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t ounty of SA..r* Ar.tft
BUILDING DIVISION
r 1231456-789'l , F 2341567-8912, E-mait @
STRUCTURAL OBSERVATION REPORT FORM
STRUCTURAL OBSERVAT,ON means the visual observation of the structural system, for general conformance to the
approved plans and specifications, at signiticant construction stages and at complelion of the structural systam. Structural
observation does not include or waive lhe responsibility for the inspections reguired by Section 108, 1701 or other sections ot
the Code.
Report No
This report includes all construction wo* ttrrougn -1troay or ,zoll easeNo. I t I1
*o1oa,6o"'7f,?JZ- e, l{ 5-r.-
StructuI'l Ob.crEr of Record (SOR):q'nVe eY-€>tr SOR Phone l{o
/Ad7f 7-t't-'t
Bulldlng Permit Noptq5611 Obsorvor P.olosslonal Lic./Reg. No.:
fGetuz
9baarv.r Phon. No.:
8/al7r l-tirt
OBSERVED STRUCTURAL ELEMENTS AND THEIR CONNECTIONS
WALL FRAMES FLOOR PORTION OBSERVEO, IF NOT WHOLEFOUNDATION
O concrete E SloelMomenl Frame O Concrete ftcF? a.3a' ebeg ft-Footlng, S{c#l.dlt
O Mrt Foundation O Mrsonry O St6olBrrc6d Frame O St olDock f{tta '/i.- F'I<. tlo:af:-
O Cllaaon, Piles, Grad6 B6rms E Wood O Concrota Momonl Faame O Wood 6*tt-|.
E Ratrlnlng Foundrtlon
Hlllald6 Spocl6l Anchort
tr Other:E M!3onry W!ll Frame tr Othors:
tr oth.r.I
OBSERVED DEFICIENCIES:Nrrt6 '
,I. IAM THE EI{GINEER OR ARCHITECT RETAINED BY IHE OWNER TO BE ITi RESPONSIBLE
CHARGE FOR THE STRUCTU
or rx4rvEouxw or
RAI. OBSERVATION IN ACCOROA|ICE WTTH IHE REOTjIREMENTS
JA elr kut
2 I, OR ANOTHER ENGIIiEER OR ARCHITECT wl{O I HAVE DESIGI{ATED AAOVE AND IS UNOER
MY RESPONSIBLE C}IARGE. HAS PERFORi'ED THE REQUIRED SITE VISITS AT EACH
SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL
CONFORMANCE wlTH APPROVED PLANS AND SPECIFICATIO S;
3
1
ALL DEFICIENCIES WHICH REM TO BE CORRECTED HAVE BEEN INDICATEO ABOVE:
IRECOMMEN AT ACCE E OF THE STRUCTURAL SYSTEMS BY
BE WTHHELD UNTIL ALL OBSERVED OEFICIENCIES
ARE RECTEO
Z /*tt1
SIGNATURE
,<\,rHEt[r/cou I{TY
OF
STArilP OF STRUCTURAL
OBSERVER OF RECORD
q
gLr E
crv
mv
**
2(9
ts
F ESS/
oFC
sorl doc - LARTJCP Slructural Observatron Report Form (V1 0 - 5/2000)
DATE
LAR UCP;.\....'.. .'-:.. .CA9
Structural Ob.crvrtlon pG.rormod by:srcv:c *.rreb&
O Oth.ra:
I DECLARE THAT THE FOLLOWNG STATEMET{TS ARE TRUE TO THE BEST OF MY KNOWLEOGE:
No. C06727
ExP.9-30'20
Page 1 of 1
ROCK - SAND - BASE MATERIALS
READY MIX CONCRETE
Date a1 1/2019
Projoct: Metro East - 2222 E. First Street, Santa Ana
Contrector: Moody Masonry
Doscription: 2500 psi 1" Mix
Strength (fc): 2500 psi WC rclio:
Slump: 4" Sack Contenl
Max. Size of Agg.: 1 ' Gavsk.:
Pump Type: Boom Pump/Place Un. WL:
ALL CONCREIE
'S "IXED
AND DELNERED IN ACCORDANCE WfiH AST'I C.U
Contents:
Cement (ASTM C-150)
Fty Ash-Class F (ASTM C-618)
Sand
1-1/2' x 3/4"
1' x #4
Y8" x tl8
Watet
Entrapped Air
36.0 gat
1.25 "/"
Wt
ADMIXTURES :
Remark: The cte ineer should review this mix to ensure com nce to cts ifications
2' 1 1n"1' y4" 1/2'v8"No4 NoA No 16 No30 NoSO No100\o
ROBERTSON'S
Sand Source : Robodson's Redlands
Rock Source : Robedson's Corcna
Cemenl : Podland Cemenl Typo N WE'"'c- t-"oLt. cfirEr r{d
ln.v'!. ,n F..drr{
0.u
5.00 sk
7.20
147.1
Ash C/ass F O6.a, 8Fsrd XrD
Cr*rrg 6 dr, lq l.Ed c(,rEtnrr. nl tr (h.f
cd!.ar d ,. Uq,ct tn qtr..t .o,ndft. yln t
htrrner ewn D lrr cdrt*r (burrn &, -kr',Hl 6 rtcl b lr. r.qr..t .ra. ol lt PlrE tn
|,..racaor. Crrltc a .-Fraa ts Oii...5'
*tclr .d b. cdli.nd .rn co.r.La(, .t ,l pb tr.
