HomeMy WebLinkAbout2508 Navarra Dr; BLDG 4; 73-2828; PermitBUILDING PERMIT APPLICATION
7:7-,,o~ City of CARLSBAD, CALIFORNIA 92008 Perm 1t No. _,.L-.:Q=-~o<LJ~~,
Applicant to completen;,; ered spaces only. Phone 7 29-1181
3
4
5
L.£NDEJl &JtANCH
6 Contine vest.ors
use Of' I UIL.OING
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: y
10 Change of use from
Change of use to
11 Val uatio n of work: $ PERMIT FEE I Cl/ co
~S~P~E~C~l~A~L~C~O~N_:_D_IT~l~O~N~S~: _________________ ~Typeof
Const.
1--------------,---"-------.----------f Fire Zone
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB•
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NUI..L AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT 'ANY TIME AFTER WORK IS COM·
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPI.ICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALI. PROVISIONS OF 1..AWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR 1..0CAI.. 1..AW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE 0,. CONT .. ACTOJt 0" AU THOJtlZl:.0 AUi.HT COAT£)
J
IP' OWH[N •UILO[R OAT[}
-No. of / Dwelling Units
Special Approvals
ZONING
HEAL. TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Covered
Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
rt
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
Division -
Ma><.
0cc. 1..oad -
Fire Sprinklers
Required □Yes
Not Required
M.O. CASH
'-0 IJ)
INSPECTION RECORD 73 ,;J-8'
DATE REMARKS INSPECTOR FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW.UP, ETC.
l □-9 73 Piers !l. Steel: ◊-K-R. Melson Po11r: ◊-K-B. Nelson
10-25-73 Foundation and colums: 0 K. upper colums and spread footing
in front of lower colurns. a. Nelson Pour o.K.
10-30-73 Column pour: O.K. B. Nelson
11-28-73 Fdn, Forms : Upper footings for total bldg. Q.K, Pour O,K, B. Nelsoj
-':a-,-~
1-----------
PLUMBING PERMIT APPLICATION
Permit No. City of CARLSBAD, CALIFORNIA
Applicant to complete numbered s paces only ■I
JOB "00• "js)t,
.... 1--,, --........ _ "
I
LOT NO,
1 ~~=~i. I U "CT Qsn "Tri<CHt0 sH~ETI
OWNUt M AIL A00Pl£:SS ZIP PHONE
0 0.. -u
~ 0 ct)
z m3
Ill )>;::. ll 8:z
ll? Ill Ill
111 ,
2 Contimmtal Ad.visors • .1900 ~.vc. of t.ie Stars. :Snit_e 7J., Lo:l Amtel.ea , c
CON TfltAC TOPI MAIL -'OORESS PHONE LICENSE NO,
3 r ..eavorton-San Oi411rTn. I:nc. ,. T n.--l7A.nn. ·~•n .,.,. __ . c r.. 02117 ·J'I
Af11Ct-!IT£CT 0 111 DESIGNl.111 M AIL AODJlltESS PHONE LICENSE HO,
4 ,,,_, ....... _ ,n,I -c ,. ___ _
ENGINEER M AI L ADDRESS PHONE LICE.HSI: NO,
'I ~
5 --
LE.NDUt M AIL ADD"£SS ---. U ANCH
6 Continental. Advisors, 1900 l\vo. of the ,Stara, Su:lte 7.3011 Los Angel.es, C.\
use. or 8UILDIN' ~
7
11
8 Class of work: IX} NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
J----,.---------P_E_R_M_I_T_F_E_E_s _____ _,_,. ___ --1[~
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS· r> WATER CLOSET (TOILET)
,e:. BATHTU B
.;,n LAVATORY (WASH BASIN) ,,..11 nA
A SHOWER
,. -, KITCHEN SINK & DISP.
