BPAT2016-0086Z
78-495 CALLE TAMPICO ] Q�
D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
f o
BUILDING PERMIT
Application Number:
BPAT2016-0086
Property Address:
54707 SHOAL CREEK
APN:
775071035
Application Description:
PGA WEST/ 600 SF PATIO COVER AT COMMUNITY POOL 19A
Property Zoning:
Application Valuation:
$7,500.00
Applicant:
PGA WEST RESIDENTIAL ASSOCIATION
54320 SOUTH DERN HILLS
LA QUINTA, CA 92253
i
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury 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.
License Class: License No.: AEC488
Date:
Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter; improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State 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
31, 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' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the 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
she did not build or improve for the 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'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
tJf� Contractors' State License Law.).
11,t�t '� I am exempt under Sec. . B.&P.C. for this reaso 1' Pl
4- Date: � ff Owner�W�4 "'
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec: 3097; Civ. C.)..
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/18/2016.
Owner:
SUNRISE DESERT PARTNERS
300 EAGLE DANCE CIR
PALM DESERT, CA 92253
Contractor*.
f o
PGA WEST RESIDENTIAL ASSO
DATI
54320 SOUTHDERN HILLS
LA•Ql.(NTA,,_�A 9.2253„ -
(760)77171234
Llc. No.: AEC488
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I 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:
Carrier: Policy Number:
I certify that in the performance of the work for which this permit is issued, II
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if.1 ShoLdd become subject to the
workers' compensation provisions of Sectio 3700 of Labor Code, I shall forthwith
comply ith hose provisions. N
Date'. Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject tc
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to thework being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correc--.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of i city to e t upon the
above-- entioned property for inspection purposes.
6Date4� Signature (Applicant or A ,
Date: 8/18/2010
Application Number: BPAT2016-0086
Owner:
Property Address: '54707 SHOAL CREEK
SUNRISE DESERT PARTNERS
APN: 775071035
300 EAGLE DANCE CIR
Application Description: PGA WEST / 600 SF PATIO COVER AT COMMUNITY POOL 19A
PALM DESERT, CA 92253
Property Zoning:
Application Valuation: $7,500.00
Applicant."
Contractor:
PGA WEST RESIDENTIAL ASSOCIATION
PGA WEST RESIDENTIAL ASSOCIATION
54320SOUTHDERN HILLS
54320SOUTHDERN HILLS
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)7714234
Llc. No.: AEC488
----------------------------------------------------------------------------------------------
Detail:-DURALUM PATIO COVER SYSTEM - (1) 14'X50' (600 SQ FT.) 2012 IBC/IRC, 2013 CBC/CRC
Nb-ASCE/50'7-10, ENGINEER OF RECORD: THOMAS
CAMPBELL, NO 37948. THIS PERMIT DOES NOT INCLUDE THE INSTALLATION OF THE HELIOCOL SOLAR THERMAL WATER COLLECTORS (PER SEPARATE
PERMIT).
DESCRIPTION
_ INFORMATION
•
QTY. AMOUNT
WAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN ;
101-0000-42404
0
$97.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, STD, OPEN PC
101-0000-42600
0 '
$95.72
Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $192.89
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308'
0
$0.98
J13in
City of La Quinta
Building t3T Safety Division . i
f� P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project TMID
A. P. Number: I
Legal Description: �, I
�
1
Owner's Name: 94 ?),Esr W> S) A1r>AL &sem
/
Address:d�3�G 56 La N
City, ST, Zip: 49 U/ OA 9.2,-5-3
Contractor: Pt
Low
�f
Telephone:
ne• ;2 34
Address: 2� 0 �/1
e.t_ S
Project Des ription:
City, ST, Zip: C-ZL Alllym
Telephone: Q�
Aim Now
State Lic. # :
City• Lic. #;
Arch., Engr., Designer yq e �
µ fiS-SCe_
Address: 6-33 1 4-4-1..Q�14 i �%�
►
City, ST, Zipgh/Lf
Telephone: //
9�"� 2T% a f6
Construction Type: Occupancy:
State to Lic. #
Project ect hPe (circle e one w Add'n
) Alter Repair. Demo
Name of Contact Person: STE U,E�_R
7gFL
Sq. Ft.:.
