HomeMy WebLinkAboutPermit Building 1997-9-5
SPRINCFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971105
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 168 75TH ST
Assessors t1ap #: 17023500
Lot: 4 Block:
Tax Lot #: 03601
Subdivision: CROSSWAY ESTAT
Owner: TOM PHILIP
Address: 3973 DILLARD ROAD
Phone #: 344-9859
City/State/Zip: EUGENE, OREGON 97405
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
BRAD PHILLIPS C 0084521
PO Box 1253 Cottage Grove OR 974240
12/11/97
744-1871
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRt1S: 3
WATER HEATER: G
SQ FOOTAGE: 2350
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
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.
REQUIRED INSPECTIONS
TEMPORARY POWER
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
POST AND BEAM - Prior to floor insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH GAS - after line is installed and capped if not attached to an
appliance TICI!:'
INSULATION - Floor; prior to deck~ ~ll/Ceiling; Prior to cover
ROUGH ELECTRICAL - Prior to coverTHIS PERMIT SHALL EXPIRE IF THE WORK
ELECTRICAL SERVICE ~ t1ust be apprll.(jrikJRlZ~e~et:"~I'ftI1)'1"1:T't~I&NQT
ROUGH PLUMBING - Pr~or to cover.
ROUGH MECHANICAL _ Prior to coverCOMMENCED OR IS ABANDONED FOR
GAS SERVICE - After line is instaA~~'~~ been connected to a
minimum of one appliance. Pressure test done at this point.
FRAMING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL GAS - When all gas work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
SPRINGFIELD
Job Number: 971105
Page 2
Lot Faces: E
Setbk From NPL: 35
Lot Sq. Ft.: 6000
Solar Approved: Y
Total Height: 25
Lot Type: INTERIOR
House
Garage
N
14
Setbacks
S W
5 36
E
20
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1950
400
$/Square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT - - -
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE/W-H VENT
4
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WIILLAMALANE S/D/C'S
S/D/C'S
PLAN CHECK FEE
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
')
Value
126,087.00
6,508.00
132,595.00
507.25
40.58
547.83
Fee
192.50
192.50
15.41
207.91
6.00
4.50
12.00
4.50
3.00
5.00
35.00
10.00
2.80
47.80
0.00
19.00
14.95
1,000.00
2,650.6~
90.00
3,774.60
4,578.1~
SPRINGFIELD
/.:rI'~"H"I"N.
Job Number: 971105
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: BOB BARNHART Date: 08/18/97
Building Site Reviewed By: LISA HOPPER
- - - ADDITIONAL COMMENTS
A &,T ESTlt1ATE ONLY FOR SDC CREDIT PURPOSES
INDIVIDUAL LOTS NOT ASSIGNED BY A & T
REQUIRES SEPERATE ELECTRICAL PERMIT,PATH 1, NO CERT. OF OCC. UNTIL
INFRASTRUCTURE COt1PLETED AND ACCEPTED, NO SANITARY OR STORt1 SEWER CONN.
UNTIL FACILITIES COt1PLETE AND ACCEPTED
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
shall be done in accordance with the Ordinances of the 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, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
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Signa~I1...,- ----
Date
Date Paid:
-- - VALIDATION
- Al?LeI
LI. <5.Cf(1)
r A~l(( \~
YfllV1 )
Receipt Number:
Amount Received:
Received By:
JOB NO. en) I () \
. ATTACHMENT A .
CITY OF SPlnNGFIELD SYSTEMS DEVEL~ENT CHARGE
WORKSHEET
.~,... .
NAME OR COMPANY:
70,." PN/ LIt)
LOCATION:
/b'X
7~ r~1 ~ T ((~O'2'5WA"'~ E~, LOT...l
DEVELOPMENT TYPE:
<-'.FR
BUILDING SIZE
I aT SI7F
so. Ft.
1. STORM ORA T NAG F
IMPERVIOUS SO FT. 2. ~ 8 0
x $0.226 PER so. FT. $ ~~7,88'
2. SANITARY SF~FR-C[Tt
NO. OF PFU'S ~ ~
(See Reverse Side)
X $46.86 PER PFU
$ " 2,"~. 2.%-
3. TRANSPORTATiON
.NO OF UNITS X TRIP RATE X COST PER TRIP
x 1,01 X $472.49
$ 4- 77. 2./
x
X $472. 49
$
x
X $472.49
$
4. 5ANITARY SFWFR-MWMC
Du pv
NO. OF fftt"S X 277." PER fttJ + $10 MWMClADM FEE $ 2.1,7,7(..
