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Home My WebLink AboutPermit Building 2003-2-12 Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 -i'1 Job AddreSs Lor ~Iq zrql/i 31 ::it City Job # Sit,::: 'lo03 - tJrtJO Z- S .. ~j:'~~"';l <:r~:'~".:;'~/:1:',.,~~~r-~I:"\f~~.~,:,~~1\'~~~)":~il'"/ ~'..: ~':;'~t:':.:-;"~~:~,,,,..~_:."\~..', '1:._. ',' . - AMBLESIDE l\1EADOWS SUBDIVISION-1ST ADDITION Site Investigation Questionnaire for Consulting Design Professionals foundation requirements - new structures on residential lots This fomi 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 arcWtect).or hislher 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 ~pproved for constru~tion. J. . Owner and/or Contractor -JotM) ';- ~~ (Tj'1I1r<; ~ \.. ~t'~ 1. Date of the design professional's site evaluation? Z, / 12- 1-2...;1 is / . I 2. Has the design professional reviewed a copy of the geotechnical information . fo~ the subdivision that was provided with the building permit? Yes'f!: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? ~y '"':>0 I )( c~ () . Was existing non-structural fill or expansive soil encountered on the lot? Yes)\ No_ If "yes", what types, depths and locations? --::r:=:i l.-L 01/,:,")2_"TJt1.::" i::?r-l nd. e-~ :os .dZJ;y.,t_ (;:" . -pOll' 6 - f (, " I gO r?lnH, l"1 LL r=:tL<-- L--lAr' <P.A::;-~ F'Zv,",,", --r11tF 13....t~ \J1J;V", . . ('~ M-<:\4 L '50 I <-- ~ W11J()1;YZ.-;I/ ,l-J e Jc{J4NJ i ~ ~lla..a.iI -rtlv:- f?")-,rrftl~ Wl .1 ~ fA:-rJ,l1 of=- 11ft NrlTliA.A- ~ tl~ f ~.~ 'P~tVc.",.,,',...A.~ 0 OV"f'l/l fVj /\"\1 -S, nr l/t" ,', . . I What measures were taken to remedy the soil condition (include type of . engineered fill used to stabilize the soil)? 5 v(3 tln4b~ ~ ~ it..}? $ 0 t-411~ c"lIL\I? lVb'r'iffttll'O 0..) ,\ / rz...~ (f3 cvCl-tp( of '(MHeO ~?vl( ~ ~ y> <1() bki / O[~.l'tL\6v~ t"FVJ -fit.1>"\ -f"HG" TV~v:rrO,~ 1 (,:r- - 1. Community Services Div. Building Safety CITY OF SPRINGFIELD, OREGON 225 Slh street, Springfield, OR 97477 Ph. 726-3759 Job Addres~ .ZZ1 l.; '51 ~ s,.- City Job # ~ i1lt.... "l~()3 - O(7vZ&::' Is the site as prepared adequate ~ 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 meas.ures are needed to provide constant moisture content in . the sub grade? Co...l.J~e{\ ~e-.. ~~., Y"1t1isi"~ CU~ ~~ ~\)1'L-\ k)I~~~~ ,~V.t~4 T~ Ct--h4Njlt1J Sf:~6, . ~~, if..{( It \ s .1.:, """'" t lVtr'^ I..;r- ~.1~ ~vr 0 Jt:: J-h: 0 \/N.\n-TIO....:J I ~ ~_ S'0IL, .on::lQl~ lest- rts, . ~~"S& m (.)~ I Dt.t::: 1(:> "". ~ ~L.VKvr:'-YIlot-J.. ~Ire Irs ~ {) 1<) .PeStqtJc""!>.W r1-1' I ~ " ~ j ~c ~ ~ ..t..--J ,....., . IA ,,,-,TbI'l C:.> N'TDJr oFTW' :5..J/J/)<Jl'/w.1 SOIL-S. I r..--C/\CvYljlc1'1\J1 ..... &lvrr It"'... rr' . / . Is the site ~ prepared adeqziate ~ 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 rIli,or is there a special inspection report forthcoming from a qualified agency?! witnessedPlacement ~ Special Insp/compaction report 0 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 q~si~ professional ...... 0 The method shown on the original construction drawings,..........,.. .. , .. .. .... 0 The typical 'Foundation Drain' drawing attached to perinit ............ . .... .... , ] Perforated perimeter drains are not required...........,... ....,....... ... ....H... g:{. Comments: r 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 225 5th Street, Springfield, OR 97477 Ph. 726-3759 'Z:l-u . .