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BPAT2016-002778=495 CALLE TAMPICO 14A QUINTA, CALIFORNIA 92253 Application Number: . 8PAT2016-0027 X 4.4 aumt, COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property_ Address: 54592 SOUTHERN HILLS• APN: 775120033 Application Description: PGA WEST RESIDENTIAL ASSOC./ 560 SF DURALUM PATIO COVER Property Zoning: Application.Valuation: $8,400.00 Applicant: PGA WEST RESIDENTAL 54320 SOUTHDERN HILLS __—L-A-QUINTA, CA 92253 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.: 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 13 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 ermit subjects the applicant to a civil penalty of not more than five hundred dollars 0).: 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' 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 , hin 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.). (V) 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 tyre Qontractors' State License Law.). I am exempt under Sec. B. C. for thi f eason Dater '" t I 0 w n e�4/X V�� 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 VOICE (760) 777-7125 77-7011'. A INSPE#ON 777=7153 er: I - MAY 1.0'2016 FHEHILLS E CRAP QQ��UIIYIl1 VGE, CAaff —..__. Contractor: PGA WEST RESIDENTAL 54320 SOUTHDERN HILLS LA QUINTA, CA 92253 LIc. No.: 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, 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 Labor Code, I shall forthwith comply with those provisions. . 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 to 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 the work 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representy to e r Pon the above]�;WSignature(App!icam_ y for inspection pu Date: FINANCIAL INFORMAT16N DESCRIPTION 6 a ' ACCOUNT { QTY '. AMOUNT-, x 'PAID IPAID DATE i F x r F .w._ is r r BSAS SB1473 FEE 101-0000-20306 0 $1.00. $1.00 5/10/16 na'METHOD ' . ' TRECEIPT# - R CHECK#CLTD BYE" :.it ,4 r� x STEVE HERTHELL CHECK R15356 678 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 • �g : 4y �DESCRIP.TION '-• $�'_,r I. - 4 �i. +` t "4i QTY i ...- . � G AMOUNT f , k..i- PAID > PAID:DATE.! s' ri .ACCOUNT F PATIO COVER, STD, ENCLOSED 101-0000-42404 0 $97.17 $97.17 5/10/16 PAID BYr ` �' 3 METHOD ' ��' RECEIPT # CHECK #Xh CITp BY t STEVE HERTHELL 1 CHECK R15356 678 RSE DESCRIPTION,'F `' ACCOUNT $ ' eG -s QTY _ '' r AMOUNT }FPAIDa *' IPAIDDATEj , Yy t �^ PATIO COVER, STD, ENCLOSED PC 101-0000-42600 0 $131.98 $131.98' 5/10/16 • � 'ai s a -.:, x ^.- ., PAID.BY�' , METHOD 'RECEIPT,#, s CHECK# �CLTD BY STEVE HERTHELL CHECK R15356 678 F RSE Total Paid for PATIO. COVER / COVERED PORCH / LATTICE: $229.15 $229.15 " �• _ DESCRIPTION ACCOUNT QTY 19 AMOUNT w k PAID PAID -GATE SMI - RESIDENTIAL 101-0000-20308 •0 $1.09 $1.09 5/10/16 t" "z n' METHOD `,RECEIPT # I ;CHECK # r rCLTD BY t xPAID.BY` STEVE HERTHELL CHECK R15356 678 RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.09 .$1.09 TOTALS: $231.24 $231.24 � s , Description: PGA WEST RESIDENTIAL ASSOC./ 560 SF DURALUM. PATIO COVER Type: PATIO COVER Subtype: PRE-ENGINEERED -. Status: APPROVED -CONDITIONS Applied: 5/2/2016 RSE ENCLOSED Approved: 5/9/2016 JFU• Parcel No: 775'120033 Site Address: 54592 SOUTHERN HILLS LA QUINTA,CA 92253 Subdivision: TR 28776 Block: Lot`. B Issued` Lot Sq Ft: 0. w= Building Sq Ft- 0 Zoning: - _ _ Finaled: - Valuation: $8,400.00 Occupancy Type: Construction.Type: Expired:.. No. Buildings: 0 No. Stories: 0 No. Unites: 0 j Details: DURALUM PATIO COVER SYSTEM - (1).14'X40' (560 SQ FT.) 2012 IBC/IRC, 2013 CBC/CRC AND ASCE/SEI 7-10, ENGINEER OF RECORD: THOMAS CAMPBELL, NO 37948. THIS PERMIT DOES NOT INCLUDE HELIOCOL THERMAL SOLAR COLLECTORS. PATIO MUST BE BONDED TO GRID WHERE CLOSER THAN 5' TO WATER'S EDGE AT POOL. ^ ADDITIONALSITES 74t,z .. . - i �� �"'Sr '''�y yC • PLAN CHECK SUBMITTAL T j T Applied to Approved �` . ,• 1 oka ADDITIONALSITES .. . _',.wm� '•"�G'.:4 ""�". ' !'