# Stories:
#Units:
Telephone # of Contact Person:Imeo-
Estimated Value of Project: D
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKLI'G
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready ;for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for'corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
t
, i
At�8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
tial or personal injurtes'sustaiued by any subsequent owners) that result from any latent construction defects in the
.rkmanship or materials.
9. I understand I may obtain more information regarding my•obligations as an "employer" from the Interna[ Revenue
e ce, the United States Small -Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the Califomia Contractors' State License Board (CSLB) at -I-
00-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
legally: and financially responsible for proposed construction activity at the • following address:
11. I agree that, as the party legally and financiallyxesponsrble for this'proposed construction activity, I will abide by all
licable laws and requirements that govern Owner -Builders as.well as employers.
12- i agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
ve rovided-on this form Licensed contractors are regulated by laws designed to protect the public. If you contract ttzth
someone who does not have a license, the COntractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a compWnt "Y' our only.remedy against uniicensed.Contraetois may be in civil court It is also
important for you to understand that if i n'unlicensed Contractor or &Vloyee'of that individual or firm is injured whrHe working
on your property, you tnay be held liable for damages If you obtain a.peraui as Owner -Builder and wish 'to hire Contractors,
you will be responsible for verifying whether or not those `Contractors are r it licensed and the status of their workers'
compensation insurance coverage. pro' Y
Before a,but7ding permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the perrrui. Tote A copy of the properly owner's driver's license, forst notaritatioty or
other verifuation acceptable eager u -required to be presented when the peitnit is issued to veri
owner's signature. fy the properly
Signature of property owne
. Date: S � J •
IRR y.Sr, AY OLD
Note: The foIIoX4ngAuIhorization Form is required to be completed by the property owner only when designating
an agent of the property owner to applyfor a construction permit for the Owner -Builder:
AUTHORIZATION OF AGENTI'_1 ACT 0 PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owtier,'.the execution of which I understand ism ' oral i'
the following person(s) to act as m Agent(s) to a " 1 for st y 1?� esponsbility, I hereby authorize
y apply ign; and l9e the documents necessary to obtain an OWfier-Bdilder
Permit for my prajeck
Scope of Construction Project (or Description of Work): J. �i (/
Project Location or Address:.1 +M
Name of Authorized Agent:�j= No %�Q -77
Address of Authorized Agent:
a{� � LA �U i N -�•
I declare under penalty of perjury that I am the property owner for the address listed above and !personally fulled out the above
information and certify its accurac Of the#wr er's driver's Izce=4 form noiarizatien,'or other verification
deceptable to the agenry is r zr a presen ' the permit is issued to veri the "" "ro
fy " p perty owner s signature.
Property Owner's Signator J
Date: �n
P:O: Box 1504
LA QUINTA, CALIFORNIA 92247-.1504
BUILDING &SAFETY DEPARTMENT
78-495 CALLS TAMPICo
L-A QUINTA, CALIFORNIA 92253 (760) 777-7012
FAX (760) 777-7011
PROPERTY QWNER'S PACKAGE
Disclosures &Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner.
Aa application for a building permit been submitted' in your name listing improvements specified at g Yourself as the builder of the property
We are Providingyou u with an Owner -Builder Acloiowlcdginent and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by havurg this
Owner -Builder. We will not issue a build' Permit Issued m yoW name as the
signed, and retained this dorm to us at"oma otlna ar,°�ssuii ed.'q,� ager of the ownertcannogexecute this notice
unless you, the Property owner, obtain the prior approval of the petuiittirig authority.
.. �—i:E�uvu WLEDGMENT.AND VERIFICATION OF•IIVRO
CTfONS: Read and initial each statement below to si RMATION
$nify}rou uilderstaitd.or verify this information.
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
d g permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
as Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on tri}, property. My'horneowner's
int es. I am willfully acting as an Owner -Builder• and ain aware of the limits o� Wince may not provide coverage for those
in my P1OPen3'• my insurance coverage for injuries to workers
2. I understand building permits are not
required
to"ction and are not hiring a licensed Contractor tassume W be �� by property oWuers unless they are resPonsible for the
. responsibility.
