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Permit Building 2003-12-5
~ , D~-0"200a 08:UPlII From-!( , II EoalnltOrlns. Inc, +54 1-684-8388 T-391 P,006l006 HU Community ~ 1>1,,_ 8uildinaS4fety lOb ~~11 J1 ~"~/..!'SJ Dt- -*, -..u i OF SPRINGFIELD, OREGON City Job. ~ '%411/1" -Dh ~' ' , W" SIreec. SprIDsftdd.OR 1J1477 Ph. 716-3"9 Affidavit IU Site laveatipdoo Queadonaaiftt . , 'Foundation Sub-Grade Approval for Residential Building Site in Amb1eside Meadows - 1st Addition Subdivision' The under8Ipd banlby afthms tbat ilia oxcavatioo. SInICIUraI fill and mobtme stabUizaliOD meIbods for thD bvJldlftgsitts at tbc addIas IIIIown above WIll ol"J."" j'....1 by me ex: aD auth..lI.~loid emploJec of my firm and that tho fo1loiNiDa is "'..- 1. . 'The foundation IUb-pade is ,~~ of suppoatiDa I minJp)ll11l of ISOO pst, and is ldequase 10 suppcrt tbe bQilding pft)()0ged for tbJa site. 2. Tbe moistute Q)Jltalt of tho eJlC8v1tiOD 9181 adeqaIIDIy III8iDt.8iDocI ~~ the Bite ~atioa pnx:eI8 aDd W88 adequDIeIy covaed to ctebi~ ~.. c:oallent . prior to any $lpifiamt ~ in moislure CODtcGt oftbc 8Ilb-pde. 3. "Ibe slats adequamIy JI8ded aad dr8ined to preveDt die ccUedioa of water in the ex...l",I.....duriagCXllllUUClioD. ' , 4. 1bc 8<<0ftIlMIIly.lq JepOJt titled -site IDvestiptinn ~.for CoasultiDa ~Plofessionals" 0lJIIfaia" &dd olhlJiM t~ acI,iDstructions made on " II If" (dI!c) Cor die bPildiaa site WU ~ oitber by f by an .~ of my firm UDder JII)'~.lrq.",I.~.sioa. To 1he best of my ImowJedset lire iDf...~CODtai_ln tbat4.:;...,..",Lis,~.fjJ.lt':."'" and ;"...."....".i:. ' NameofLiceased '~",=_,~!-.J (priDt). AA t. ~- /It!}!b~, , '~'.......~ Si-...,.'".~, . e.--. ~ .... ' . - ~,...,'_.., DII.e.b:f~ .k+- ~l.# ~4 ~~- ~it.~ '],lPN."'.I.~ I k./-- ~ . I' . V":, .. II.. t Dle~&-zooa 06:18pa Fro.-K & A En,ine8rins. In;, +541-684-8350 T-!86 '.0051088 F-654 Community Servk:a Diy. &ulldingSaf'ety CITY OF SPRlNura.m.D. OREGON 22.1 ,III SIrCCt. Sprinsfiuld. OR rn477 Ph. 726-3159 .Job~". A\.,..,~/p. aa " ~Iobff~--~JIU! 17M ~,~. ~,(J",~1IfIl (.~~).." 8IIII/I1MtIr1w ...,., ,II .11Jil"IA"d~1 ~ "."." ""~,.,jJII"'JJ. _All.....,,.. ....pIfK r ~ ., W1.,.,~.",.W "'''lillta, ': .., ~ ec...........J '" ,.. "'I':I~Ir.~j.iij.,~,L"IIIJiJA1Jt".-- ,.,. """"'''.'''I>/,J.IMI * ~ (..1",,~,~ 1I"~"".a";"';''' ,tHI'e .oll/4i....,Ili'~ !Is fIIi4~ 11.111~1I1,,~_'1u1"1u ~., j.lw,,~_J, ,. ~,. ....'fI~.. ...... """tliftwlllitl.. AddI..... ~.i.