The URL can be used to link to this page

Home My WebLink AboutPermit Building 2002-8-15 Community Services Div, Building Safety Job Addres!: ~? 4- "- CITY OF SPRINGFIELD, OREGON City Job # 225 5th Street, Springfield. OR 97477 Ph. 726-3759 \No ~ \ "'\e LC? Oo;,j'(l..l;;i'l' ,;i" :' '" .~. ~. ~ ;,~H ~~ ::_;' ~(;';'.' 4'_: _ _'" .~.: ',';~:...~.,:,~,~.::~,;.I ~:, ,;, "1:, 'J: \, ~ :,_;. - AMBLESIDE MEADOWS SUBDIVISION-1ST ADDITION ',Site, Investigation Questionnaire for Consulting Design Professionals toundation 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 hislherauthorized \O;&U.l'loyee, , and submitted to the btinding inspector prior totequesting City inspections or placing foundation concrete. It is important that all questionS be answered completely for the foundation site to, be approved for construction. Owneran~orContractor t-t1'Z-, \4.e'" go? 1. Date of the design professional's site, evaluation? e> _l? \ o-z.;.' 2. Has the design professional reviewed a copy of the geotechnical information ' for. the subdivision that was provided with the.building permit? Yesi<-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? ~ 1;.O/PO.b - Mk"4- b~\ "t :b\....a\'\ . Was existing non-structural fill or expansive soil encountered on the lot? Yes.,g. No_ If ''yes'', what types, depths and locations? ~ Ll.,.' ~ ~ lAu ~,...- D c....~ \ .. ~J ,Ia., e.. LtJ(,l'''? ,. " \ " I V1" Ui'5 ' .. , What measures were taken to remedy the soil condition (include type of e~eeredfill used to stabilize the soil)? ~\)ae.. 2~U.J..:,.~:rtf' ' 1le~ f'~LL ~\ '" \'2." c;a. c;.(4,~~~D 12ooc. '~tD-r ~ l~O. 1 ~.' . Community ServicesDiv, Building Safety .Job Address ::;f?4. q f.:) ~ 'P'l2.W'1, CITY OF SPRINGFIELD, OREGON City Job # 225 5th Street, Springfield, OR97477 Ph. 726-3759 Is the site as prepared adequate ~ inadequate 0 to maintain constant moisture content in the sub grade? N.ote: .verification of moisture stabilization in the sub grade is a re,quirement of the geotechnical report, and mtlst be affirmed before construction can continue. , , If inadequate, what measures are needed to provide constant moisture content in . , the sub grade? . l Is the site as prepared adequate;B.. 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 professional witness placement and compaction of the , engineered fili, or is there a special inspection report forthcoming from a . qualified agency? I witnessed Placement 0 Special Insp/compaction report 8-. s. The design professional lntend,s to use the following method for instaIIation , of perforatedperinleter 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 'Foundation Drain' drawing attached to permit. ..... .~.... ~.... .... 5- Perforated perimeter drains are not required,.........~............................. 0' Comments: .1', Note: City inspectors will inspect installed drains 'prior tocover upon request... Call: 726-3769 to schedule inspection. 2 Community Services Div. Building Safety' CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 .Job Address City Job # ~+'l 0'& P ~gy Low-point crawl space drains are required to prevent the build-up of excess moisture inside the foundations during (and after) coristtuction. This drain may be installed after foundation placement onlv with the exnress Dermission of the desim Drofessional. .'" , ' a. The design professional has determined the following: The crawl space drain is required when the foundation is installed..... 0 The' low-point drain can be installed after foundation placemelit without a significant moisture build-up problem within thefou1idation............. B- (The low:-point drain may be installed at the A ~'1 ,'stage of construction) post & beam,fran:mg. roofing. ete. , 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,additionaI foundation steel required that is not shoWn on the foundation drawingS for the building? Yes ~ No If "yes", describe additional steel required (or provide drawing). The following statement must be signed by the individual doing the observations and 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 Job Address ~~ "\ ~ City Job # f:).pfe~ 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, affrrming the infonnation ' herein. The signed/stamped affidavit together with a copy of this report shall be submitted ~o this office prior to requesting 'framing inspection for the building. . Signature RIb V - Name '2,.l('1( ~~ Title ~"'b. A.c;~~ Company _M 0 e..:n ~ 'toto t. ll}..\Q'l",,2.' '1 '- Phone ~,- ~&e~ Licensee ~"Me\A ~'. l-t"lt61-k~ Ucense # 'lOLf' B U ~ t? P. . expires fwG l...JO~Jb?. . " The geotechnical report for the Ambleside Meadows _1st, Addition Subdivision recommends immediate moisture stabillzationof exposed expansive sub-grades, and that expansive soils beover-excavated and replaced with at least 12 inches 'of fill compacted to at least 95% of ASTM 0698 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; fmnl~ ' comDacted, to reduce the infiltration, of water at the surrace. 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 Job Address -~ 4--'\ f:) "? f' t' g-'( CITY OF SPRINGFIELD, OREGON City Job # 225 5th Street, Springfield. OR 97477 Ph. 726-3759 ,,# ;! ::~ : ~:~ ..',. ',","~.' ~ ~,~. ," ~~,~'" "lV "\7 -:'-':'., \'..0' ,,' .:-,~ ~ "..' -.: r:." ":;,: .t..~. ~, _ .:",~, -' ':: ; - - Mfidavit For Site Investigation Questionnaire - Foundation Sub-Grade' Approval for _ Residential Building Site in Ambleside Meadows ~, 1 st Addition Subdivision The undersigned hereby affnms 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-grade is capable of supporting aminimum 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'coveredto 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 'Desi~ Professionals" containing field observations and instructions made on -' , ~ll'='J o"t.... -, (date) for the building site was completed either by myself or by an em.ployee of my fum undermy supervision. To the best of my . kn~W1edge~ the infOrmati~ con~ed in that repoct is comp~ete and accurate. Name of LIcensed ProfessIOnal (pnnt) V~.eJe._ S i l ,( I SL--Vovv- , ' , ~~~ , ~~~\. , J.'fL- ~ ~GiN~~~,~ ' " <<I r.: ~ "Jirort..~ ~ ,') ,:;; "~' v"-t ' ;;- ~ ~1f)~ht,GOi\J()& ~ V4RY ,\'S;'1~ ~ . ~A S. H\\.\.~~ \IV 0 .::tb: I '-t8l? I EXPIRATION DATE: 6t30L 63