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HomeMy WebLinkAboutPermit Building 2009-2-6 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00I27 ISSUED: 02/06/2009 APPLIED: 0112712009 EXPIRES: 08/0612009 VALUE: $ 269,905.46 SITE ADDRESS: 6190 Graystone Lp ASSESSOR'S PARCEL NO.: 1802032206100 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential Owner: BRUCE WIECHERT Address: 3073 SKYVIEW LN EUGENE OR 97405 , . , I CONTRACTOR INFORMATION' Contractor License BRUCE WIECHERT CU~~NcfWM~flNCI 101717 L &tEEHtT(';TRi~iN",.C~n, by the Olegol1 Utility 105475 JA YMIE/<i'()MHJJrF.'F'Wil~e1IIL~t:\fflN(J;et forth S"'Ey)\~~:rOxr.~~~No'thlOUgh op.,R 952~~02.'65065 "......' .-- " ,-- :-........,=~.'lLlln. !:-,J.-- -I 0090., You may (lu~uJwi~Gl{'If1mM'ION I callmg the cen~. . n Utility Notiticahon # of Units: number 11)[ the [~g~~-13%l!U2~4). Primary Occupancy Group: MntellS 1 8l'leight of Structure. Secondary Occupancy Group: U Type of Heat: Primary Constrnction Type VB Water Type: Secondary Construction Type: Range Type: # of Bedrooms: 3 Energy Path: Sprinkled Building: Contractor Type Genera' Electrical Mechanical Plumbing I 28.00 Gas Gas Gas nla I DEVELOPMENT INFORMATION' Hillside Total: 2 Handicapped: Yes ~act: 31.0~~,~t~ ~t;)\ e'l.~\~~~~\\)~9. I PUBLIC IMP\l..~~~~iQ\\>.~~~ \~\~~t;)~'i::V . . \"~ ~'t.t" '\ ~~'i) 'd'e~ Fnlly Improved \~\S ~t;)~\ttl'0 t;)~ ~(\'0. alk Type: Yes "'\)\ ~t~C ;:{ ~t'mJWnspouts/Drains: Ct;)~ \CO\) '01" , ~~i Storm routed to storm sewer. Impervious area at max for this lot. Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 ' 26.40 5;00 48.00 25.72 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Street Improvements: Storm Sewer'Available: Special Instruction: Notes: ~* Page I of 4 Phone Number: 541-686-9458 Expiration Date 09/16/2010 03/30/2010 Phone 541-686-9458 541-933-2653 03/12/2010 541-342-3765 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 10,430 2,156 386 631 393 REQUIRED PARKING 2 Curbside 5' To Storm Sewer' Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garage/Misc SF/Duplex U VB Utility R-3 VB 1&2 Familv Fee Description Plan Review Residential + 12% State Snrcharge + 5% Technology Fee 1st Appliance 3 Baths One &'Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Fixture Gas Outlets 1-4 Mountaingate Impervious Area Overwidth Application Fee Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpolmprovement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit' Temp Power 200 amps or less Vent Fan Willamalane Single Family I V~luation Descrintion 1 $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 630.00 2,542.00 Total Value of Project f,~rdS\ pqiH Amonnt Paid Date Paid $725.24 $281.36 $137.33 $79.00 $402.00 $38.00 $9.00 $1,400.65 $88.00 $9.00 $13.00 $153.90 $20.00 $38.00 $7.00 $1,302:48 $45.00 $211,00, $185.18 $-30.00 $134.00 $125.00 $715.24 $940.62 $10.00 $1,009.17 $97.90 $188.73 $888.98 $201.54 $69.57 $88.00 $63.00 $45.00 $2,858.00 1/27/09 2/6/09 216/09 2/6/09 2/6/09 2/6/09 2/6/09 2/6/09 2/6/09 2/6/09 2/6/09 2/6/09 216/09 2/6/09 2/6/09 2/6/09 2/6109 2/6/09 216/09 2/6109 216/09 2/6/09 2/6109 216/09 2/6/09 2/6/09 2/6109 216/09 2/6/09 2/6/09 2/6/09 2/6/09 2/6/09 2/6109 2/6/09 Page 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00I27 ISSUED: 02/06/2009 APPLIED: 01/2712009 EXPIRES: 08/0612009 VALUE: $ 269,905.46 Value Date Calculated $23,763.60 $246,141.86 $269,905.46 02/05/2009 02/05/2009 Receipt Number 2200900000000000103 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 1200900000000000083 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00127 ISSUED: '02/0612009 APPLIED: 01/27/2009 EXPIRES: ' 08/06/2009 VALUE: $ 269,905.46 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541_726-3676 Fax 541-726_3769 Inspection Line Total Amonnt Paid $12,549.89 Plan Reviews I Initial