, "'> DISHWASHER
"PPLICA TION ACCEPTED BY PLANS CHEC~EO BY APPROVED FOR ISSUANCE BY LAUNDRY TRAY /(/ ' :Z/t-~~,4,-''>+-_c_LO_T_H_E_s_w_A_S_H_E_R ___________ ....µ/c..<;..,;#--f''\.&...._.. t'\-l
_,/( ,~-, WATER HEATER / Q ()I"\
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM•
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT ION OR T HE PERFORMAN CE OF CONSTRUCTION.
SIGNATURE OF' CONTRACTOR OR AUTHOIIIIZCD AGENT {OATt}
,I
URINAL
DRINKING FOUNTAIN
FLOOR -SINK OR DRAIN
SLOP SINK
GASSYSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACU UM BREAKERS
LAWN SPRINK L E R SYSTEM
SEWER
CESSPOOL
SEPTIC T ANK & PIT
J.
PERMIT
SI GNATU t\E OP' OWNER (1,. OWNER 8 UILO[RI DATE) TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
11 l
$
$
CASH
,3.,~i}'J
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
11-h-7~ Undera round Pl be . 0. K. B. Nelson
11-1?-7~ lJ n rl Pr n r{) 11 "~ W.:. t-, r () I( R ~'= 1,.. ~~
4-1? 7</ ~,~4 /) ;(_./ x6 -::1::; p _; -,.
.s--/4 ?~ /4,t?<, t?e ~/J_/7,.,
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
.,
~ ' . .. APPLICATION FOR SEWER SERVICE
• Owner'\ Name: ---~2c..:5c..:00 Navarra Investments
Mailing Address: ____ 2.:..5""0""""0-'Nc.:..=a-'-v-=a-'-'rrc..:ac.....=Dc..:r-=civ.:..e=-___,------------
Receipt No. 2529
I
Rancho La Costa, Calif. 92008 Phone No, ____ _
Job Address: Building No. 4, 2500 Navarra Drive -Recreation Bldg.
SERVICE REQUEST ED:
CONNECTl_ON CHARGE
for Recreation Building (type of building)
If a multiple unit building, indicate no. of living units -~l __
SERVICE LATERAL
If service lateral previously installed -No Fee
If service lateral required:
Check size lateral required:
(4")_ (6")_ Other __ _
Saddle connection required: Yes_ No_
TOTAL CHARGES
SURCHARGE FEE
Amount Rec'd $ f:!,Yo oo
How Paid tJJ,.;;:J /LI .J!'Y
Date Paid /-.J. 5-) J
Rec'd by: j/,h----ctv1,l.i._
COST
sl00.00
$100.00
s200.oo
The application must be signed by the owner (or his authorized representative) of the property
to be served. The total charges must be paid to the District at the time the application is
submitted:
If a service .a:eiral is required, it will be installed by the Leucadia County Water District.
The service lateral is that part of the sewer system that extends from the main collection line
in the street (or easement) to the point in the street (at or near the applicant's property line)
where the service lateral is connected to the applicant's building sewer.
The applicant is responsible for the construction, at the applicant's expense, of the sewer
pipeline (building sewer) from the applicant's plumbing to the point in the street (or easement)
where a connection is made to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be mi'lde by the
applicant at his expense. The connection must be made in conformity with the District's
·specifications, rules and regulations; and it must be inspected and approved by the District
before the sewer system may be used by the applicant. The applicant, or his authorized rep-
resentative, must notify the District at the time inspection is desired. Any connection made
to the service lateral or collection line without prior approval and inspection by the District
will be considered invalid and will not be acknowledged.
After connection is complete, the property described above is subject to a monthly sewer serv-
ice charge. The rate will be governed by the use of the property -residential, commercial, or
multiple dwelling. Non-payment of the sewer service charge is subject to a 5% penalty per
month, plus disconnection if necessary.
The undersigned hereby agrees that the above information given is correct and agrees to the
conditions as stated:
( (
R PROFESSIONAL REGISTERED INSPECTIONS, INC.
