Loading...
HomeMy WebLinkAboutB2002-3073 - Misc (2)/ //O5 %r ZN S� -la h CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 I Newport Beach, CA 92658 www.newoortbeachca.00v I (949) 644-3275 CIVIL ENGINEER'S CERTIFICATION FORM City of Newport Beach 3300 Newport Blvd. P.O. Box 1768 Newport Beach, CA 92658-8915 From: Mollenhauer Group 316 W. 2nd. Street, Fifth Floor Los Angeles, CA 90012 Date: December 17, 2012 ATTENTION: GRADING ENGINEER, BUILDING DIVISION GPC No.: 2456-2006 Tract/Subdivision/Lot No.: Rough _ Final X Project Names: ECU & Imaging Renovation Owner/Developer: Hoag Memorial Hospital Presbyterian Type of Project: - Tract - Drainage - Commercial - Other - Industrial Yardage for Project: - Cut - Fill - Borrow - Export I hereby approve the grading for this project in accordance with my responsibilities under the City Grading Code. I have inspected the project and hereby certify that all areas exhibit positive surface flow to public ways or City approved drainage devices. The grading has been completed: X in conformance with, with the following changes to the approved grading plan. Description of Changes: N/A Company: Mollenhauer Group Name: License No.: C21510 John B. Black (print) (sig (RCE/LS) e • B410 Fy ForntOCECaH,m, rhl 1-90 This certification constitutes an expression of professional opinion regarding those facts or findings which are the subject of the certification, and does not constitute a warranty or guarantee, either expressed or implied (Section 6735.5 of the Professional Engineers Act). SMITH -EMERY GEOSERVICES A MEMBER OF THE SMITH -EMERY COMPANIES, ESTABLISHED 1904 June 9. 2011 SEG File No.: 39807-1 Report No.: G-11-8495 Hoag — REFCO 500 Superior, Suite 300 Newport Beach, CA 92663 Attention: MS. Nancy Soo Subject: Final Compaction Report for Hoag Hospital Ancillary Landscape Renovation, Located at One Hoag Drive, Newport Beach, Califomia. Ladies & Gentleman: Smith -Emery Geoservices is pleased to present this compaction report on the monitoring and testing of fill placement at the subject site using on -site and imported materials. Our professional services reported herein include work completed within the period between January 5, 2011 and April 11, 2011. Hoag Hospital Ancillary Landscape renovation consisted of installation of stormdrains, waterlines, electrical lines, curbs and gutters, hardscape, concrete walkways, entrance walkway, drop off and valet areas and valet parking. Our observations. grading and compaction testing were performed in accordance with the recommendations of this office and applicable Building Codes. 791 EAST WASHINGTON BOULEVARD LOS ANGELES, CALIFORNIA 90021 PHONE 213/745-5333 FAX 213/746-0744 Copyright © 2011 Smith -Emery GeoServices All Rights reserved. 1195 NORTH TUSTIN AVENUE ANAHEIM, CALIFORNIA 92807 PHONE 714/238-6133 FAX 714/238-6144 SMITH -EMERY GEOSERVICES Hoag Hospital Landscape Renovation One Hoag Drive Newport Beach, California EARTHWORK MATERIALS SEG File No. 39807-1-1 Report No.G-11-8495 June 9, 2011 Material used in the compacted fill consisted of imported on -site clayey sand and imported crushed aggregate base (CAB). FILL PLACEMENT Fill materials used in the compaction were placed in loose six- to eight -inch thick lifts, moisture conditioned at or above optimum moisture content, and compacted to at least 90 percent for on -site soils and 95 percent for CAB of the laboratory maximum dry density as determined by ASTM D1557-09 (five layer method). Earthwork equipments used for grading work consisted of vibratory equipments, gas -powered hand tamper (whacker) and a water hose/water truck. TEST PROCEDURES FIELD TESTING Density tests were taken in accordance with ASTM D6938-10, the nuclear gauge method. Approximate locations of the in -place density tests are shown on Plate A and the compaction test results are summarized in Table 1. 2 SMITH -EMERY GEOSERVICES Hoag Hospital Landscape Renovation One Hoag Drive Newport Beach, California LABORATORY COMPACTION TESTS SEG File No. 39807-1-1 Report No. G-11-8495 June 9,2011 The maximum dry density at optimum moisture content of each fill material used was determined in accordance with ASTM D1557-09 (five -layer method). Test result obtained for each soil type used is summarized in Table 2. CONCLUSIONS AND RECOMMENDATIONS GENERAL Based on our grading observations and field and laboratory testing, it is our opinion that all fill placement and compaction testing were at least 90 percent for on -site soils and 95 percent for CAB of the laboratory maximum dry density. Consequently, the compacted fills placed, will provide adequate subgrade supports for their intended use. DRAINAGE The site should be finish -graded to provide for positive drainage away from compacted area in accordance with the building code and applicable local requirements. Unpaved areas should slope no less than two percent to drain. Paved areas should slope at least one percent to drain. All concentrated surface drainage on -site should be collected in engineered, non -erosive drainage devices and safely conducted to the street. LIMITS OF OBSERVATION AND TESTING Our work was performed using