HomeMy WebLinkAboutPermit Geo-Tech Report 2007-10-16
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GEOSCIENCE INC
PAGE 01
P.O. Box 2238, Eugene OR 97402
Phone: (541) 607-5700
Fax: (541) 607-5701
e-mail: J"PlnQ:~i@clellrwirl! net
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I Thodoclrnenia a=mpan)'lng thlsleleoopyconlaln C>)'rlIden1laJ Informollon. ThIS"".,,,,.;.,, Is 1_""
.... by It1e rOOpIen. nome:l 8lXMl, "you 819 not the I"",nclad rOOpIen~ }<lU ara hereby notified that any
dlaclC<llJrBS, opopyIng. or dlst1but1on. or tlkIn;J or any aellon In rall8nal on the coritilnta ti 1hIs lllI""",,",,,
Informa.on Is -y proh""1ed, "you ""VO _thiS teleoopy In OITOr, pi..... notify "'" '_8l1lfy Dy
tIlloill1one to armngo f<r ratun 01 the Original documont.
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GEOSCIENCE INC
,
PAGE 02
BREEDEN BROS INC
PAGE 03
Mountaingate Subdivision
Site Investigation Question Iaire for Consulting Design Professionals
Siteaddress~() COU Ifi< ;)I), CityJob#Coh 70Q;'-OJ{17
Foundation reauiremen~ ~ new structures on residentlallots
Thl$ form lDay be used as a venfi :atlon to allow construction to contWtle on the job
site QJltll the stamped' AFFlDA V 'T For Site lnvesti!>atinn PuestioD1:\aIre' is
submitted to the City. This fol1n lIIust be completed by a licensed design
professional (engineer or archite( t) or hislher authorixed represcn!lltive, and
submitted to the building Inspecb ,r prior to requesting City inspections or placing
foundation concrete. It is import> ~t that all questions ,be answered completely for
the foundation site to be approve 1 rOf .construction.
Owner C;f(JJU-!1A1IJ
Contractor BREEOeIJ Hc?l7tJ JNC
A. Date(s) of the design prof.15~onal's site evaluation? ,
Cf hit/Or S' /f} - Ih - OJ-
B. Bas tbe design profession: I reviewed a copy of the geotechnical infonnation
that was prepared fOf the lubdivislon relating to this site? Ye3XNo_
If nOlo please contact this oj 'lce for a copy of the report, The d~ign professional
must be familiar with the g' otechnical Information before completing this form.
C. In which Geotechnical In' estigatlon catego:ry is this site located?
Levell
Level II ](.
Note: ,Level II reouires a sit :-svecific qeotechnica1 inve.tiqation & reoort
Were any site conditions id ntified that would change the category'? YES_
NOX
(For criteria ~etermining category, so<: Ih, specilic Geotechnical Report for the ..rteot ph... oflh. subdiVision)
If"yes", explain (use the re 'erse side ofthis sheet or an added sheet if necessary)
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BREEDEN BROS INC
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Wan geotechnical engineer involved at the site to verifY that conditioIlB are
suitable for ronstruction of the proposed building(s)? Yes _ No x
Nameofgcotechnicalengineer G Vt{IJN41? SU1L)hlJ frz _ cf(,
. ,
D. WhatW9S tnenatnre oftbe excavation and lor fill? 2 frz Ct / f:!(UlvAflrJfIJ
iJe.fJ,JfJf?"f i:b Nu Cr'ln1P;V, ,rhrdftJ(.{!'$ ,'7.. J[ (r'J(f1Pd
I
Was existing non-structural fill or expansive soil encountered on the lot?
Yes_ No)( If"yes", what types, depths and locations, and how does it'affect
the building foundation?
What measures were taken to remedy the soil condition (include type of
engineered fill Wlcd to stabilize the soil)? NONE
Is the site as prepare 'i1dequat inadequate to maintain constant moisture
content in the sub grade ote: Verification of moisture stabilization in the sub
grade is a requirement for site preparation, and must be affirmed before
construction can COl'ltinue,
If inadequate, what measures are to be taken to provide constant moisture content
in the sub grade?
Is the site, as prepared,~ inadequate to support the proposed
stf\lcture? An affirmative answer is requisite 10 proceeding with construction,
If inadequate, what additional work is needed to provide adequate
foundation support?
E, Did the desIgn profelsionaI witness placement and compaction of the
engineered fin, or is there s special inspection report fOrthcoll\ing from a
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BREEDEN BROS I NC
qualified agency? f Witnessed Placement Special Insp!compaction report
N/A
F. 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 ,X
The method shown on the original construction drawing:!.......... ......
The typical 'Foundation Drain' drawing attached to peunil .. ..............,..
Ped'orated perirnete.r drains are not required,...........,........ ............
Comments:
Note: City inspectors will inspect installed drains prior to cover upon request..,'
Call: 726-3769 to schedule inspection,
G. Low-point crawl space drains are required to prevent the buDd-up of excess
moisture inside the foundattoD!l during (and after) constrnction. This drain
may be installed after foundation placement onlv with the cxnre.. nermlssion
of the dcsll!ll nrofesslonal.
a. The design professional has dcl=ined the following:
The crawl space drain is r~quired when thefoundation is installedX,
The low-poim drain can be installed after foundation placement without a
significant moisture build-up problem within thefowuiation.....,.......
(The low-point drain may be installed at the _ stage
of construction) pc" <I b"";jramlll" rocflnr, <to.
b. Has the design professional observed and approved the installation of the
required low paint drain?.., ."...."...... ......... ........ Yes, _No_
If''yes'', where Is the low pOint drain located wuier the building and
where does it terminate at chis 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 pennit drawing. have
adequate foundation steel, Is any addltional foundation steel..equJred that ill not
shown on the foundation drawings for the building?
Yes _ No X . If "yes ", describe additional steel required (or provide drawing).
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,"'~uLU,ands that site preparation during wet weather conditions be avoided 1lIlless
Special measures ate taken to mitigate soft soil conditions and moisture collecting in or
around the foundation areas during and after the construction l"~~""" Positive site
dtainage must be provided.
Site Address
.no COLC;{fl ,IJi!
Affidavit
For Site Investigation Questionnaire
Foundation Sub-Grade Approval for
Residential Building Site in Mountaingate Subdivision
The undersigned hereby affums that the excavation, structuralli1l and moisture
stabilization methods for the building site at the address shown above were obsetVed by
me or an authorized employee of my fill1l and that the following is true:
I. The geotechnical information for the subdivision, specific to this site, was utilized
as part of the detemtination for foundation preparation and drainage requirements.
2. The foundation sub-grnde is capable of supporting a minimum of 1500 pat; and is
adequate to support the building proposed for this site,
3. The moisture content of the lll\cavation was adequately maintained durillg the site
preparation process and the site is adequately graded and drained for discharge to
an approved location in order to maintain stable moisture content throughout the
construction process and thereafter.
, 4.
The accompanying report titled "Site Jnve.qti~ Ouestionnaire for C'.oQSUltinll'
~cm Pl'l}fussionals" containing field observations and instructions made on
(dates) ..:zJ2" -I- i.i.I&/O;L for this building site was completed either
by me or by an authorized representative under my supervision. To the best of my
knowledge, the information contained in that report is complete and accurate. '_.
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Name of Licensed Professional (print) fw11NtltI J CHI !l.Ot(
Signature