The URL can be used to link to this page

Home My WebLink AboutPermit Building 2003-4-21 :,~ Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225' 5th Street, Springfield, OR 97477 Ph. 726-3759 Job Address '3'1z L/ AM R U: S i DG" . - City Job # L-or-'\ f-'Z..O()"3 C::OZ~f II1II AMBLESIDE :MEADOWS SUBDIVISION-1ST ADDITION Site Investigation Questionnaire for Consulting Design Professionals '~>. foundation, requirements - new structures on residential lots 'This form may be used as atemporary 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 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. ti"llZtJG{. Owner andlo,r Contractor 1. Date of the design professional's site evaluation? ~~~;L 2. \ 2.00 ~ 2. Has the design professional reviewed a copy of the geotechnical information for the subdivision that was provided with the building permit? Ye.~ No_ If not, please contact this office for a copy of the report. ' The design professi01lf!l must' be familiar with the geotechnical information before completing this forin. ~ 3. What was the $ize and depth of the excavation and lor fill? S itt lNYlS FI lLeO Dv<<.ifJ"1 -rbh:-.~ ()'rJ'ST~jl~..,J oF- 'V11f:' ~. '~h L./ j ~ '3~H - f"'Kv'JIJF.l:J ,Qj,/Ykdll ~LK-. .J=? ~ T' IVOT, -Ti:') 0 I S11Ae.~ TJ,1, S FilL ' , Was existing non-structural fill or expansive soil encountered on the lot? Yes_~No.t{ rf"yes", what types, depths and locations? 'What measures were ta.1cen to remedy the soil condition (include type of engin~red fIll used to stabilize the soil)? t/5iit> ',/tE- t'?>-K;)'/; fVl-. 'nLL, ..... ( \, 1 Community Services Div, Building Safety . CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 Job Address ~L/t4 fI1rI16~ t (Je- City Job # 'Co."", '''[.003 ~ vtJZl f ( Is the site as prepared adequate fE 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 co~stant moisture content in the sub grade? 'q)t1Jr;O (}:J 'I C::;;, I Px7~,uJJ , TI'f7F . S:"";f{ L"1flttt.oc "'I ') l//2LL OrAA;,J'iN) jA/t~m tv6 s'~~ VV\4-'~. ~ r..J TJt'h.;- . 'F1f~ L J Is the sit~ as prepared adequate ro 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 pr9fessional witness placement and compaction of the engineered rill, or is there a special inspection report forthcoming from a , qualified agency? I witnessed Placement 0 Speciallnsp/compaction report Jlf ' ? (t,odF t:-oU- LTYL FMh ('""\ Y 5e""lF. ., . 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...... 0 The method shown on the original construction drawings................:........ 0 Thetypical 'Foundation Drain' drawing attached to permit ..................... 0 Perforated perimeter drams are not required ...... ... .....................:........ g Comments: Note: City inspectors will inspect installed drains prior to cover upon request... Call: 726-3769 to schedule inspection. 2 ~. ( f\Wf rub) 0,0 " l14\s , - /' s"I'rt' ( t' Job Address 51lJ( '/tM~57 /;Jlf City Job # (av\ 'Zo.?3 -- DC} 7.z.. i Community Services Div, Building Safety . CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph,726-3759 (' 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 only with the eXDress nennission, of the desim Drofessional. . \. .a. The. design professional has determined the following:. The crawl space drain is required when the foundation is installed.:... D The low-point drain can be installed after foundation placement without a. sig'!ificant moisture build-up problem within the foundation............. D (The low-point drain inay be installed at the 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 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, etc. ) .~ 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 . No x'. If "yes",. describe additional steel required (or provide drawing). I ~ {..I5(~ (/110 FOl.I'J<JIJ v-rn~JU OFS iCfIV / i 'S u:'7 PT~ U~iJ")(.1 j I .I 5W The following statement must be signed by the individual doing the observations and providingdirectionfor the excavation and site preparation work on the property. 3 l' Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 2255th Street, Springfield, OR 97477 Ph. 726-3759 Job Address )lfZi..f 1l--Tl1 (5LErS, 06 City Job # (' OW'1 Loa,;> - 0 0 1 iL/l 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 Vijign. e. d1stamfd Idavit together with a copy of this. report shall be submitted to ' Ole . to requesting framing inspection for the building. I ( Signature .'. ,.' Name O/t/fI / //OiAR,NbtBlA..:vLl?l.1t.1 Title DW'S Company V 1/ OiAA.c:~ L-tZolA;:d' t::~C1 j tvt;~1C.,/ 1u C:t Phone z::; Lf J ~p~ - :krL. Q) , J Licensee License # o~ ~~()~. I CtJ , e/"t. - olZ... expires 1;p/5~/ a>~ The geotechnical report for the Ambleside Meadows - 1st Addition Subdivision recoinmends immediate moisture stabilization of exposed expansive sub-grades, and that expansi ve soils be over-excavated and replaced with at least 12 inches of f1l1 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, firrnlv comDacted 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 5th Street, Springfield, OR 97477 Ph. 726-3759 Job Address ~i{z,t.{ YfM~S,/19~ City Job # Co~ 7/00:'> -- DOL/wj ( \ Affidavit 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 stabili~ation 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 Design. Professionals" containing field observations and instructions made on q! Dolo 'J ( 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) o~~