Review Public Works Review 01/28/2009 01/28/2009 01/28/2009 01/28/2009 OK APP NJM BJG Impervious area at Max for this lot. Planning Review 01/2812009 02/02/2009 APP DDK Choose street trees from the list of "Native Trees in Hillside Development" on page 4-6 of the street tree handout. Shade point height not to exceed 25 feet for solar protection. Structural Review 01/28/2009 02/05/2009 APP KLK Approved as noted on plans To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~n~.np.f'tion~J Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placemeqt of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with, footing and/or foundation inspection. Footing: After trenches are excavated. , Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulatio~ or decking. Floor Insnlation: Prior to decking. Framing Inspection: Prior to cover and.after all rough in inspections have'been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. . Final Building: After all reqnired inspections have been requested and approved and the building is complete. 'Undertloor Plumbing: Prior to insnlation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plnmbing: Prior to cover and including required testing. Page 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-00127 ISSUED: 02/06/2009 APPLIED: 0112712009 EXPIRES: 08/06/2009 VALUE: $ 269,905.46 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plnmbing work is complete. Underlloor Mechanical. Prior to insnlation or decking and including required testing. Underlloor Gas: After line is installed and'required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimnm of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Temporary Electric: Approval required prior to Utility Company energizing pole. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is irue and correct, and I further certify that any and all work performed shall be done in accordance with ,the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be, made of any structure without permission of the Community Services Division, BuHding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensur that all required inspections are requested at the proper time, that each address is readable from the street, that the permit ~~ ijocated at the front of the property, and the approved set of plans will remain on the site at all times dnring co~struct oni I () Il, /' 1 / b I 0 ~ Owner or conrys gna'(..re V Date I Page 4 of 4 ~ ?, Willamalane t Park & Recre,ation Oistrict Job. N~. (!? ~ (j]/:J.--j SY~TEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAM~Uchl.a:f Ui)!;)m/J/o(WdrPHONE: !t~ ---BJSo ADDRESS&-?-5 ,S~er.,) CITY ~1LJt.t../ STATEUMIP: t( 7Lj(J5" LOCATION OF PROPOSED BUILDING SITE: Street Address: 10 lj 0 (c;rfLU( 6M11b Lp Plai NamemOi1rr1!1~n {)Ii/0l t6[i:x Lol Number:! (('7).2 03 ,),?- 0& /OV 1; DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) , A. Sinale-Family Delached NO. OF UNITS X $2,858 per unil = B. Sinale"Familv Attached - NO. OF UNITS X $3,100 per unit = C. Mulli-Familv Aoartment NO. OF UNITS X $,?,641 per unit = n, ~ina!e-Room-Occuoanc" NO. OF UNITS X $1,321 per unit = E. Accessorv Dwellina Unit NO. OF UNITS' X $1,550 per unil = WILLAMALANE,SDC ~. 2. SDC CREDIT (if applicable) SDC payer must fumish proof of Willamalane Credit approval. ) 3. TOTAL WILLAMALANE NET SDC ASSESSED . (if SDC reduced for Credit) ~11/A /Xd"J,adU 6.) City Sp ingfield ' , . , ' 21 , ,Date $ :;{, ff'S2('. {)7) $ $ $ ~. $ ],/tc:;e: r-v $ $ $'~ / f"S(, b, C> i Q"LJ n ,. 