Lb..iaar ,66... ..d a.irlqr6 oi .o.r.!E!o.r
codda.n ol Carr-b.. dl elh h.r oa tt olrl ttr
r\d ,. .-It ro.' !'rb.h.H ol ild wt
Aooraoalas meet ASIM C-33
Fax (951) 280-1429
aEBa &o{l{. E,ol€r(x mc
Cdr{llrp Cd r thdrd Eg.r..t
o,, 02-_11-2019
", _ s.E.E.
R5250831Concrete Mix Design #:
w. t2/31/N
Aggregate l,ye,bhts are SSO, Moisture in Aggrogales Must D€ Considered When Detemining Total Mix Wator
MIX DESIGN PROPORTION
%ioused Sp. Gr VolumeBatch Wt
3972 Vol. =
100
27.00
3.15
2.33
2.62
2.67
2.65
2.65
2.39
0.00
8.76
0.00
8.76
1.95
4.81
0.34
45
0
45
10
470
0
S/ze
0 0 0 0 0 o9533731
0 0100045
018211010
98 80 210010010010045
46 3610098
(951) 685-2200 ext 6381 P.O. Box 3t
0
1432
0
1448
322
299.9
60
11/2',
-
-
6-
0.T_T100 I 100
100 | 100
38 I 12
100 I 96
le5
100| 100
70 I
100 | 100 60 l3elr8 l6
1ooo
ls I I I s I r10007 lt2Combined100
Retaining Wall/Fence Wall Footing
ROBERTSON'S
ROCK - SAND - BASE MATERIALS
READY MIX CONCRETE
al l/2019
Project Metro Easl - 2222 E. First Slreet,Sanla Ana
Contractor.Moody Masonry
Description. 2000 Psi Groul Mix
Stren$h fc): 2000 Psi
Stump: 9-10 "
Max. Size of Agg.: 3/8 "
Pump Type: 2" line PumP
ALL CONCRETE
'S
ITI'XED AND DELIVERE
GaUsk'
Un Wt
D IN ACCORDANCE W'fH ASTM C-91
WC ratio:
Sack Content
0.74
6.00 sk.
8.33
141.1
Contents:
Cement (ASTM C'150)
Fly Ash-Class F (ASTM C'618)
Sand
1-1/2'x g4'
1'xA
3/8' x tl8
Weter
Entrapped Ak
ADMIXTURES :
7YLA-625 (ASTM C-494)
50.0 gat
0.75 "/.
Wt
3.0 ozJcwt
Remark: The project engineer should review this mi
PLEAS€ FORWARD STRENGTH DATA TO ROBERTSO
x to ensure compliance to the project s
N'S TECHNICAT SERVICES FOR STATIST
pecifications
ICAt ANALYSIS
EZ1Z1i:J:;ZZ1:T:" **'r-,*- ffix;Hr"@
Podland Cemonl TyP lly' osd'r 6F.-d rxn
Ash C/ass F CrErl.o t dit l(. Fr.d cdt trr!. 'ir\ ll 6lgn
c'Ecl ol tr FqGl ,n s--a ct4lrt. Yft 'rht..nnq! lltJl b t. Go,tld df,urlrt! &l' -lF
,En r Lt ct b nr r.qtr t o, h ,E rn
aadicadi C.ra..t ! t aPrrr. b. Oril'idr
*rn da t ...*n d ,n o.n LLd i ,r fa d.
D.E&. FErt- .tn En iq.. d .ttrrrxnotr
cd.hao. .a C.nbEr'. lqi int trl or d ot! t:br
rta t .r!.hclo.r FlomrE t ltd 6d
Fax 1) 28G1429
RE6S BROViN EKTE(' IIC
Cqtrllrp Cdi I 6hdu., Et!Ot!...r
w. t2ltt /2o
46613Concrcte Mix Des n#:
Total Mix WaterMust be Considered Whents are SSD: Moisturc inA
Mtx TIONPROPORS'GNDE
VolumeYousedEatch Wt Gr.
