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City of Newport Beach Special Inspector Manual
CITY OF NEWPORT BEACH
C01Nhi?�TIVITY 1) VISI ®PMENT DEP g1VIEEl?I '
u ' a BUILIDING DIVISION
100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658
lrnnnv newoortheachca.00v i (949) 644 200
Project
Inspection Type (s)e 5G
Inspection Date (s):
SPECIAL INSPECTION REPORT
() Periodic (XA Continuous
To the best of mV knowledge, the work inspected was in: accordance with the Building.Division approved design drawings,
specifications and -applicable workmanshin provisions of the IL8.0 excent as nntpd ahnve_
Special inspector Signature:
Describe Inspection, IncludingLocationis):
Vt
qC "4'V" raXima, ( 7 a
Uo 5
a. 12"All" 57P"I. 140 e -¢u e ee
GG
GL bYo(� �o
List Tests Made:
C
t¢
r.
Total Inspection Time Each Day:
Date:.
� —Zr7L(
List All Items Requiring Correction (include Previously Listed Uncorrected Items):
Comments:
r
o f e _
Grera oar 4t5' Kc .
To the best of mV knowledge, the work inspected was in: accordance with the Building.Division approved design drawings,
specifications and -applicable workmanshin provisions of the IL8.0 excent as nntpd ahnve_
Special inspector Signature:
LLUO
gDate:
` ( ZoZ/
Print Full Nan* -'Newport
Reach Registration No.:
Eric Luiz
� NB -0674
67
SOUTHWEST ®®='4Vvr
Inspection & Testing, Inc. 441 commercial Way. La Habra, CA 90631-6168
(562)941-2990 - (71,4)526-8441
FAX (562)946-0025
FIELD DATA ON TEST SPECIMENS
-- ASTM C31, C138, C143, C172, 0173, C231, C1064
CONCRETE: MORTAR: SHOTCRETE: X CORES: GUNITE:
ADDRESS: 14 SPANISH BAY DR, NEWPORT BCH JOB M DATE: 05/07/2021
JOB NAME: GOLDBERG' PERMIT M S2021-0055 ISSUED BY:
ARCHITECT: ENGINEER: LACHER ENGINEERING
CONTRACTOR: CABRERA POOLS & SPAS INC. SUB: WEST COAST SHOTCRETE
LOCATION IN STRUCTURE: ( PANEL) WALL OF SPOOL
TRACT: PHASE: LOT '#:
CONCRETE SUPPLIER: GARY BALE PLANT: MIX #: 71/2 -1
TYPE OF CEMENT: V ADMIXTURE: TICKET#:
SLUMP: 0.00 in. WATER ADDED: 0 gal, AIR TEMP: 0/F
CONCRETE TEMPO F MIXING TIME: 0 min. TIME CAST: 00:00
DATE CAST: 04/09/2021 RECEIVED AT LAB: 04/1312021
SPECIMENS MADE BY: ERIC LUIZ SPECIFIED PSI @ 28 Days: 4500
LAB M 182909 CLIENT: RICHARD LUIZ'
TESTING INFORMATION:
SAMPLE IDENTIFICATION:
2188363
2188364 2188365
AGE DAYS:
28
28 28
DATE TEST:
05/07/2021
05/07/2021 05/07/2021
SIZE (in.): Height X Diameter
6.000 X 3.750
6.000 X 3.750 6.000 X 3.750
AREA (in.k):
11.04
11.04 11.04
CRUSH LOAD (Ibs.):
68942
65447 66432
COMPRESSIVE STRENGTH (psi.):
6240
5930 6020
HEIGHT -DIAMETER RATIO:
1.60:1
1.60: 1 9:60: 1
CORRECTION FACTOR:
0.97
0.97 0.97
CORRECTED STRENGTH (psi.):
6040
5740 5830
BREAK TYPE:
III
III HII
C.T.M. USED:
Forney96
Forney96 I Forney96
REMARKS:
ASTM C39, C174, C192, C470, C617, C42
COMPLIES: X DOES NOT COMPLY: FOR INFORMATION:
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
NOTICE:These test results are from samples cast by inspectors
or technicians not employed by our flim. They were
either delivered to our laboratory or picked up by our
driver. We will accept no responsibility for the inspection
made on the jobslte by the inspector, furthermore we
Z4FAR AHM
do not take responsibility for any information on this -
PRINCIPAL ENGINEER
report other than the strength as tested and reported.
ASTM C39 BREAKS: 1=CONE - ll=CONE AND SPLIT -
III=COLUMNAR - IV=SHEAR - V=SIDE FRACTURES - VI=POINTED