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HomeMy WebLinkAboutPermit Building 2003-3-14 r,Ij,.,,:..' ' y ~,' ,'; '\ " :!'~. ~_. Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON I 225 5th Street, Sprj,ngfield, OR 97477 Ph. 726-3759 I' ' ~, I ' , 'I - I " . ~ 'Job Address ')'113 ~a(x;1:>-i 6J-c ' ' City Job # fx')c.?\ "" ~. ':::/ .~) r", f.i:. .~;.: ':" "4 '.':f H ~.~. " J.'.,'!" ;'. ~~ ;'Ir>~ f,"- ~:...:~1~"'" If~\t}. tl'/' ~.~. ~ 'l-i{ '~!' ~:..f>~~..>: .;l':'r~:\;~ ~~;. t \,~ .,.",... , .. }:;"''i.''1.~r:.rt~}J,:;'i~':''<~'':;'''I~I,{~~}.:;;'\r,~;-~J,~'~:t" ~.t~\' ,;ttt!.l'i:~~'(~:f11:~;;?Al:::;(~': ~~(~;t.!fi{'it,i:~t!~/J.. ~(~l,'~~J~':'.L~,~;,.t>,:I:," ~~p' ~': ' " ,~.F. ...."'J~.. /;..,'. .tl'''~' ,'~~i" ~,""-~"~I\.~.-";,,.;, .~.""';';<i'",. .,....s-.;:,., ,'l';"', ',,, ':l ,> - Affidavit For Site Investigation Questionnaire Foundation Sub-Grade Approval for Residential Building Site in Ambleside Meadows - 1 st Addition Subdivision The undersigned hereby affirms that the excavation, structural fill and moisture st~biliiation met~ods for the building site at the address shown above was observed by , me or an authorized employee of my firm and that the following is true: -! 1. The foundation sub-grade is capable of-supporting a minimuq1 of 1500psf, and is adequate to support the building proposed for this site. ' 2. The moisture content of the excavation was adequately maintained during 'the site preparation process ~d was adequately covered to stabilized moisture content prior to any significant change in moisture content of the sub-grade. " ' 3. The site is adeqmitely graded and drained to prevent the collection of water in Hie excavated area during construction. ' 4. The accompanying report titled "Site Investig~tion Questionnaire for Consiilting Design Professionals" containing field. observations and instructions made on ~ Art \ Li) wG--:3 (date) for the building site was completed either by myself or by an employee of my firm under my supervision. To the best of my knowledge, the infonnation contained in that report is complete and accurate. Name of Licensed Professional (print) o~t--J (~~' Signaturer;JjL M r'1rt. I i./ ~ ,/"3 -r--- I.':...-- o i. .:g:t~ ""f" ,.)~~ \ , .' /". ... , Iwen Grover Engineering P .CD {t '~ .1: ~"~,.!i ,~>.t.' ,.' t"~ ::-=/: C;~,' -<'~.:J:~~" ~ ~~" . ~_' . ~ ,~_ ,Eugene, Oregon 97402 , (541) 688-3020 Field Unit Weight - Sand Cone Method Per ASTM'D 1556 lbate of test: '3/it.j} O~ Test Location: ~. \..\.; ~ - Tested By: (X?- Material Tested (By visual observation): , ,3/4 - 'CEPsH f D \51\ SI\L ,- Test Number: , I Jo~ So~1 '_~_, '''~ Unit Weight Of Sand Used For This Test Density Dry Sand CD!) =, 7[. cr PCF Volume Of Cone (VI) = 0.0389 Ft^3 , ; Field Test Data , , 'f8.~ 02 8i .-8 ' 02 ~'i(1fL Pt^3 .' Z),'L 02 rZA j'S' PCF, lOr? % , 0'. (0 PCF, Initial Weight of Jar + Sand (WI)............ ............... ..~............ ' Weight After Testing (W2)............................~............... ...n. ,Volume Of Hole (WI-W2)/161D1- VI == V2..~...... ..;................ Weight of 8,ample (W3)... .l................. ......................:.......~ Moist Unit Weight Of Soil (W3/16N2) = (Ml)...... ................... Moisture Content orSoil ((WW-WD)/WD). 100 = (MC).........~.. ' Dry Unit Weight of Soil (MIl (1 + M ell 00)....... .. ....... ......... .. ... Can Wt .. lCS'7- = (wi{. . l Sr=(WD)~_ Notes: , (0 ~j\1N 5 o~ s, l <c ( ~J. : fOe) t--J of ()Y1O . . I," ...~.-- :;. t A % ji' Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 JobAddress'? 373 AM8LG ~; ()~ City Job # U>V"'\.... -z.O'o"3 - ODOllP' ..: . '.......:'. '.~.':.'<>';>.;~I<''';~ ....:. -,.~~: ~~".' .,..r~~,:l_!.~:_;~: 1:,1:'~ '.' :,;., . .~: - AMBLESIDE MEADOWS SUBDMSION-tST ADDITION, Site Investigation Questionnaire for Consulting Design Professionals oun atIon requlfements - new structures on res! entI ots This forDi. may be used as a temporary verification to allow construction to continue on the job site until the consultant'sstamped affidavit on the site soil compaction , , and stabilization is submitted to the City. This form must be completed by a licensed design professional (engineer or architect) or hislher authorized employee, , and submitted to the building inspector prior to requesting City inspections or placing foundation concrete. It is iinportant that all questions be answered completely for the foundation site to be approved for construction. Owner and/or Contractor rJf<F~D~ 57JJ7e <> 1. Date of the design professional's site evaluation? -.t1J\iZ 14. 