3. I understand as an "Owner -Builder" I am the responsible pain, Of record on the
>f from potential financial risk by hiring a licensed Contractgp and ha ' permit I understand that I may protect
h
vutg the.perIIrit filed in his or her name instead of my
. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
ts and contracts.. I understand.if I employ or Otherwise engage an
construction is at least five hundred dollars (g5�) inco v'd other
b ° � licensed bei and 6e total value
#der state and federal law. mployer,,
6. I understand if I am considered an "employer" under state and federal law, .I must register with the state and federal
ent, withhold payroll taxes, provide workers' -comps isatiori disabi3rtq esti must and
compensation for each "employee." I also understand my faihrre to abide by these laws »>ay .subCj�un t�rne to s oris financial
k. unemployment
I understand under California Contractors' State License Law, an
s aures carni legally build them with Queer -Builder who builds single-family residential
subcontractors and the n intent to ofi'er them for sale,: unless 611 work is performed by licensed
under contract with a lice number
dmd oes not exceed four within; any c46iXia ye87, or ail of the stork is performed
g Gontiactoi
PGA WEST.
RESIDENTIAL INC.
May 20, 2016
City of La Quinta
Community Development Department
78495 Calle Tampico
La Quinta, Ca. 92253
Re: Solar System Alumawood Structures
This is to confirm that the PGA WEST Residential Association, Inc has authorized Stephen
Herthel, as an employee of The Association, to sign the "Owner Builder Declaration" and Permit
Application on behalf of The Association as our representative.
The PGA WEST Residential Association, Inc. is the owner of the property and the work is being
done by employees. of The Association. The Association provides Workers' Compensation
insurance for all workers in the performance of their work. ,
Your consideration of this information is appreciated.
Respectful1
Richard J. Moore, President, Board of Directors
PGA WEST Residential Association, Inc.
0.
5
A
a
A
a
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
APPROVED
FOR CONSTRUCTION
DATE BY
t
a
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
APPROVED
FOR CONSTRUCTION
DATE BY
POST SPACING DETERMINED BY
TABLE ON SHEET 23 of 49
25lbs./sq.ft. - :110mph. wind load
50'
12'-0 = 12'-0! 12'-0"
RAIN GUTTER :I1.
3"X8" DOUBL
HEADERS--� IlriliililfiitlilliilrillliiiililIlli11lifliil�llii!liilliiliiillllili`�ili �iIl�IIiIIII�IIIIIIII� PANEL -SPAN= 11'-6" (251bs. LIVE COAD
S .... .' .. I i ' .: ! ' " ' ; ; ; , ' I .. ; . „ f I ; t R�uND, co. u N 1 t ; 1 : 1 REQUIRES ..032 MIN GAUGE PER
IIlIIIIIii�tllljllli lllliilllll3lY �I �;L�lF 3jjIjj1l(iII1IiIjil:Ilf!II1Ii.111JJIII1EIY1c,)'f}ii112;5'IIilIII(IIi! ENGINEERING Pg. 3 of 49).
,:t,;' t,;:;I;;JN �,;CUIiEp,F(�OT1NG: ,,,. ;,,, ((STEEL, 60S -ALL)
.o 0
llifiifililliill1'iiliillllilil•I(IrPIOALIFO.IZIP;LILIPo�Ts)Illtllllll111l11111 llllillliillilI'llllllllll'ili11
DETAIL
Illlliitiillillliljllllllliil.illilillll�ililiiliilllliiilL��lIIIIIIiILillllillllllliillltlllll, ,Ililftl
2"X6" SIDE FASCIA ' '..
Vi ii Ii iIilflltlllliiltilili �
I'
3"X8" DOUBLE I I i ' . I , r 'ti r
-- -
.HEADERS -
'RAFTER TAILS ® 24" O.C. 0 PGA WEST-SHADE/SOLAR COVER POOL 19A. WIDE X.14' LONG:-
m 54=707 SHOAL CREEK INTERLOCKING. PANS
co :(25lbS
co live load, 11Omph wind load)
-n
O Cr. � { TYPE "C" FREESTAWbING
�7 W/ CANT:I •LEVER OPTION
C7- (Pg. 1 of 49)
Obi„
co W .y5. x
�I
ti c.