5 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRlCALfERMIT APPLICATION City Job Number c..;a222()() q _ ('JO Q,--t Date ():2/0&/ () C} 1. . '!fWGAT~QjJ/oF)INErfA1JiJA170N:;~~'fIi;~ 3. & 19!5~~~&;;;h~'';jf);;;W{$a~ / LEGAL D~J;RIPTION I ' f?fJ.,r)5;),? OU Ion JOB DESCRJPTIO~ ~ MfJy/ (AJi~L ~ ~i^-P ~~ . Permits are non-transferable a~d expire i/work is ," not started within 180 days of issuance or if work is Suspended for 180 days. ' 2. Electrical Contractor [,I" e; ~77/LIC-- Address p {; . /:7o'~ ,I ( ( 3'9 Phone Sf( -6ff f'ft'b City (::::U be=Ve. Supervisor License Number . ~ '5 c; 'i 5 S 1O)6C:; 5' en '113 C:;/66 Expiration Date Constr. Contr. Number Expiration Date I Signature of Supervising Electrician {{'.f Ld#r./ () < Owners Name luB/ClltX/Di flO/Y'l..-, ^'b'if:'! SjcU V1d.0 - City- J {){j ~hone & 6& ~ 9<-15&: OWNE NSTALLATlON The installation is being made on property I own which :~:::.~:"" '=;~ ~ ~ ~. , Inspection Request: 726-3769 A. Service Included 1.3"1. <J" 1'5 tI $l-(lQ.U0 .., f5"V d5. I~;- $~ 1000 sq. ft or less Each additional 500 sq. ft..or portion thereof I Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less ( 201 Amps to 400 Amps 40 I Amps to 600 Amps or 1000 G2 U.Q.QD $69.00 $100.00 C, .z, <!0! D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited EnergylCommercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 322.cr-v 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Permit Application I-03.doc A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET , JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY StORM SYSTEM I IMPERVIOUS,S,F, x I COST PER S,F, CHARGE I 3651.00 I $0.357 I = I $1.302.48 . RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS' , I IMPERVIOUS SF I x I COST PER S,F, I x I DISCOUNT RATE I I I 0,00 I I $0.357 I I 50% I ~ ' COM2009-00127 Wiechert Homes 6190.Graxstone Lp . 1802032206100 Single Family Residence ,I BUILDING SIZE (SF" 3525 ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - r.ITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 34 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 34 I $1,302.48 COST PER DFU $27.67 COST PER DFUI $21.04 I ITEM 2 TOTAL, CITY SANITARY SEWER SDC = , $1,655.86 LOT SIZE (SF): 10430 ~ Ir/l liS 10 u I~ 10:.1 f-< r/l - o gj DISCOUNT $0.00 " ' , , ~ , $1,302.48 I 1070 $940.62 $715.24 1091 1,1092 I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW ~S X UNIT,EQUIVALENT = DRAINAGE FIXTIJREUNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDITIONAL FIXTIJRES) NO.,OF FIXTURES ~I UNIT FIXTURE TYPE NEW OLD EQUIVALENT BATHTUB 2 0 3 = DRINKING FOUNTAIN 0 0 1 = FLOOR DRAIN 0 0 3 = INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = iLAUNDRY TUB 1 0 2 = I CLOTHESW ASHER I MOP SINK 1 0 3 = ICLOTHESW ASHER - 3 OR MORE tEA) 0 0 6 = IMOBILE HOME PARK TRAP (I PERTRAILER) 0 0, 12 = I RECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3 = ISHOWER SINGLE STALL 2 0 2 = iSHOWER. GANG (NUMBER OF HEADS) 0 0 2, = \SINK: COMMERClALiRESIDENTlAL KiTCHEN 1 0 3 = ,ISINK: COMMERCIAL BAR 0 0 2 = ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = IURlNAL, STALL I WALL 0 0 5 = ITOILET. PUBLIC INSTALLATION 0 0 6 = ITOILET. PRIVATE INSTALLATION 3 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S - 20 = TOTAL DRAINAGE FIXTURE UNITS DRAINAGE FIXTURE UNITS 6 o o o o 2 3 o o o 3 4 o 3 ,0 2. 2 o o 9 :..J *EDU (EQuivalent Dwelling Unit) is a discharge eQuivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day , MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I I YEAR ANNEXED BEFORE 1979 1979 1980 198] ]982 1983 1984 1985 .1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0.00 x $0:00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0.00 x $0.00 I I I I I I I I I I I I I I TOTAL MWMC CREDIT ~ , = 2--" I I I I I I 2 2004 $0.00 o $0.00 Job/Journal Number COM2009-00127 COM2009-00127 COM2009-00127 COM2009-00127 COM2009-00 127 COM2009-00 127 COM2009-00127 COM2009-00 127 COM2009-00 127 COM2009-00 127 COM2009-00 127 COM2009-00 127 COM2009-00 127 COM2009-00 127 COM2009-00127 COM2009-00127 COM2009-00 127 COM2009-00 127 C0M2009-00 127 COM2009-00127 