174,C192, C470, C517, C42 DOES NOT COMPLV: ----------------------------.------------------ rHIS REPORT SHALL NOT BE REPHODUCED, EXCEPT IN FULL WITHOUT THE. APROVAL OF SITI _._---..-._._-----_._-_._---_._--_._..._~--.._--------.---.---.-.--.-.----.-.---.------.------.----.-----------'-.---...;..,-.--.-----.------- RESPECTFULL V SUB~I ITTED SOUTHWEST INSPECTION AND TESTING 3AttlPLES CAST BV OTHERS: ~STM C39 BREAKS HENAN R. " LAB. ~ " - R A- cone E- cone and split C= cone D=shea,' E::::co 1 umna}.... ':"-"," # . '. ~~, , 5G2-~941 '-2f991ZJ SOUT.lj~JEST I nSPECT ION AND TESTI Nl3 I NC 10B26 8. Norwalk #1'1 Santa Fe Sprir!gs~ CA 90670 714-526-8441 Fax-562-946~0026 _ ._..~... -.. _ _'_'''_h_' .~. ... ___._. __ _. _,.__ ..._.__.._....__ __ _. _'U' _. ...._._.... _. .". .... ...__ _., ~.. __._._. __._ _'_'__ .._ n. ~_ _ _ ."_.. _....._.. ... _._.. _._. ~_ __..., __ ,_. _"_'__._.'.' '_'_'_ --.-,.,-.- - -- ...--.- -- -. - -- - - _. -- ....- -. -~- --.. -. _. --- --.... ..--.-'- ,- --.-----..-.-.-. ..--......- --._- .-. '-."- - --. ~..- -- -. -- - - -, --.- -. .._-- -, .--_._-...- .-.'-'- FIELD. DATA ON TEST SPECIMENS ASTN C31, =ONCRETE~ X GROUT: C138, C14.3, iYHJFnm, ~ C172, (:1.73, SHOTC:,ETE, CE"31.$ ClelE.4 CORES: GUNITE, ~DDRESS: 6160 E. PASEO RIO VERDE. JOB NAME: STRRLIG~f OAKS ~RCHITECT: UINGSTON STEJCHEN ARCH. :ONTRACTOR, REGAL CONSTRUCTION JOB #: 40323 DATE: 01/10/2005 PERMIT #: 2003-04137 ISSUED BV: RNRHEIM ENGINEEfl: AMIR i=l/i!H?FAR 8, AE.'BOC. SUB CONTRACTOR: CONCRETE CONSTRUCTION CORP. ---------_._---_._---~-------_.__._--------------_...._---.----.-------------.--.-----------, _oc~nION t~j !3TRLJCTUiiE, UJT ~* G / !3Lm, -------_________________________,_____________________...____._._.___.____~.________._________N___. :ONCRETE SUPPLIER: CEMEX fVPE OF CEiYlE:NT , V 3LUMP___:;,-.5f .. - " :ONCRETE TEMP, 71 F PL.ANT:. OHANGE ADM I X Tl.JHE ,.:. '; 1,~ATER'cAnj)Ef) ,'y,c,zl'iGAL'" WII X I NG TI ME:.", GO l~ I N M I X 1*:: C;~DL1.54~~ 1 TIC!~ET #: 51510393 . AT I" T E"ll.. '~,' .1-- . .I.",' ::-~fT _I:. - ,,Jt$' m T IIY!E CP1ST:: 1. i:? :: Ql~) Pf\1 --------- .---..-- - -....-..-...._ ---'-.~. _. - -..- - - ... - .__.__ __"___"",, - ._.__ _. - __ __ _______ .__._ _N' __ __ __ .___..._ __ M_' __ __._ _. __ _.. _.___ ________ ___..._ .... )RTE CAST: 12/1/2004 flECEIVED AT LAB: 12/2/2004 --..__. - '_"'_ ,-._____,__.___.__.____ _... - _. ____ __ - ._.._ ..... __ _N. _ .