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - 43 ,'~
TOTAl -MWMC SOC $ 2.44, II
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ z. t;'"2.4 42-
5. ADMTNISTRATIVE FEFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
&
$ 121",.2"1-
Date: ,-?4-Cf7
TOTAl SOC. $ "2, ~~O. &..4".
sac Coordinator
.. .,.,. VnL. unit. \"'ML...LorULM' 'UI" I1"-\.ULL.. l\lumoer or New t-IX.S X Unit Equivalent =: fixture.Unit~
. (NOTE; For remodels. calculate o.e NET additional fixturesl
. NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..................................................................... .
Drinking. Fountain.. ............................. ..... ......... ........
Floor Drain... ......... ..... ..................... ... ..... ... ..... ........ ...
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher......... .... ....... ..... ....... ...
Clothes washer . 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall......... .............. ......... ... ...... ........
Shower. Gang..... ........................... .............. ......... ...
Sink: Bar, CommerCial, Residential Kitchen........................
Urinal, Stall/Wall............................. ... ....... ............ ....
Wash Basin/Lavatory, Single........................,.........
Toilet, Public Installation......... .... ...........................
Toilet, Private................................ ......... ..............
Miscellaneous:
'-
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
'2-.
~
~
TOTAL FIXTURE UNITS
=
.i.I
........
4-
.....
'3
I~
2..7
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates.
I
Rate per $ 1 ,000
Assessed Value
Year
Annexed
Year
Annexed
.1
1979 or before
1980.
1981
1982
1983.
1984
1985
1986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
=
Credit for Parcel or Land Only If Applicable Jl;; non X $ '2. q I =
(Rate X Assessed Value)
Improvement (if after annexation datel X $ =
. (Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL..:.. ....... _, ..... _. .._.. 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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Rate per $1,000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
.
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: - \~ t _~~\.\~
ADDRESS: (1~V\ ~ \\\ \\(\&.d. ed t()
- . I
PHONE: 3t4 .q~
STATE: 11:: ZIP: Q~4{.D
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LOCATION OF PROPOSED BUILDING SITE:
Street Address: \\c~ "\~'tt\ )5tAQOt
Plat Name: ~~ ~Tax ~ot Number: ~~o031iJ1
1. DEVELOPMENT TY~ (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
,.
A. 0inn1p.-Frlmilv Dp.trlr.hp.ri
l Single Family home
. NO. OF UNITS I
Manufactured home not in a park
X $1,000 per unit = $ I rm ,tXJ
B. .singlp..-F::.milv Att::.r.hed
NO. OF UNITS
X $924 per unit = $
C. .Multi-Familv ADartmen~
NO. OF UNITS
X $692 per unit = $
D. M::.nllf::.cfllrAd Home P::.rk
NO. OF UNITS
X $699 per unit = $
\ G (i)~
6
$ ~olX)PJ
I ~ Iq~
$
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\,~~
~~~nt ~\vices Department
City of Springfield
q
Date
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CITY OF SPRINGFIELD .
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
AUTHORIZATION TO PROCEED AGREEMENT.
THIS AGREEMENT i~ entered. i~to this \Q~day 01; ~n\\.t'K ., lttl . by and
betveen the City ofSpringf~<H~' a""mur.\ici\1~l corRora.ti~,of the Stat~~ Oregon,
hereinaf~er called. City,. an~r.>." ~_~~~ ~~~, ., hereinafter called
the Appl1cant. . . '.' I .\ -'
YHEREAS, the applicant has applied to the City.Community Services Building
Division for issuance of certain construction pe~its. for development
improvements to be located at \~~ 'I. S-\-t\ ~1 Springfield,
Oregon or vithin the City'S UroaIiGr~vth jurisdi~tlonal Area; Lane County
Assessor's Map and Tax Lot number \' \ Dd2:Q.(Y) ~O D?kc \ . . .
YHEREAS, the applicant has .asked. the Ci ty to authorize the Applica.nt to
immediately commence development improvements vithout a completed plan.reviev or
subsequent approval as required by the Springfield Building .Safety.Co.de . .