~~ (NoOe): A CGpy or... 11[69' ",1.",1: sIId..kept -.. wWa the ......lr'il.WI j~,J pIaIII at.o . ....... ' This ,I, .'t' .1,1 sbaU be followed by ID afticIavlt. sipod ead *-".,..4 by die deIIp professioDal undor whoso auspic-Ibis ;"Io,r'.io,~ was,....\i..ll'Jeted. 6JPfus die ~ L.. ".:.a. The sipYs~ affidavit together with a\"..lt'~ oftbia .;"l' ,....1 shall be submined to.Chis office prior to ~ ~Uag 1..o.......Jon for the building sr.~::e,;.,::-h.~ .' " ~~~~~~NC/P- LkonI A1(~I'~ I(.-..~'-r- ..' , U........"W.._ 1"14'JJ.., "-r~w..-/~~L. The &...A..duucal.~t for the AmbJosir.fe lW.....wws - .- Mditioa S..t.47,111 ,o.}:..I.. rec...,...."~"""'ds ~bdB ~'" stfblliYJlt10a of,..., '.il' .. elpansi,,~ sub-grades, aDd that cx.._"':ve soils beo~.....,.',..~..41Ul.L,....L....JwidaatJeat 12 {..,4\....iPoffUl,.""Ii"........,l ' to at le&st 95" of ASTM D698 for bIlldMioll"l>~~;4i.aon. 1'he Ao>>t'Will" a1Bo ,Ci. w ,t". J"I'~I.zmds .that ineIaslns be taken to pl\Git'~ 90..... A..... coIlectiDg in or ~I~J the fOUDdafiaD IIUS during and after the ~ process. and !bat positive site ckaiDago be "0 ,.,'\1 bled to roduc:e the infiI\I"~:~,on of ...~... . ...1..... _ the ',.,'', ,',',I:iI~15:ve sOils. 'Ibc ...~....JmicaI ft'POI't fL:..4.'.b ~ dI&t th8 fiDish JIIdo of laDds",II:t ~ soil adjaceDt to the f~i.I.wIJation Bhould be at least 24" above the .......1iWlSive l,w.IlIu,!...1 soIs,!irJDIl ~1,..~",J:tedto re.A...... the, iDfilIradOll of WIller at tho sutface. Tbe adequacy offill soil ml"I~:' ,~,B1 around the building nmat be verified to the ~~4 ohM dBIip proCessiOlUll. ".,' 4 'Oac...o&-1003 O&:1TJIlI 'r1llt"t( I A Elllinueril1l. 1nc, +541-684-8351 T-396 P,804IODB f-BS4 CummllAity 510',', :,.,.Ji Div, BllildMg WIllY ~u {OF SPRJNuradD, OREGON 225 ,lit Shel, spiDsOeJd. OR 91417 Ph. 126--31S9 Job~ ~9~ AM.Ui~/Ii1"'" J;ik., City JoII>>f ~ ~ - ~/I.tS*I Low..poiat \0.....' ~t] ~..~,..,:.'Io IIIraias are ' 11.:i,'II,f,'i'IIO, J 10 .,,1, I," ""'~I.a die JAdId..gp fII_ ,~....... ~darIIBI (8lId after) "',J,'~'L~.~.,,~,~ 'I"IdI'" ..., lie ......IW IIBlamr4JatloD plel"lJjIol;(}lli~1 ph with tIIaa 4",.~~" ~"~ j,,~ ,.,'..... of~~..~ a. The cIesip pmfe&sioDaI bas dEfermiDed the foJIowiDg: 'TIle ~.....,.." 8pil<< dmbs b rlqllimlwlttm tIIe/DtlRt!."~"I'I' is iJutalW..... 0 7Jw IDw-paIIIt" QIft bs iIGttIUfld q/ifrr jOilltlltllttm pIQCIJIfIt!IIt widuNII a signlfiaml moi&tlIre brIild..", ",.,. witIdn "" ~............. lU (De low-pebrt tlndn"., be imrta1Wat 1M ,~' ~I-&, ,'MP , of~) ,,' "'._{"""''''''l'' ""'.'