Loading...
HomeMy WebLinkAboutPermit Building 2002-7-10 07/19/2002 !7:10 5415849358 K &' A ENGI~~EERING PAGE 07 C()mnlUnity S':l'vic~\ Diy, Building SafelY CITY OF SPRINGfIELD, OREGON ,225 5\~ Street, Springlkld, OR 97477 Ph,726.3759 lob Address -;"3 "l'1- P IJ.LL "'" ~ Dl~ City Job # ~ 'L... - oor.;.,/is _ D\ \ /~ ':':::';"f;'t;,:,;:;. ~;;~'~}' ',', ' ""~~;, . '^,: .',~t~ ',::;~' ',\i:, :~:~ ,::",:'.', ,:}~; ,:;'.~\r;:,:.;' .:; :',:Z,2;, . <;: .. A.MBLESIDE MEADOWS SUBDIVISION--tST 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 tontinue Oft the job site until the consultant's stamped affld:ivit on the site soil compaction and stabilization is submitted to the City. This fO,mt must be completed by a licensed design professional (engineer or arehit.ed)or his/her authorized employee, and submitted to the building inspector prior to requesting City inspections or placing foundation concrete. It is important that Qli 'questions be answered. completely for the foundation site to be approved for construction. Owner and/or Cont.ractor ~ t-\-a v1I\ l!'c;.. 1. Date of the design professional's site evaluatjon? 7/1[,:>1"1--- . 2. Has the design professional reviewed a copy of the geotechnical information for the subdivision that was provided with the buiJding,permit? Yes-cNo,_ " ;\:.",:.lj not. please contact this office for a copy of the report. The design professional ,i, ?.1;musT be familiar with the geotechnical information before completing this fom" ::::.: ,~,'y' :(.' .1;.' . '3: ' What was the size and depth of the excavation and lor fill? f:-.o... t-J O~\ ~'~ ~~~4V A-"il u /'J M...j~t' A P p~~ ')Co. .:.~t}( bO I '-E.~~~V~'i'"\c::."'" . [N-~l-\ V4-S: A Pp~x I~ - Io.JC\-\...e""S '""tV ~. <;;\OF..IV;:> ~"'\~'II'JC~-;' 0 t-J \<;"o:;.T. CLOT l~~'i.-A. &-:F/'-I 'T\......~iE ~Lo t?t= ... t' ~ tJ F(L g-vV' .EA1:.,. ~ \4,)~s. .,.\ ~rk~ 4-'\/'olG~ o~ (..~, '~C-. wf.rS. l'lA.C.\C!) lo..i ""~'\!?.<:Av4),,:f"J~"-'. Was existing non-structural fill or expansive soil encountered on the lot? Yes,::i:.No__ If "yes", what types, depths and locations? - ~ST \"to~.~ \ ~ ~~~.,. '<"r9',~: .',' .'O,S-ET, b.-,~ ~_~ l~'~'n t>"~~ 1- - t>( ~.. -:...\~_ -t-.....,TlC- ( ~I.f ~ ~~ s"'''' D'~,?~ b III>l>- ~\,~~a Q-F tJrl~,_~, i?~___,_\\.~/-M_:-<_I~ ~1' --...z-e-.tt r\vq:::: tt: ~~ \,..v~'T: ,f\ 1)~ ~i'J 1,8 - F-'f', e;(~~ . O~r2....t. _ ~~I 12......I1:"M\Io' <&:1,,.,")\.\- fl\,;T'" (:' ~(L. P.4 ~ P"r, O'F 1-+1 G.-I+--l ~ ~~,.,'c I~ J t"A,,)u. ... c;"P 'F--e 'GL.~. What measures were taken to remedy the soil condition (include type of engineered fill used to stabilize the soiO? .. _DIt\..\E' ~, :::r...ttE-4~Vr"l' "t='- '"'11+""" C-l_"1, L~~lt. 'w I"M-- ~?rc'" '.. Tb F ,.--I "-L--L~-x \s'"T'I.0<;:.- ('~ ~l) llCv'~L ~) 'No, o:;p~,\~_ vv\.~~lA.tt..l:?~ "'(l~ 1JEC~~(' 4j}.'t.1 o'tti-~ Jl.- ""-H-~uPf'rz.., ""'~f1.. DQ..~/tJ~F, 07/13/2002 87:18 ':415849358 K & A Et-IGINEERING PAGE 0:::: .\{', :1', \ ;.1. COllln!unity S(lrvkc~ Dill, Building Safety CiTY OF SPRINGFIELD, OREGON 225 5""Str~t;1, Springli~k.J, OR 97477 Ph. 726-:1759 Job Address_ '5 "S q L.- '~~ u:.. 0 >...) \) ~_ . City Job # 0 -:l-'- ~o b '(.-- 0\ I Is the site as prepared adequate ~ inadequat~ 0 to maintain constant moisture content in the sub grade? Note: Verification oj'moisture stabilization in the sub grade is a reqrtb:em'e-nt-ef-~he::8:.eQteGMl~1 repJrt. and must be affinned before COIl$..lJ:..u,ctio1:l.dm.~j'niie.- 'r1 \ I ' , If inadequate, what mea e~ afe\neecled to pro:vide constant moisture content in' the sub grade? \1 \ I, I t I , . - . .=nJ (\1 \ '; , '-- .' \"' 1.,11 \1 ~ ' 1\ V"'-Ifl' kI t> ~ fV\1l1.J I YV\ lAM _ i~\J';; rL ot:: I ~ ~IL ~"""II'.r....r , 11 , . r I \ \ \ I ' ') . ,V; dllJcr r.:?llA.-IN. , r I I \\ I I .. I 1)\ \ ~ ) . Is th ,site as prepfed ~deq~ ~na eq~ale: 0 to sup,port ~he proposed. stru' ute?' .An aff;lnnatlve answer lS requl5lte to proc~edlng with constructIOn. " . I at additiJnal work~ neede~ to provide I' adequate foundation suppo '? I . I _ ; I : \ I \ I 4. Did the d..ian professional witness Ja.eme~t and .ompa~on of the engineered fill, or is there a special in\pection re ~oming from a qualified agency? I witnessed Placeme peciallnsp/coJ{paction report 0 ',r."~ : 1" KIt.J L\'p:f" ~ C-l;'. &S...<:ra., ;(;l,Qt~.s 'p-')d1' ~f:e. '^ \ '~lC=' < f, ~ ~~l \ ~ 5. The destgn profe~ional intends to u~e ~he fOllowing method,: for installation , of perforated perImeter footing drams,: , The design on the attached drawing provioed by the design protessional ...... 