C0M2009-00 127 C0M2009-00 127 COM2009-00127 COM2009~00127 COM2009-00 127 COM2009_00127 COM2009-00127 COM2009-00 127 COM2009-00127 COM2009-00127 COM2009-00127 COM2009-00 127 COM2009-00 127 COM2009~00 127 Payments: Type of Payment CreditCard Check cReceintl RECEIPT #: Description Willamalane Single Family Fire SF Fee - Residential Addressing Assignment Temp Power 200 amps'or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Overwidth Application Fee Sidewalk Pennit Curbcut Pennit PW Disc - 2nd Penn it Mountaingate Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transportation Admin Plan Review Major - Planning Plan Review Residential Building Pennit 3 Baths One & Two Family Fixture I st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas,Outlets ]-4 Fireplace (Listed) + 5% Technology Fee + 12% State Surcharge Paid By BWCH BWCH 1200900000000000083 Date: 02106/2009 Item Total: l.:heck Number Authorization Received By Batch Number Number How Received djb djb 18239 00576d In Person In Person Payment Total: Page 2 of2 9:08:24AM Amount Due 2,858.00 153.90 38.00 63.00 134.00 125.00 45.00 88.00 88.00 (30.00) 1,302.48 940.62 715.24 201.54 888.98 97.90 1,009.17 10.00 188.73 69.57 211.00 185.18 ],400.65 .402.00 38.00 79.00 45.00 9.00 13.00 9.00 7.00 20.00 137.33 281.36 $11,824.65. Amount Paid $9,500.00 $2,324.65 $11,824.65 2/6/2009 Feb ,,01 09 03: 18p Jan, 30, 2009 3:WM No, jUl~ r. 1 Community Sl....vicc~ Oiv. Building Stlftt)' CITY OF SPRINGFIELD. OREGON Mountaingate SuM. Lot # 90 n5 Sd, Street Springfield. OR 97471 Ph. 72C....37W SPAINGFI~'-~ ~ - I '""ri'.~&'illlll~IIt'''<'~~'~T~~~''''''1II-1iii:: fii"II4- Mountaingate Subdivision I Site Investigation Que~tionnaire for Consulting Design Professionals SiTE ADDRESS: 6190 GRAYSTOHE LOOP CITY JOB # LDP2009.00127 Foundation reauirements - new structures on residential lots Thi, form msy'bc u'sed as a ve':ificaliun to allow eonstrudion 10 continue onlhe job site onlilthe ':<tamped' AFFlDA vrr For Site I nvoslillation Oue.nonnaire' is .uhmitted to the City_ This form mud be completed by a liceo!ied design prores'ional (engineer or architect) or hisfberauthorized representative, and submitted to the building inspector prior to requesting City inspections or placlng foundation concrete. It is important that 011 questions be answered eompletely for the foundation site to be approved for construction. Owner: Bruce Weichert Custom HDmes. Inc. Contractor: Bruce Weichert Custom HDmes, Inc. A. Date(s) oflhe de,ign professional's sitccvalualinn? 1128/09. 1/30/09 8. Has tile design professional reviewed a copy of the geotechnical inlonnation that was prepared for the subdivision relating to this,ite? Yes!. No_ If nor, please contacT T!lis office for a copy of The report, The de,\'ign professional must be jamiliar with The geoTechnicallnjOrmaTion before completing Thi'Iorm. C. In which GeolechnicallDvestigation calegory is Ihissite located? , Levell -X- Level n Note: Level n roouire:; a site-sneL.;t1c 2eotechnicallnvestitd!atinn & Tenort Were any !rite conditions identified lIla! would change the category? YES_ , NOr (For ciiferia d~ttrmlnil1t Call!tory. ~el! The specltic G~tt:chllic;'ll Re{'lort for the COff&! pl'''-l;.e ofttle c;uhdTvisiOn) If"yes", explain (use the reverse side of Ibis sheet or an added sheet if necessary) t(ll'S p.2 , Feb 01 09 03:18p , velll. JV. .lUVJ J, l"tl~! Community Services Div, Duilditlg Safety CITY 0)' SPRlNGFlLW. OREGON 225 51b Slre~l, Sprlngfiefd~ OR 97471 Ph. 726-3759 Mountaingate Sub<!. Lot # 90 Was a geotechnical cngineer involved at the site to verify that conditions are suitablc for construction of the proposed building($)? Yes! No Name of geotedmical engineer Michael RembOldl D. What was the nl\lure of tbe excavation llnd lor fill? The 1.......i...llI. pl"1'!'l'inee.ed Dad thai a.......d to be const,,,,,led D' a mi. of .iII, ..od. 6J!l" sandstDw. and Ila..U collble. ft 1& nm ftodor&landinallllllOO ........oinoered buiklina aads in IhiJ .ubdiVltion ......, orrin I!laIwn oreviousl. a.olO1le..' bv De ci.., TOO 1ID ..., the 'D,lace WB', .erv den.e and eomoac1ed. The 100 ollbe pad...... c1eB,ed .. aoqroxirnalel'! 