HomeMy WebLinkAboutPermit Building 2002-7-10
07/19/2002 !7:10
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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\
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A.MBLESIDE MEADOWS SUBDIVISION--tST ADDITION
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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?
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'-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?
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1- - t>( ~.. -:...\~_ -t-.....,TlC- ( ~I.f ~ ~~ s"'''' D'~,?~ b III>l>-
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--...z-e-.tt r\vq:::: tt: ~~ \,..v~'T: ,f\ 1)~ ~i'J 1,8 - F-'f', e;(~~ . O~r2....t. _ ~~I
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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? ..
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'.. 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
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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 \ '; , '--
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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.
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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 \
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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: , '
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I
.......
I . !
Note: (j:ity inspectors will inspect installed drai1s prior to cover upon request...
U6.3769 10 schedule inspeclion.. .
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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.
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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.
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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.,-
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