the standard of care and level of skill ordinarily exercised under similar circumstances by reputable geotechnical engineers and geologist currently practicing in this 3 SMITH -EMERY GEOSERVICES Hoag Hospital Landscape Renovation One Hoag Drive Newport Beach, California SEG File No. 39807-1-1 Report No. G-11-8495 June 9,2011 or similar localities. No other warranty, expressed or implied, is made as to the conclusions and professional advice included in this report. CLOSURE This report should be considered subject to review by the controlling authorities. The following tables, plates, and certification are attached and complete this report: Table 1 - Results of Density Tests Table 2 — Laboratory Maximum Dry Density at Optimum Moisture Content Plate A - Plot Plan and Density Test Locations Engineer's Certificate of Compliance Respectfully Submitted, SMITH -EMERY GEOSERVICES EDUARDO DELA CRUZ Engineering Assistant Distribution: (4) Addressee (1) File C68166 EX? 9.3e-2n7 ;•�erv1� / SIMON Y. BITTAR R.C.E. C68166 Senior Project Engineer 4 SMITII-EMERY GEOSERVICES Hoag Hospital Landscape Renovation One Hoag Drive Newport Beach, California SEG File No. 39807-1-1 Report No. G-11-8495 June 9, 2011 CITY OF NEWPORT BEACH COUNTY OF ORANGE DEPARTMENT OF BUILDNG & SAl''LTY ENGINEER'S CERI I ICATE OF COMPLIANCE FOR COMPAC l'ED EARTH FILLS LOCATION OF FILL: Compacted Fill Placed at Hoag Hospital Ancillary Landscape Renovation, One Hoag Drive, Newport Beach, CA. JOB ADDRESS: One Hoag Drive. New Port Beach, California 92658. SOIL TESTING AGENCY: SMITH -EMERY GEOSERVICES PROPERTY OWNER'S NAME: Hoag Hospital OWNER'S ADDRESS: One Hoag Drive, Newport Beach, CA 92658 PER REPORTS ON OUR PROJECT NO.: 39807-1, Report No. G-11-8495 DATE WORK STARTED ON PROJECT: January 15, 2011 DATE FILL WAS COMPLETED: April 11, 2011 DATE OF THIS CERTIFICATE: June 9, 2011 TO THE SUPERINTENDENT OF THE DEPARTMENT OF BUILDING & SAFETY: * I HEREBY CERTIFY THAT I HAVE PERSONALLY INSPECTED AND TESTED THE PLACING OF COMPACTED EARTH FILLS ON THE ABOVE DESCRIBED PROPERTY, AND ON THE BASIS OF THESE INSPECTIONS AND TESTS IT IS MY OPINION THAT THE SAME WAS PLACED IN CONFORMITY WITH THE REQUIREMENTS OF THE CALIFORNIA BUILDING CODE. riviagacr5d3 tP2- CIVIL ENGINEER CALIFORNIA CERTIFICATE NO. C68166 * FOR THE PURPOSE OF TILLS CERTIFICATE, TO "HAVE PERSONALLY INSPECTED AND TESTED" SHALL INCLUDE INSPECTION AND TESTING PERFORMED BY ANY PERSON RESPONSIBLE TO THE LICENSED ENGINEER SIGNING THIS CERTIFICATE. WHERE THE INSPECTION AND TESTING OF ALL OR PART OF THE WORK ABOVE IS DELEGATED, FULL RESPONSIBILITY SHALL BE ASSUMED BY THE LICENSED ENGINEER WIIOSE SIGNATURE IS AFFIXED THEREON. 5 SMITH -EMERY GEOSERVICES ROJECT. Hoag Hospital Ancillary Landscape Renovation CATION. One Hoag Drive Newport Beach, California TEST METHOD KEY SC - Sand -cone NG - Nuclear Gauge DT - Drive Tube TABLE NO. 1 RESULTS OF FIELD DENSITY TESTING • FILE N0.'. REPORT NO.. 39807-1 G-11-8495 a� Te No. t Date I`F�igr"s. Te T a q., 4x..dis*?�'kN^.j'N.d'�R., •Location Key t Elev. Or .e De•th I1. n Moisture Content % +}(� Yy `'-,5:[Ix yJl?�5;,» Dry Densit •cf x6 us Rela Actual Cy ➢' s, .. t9xkkb{<., ive Compaction S•ecified ls'+'DWY-Driveway ; �s, xn3 {�',"e,•u�"�z3.S Soil T .e -Curb GUT - Gut GUT Saturation % er SP- Seepage Pit -Manhole 5T-Storate Tank ST Coordinate Location MDD 1 1/5/2011 NG BF TR 8" DIA PVC SD E/S BLDG #1582' N/O So Edge BLDG FSG 10.7 1216 944 90 2 786 128.8 2 1/5/2011 NG BF TR 8" DIA PVC SD E/S BLDG #15 30' N/0 So Edge BLDG FSG 11.3 121. 3 94.2 90 2 82.2 128.8 3 1/10/2011 NG (RE GRADED) HAROSCAPE 8' N/0 BLDG #18 FSG 11.7 120.0 93.2 90 2 81.8 128.8 4 1110/2011 NG (RE GRADED) HARDSCAPE 30' NW/0 BLDG #18 ESG 10.4 122.7 95.3 90 2 79.1 128.8 5 1/10/2011 NG BF TR B" 01A PVC SD E/S BLDG #15136' N/0 SO Edge BLDG FSG 10.9 119.0 924 90 2 74.0 128.8 6 1/11/2011 NG BF HARDSCAPE (TYPE I CONC PVMT 20' N-NE OF BLDG #18 FAB 6.6 126.9 96.2 95 3 57.5 131.9 7 1/11/2011 NG 6F HARDSCAPE (TYPE II CONC PVMT 27' N-NW OF BLDG #18 FAB 5.2 129.3 98 0 95 3 49.2 131.9 8 1/11/2011 NG BF HARDSCAPE (TYPE II CONC PVMT 15' N-NW OF BLDG #18 FAB 5.8 128.1 97. 1 95 3 52.7 131.9 9 1/12/2011 NG BF CONC WALK AREA@E/S BLDG #15 12' N/0 So Edge BLDG FSG 11.6 121. 5 94.3 90 2 84.9 120.8 10 1/12/2011 NG BF TR 1" Copper Waterline 9' N/O BLDG #18 FAB 8.1 126.8 96.1 95 3 53.0 131.9 11 1/13/2011 NG BF CONC WALK AREA@E1S BLDG #15 30' N/0 So Edge BLDG ESG 11. 8 120.3 93.4 90 2 83.3 128.8 12 1/17/2011 NG BF CONC WALK AREA E/S BLDG #15 60' N/0 So Edge BLDG FSG 8 7 124.1 96.4 90 2 69.1 128.8 13 1/17/2011 NG BF Tree of Life' CONC PVMT E/S BLDG #15 52' N/0 South Edge of BLDG FSG 9,B 121. 2 94.1 90 2 71.1 128.8 14 1/19/2011 NG 6F TR 6" DIA PVC SD SWCOR LOW Canopy Area NE OF BLDG #15 FSG 9.2 119.7 92 9 90 2 63.8 128.8 15 1/19/2011 NG 8F TR 4" DIA PVC SO@E/S Low Canopy Area NE of BLDG #15 FSG 8.8 120.1 93.2 90 2 61.7 128.8 16 1/19/2011 NG BF TR 6" DIA PVC SD SECOR LOW Canopy Area NE OF BLDG #15 FSG 11.1 121.2 94.1 90 2 80.5 128.E SMITH -EMERY GEOSERVICES ROJECT'. Hoag Hospital Ancillary Landscape Renovation CATION. One Hoeg Drive Newport Beach, California TABLE NO. 1 RESULTS OF FIELD DENSITY TESTING TEST METHOD KEY SC - Sand -cone NG - Nuclear Gauge DT - Drive Tube FILE NO : REPORT NO.: 39007-1 G-11-8495 Test No. Dale Test Type Local at Elev. Dep on Key Or h (ft.) " ::Y f�" Moisture Content (%) I °..a�l Dry Density (pc/) 5 i.y a Relative Actual .. Compaclion Specified ,+.,K ^A.14 ✓.4 ...,._.. Soil Type 3 e» GUT Gut Saturation (%) rxr.MH-Manhole er Coordinate Location SP - Seepage Pit ST - Stara.