'l-00-:; 2. Has the design professional reviewed a copy of the geotechnical information for the subdivision that wac; provided with the building permit? YesKNo_ If not, please contact this office for a copy of the report. The design professional must be familiar with the geotechnical infonnation before completing this form. 3. What was the size and depth of the excavation and lor fIll? ALL <.)IU, IJ-,../"'f t ~ J;1c. (, ~~ ~ \) ftt) 1.5 I. ~L- ~ I ll. - ; 11 t. ' C. It:-OJ S &-0 tZ...J'~, ( Was existing non-structural fill or expansive soil encountered on the lot? Yes.K;No_ If "yes", what types, depths and locations? 8'Yf el..~-// US'(.> CL . , I What measures were taken to remedy the soil condition (include type of engineered fill used to stabilize the soil)? '"5/'1.... ?Vro) .~ OS j n:r pz-oP1 (.. ~ + pi:" it/p....l't'I'"'tVL.' o,.z...,y ,...,) (J vp fh ,L \. r' >, C1 f.::-, 1 ---..-----~ ." ';1" .,.:>. ""{"" j~ -.--""'-'..-..- " ' , ,; Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 " Job Address .:"3?"13 City Job # COl"""'\ Pr H gL-G"""S" i op5,;" 'Coo'"? - ct.?O I ~' . ': ~L~}::;.. Is the site as prepared adequat~ t&f inadequate 0 to maintain constant moisture content in the sub grade? Note: Verification of moisture stabilization in the sub grade is a. requirement of the geotechnical report, and must be affirmed before construction can continue. ' , , If inadequate, what measures are needed to provide constant moisture content in the sub grade? Is the site as prepared adequate rKJ inadequate, 0 to support the proposed, ' structure? An affirmative answer is requisite to proceeding with construction. If inadequate, what additional work is needed to provide adequate foundation support? 4. Did the design professional witness placement and compaction of the engineered fIll, or is there ,a special inspection report forthcoming from a qualifIed agency? I witnessed Placement 2{ Special Insp/compaction report 0 , 'S t::'(3'" f17/4t.-lkx:J C<J .-CJ-"h-'77'~ L...,.n-._,' 5. The design professional intends to use the following method for installation of perforated perimeter footing drains: ' The design on the attached drawing provided by the design professional ...... 0 The method shown on the original construction drawings. . . . . . . . .... . . . ... . . . . . ... 0 The typical 'Foundation Drain' drawing attached to permit............ ......... D Perforated perimeter drains are not required ... ...... ...... ......... ........ .......8 Comments: 0 AJhIV 5 '~(;;- L-t;~Tt-YJ (J "-'''''t/l "~ L~~ S~ M'i '- ~ 6 (.:-c..---.(t"' ~~1lECJ Note: City inspectors will inspect installed drains prior to cover upon request... Call: 726-3769 to schedule inspection. 2 ." " ) Community Services Div:Building Safety CITY OF SPRINGFIELD, OREGON 2255th Street, Springfield, OR 97477 Ph. 726-3759 Job Address 731-3 f1-I7'1(Jlr2S.0e::-'" City Job # CoM 'ZaJ34'''n?i \.9 Low-point crawl space drains are required to prevent the build-up of excess moisture inside the foundations during (and after) construction. This drain may be installed after foundation placement onlv with the express permission of the desien professional. /\ ~\9 ~'~ ~ \~ /(b<rJ\ ~'/~. /, , 'S ~'( a. The design professional has determined the following: The crawl space drain is required when the foundation is installed..... 0 The low-point drain can be tnstalled after foundation placement without a significant moisture build-up problem within the fOU1idation............. 0 (The low-point drain may be installed at the ' , stage of construction) post & beam, framing. roofing. etc. b. Has the design professional observed and approved the installation of the required low point drain?................................... Yes, _ No_ if "yes", where is the low point drain located under the building and, where does it tenninateat this time? (must be an approved location, i.e. street gutter, st~nn sewer, sump pump and discharge line to the street, etc.) The design professional must determine whether the approved permit drawings have adequate foundation steel. Is any additi'onal foundation steel required that is not shown on the foundation drawings for the building? Yes ~ No ---'-.. If "yes", describe additional steel required (or p'rovide drawing). <)"10 rO~ 'YTl::--.::=L OIC-) COOE"""" ioN FaZ-- l t'L ~I.