.."?W' .- . -.. :.. _.w -vry;; �ux�:.w�.': .+d .. -fi-Trs ... :': „ r!M ..:.:..aµ: '...:.:.: -. -.'.i :'?`r-� - — - t s �`.a - :CHRONOLOGY TYPE STAFF NAME :+ ACTION DATE ` COMPLETION DATE> NOTES PLAN CHECK SUBMITTAL RAMSES SEVILLA 5/2/2016 5/2/2016 RECEIVED A _. PLAN CHECK SUBMITTAL RAMSES SEVILLA 5/2/2016 5/2/2016 RECEIVED , r CONDITIONS ...* 1 N .ate.... 0 A E DATE DATE r D TSl x ,..CONDIT ..;: `g F N .. STAt,US n:. RE,MARKS": T £ NOTES; a .;, -TYPE :: , e -Fr _. :.. . F .. ..�-.. . ADDED °,,. _REQUIRED 3 :SATISFIED�� ,x„� ._ '...::x.. r.-- e k,.�.. ..,. Pr.,--:`. ¢" •-_.. R,rcdan s z ..:� �-a. .?aey-.+ :. � :f READY TO ISSUE OWNER -BUILDER FORMS MUST' BE SUBMITTED JAKE FUSON 5/9/2016 PENDING CHECKLIST' IN ORDER TO. ISSUE. ADDITIONALSITES ...r ��.•i.�,�. ..•. , INSPECTIONS u, PARENT PROJECTS, Printed: Tuesday, May 10, 2016 12:21:26 PM � .2 of 3 . - SYSTEMS CONTACTS 'NAME _TYPE "<: ; 'NAME>: :ADDRESS1 : 'CITY STATE ZIP :PHONE . FAX EMAIL "- , A ; APPLICANT PGA WEST RESIDENTAL 54320 SOUTHDERN LA QUINTA CA 92253` o HILLS CONTRACTOR- PGA WEST RESIDENTAL 54320 SOUTHDERN LA QUINTA CA .92253 HILLS r OWNER SOUTHERN HILLS 1430 E CHAPMAN AVE ORANGE CA 92253 STE 100. FINANCIAL •• • ,._... `.QTY , . ��.�:, .-� "•M� p » z, ''PAID �� ," ,� X ""`.: "RECEIPT,# r�.° � . DESCRIPTION ;' °"ACCOUNT 4 .AMOUNT �` r' PAID,DATE -CHECK # METHOD K PAID BY - � f BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/10/16 R15356 678 CHECK STEVE HERTHELL RSE Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00. . , BSA PATIO COVER, STD, , 101-0000-42404 - 0 $97.17 $97.17 5/10/16 R15356 678. CHECK ' STEVE HERTHELL RSE, ENCLOSED r PATIO COVER, STD, 101-0000-42600 0 $131.98 $131.98 5/10/16 R15356 678 CHECK _ STEVE HERTHELL RSE ENCLOSED PC Total Paid for PATIO COVER / COVERED PORCH / LATTICE: $229.15 $229.15 SMI - RESIDENTIAL 101-0000-20308 j 0 $1.09 $1.09 5/10/16: R15356 '678 CHECK STEVE HERTHELL' RSE Total Paid for STRONG MOTION INSTRUMENTATION SMI: - $1.09 $1.09 TOTALS: $231.24 $231.24 ...r ��.•i.�,�. ..•. , INSPECTIONS u, PARENT PROJECTS, Printed: Tuesday, May 10, 2016 12:21:26 PM � .2 of 3 . - SYSTEMS P:O,• Box 1.504 LA QUINTA, CALIFORNIA 92247=1504 78-495 CALLS TAIKPIBUILDING & SAFETY DEPARTMENT CO L-A QUINTA, CALIFORNIA 92253 (760) 777-7012 FAX (760) 771-7011 PROPERTY OWNER'S PACKAGE Disclosures & Forms for Owner -Builders Applying for Construction Pe rtnits IMPOR?'AAtl NOTICE TO PROPERTY OWNER Deai Property Owner: An application for a buildin ��2 be impzovements.specified at_, nutted ur name. }fisting yotuseIf as the builder of the properly We are providing You with.an O er Bulkier Aclamowl responsibilities and possible risk you may'incta b lin edgment an Information Venficatton Form to.make you aware of your Y ving this pei t•issued;in your name as.the Owner=Builds. We will not issue a build` " signed, and returned this form fo us at our ofCctaivaddrens i dicated �An aaena'of the ownertcarinogefeaate this notice unless you, the property Darner, obtain the pti approval of the UeII4l ttirio.anrl,...;g," U-1.1111. i unaerstand a frequent practice of unlicensed person,,. d g Permit that erroneously implies that the property owner. an Owner,Builder, niay be held liable and subject to serious lira and his or her employees while working o- my property; S injuries. I am willfully acting as an Owner -Builder and ain aware aware MY property. , 2. I understand building Permits are not required'to be s ruction and are sof hiring a licensed Contractor 10.85SUn}i j understand as an "Owner-Builder".I am the irsponabl; ff from potential financial Halt by hiiinga licensed,Contrac iroperty owner obtain an "Owner -Builder" her own'labor and material personally. 