° Tank MOD 17 1/20/2011 NG BF TR 4" DIA PVC SD@E/S High Canopy Area NE of BLDG # 15 FSG 10.3 122.8 95.3 90 2 78.5 128.8 18 1/20/2011 NG BF TR 4" DIA PVC SO@W/S High Canopy Area NE of BLDG # 15 FSG 8.5 121.5 94.3 90 - 2 62.2 128.8 19 1/20/2011 NG BF CONC Walk Area E/S BLDG # 15 14' N/0 So Edge BLDG FAB 5.8 126.8 96.1 95 3 50.4 131.9 20 1/20/2011 NG BF "Tree of Life' CONC PVMT@E/S BLDG # 15 55' N/O So Edge of BLDG FAB 4.9 129.3 98.0 95 3 46.4 131.9 21 1/20/2011 NG BF CONC Walk Area E/S Bldg # 15 79' N/0 So Edge of BLDG FAB 5.6 129.6 98.3 95 3 53.6 131.9 22 1/21/2011 NG BF TR 4" DIA PVC SD@Entry NECOR BLDG # 15 FSG 106 120.3 93.4 90 2 74 6 126.8 23 1/26/2011 NG BF ELCT TR E/S BLDG # 15 FSG 10.1 117.4 91.1 90 2 65.4 128 8 24 1/26/2011 NG BF ELCT TR E/S Low Canopy Area NE BLDG # 15 FSG 9 2 120.0 93.2 90 2 64.3 128.8 25 1/28/2011 NG BF ELCT TR W/S High Canopy Area NE BLDG #15 FSG 9 8 121.1 94.0 90 2 70.9 128.8 26 1/31/2011 NG BF TR 6" DIA PVC SD Ea -We @ E/S BLDG # 15 FSG 9.6 120.1 93.2 90 2 67.3 128.8 27 2/1/2011 NG BF TR 6" DIA PVC BD Ea -We 10'S/03rd Palm Tree @E/S BLDG #15 FSG 10.9 118.9 92.3 90 2 737 128.8 28 2/1/2011 NG BF TR 4'' DIA PVC SO Ea -We 25'S/03rd Palm Tree @ E/S BLDG 415 FSG 11. 4 1186 92.1 90 2 76.4 128.8 29 2/2/2011 NG BF ELC TR S/0 Palm Trees FSG 8.6 125.7 97.6 90 2 72.0 128.8 30 2/2/2011 NG BF ELC TR @ CONC Radial Layout FSG 9.9 126.5 98.2 90 2 85.1 1288 31 2/2/2011 NG BF ELC TR E/0 Palm Trees FSG 84 127.0 98.6 90 2 73.5 ' 128.8 32 2/3/2011 NG 8F Radial Layout E/0 Palms FSG 11.1 123.1 95.8 90 2 85.4 128.8 33 2/3/2011 NG BF Inside Concrete Piles FSG 9.2 121. 3 94.2 90 2 66.9 128.8 34 2/3/2011 NG BF Radial Layout E/0 Palms FSG 5.9 126.7 97.6 95 3 54.7 131.9 35 2/3/2011 NG BF Radial Layout EO Palms FSG 6.1 128.9 97 7 95 3 57.0 1319 SMITH -EMERY GEOSERVICES PROJECT: Hoag Hospital Ancillary Landscape Renovation LOCATION: One Hoag Drive Newport Beach, California TABLE NO. 1 RESULTS OF FIELD DENSITY TESTING TEST METHOD KEY 5C - Sand -cone NG - Nuclear Gauge DT - Drive Tube FILE NO.: REPORT NO.. 39807-1 G-11-8495 xc . Test No. dy sa ,$t Date Lrd Test Type "S flk l" if ii teieYw s1s7` i T^i3fgX, A yik& L a' I�} v✓" F-Fire ('y ,e-Y $I S Y u �1?4 t1. gi(Sf A,117 tlt .. d*w 7� �r5u.. 1 bS. 1!?.Ue1Seepage C As fr AC Asphalt Concrete CS Slab ) ^ gY II:P't a ,'1^iY�tf`^ 1 a 1"'�»i + SP-Plt ST -Manhole BT-StorageTank Location Key Elev. Or Depth jft.) Moisture Content (%) Dry Density (pot) Relative Actual Compaction Specified Soil T pe Saturation (%) e Coordinate Location MDD 36 2/9)2011 NG BF Radial Layout E/0 Palms FSG 9.3 127.4 96.6 95 381 131.9 37 2/9/2011 NG BF Radial Layout E/O Palms FSG 40 126.4 95.8 95 34.3 131.9 38 2/9/2011 NG BF E/0 CONC Piles FSG 8.0 116.5 90.5 90 50.4 128.8 39 2/9/2011 NG BF Inside CONC Piles FSG 4.6 126.8 96.1 95 40.0 131.9 40 2/11/2011 NG BF SD TR CRB Area @ S/S DWY STA 0+30 N/E BLDG 1115 8.7 119.9 93.1 90 607 128.8 41 2/1412011 NG BF ELCT TR 2" DIA PVC 10' Ea from NECOR/0 New Canopy -1' FSG 8.2 116.4 90.4 90 51.5 128.8 42 2/19/2011 NG BF ELCT TR 2" DIA PVC 35' Ea from New Canopy FSG 8.5 116.0 90.1 90 52.8 126.8 43 2/14/2011 NG BF CONC SOG 55' Ea from BLDG 1115 NECOR FSG 7,9 121. 4 94 3 90 57 7 128.8 44 2/14/2011 NG BF CONC CRB for Planter @ NECOR/0 Canopy 11. 1 116.0 90 1 90 69.0 128.8 45 2/15/2011 NG BF CRB & GUT No End E/0 Canopy FSG- 7.9 116.7 906 90 50.1 128.8 46 2/15/2011 NG BF CRB & GUT No End E/0 Canopy FSG 4 9 126.9 96.2 95 42 7 131,9 47 2/15/2011 NG BF SD TR NW End Around Stairs FSG 11.3 1236 96.0 90 884 128.8 48 2/22/2011 NG BF ELCT 18" TR @ BLDG p15 Entrance Bollard and Light Poles FSG 7.8 115.9 90.0 90 48.3 128.8 49 2/22/2011 NG BF WTL 18" TR @ BLDG 1115 Entrance Landscaping FSG 8.1 117.5 91.2 90 52 6 128 8 50 2122/2011 NG BF Entrance Walkway @ BLDG 1115 FAB 6.7 127.3 96.5 95 59.2 131.9 SMITH -EMERY GEOSERVICES PROJECT. Hoag Hospital Ancillary Landscape Renovation LOCATION-. One Hoag Drive Newport Beach, California TABLE NO. 1 RESULTS OF FIELD DENSITY TESTING TEST METHOD KEY SC - Sand -cone NG - Nuclear Gauge OT - Drive Tube ) ()CATION KEY FILE NO.. REPORT NO.: 39807-1 G-11-8495 EB Excavation FB Footing Bottom Bottom FIn/��ys` ... .'"' t�' tF•1r'x.$�1'Y Its t riF a .x r _•s, Ix i i m+"et 3xxC. 1 S -Sewer •F-Fire �; L%4 .� u+ v SD Storm Drain So South No North 7:'S"'"j x vtySP i4.�jw AC - Asphalt �''7 .CS- Cane r e"�q.(;xrT Concrete to Stab sfr.-- J i . t"sA f>L.l.x: .. SP - Seepage Pit MH -Manhole ST - Storage Tank Location Key Coordinate Test Date Test Elev. Or Moisture Dry Relative Compaction S it Saturation Location MDD No. Type Depth (ft.) Content (%) Density (pcf) Actual Specified Type (%) 51 2/23/2011 NG BF CRB STA 1450 @ BLDG 815 Entrance Bollard and Light Poles FSG 8.2 124.3 96.5 95 65.6 128.8 52 2/23/2011 NG BF 18" TR Landscaping Main Line @ BLDG 815 Entrance Landscaping FSG 8.4 116 4 90.4 90 52.8 128.8 53 2/23/2011 NG BF Entrance Walkway STA 1+25 @ BLOG #15 FAB 7.1 127.3 96.5 95 62.7 131.9 54 2/23/2011 SC BF CRB STA 1+50 @ BLDG #15 Entrance Bollard and Light Poles FSG 7.7 124.1 96.4 95 61. 