110 d.inches 01 toooe .ravel..d 1_ ara......... Tbeq ...rop.nalelv 210 4-inches .'>I.-Inch rnlnllt ",","'l-.'8ded CMbed ~1l!.a1e WllS .lacad and Gladed .n the 'lad 10 ar..id. a Dnitom .mlace 10' loolin~ con,'rllClion. Was cxisting non-structural fill or expansive soil enCllUntered on the lot? ,Yes_ NoL If "yes", what types, depths and locations, and how docs.it affect the building foundation? What mcasUICs were taken to remedy the soil condil;(ln (include type of engineercd fill used to stabilize the soil)? Is the site as prepared adequate ~ inadequate to maintain constant moisture content in the sub grade? Note: Verification (jf moisture stabilization in the sub grade is a requirement.!i,r "ite preparation, and must be affirmed before construction cun conJinue. If inadequate, what measures arc to be taken to provide constant moistme cOlltent in the sub grade? Is the site, as prepared, adequate ~ in"deqUalO to support the proposed structure? Anaffirmative answer is requixite iii proceeding with construction, If inadequate, what additional work is needed to provide adequate foundation support? 20fS p.3 Feb 01 09 03:18p , Jln, JO, ZOU~ J:ZHM ~O, JVn .r, ~ Cmnmunil}. Scrvicl's Div, Btiildit~g Saftl)' CITY OF SPRINGFIELD. OHLGON 125 S\l.SlTCL:l, Springl'iclL1, OR 97477 Ph. 726-3759 MOW1taingate Subd. Lot # 90 E. Did tbe design profcssionalwjtn..~ plaeement and compaction of tbe engineered fill, or is thcre a special inspedion reporl fortbcoming from a qualified agency? J wilrressed Placemenl Speciollnsplcompaclion repllr/ The .r..lo",,,, .Iaced upineered fill tbat Ibe bulldl... oad is conslJuolod.. hi. ."'vio..... been a.om."" 0' bu lbEi cllv. lb. limil..d deolllo1 Ih.. "'CI!nIIV .Iaced cru.hed ....nular fill does nol war..nt. anv denoitv les.!ilm. F. . Thc design "rofes.ional intend. to use tbe following method for in~Mlation of perforated perimeter footing drains: The design on the attached drawing provided hy the design professional.... 0 The method shown on the original cOD,truC1ion dr..wings................ , X The typical 'foundation Druin' drawing a!lached 10 pennit ................... 0 Perforated perimeter drajn~ are not required...., .............. .............. 0 Comments:. G.. Low-point crawl space drains arc required to prevent the build-up of excess moisture iDside the fouodations during (and after) construcliolL This drain may be iostaUed after fOUlIdstiol1 placement ,nnh' with the en.)r~-" nermissloD . of tbe desil'n nrofessional. a, The design professional ha.< delem.ined the following: fire crawl space drain is required w/um tm, foundation is inslalled...., 0 The low-point drain (".an be instal/cd after joundalion pic/cement withoul a significant moisture build-up problem within thefounda/ion... ,......... 0 (The low-point drain may be installed at the stage of construction) {.It'SJ It: k>tJm,lram/llg, rQQlmiJ,. ~rc b. Ha.~ the design professiOliaiobse111ed and approved the installation of the required low painldrain?........,.., ..,... ...... ......,.... fe,', Na_ if ''yes'', where is Ihe low point drain located under lhe building and where docs illarminale at this lime? (Must be an approved location.. i,e, slreet gutter, storm sewer, sump pump and di,tcharge line 10 the street.. ele.) A low-oDin! 'l3l1lsnate drain is not necW8rv klllllis toondatinn. The design professional mus1 determine whether the approved pennil drawings have adequate foundation steel. J. any ~dditional foundation steel required that is not shown on the (ouodatioD drawiDgs for the building? Yes No ~ '. If "yes ". desaihe tdditional sleel required (or provide drawing). 