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HomeMy WebLinkAboutPermit Building 2003-4-14 , r Community Services Div, BuildIng Safety CITY OF SPRIJ\lGFIELD, OREGON 225 Slh Street, Springfield, OR 97477 Ph. 726-3759 Job Address j'")fJO /J-MIJU)( O~ City Job # CoV"l 'z..c::o'l, - 0 i 4 I '-I - AMBLESIDE MEADOWS SUBDIVISION-1ST ADDITION Site Investigation Questionn ~ire for Consulting Design Professionals foundation requirements - new Structures on residential lots This form may be used as a temporary verification to allow construction to continue on the job site until the consul~t'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. Owner and/or Contractor DukeS 1. Date of the design professional's site evaluation? '-II, '-I/o -z;' 2. Has the design professional reviewed a copy of the geotechnical information ' for. the subdivision that was provided with the building permit? Yes~o_ Jj 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 or the excavation and I~r fill? ) f1f'1~ )t1} 'flJr?f4J~ 6/Lt'9N <') I fJf'CJTPI of: r i<.. <.. oJ '~p(/ ~lhr i;:. i2,-J 7NC/7l::-5.., L/J{A/t::~ 1.ff-z--1::'L ('-.A....;T ~ PJ 7, )"l..-p?B , Was existing non-structural fill or expansive soil encountered on the lotZ Yes;iCNo_ Jf'~s", what types, depths andJocation~? e >#~/~/ , C Lt4-\'J -r N rttL Pi$()(!r'2S LV /,JJ i-(11 ~\,..:;- fZ.cx..iC-1 ~{h~ j , f c" I , What measures were taken to remedy the soil condition (include type of ' engineered fill used ~o stabilize the soil)? P. T 5tA4 tJ I hli4iA::L- P I-h? ~ C(l4fhD Q~ ~ f, 1 ~ 1,1, Community Services Div, Building Safety CITY OF SPRlNGFIPT n, OREGON' , . 225 5th Street, Springfield: OR 97477' Ph, 726-3759 Job Address '3'SIPrj A-Mrl LE5 JOC: City)ob# CClIVI. ,WOL - 01 Lf i,~ Is the site as'prepared adequate l?5r inadequate D to maintain constant moisture content in the sub grade? 'Note: Verification of moisture stabilization in the sub grade is a requirement of the geotechnical report, and must be affinne4 before construction can continue. . Ifinadequate, what measures are needed to provide constant moisture content in 'the sub grade? t/{)(Yf"b( . "Tlrtt.- o,.JLv ,,') Lo~ klk:~ i<) 4 0.1, SLt1~, ,r f ' , , Is the site as prepared adequate ~ inadequate 0 to support the propdsed structure? An affirmative answer is requisite to proceeding with construction. If inadequate, what additional work is needed to provide adequate , 'foundationsupport? 4. Did the 'design professional witness placement and compaction of the ' engineered rIIi, or is there a special inspection report forthcommg from a qualified agency? 1 witnessed, Placement gSpeciallnsp/compaction. report 0 See- ft:'n1q.Cvj Co ".."p't"C-TlaJ Oif'nJ 7> 7-Iee:--r 5. . The design professional intend$ 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 constrnctiori drawings.......; ~... ... ...; ....... 0 The typical 'Foundation prain' drawing attached to permit'..~.........."....... 0 Perforated perimeter drains are not ~uired .......... .................. .~. ... ...... ~ Comments: S' 1'W j -0 I L .5 'I1--tZ,F PILbf.:-t Lt:--r;l I?::J 6ZE-i"""lV~ H'7D 'J::1z.o.....".:s in: w) (;> p/pes-. , , Note: City inspectors will inspect installed drains'prior to cover upon request... Call: 726-3769 to schedule inspection. 2 "t' Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph.726-3759 . , 'Job Addres.,-:SS-00 ~BUSi or:;- City Job # tnfV\ UJOL ~ b j c,.-{ ('i , ' . Low-point crawlspace 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 exnress nermission, of the desim nrofessionaL, ;-a. t-l/A ,~ 5 ' ,- L-t-'tl),.' .~~( ! ,~ The design professionaJ. has determined the following: The crawl space drain is required when the foundation is installed..... [] The' low-point drain can be installed after foundation placement without a significan! moisture build-up problem within thefouiulation............. 