~ ~ The following statement must be signed by the individual doing the observations and 'providing directionfor the excavation and site preparation work on the property. 3 1! " Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON ' 225 5th Street, Springfield, OR 97477 Ph. 726-3759 Job Address "5J1'3 I/Yvr~l ~S ,'O~ City Job # Ct"""""" "Z,.Q,,1 ~ ,- ,Cbui V The undersigned design professional (or authorized employee) attests that he/she observed required moisture stability procedures on this site, and that such procedures were accomplished before any changes occurred in the moisture content of the sub- grade under and around the building (where expansive soils were encountered). The undersigned further attests that the sub-grade, as prepared, is adequate to support the building proposed for this site. Additional,comments: (Note): A copy of this report shall be kept on site with the approved plans at all times. This report shall be followed by an affidavit, signed and stamped by the design professional under w se auspices this report was completed, affirming the information herein. The signe st ed fidavit together with a copy of this report shall be submitted to thiz fic t r questing framing inspection for the building. Signature Name t) Company ('J~(~vC?L Phone (..,tJ 6' - -:;3<.,) L ~ Title ~ :s (-:tJ( f Licensee License # o//VC-,J l.-y2-0~ , (p q c, "-expires f.d/7....! p3 The geotechnical report for the Ambleside Meadows - 1 st Addition Subdivision recommends immediate moisture stabilization of exposed expansive sub-grades, and that expansive soils be over-excavated and replaced with at least 12 inches of fill compacted to at least 95% of ASTM D698 for foundation preparation. The report also recommends that measures be taken to prevent water from collecting in or around the foundation areas during and after the construction process, and that positive site drainage be provided to reduce the infiltration of surface water into the expansive soils. The geotechnical report further emphasizes that the finish grade of landscape ,soil adjacent to the foundation should be at least 24" above the expansive bearing soils, firmly compacted to reduce the infiltration of water at the surface. The adequacy offill soil material around the building must be verified to the satisfaction of the design professional. ,- -4rf:il.. .:~;.~;~..d:~..':..~~~ . .~ ~ 4 " '. , 'J,' : '-- . '"'i!'""'", /( Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 Job Address City Job # The undersigned design professional (or authorized employee) attests that he/she observed required moisture stability procedures on this site, and that such procedures were accomplished before any changes occurred in the moisture content of the sub- ' , grade under and around the building (where expansive soils were encountered). The undersigned further attests that the sub-grade, as prepared, is adequate to support the building proposed for this site. Additional comments: (Note): A copy of this report shall be kept on site with the approved plans at all times. This report shall be followed by an affidavit, signed and stamped by the design, professional under whose auspices this report was completed, affmning the'information herein. The signed/stamped affidavit together with a copy of this report shall be submitted to this office prior to reques'ting framing inspection for the building. Signature Name Company Phone Title Licensee License # expires The geotechnical report for the Ambleside Meadows - 1 st Addition Subdivision recommends immediate moisture stabilization of exposed expansive sub-grades, and that expansive soils be over-excavated and replaced with at least 12 inches of fill compacted to at least, 95% of ASTM D698 for foundation preparation. The report also recommends that measures be taken (0 prevent water from collecting in or around the foundation areas during and after the construction process, and that positive site drainage be provided to reduce the infiltration of surface water into the expansive soils. The geotechnical report further emphasizes that the finish grade of landscape soil , adjacentto the foundation should be at least 24" above the expansive bearing soils, firmly compacted to reduce the infiltration of water at the surface. The adequacy of fill soil material around the building must be verified to the satisfaction of the design professional. 