HomeMy WebLinkAboutPermit Building 2003-3-11
Mar-I 1-2003 11:55am From-K & A Enlinserinl, Jne,
+541-684-9358
T-122 P.002/006 F-IOl
Comynunity Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
225 Slh SU'eel. Springfield, OR 97471 Ph. 726-3759
Job Adr,L,..~:';.. ", 34 77 E~ 1 con Dr.
City JoL,'~' e~M Z003~Oq056
AMBLESIDE MEADOWS SUBDIVISION-1ST ADD1~...ON
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Site ,Investigatioll Qu~tionnalreforConsultiDg Design Professionals
foundation reqUIrements.. neW' structures em residential lots
This form may be used as a wmporary verlftcatlon w ton~,~, ",.ctlOn to continue
ontbejob site until theeoDSJJltant's stampedatflda' , the site soti~"J"pactiOD
andstabUfzatlOll is subD1lt~ to the 'CitY., TlUstorlllm'tlst'~ COlDple~ by, a'
UeeDsed desipprofessloaal (enelneerotarchited) or.~er autborized'eri1plo~
and submitted to the b\lilcUngInsI*tc>>i'prtor~ requesting CltylDspectiollSor '
pladng fouDdation COncrete. It isim~~ftbat aJlquestioD8~ aD$Wered
completely 'for the foundation site to be approv~ for COldtructiOQo
Owner and/or Contractor...Jl.U,"'ro y~ llP,XRu; 1 dAt"c:.
1. Date of the design pl'Or~oDal'ssite evaluation?
2/19/2003
2. Has the deSign professional revf~",ed a coIJ)' of the geotechnical information
for the subcHtisionthat was Prov:icled".itb the bundingpermJt?Yesxx. No_
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qnot, please contaciihis o1/ice fora copyolthe report. The design professional
must be familiar with the geotechnical iriformat;onbefore completing tkislorm.
3. What was the size and deptllot'theexCav~tioli anel/orflll?
C:h~ nf QlC~"'\nltinn llPP"nll4,S' 1(, 60'withmaximum depth a [U2.r'nx__4.0'
Jil1s'ide sloee. was excavated in two benchesaDorox~ 30'deep. '
Was existing non-structural fill or expanSive soil encountered on the lot?
Yes_No xx If "yes", what types, depths and locations? . "
SQf1s encountere.d;n the excavation consist of approx. l,O..ft.
of dark. brown si'lt.y topsoil ove.rden~e. weathered (decomposed}
brown tuff lvo IcanlclrocK.
What measures were taken to remedy the soil condition (include type of
engineered fill used to stabilize the soil)? P~etpf'drai ns were sQec i fed
around the back, and sides, o,f each bench to intercept and dra1'n
groundwater.
1
Mar-ll-Z003 11:56am From-K & A Enlineerinl, Int.
+541-684-9358
T-1ZZ P,003/006 F-l0Z
Community Services Div, Building Safety
CITY OF SPRlNGFIELb, OREGON
225 Sd. Street,. Sprjngti~ld. OR 97477 Ph. 726-3759
lob AddreSs 1477 F~ 1 rfl1'l n.r
City Job * COM 2003-00056
Is the site as prepared adequatex~ inadequate 0 'to maintain constant moisture
content in the sub grade? Note: Verification of moistUre stabiliYltion in the sUb
grade is a requirement of the geotechnic~l report. and must be fJjfirmed before
construction can continue., ' ,
II inadequate, wl1at measures are needed to provide constant moisture content in
the sub grade? '
Is the site as prepared adequate [! inadequate 0 to support the l'"...l'...sed .
structure? An affirmative answer is requisite to proceeding with construction.'
If ina4eQuate, what additional work Is needed to ~,i '",Ide adequate
foundation suppOrt? .
4. DId the design professional witness placement anel \.. .mpactlon of tbe
engineered fiji, or is there a speclaIlD$}Mction report fofthcommg t)'om a
qualified agency? I witnessed Place,ment' JWJ Speciallnsplcompaction report 0
NOTE~ fill consisted of 5" open-graded quarry rock- test not required
S. The destan professJoQal intencls ~ nse the following method for installation
of perforated "rfmeter footing drains: , ,',
The deSign on the attaChed &'a",ing p~v~ by the design professional ..... , 0
The met~od shown on the original constrUction drawings..,. ......~........,..... 0
The typical 'Four$tion Drain' diawing attached to perinit .........~........... Q
Perforated perimeter di'ains are, not required .... ... . ... ............... ~....... ~.... 0
Comments: ' ,
80te: City inspectors will inspect installed drains prior to cover upon request...
Call: 726-3769 to schedule inspection.
2
Mar-11-2003 11:56am From-K & A En,ineerin,! Inc,
+541-684-9358
T-122 P.004/006 F-102
Community Services Div, ,Building Safety
CITY OF SPRINGFIELD, OREGON
225 Slh Street, Springfield, OR 97477 Ph. 726-3759
lobAddres~. ~477 Fl'I1r:on Dr.
