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HomeMy WebLinkAboutPermit Building 2003-4-16 (' . Community Services Div, Building Safety CITY OF SPRINGFTFT n, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 Job AddreSs ';A\ ~Q AM e (... ~ So, DE. De. . City Job # WCi.,JO)' . >",~.~ j'-'7 ":,.," ~ - ' .,' :":~ '''i' -::~ " n-,(t".'", 1~',_1'.> ~ ,:\., .' ',,~ ~".> :~\t '1- ,~'~~;i, j; ~'~~ ~~. ~.: i :......~ ,.~. '~i~ r.~ :;1';'::~\ ,'tl ': ~ - 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 a temporary ,verification to allow construction to continue on the job site until the consultant's s~~e' 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 t~ be approved for construction. Ownerandlor Contractor -SGoTT Jolt c) A.. ,.; 1. Date of the design professional's site evaluation? -dIIi\ II Co 1 0,\ 2. Has the design professional reviewed a copy of the geotechnical information . for the subdivision that was provided with the building permit? YesX 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? "S \J 1-t&ACAf, e> (l.. (ft A,.tJ , c:.. ~ <:) Nt. ~ Was existing non-structural fill or expansive soil encountered on the lot? Yes~No_ If "yes", what types, depths and locations? e> ~<<S:' l>1i.,m\J,.J I F=C~l..._'; '- , What measures were taken to remedy the soil condition (include type of engineered fill used to stabilize the soil)? P~F' J20'-'- of ~~'i'(;, . OS -nev c..\'"'~ L..F I L- L 1 ',;..r' " . Community Services Div, Building Safety Job Address l1;Q A"" 4t;,~ S , O,z'W. CITY OF SPRINGFIELD, OREGON City Job # 225 5th Street, Springfield, OR 97477 Ph. 726-3759 . Is the site as prepared cldequate ~ 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 affirmed before construction can continue. If inadequate, what measures are needed to provide constant moisture content in . the sub grade? " Is the site as prepared adequate)&{ inadequate' D to support the proposed. ' structure? An affirmative answer lS requisite to proceeding with construction. If inadequate, what additional work is needed to proVide adequate foundation support? '4. Did tbedesign professional witness placement and compaction of the engineered rill, or is there a special inspection report forthcoming from a . qualified agency? 1 witnessed Placement 0 Special Insp/compaction report ~ . ,f , . . . s. The design ;professional inten~ to use the following method for installation of perforated perimeter footqlg dr~ins: . , The design on the attached drawing p"i5vided by the design professional ...... 0 The method shown onthe onginal construction drawin~s.................... ..... D The typical 'Foundation Drain' drawing attached to permit ............ ~ . . .. . . .. 0 Perforated perimeter drains are not required;. . . .. . . . . . .. . . . . . . . . . .. . . . . . .. .. . .. .... ~ Comments: v '\ . Noie: City inspectors will inspect installed drains prior to cover upon request... Call: 726-3769 to schedule inspection. '" 2 v -Community Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph: 726-3759 Job Address 1> ~ ~ '. City Job # A.Ao\'L.~' OL D~ 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 onlv with the exnress Dermission of the deshm nrofessional. a The design professiomil has determined the following: The crawl space drain is required when the foundation is installed..... 0 The low-point drain can be installed after fou1u1ation placement without a significant moisturebuild-up problem within thefouiu1ation...........~. ~ (The low-point drain may be installed at the' AN i . " 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 5< 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. streetgutter, storm sewer, sump pump and discharge line io 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 '-/... 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 , .," Job Address ~ t ~'b ,.-\~ ~l..E.~\Orz.... .nil ' City Job # Cornrntmity Services Div, Building Safety CITY OF SPRINGFIELD, OREGON 225 5th Street, Springfield, OR 97477 Ph. 726-3759 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 fUither 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, ?i:~t;f and stamped by the design professional under whose auspices this report was completed, affirming the information herein. The signed/stamped affidavit together with a copy of this report shall be submitted to this office prior to requesting framing inspection for the,building. Signature g A _//L U--I.7..- Name e fU- /) l E:. ''( fL M~,:F it} Title ,D;: Companv f11. ~ fl7r rs:Yl. ~(jIA/e;c;'l.11\J,1' (l C Phone 4- (;4- q t1 Yf D Licensee tf3 U /) L t y A 4::iu Yl ( License #, I 9 (} q t-IJ ~ expires The geotechnical report fortheiAmbleside Meadows - 1 st 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 of fill compacted to at least 95% of ASTM D6~8 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 const:nlction 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 ' como acted 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 ~"" ~ &0 A~,b v~'S: I 0 e.. '~.e.. City Job # ., ; J:~': ':~~,~~ ~~,~\:' '~~';t}i'!i.;:~t:.r '\ ,,-,..<~. - ~~:'~;itj,,- :;J{(~'t-~~~~Ii {~7:~~ '~:J: ~,'::,fiJ r. -.:~ 1;\ ~~'?:-.i'~l: ,:.i.;:' ':~ I] ::'_/) ,~",:"t:; ::;,Jj '.",,; ~; ~> . .' . Mfidavit For Site Investigation Questionnaire '. Foundation Sub-Grade Approval for , Residential Building Site in Ambleside Meadows - I st Addition 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 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. 1. . 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 " ! ' t- II ~ ! v '7 ., .. (date) for the building site was completed either by myself or by an employee of my fIrm undermy supervision. To the best of my knowledge, the information contained in that report is complete and accurate. Name of Licensed Professional (print) (l (UlJ L/.Lv , , f2 M <-,/';1'1 f I Signature. 1< . A ~ iJ /Ml:- Date_ tAro) ~ ~~~ ( ~~o PRO,c-CJI ~x; ~G\N~ ~ l(I1 StO'94PE ~ f ,\, ~~!:! oiio~f{r/~' wO V~'5'.~ 153D~ ~Cy R. ~~ , /v] Expires: /1-/J;lv f- '