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1115 Ga la JeG ler
City of Newport Beach Special Inspector Manual
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive 1 P.O. Box 1768 1 Newport Beach, CA 92658
_._ _.....: 1 (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: 1715 Galatea Terrace
Permit Number: S2017-0088
Inspection Type (s): Shoterete
Inspection Date (s): 11/9/18 ( ) Periodic (X) Continuous
1 set of 3 cylinders taken
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4017-3973
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TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
PROJETAND CAST DATA (PERFORMED BY OTHERS AND NOT VERIFIED BY LAB
PROJECT NAME INSPECTORS NAME
PROJECT ADDRESS 1715 Galatea Terrace INSPECTORS LICENSE#
Newport Beach, CA INSPECTORS SIGNATURE
PERMIT NUMBER SW1 52017-0088 FIELD INDENTIFICATION
CASTDATA
CAST DATE
11/9/18
DESCRIPTION
Concrete
Grout
Mortar
ShutarAte
MasonryPrism
Other
CONTRACTOR
Tesena Outdoor
SPECIFIED Pc PSI
4500
CEMENTTYPE
II/V
CONC. SUPPLIER
Nationi Ready Mix
CAST BY
DA
ADMIXTURE
NR
PLANT
73 435
#OFSAMPLES
3
SLUMP
2.5"
MIX DESIGN NUM BER
SBOO15
TOTAL YARDS
10
AIRTEMP
59
TICKET NUMBER
76,470
CASTIMIXTIME
10:19AM
PT -16769.1.3
CONC.TEMP
86
LOCATION OF POUR
Vault '
Notes
Specimens were cast using 4" x 8" cylindrical molds
TEST SCHEDULE
7 -Days _3 28 -Days al Days at Days
DATA PER ASTM C39, C1819, UBC STD. 21.1S
DATESPECIMENSRECVn
11/20/18
EQUIPMENTUSED
FORNEY
REPORT DATE
12/7/18
SN OF EQUIPMENT
F.25EX-F-CP1LOT
BREAK
TYPE'
11N.
CALIB. DATE
."28,20V
SPECIMEN
IDENTIFICATION
NUMBER
AGEAT
TEST
(DAYS)
DATE
OF
TEST
TIME
OF
TEST
SPECIMEN DIMENSIONS -IN.'
AREA
SD. IN.
LOAD
LBS
Pc PSI
BREAK
TYPE'
11N.
21N.
31N.
41N.
PT -16769.1.1
28
12/7/18
3:38PM
4.000
4.00
Na
Na
12.57
73 435
5 844
3
PT -16769.1.2
28
12/7/18
3:31 PM
4.000
4.01
Na
Na
12.60
76,470
6,070
3
PT -16769.1.3
28
12/7/18
3:34PM
4.000
4.01
Na
No
12.60
76,915
6,273
3
Ave F'c=
6 062
'Dimensions 1 and2= Diameters: Dimensions 3and4= Heights; NA if Cylirtlsr Ild> 1.8
Brsak TypeDesi9rsUon Per ASTM C39 Figure2 1= Cone, -1 Ccneand sack, 3= Colummar, 4= Diagonal, 6= Side Fracture, 6= Side Fracture Pant
COMPLIANCE WITH SPECIFIED STRENGTH / COMMENTS: Complies
AUTHORIZED SIGNATURE
8145 SECURA WAY, SANTA FE SPRINGS, CA 90670 OFFICE 424-263-5955 FAX 424-263-5987
WEB W W W.PYRAMIDTES nNG.COM EMAIL PYRAMIOTESTING@GMAIL.COM
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CITY OF NEWPORT BEACH 1715 Gala�eu "(er-
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
SMOKE DETECTOR AND CARBON MONOXIDE
SELF -CERTIFICATION
(this certification is to be filled out by the permittee or homeowner)
Project Address:
Permit Number:
Property Owner:
Licensed Contractor:
4-1e'lsa(-
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Lic #: 10zZ,r7
The State of California now requires that smoke and carbon monoxide detectors must be
installed in all residential buildings
California Residential Code (CRC) Section R314.1, CRC R315.2 states in part that
existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors.
CRC Section R314.3, CRC R315.3 defines required locations.
Both boxes below must be checked:
Carbon Monoxide Alarm: On the ceiling or wall outside of each separate
eq�rjleeping area in the immediate vicinity of bedrooms or in each hallway outside of
the rooms, and each level of the dwelling. Detectors are also required in
bedrooms with gas fired appliances
/�;'' Smoke Alarms: Installed in each room used for sleeping purposes, outside
peach sleeping area, and on each level of the dwelling unit.
Retrofitted detectors may be battery operated for buildings where no alterations are
performed on the interior. Multiple -purpose alarms (carbon monoxide and smoke alarms)
shall comply with all applicable standards and must be approved by the State Fire
Marshall. The devices must be installed per manufacturer's specifications.
I, the undersigned, hereby certify
project. I further certify that sm
present and tested to be furittigo,
Signature:
NOTE: This self -certification
interior of the dwelling by o
construction.
�f4im the permittee or homeowner of the
alarms and carbon monoxide alarms are
the following locations:
/ Date:
used for projects to the exterior of the structure where access to the
Newport Beach Building Inspector is not achieved during the course of
rmskSmokeDetectorandCarbonMonoxideSelfCer[ 08/12/16