4 '.' Community Services Div, Building Safety Job Address CITY OF SPRINGFIELD, OREGON ' City Job # 225 5th Street, Springfield, OR 97477 Ph. 726-3759 Is the site as prepared adequate 0 inadequate 0 to maintain constant moisture content in the sub grade?' Note: Verification of moisture stabilization 'in the sub grade is a requirement of the geotechnical report, and must be affirmed b'eJore , construction can continue. , ' If inadequate, what measures are needed to provide constant moisture content in , ' the sub grade? ' Is,the site as prepared adequate 0 inadequate D to support the proposed structure? An affirmative answer is requisite to proceeding with construction., If inadequate, what additional work is needed to provide adequate foundation support? 4. Did the design professional witness placement and compaction of the, engin~red fill, or is there a special inspection report forthcoming from a qualified agency? I witnessed Placement D Speciallnsp/compaction report D 5. The design professional intends to use the follo'Ying method for installation of perforated perimete~ footing drains: ' The design on the attached drawing provided by the design professional ...... 0 The method shown on the original construction drawings......................... 0 The typical 'Foundation Drain' drawing attached to permit... ......... ....... .. . D Perforated perimeter drains are not required ......:.. ......:....................... 0 Comments: Note: City'inspectors will inspect installed drain~ prior to cover upon request... Call: 726-3769 to schedule inspection. 2 .,' Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 Job Address City Job # Low-poiilt crawl space drains are required to prevent the build-up of excess moisture inside the foundations during (and after) construction. This drain may be installed after foundation placement onlv with the express permission of the desi2l1 profeSsional. a. The design professional.has determined the following: The crawl space drain is requiredwhen the foundation is installed..... 0 The low-point drain .can be installed after foundation placement without a significant moisture build-up problem within the foundation............. 0 . (The low-point drain may be installed at the . . . stag~ of construction). . post & beam, framing. roofing. etc. b. Has the design professional observed and approved the installation of the required low point drain?..:................................ Yes, _ No-,-- . if "yes", where is the low point drain located under the building and.. where does it terminate at this time? (must be an approved location, i.e. street gutter, storm sewer, sump pump and discnarge line to the street, etc.) The design professional must determine whether the approved permit drawings have adequate foundation steel. Is any additional foundation steel required that is not shown on the foundation drawings for the building? Yes _ No _' If "yes", describe additional steel required (or provide drawing). The following statement must be signed by the individual doing the observations and providing direction for the excavation and site preparation work on the property. 3 i''! ) Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 . Job Address City Job # '.- ~ : , . .~, ,I,..~ .' .' ~1, ~ t' ~.. \ ~...' - '. Affidavit For Site Investigation Questionnaire Foundation Sub-Grade Approval for Residential Building Site in Ambleside Meadows - 1 st Addition. Subdivision The undersigned hereby affirms that the excavation, structural fill and moisture stabilization methods for tl).e building site at the address shown above was observed by me or an authorized employee of my firm and that the following is true: 1. The fmmdation sub-grade is capable of supporting a minimum of 1500psf, and is adequate to support the building proposed for this site. . 2. The moisture content of the excavation was adequately maintained during the site preparation process and was adequately covered to stabilized moisture content prior to any significant change in moisture content of the sub-grade. 3. The site is adequately graded and drained to prevent the collection of water in the excavated area during construction. 4. The accompanying report titled "Site Investigation Questionnaire for Consulting Design Professionals" containing field observations and instructions made on (date) for the building site was completed either by myself or by an: employee of my fuln under my supervision. To the best of my knowledge, the information contained in that teport is complete and accurate. Name of Licensed Professional (print) Stamp Signature . Date '"