Vol. =3810
16.9 oz
564
0
100
0
70
0
0
30
27.00
2.87
0.00
12.12
0.00
0.00
5.13
6.67
0.20
2.62
2.67
2.65
2.65
1981
0
0
849
416.5
11/2' 1" y4', 1/2" 3/8"No4 No I No ,6 No 30 No 50 No 100 No 2002o/oSlze
0 00003179510011/2"0 0 00001012703895100010001118296100100100100100303/8 6 2186039988010010010010010010070wcs
14287410099100100100100Conbinod100
(951) 685-2 ext 6381 P Br
glP1e,S.E.E.
Date:
Sand Sourco :
Rock Sourca r
Canonl :
3.15
2.s3
0 0
100
Retaining Wall/Fence Wall Grout
Project Information
Mir No.: 563900 Dcscription : I 4000PSl PU PL
Cli€nt : Falcone Gen. Engineering Submitr.l No
Projecf : Metro East Senior Apartments Drte :
Addrcss : 2222 East lst St., Santa Ana Usage:
Compressivc StrcnEh : 4 000 psi at 28 Days
w/cm Rrtio : 0.49 5.56 Gal/Sack Phnt :
Equiv.Ccm.Frctor : 6.29 SackrCY Slump:
30855
0t/21/20 tt
Foundations, Slabs, Grade Beams,
CIP Walls, Suspended Slabs &
lrvine
4.00 t L00in
Concrete Mix Proporlions
Nol.: All r8ar.grr. w.igh13 rr. t.tu t.d surfrc. dry (SSD) *cighE.d lhc moi.t ur. .o.t.Dt of lh. tgSrcSrtc! tr rh. tim. ofbrt.niDg mu3a b.
.onsid.r.d wh.D dctcrmidog lh. totrl irt r in lb. ,|ir.
Msterials Source ournritv SPec' ( ft3 )
Grav. Volume
CEMENTIW - Type lllV
Waler
l "x tr4
3/E"x #E
W/C SAND
WR-91 Type A
Air
National Cement 592 tb
292.t lb
1428 tb
3l4 tb
l379lb
23.70 ozlyd3
3.15
1.00
2.67
2.64
2.5 8
0.00
3.01
4.6E
8.57
t.9t
8.56
0.02
0.27
35.0 Gal
45 o/o
l0 o/o
45 o/o
4.00 ozlcwt
Non Air Entraincd
Chandlen, Corona
Chandlers, Corona
Foster, Corona
Euclid Chemicals
I48.3 tb/ft'Plastic Unit Weight Total 4005 lb 2'1.0 fr,
Proposed Aggregstc G radstions
2" t"v2 t" 3t4' v2" 3tt" 4 #8 #16 f30 #50 #100 #200 FM
l"x#4
3/t"x #8
W/C SAND
100
100
r00
100
100
100
96
100
t00
69
100
100
42
r00
t00
l4
90
100
4
t3
99
I
I
E5
0
0
63
0
0
37
0
0
l6
0
0
5
0
0
2
'7.12
5.96
2.95
Combined Gradings 100 100 9t 86 74 60 48 39 2E 17 7 2 I 5.13
Oplionsl Producls :
Remarks ;
T
o
Or,fir
OFA
A4en Angelpy
N..|ldul Rady MB.d Coftllr. it r rupphcr of mlt ri.le only Nrlionsl dG nor o8r8. m m8,Mn8. hlordory
t nicc.. .nlil. ir!. or 966d conrdirS N iM!.1 do6 ror t!qm. .Iy rlrprBibiliry fd d.sign. o8l,Ean8.
s.l..tion oftnrx6 for rp.cific u!., r.quind q@nti6. or pla.rn.nt plsctic4 ofrh. pmh.s.