City lob # COM 2003.00Q56
Low~poJnt crawl space drains are req~red to prevent the buDd-up of excess'
molsture'lnsICIe the touncbldons during (and after) construction. This drain
may beinstaUedi&k1: foundation placement oDlv with the ."~J.~rmissiOD
of the delilim.ProfeuiQnal. .
a. The design pC9fessionat has detennined the following:
The crawl space drain is required when the foundtilion ;s installed...n d
The Iow-pol1.t drain can be installed qfter foundation placement without a
significant moisture build-up problem within the fou.ndtJtion..... .. ... ... 0
(Th'elow~p~int drain may be installed at the T\"\:i ng , , stage
of constructIon)' pOlt & arra./rrmung. rtJoJlng. etc.
b. Has the design professional observed and approved the installation of the
required low point drain?................~............. .... Yes, No-:a...
if ''yes'', where is the low point drain located'under the building and ,
where does itterin.inate at this time? (must be an .tlPproved locil1ion. i.e.
street gurier, storm ~wer, sump pump and discharge line to the street,
etc.)
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The design profeSsiQnal must detemune whether the !t-i'&luVed permit drawings have
adequate foundation $teel. !sany adcUtlonalfo..ndatloD steel required that is Dot
sh., m.., on the fo~datIolldraWlDgs for the building? '
Yes No~. q "yes"; describe additional steel required (or provide drawing).
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The following statement must be $igned by the individual doing the observations and
providing direction for the excQvation and site preparation work on the property.
3
Mar-II-Z003 11:5Tam From-K & A Enaineerina, Inc.
+541-684-9358
T-IZZ P,005/006 F-IOZ
Community Services Div, Building SafelY
CITY OF SPRINGFIELD. OREGON
225 Srh Streel, Springfield, OR 97477 Ph. 726.3759
lobAddtoss; 3477 Falcon Dr.
City Job,cOM 2003-00056
The undersigned design pro!s,iIfJ1UIl (or adeorlu4 emplo~e) attests that he/sM
observed required moisture stizbilitJ proc,dures on this lite, and IIuzI such prt;JCtJdures
were IlCcomplished be/ort/on, ciumgtJsoccUI'I'edt" the molstu1Yl colllent ojlhe sub.
grade under and llI'Ouiul the IJaUding (wbereexpllnsive soUi were encoUntered). Ths
u1ulersigned jurtherllttests that the saIJ-gi'ade, ~,prepll1'ed, ~ a4e'llUlle to support the
building pro pOled for this site.
Additional comments:
(Note): A copy ot this report sheD be kept on site wltb tbeapproved plans at all
times. " ,
This report shall be followed by an affidavi~ signed and stamped,by the 4esign
profes~ional under whose auspices this report wascomp1eted. ~fTuniing the information
herein. The signed/stamped affidavit together with a copy c>f this report shall be
submitted to' this office prior to requesting framing inspection for the building.
~=~t,~. ............ TItle .~.drl.nt Ip.' n'll> 1.eng.l neer
Company I< ", A F'no1njll.~";n.n. Tnt"
Phone (541) 684-9399
Lic:ensee r1ichael Remboldt. P. ~.
License # 19474
expires 12/31/2004
The geotechnical report for the Aniblesidc Meadows - 1st Addition Subdivision
reCommends immediate moisture stabilization of exposed expansive sub-grades. and that
expansive soils be over-excavate(i and replaced with at least 12 inches offiUcompacted
to at least 95% of ASTM 0698 for foundation }I..,,~aration; , Too report also recommends
that measures be taken to ,prevent water from collecting in or around the foundation areas
during and after the consuuetionprocess, and thatpositiv~sitedrainage be provided to'
reduce the infiltration of surface water iritQthe expansive sOils. ' ',.
The geotechnical reportJurthet emphasizes that thefimsh ~e of landscape soil
adjacent to the ~oundation should be at least 24" above the expansiv~ bearing soils,.fitmb!
comDscted to reduce the infiltration of water at thesurfaee.Theadequacy of fill soil
material around the bUilding must be verified to the satisfaction of the design
professional.
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Mar-l1-Z003 11:57am Fram-K & A Enlineerini, Inc,
+541-684-9358
T-1ZZ P,006/006 F-l0Z
Community Services Div. Building Safely
CITY OF SPRINGFIELD, OREGON
225 Srh Street, Springfield, OR 97477 Ph. 126-37S9
JObAddresd477 Falcon Dr.
City Iob" COM 20Q3-0~6
Affidavit
For Site Investigation Questionnaire
, 0
Foundation Sup-Grade Approval for
Residential Building Site in Ambleside Meadows - 1st Addition
, Subdivision',
T~e un~rsigned bereby affinns that the cicavatic>n, strUctu.-a! fill and moisture
stabilization methods for' the building site at the address shown above was observed by
me or an authorized employee of my finn ~d that the following is tnle:
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1. The foundation sub-grade is capable of supporting a minimum of 1 SOO psf. and is
adequate to suppon me building proposed for this site.
2. The moisture content of the excavation.was adequately ~i:ained during the site
preparation process and was adequately covered,tostAbiIized moisture content,
prior to any significant change in inoisture content of the sub-grade. '
3. Thesite,is adequately graded and drained to prevent the collection of water in the
excavated area dUring construction." " ,
4. The accompanying report titled "Site li1vestigatipn Questionnaire for Consulting
Design Professionals'. containing field observations and instrUctions ~ on
2/19/2003 (date> for the building site was c....._l'leted ~ither by
my~elf or by an employee of my fmn under IllY supervision. To tbebest of my
knowledge. the information cOi1rain~d in th~ti'eport is complete and accurate.
Name of Licensed Professional (print) , M1 chae 1 Rembo,l dt to, P. ,E.
Signature~ . ,
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txPfAES: 11,."/;,,/ u '4:;.
Date '3~11/03