-Administrative Code section 303(a), ,.
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VHEREAS, .the Applic~t has submitted to the City a completed permit application,
3 (three) sets. of .construct.ion drawings, specifica~ions, and. other da.ta required
for the City to complete the necessary. plan.reviev of the proposed development
improvemen t.
. . " .
VH~AS, the intended development imprC)vement is of a nature that requires no
other review approval from other State or local a.gencies and iseicempt .from the
criteria established by the Building Safety Diyision, attached. as Exhibif A of
this Agreement. .. . ... '. . . .. .
YHEREAS, the City has not reviewed or approved the.submitted materials for .the
development improvement, the .City is therefore unable to confirm at this time
.whether the permit applicati~~ submitted will be approved, and "nether the c,
~equired construction permits can be.issued.
.VH.EREAS,the applicant has. req~ested the City to provide expedited authorization
to proceed with.certain phases of construction prior to the completion of the
City's reviev of the permit application.
YHEREAS, the City's fee for the administrative services rendered in providing
expedited a.uthorization is $150.00.
..
NOY, THEREFORE, in. consideration .of the foregoing recitals and of the mutual
promises contained herein; the City authorizes immediate commencement. of the
developmen t improvemen t specified in. the. permi t. applica tion .subj ec t to. the.
following terms and conditions:
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Authorization to Proceed Agreement
Page 2.
1. City agrees that the Applicant may immediately commence ~ith the
development improvements set forth in the permit application..City's
authorization to proceed is conditione~ .ho~ever, upon Applicant's agreement
that the project ~ill be constructed as set forth in the attached submitted
.dra~ings and specifications, except as may be modified by City, and ~ill
comply ~ith all applicable la~s and ordinances. Applicant's. immediate
commencement of construction is at Applicant's oVo riSK. The City makes no
assurance that the development or construction improvements viI! be approved
or the required construction permits viII later be issued.
J. City agrees to revie~ Applicant's permit application in the normal revie~
process and to thereafter: .
a) issue Applicant the appropriate construction permits; ~
b) advise Applicant of deficiencies in the proposed construction ~hich
. must be remedied before permits can be issued; ~
c) advise Applicant of any statutes, ordinances or code provisions ~ith
~hich Applicant must comply ~ith before City can issue the permit.
3. Applicant agrees that if City finds Appli~ant's permit application and
submitted materials inadequate or deficient 1n any manner including.but not
limited to, the application or the proposed construction do not comply vith
all applicable statutes, ordinances or code provisions, Applicant viII
. expeditiously cure the deficiencies so that the City may issue the required
permits. Should Applicant fail to expeditiously correct submitted materials,
or should correction prove impossible, City may in it's discretion, .take any
or all of the .folloving actions: .
a) stop all further construction of the project in the manner prescribed
in the Springfield Building Safety Code Administrative Code (BSCAC),
SECTION 201 (d)
b) order disconnection of serving utilities in a manner as prescribed in
BSCAC, SECTION 201 (f)
c) issue a NOTICE ~,~ ORDER for removal of all such vork in a manner as ~~
prescribed in BSCAe, SECTION 204. ABATEMEh~ OF u~SAFE; SUBSTANDARD OR.
DANGEROUS.BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon
receipt.of such notice, Applicant .shall.immediately. remove. the york
specified in the Notice and Order.
4. .Applicant agrees, if the issuance of. the permi t is denied:.
..
a) to remove, at the Applicant's sole cost and expense, all completed
construction or improvements; and
b) to restore the site or structure to it's pre-agreement condition and
free of all hazards
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Authorization to Proceed Agreement
Page 3.
5. Applicant agrees that until Applicant's permit application is approved,
construction 'Jill not to proceed beyond. the point of authorization approved
by the City's Buildin$ Official. Applicant'~ Point of Authorization is ___
. . . \Sk"u\~m<"(\of'r I An .. . .
6.. Applicant agrees that al~'Jork performed und~r this agreement shall be
.accessible and exposed for inspection purposes and that neither the Building
Official nor City shall be liable for the expense .entailed in the removal or
replacement of. any material necessary to allo'J .inspection.
