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Home My WebLink AboutPermit Building 2003-1-20 , . .' Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street. Springfield, OR 97477 Ph. 726-3759 - ." .;<': :'~ <",." . .".: .;~~;: ,,' .-' " '.~'r~':',,~,_""';." . ..,' I', ~.', AMBLESIDE l\1EADOWS SUBDIVISION-1ST ADDITION Site Investigation Questionnaire for Consulting Design Professionals foundation requirements - new structures on residential lots This fonn 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 fol..LU must be completed by a 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. , , Ownerandlor Contractor 'S "-on U 0 ~ 'D ~ N 1. Date of the design professional's site e;~Uation? l J "2-C ) 0 ~ 2. Has the design professional reviewed a copy of the geotechnical info~tion ' for. the subdivision that was provided with thebuil~g permit? Yes.b. 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? No 1Z.~' C-A VA "1 ON &'$.."1 O~/) S\.J,e C'" A-c.<< o~G\ ANt c. (' 2:a!' of' ~. M',~ US ~, ," ~\.JSI-kl.\,) te.oc.ac::.~ 4$-nl2.uc:;..i"u tZ..t\L t= U..L e>,.J~ P of /vAT I\J ~ ~O, L. ("l"U/S ,~ 1E.'I!:i'<? <:..eN ~~"t'bN ) " Was existipp non-structural fill or expansive soil encountered on the lot? Yes_No-A If ''yes'', what types, depths and locations? What measures were taken to remedy the soil condition (include type of engineered fIll used to stabilize the soil)? A 'peoo~ fU:JL.L/ Vt, Nc; ~ FIJ '-L. t L.oA. E> E.~ t:>v "'" P "lie \J c.. \<' WA ~ u~ i!! D 1'"0 t> 1!. ,.. U M , tJ 1t ".. . " I At. a I ...., ,"t "F \,)J, IoJ c:. 7>+-1' ~. ~J"'L.. 1 Community Services Div,Buildirig Safety CITY OF SPRINGFIELD. OREGON 225 SthStreet, Springfield. OR 97477 Ph. 726-3759 -Job Address ~ ~~ 'Z- City Job # GOM A:"'"'&L....S\OfZ Of. ;z.eo ~ - aoc..., .' Is the site as prepared adequate$[ inadeq~te 0 to maintain constant,moisture content in the sub grad~J, 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 ~ inat!~quate 0 to support the proposed ' structure? An affirmative anSwer is requlsite to proceeding with construction. If inadequate, what additional work is neOOed to proVide adequate , foundation support? ' 4. Did the design professioDal witness placement aDd compaction of the. , engineered rIli, oris there a special inspection report forthcoming from a ' , qualified agencY?J witnessed Placement 0 Special Insp/compaction report }( . 5. The design professional intencls to use the following ~ethod for installation, 'of perforated perimeter footing drains: ' The design. on the attached drawing provided by the design professional ......' 0 The method shown on the original construction drawings..............;.......... 0 The typical 'Foun&tion Drain' drawing attached to permit ..................... D. Perforated perimeter draiJis are not required,...... . .'. . ..... ..;. .. ......... ......... X Comments:. .. " . Note: City inspectors will inspect installed drains prior to cover upon request... Call: 726-3769 to schedule inspection. . ". ..e.., 2 Community Services Div. Building Safety . CITY OF SPRlNGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 Job Address ~ ",\.s(" ~M B c...1! 'S ,Oft J)({ City Job # c.cM "Z.c::u~ "\ -1)00 I, 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 iDstaIled after foundation placement onlv with the exnress oermission of thedesim nrofessional. , ' a. The design professiomil has determined the following~' ' The crawl sp~e drain is required when thefoUndationis installed..... 0 Thi low-point drain can be installed after foundation placement witho1f.j , 'significant moisture build-up problem within thefouTuJation............. ~ (The low-point drain may be installed at the stage , of construction) 'post & beam. framing. roofing. ete. , , b: 'HaS the design professional observed and'approved the installation oftg.e required low point drain?.........................:......... Yes, No X . if ''yes'', where is the low point drain located under the building and where does it tenninate, at this time? (must be an<approved location, i.e. ' street gutter, stonn sewer, sump pump and discharge line to the street, etc.) '...~~, The design professionaI must determine whether the approved permit drawings have adequate foimdation steel. Is any additional foundation steel required tbatis not shown on the fOtindationdrawings for the building? Yes No X. If "yes", describe additional steel required (orprovide drawing). The following statement must be signed by the individual doing the observations a'nd 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 JobAddress ~s 17... AM (1c....e ~l D'E~,J)~., City Job #c. 0 M Z.OO~ - 000 i.f The undersigned design professional (or authorized employ~e) attests that he/she , observed required moisture stability procedureson.this site, and that such procedures were accomplished before any changes occurred in tlie 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 tim~. . This report shall be followe,d by an affidavit, signed and stamped by the design 'p~ofessioIial under whose auspiCes this report was completed, affrrming the infonnation herein. The signed/stamped affidavit together with a copy of this report shall be submitted to this office prior to requestingframing inspection for the"building. ,. Signature (A_f. ...JJt(l. ]vLAP'\-- f?f:::.-. . ,', 'Name f)tU/JLty p ^ .k&f.EA.~ (/' '.' Title G.E ll/(;.rt4l.. W1!/lfl4Ct! IL- Company /1A (I v17t t,./I... €;:vCr~J'LW^ ,;)1" Phone ti/lJ 14 CJ () !4 {J , , ~ . Licensee . /JIV1;VkcS: It l-l#4'L1Lr License # {, q 1'14- expires I z. / J I/O 4- I / The geotechnical report for the Ambleside Meadows - 1 st Addition Subdivision recoIIl1l1.ends immediate moisture stabilization of exposed expansive sub-grades, and that expansive soils be over-excavatedand 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 ilifiltrationof 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 design , professional. 4 ~ Community Services Div. Building Safety CITY OF SPRINGFIELD, OREGON 225 5l1t Street, Springfield, OR 97477 Ph. 726-3759 Job Address ~;12.. kM. g L-~ ~ , .~ t) g . City Job # GoM. 2,.co l. - 0:0., l , ;lri."'\'-:!C~(:}.;':.~; ..;."<.....'''I.~ .~t._i:;' .:;.I:":-:'.~:_~'.~'''('''~':.,~. '~.' ~.:~:: ".'I'=-,,'.:".'__~',~,~""'." ~~. ~ Mfidavit For Site Investigation Questionnaire Foundation Sub-Grade Approval for Residential Building Site in Ambleside Meadows - 1 st Addition Subdivision The undersigned hereby affirms that the excavation, structural 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-gradeis capable of~llPporting 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 Design Professionals" containing fIeld observations and instructions made on . I J 'Z-G> J 01. ' (date) for the building site was completed either by myself or by an employee of my fIrm under my supervision. To the best of my knowledge. the information contained in that report is complete and accurate. Name of Licensed Professional (print) "vo: l<rl &,)' Signature Date