INSPECTIONS • TESTING • ENGINEERING
7895 CONVOY COURT, SAN DIEGO, CA 92111 1714) 292-0660
TEST REPORT -co,ies TO: JO■ NO. 1372
JOB ___ ~2~5~o~0L.!N~a~v~a~r~rsai,--"'Ca~rLl~s~b~a~d,____ _________________________ _
ADDRESS 2500 Navarra, Carlsbad PHONE ___________ _
0 OWN ER __________________ 0 CON TRACTOR _ ___.p:.JCua..,yuea.ir___.Bur__.o,;5,_ _______ _
D CLIENT __________________ 0 ENGINEER Steinbn1gge fr Thomas
0 ARCHITECT_~w ... a~J.._t.,e ... r~B ... i~cubaa ... cad.,.suoao_,.&_,.A.,_5.,_50...._c __ D BL oG. Au T H ---1.C-1i.:ct:>iy'-"o«f-"C..aa"'r-1J_,asccb"'a"'d~-----
□ INSPECTOR Briodle PERMIT NO. ______ PLAN FILE# _____ _
FIELD SAMPLE OF: Grout
LOCATION OF SPECIMEN
IN JOB OR STRUCTURE
Masonry Stem Walls at Building 4 & 5
MIXNO _W_-_6_-____c3_/_8_-_P _________ _ Brindle SPECIMEN MADE BY: _____________ _
PROPORTIONS _6 __ S_k _____________ _ SLUMP __________________ _
ADMIXTURE -~p_o_z_z __ 3_0_0 ___________ _ DATE MADE 20 December 1973
TYPE OF CEMENT ______________ _ DA rE RECEIVED AT LAB. __ J_2_-_2_J_-~7~3:__ _____ _
Wiley Bros·. CONG. SUPPLIER _______________ _ SOURCE OF ROCK ______________ _
TICKET NO. ___ __;_5_2_2_4_8 __________ _ INSPECTOR SIGN. ____ J_._B_r_i_n_d_le ______ _
LABORATORY TEST DATA
AGE TESTED DAYS 7 DAYS DAYS 28 I DA.YS I DAYS
SPECIMEN MARKINGS 8934 8935 8936
DATE TESTED 12-27 1-17 HOLD
AREA-SO IN. 3. I 4
ULTIMATE LOAD-LBS 20100
UNIT STRESS-PSI. 2230
SPECIFIED STRENGTH. n~t,;~. VEIJ
AT28DAYS ZCCD
t:Jl:.C ~ S 1973
SPECIAL INFORMATION -----------------------------------
ADDITIONAL DISTRIBUTION: CITY OF CARLSBAD
Building Department ::SPECTFULLY SUBY Tes J
c~"ld!'J,~11 L ENGINEER
/
\ (
R PROFESSIONAL REGISTERED INSPECTIONS. INC.
INSPECTIONS • TESTING • ENGINEERING
7895 CONVOY COURT, SAN DIEGO, CA 92111 1714] 292-0660
TEST REPORT -COPIES TO: JOB NO. 1372
2500 Navarra, Carlsbad ___,,)
ADD __ 2~5_0_0_N_a_v_a_r_r_a'--,_C_a_r_l_s_ba_d _____________ PHONE ___________ _
0 OWNER _________________ _ D co N TRAC TOR _____ P .... r-=a..:.v-=e .... r....:..B:...r-=o-=-s-=-. ____ _
□ CLIENT _________________ _ D ENGINE ER ______ S---'t'-'e--'i_n..:.b __ r __ u:.cgc,gc...:e..:.....&c_T_h_o_m_a_s_
D ARCHITECT Walter Richardson & Assoc. □ BLDG. AU TH. _____ C_i _ty,__o_f_C_a_r_l_s_b_a_d __ _
□ INSPECTOR Joe Brindle PERMIT NO. ______ PLAN FILE# _____ _
FIELD SAMPLE OF: Grout
LOCATION OF SPECIMEN
IN JOB OR STRUCTURE South wall of buildi~
MIXNO ___ W_-_6_-.... 3 .... /_8_-_P _________ _ Brindle SPECIMEN MADE BY. _____________ _
PROPORTIONS __ 6_s_k ____________ _ SLUMP __________________ _
Pozz 300 ADM! XTURE ________________ _ 12-21-73
DATE MADE-----------------
TYPE OF CEMENT ______________ _ DATE RECEIVED AT LAB. ___________ _
Wiley Bros. CONG. SUPPLIER _______________ _ SOURCE OF ROCK ______________ _
TICKET NO. ____ 5_2_2_79 __________ _ INSPECTOR SIGN. Joe Brindle
LABORATORY TEST DATA
AGE TESTED
SPECIMEN MARKINGS
DATE TESTED
AREA-SQ IN
UL Tl MATE LOAD-LBS
UNIT STRESS-PSI.