~ Job Address . I V 59 57 City Job # S H<<.. t.003- OOoZS ~ 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 exnress Dermission of the desim nrofessional. 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 placemeizt without a significant nwisture build-up problem within the/oui1.dation,..........., j;ij:::> (The low-point drain may be installed at the .fi NV\ L--. 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 lowpoint 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, etc,) The design professional must qetermine whether the approved permit drawings have adequate foundation steeL Is any adq.itional 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), ~".,..l{)....;J IJ oe: F~ s /W SOI\U~ If\'S l0\)ft::"J ,,..J .~ I'rOP t:AJJAY). f L/ttJ 5 (.A/ l'Tlfl;c/ r ~"'''F; CA-T;O..:) , -;c () i 0 U1\ fC:.r=-V/ I:VtJ -n4-~ ':::fflv~f'!hIOtV FixL rt(J(JL/t-=-D La v"tO S ~ 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 Community Services Div, Building Safety . CITY OF SPRINGFIELD, OREGON 225 5lh Street, Springfield. OR 97477 Ph. 726-3759 -tJ4 Job Address Zz.. q (a 37 ") I . City Job # ~H-L ZO03 - OQ)'l..S 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 exparisive soils were encountered). The undersigned fUrther attests that the sub-grade, as prepared, is adequate to support the building proposedfor this site. ! Additional comments: . . .c;"'t1t .AS. ~Qi~ fI Mf'O I l11Np1J I f.; '\ O~tt ,,.J 10. '13 ~ fk. LJ'f1l---e.- Vff1E I 5 .fJ~&~ J (uYjr,tLO .1=rf / (Note): A copy of this report shall be kept on site with the approved plans at all times. This report shall be followed by affidavit, signed and stamped .by the design . . professional under os a p' e this report was completed, affuming the information herein. The si d/st e 1 vit together with a copy of this report shall be submitted to ri r t Jr. uesting framing inspection for the building. Signature ~ Name ~ f::N6\~IV' Title Company / I / . Phone '~f8ff;{~ h lfgo / -.. V. . Licensee OWerJ . L. C::1tt.ove 1Z.../JJt- License # 1 lb. qq'L expires pec~ I l' L,/ ~1.Lo-z,. l I The geotechnical report forthe Ambleside Meadows - 1st Addition Subdivision recommends inuD.ediate 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 geotechnicat report further emphasizes that the finish grade of landscape soil . adjacent to the foundation should be at least 24" above the expansive bearing soils, fmnlv. comoacted 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 , ~"t-"."i' .' . Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield. OR 97477 Ph. 726-3759 . Job Address ZZ q 0 -S .1"th -S j City Job # -5t1~ ~i- (i/@@?_C; ;.: > " .~ .;~" ': -:..'4': .:~':~" .', '.:,',,: :'\}:.J.~'~: '. ",":;.,.'. . Affidavit For Site Investigation Questionnaire Foundation Sub-Grade Approval for Residential Building Site in Ambleside Meadows ~ 18t Addition Subdivision The undersigned hereby affIrms that the excavation, structural fIll and moisture stabilization methods forthe building site at the address shown above was observed by me o"r an authorized employee of my fIrm and that the following is true: 1. The foundation 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 Desi,gn Professionals" containing fIeld observations and instructions made on .. .. z/rl.. - zlls (date) for the building site was completed either by myself or by an employee of my ftnn under my supervision. To the best of my knowledge, the iriformation contained in that report is complete and accurate. Name of Licensed Professional (print) Ow EN L q~.e..."JJ:=-. Signature Date 7'1 %3