2 126.8 55 2/23/2011 NG BF 18" TR Landscaping Main Line @ BLDG #15 Entrance Landscaping FAB 7.0 128.5 97.4 95 64.5 131.9 56 2/23/2011 SC BF BLDG #15 Drop -Off and Valet Areas @ BLDG #15 FSG 8.1 125.6 97.5 95 67.6 128.8 57 3/2/2011 NG BF BLDG 015 Entrance Drop-off Area FSG 7.3 126.1 97 9 95 61.9 128.8 58 3/2/2011 NG BF BLDG #15 Entrance Drop-off Area FAB 6.7 130.8 99.2 95 67.0 131.9 59 312/2011 NG BF 18" TR WTL Arouhd Entrance K:osk FSG 7.9 125.0 97.0 95 64.6 128.8 60 3/3/2011 NG BF 18" TR Landscaping WTL N/0 Valet DWY FSG 8.3 116.7 90.6 90 52 6 126.8 61 3/3/2011 NG BF BLDG #15 Entrance Drop-off Area FAB 4.2 131. 0 99.3 95 42.3 131.9 62 4/6/2011 NG BF Valet Parking Cross CRB & GUT W/O New Orive FAB 7.1 127.7 96.8 95 63.6 131.9 63 4/6/2011 NG BF Valet Parking Cross CRB & GUT WS/0 New Drive FAB 6.6 130.4 98.9 95 67.0 131.9 64 4/11/2011 NG BF Patient Drop Off DWY @ Entrance FSG 4.8 128.3 97,3 95 43.9 131.9 65 4/11/2011 NG BF Patient Drop Off DWY @ Entrance FSG 4.8 127.9 97.0 95 43.3 131 9 66 4/11/2011 NG BF Patient Drop Off DWY@ Entrance FSG 57 127.6 96.7 95 50.9 131.9 SMITH -EMERY GEOSERVICES PROJECT: Hoag Hospital Ancillary Landscape Renovation LOCATION: One Hoag Drive Newport Beach, California TABLE NO. 2 ASTM D1557-02 FILE NO.: 39807-1 REPORT NO.: G-11-8495 SOIL TYPE MAX. DRY DENSITY (%) OPT MOIST CONT (%) DESCRIPTION %CLAY SOURCE 1 123.2 11.5 Brown Clayey SAND Native 128.8 9.5 Brown Clayey SAND Native `.` 131.9 7.4 CAB Import A GENERAL NOTES: THE PROPOSED STORM DRAINAGE DISCHARGE FROM THE DRIVEWAY TO HOAG DRIVE DOES NOT EXCEED THE DISCHARGE FROM THE EXISTING DRIVEWAY. ALL STORM DRAIN LINES SHALL BE PVC SOR-35. DRAINAGE IMPROVEMENTS SUMMARY: A. EXISTING STORM DRAIN UNES LOCATED SOUTH. AND EAST OF THE EXISTING MRI BUILDING ARE BEING RECONSTRUCTED TO INSURE PROPER SIZE. B. EXISTING AREA DRAINS LOCATED SOUTH AND EAST OF THE EXISTING MRI ARE BEING CONNECTED TO THE NEW STORM DRAIN UNE. C. NEW AREA DRAINS ARE BEING ADDED EAST AND NORTH OF THE PROPOSED BUILDING IN ACCORDANCE WITH DETAILS 5, 9, AND 10 A5 SHOWN ON SHEET NO. C-4. LEGEND: (79.96Y'1 EXISTING SPOT ELEVATION 70.96.11-1 NEW SPOT ELEVATION FLOW IJNE GRADE CHANGE R-R- RIDGE UNE s0 NEW STORM DRAIN UNE ink DETAIL NUMBER SHEET NUMBER IMIT OF ASPHALT CONCRETE PAVEMENT LIMIT OF PORTLAND CEMENT CONCRETE PAVEMENT LEGEND FOR COMPACTION REPORT . 66 TEST NO. AND APPROX. TEST LOCATION FHEUPAD ABOVE REMOVE EXIST. CATCH BASIN & REPLACE WITH 24"x24C WITH FOSSIL FILTER T (75.59)TC JOIN EXISTING A'GF_ GRADE rill- ® -JIM 76.5oFS ACCESSIBLE CURB'2 A`% RM P SEE ARF ' BWG. sNT.,;`AN2 77-1- ' e" JOIN .E((;%, 77.6ITC- • ciRpl n.n 54 • di 799G)[G JOIN 76.01 78.52TPO 77.521NV BLDG # 15 #, NC P DRAIN TO REMAIN. ADJUST TO GRADE (78.73) FF A 0) EXIST. CONCRETE 77 r-CUR&7O REMAIN.. 62 (79.05)EG" -..,• • 64101N/ 78.3E 78 FF=78.6 A 78.52TP0 77.521NV 4 77.421NV 78.70 78.41170 76.901NV 7835TP0 76.85INV 79.24 FF=(79.34) 79.32 79.13 7927 79.08 78.501PD 77.DOINV 79.00 FF=76.83 A ...CONSTRUCT NCRREB��� CROSS MIER, MATCH/ W `4 A CONSTRUCT CONCRETE CROSS GUTTER TO 99CC MATCH EXISTING A .... "� 2•6 9 34:, •c`4 y - 6.1 .. 7P•5135 7 30TT0 48- 730 i 4: 7- �88.69 A8 &5278.6. yt9Ri �60• A (78.55)-/ 78.73 78.35TP0 1 pR7`(78.B1) (78.62) 78.44 78.58 (79.88)TW (79.08)FS (78.80)TC (78.00)FS 77.001NV 77.10INV FF=(78.83) .40TPD 76.901NV 78.55) JOIN EXISTING PAVEMENT A 78.40TPD .901NV 0 (78.82)FF A (79.603)) 79.49 79.39 0'CF E05T. CONC. JT 76.20INV WALL ENCLOSURE SEE ARCHITECTURAL DRAWINGS JOIN EXISTING A PAVEMENT % (79.61 01N A TYPE I 79.47 (79.47) OIN c?° ACCESSIBLE CURB RAMP, SEE ARCHITECTURAL DRAWING 3161‘;). SHEET AI12 76.4004V 78.51N A 78.55) 45 :7E:t67PD -3$i77 V ::%:q&: STPD 51NV TYPE I A e BLDG # 18 5 A SMITH -EMERY GEOSERVICES PLOT PLAN AND DENSITY TEST LOCATIONS HOAG HOSPITAL ANCILLARY LANDSCAPE RENOVATION ONE HOAG DRIVE NEW PORT BEACH, CALIFORNIA PREP. BY E.D. FILE NO. 39807-1 PLATE A 048 T6 32 SCALE • IP: 10-19-'09 18:08 FROM-FD&C 949-764-6892 T-013 F0001/0011 F-019 October 19, 2009 City of Newport Beach Building Department Attn: Dennis V Attached is an extension to permit X2007-1997 request letter with supporting documents/reports, construction final report of one audible device revision from OSHPD Fire Marshall and IOR, OSHPD ACO field site visit report, OSHPD DSE field report, and Kleinfelder concrete cylinder compressive strength report. Thank you, Andrea Witjakso Project Engineer Office: 949. 764.4453 Cell: 626. 