1, as +,injuries sustained by an unbeerised person Hance may not provide coverage for those Y insurance coverage for injuries to workers owners unless they are resPvrisible for the I undcr'stand that I may protect in'his or het mine instead of my I understand Contractors are requ its and contracts. ired by law to be licensed and bonded in California and to list, their ficense numbers on it AV-construction ��. I understend,if 1 employ or otherwise engage anypetsons, other than California licensed Contractors, and the total value cafe and ed is at least five hundred dollars ($SOOj, including laboi and materials, I may be on an "employer" K6. te and federal law• understand if I am considered an " to er"_ tnider;state aai7:federal law"! must register .wifh the state and federal ent, withhold payroll taxes, ::providee orkers' co mpensahon disability msuiaiice compensatioq for each "employee:" I also understand ;my failpi a to abide by these` laws :ma bt �oi seri, �finaiic nt k. al I understand under California Contractois' State. License Law, an etures cannot legally build them with the Qwner Builder who Builds single-famil subcontractors and tial the number of stivctxires does no euceed four em for sale, unless all work is single-family under contract with a licensed genial: buildin ` y Fanned b J within an calandai year, or;all of the woik is Performed e g ConTrdctt)T e c r .F .8. 1 understand as an Owner-Buildet if I -sell the property for which h s permi for cial or personal injurfes"suitathi t is issued, I may be held any ine b a bi dr(s) ibit result from, any latent construction Y 0i su.sequ;aht.oikfi Ara.,,, nship or materia�­ c n defects in the 9. 1 understand I may obtain more information regarding my obligations an "employer" 66m the, Interiial'Revenue as e ce, the United States Small -Business Adn-dnis.traii6n, the bepaff''ment of Beh'efi I t orma erstand I May contact theCaliforniaontra -board" `(CSL Division of Industrial Accidents. I also and the Cald�i6ia ts understand onta * CA ­ Contractors' State License e I-CSLB (2752) or Vmmalb.ca. . . �B 1 1. gov for information about licensed contractors. 10 . I am aware of and consent to an Owner -Builder building permit applied for in my name, -legally, and financially And understand that I am the y raponsi le or propose, construction -acqKlty at the ."following address: c that, as the party legally and finandiallyyespohmble for this,pro ed construction activity, I will abide ai;ilt agree TPs db 0 ',c aws And reqdireme'nts that g&ern dwijej4•�j�e� ­ - I . . y as. as employers. & 1 2- 1 agree to notify the issuer of this forni immediately of any addid ons, deletions; any of the information I rounded -on this f 5,e vided - on form or thangetI6. . , Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have' licen.,te dt(� 6 , �,, , t ve a License Boird4i"iuiable - assis you with any financial You may sustain. as a result of a complaint. Your only remedy against unlicensed;contrActo,ts may be mcivil i " court. Itis . also important for you tdAinderstirfif that if , an i6�e,41,Contractorori working or Earn 1�,m whi oil your property� you may be hild liable for datnag: w jq.!;d . e y?u,? in a permit as Owner _��&Msft'toh6 " ' Contia 'ble for v6fi'hfit�gwheiihdr.'