>I.fIr. ' b. 1l1li ",. tJaIp prt1f&1""~ ,II,', Jobmwd an4~,. i'gved the innaUtlllicm of 1M . ,I l.~"4&lllj_IJ It:1w poIBt __?.............~....................... Ye.t, ND If "yes-, ~ 18. low point ~\ ',Il,., 14.." J..kJ.... dw IndltJbr, II1Id wItIn "8 tt.,.1'IlIintI# III tIais tiwllr1 (nuat bs - tIJ1IWt1t1fUIlDamM. l.e. mwt """,r, .....i.~ II" ~ SMIIIp pump ami dlxA-ct" .. to 11M mut.' etc.) Tbc dosip profeal~ 1DUIl.lel..J~ wbed1er tho IppftMd e""~'~.;.l drawbip lave, ~ i7"I.i.IJiadon SfBd. Is a;, ..........~.... "~iV~tIiat Is DOt ,&bowa .aaeloaada1lea li.';Iiliij~ 'or die ~, . Yes No ~ 1f~s~,i.lacriIM~_el~,~.~(twA"I,."WJsdrtzwing). I "...."... ...... " .. .j... ." "'."., ......". "...'""... " "'''''' '.... ,_ ."..".... ~.... ...... ." ....".....".,_ ",.""..".."".,... ... .,. ..'" ....~.... '.. .."....... I ...."n.....' H ,..... ".... , 71MfoIlowIng 8IIIIaMII""", be IIp6d by 1M lntIividBl doiHtl,. oL....~ JIIIiorg - ' prollidin, 4lJr..;,lonjor 1M ~..~".;.iIm tmtl* ~. '.'Il"",.ratitm mwt 011 . .1.1 '''j,1 ..I' Jy. 3 Dec-lIS-ZOOa 08: lTPII FrOll"f( 4 A En.lnOllrln.. Inc, +541.8~-m8 T-'86 P,OOVD08 F-854 Communily Servk:os Div. Bulldiq Sar<<y CITY OF SPRINOFIBLD,ORBGON W S", Stt=I. Sprin,llckJ. OR 97417 Pb. 72~31S9 lob AddIemI '34-319 .4 Nt Al,,..v.JQ" 4'l.. CityJab, ~tA '2.DO~-OIJ~ .1N1Ir ~t!tIif/HlH(IJP , EQt.tIMt:." C1"';" ..Jt:&,l!:Ir'~ tq~~~$, ;'-cN~'~'AJ&,r ~ ~& cJ" b/Ar"'P"/iLF-, e.uz.,r ~~ wrr,.,.. ,/-a," '/l.~N ~,... . '~~ e..-r.... .DA.&I"" -n' ~~ ~ tf!:~,. Is tho site.. ...,..,......_..".. Ii ~ 0 10 maiDtIia....~ moIldDIe ...\".~,...,.tia_subtJI,dl,Je? Nib: V~~~~ba.mb ,1'tIde u. r.,.".., of. ~ R!pOn. and "".'Iil.",J bs IfIfIrmed "7f, ",. 0f1lI8tnII:IitR QUI COIIlbuML If JDadequat.e, what mea~.,...Ill... .. aeeded to provide ,.....Nolol.aD1 IIlOlIstme ',., .".I~i14t in tho sub ..-? ' IstbesireBS"~'lrJ'hlill'''.l ~J9 ~ C to"'i'tlr.alttbcpmposed . .u.......:....~? Aa t:f/fInnGIl* tJIUWU U NfIIi.rite to p-",,",.diIIg willa ~ It~ "fIb1.It~ ~"i"/o,llm ...."',,!~ ii "~I"""JM_""'\I,..":.i\iJ ~ 1I1IppGIlt? 4. DId......~...._pI&..,II",'lld_~.....Gf. -Veered"" II dlina~ ~ npart~.ld.lhm e ~ W'i!II'lij~.q? I wItIuJsMl Pl4c8meltl [J SpttdolllupJl.,,,,,,, ,:pt1dion .' "1"'1.,.': 0 , 1J 0 ,e'"IJdrl ,.,...... 6'/1.1'. ~ po., 1,-1,. /~p~;tf!... Pl.AC-G"I>. 5. The.. ~"'b","l blf4... to Be ...........IIIldW,. ~..... of paftntld pah...& I'ood8g tInIae:' . 1be desip OIl_ ~bccI cJ."'II"""'~ .it"" . ",,:ded by the desip Jrij.,.,4i...asioaaI...... C The meIhod sbowa ()Jl the origiDal.....L~.....