__...____... _. _.....____ __ _M'_. _._. _....__ ._._ __ .__ ____'_'~'_'_"_ _ _....._.. _____ __ ___.. __ ___ __ __ __.._ 3Pf.::crr'IE:NS MADE BY, JOblRTHAN E. JvIt'lCLEnj\J tiPECIFIED PSI: ,4500 -''''''-- -- -- --.--.-.. -'._.._ ---. _.._ _ ..,-..._._,,_,,_,__. _.__..,.. __. .,_ - _..___ .___________ _,_ __._ _.. _. .._ .__.. ...._. ,,_. ....HH. ... _n ..... _.._ _...._ __,,_ _ __ _,,_,_____ __._ "... _ ___0' __ =IELD IDENTIFICATION! A B C D E --,--.._.. _ "'_ __ _"_'0_"_ .....__ "W' _"_'_"___'.". _.._ __..___ '.__.. _...... .,_._ _. _ _._._._. ._.._...._ _"'" ___._ __M. n_ __._ ____..__., _,,_, .... ._.."_ _ _ _ '_'''__._ _.___n' ._. _. _.. __.. _ ".. __.__ _AB IDENTIFICATION : '+l618;?' ~ 41f,1Bc~ : L~161B2 ______.HH '''_ _. _.._.__ _.__._ .... _ ___._..._......_ _ _._ _'" __'_ __ .._ _.. ._.._ _.. '''_ ,_" _"_M_'._ __.._ .,,_ "._ __ __ .0. _ M'_ _M. ..__ _ __ _. _ ,,_.___._ __._. __._..._..__. .._ __ ...___._ ~ ....__ =iGE DAYB )ATE TEST 3IZE -"IN. ~REA-SQ. IN. :':RUSH LOAD-.LBS :OJvlP,-SHL -'1='13 I. I H/D :ORi~ FACTOR' ',... :ORR.STR.-PSI fIME TESTED 3 REm', n:r::E',i. , :. T. t~. USED 7 12:/8/;:::004. 6. iZHZt/ZlX l.e i~8" 27 9710];>J .34.3~3 .::[1 i2j;~9/21Zi04.:: 6. 01Z13X iF: ;:::8.30 l3SiQleJ 4B10 i:~:B li:~/c:~r;)/2QnZlf+ :: 6. 00;": X 1.<:: ;~a.. ~~9 :l.385IZltZl 1].B95 : I.: . . r'l'" , : , . ;0 , . --------------~---_.._--------._--------------_._--------_._'-----_._-~----'--------_._-- w" . ,EMi<nl~S : .;' ..._.____.._____._.._..._M..~____..~_"__,~._~_,___.__._.___________.___..,...'"::__.__._'_____.~_.___..__.~___.___.._..__......_..__-:;~___.'__._n_ ASTIVi C39, C174, CI9;::, C4'1\", C617, Cl,.;:~ .;:p' :OMPLIES: X DOES NOT COM~~V: _,~_._..._._..._____,_____.___~n~.___n_._~~._.._"______._~.....__...__._..__.__.___,__.___n_.........,..------~__._..___.~.__._..~____.._~_"'~.__.___..__.._._ nns REPORT SHALL NOT BE HEPF~ODUCED, EXCEPT IN FOLL.. Wl:l.HOLJT TI-IE: APRO'JAL OF SITI __~..._~-~~~._~_...;.~., _ _.._ .._ __...._ ____nO ~..~_ _0_, ._,____._ _ __ _'__~_ ~_._"_ _. __~_......__ _..___ _.~:~'.':;.. _ __ .~~.~~ ,._ __ _ ... _._. ._'_"_'_'", ___ _. .~._."_ _ ."":'~..._._ _ _._._ F,ESPECTFUU,.V m.JBJvI I TTED """)! l'rHW[~<"r ., ,\J"")'''C-' I ON "NO T.'" '" l' I "G ,;J... ...J _...) .f, j'.,;:/I' ~,_ " I . . r11 l:"_,::> pj :J 3At~PLES CAST BY OrHEHS: ~STM C39 BRE(.IHS (:4::= cone E::::co 1 umil<:\'(' , and ,:;~plit c= cont;' D~sh(lal'''' .."