�j' t thoge Contractors i Y will -be resp*'onsi' no Contractors, !�s aTq properly hcen�e� and compensation insurance coverage. of their. workers' coverage. 13'efore a.bfidding permit can be issued, this form fifilst be completed and signed- - by the pr*-9perty the agency responsible:.�. ..." :, ', ,, - .1; �­. I I 0�yh6r.4nd.returned to f6r issuing., p�rnu - A d'' 0 pW.ofthepr�peny�,- O?Wf s. !Tver'sfice, 4, or other verification acceptable -ag is a -h owner's'signature. e '.to j .'is Issued �w when to Oirifji'lhe prop,eny Signature of property pwne Date: Note: .7hejbl1owing.4u1jh0rL,,ation Form is required 10 be completed by the. property own an agent of the property owner to apply for a CO P owner oply when designating for .the Builder Excluding - permit the,. A TMnYTd*%�­ ExcluC69 the Nofice.to Property ,0 , wnerj*the execution the fpl]6w4ng person(j): to act as my agents) toapply fon project Permit for my p Scope Of Construction Pr6ject (.or Description of Work): Project Location otAddress: It winch 'I'Unde' rstAnd is my Persona re I sponsi ility, I heicby'a'jthotiz6 and -file'the do o t, -o 6iri an Ow- Name of Authorized Agent:. 7 Address of Authorized Agent I declare under penalty -Ofperjury that amthe prOPefty owner -for.,the address listed above and'I per information. and certify its sofiallY Med out the above acc . owner h acceptable lo,theqgen On " Or other on aP .-en verifythe permit is isstredao the pro P.&Yy owner s:signature: Property Owner's Signatur Date. 1n J Bin #V Cit of La Quinta Building uSafery Division - " - , APR2 9 2016 P.O. Box 1504, 78-495 Calle Tampico CITY OF LA La Quinta, CA 92253 - (760) 777-701COAlM Q61IV7A Building Permit Application and Tracking SXN eRy DEVELOPma Permit # OAT-2-616. Project Address: Owner's Name: WES) Aff),V— '&Ser, A. P. Number: Address: 6T-3,;16 56 u-7hy--4N Legal Description: City, ST, Zip: (!,A 9A;Z�13 U, 1AJ T, Contractor: J'9A Telephone: Address: x`732 Q U V-A 67Y)us Project Description: City, ST, Zip: Z-1d)ZAWFA 0-A 9,7.26-3 W1 05 x 40 *'lowv Telephone:Z D- %7 A1L)V"WxeJ cemew-'i *LbILW— State Lie. City Lie. M. Arch., En gr., Designer: F6 M )'WX y Address: City., ST, Zip"'/I��- No-kiy1mi(m, Telephone: - - - - - - - - - - - - .... ......... ................... . .. ... . . . . ...... ons uc ton Type: Occupancy: State Lie. .#: Project type (circle one 10 Add'n Alter Repair. Dem 0 Name of Contact Person: STE UE- P- 79FL# Sq. Ft.:!'��o # Stories: Units: Telephone # of Contact Person: q S:Amo Estimated Value of Project: APPLICANT: DO NOT. WRITE BELOW THIS LINE N Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready forcorrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans ans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'd Review, ready for'corrections/issueElec trical Subcontactr 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 "Milt I I FAIMErik An S v = IMM �t^'� x����VAf,�NSS �d� ' n� ir,.]�`i"�'ra ;�'�"�'' .,naC -.- k� s ., . a uJ CL CN A M r CITY—OF O� NTA ~ ' BUILDING & SAFETY DEPT" to IM z 5 -APPROVED'r + N W W` �� FOR CONSTRUCTION c3 ;z • f !. * "a w w DATE BY ;r• , ' ^Z -_—_r__--=---�- o d------ -- --t' C M t W •3 --------_ --- W -� • - ;•� .,� lir p _ CL N O, �-_—_-- LLJ N CL O \ LLJ O Q u7 CL C14 1 E k--CT_--_--- --- r 0 N �--_-- _-_-_—_-_- (n 61 ui Q. LL- a _ O ; r W ' W _ t „ ----------------- 0 r- W I i O l J J _ F --_-----_--r . O m �' ' u to ~ r r v 1 ^, • c 7--------- a-, i LrJ Q • r _ J IM Z O N p O N � .. CMIX LLJ LLJ. oon t_2<LLi L'j ><x y M 2 N _ af 3 • S . i - _ •�, • .. ' �^ • A • - - ' �+'�' _ , - •' 2 GUTTER .: ,. . . CORBEL T RAFTER Q PIECES COME- t ' TOGETHER OVER SPLICE:. ' TAILS '2 O:C. -2 FASTENERS PER FOOT ti COSMETIC ONLY — WILL NOT r ' FRONT FASCIA MINIMUM (#14 SMS) PER AFFECT STRUCTURE'S RIGIDITY TABLE #2 Pg. '4 of 49 OR. INTEGRITY RAIN GUTTER 2.5" TALL -X-14' LONG X 6., 2 WIDE INTERLOCKING PANS t 3"x8" DOUBLE DRILL %" ACCESS HOLE HEADERS FOR SMS TO ATTACH HEADER TO POST• - 3"x3" STEEL POST ' 8" COLUMNS - SCREW AT UPPER RIDGE PREVENTS t SLIDING AFTER_, INSTALL' CAULKING B ET"' WEEN GUTTER; • `� � <r AND`SPLICE WILL PREVENT ALUMINUM -SPLICE PIECE HEADER/GUTTER, ' .LEAKS AT SPLICE LOCATION ' ` SLIDES INSIDE GUTTER, TO ' JOIN 2 PIECES TOGETHER DETAIL • Y ': j - Gl1TTFR cpI ire TECHNICAL INFORMATION AND SPECIFICATIONS �t The Heliocol Advantage THE FEATURE THE ADVANTAGE Patented individual tube design Allows expansion and contraction, eliminating cracks and leaks. Lets roof breathe, keeping it clean and dry. Patented mounting hardware Eliminates hoses, clamps and straps. No gaps between panels for smoother look; less than half the number of roof penetrations. One-piece overmolded construction Eliminates welds and weld leaks. Hurricane resistant Can withstand hurricane -force winds; Heliocol panels are approved by most property and casualty insurance carriers. Low collector -head loss rate Reduces pump requirements. Using the power of the sun to heat your pool A. Using your existing pool pump, pool water is directed through a series of valves to your solar collectors. B. 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 through the collector it is heated by the sun's radiant energy D. The water is then returned to the pool to repeat the cycle until your pool has been wormed.by the sun. c Certification Data • ISO 9001:2008 and ISO 14001:2004 • Ortech International Laboratories • Solar Rating & Certification Corporation (SRCC) • Solar Energy Analysis Laboratory (SEAL) • DSET Laboratories, Inc. • HRS, Florida (Required for commercial use) • Florida Solar Energy Center (FSEC) • City of Los Angeles #RR -4508 • British National Water Council (for potability) • German Federal Health Board • NSF 50 for Recreational Water Facilities Enjoy Year -Round Leisure Living. HC -204 10/201 1 Mix Design Report Superior Ready Miz Concrete, L.P. 4 • ; A + 1508 W Mission Rd +` Escondido, CA 92029 x•' �'" 760-745-0556 « , }Mix ID# D837P— '4500 PSI 1" [O] This design is being submitted for approval. Conformance with specification should be reviewed. - t , Contractor;' PGA West Project: PGA0est�4 Compressive Strength : 4500 psi at 28 days Aggregate `size ': • . "1" ` 25 mm . Air: ' ._ a 1.2 ± 1.0 %Ii Water/Cement ratio: 0.45 Slump 4.00 ± 1.00 in Source of Concrete SUPERIOR READY MIX CONCRETE Construction4ype Placement: TRUCK PLACE / 4' PUMP , Unit Weight: 147.89 pcf Design,Date : 01/14/2015 "r Constituents :. ' Quantity Density Volume ASTM C150 TYPE IIN CEMENT °" �, : 559 Ib • 3:150 2.84 ASTM C618.CLASS,'F".. FLYASH 99 Ib -2.200 "10.72 Water,,' 29616 1.000 4.74 ASTM C33 #57'ROCK, 1418 Ib 2.670 18.51 ASTM C33 #8 ROCK : ` ' s : 350 Ib 2.640 ASTM C33 FINE AGG i ' 1269 Ib 2.640 x;2.13 `17.70' ASTM C494 TYPE A WATER REDUCER,' . _ 3 : ,26.32 floz (US)/yd3 1.000 •''1;0.03 Air ,}. i ��� 1.2 %. '•;'0.32 4. Total 3993: 27.00 Remarks Reported by Superior Ready Mix L.P. it - Approval by : 4! Date : 01/01/2015 , . r Date 4. SIGNATURE tKED" r P4 ,• R .. 'RO t log N0. 000 SUB ECT 4 �,.,.e, SHEET. OF SHEETS ..r Y �m: r Jq , / �YV.' •� � { iTLY 0I'� ' � `kl :�!'�o!r.�V Y� i ! 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