0 (The low-point drain may be installed at the '," stage of construction)' ' , " post &: beam. framing. roofing, etc., r' 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 tenninate, at this time? (must be an approved location, i.e. street gutter, storm sewer, sump pump and discharge line to the s~reet, etc.) .. '.. The design professional mustdetennine whether-the approved permitdrawihgs have adequate foundation steel. Is any additional foundation steel required that is not shown on the foundation drawings for the building?' . , ' . , , Yes )(' No . If "yes", describe additionai steel required (or provide drawing). ()B I, t, ~0 ~' \"-1E: The following st9-tement must be signed by the individual doing the observations and providing direction for the excavation and site preparation work on the p'ropefty~ 3 Community Services Div, Building Safety CITY OF SPRWGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 ,job Address' :):>00 ftMeU5 j d~ City job # ClJrVl 'Zoo Z ,- 0 I Y 14 . The undersigned design professional(or authorized employee) attests that he/she observed required moisture stabilityprocedureson 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 jUrther attests that the sub-grade, as prepared, is adequate to support the' building proposedfor this site. ! Additional comments: , (Note): A copy of this report shall be kept on site with the approved plans ~t an times. This report shall be followed by an affidavit, signed and stamped 'by the. desi~ , , professional under whose auspic~s this report was completed, affIrming the information herein. The signedlst P~rZ~~~t together with a copy of this report shall be submitted \0 this 0 ce Q esting framing inspection for the. building. Si~ature ' tr 'I' " , ,~ ~ n Name" f'iIA,RN (~R..()~, ,Title ViH', . Company o~ r-.,R;?)~ ~f.1itJ\;L~li"';i::7 .p,C-~ Phone "'5'-1 i 0,- ~8B- '3ozo Licensee License # blivo-J .. L. . G-,eove-.e.. '(JJL i ~ '1'1 'z:.. P e:- OiUqO,J expires " . (() l~b 10'"5 ' . " The geotechnical report for the Ambleside Meadows - 1st Addition Subdivision recommends i.n:u.!1,ediate moisture stabilization of exposed expansive sub-grades, and that expansive soils be over-excavated and replaced with at least 12 mches of fill compacted to at least 95% of ASTMD698 for foundation preparation. The report also recommends that measures be taken to prevent water ftom 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, frrmlv , cOffipactedto 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 SPRWGFIELD, OREGON 225 5th Street, Springfield, OR 974i7 Ph. 726~3759 Job Address 3:5.00 /J fVI(]LE5 tOC: City Job #. CLJvV\ '~ig'L - ft) 1'-1 ! J ) Affidavit For Site Investigation Questionnaire , , Foundation Sub~Grade Approval for Residential Building Site in Ambleside Meadows - 1 st Addition. Subdivision The undersigned hereby afflnn;5 that the excavation, structural fill and moisture stabilization methods forthe building site at the address shown above was observed by me or an authorized employee of my fIrm and that the following is true: . i _ ,1. The foundation sub-grade is capable of supporting a minimum of 1500,psf, 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 s~abilized 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 instruction~ made on' , If/ rlt! () .~ (date) for the building site was completed either by myself or by an employee of my firm undrr my supervision. To the best of my kn~Wledge,the inf~rmaliO~ contained~"t "report ~s complete and accurate. , Name of LIcensed ProfessIOnal (pnnt) ,. /;V/;A/rA.'\ ~t1.~...:..:., ' , ' (~ Si~_ ~ d' ~ f/(/ tie 1/1&/03 I I I ,L, 17 <:., L(}~ .v .. , PmG. II 06~:-S lAc,ob-s d (': Eugene, Oregon ,97402 " (541) 688..3020 . fJ I , W1i n -' <, e: t !J. ---. Field Unit Weight - Sand Cone Method Per ASTM D 1556 . r I 3S<vo ft1"\&tS q?~ Test Number: I Date of test: (-1_ I S~ 0 ~ f Job#- ~):'\ -7.-- .r'''' Tested By: ~?<: Test Location: Material Tested (By visual observation): I /,1' jl'fl..' C '/\{.I.c:,' d z..., Unit Weight Of Sand Used For This Test Density Dry Sand (>>1) = 77,_ '91r 'I PCF VolmneOfCone (VI) = 0.0389 Ft^3 Field Test Data Initial Weight ofler + Sand (WI).......................................... Weight.After Testing (W2).................................................. "/ "' /0 ,/)O oz 1- G /3 0 oz Volume Of Hole (Wl..W2)/161D1- VI == V2..~................m...... .0 i 1- 01 Ft^3 Weight of S~le (W3)......t'i................................................... ....~ :; t; r) OZ "",/ \.... v Moist Unit Weight orson (W3/16N2) = (MI)...... ................... Moisture Content c;>fSoii ((Ww..WD)fWV) * 100 = (MC)............ ' Dry Unit Weight of Soil (M.l/ (1 + Me/lOO)......... ..................... I 2. '7-, , ' '2-, PCF' t,,4,6 % PCF' , Moisture Content Total Wt Wet Weight I' p ( ~1O'~) .. Can Wt q.'''~ . \..: ,,, ~ Net Wt , = (WW) r;:..l"'l ~-::..., ,/ ," /' ,( DryWeigbt 67,. S 4:,0 = tWU) ;- ~ ,;... J 7. :7 .--'- ~..._....... ..-..~ ". . Notes: <:. , : I /' V\~ LP \ r-r T~f0""L6.tL.....<... t.,,,,,, .p f...F-" '----- - "} f d-, {I"~ ('I i ."L !?, J...l, , . .,;><::) , Ii.>Or'Yl L"""_,, 6f//'-. , -I ) } p'r.,. .'!: i? . //j t) , C._ G) ,",""I<~1 . .,' , ",,, j -)