HomeMy WebLinkAboutPermit Building 2002-7-10
07/19/2002 07:10
5415849358
K & A ENGH4EERING
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'.:Community Servlces Div, Building St1fety
- CITY OF SPRINGFIELD, OREGON
225 Sib Street Springfield, OR 9747'7 Ph. 726-3759
Job Address. 3'1444...M I~ I~
City Job # e> 2.'- Q.(I 6 8'<2.:' 0'
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. SPRINGFiELO Lull'," ..".,.
AMBLESIDE MEADO\VS SUBDIVISION--tST ADDITION.
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Site Investigation Questionnaire for Consulting Design, Professi.onals
foundation requirements - new Structures on residel1tiiu lots
. . ',..i
This form may be used as a t~mporary verification toanow construction to continue
on the job site until the consultant's stamped aft'idavit on the site soil compaction .
and stabilization is submitted to the City. This f.... oumust be completed by a
licensed design p.-otesslonal (engineer or architect) or his/her.authorlzed employee,
and submitted to the building inspector prior to requesting City inspections or
. " placing foundation concrete. It is Important that all questions ~ Qnswered
completely for the foundation site to be appro"ed forCOIlstructioll.
Owner and/or Contractor. !~j ~,"'" ~ <;'
"-:"':.c.,
. .'t~~'tate of the design professional's site evaluation? i J I 0 J 0",-
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2. Has the design professional reviewed a copy of the geotechnicallm'ormatlon
for th~ subdivision that was provided with the buUding permit? Yes~ No_
If net. please contact this office for a copy of the report. The design professional
mUST befa,miliar with the geotechnical information before completing this fonn.
3. What was the size and depth of the excavation and lor fill?
.:5o......\'-'n"-?",~\.,j "",-,=-A...J~~,....l 1JI.Q,s;A~Qo.....Xh~C>\,r: ~_"', w\~
~::~~ ~'1IJ. J\-,~~...... ..,~ - -E.+. l~n=t. e:r.e. D~~ \%AN (,. F. tool-
~. . '1~ ~Jb........ ~~~+\, c>1t j1~...~..v~'T'l~'j\,) 1..\[Jo..~ ill\. , ~ oz.
,'. ~l:l ~f"\ - C;, r>'i. .
":"" -<<:~NC~"S 4tt'f f~(t.I'....vl...\''''\-~ .fr~~ JF-"'l~-W\OT.t\ o~ ~c4V4,l~N.
Was existing non-structural fill or expansive soil encountered on the lor!
Yes~No~ If "yes", what types. depths and locations'! _
~.,.. .pt"T"~ I~O\C.4-~~r,) "2S~ 3.~- ~_ . EtYI1. ~"';I W~T"-Mo,~r:.
So~~v. "iT1=r.;:., ~n.A;'1'TLV\ .p'-..Q.tti. .(" .~)I - SUT tnV'. -Vl'\I+) , .
....JiY!iYl- v~ ("Ue~ f,,"1'I"l'~a.E'~ 'f"\,\pp. 1".) l~ ~,^j"JlLEb Q:f.4~L.5 ~
_C&ifJ \';\'f'S .( C \ D '/.Jl. "1 \.AI Irll..-lN'r) _
L~.E" ~~') "\ -- c; \ \.....~ li.t.'r um.,~ "'n, ~~.. IV\. ,,{) ~i\"...~,
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. What measures were taken to remedy the soil ~ondition (include type of
engineered fill used to stabilize the soil)? '-1'\ o'C' ~ - \~~ Cr/~y..)"GI'tI'...O~p
.~>j..;l ~~~(t J \) lAl1..~_t.:.zJ.f" A.,^n,;)1..~. \(,~e::-,-wAS f'..til.~I) t'-l"t tt
~~rL 'Nt:> PlFfJct+h .4a.~.-" 4bAJoG)....;€f?./f1;) ......i't"ti ~O4--- )/-.J("I-\f!!.
c ~ C-IC., i.~'" C \4L , . _.....