SPECIFIED STRENGTH
AT 28 DAYS
DAYS 7 DAYS
8965
12-28
DAYS 28 DAYS DAYS
8966
1-18 HOLD
9.00
2000
SPECIAL INFORMATION: __________________________________ _
ADDITIONAL DISTRIBUTION RESPECTFULLY SUBMITS□
BY ~{.ft.t ~
SMOC I ORALENGINEER
7895 Co,,_ Court
San DIHo. Calif. 92111
Phone 292-066Cl PROFESSIONAL REGISTERED INSPECTIONS, INC.
INSPKTOIS WEEKLY ltEPOIT /.' 7 7 ~ .... N-0.--, ---..... -o-■-w-.-.-.-----------
.J --<•O••G ON 21 0£.C.thBi:'<. 1973
COVERING WORI< PERFORMED D RE !NFClRCEO CONCRETE D STRli(T. $H FL ASSEVBL Y D GLUE· LAM. FABRICATICN ,
1¥1-fl(H REQUIRED APPROVAL BY D PR[.STRESSE'D CONCRETE D REINF'ORCfD r,yp511M D OTHER
THE SPECIAL INSPECTOR OF 5il RE I ~•ffORCEO MASONRY □ PILE ORIVI~<".
JS:8 "'='C'R£55
U\l<.\.SBl.>o
8{:.111..0l"'C PEt=t.,.,T "IUMl!!IER I~ .... ,.. i-11..l. NU,...IE.,.
2500 NAV!>,R,.~A.
:J,.."-EROR ,:,qOJECT ..... ._.E •,jJ;~;;~' Qitl-s<-<!.l>fo...> ~ Ar,so C 1/1 J"<J Co...i JOHttJ,UI-\ Bun . .,1 ... , 4, 5, ~ (,. c~ ... sc;~~·~;· nP~ GRADE Ere.,, OE;~;~NGT~ 1ifl~~E g~~;:A· ENGINEER
I:. i T1-101-.11-~ S°T€,.i"-)?.or, r
CESCRr9E .... r .... a .. ,. OE:5•GN RE-8.tr,R GA.11.:JE. UF"GR WELO•AOO ETC.> ·~i~~-~~_,~ C TO~
M1 X Di:.S~tv W-6-3'/~ · P KCl:i •
j Cw~;l.::;G u;,;;~~WORM
~•e. IIIIECEIVtNG,. TESTl"ll. co""ST ... MAT'L.. s• ... •LES P. R..I . lj,Jc:. •
INSP'N. LOCA.TIONS OF WORK INSPECTED, TEST SAMPLES TAKEN. WORK REJECTED. JOB PROBLEMS, Pi:IOCRESS. REMARKS, ETC.