~",, ~.5Ei;::~M-I";:)41'-i::9'30 bUUIHJ.r.H:.bJ .lJ\!S~:'ECT101\1 AND TESTING INC" 10826 S~ Norwal~( #A Santa Fe Springs, CA 90670 714-.526-8441 Fax-562-946-0026 -------------------.---------------.----.--.------------------.-----.-----.------.----------- ___.__M__._M__~~._~.__.__._.._.__...____.._____~._._.._._.._...._......__....__._____.___..b~....~__._M__..~.____.__........_____.__.__._.______..__~.....__ FIELD Dl=iT(~ 01\1 TEST SPECIMEM:; ASTM C31, e138, C143, C172, C173, C231, C1064 :ONCRETE, X GROUT, t'10RTf1F~: SHOTCF~ETE: COflES, GUNITE: 1DDRESS: 6164 E. PASEO RIO VERDE. JOB NAME, STRRLIGHT ORKS 1RCHITECT, LRNGSTON STEICHEN ARCH. ::ONT F!ACTOi'(: HES1':JL. CONST jiUCT I ON JOB tf' 'f!21323 DATE, 'Z,1/10/Z:IZlIZ15 PERMIT D. 2004-03215 ISSUED BY: ANAHEIM ENGINEER: AMIR ANIRFAR & ASSOC. SUB CONTRACTOR: CONCRETE CONSTRUCTION CORP. ---------------------.-----------------.--------------.-----.---.------------------.---------- _OCRTION IN STRUCTURE~ LOT # 5 1 SLAB ~'_~.'R ____ '__''''M _ _ ._. __._ ._.____ _. _ __ _~ ____. __' _.._ ...._._ _.. _._.. ..__... '_'_'U'M_ M_ ___... _._.. _ _. ......... _~ ..~ ... ._~ u. _ _...... __.._ .___."_ ._.__ _~ __ _~ _._. ... _.._ _M _ __~_. _._. :ONCRETE SUP~~IER: CEMEX fYPE OF CEMENT '- V 3LUNP :: 51l :ONCRE"rE TEMP: 64 F PLANT, OiiANGE ADl1 I XTUFlE: WATER ADDED, 10 GAL MIXING TIME: 60 MIN M I X tf: C2G45A.3:[ TICKET #: 51510387 AIF~ TElyIP: 48 F TH1E Cr.,ST: 1,0:55 AN __M___'_ _ _.......___ _"_ ._. _ .___ __,.....___....__. _ _. .w. _.. ~_ _.. ._. _M __ __._ ~~. ..M......_.__ .'M _ .._......_ _.. _" ____.._ _____ __ _ _~ ....._ _._ ~_._. ~_ ........._____ _.._ _._ _..... _ __._ )~~TE CAST:: li:~/1/2lZ10.-:!_ RECEIVED AT LAB. 12/2/2004 ___._'._.M.._.__.____."..._~_____.n.___..~__".._______H_._._.._M........___..__.M.._____.......__..__.___......._..____._.__...._........_._M_.____.__._.___._._.___n'_._.._ :;PEC I iYlENS ,'i(-iDE BY: JONRTHAN E. t~ACLEAN SPECIFIED PSI, 4500 _.__._M......__....__..____.__._..__._..__._._._......._._._.___._~____~~......_._..____..._~__.____._M_~__~____.....__.._._._._...__..__.......__._.__~.____._....._.._..._ 'IELD IDENTIFICATION! A 13 C n E -------..-------------------------------.-.---------------.-------------------------- ._AB IDENTIFICATION : '+15183 : L}1.5183 : 41618,3 ___._M__.M_..._._._..__.~__.___..____.~~.____.._._____.~......_..._._.._.._...