.z.,:... 1'.,. OF- o?1FN- ~~O~':D (':;t- IN) &.~ ~'i.'1 (l-.~C:f:.. 1.-'-' I;' So \I>u~c:. ~y
\ N 1~E= ~.~""T..tOIoJ\ \?::1l:' '" oli ti. ~ c.u"...A ~ (.l 'AI \ ~-.Jr "2. -to '\ - I ~ c ~ e' s a~";
CA.-. ~!L,.,';' G-A.--rlF, .
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07/19/2002 07:10
5d15849358
. ~( & A ENGn.jEERn~G
PAGE 133
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Community Service~ Div, Building Safet)'
CITY OF SPRINGFIELD, OREGON
225 Sli1 Street, Springfield, OR 97477 Ph. 726-3759
Job Address_ ~ 4 '" J;,. \'^ ~ \ '\="~ \ \) \.='
City Job # :;) 1- - 006 ~o,...o/
;;.
Is the site as prepared adequate FJ inadeqf4ate 0 to maintain constant moisture
content in the sub grade? Note: Verification of moisture stabilization in Ihe sub
grade is a requirement of the geotechnical report, arId must be affimred hefore
construction can continue.
If inadequate, what measures are. needed to prQvide 'cons'tant moisture content in
the sub grade?
Is the site as prepared adequate [29 inadequate 0 to support the proposed
st~cture? An affinnative anSWer is requisite to proceeding with constrUCTion.
If inadequate. what additional work is needed to provide adequate
foundation support?
4, Did the design professional witness placement and compaction of the
engineered till,. or is there a special inspection report forthcoming from a
qualified agency? I witnessed Placement ~ Special lnsp/compaction report 0
'flL\.-. OEI'JO:; ~"1 IS A'Dt=~'^~i\=: f>o~ ?e\).,.JD~'I~~ ~"^.PfbrLT
5. 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..... . D
. The method shown on the original construction drawings. , . . . . . ..... . . . . . . . . , . ... 0
The typical 'Foundation Drain' drawing attached to pennit ..................... 18
Perforated perimeter drains are not required ...,. . . . . . . . . . . . . . . . . . . . . . . . . . . ., ,. , ,.. 0
COIIUnents;.,-T~ ~1l.\M...,~~ ~~...u.J W\\...\... i~C'.l..\t\r' W ~IIF
~ .~ (;..._......:+:1:;.. ~ r nc: so t5 e. 't.t:l"'" ~v'- jo.J I) ~'T1 ~ N 1"'0
~~ ~-~ IJdPto:)~"". .
Note: City inspectors will inspect installed drains prior to cover upon request...
Call: 726-3769 to schedule inspectipn.
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5415849358
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CQrnrl'1unizy Servic~:~ Div ,Building Safety
CITY OF SPRINGFTELDj OREGON
225 51h Street, Springfield, OR 97477 Ph. 726-3759
Job. Address 3'1 4 b AM 6 LFs , O~
City lob # _0 ~- ~C>"" Ro- 01
?
Low-point crawl space drldns are required to prevent thebufld.up of excess
moisture inside the foundations during (and after) construction. Th.ls drain
ma}' be installed aft!~ foundation placem~nt o.nlv with th.~ eXDf_ess Der~ssion.
of the desit!!..Drofe$sional~
a. The design professional has detenuined the following;
The crawl space drai~ is required when the-foundation is installed..... 0
The Jow-point drain can be installed after foundation placement without a
significant moiSTure build-up problem within the foundation........... .. g
(The low.:point drain may be installed at the \1t t~?I\ loJ G- _ stage
of construction) .. PC!$t & beRm.fl'ami"8, roofing, fie.
b. Has the design professional observed and approved the installation of the
required low point drain?,.,......,........,.,.,.,.....; .... Yes, _ No ~
If "yes I!, where is the low point drain located under the building and
where doesir-terminate at this time? (must be an approved location, i.e.
street gutter;. stomJ sewer. sump pump and discharge line to the street,
etc.)
