Get Form 812 Concrete Mix Design Review Checklist - Clark County

Filling out the Form 812 Concrete Mix Design Review Checklist is essential for ensuring compliance with Clark County's building requirements. This guide provides a step-by-step approach to assist users in completing the form accurately online.

Follow the steps to efficiently complete the form online.

1. Click ‘Get Form’ button to access the form and open it in your editor.
2. Enter the date in the designated field to indicate when you are submitting the checklist.
3. Fill in the Mix Design Number and Permit Number, which are essential for tracking your submission.
4. Input the project name and address in the provided area to specify where the concrete mix will be used.
5. Ensure you have three copies of the mix design ready for submission—one original and two copies.
6. Indicate the intended use of the concrete in the structure, specifying if it will be used in columns, beams, slabs, or other elements.
7. List the approved batch plant responsible for the concrete mix to ensure proper compliance.
8. Ensure the mix design is stamped by a Nevada registered engineer. Include a reference to this in the designated section (see FIGURE 1).
9. Attach the original review stamp from the design professional who specified the concrete parameters (see FIGURE 2).
10. Confirm that the mix design is less than 12 months old, and include relevant documentation.
11. Verify that concrete aggregates comply with ASTM Standard Methods, and state their gradation test dates, ensuring they are less than 12 months old.
12. Provide any necessary backup data and calculations in accordance with ACI 301 & ACI 318 if the f'c is equal to or greater than 6000 psi.
13. Note any special procedures and instructions if the mix will be used in adverse weather conditions.
14. Indicate whether air-entrainment is required for Mount Charleston environments above an elevation of 5,000 feet.
15. Document the slump prior to the addition of water-reducing admixtures in the appropriate field.
16. Ensure that concrete durability complies with the standards set forth in the 2006 IBC and 2006 ACI 318 4.3 (see FIGURE 3).
17. For any additional comments from CCBD-IS, document them in the section provided.
18. After completing the form, you can save changes, download, print, or share the form as required.

Complete your document online today for a seamless submission process.