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Home My WebLink AboutPermit Miscellaneous 2007-12-5 " ,:; , :;;~"~: ;;~;~~~,,'~~"~,';~~, L l' ~l"~~,~ 17 -~25.)\1o SlrL:L'l. Sprlll:;rit'ld. OR,07477 Ph. 7:?6-~75t) (} t'fJ? ,; ~" F.~;.,~.;,"~...1Jr.~'~:#!"".'-t""I-~"'"'iJ!';:!"'-~"';j,\~"~.{,'i.'.U~-~:C-~.r';:'C:"~';';')":.-Q;f"~%,\;''ffi'' !.t:~;~'14.'""''':,":~.b}{lif.;I--.'.'., ".:~ . ..>-,- ..i'... ~1J,f.;~~~r",!}~(1j;.f;<,'d'i;.iK:t~';,'lf.'';J.'''2l:l;1!iiifiF~~~:zilttrtl'J.w.\t~'I~;,ol~...<.:<~~,,~~~;!;il,,~J.~,-It;.~'?-~. '''~l;;:,.,::::~?\~!;''"-!::);:::'~ ",' ':::~:~!~~:::&.'L\ ,."," ;;.;:;;;:.:;~.-~~,;:,t~i;~:'~~G~l;~ l~;~-4t ....,-.-. ,.-,.".-,,;(' -,/"", :.'::,;,::i'" Mountaingate Subdivision I Site Investigation Questionnaire for Consulting Design Professi.onals SITE ADDRESS ?'/~-; ~~ L.p; CITY JOB# L.-tJflP ''2607-OcJl''12-.' 1 . Foundation re~JUirements . new structures on residential lots This form may be used as a verification to allow construction to continue on the job site until the :stamped 'AFFIOA VIT For Site Investil!ation Ouestionnaire' is submitted to the City. This form must be completed by a licensed design professiol)al (engineer or architect) or hislher authorized representative, and submitted to the building inspector prior to ~equesting City inspections or placing foundation concret~. It is important that all questions be answered completely for the foundation site to' b'e approved for construction, . , Owner' IZwtt.. U~ htAIUJt:='tZ5 Contractor 12(vf::1Z- (/lh~~ bt,,{(t-/J~f '( A, Date(s) of the design IlrofessionaI's site evaluation? . 1-vI 4-1 "'Vn-? . I B, Has the design professional reviewed a copy of the geotechnical information that was prepared for the subdivision relating to this site? Ye,.,K No~ If not, please contact this office for a c;opy of the repol1, The design professional- must be familiar with the.geotechnical information before completing this form.. C: In which Geotechnical Investigation category is this site located? Level I 'I..... Level II Note: Level II reouires a site-soecific l!eotechnical investi~ation & reoort We're any site conditions identified that would chattge the category? YES_ NO~ (For criteria determining category. see the specific Geotechnical Report for the correct phase'of the subdivision) If "yes", explain (use the reverse side of this sheet or an added sheet if necessary) 10f5 Cll:1ll11unlly sl'rvi(l's Div. Building S,irCIY ('ITY OF SPRiNGFIELD OREGON ':::25 :;Ih StrC-t',l. Sprin!;fi\:'kL OR l)7~77 Ph. 726-.i75<.:; Mountaingate Subd. Lot # -; 7 .' Was a geotechnical engineer involved at the site to verify that conditions'are suitable for construction of the proposed building(s)? Yes ANo_ Name of geotechnical engineer .~, y~ ~UU-Ir-~ D, What was the nature of the excavation and lor fill?.-5.L,~ CdJ.1 <;' I C;ij" a;e- ce"l-d..-SI-" A..vc.- <A.-L-~ IG~ kt.T ''Ii IT - /? u J ~. Jz-/~ , ~FI7 ~ d7]::i:F3u ~/A/6- ,!, ,,-'01 t/JJlu,J /' d>. j r17UA r:n 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? Whatmeasllres were taken to remedy the soil condition (include type of enginl'ered fill used to stabilize the soil)? ~J ~TILIP bLn..:J-O"J ~'7 LA--<t f:"iL- ' . "":"J /,lnA':=; _ rot? /'JI!- ~ "" I /)4;jd: ~ .. ~ ^ (' ~",-A-vF1 c4?- CA fA r/1'fI) A l> If /t.(",,~ /'. .. , Is the site as prepared adequate I)l inadequate 0 to maintain constant moisture content in. the sub grade? Note: Verification of moisture stabilization ill'1he sub grade is a requirementfor site preparation, and must be affirmed before construction can continue: If inadequate, what measures are to be taken to provide constant moisture content in the sub grade? Is the site, as prepared, adequate~ inadequateD to support the proposed structure? An affirmative answer is requisite toproceeding with construction. . , If inadequate, what additional work is needed to provide adequate foundation support? E. Did the design professional witness placement and compaction of the engineered fill, or is there a special inspection report forthcoming from a qualified agency? I witnessed Placement 0 Speciallnsp/compaction report 0 L>>~F'~ (2-tu- I~ /51 dfV!-t=7t.-S. 20f5 ((\ll1IJWl1ily S~rvii."~~,'i Div. Building S,'ir~IY CITY OFSPR!NGFIELD. OREGON 225 5lh Sln':cl.Srri!i)2jj~kJ. (jR ln477 Ph. 72(""~375Cj Mountaingate Subd. Lot # 1/ 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... 0 The method shown on the original construction drawings.......... ...... . 0 The typical 'Fomtdation Drain' drawing attached to permit .........,......... ,.gl Perforated perimeter drains are not required... .............................. 