0 The method shown on the original constrlrction ~drawings...".. .\'".....'....... 0 The typical 'Foundation Drain' drawing Jttacbep to pennie... : .... '". , . .. . . .. .. ;EL - d' d' .Id ' 0 Pert orate pen meter rams are not requJre . .. . , . , , . .. . . ., .. . , .. . . . . , . . , . .. . . . .." , Comments; , I: , ' \ i " I ....... I . ! Note: (j:ity inspectors will inspect installed drai1s prior to cover upon request... U6.3769 10 schedule inspeclion.. . 2 07/19/2002 S7:10 :141584'3358 K & A ENGINEERING' PAGE 0'3 Communily Sc(vi<.:l::) Div, Building Sutcly CITY OF SPRINGFIELD, OREGON 225 5l" Slrn:l, Springfield, OR 97477 Ph,726-:.759 Job Address ~, ~ cli '2.- F.A l..-Co pJ Do... City Job # 0 ~ - Dtt:>6/ 0> - ro I Low-point crawl space drains are required to prevent the build-up of excess moisture inside the foundations dudng (and after) construction. This drain may be installed !!k!: foundation placement Qnl:Y with the express Dermission of the desien professional. a. The design professional has detennined 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 significam moisture build-up problem within the foundation.... ...... ... ~ (The low-point drain may be inscalJed at the 'F stage of construction) {XJ.<t & TC/[Ifing. ere, b, flas the design professional observed and approved the installation of the reql.dred low point drain?.. ......................... .... ...' Yes, _ No ~ if "yes", where is the low poiTtt drain located under the building and whe re 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. etc.)~ The design professional must detennine 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...15..., 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 07/19/2002 07:10 K & A ENGINEERING 5415849358 \' Communily Services Div, Building Safely CITY OF SPRINGFIELD, OREGON 2:i~ 5'h Slr':\:l, Spring/ido, OR 97477 Ph. 726-3759 Job Address ~~'9'2-f"'L\Lr~U OIL _ City Job # to '7,., ,- OO(D I (Q - D \ l'he undersigned design professional (or authorized employee) attests that he/she observed required moisture stability procedures on this site, al,d that such procedures were accomplished be/ore any changes occurred in the motsture content of the sub. , grade under and around the building (where expansive soils were encountered). 7'J,e undersigned further attests that the sub-grade, as prepared, is adequate to support the building proposed for this sile. 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, af1lnning 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, '.:!J!!II"" ~~:~ Signature~ ~~ _ Name Jt1f(~,.H-4-I.;'?~ /2./l=J+t~ll'Lor Title 7f:'/2.,R/;;',:-A/T / PILI~(?/,v"V Compan~ :'1..:' t'..0a:.IAA~-~AI'C;; ntlCr ./_ Phone. ~ tl_- _' Cj ~, _ , Licensee~...4--F.'L. .It-kHt~~... or License # /? c/ '"il4-- ~ __ expires / o/~J J' '\.- 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 oveN:xcavated 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~1 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 geote~hnical report further emphasizes that the finish grade of landscape soil adjacent to the foundati,on should be at least 24" above the expansive bearing soils. 'finnly 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 PAGE 10 P,v4-INFt-1 07/13/2002 07:10 541584'3358 K 8. A ENGIHEERING PAGE 11 ~ C()JN/JUr.ir" <' ' . J .)crVI\.'C~ D' CITY OF SP 'IV, 8uilding SMCIY 225 :;'" S " ~IN?FIELD, OREGON Job Add,ress~~]..-_ ~A,....., ' lr\.:l'I,Srling/l~ld,OR97477 Ph 726 ~_ CHYlob#_~-, ~~, " .31.)9, -"",",,-=~ G. 1 ~ LJ { . Affidavit For Site Investigation Questionnaire . , Foundation Sub-Grade Approval for ResIdentIal Building Site in Ambleside Meadows _ 1 Sl Addition Subdivision The.u,nde.rsigned hereby affinns thal the excavation. structural fill and mOIsture stabl!lzatlon methods for the building site at the address shown above was observed by me Or an authorized employee of my fiml and that the following is true: ., The foundation sub-grade is capable of SupPolting a minimum of 1500 psf, and is adequate to'SUPPOJ1 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 finn under my supervision. To the best of my knowledge. the information contained in that report is complete and accurate, Name of Licensed Professional (print) At (CH-A t:L /ZFml!;;n;fi...;r.J~ Signa(ure,,-~ ~~~_ 1~< liL'l,j 1~ate~7--!7-0'\ E)(PIRES' /2.-D,.!Y.,- ,