HomeMy WebLinkAboutPermit Building 2003-8-29
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Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
225 5lh Street, Springfield, OR 97477 Ph. 726-3759
Job Address :\fiRR nc:r\"'ey Dri liE
City Job # 02-00992 03
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AMBLESIDE MEADOWS SUBDIVISION-1ST ADDITION
Site Investigation Questionnaire for Consulting Design Professionals
oun atlOn requIrements - new structures on res! entIa ots
This form may be used as a temporary verification to allow construction to continue
on the job site until the consultant's stamped 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 his/her authorized employee,
and submitted to the building inspector prior to requesting City inspections or
placing foundation concrete. It is important that all questions be answered
completely for the foundation site to be approved for construction.
OwnerandlorContractor River Valley Builders
1. Date of the design professional's site evaluation? 8/29 9/3 2002
2. Has the design professional reviewed a copy of the geotechnical information
for the subdivision that was provided with the building permit? Yes,x,x No_
If not, please contact this office for a copy of the report. The design professional
must be familiar with the geotechnical information before completing this form.
3. What was the size and depth of the excavation and lor fill? Overa 11 size
~as approx. 60' x 801 in three hpnrhps ran9ing from 2 to 7 feet
ln depth.
Was existing non-structural fill or expansive soil encountered on the lot?
Yes_ No-x:x If "yes", what types, depths and locations?
Soils at this lot consted of a weathered tuff with
inrlllsinns (Of sl/b-rQl/nded and sub-angular large gravQ1s,
cobh1 PS J and bQl/l den to 4811.
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What measures were taken to remedy the soil condition (i~c1ude type of
engineered fill used to stabilize the soil)? J:"n9; l1epred fi 11 is not requi red.
However. the west footing was excavated to a depth of ?-fpet nnrl
backfilled with 5-inch coarse, open-qraded crushed rock 12-inches.
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Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
225 5th Street, Springfield, OR 97477 Ph. 726~3759
Job Address 3688 Osprey Dr.
City Job # 02-0Q992-03
Is the site as prepared adequate Ii] inadequate D to ,maintain constant moisture
content in the sub grade? Note: Verification ofmoisture stabilization in the sub
grade is a requirement of the geotechnical report, and must be affinned before
construction can continue.
If inadequate, what measures are needed to provide constant moisture content in
the sub grade?
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Is the site as prepared adequate GJ inadequate D to support the proposed
structure? An affinnative 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 D Special Insplcompaction report D
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 ...... D
The method shown on the original construction drawings.... .. . . .... . . .. . . . .. . ... D
The typical 'Foundation Drain' drawing attached to permit..... ................ ~
Perforated perimeter drains are not required. .. . .. . . . .. . . . .. . .. .. .. . .. . . . . . .. . ..... D
Comments: 4-inch perforated drains i'lr~ rpcl',;rpr! i'lt thp hock dde
and base of all retaininq walls.
Note: City inspectors will inspect installed drains prior to cover upon request...
Call: 726-3769 to schedule inspection.
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Job Address 3688 Osprey Dr.
City Job # 02-0099?-m
Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
225 51h Street, Springfield, OR 97477 Ph,726:3759
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 only with the express permission
of the design professional.
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 installed after foundation placement without a
significant moisture build-up problem within the foundation............. g
(The low-point drain may be installed at the frilmi ng stage
of construction) post & bean framing, roofing, ete,
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 discharge line to the street,
ete. )
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..JUL. 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.
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Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
225 5'lJ Street, Springfield, OR 97477 Ph. 726-3759
JobAddress 3688 Osprey Dr.
City Job # 02-00992-03
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, affirming the information
herein. The signed/stamped affidavit together with a copy of this report shall be
submitted to this office prior to requesting framing inspection for the building.
Signatur~ A A_ ~~,~-<....-e~
Name r~ir:hi'le1 Rembo1dt Title PI"'2sident
Company K & A Engineering, Inc.
Phone 684-9399
Licensee Michi'lel Rpmhnlrlt
License # 1 9474
expirew /31/02
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The geotechnical report for the Ambleside Meadows - 1 sl 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 offill 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 of fill soil
material around the building must be verified to the satisfaction of the design
professional.
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Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
225 5th Street, Springfield, OR 97477 Ph, 726~3759
Job Address
City Job #
3688 Osprey Dr
02 00992 03
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 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 minimum of 1500 psf, 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 firm under my supervision. To the best of my
knowledge, the information contained in that report is complete and accurate.
Name of Licensed Professional (print) Mi chae 1 Rembo 1 dt
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Signatur~~ "....=:~_ /___<-.'
Date 09/04/02
EXPIRES: (V/3 i !r-'L--
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