0 Comments: ~ JU.:>. A.J ~ (C~Q .1A-/Il{$D Note: City inspectors will inspect installed drains prior to cover upon request,.. Call: 726-3769 to schedule inspection. G. Low-point cra\vl space drains are required to prevent the build-up of excess moisture inside the foundations during (and after) construction, This drain may be installed after foundation placement onlv with the express permission ofthe desil!n professional. ' a. The design professional has determined the following: The crawl space drain is required when the foundation is installed..... 0 The low-point drain can be insialled after foundation placement without a significant moisture build-up problem within the foundation............. 0 . (The .low-point drain may be installed at the stage oif t t'o) post & beam, [ramillg. roofing, etc. eon$ rue ~ n . 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? (M'fstbe an approved location, i.e. s/reet gutter, storm sewer, sump pump and discharge line to the street, etc.) . ):-J':JiL,: ({reO '4.{ ..leW 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 f~r the building? . Yes _ No -X-. If "yes ", describe additional steel required (or provide drawing). 30f5 " Cnml.1ll!l1il;/ ,c',LTvicl.:s Div. Building SafelY CiTY m' C;"RF'K,:=TELn OREGON 225 5111 :~lrl'<;:!.'Spri:lsfi\.'kL OR lJ7477 Ph. 726-.~75lJ Mountaingate Subd. Lot # 17 The individual doing the observations and providing direction for the excavation and site preparation work on the property must sign the following statement. The undersigned design professio'1al (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, 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 ~ '\ ~ ~- Name M (C-'Hd-rp #1 ~~4'U1r- Title ftl ^-,/j/-"(;(:::"" Companyfc- (~ P Ilf c-nu(S7DL-',v(,-..J3vc- . Phone tJ, 9'eL _e; T"i''' .. } , . ". Licensee .Il-1, c/~/l.-1~ L ~ 1'5 o/L~~r License # /1&/-74- expires_,,/.../dY The geotechnical report for each phase of the Mountaingate Subdivision makes recommendations for placement of building construction on each site. The report also recommends that site preparation during wet weather conditions be :avoided unless special measures are taken to mitigate soft soil conditions and moisture collecting in or around the foundation areas durittg and after the construction process, Positive site drainage must be provided, 4of5 ('(ll1lll'\l1l1il)' Sel'vict::-; Div. Buildin'g Saf..:\y CITY OF SPRINGFIELD. OREGON ~25 )lh SIH:Ct. Springfield, OR 97:.1.77 Ph. 72h-J75l) Mountaingate Subd. Lot # '7"1 . ",~",-"-"'.,,. ''';'''~'<;;'';')n ij..' 'I'" ""';"_~'L._' ,. ,'".',,-, ,.-,,' o. "4 ._. '-.. . ."'~l'.";'''''-''''~ ','." '.:';' p"';:, ......,_,.,_. _:'-/:::~:'>:::"l,:. ;,.~~",..~_., ~~fWJ1<1t-1jl);.~sirM;'ii~it\fk'(lf:;l'l#[1w:ffi1',,~J;l;i)W.1iM',ji~t:tJr~'1.f.~jll;~,;;,:":''i.;c,;.:':;-;;' ("':':;;":';c;;,~4,~II~i\iI . - :;;'~i~>J!~<;.':l:"~ _',;:i":'~;'i ,,;::;,r~~:,;,_ Sl'te Address "'I ~ ." "., ~ ..~ I ~. +i>':';',:i.,;;.,.. .:::.:::. "":.:,' . ..se. "") ':J f___.... ( I f'J Wlr LASV,-- ';L:J<:"',~.;.~'.,'-;-,~l'--'~;'.;.-~:" -"""',":' , AFFIDAVIT For Site Investigation Questionnaire Foundation. Sub-Grade Approval for Residential Building Site in Mountaingate Subdivision The undersigned hereby affirms that the excavatioil, structuraIfilI and moisture stabilization methods for the' building site at the address shown above were observed by . me or an authorized employee of my firm and that the following is true: 1. The geotechnical information for the subdivision, specific to this site, was utilized as part of the determination for foundation preparation and drainage requirements. 2. The foundation sub-grade is capable of supporting a minimum of 1500 psf, and is adequate to support the building proposed 'for this site, 3. The moisture content of the excavation was adequately maintained during the site preparation proce~s 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 Investigation Ouestionnaire for Consulting Design Professionals" containing field observations and instructions made on (dates) I "1/4-/-z...hY7 for this building site was completed either by me or b/an authorized representative' under my supervision. To the best of my knowledge, the information contained in that report is complete and accurate, . Date~/'1.-u,~""7_ ~,fJd/.../')/ .~ 4:~Gf~e~ 1~~~ ~~\ ~~~ OREGON.,} .... ~ ,q... C'::) %,!;~BER ,6, fO~ t DENNIS v....~ EXPIRES/~-!;I /WclC, , , Name of Licensed Professional (print) JirJ rCo#A-Ft:..;. Signature~~ ,