242.4012 10-19-'09 18:08 FROt1-FD&C 949-764-6892 T-013 P0002/0011 F-019 KOK nuSPIPL One Hoag Drive PO Box 6100 Newport Beach CA 92658-100 949/764•HOAG (4624) vnvw.hoaghospial.org October 19, 2009 Jay Elbettar, P.E, C.B.O Building Director City of Newport Beach 3300 Newport Blvd Newport Beach, Ca 92663 Subject: Expired Permit X2007-1997 Dear Mr. Elbettar, Hoag Hospital is requesting an extension to permit X2007-1997. Due to the size, longevity and complexity of this multi -phased project we are requesting an extension of time. As discussed this project duration is approximately 44 months total and, OSPHD required the original city permit as a condition of approval in June of 2007. The project is mandated and required to have an assigned full time TOR inspection, along with a designated OSPHD area compliance officer, and district structural engineers that visit the site weekly. For this project we also have an independent testing and inspection firm which we have contracted with Kleinfelder West Inc. Attached are copies of the ongoing inspection reports for your backup as requested. Your consideration to this matter is greatly appreciated. Please feel free to call me with any questions. Sincerely, Hoag Memorial Hospital Presbyterian Gregg Zo11 Sr. Project Manager 949-764-4468 — Office 949-355-9065 — Cell A NOT•FOR-PROFIT COMMUNITY HOSPITAL ACCREDITED BY THE )DINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS 10-19-'09 18:08 FROM-FD&C 949-764-6892 T-013 P0003/0011 F-019 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION 1800 Ninth Street, Room 420, Sacramento, CA 95814 Tel: (916) 654-3362 Fax; (916) 654.2973 FIRE AND LIFE SAFETY REPORT - Construction Final Report Facility Name and Address Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, California 92663 Contractor — Inspector of Record Telephone No. Mike Davis CF Facility I.D. No. Project Number 10428 SL-082646-30 Date -ma6/12/2009 "G" Sub No. Project % Complete Building Permit 4 YES CI NO Approved Plans Q YES ❑ NO Change Orders Pending App'd ❑ Title or Scope of Project: ECU & Imaging Phase One Audible Device Revision CONSTRUCTION FINAL — The work has been completed and appears to substantially conform to the approved ' ns and applicable California Building Standards Code. Project closure requires that Final Verified Reports be ...omitted and the Final Construction Costs be certified to the Office in accordance with Section 7-155, Article 4, Chapter 7, Part 1, Title 24, CCR. All submittals shall be sent to the Office indicated above. Failure to do so may result in a project closure status of "non-compliance." Any subsequent construction changes to an area, portion or project that has been issued a construction final must be done through a new permitted project, and not as a change order. :, ' ; . `... r Comments-r..�, ,a , .. ' i,, This project meets the minimum fire and life safety requirements of Titles 19/24 CBC. Contact OSHPD Area Construction Advisor for project closure. 1 OSHPD FDD Field Staff: J. Franklin, FLSO II Date: 6/12/2009 Report Received By/Title: Mike Davis, lOR),, Y, Date: 6/12/2009 OSHPD- Construction Final (06/08/99) 10-19-'09 18:08 FPOM-FD&C 949-764-6892 T-013 P0004/0011 F-019 ) OSHPD _ 'Blare of California - Health and Nxxmn Services Agency OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT r . 1600 Ninth Street, Room 420, Sacramento California, 95814 Phone (916) 654.3362 FAX (916) 654.2973 (south and Coastal Rootona) 1831 Ninth Street, Sacramento California, 95814 Phone (916) 324-9090 FAX (916)3249145 North and Central Regions) 700 N. Alameda Street, Suite 2-500, Los Angeles California, 90012 Phone (213) 097-0166 FAX (213) 897.0168 (.A/orange coulee.) TESTING, INSPECTION AND OBSERVATION PROGRAM -2001 CALIFORNIA BUILDING STANDARDS CODES - OSHPD 1 - Pagel of 3 Thls program is prepared and submitted for an OSHPD 1 project. OSHPD 1 projects include all construction and remodel projects for general acute - care hospitals and acute psychiatric hospitals. OSHPD 1 projects also include construction and remodel of skilled nursing facilities and/or intermediate A Facility Name 1AOA(o M� rt c* RC- \-\CsPC� Pt, Project Number LOfa6 ,5 0 Address -Street `rNDPAca Sub Number 1 CS`Lr y)g_‘.Uet. City Tt12t.-)poRi d'CP-tt Facility ID Number 1(542-raj Title of Project rr----LU.)S:Lv•\AS ri (.. PttpssE. t AottPic,G^ DaU:c.c•- ILG-UiSPN_ B TESTS -DOCUMENTATION! CERTIFICATION REQUIRED CONSTRUCTION VERIFICATION OFFICE USE ONLY REQUIRED TESTS RESPONSIBLE FIRM OR INDIVIDUAL TBD IOR FDD CONST. CCEPTANCCE FlQa A-IM. (-cP:ANL` 't)Ciect15Nt Ne•oLxC-- 40-40 GA/05 1 1-5ss-s au ce L rC t co -4 . \ e rtEPA ?'2! 7CO2_ ?-L9-1 C SPECIAL INSPECTIONS - DOCUMENTATION/CERTIFICATION REQUIRED CONSTRUCTION OFFICE USE ONLY VERIFICATION REQUIRED SPECIAL INSPECTIONS RESPONSIBLE INDIVIDUAL TBD IOR FOD CONST. ACCEPTANCE t prior to proceeding with the work that requires this test or special inspection. CAN 1-7-141(d)-(i) OSH-FD-303A (Revised 06/12/05) 10-19-'09 18:08 FBOM-FD&C 949-764-6892 T-013 P0005/0011 F-019 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT 1 e00 9" Street, Room 420 - Sacramento, CA 95814 Phone (916) 6543362 FAX (918) 654-2973 (South and Coastal R gion) f1/; Jl 1831 9" Street - Sacramento, CA 95814 Phone (916) 324-9090 FAX (916) 324-9145 (Noun and Sendai Region) 700 N. Alameda Street, Suite 2-500, Los Angeles, CA 90012 Phone (213) 8974166 FAX (213) 897-0168 (Worange Counties only) VERIFIED COMPLIANCE REPORT If Final Report, Place F In Box-* R NOTE: Required at specific intervals or project milestones as indicated in the Testing, Inspection and V, observation Program