-. cbwinp,...... ..._n........ ....0 The typicII'~ Dmin' drawiDa IU8Cbed to t",.'Io""".7,.. .....no............. B . ~..i"'illl:,~""J Itltl;l~I~lwlll~ draiDs ~ ...~ ....~......................;..~........... 0 Cnm~cs: Note: City 11upet:to1'8 will iaIp<<:t iIuIalleddrailu prior tD tfJWr rsptift NfI'aI... CtUl: 126-3169 10 ~ bup.rctIcNL ) , 2 ! ' 08c-o&-2008 D6:11P1 From-K , A En.in..rin,. Ine, +84l-8U"8358 T-386 P,DOZl008 F-854 Community Services Diy, Bulldln,Sarety Lu{ OF SPRINGFlBLD, OREOON 225 5. SIrccl. Spri..,rldd. OR tn477 Ph. 726-37S9 Jab Addrau ~ ~ ~ .6MJW4"S/I'.J' f!8... Cil;ylob' CPM ~P.t:1~ -tOf-1 ~ A}\f.tbl..&swE MEADOWS SUBDIVISION-l8T ADDiJuON - , , Stte-laj'~ ~~for~ DedpProfelsloDals " " foundat1on ~....."';'..,~J$ ;. ......'~~ s1ru~w On res1deOballotB TIds fona IDIJ....... ~.'J vedIi...lIlI~....Io,"" ......,......;.....Ji8rn to 4'"~ _1Iae job lite DIdI Che CGIIlll...!IIat'......... ......vttp die .. 8eII-'h"'Il"""~Jog ... .......... Is ,lll"'c:;.,,,,,.:'.... to .. CItJ. TIafa fCII'ID ....oIllIol.I~ be ~~"ll"llfti4t.~ by a . 1IuIued.... "........ (eql"~i'I'.u" - ..~ 01' IIIsIhs antt.",,,,'-J '~'J'''*? ancI.....aeW Ie the buIdlI1IIa 4.&1,"- "'10"'" to ~illllli ..II,LilI8 CI9 ~~ 01' ~ ~1Ion ~i1'".II.,~'i{.".. It IB 1~1O~li.I,','_t Ihat... i1i_1hDI be _"""""' IllJ comphteI,y-ror8le fw......... _10'" approftlll for ~ 0__ aadIar Ceal...~..1' -/'lua-;,H, ~..., ~.F4f 1. D* fIlthe &MCtr ......."-,..... rmaJ....., II I, 0 /6 51 1. , BIll the d'~ pnr~JIII~,.~j.alle"L.."'ed a capy or.. ~ .....Iiaa 'for aile............ ~ wIda'dIe ............ fa~No_ 'qnot. pI<<ue etmIIJCI tItis ojJIct4 for a copy' of 1M TqID1t. 7'h4 4ulp proj'usional IfIWlIbe/tlmililwwithtlw ~ ~lNfoN ~ dWtform. 3. WIIat WlilIIae........ flfthe aamdIoD.... fill! ~.o..a..a."'" ~ A...J~ - P-.A-c ,~'" 4+, L.L 9L Dor J.&...-. &.i!.JI----)C tI#!I&:')C ~t~' W 17,-~ - )( ID' 'J"""",,. H- e ~rH S'111~ Was aistiDg 80IHIIUCtUral fiB or t."&,"~'i' ,live soil eac(RL.:~i""1oCI OIl the lot? Yu_N()~ If')w", wbaI ~ deptbs IDd J~? ~ '14-1 .e:x~'BI r'!..N~(CTPrp -b~ ,,/..# -r-,-2.,D-11I,. AtfJI. _~" I>>-A Ie A:;,~,.lAl "I'7t1P.sOl'-("'~'-='.' 4>>~ ~~:J "......A-n.-s:-iJ '1~~N&4" ru~ ~ AU' ~L ~ U.,., FN'tt.:uwlV"fH!'"~ Fir UJ r/f!!i!l1 nA! " ' What measuat8 were taken to 1I~ the soil amdidoa (ladude lJ~ of cngia~...,;.4 fill used to stabilize tb;e soil)? " .r...u. ,9'/IfIlI::I"'~ b.. .,.,.."". /<.iT~f Il.,". 1