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HomeMy WebLinkAboutPermit Building 2002-10-28 . ' \ ' " Job Address ' 'z:t1t tJ ' ~~ City Job # ~ ~\ \ ~?-(9\, .;. L' .l: . \ : Community Services Div, Building Safety " \ CITY OF-SPRINGFIELD, OREGON , 225 5th Street, Springfield, OR 97477 Ph. 726-3759 ~ "-- , '1~l"',;:):,,;:": 11;:;" .:~~ ~"'..:~ ~"~'"':)"r::~~~,~;;~'(/::"'. t'),. <...J',,;;_! "~I~~";;'f'l;;#!",}~~j~~:'" ,<,>.'!.',~ 1\. ~"?;'::"~J.', - AMBLESIDE MEADOWS SUBDIVISION-1sT ADDITION , , Site Investigation Questionnaire for Consulting Design Prof~sionals toundation requirements - new structures on residential lots Thisforni 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 compl~ted bya 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 Important that all questions be answered completely for the foundation site to be approved for conStruction. . . I . . . . Ownerandlor Contractor ~ '\ ~e ~a.lt>fJ 1. Date of the design professional's site evaluation? \.0 ~ ~l t:.f't,; 2. Has the design professional reviewed a copy of the geotechnical information ' fo~ the subdivision that was provided with the-building perinit? YesXNo_ If ~ot, please contact this office/~r a copyof the report; The design professional ' must be familiar with the geotechnical injOrfnation before completing this form. , , ' ~ . . 3. What Was th~ size, ,and depth, of the~xcavation ~d-/or rill? 1:, ?...~~,~) ,- ,2) M4.~ , ~fA\' Was existing non-structural fill or expansive soil,encountered on the lot? YesXNo.Jf..' If "yes", what types, depths and locations? .\=\. \.\ ~ ~\rl\ (j) _ ~,u rt..~~, ':' "I \ .b 6' ~ il1. tl2Dc.:>& \tour. :..\ ,.'<,o)!;. .'. .'i',;:-:'}- :;,oS; , What measures were taken to remedy the soil conditiQn (,include tYPe of engineered fill used to stabilize the soil)? ' ~J ~ ' , , " '~ 1 ~ ' Community Services Div. Building Safety , CITY OF SPRINGFIELD, OREGON 225 5th Street. Springfield, OR 97477 Ph. 726-3759 Job Address City Job # 2 Z 1 Lf ' J.,..J =61 n-t oz,. D" &,~ -& t \ Is the site as prepared adequate 18 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 J2l inadequate 0 to support the proposed structure? An affirmative anSWer is requisite to proceeding wzth construction., If inadequate, what additional work is needed to proVide adequate . foundation support? 4. Did the design professional witness placement and compaction of the N'/L.. engineered rIli, or is there a special inspection report forthcoming from a . r qualified agency? J witnessed Placement 0 Special Insp/compaction report 0 s. 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 ...... [J The method shown on the onginal construction drawings......................... [] The typical 'Foundation Drain' drawing attached to permit ..................... ~ Perforated perimeter drains are not required. . . .. . . . ; . . . . .. . . . . . . . . . .. . . . . . . . . . .... 0' Comments: Note: City inspectors will inspect installed drains prior to cover upon request... Call: 716-3769 to schedule inspection. ", 2 ..~ ' " 'Community Services Div. Building Safety , CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 Job Address 1, '/..1 "t City Job # D 1, - .., \ f.~ .- I-' ~1'1t ~ 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 exoress oennission of the desim orofessional. a. The design professiomil has determined the following~' The crawlspace 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............. ~ (The low-point drain may be installed at the r~ ~~ stage of construction) " " post & beam, franung. 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 discharge line to the street, (!tc. ) 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 X No . If "yes", describe additional steel required (or provide drawing). The following statement must be signed by the individual doillg the observations aTul providing direction for the excavation and site preparation work on the property. 3 Community Services Div, Building Safety , CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield. OR 97477 Ph. 726-3759 Job Address City Job # '2,"L1&{ ~~, ~ 'l" - oP \ , "'J 'I or:Y1 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. Signature 'Q.d, fA ~ ' Name Q...\~ ~~~ Title E...,"tll '-'~Ll'1L. A.~~4Tb Companv M.ot:nt;(2.... Q ~c-l~ III L" Phone lP0-(. - ~&6~ Licensee V Ltlt\~:.A ,S 'l-l. II c:. -\ t"t)~ p. ~ . License # ';l./-<;(1-Z... ~ E- expires (o130/0~ '\ The geotechnical report for the Ambleside Meadows - 18t Addition Subdivision recommends immediate moisture.stabilizationof exposed expansive sub-grades, and that. expansiv~ 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, fmnlv como acted 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 desigri professionaL 4 ~ Community Services Div. Building Safety CITY OF SPRINGFIELD, OREGON 225 Slit Street, Springfield. OR 97477 Ph. 726-3759 ,.., :'1,,1 L( , ~ · ,~ Job Addres~ C,.I ,'-' City Job # $11- d> I.t b)r ,. 'iY1 ..~ ~' r~:, ~!',~~ }\~::h'.,:.;~~:;: ~f:r.,~f\:~:'''' .,;~I:~~,~T/~(~i ;~\:i~"j"'~~'f'~3r 1,',,1 ;-"j{ I}, ;',.!'.:. t ,. :jt, ;-.',:' '\~"~:~ >_"~!J\ }:. :",l.\'- 'i~: ~~" - ,Affidavit For Site Investigation Questionnaire Foundation Sub-Grade Approval for , ' Residential Building Site in Ambleside Meadows _1st Addition Subdivision The undersigned hereby affums that the excavation, stnictural 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 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~ Professionals" containing field observations and instructions made on ' ~"'\ z../lJ ~ '1..ao1.-, (date) for the building site waS completed either by myself or by an employee of my fum under my supervision. To the best of my , knowledge, the information contained in that report is complete and accurate. Name of Licensed Professional (print) P Po tot wt...,6.r ~ . ~ ~ \ \ ~-\- "0 "" f.. ~ nl , Signa~AAA' ~ooi,~~'~\ Date r02>lIrz.:. "' -1 [)(f'JAAlION B~lI. u/S6i' 0.3 ,J--~ ('