approved by the Office (See Part 1, Title 24, CCR, Section 7-151) A a Name of Facility Ho Memorial Hospital Presbyterian B OSHPD No. SL-082646-30 Address - Street 1 Hoag Drive. Box 6100 Increment/Phase/Sub No. or Description City County Slate Zip Newport Beach Orai ge CA 92658 Tilte of Project 05 Characters max.) ECU & IMAGING PHASE 1, AUDIBLE DEVICE REVISION Facility I.D. No. 10428 C IntervaI/Milestone*: Final Verified Compliance Report at Completion Ref. No.':,_ 1 This report includes construction work to the 12 day of JUNE , 20 09 (' As identified on the approved Testing, Inspection and Observation Program) D Observed Elements of Construction this reporting interval or project milestone: ALL E Area Under Observation Compliance Statement: I hereby declare that, to the best of my personal knowledge', the work performed and the materials used and installed covered by this report, are in compliance with the approved drawings and specifications and any approved Post Approval Documents. If applicable, a tentative list of items to be completed or corrected is given herein below or attached hereto. This list may not be all-inclusive. Failure to include an item in it does not alter the responsibility of the Contractor/Builder to complete all of the work in accordance with the approved drawings and specifications and all applicable building codes. (* As defined in Part 1, Title 24, CCR, Section 7-151) F Comments and/or Exception List: (Attach additional sheets if necessary) None G LT I2-C? Signed Date Special Inspector O Other:__..___ A-10554 ❑ AOR ❑ SEOR ❑ MEOR ❑ EEOR ■ GEOR ❑ Contractor/Owner-Builder E5 IOR ❑ Name (Print) Michael L. Davis Registration No.: Firm Name Michael L. Davis & Assoc., Inc. Address 21 Via Empanada City RSM State CA zip 92688 OSH-FD-123 Revised 8/11/05 10-19-'09 18:09 FROM-FD&C 949-764-6892 T-013 P0006/0011 F-019 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT 400 -R' Street. Suite 200 - Sacramento. California 95811 Phone (916) 44041300 FAX (916) 324.9168 700 N. Alameda Street, Suite 2-500. Los Angeles, California 90012 Prone (213) 897-0166 FAX (213) 897-0168IWta^1<comae, onto VERIFIED COMPLIANCE REPORT NOTE: Required at specific intervals or project milestones as indicated in the Testing Inspection and F If Final Repon, Place'F" in Box observation Program approved by the Office (See Part 1. Title 24, CCR, Section 7- 51 VR A Name of Fmer toly nal Hospital B gL"���2�46-30 Unealia (Drive IncremenUPhas&Sub No. or Descdplicr NEwport Beach CountyOrange tit 926% 1U4L0o. No. tatP6 imaging ease one Audible Renovation C IntervallMilestone: Ref. No.': This report includes construction work to the Fourth day of June 20 09 f• Ac identified nn the annrnved Testing taspecnnn and (lhoruganry,PWrarn) D Observed Elements of Construction this reporting interval or project milestone: E Area Under Observation Compliance Statement: I hereby declare that, to the best of my personal knowledge, the work performed and the materials used and inslalled covered by this report, are in compliance with the approved drawings and specifications and any approved Post Approval Documents. If applicable, a tentative list of items to be completed or corrected is given herein below or attached hereto. This list may not be all-inclusive. Failure to include an item in it does not alter the responsibility of the Contractor/Builder to complete all of the work in accordance with the approved drawings and specifications and all applicable building codes. (' As defined in Part 1 Title 24. CCR Section 7-151) F Comments and/or Exception List: (Attach additional sheets if necessary) G A Signed ..:--t-- v �1;,3 —_. Date 6/�1/1% p14� Li AOR 0 SEOR 0 MEOR0 EEOR 0 GEOR NI Cortractor1Owner-builder D Ion 0 Name (Print) Robert Tomasian Registration No.: Special Inspector El Other:_ E13193 Firm Name Detection Logic Fire Protection Address 7605 San Fernando Road City Burbank State C'4 zip 91505 OSH.FD-123 Revised 02/20/08 10-19-'09 18:09 FROM-FD&C 949-764-6892 T-013 P0007/0011 F-019 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION 700 N. ALAMEDA ST. SUITE 2-500 LOS ANGELES, CA. 90012 Tel: (213)897-0166 Fax: (213) 697-0168 CONSTRUCTION ADVISORY — FIELD VISIT REPORT Facility Name and Address Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92663 Contractor Kemp Brothers Inspector of Record Telephone No. Todd Davis FV Facility I.D. No. Project Number 10426 HL050402-30 Date "G" Sub No. 10/13/2009 Project % Complete 25 Building Permit O YES 0 NO Approved Plans AYES ONO Change Orders Pending Apptd L] U 109 Title of Scope of Project; Ancillary Building Remodel (ED/ECU) FIELD VISIT - The above named facility/project was visited this date and the following was noted: Onsite meeting with IOR to review project documentation and construction status. Change Orders: None Work in progress: All steel has been erected, working on minor bracing and fixes. Insulated fire rated fill working on single story area. Grade beams still in progress. IOR noted that contractor is trying to protect drywall surfaces in place for weather and monitored as elements remain exposed. Corrections and Deficiencies: 1) SEOR