DATE INCLUDES INl<"Olll ... 11.T10 ... ABOUT -...... ou ... Ts OF'4ATEAll/lL PLACED Oillt .... oAi,,c Pf;llltFOllt"-'EOj N\I ... IIEl'I TVPI[ & 10£N T. ,..O"S
QI'" TEST S• ... PLl:S TAo<EN: STAUCT co ...... EC TlO">IS 1WELC5 .... OE '"' T. BOLTS TOAQUEOl C..,.ECt( EC; IE:TC.
1 'L/20/ r II-ls PE:c. il:.O Pt bc..e.,_.__,, OF 34 '/t,.il.O) OF C.oo..,.,. 11.J MAv, •-)Tl:1...1 IAlt.Ll.5
~T Hi lll...01,_,~..., A. f'. i=., f\Lsc J:>...~ ... cn, ... ~ri• OF "-l"IQTO, W11,,
Ot,,.171lf, ,, (.,,n,.(e.. ( R, \,. n1,_,. t::) .
A.T -
11'2/2ih I, ,<o,u1 f.n r,p,.. ITl,j < ( ,~ Yt:,nn,) "'" a ~~•ITU v,.b~, l. R.:1.ow (,,, -·)
Kt111 n,. -~ <
.
o, ,i i F; . '
I
!
H Ii'. f : Ii: I V F. n :
.
DEC 2 8 1973
'-'.! •.! .. vr :·0 .!'(L:Sl:5AO -___ ,.
CERTIFICATION OF COMPLIANCE \,..-11.\ f, ~n ,:. ,I I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED a
WORK. UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO ~ ,.:;.l, .t. • ·"' ':Jr "'Fc;1o;rr1: F'~ ,,._o;nrc'"':::!111
COMPLY WtrH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE -~ nc IQ7~ SECTIONS OF THE GOVERNING BUILDING LAWS. . -. "0 < " C ,_ 0 "' "'£ (;I !i, l' f" Ill ... U ... 8£"
( (
R PROFESSIONAL REGISTERED INSPECTIONS, INC.
INSPECTIONS • TESTING • ENGINEERING
7895 CONVOY COURT, SAN DIEGO, CA 92111 (7141 292-0660
TEST REPORT-COP'JES TO: * JOII NO. 1372
JOB ___ 2_5_0_0_N_av_a_r_ra __ Co_n_d_o_. __ La_C_o_s_t __ a ______ ~-------------------
ADDR ESS_2_5_D_O_N_a_v_a_r_r_a~, _C_a_r_l_s_b_a_d_,_C_a_l_i_f_. __________ PHONE ___________ _
□ OWNER Praver · D co N TRAC TOR _____ l{~o~o~l~e~n~M=a~s~o~n~r~y~----
□ CLIENT _P_r_a_v_e_r _____________ _ 0 ENGINE ER ______ S,,_t,ce,,_,_,i nccb:.rc.;U:.9:,c9:,ce,,__ ____ _
D ARCHITECT __ W=a~l=t=e~r~R~i=c~h=a~r=d=s=o~n _____ _ D a LDG. Au TH. ____ _,.C.1-i ..._ty"-'o,,_,_f_,.ca...,__r.1-J .._s b.,,a,.d,._ __ _
D INSPECTOR __ =J=o=e~B~r~i~n=d~l=e ________ _ PERMIT NO. _7_3_-_Z_2_3 ___ PLAN FILE# _____ _
FIELD SAMPLE OF: Mortar
LOCATION OF SPECIMEN
IN JOB OR STRUCTURE
Final lift of basement walls to 10' -4"
1-1est wall & westerly 2/3 of north wall
MIXNO __________________ _
PROPORTIONS __ ]_:_] ~/4_: ~3~---------'1)--------
AD MIXTURE -----G'~cL-1~...,__.\b-~-'-~---
T YP E OF CEMENT ____ -Q-~-J:j~-----cc-',Cl:<il'ln-,:,,¾----
Brindle SPECIMEN MADE BY _____________ _
SLUMP __________________ _
DATEMADE ____ J_J_-_J_7_-_7_3 ________ _
DATE RECEIVED AT LAB ____________ _
CONG. SUPPLIER
...P, ~ \tJT;J
. \)tl.J \ p,.0 SOURCE OF ROCK ____________ _
c!).~\.~;t t)\'.d ~~ pe93-~ INSPECTOR SIGN TICKET NO. Joe Brindle
. °S\l\', LABORATORY TEST DATA
AGE TESTED DAYS 7 DAYS DAYS 28 I DAYS DAYS
SPECIMEN MARKINGS 8703 8704 8705
DATE TESTED 11-24 12-15 HOLD
AREA-SQ IN 3. l 4 3. l 4
UL Tl MATE LOAD-LBS. 10800 14600 ' UNIT STRESS-PSI 3440 4650 ~\ fW •
SPECIFIED STRENGTH·
2000 AT 28 DAYS
SPECIAL INFORMATION ----------------------------------~
ADDITIONAL DISTRIBUTION
'--d'-
( (
R PROFESSIONAL REGISTERED INSPECTIONS, INC.