___._.__M_..__..._._._____..__._.._.__.._____.......M_._~...___._..._._._____..___._.__...M.. ~GE DAYS XHE TEST 3IZE -IN. :~!~E(~.'-SQ.. 11\1.. :RUSH L(JAD-LHS :OMP'''MSTR.. -PSI n I HID :OliR FACTOR :ORFl. STfi. --PEn: rII'r'iE TESTE.:D 3REAK TYPE :~.. T" 1-"1.. USED : 7' 1.2/8/;:::004 5. 0~j0X IE: ;:;=~B 12/~~'3/r2004:: f,.. 0'1lc.:~X 1 c~ 28,,29 : 137100 : '+81+5 2B :: t i:~~/2'3/20iZI4:: E~. Q11Z1:l.Xl~7.~ ;,,8.28 :l3E,~!IZtI21 : 481Q) ;:~8.. ~:::7' : 91 :IE)\?! : .3i:~~:::5 : ---------------------------------------------------.------------------.----.------...-- iEMf~HI.{.S : ----------------------------------------.--------___________________b.____.________ ~OMPLIES~ X RSTM C39, C174, C192, C470, CS1?, C42 DOES NOT CDI1PL_ Y ~ ------------------------------------------.--------.--------.---.-------------------- rHIE; REPORT SHALL NOT BE FlEPHDDUCED, EXCEPT IN FULL !"JITI10UT THE RPROVe-:,L" OF GITI ----------.----------.--------------------------------.----.-----------.-------.-------- 31'~~iPLES CRGT BY OTHf::RS: RESPECTFULL"Y !3UBt'i I TTEeD SOUTH~JEST INSPECTION AND TESTING ~STlyt C39 BFi:EAKS A= cone B~: cane and split [:::: conE' D:~-.:sh~c.;\'''' E:::::co 1 umn.:Et\.." . SOU1"HI"jEST INSPECTION 1'11\1)) TESTING INC" 10826 S. Norwalk #A Santa Fe Springs2 CR 90670 714-526-8441 Fax-562-946-0026 5E,i~-'3Ll-:i -2/:390 :::::::::::::;.::::~~::;::=:=:::~:::::::::::::~:.::::::=::::::::::::=:::::::::::;;:::::::::::::;:;:;.:;~;:::::::::::::;:;:::::::::::~::::::::::::::::::::::::::::::;;':=~7::;;:-~:;::::;;::';;::::::::''::::::;:::;:::::::::;:;~~'::::::::;::~::;;;:::::::::::~-::=.::;::~;;:'.:~-:"Z:.:::::::::;::;:::;..";::::::::::::::::::::::::=:: FIELD DI41"A ON TEST SPECIi'1E::NS AS1"M C31, C138, Cill'':>, C17.:::, C173, C~31, CUilEA CONCRETE, X GliOUT, t1IJRH)li, SHIJTCRETE, COPE:3, GUN ITE' ~DDRESS: 6168 E. PAGED RIO VERDE. JOB NRME, STARLIGHT OAKS f1RCHITECT: L.ANG,nON STEICHEN ,:,RCH. ::ONTR,1CTOR, REGAL CONSTRUCTION JOB #, 40323 DATE: 01/10/2005 PERMIT #: 2004~~3214 ISSUED BY, ANAHEIM EN[3INEEIi, iWIH, AMIfWAfl & i~SS';OC" SUB CONTR(:,CTOR, CONCRETE CDNSTRUCTIlJl\! COHP. ..w _w... ._._" _. _,_, __WON _"N _. .... _.~.._ ___ _.. _ ._. _.___ __ 'PH.n__. _. _ ......_ _._ __ _ __ _. __ __ ___ ___ _..___ _ .H_ _~ ~.._. _ ~__~. _'HH ... _._ _..___ _ _ _ _.._. ~... _. ... _HMH ,_ ___ _.ocr-nION IN STRUCTUHE, L.OT l* 1+ / FOLHIrm:3 -___________~___________.