needs to provide a fix on misaligned continuity plate. ck Decking in progress. protection. This will be reviewed . OSHPD Field Staff: LLOYD DICK - ACO Date: to/13/2009 Report Received By/Title: TODD DAVIS -1 Date: 10/13/2009 OSHPD- Field Visit (06109/99) 10-19-'09 18:09 FROM-FD&C 949-764-6892 T-013 P0008/0011 F-019 OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FACILITIES DEVELOPMENT DIVISION 1600 Ninth Street, Room 420. Sacramento, CA 95814 1831 Ninth Street, Sacramento, CA 95814 700 N. Alameda Street, Suite 2-500, Los Angeles, CA 90012 Phone (916)654-3362 Fax (916)854-2973 Phone (916)324-9090 Fax (916)324-9145 Phone (213)897-0166 Fax (213)897-0168 STRUCTURAL ENGINEERING REPORT — FIELD VISIT REPORT . : Facility Name and Address Hoag Memorial Hospital One Hoag Drive Newport Beach, CA 92863 • Contractor Inspector of Record Telephone:No. Mike Davis 714-920-2590 FV Facility ID No. Project Number 10428 HL050402-30 Date . . "G" Sub No. 10/6/09 0 Project % Complete Building Permit 0 Yes 11 No Approved Plans 0 Yes ■ No Change Orders Pending App'dEl Title or Scope of Project: ECU & Imaging Renovation (phase III) FIELD VISIT — The above named facility/project was visited this date and the following was noted: .Comments: . Walked the project, reviewed the progress, changes and compliance with Architect and Engineer. Construction Progress: Demolish existing steel beams and deck. Erect steel columns and beams. Deficiencies/comments: 1. Braces for roof top utility support frames shall be done prior to frames loaded. 2, Existing steel beams can not be reused if they are damaged during demo. SEOR has to figure out repair plan and submit to OSHPD for review. Repair process has to be inspected. New steal beams with same or higher grade can be used to replace existing damaged beams. 3. Any welding to structural members shall have approved welding procedure (WPS). Means and methods for connections to structural members shall follow WPS and connections shall be approved by SEOR. In any cases, structural strength shall not be reduced. 4. SEOR needs to verify (prove with original calculations) that beam W12x26 be able to carry unbalance Toad in special brace frame. 5. SEOR needs to verify (prove with original calculations) that lateral brace of moment frame column is strong enough with two bolts connected to beam. OSHPD FDD Field Staff: DSE: Haoping L Report Received By/Title: IOR: Mike DaviSC` -e naV 13 Date: 10/8/09 Date: 10/6/09 OSHPD — Field Visit Revised 7/11102 949-764-6892 T-013 P0009/0011 F-019 10-19-'09 18:09 FROM-FD&C KLE/NFELDER aright People. Right Solutions. 620 W. 16th St., Unit F Long Beach, CA 90813 Phone: (562) 432-1696 Fax: (562) 432-1796 Report To: Hoag Memorial Hosp. Presbyterian Gregg Zoll Facilities Design 8 Construction 500 Superior Ave, Suite 300 Newport Beach, CA 92663 Supplier: Mix No.: ASSOCIATED 16436 Cement Type: IIN Design Strength: 4,000psi @ 28 days Report Date: Project No.: Project Task: MIX OESIgN OAT( 9/24/2009 104586 Hoag ECU 8 Imaging Renovation 1 Phase 3A Cement Factor (sk/cy): 6.4 SK Max. Size Agg.(in.): 1" Admixtures: POZZ 200N ,SAMPLE DAT, Date Sampled: 8/27/2009 Date Received: 8/28/2009 Time Batched: 7:04 AM Source of Sample: Time Sampled: 7:49 AM BOTTOM HALF OF PILE CAPS @ LINES N1/ND 8 N2/ND, SET AR3-1 Contractor: COAN CONSTRUCTION Truck/Ticket: 375/4547074/1 Sampled By: DON FEINHALS Submitted By: DON FEINHALS Curing Method: Cure Tank Field Cure Temp (°F) Hi: Field Cure Time: 24 hrs. Capping Method: Unbonded Lo: Batch Size (cy): 10 Water Added (ga }: 5 Measured Specified Min Max Slump (in) 4 3 5 Slump w/plasticizer (In) Ambient Air Temperature (°F) 71 Mix Temperature(°F) 82 Air Content (%) Unit Weightjpcf) Time in Truck (mina.) 45 LABORATORY DATA,,1 Sample Number Date Tested Age (days) Dimensions (in) Area (Ins) Fracture Type Ultimate Load (lbs) Compressive Strength (psi) Dlam. Haight LB302893A 8/31/2009 4 6.00 12.00 28.27 Type 2-Cone and Split 82,550 2,920 L83028936 9/3/2009 7 6.00 12.00 28.27 Type 2-Cone and Split 93,290 3,300 L6302893C 9/24/2009 28 8.00 12.00 28.27 128,350 4,540 L63028930 9/24/2009 28 8.00 12.00 28.27 127,780 4,520 LB302893E 10/22/2009 56 Average 28 Day Strength (psi): Required Strength (psi) ® 28 days: 4,530 4,000 Remarks: SET AR3-16 X (:;—) Reviewed on 9/24/2(109 by: Scott Hogue Regional Laboratory Manager Associated Test Methods: ASTM C 31. C 138, C 143, C 172 C 173, C 231, C 617, C 186a. C 1251 Unless prior arrangements have been made all ISOLO specimens will be discarded it required strength is attained. Limitations: Pursuant to applicable building codes, the results presented in this report are for the exclusive use of the client and the registered design professional in responsible charge. The results apply only ha the samples tested. If changes to the speci(1cMions woro falls and not communicator) to Klcinreldeq Klelnfelder assumes no responsibility for pass/lad statements Imeetsidld not meet); if provided. This report may not be reproduced, except in lull. without written approval of Kleinteelder. Pagel of 1 10-19-'09 18:09 FROM-FD&C 949-764-6892 T-013 P0010/0011 F-019 KLEINFELDER °right People. Right Solutions. 