INSPECTIONS • TESTING • ENGINEERING
789S CONVOY COURT. SAN DIEGO, CA 92111 (7141 292-0660
TEST REPORT -co,ies TO: JOB NO. 1372 ..------
.•--tsoo Navarra, Carlsbad~
JOB __ ::~~~~~~::~::~::=_::::::::::::::::::::::;::-_~ .. ------------------------
ADDRESS __ 2_s_o_o_N_a_v_a_r_r_ac_,_c_a_r_l_s_b_a_d _____________ PHONE ___________ _
0 OWNER _________________ _ D coNTRACTOR _____ P_r_a_v_e_r_B_r_o_s_. ____ _
LJ CLIENT _________________ _ D ENG I NE ER _____ __:S::...t:..:e::...i::...n.:..:b::...r::...u:,gcsg<..:e::...::...&=---T::...h.:..:o::...m::...a:..:s:.__
0 ARCHITECT Walter Richardson & Assoc. □ BLDG AU TH. _____ C_i_t_,yc.._o_f_C_a_r_l_s_b_a_d __ _
□ INSPECTOR Joe Brindle PERMIT NO ______ PLAN FILE#
FIELO SAMPLE OF: Grout
'~,,,_, ' -.... ~~ ·---><• .,. ...
LOCATION OF SPEC1¥lf' -· -... "\
IN JOB OR STRUCT~ South wa 11,_:~ i 1 d i.ngs 4 & _:,.._ _ _..,r
Mi X NO ___ W_-_6_-_3/_8_-_P _________ _
PROPORTIONS __ 6_s_k _____________ _
Pozz 300 ADMIXTURE ________________ _
TYPE OF CEMENT ______________ _
Wiley Bres. CONC SUPPLIER _______________ _
TICKET NO 52279
Brindle SPECIMEN MADE BY: _____________ _
SLUMP __________________ _
12-21-73 DATE MADE ________________ _
DATE RECEIVED AT LAB----------'----
SDURCE OF ROCK---------------
Joe Br ind 1 e
INSPECTOR SIGN.
LABORATORY TEST DATA
AGE TESTED I DAYS 7 DAYS I DAYS 28 DAYS DAYS
SPECIMEN MARKINGS 8965 8966 8967
DATE TESTED REI ~EIVE D 12-28 1-18 HOLD
AREA-SQ. IN. .1 N 2 1Q7.1 Q nn .
ULTIMATE LOAD-LBS 1~200 -·-·. --·-· ----_.---iT "' •■ -• 11,~v1.1ru.
UNIT STRESS-PSI. Buildi g Department 1470
SPECIFIED STRENGTH
AT 28 DAYS 2CCIJ
SPECIAL INFORMATION:-----------------------------------
ADDITIONAL DISTRIBUTION: RESPECTFULLY SUBMITSD
BY ~ {.ft, d
S!Rv1.., I GAAL ENfilNEER