2450NO
Erp
To 6nply vrh ASTM C9a,lS€M la a)TdI3 .ao.y $.ll36d !d r6ul6 b l35l Elr H6nn3o Dnv.. D!ft, CA 91010
Renato Kich. RCE #C052450
6. C,h 4 Dq"l
National Ready Mixed Concrete Company
l85l East Huntinglon Drive, Duanc, CA
Telephone : (626) 358-9690, fax | (626\ 358-6702
REISS BROAi\I E(MEXJI INC
:o.u,l'^g C.n, & Slruclurd Er!m...3
,,.. 2t412019
NATIONAL READY MIXED CONCRETE COMPAT{Y
Standard Deviation by Required Average Strengths,
Amcric.n Concret. lnstitute Codc ACI fl8 Chepter 5, "Concrctc Qurlity, Mixirg and Phcing"
Stsndsrd DevistioD Study for Mir Design No.:
Design Compressive Strcngth:
l "/4000 psi/Pump-Place
psi f' cr: 4459 psi
s63900
4000
0.49
30
342
I .00
342
4459
429t
42t0
4010
lE00
3880
3920
1620
3950
l5t0
3940
tT20
3110
t440
3750
34t0
3860
1700
4240
3750
3970
1650
1920
45t0
1750
4020
3tt0
3790
4020
40t0
4040
4120
s63900
4000
5510
5290
4E50
5290
5210
5 r30
5290
4Et0
4920
4750
4540
4590
4630
4480
5070
4860
51fi
4960
5090
4750
45t0
5890
5120
5100
4690
4950
5250
52fi
5290
6000
6.3
0.0
Actu!l
Sacks
o/o
Tlpe II/VMir Design No.:
Comprcssivc Strength (f 'c):
w/C Rrtio:
Numbcr of Test Rcsults:
Strndard Deviation:
Modilicstior Factor:
Modifi cd Strndsrd Devietion:
f'cr = f'c+ 1.34s =
f 'cr =f ,c+2.33s-500 =
18791
3t79t
It?99
19t E0
t9r
39t82
39t tl
39t84
39417
39419
t9420
19121
19113
39414
39957
t9951
40014
40015
40299
40lm
4030t
40360
4036t
40146
40141
40748
4t224
4t225
41226
4 t448
Averagc:
High:
f,ow:
psr
4.4t
7 Dty
3867
4510
34t0
5r70
5t55
5 r9t
5225
5200
5058
5012
4t21
46Et
45t?
46r0
4650
477t
4792
5132
507)
5t9t
4921
4900
50t1
5205
53t0
5005
4942
4991
5161
5l ll
5510
Yo
inches
28 Dey
5060
5900
4450
pst
psi
l
z
l
4
5
6
7
E
9
t0
tl
t2
t3
t4
I5
t5
t7
It
t9
20
2t
22
23
74
25
26
27
2t
29
30
5270
5030
5070
5400
5370
4950
5250
4920
5000
4560
4160
1720
4820
4660
5010
4670
5470
4160
52m
4t00
4950
5520
4940
5090
4890
4930
5250
5360
5470
5E00
5390
5150
4960
5t45
5290
50.r0
5210
4E65
4960
4655
,r450
,1555
1725
4510
5MO
4765
55m
4860
5 t45
4775
4780
5705
5t30
5095
4190
4940
5250
53 t0
5180
5900
208334
20t363
2083t9
208829
20ttr2
208895
20E956
208975
209376
209401
2W429
209429
209482
2095
2 t 0046
2 t 0069
210285
210108
210,606
210624
7t0644
210556
210676
2r0r20
2l I t37
2t r r60
2t t9l8
2t t96l
2|975
2t2t79
475
450
475
400
400
500
450
415
415
415
550
5.00
400
500
400
400
415
500
450
500
450
400
400
475
450
400
450
400
425
1.50
Rreak Data
Slump
Ru nnirtg
Avp. of3
Ticket
No.28 D8y 28 Day |8 Day Av7 DaySet No,
2/7t2ot8 Plare I Sla De! 561900
BACKUP DATA
CemeDtitious:
psi Flyuh:
in Design
Air: 1.0
Slump: 4.00
Richard Hallowell
From:
Sent:
To:
Cc:
Subject:
Attachments:
Concrete Falcone GEI
Tuesday, February 25, 2019 9:53 AM
Richard Hallowell
Joe Daniels; Blake Garcia; Jim Cullinane
concrete Pour Schedule (2222 Metro East)
53900 for foundations, slabs, walls, columns, elevated slab & beams.pdf
Hello Richard,
Please see below the details for the 2 days this week I have concrete scheduled:
CONCRETE R DETAIIS:
Date : Thurday, 2-2a-2O19
Time of DeliYery: 7:00am
Pouring: footings for elevators
Mix DesiSn: f639d) (see attached approved mix design)
Total Yards Ordered = 20 yards
SpacinS: 15 minutes
COTTCRETE POUB DETAITS:
Date: Friday, 3-1-2019
fime of Dellvery: 12:0opm (trying to tet earlier time)
Pourint: slurry into footing & Pads
Mlx Deslgn: 3-sack slurry
Total Yards Ordered = 90 yards
Spacint: 20 minutes
Thank You,
Michael Falcone
Project Manager
Falcone General Engineerin& lnc.
1560 Newbury Road, Suite 1-288
Newbury Park, CA 91320
Phone: (805) 499{880
Mobile: (805) 479-6175
Fax: (805)499-2390
concrete@falconegei.com
1