620 W. 16th St., Unit F Long Beach, CA 90813 Phone: (562) 432-1696 Fax: (562)432-1796 CONCRETE. QV-LINDER CQMRRESSIV Report To: Hoag Memorial Hosp. Presbyterian Gregg Zoll Facilities Design & Construction 500 Superior Ave, Suite 300 Newport Beach, CA 92663 Report Date: Project No.: Project: Task: DtS1G1�h QRip SEP 2 8 2009 FACILITIES DESIGN 9/24/2009 104586 Hoag ECU & Imaging Renovation 1 Phase 3A Supplier: STANDARD CONCRETE PRODUCTS Cement Factor (sk/cy): W/C .50, 7.1S Mix No,: 235-ARCH Max. Size Agg.(in.): 3/8" Cement Type: V Admixtures: AOVA-RECOVER DARAX Design Strength: 4,000psi 6 28 days SAMPLE UATA ;' Date Sampled: 7/30/2009 Date Received: 7/31/2009 Time Batched: 2:02 PM Batch Size (cy): 10 Source of Sample: Pile PILE # 2 @ LINES ND / N2, SET AR3-10. Contractor: CALEX ENGINEERING Truck/Ticket: 288/55101161 /1 Sampled By: DON FEINHALS Submitted By: DON FEINHALS Curing Method: Cure Tank Field Cure Temp (°F) HI: Field Cure Time: 24 hrs. Lo: Time Sampled: 3:00 PM Water Added (gal): 50 Measured Specified Min Max Slump (in) 5 5 8 Slump w/plasticizer (in) Ambient Air Temperature (°F) 76 Mix Temperature (°F) 93 Air Content (%) Unit Weight (pef) Time In Truck (mins.) 58 LA :OAP:DRYOAT; Capping Method: Unbonded Sample Number Oate Tested Age (days) Dimensions (In) Area Ilny Fracture type Ultimate Load (Ibe) Compressive Strength (psi) Clam. Height LB302848A 8/6/2009 7 6.00 12.00 28.27 Type 2-Cone and Split 165,660 5,860 LB3028488 8/27/2009 28 6.00 12.00 28,27 Type 2-Cone and Split 217,680 7,700 L8302848C 8/27/2009 28 6,00 12.00 28.27 Type 2-Cone and Split 217,110 7,680 L63028480 9/24/2009 56 6.00 12.00 28.27 Type 2-Cone and Split 253,020 8,950 Average 58 Day Strength (psi): 8,950 Required Strength (psi) @ 28 days: 4,000 Remarks: SET AR3-10 Reviewed on 9/24/2009 by: Scott Hogue Regional Laboratory Manager Associated Test Methods: ASTM C 31, C 136, C 143, C 172, C 173, C 231, C 617, 0 1064 C 1231 Unless prior arrangements have been made all HOLD specimens will be discarded it required strength iS attained. Limitations: Pursuant to applicable hulloing codes, the results presented in this report are for the exclusive use of the client and the registered design professional In responslbte charge. The results apply only to the samples tested. If changes to the specifications were made and notcomrnunicated to Klelntelrner. Maintainer assumes no rssponsihility for nessaail statements (meets/did not meet), if provided. This report may not be reproduced, except in lull, without written approval of Kleinfelder. Page 1 of 1 949-764-6892 T-013 P0011/0011 F-019 10-19-'09 18:10 FROM-H&C d KLEINFELDER aright People. Right Solutions. 620 W. 16th St., Unit F Long Beach, CA 90813 Phone: (562) 432-1696 Fax: (562) 432.1796 Report To: Hoag Memorial Hosp. Presbyterian Gregg Zoll Facilities Design & Construction 500 Superior Ave, Suite 300 Newport Beach, CA 92663 Report Date: Project No.: Project: Task: 9/24/2009 104586 Hoag ECU & Imaging Renovation 1 Phase 3A MIX DESIGN 4ATAt.: Supplier: ASSOCIATED Mix No.: 18438 Cement Type: IIN Design Strength: 4,000psi @ 28 days Cement Factor (sk/cy): 6.4 SK Max. Size Agg.(In.): 1" Admixtures: POZZ 200N IAMFLE; DATA' Date Sampled: 8/27/2009 Date Received: 8/28/2009 Time Batched: 8:46 AM Source of Sample: Time Sampled; 9:40 AM BOTTOM HALF OF PILE CAP @ LINES N2.5/NB & TOP HALF OF PIL Contractor: COAN CONSTRUCTION Truck/Tic ket: 374/4547086/6 Sampled By: DON FEINHALS Submitted By: DON FEINHALS Curing Method: Cure Tank Field Cure Temp (°F) Hi: Field Cure Time: 24 hrs. Lo: Batch Size (cy): 10 Water Added (gal): Measured Specified Min Max Slump (In) 4,5 3 5 Slump w/plasticizer (in) Ambient Air Temperature (°F) 80 Mix Temperature (°F) 84 Alr Content (%) Unit Weight (pcf) Time in Truck (mins.) 54 LABORATORY DAr1 Capping Method: Unbcnded $ample Number Date Tested Age (days) Dimensions (In) Area Ph') fracture Type Ultimate Load (lbs) Compressive Strength (pal) olam. Height LB302894A 8/31/2009 4 6.00 12.00 28.27 Type 2-Cone and Split 76,330 2 700 LB302894B 9/3/2009 7 6.00 12.00 28 27 Type 2-Cone and Split 85,860 3,030 LB302894C 9/24/2009 28 6.00 12.00 28.27 Type 2-Cone and Split 126,370 4,470 LB3028940 9/24/2009 28 6.00 12.00 28,27 Type 2-Cone and Split 125,240 4,430 LB302894E 10/22/2009 56 Average 28 Day Strength (psi): Required Strength (psi) r:• 28 days: 4,450 4,000 Remarks: SET AR3-17 Reviewed on 9/24/2009 by: Scott Hogue Regional Laboratory Manager Associated Test Methods: ASTM C 31, C 138, C 143, C 172, C 173, C 231, C 617, C 1064. C 1231 Unless prior arrangements have been made all HOLD specimens will be discarded it required strength is attained. Limitations: Pursuant to applicable building codes. Ole results presented in this report are for the exclusive use of the client and ole registered design professional io responsible charge. The results apply only to the samples rested. II changes to the specifications were made and not communicated to Kloinfelder, Klein/eider assumes no responsibility For pass/Fail statements Inteetsldid not meet', if provided. This report may not he reproduced, except in hal, without written approval of Kleinfelder. Page 1 of 1