3015 p.'! '. Feb 01 09 03:19p . Jan, JU, lUUY J:WM NO, jVl~ r,? CUTnlTll1nity Scrvict:s.Oiv. Building ~I~'ly .CITY OF SPRfNGFfF.LD. OREGON ~2S 5d& Street. ,S)lringfltdd.OR 97477 Ph. 720-3759 Mountaingate Subd. Lot # 90 The individul/I doing Ihe "bservuti"",~ and pmviding direction/ilr the l':u.:uvalion and "ite preparation workon the property mu,..t .sign 'heifllll/wing statement.. The undersigned design professional (or autk'lriud empluyee) allesl. thai heAke observed required moisture stability procedures un lhis ,'ile, and tha/,.~h procedures were accomplished hefore arry c/runges ucc""",d in l/re mOL.1ure content '?f the sub- graile under and around the huilding (where expansive .mils were encountered). The under~'igned further atlests thallhe sub-grail.~, as ptepat~d, L~ (lJ1~q~ale to support th~ building PT(Ip<J,\;ed flit Ihis sile. Additional commcnts: (Note): A copy of Ibis report sbaU be kept on site witb tbe approved plans at aU times. This report shall be followed by an affidavit, sig)lCd and stamped by ille design professional under whose auspices this report was completed, affinning the intbrmation herein, The signed/stamped affidavit together wiill a c<>py (,f ihis report shall be submitted to this office prior to requesting framing inspectio" li,r the huilding, Signature ~ - ~~ . Name Michael Rembold! Tille Princiole Geotechnical Emrineer Company K & A Enoineerina Inc. Phone 684-9399 Lic.nsee Michael Rembolllt License # 19474 eKpire~ 12/31/2010 The ge()technical report for each phase of the Mounlaingate Subdivision makes' recommendations for placement of building construction On "each site, The report nls<, recommends that ,ile preparation durillg wel weather conditions be avoided unle" special mea')un::S are talten to mitigate ~oft soil conditions and moisture collecting in or around the Ihundation areas during and after the construction proccss. Positivc site draim>gc must be provided, 4015 p.5 feb 0109 03:19p .v(:\lI. JV. lUV' J.l)JIfI I~ V. J V L } I. U p.6 C()1nml1I~it)' Services Div, UUi,lding: Safe I}' CITY OF SPRlNGl'lliLD, OREGON .22$ 51" Slret.t.. Spring.fkld. OR 97477 .Ph. 726-3759 Mountaingllte Subd. LOI # 90 hr~'~'" AFFIDAVIT Fur Site lnvestigation Questionnaire Foundation Sub.Grade Approval for Residential Building Site in Mountaingate Subdivision The undersigned hereby alTirms that the excavation, struclurallil1 and moisture stabilization methods I,)r Ihe huilding site at the address shown above weTeobserved by me or an authorized employee of my finn and that the following is true: 1, The geotechnical int'om)alion I,,, the subdivision.. specific to this sile, was utilized as part of the determinalion l\1r loandation preparation and drainage requirements, 2. The foundation sub-grade is eapahle of supporting a minimum of I 500 psI', and is adeqUllte to support the building proposed for this site, , 3. The moisture content of the cx~~vation was adequately maintained during Ihe site preparation process and the site is adequately graded and drained for discharge 10 an approved location morder to maintain stable moisture content throughout Ihe eonslruction process and thereafter. 4. The accnmpanying report titled "jiitc lnvesli~alion Ouestionnaire for Consultim>; Dcsi~n Professionals" containing field observations and instructions made on , (dates) j128mg aOd tl30109 for this building site wa' completed either by me or by an authorized represc:ntative under'my supervision, To lhe best of my knowledge, the information contained in that report is complete and accurate. Sib",ature c::;:~ Date,....lp1-!--z.;.'1 Name of Licensed ProJes~ional (print) Michael Rembollll. P.E, ElG'IIlES ly'J1,) ~