______H_____..____________________,__._,_'__.__H__.______O__.O___________ CONCHETE SUPPLIER, CE~ln TYPE Of" CEMENT , V 5LUl.tfl:."J : 411 :OI\lCHETE TEI~P: 62 F PU4I\!T, GRANe,,, i'-mt~ I XTURE, WRTER RDDED, 121 GRL MIXING TIME: 6121 MIN 1'1 I X 'Ih C2G I, 543:l TICKE~ #: 51411749 (Hi', TEMP, "fl21 F TIME CAST~ 9:05 AM ..~ -- -- _ ----.-. -...- .---. ---. --.-, -- -.. -.. _~_ .__.~ "...._, "~"_' .~_.~._.. _ .._._ _ ~__._ _ _~._.__ ._~... ___~_H...__._. _.._..~ '~__H ___ _ ~...._..___..... _~_ __...._ __.._ __.. ___ _._ DATE CAST, 12/1/21211214 RECEIVED RT LRB, 12/2/21211214 --_____________.______________._____'_H_____________,_____.________________________________ SPECIMENS MRDE BY, JONATHRN E.MACLEAN SPECIFIED PSI: 4500 --'------_._------,----------------_._--,------,--------------------.-------------------- =IELD IDENTIFICATIONI 1'-) B r' c.' D E -----------------------------------------------------.------------------------------- _em IDENTIFICATION ,f+1E,1[lLj, , 41618/, : 1+ l G,18/~r --.___. .M.._.._~._____. 'NO ___.._ _._.~, _. _._ _ _ __ _~ _~. ___._~ '.... ..__~'"_ 'H"_ ...~ __......... _. _.~__. __._ _.__.._ ._.. '__"m.. _,_ ............ __ __ .._,_ ____ +____ .__ ~..'__ __,_. __ _,.. __..... ~,GE DRYS DATE TEST :3 IZE - I N. =1HEA--SG1. IN. :::RUSH LOAD,-LBS :::OfilP-STli. --PSI. , HID :::OI'1R nlCTOI'f ,:::ORR. 8TR. -PSI rIHE TESTED 2,HEAK TYPE :::. T. f1. U'3ED 7 12/81<20121/, G. ~~01i\X 1.2: 28.. c~7 1 'LI9[11 I?, 3BB5 ;:~a 12/29/;:2017.14, 6.. ~1tZ!i:;~X 12 ;::8" 29 i:~B 1cj29/21i.'0!+ , 6. 001 X :1.;::: 21.3.. ~::8 :l1j.2~~fZlIZi ~30c~lZl 1 ~3':)E~(?i0 1+9;~f) --------.----------------------------------------.------------------------,--------- :'E~lARI_{S , -...--________________________.__.___H_____________,___________._______________.__.________ :::m~PLIES, X ASTM C39, C174~ C192, C470, CG17~ C42 DOES NOT COMPLY, -----------.-------------------.------,-------------------------,-----------------_.- nils REPOFn- SHI~L.L NOT BE: REPRODUCED" EXCEPT II\I FULL I,JITHOLJT THE APROVRL. OF SITI -..------- --~---.- -..-- ..... _H' __.___.. _ _._ ~_. __ _.. ._.._ _u._.. _.. ~_ __.. _ _._. n_.._ __ _.. .____ _u_ ___ H_~_ ____ _. __ ___.. ,_____..____..~_____ __.__.___ ..__ _ _ H_ __.._ RESPECTFULLY SUBMITTED SOUTHWEST INSPECTION RND TESTING SiWIPLES CAST BY OTHi~FI~" ~STM C3S! BHEr:W,g A:=:: ctlile split C= cone D=shem' E::.o:col Umn2\Y'