HomeMy WebLinkAboutPermit Building 2003-4-16
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Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
. 225 5th Street, Springfield, OR97477 Ph. 726-3759
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AMBLESIDE :MEADOWS SUBDIVISION-1ST ADDITION
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Site. Investigation Questionnaire for Consulting Design Professionals
foundation requirements - new structures on residential lots
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2. . Has the design professional reviewed a. copy of the geotechnical information .
fo~the subdivision that was provided with the ,building permit? YesXNo_
If not, please contact this office for a copy of the report; The design professional
muSt be familiar with the geotechnical infartnation before completing this form. .
. 3. What was the size and depth of th~. excavation and lor fill?
,'Suf!.~AC.t-. cPL"A,..s.C.~ ON t.:::f
Was existing non-structural fill or expansive soil encountered on the lot?
YesX.No_ If "yes", what types,depths and locati9ns? .
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. What measures were taken to remedy the soil condition (include type of
engineered fIll used to stabilize the soil)? .
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Community Services Div, Building Safety .
CITY OF SPRINGFIELD, OREGON.
225. 5th Street, Springfield, OR 97477 Ph. 726-3759
Job Address ? ":>1 (p A,""", S....E, ~ 1 oe ~e..
City Job #
Is the site as prepared adequate )g( inadequate 0 to maintain constant moisture
content in the sub grade? Note: Verification of moisture stabilization in the sub
grade is a requirement of the geoteclinical report, and must be affirmed before
construction can continue.
If inadequate, what measures are needed to provide constant moisture content in .
. the sub grade?
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. Is the site.as prepared adequate . inadequate 0 to support the proposed ..
structure? An affirmative an. er is requisite to proceeding with construction.
If inadequate, what additional work is needed to proVide adequate
. foundationsupport?
4. -Did the design professiOllal witness placement and compaction of the
engineered rIli, or is there a special inspection report forthcoming from a .
qualified agency?J witnessed Placement. 0 Special Insp/compaction report ')i( .
s. 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 ...... 0
The method shown on the original construction drawings. .. .. ... .... . . ; . . . . . ..... 0
the typical 'Foundation Drain' drawing attached to permit ..................... 0
Perforated perimeter drains are not required.... ... .... ..... ...... ...... ... ... ...... p;r
Comments: .
Note: City inspectors will inspect installed drains prior to cover upon request...
Call: 726-3769 to schedule inspection. .
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Community Services Div, Building Safety . Job Address ~ "\ 1 " ~"'" ~ L- Cl S I Ol!.. I}ff.
CITY OF SPRINGFIELD, OREGON City Job #
.225 5th Street, Springfield, OR 97477 Ph. 726-3759
Low-point crawl space drains are required to prevent the build-up of excess
moisture inside the foundations during (and after).consttuction. This drain
may be installed after foundation placement onlv with the exnress nermission
of the desim nrofessional.
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 placement without a
significant moisture build-up problem within the foundation............. ~
(The low-point drain may be installed at the A,J "'T' .... 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)(
. 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 detennirie whether the approved pennitdrawmgs have
adequate fou,ndation 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.
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Community Services Div, Building Safety
. CITY OF SPRINGFIELD, OREGON
225 5th Street, Springfield, OR 97477 Ph. 726-3759
Job Address ~ ~1\s.~M ''-..S, Oe. ()~
City Job #
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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 fritther 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 affidavitJrgJe'A and stamped by the design
professional under whose auspices this report was completed, affIrming the information
herein. The signed/~.;~a affidavit together with a copy of this report shall be
submitted to this office prior to requesting framing inspection for the building.
Signature . If!. /-I1/), /4~/).-^--
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Name---B-fZA{)ti. '1 n... My "...J
Company M I\lL-T,eft. e;VC;IA-~e..rzl'l-(i, !"c
Phone 4-(:;11- ~ 0 PI 0
Title. j> E:
Licensee
License #
a QAtDCt/j fJ... .IMVJ::f\.-~
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expires . J 7../7 il~ +-
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The geotechnical report for the Ambleside Meadows - 1 st Addition Subdivision
recommends immediate moisture stabilization of exposed expansive sub-grades, audthat
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 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 .
comoacted to reduce the infiltration of water at the surfaCe. The adequacy of fIll soil
material around the building must be verified to the satisfactioIi of the design
professional.
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Community Services Div, Building SafetY
CITY OF SPRINGFIELD, OREGON
225 5th Street; Springfield, OR 97477 Ph. 726-3759
Job Address ~ ." 1 c.:. A "'l." (,..e$' J 0 ~ ,~ Il.
City Job #
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Affidavit
For Site Investigation Questionnaire
Foundation Sub-Grade Approval for .. .
Residential Building Site in Ambleside Meadows - 1 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 aran authorized employee of my fIrm and that the 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.
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.
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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.
, + ,~ ~/ o~ ,. . ( 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) B (<;tDL t'1 P.. M vt.'i (
Signature
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Date 4 /..1/0 1
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