Zrr .
AFTER TAILS @ 2' O.C.
�U T T E R
-8" COLUMN
�'1 .r p..• /.•+':•• �: is Y ro
is ' •:� .. „• Io
3"X3" STEEL POST,"
IN 33" CUBED FOOTING SE X33"-
♦
mCQ _�_✓
C 4
O -�
.�
S
O .�
co U Tj �X,
.l_ f
d-
SELF TAPPING 3"x8" HEADER
SHEET METAL SCRE
3"x3" STEEL POST
TOP VIEW
DRILL" ACCESS HOLE
FOR SMS TO ATTAC
HEADER TO POST
3'x3" STEEL POST
ROUND COLUMNS
3"X3" STEEL POST INSERT
0.188" WALL THICKNESS
Pg. 7 of 49 Z %
GRADE
4 n .....
POST
=INTO33*x33'
ING4-33-
POST/FOOTING
1
DETAIL
CORBEL\T RAFTER D
TAILS C 2 '' O.C. 2 FASTENERS PER FOOT
FRONT FASCIA MINIMUM (#14 SMS) PER
RAIN GUTTER TABLE #2 Pg. 4 of 49
_ 2.5" TALL X 14' LONG X 6"
WIDE INTERLOCKING PANS
3"x8" DOUBLE
DRILL %" ACCESS HOLE HEADERS
® FOR SMS TO ATTACH 3"x3" STEEL POST
HEADER TO POST
8" COLUMNS
1 ,
1
HEADER/GUTTER
DETAIL
6" FLAT PAN ROOF
IYI 11
con
-
m
r
O ~" j
2 GUTTER PIECES COME
-TOGETHER OVER SPLICE.
COSMETIC ONLY — WILL NOT
AFFECT STRUCTURE'S RIGIDITY
OR INTEGRITY
2
SCREW AT UPPER
RIDGE PREVENTS
SLIDING AFTER INSTALL.
CAULKING BETWEEN GUTTER
AND SPLICE WILL PREVENT ALUMINUM SPLICE PIECE
LEAKS AT SPLICE LOCATION SLIDES INSIDE GUTTER TO
JOIN 2 PIECES TOGETHER
GUTTER SPLICE
DETAIL
2"X6" SIDE FASCIA
4 SMS
FORM
HANGER
SECTION VIEW AT SIDE FASCIA
arl"he nefioco,;
� 71* fly
dvanta'O'ge
W
TECH N ICAL.1 N FORMATION AND SPEGIFI
THE FEATURE THE ADVAIWAGE
Allows expanst . on and contraction, eliminaling cracks andleaks.
Patented individual tube design
Lets roof breathe, keeping it clean and dry.
Patented mounting ho rdware' Eliminates hoses, clamps and straps. No -gaps between panels for
smoother look; less than half the number of ro6f penetrations.
One-piece overmolded. construction Eliminates welds and weld leaks.
Hurricane resistant Can withstand hurricane -force winds;'Hetiocol panels &e approved
by mos-tproperty and casualty insurance carriers.
Low collector -head loss rate Reduces pump requirements.
Using the power of the
sun to heat your pool
JL Using your existing pool,
pump, pool wat�r is directed
throuoh a series of �olves to
your solar collectors.
S. Pool water enters the
Solar collectors at,the bottom
and rises to the top through
the individual tubes of the
collector. C. As the water
rises throuah the collector it
is -heated by the sun's rodiont,
energy 1D. The water Is then
re4urned to the pool to repeat
the cycle until your pool has
been wormed by the sun.
c .
Certification Data
JSO 9001:2008 dnd ISO 14001:2004
Ortech International Laboratories
Solar Rating & Certification Corporation (SRCC)
laborc� ry (SEAL)
Solar Energy Analysis 10
DSET Laboratories, Inc.
HRS, Florida (Required for commercial use)
- Florida S61ar Energy Center (FSEC)
- City of Los Angeles #RR -4 508
British National Water'Council (for potability)
German F;deral Health Board.