The design professional muse detennine whether the approved pe.rmit drawings have
adequate foundation steel. Is any additional foundation steel.req~ired that is not
shown on the foundation drawings for the building?
Yes No -:$...;., If "yes", describe additional steel required (or provide drawing).
Thefollowing statement must be signed by the individual doing the observations and
providing direction for the excavation and site preparation work on the property.
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07/19/2802 07:10
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Community Servj,,~€s Div, Building Saft:ty
CITY OF SPRINGFIELD, OREGON
225 5'" Street, Springfield, OR 97477 Ph. 726-3759
Job Address_
City Job It
The undersigned design professional (or authorized employee) attests that he/she
observed required moisture stabilit)l procedures on this site, and that such procedures
were accomplished before a1lJ' changes occurred in the m.oisture content of the sub-
grade under and aroimd the building (where e~PQnsll'e soils were encountered). The
undersigned further attests that the sub-grade, as prepared, is adequate tt) support tile
building propo,ved/or this site.
Additional comments:
'T l't'€ 'Rs> lA '" 0 ~ I ~ to,) ~ G.-rJ * c.....~~1'l \A. c....I'H!oll.J yV\ t.(~ T
~~nA.rm ~ c;.~~b - h..~C'\4- fi:"'X~Vofto.'"I"'"\\3~ I Ijt..jCl..u~I1.Jc..--
.D. ~~~II.,J IN 0'- w~ Q""t~ ~"".,...~ 8~"'~ F'XcJLb.~~.
(Note): A copy of this report shall be kept on site with the approved plallS 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, affinning the information
herein. The signed/stamped aftidavit together with a copy of this report shall be
subnlitted to this office prior to requesting framing inspection for the building.
.r~~..
SignaturcS=:ot.. ~~~)... 1 ~
Name MICH.4-t=L fZ..~rvt b~PI Title &. r~n..J.e...l::=!T /~".ICle'l F". ~^-b- IN('-~!<-'
Company A; ~_~ ~4J61.# LFFf.l.' N.~_I J:AJo- .
Phone U1. g If'r.i. '-r 3 ~
Licensee A.1.LC{4"-~ L. h.;1-r~t'\. or
License #: 194'74- expires 11.--1:s, /vI--
The geotechnical rep~rt for the Ambleside Meadows - 1 at Addition Subdivision
recommends immediate moisture stabilization of exposed expansive sub-grades, and that
expansive soils be over-excavated and replaced with at least 12 inches offill 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 tbe 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, firmlv
comDacted [0 reduce the infiltration of water at the surface. The adequacy of fill soil
marerial around the building must be verified to the satisfaction of the design
professional.
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PAGE 135
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Community Servi~es Div, Building SafelY
CITY OF SPRINGFIELD I OREGON
225 S:h Slr~ct, S{ldngfj~.ld. OR 97477 Ph. 726.3759
Job Address ~ A-~ A...,...~ 1.~1-:;'!l.1 (') ~
CityJob# 0"2. - i!'OIi:, ~b -a;:.\
~
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~M'_S
Affidavit
Fot Site Investigation Questionnaire
Foundation Sub-Grade Approval for
Residential Building Site in Ambleside 1vieadows - 1 stAddition
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 tbe following is true:
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 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 coHection of Water in the
excavated area during construction.
I
4. The accompanying report titled "Site Investigation Questionnaire for Consulting
Design Professionals" containing Held obserVations and instructions made on
? II () 1(. l.- (date) for the building site was completed either by
myself 6r by ~ employee of my finn under my supervision. To the best of my
knowledge, the information contained in that report is complete and accurate.
Name of Licensed Professional (print) _ft,,11 C ~L
.;ZF'fP1/S00/-F .
SignatuSiA--.l-~~~
Date-.:!!j 7/ (J "2-