NSF,50 for Recreotiono'l Wole� Facilities
cir- Ro 1 1 n cl 11;='S jj rp
P 0 Y Ef I A_,� %_o 14-4 L—,., it v in
HC -204 10/20 1.1
11
3
4
I
HELIOCOL PANEL (CO
STAINL=ESS MEL DETAIL SHOWING HOW THIS SYSTEM IS ATTACHED
BOLT
38-= i ;i2-
GATOR CLa. P H^ -=GL P: ja
SPRING LESS NUT
GALVANIZED
STAINLESS SIE
SOLr
31W. 1 1(I
ATOR CLAMP ATTACHMENT POINTS
PACED EVERY 4 -
CORRUGATED SPLINES
OF PATO COVER ROOF
UNISTRUT
RUNNING CONTINUOUS
PERPENDICULAR ROOF SPLINES
(SPLICED TOGETHER) "
ATTACHED TO PATIO C!! f
AS SHOWN ABOVE -�
GALVANIZED
UNLfRUT - SHi.LLOVI
0
ATTACHMENT METHOD
DETAIL SHOWING UNISTRUT ATTACHED TO TOP OF
ENGINEERED PATIO COVER
t
i .i % . . \
FRONTAL VIEW OF ROOF CORRUGATION
CORRUGATED SHEET METAL
TOP OF ENGINEERED PATIO COVER
6- SECTIONS THAT INTERLOCK
WHERE OUR BOLTS WILL PASS-THROUGH
DETAIL OF INSTALLED SYSTEM
I
I.
ROOF PLAN FOR PGA WEST POOL 19BB
Illllliloi
i!
4
t
Jjn
h'6,-"WM SOLAR= IKC.
1452 POMONA ROAD
CORONA CA 92882
(951) 736-2000 OFFICE
(951) 736.3180 FAX
CA C46 UC.5661434 EXP. 17131/16
i
PERMITTING JURISDICTION
CITY OF LA QUINTA
78-495 Cal le Tampico
LA Quint., CA
(760) 777-7012
REVISIONS AND NOTES
PGA west - P001 19BB
55215 Southem Hills
La Quinta, CA 92253
(760) 397-3520
PAGE SCALE PAGE TITLE
NTS I PANEL
ATTACNNENi
)RAWN REVIEWED I PAGE #BY: BY. !
r
MM j S2.0
Ii.
�I
Mix Design Report ,
Superior Ready Mix Concrete, L.P.
1508 W Mission Rd
Escondido, CA 92029
760-745-0556 .
Mix ID# D837P— 4500 PSI 1" [0]
This design is being submitted for approval. Conformance with specification should be reviewed.
Contractor : PGA West
Project: PGAest
Compressive Strength:
4500 psi at 28 days
Aggregate size :
1" — 25 mm
Air: •
1.2±1.0%
Water/Cement ratio :
0.45
Slump :
4.00 ± 1.00 in
Source of Concrete: SUPERIOR READY MIX CONCRETE
Construction type:
Placement: TRUCK PLACE /4" PUMP
Unit Weight: 147.89 pcf
Design Date: 01/14/2015
Constituents :
Quantity
Density
Volume
ASTM C150 TYPE IIN CEMENT
559 Ib
3.150
2.84
ASTM C618 CLASS "F" FLYASH
99 Ib
2.200
0.72
Water
296 lb
1.000
4.74
ASTM C33 #57 ROCK
1418 Ib
2.670
8.51
ASTM C33 #8 ROCK
350 Ib
2.640
2.13
ASTM C33 FINE AGG
1269 Ib
2.640
7.70
ASTM C494 TYPE A WATER REDUCER
26.32 floz (US)/yd'
1.000
0.03
Air
•
(
j?
I
1.2%.
0.32
Total:
3993
27.00
Remarks
Reported by Superior Ready Mix L.P.
Approval by:
Date : 01/01/2015
Date
SIGNATURE
IROJECT-
ki
40
--&�KED
JOB NO.
11
CITY OF LA QUINTA
BUILDING & SAFE V DEPT
APpROVED'
FOR CONSTRUC;TiON
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6117/ki 6 BY