7.. Appli.cant agrees. that any orall"-deficiencies. identified during the
necessary inspections viII be promptly remedied, at Applicant's sole cost
and expense before.proceeding vith.any further construction. Applicant also
agrees that these inspections do not replace the required plan reviev nor do
they imply any approval of. the submitted materials.
8. Applicant agrees that no 'Jork shall be. done on any part of the building
or structure beyond the point indicated in.each successive inspection
vithout first obtaining the approval of the Building Official. Such approval
shall. be given only after an inspection has been made of each successive
step in the construction as indicated on the attached Exhibit B.
9. Notvithstanding any other provisions of this Agreement, this Agreement
.shall terminate upon .issuance of a building permit or thirty (30) .days from
the.date of this Agreement, vhichever first occurs. Applicant understands
that all york on the project shall immediately cease vithout any.notice from
the City if this Agreement terminates ~for.e a buil~;n~~rmit.is issued.
This agreement shall. terminate on. ..: ~\~~. \.p ) \C\~ I . .
10. Applicant agrees to defend, indemnify and hold.City harmless from any
and all costs (including attorney fees), liability or damages of any. kind or
nature 'Jhatsoever, for personal injury and. property damage arising from the
Applicant's early commencement of construction and the york undertaken or
completed.
,
11. The terms of this Agreement shall extend to and be binding upon the
parties hereto and t~,eir heirs, successors and assigns.
12. If any suit, action or other proceeding, .or an appeal therefrom, is
instituted to obtain, establish, enforce, or compel any right or. obligation
resulting from this Agreeme~t., the prevailing party shall be entitled to
recover from the adverse party, in addition to costs and disbursements, such
addi tional sums as the courts, bo.th trial and appellate, may judge
reasonable attorney fees.
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Authorization to Proceed Agreement
Page 4
BEFORE SIGNING THIS AGREEMENT, PLEASE READ AND UNDERSTAND THE
MEANING OF EACH PARAGRAPH OF THIS AGREEMENT. IT AFFECTS .YOUR
INTERESTS IN THE PROPERTY AND, IN THE EVENT OF, DEFAULT, IT PLACES
YOU PERSONALLY AT RISK AND. THE SUBJECT PROPERTY AT RISK OF
FORECLOSURE FOR COSTS AND EXPENSES INCURRED BY THE CITY IN
ENFORCING THE TERMS OF THIS AGREEMENT. IN THE EVENT THAT YOU DO
NOT UNDERSTAND ANY TERMS OR CONDITIONS OF THIS AGREEMENT, PLEASE
SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU MAY DESIRE.
CITY
city of Springfield
BY\;~J. U
APPLICANT
.. contracto~ J)\\~
~usiness NamJ.iM. \ ~fu~~:.oS r~
,
Building Official
Address
CC.Registration #
0<4f)'L-1
LAND/PROPERTY OWNER/Sl
I/WE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/WE
UNDERSTAND WHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES
UPON US ?l.8THE LAND/PR.OPERTY OWNERS. I/WE AGREE TO BE BOUND BY ALL.
TERMS ~ CON~ ~"'~ mU"'~~EEMENT. .,
Name ~t/, ~ -
. Address ~~j/ /Y9'j/ 0/J"c/' ~_ 977"7/,
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VALIDATION:
CITY JOB # C\ f\ \ \~
I<ECEIPT NUMBER. .!\~\(r--
DATE PAID ~'\.Q .-qr '\ .
AMOUNT RECEIV~~, ~ ~
RECEIVED BY D \\ N) _)
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EXHIBIT.A.
Purpose
The purpose of this agreemen t is to allov .certa.in developmen t improvemen ts to
. occur prior to obtaining plan reviev approval from the Springfield Community.
Services Division.
s~ope
T e use of this agreement shall be limited to certain one and tvo-family
dvellings not complex in nature as determined by the Building Official and
minor al tera tions or modifica t ions to exist ing commercial and indus trial
buildings vhich are of a non-structural'type and do not adversely affect any
structural.member of the building or any part of the building having fire
.resistant construction.
One and tvo-family dvelling plans for structures that are complex in nature that
have been prepared by an Oregon licensed architect or engineer and accompanied.
by a letter of reviev prepared by said archi tect or engineer, stating that the
. submitted material is in compliance vith the One and Tvo-Family Dwelling
Specialty Code, may be considered eligible for this agreement.
The folloving items include but are not limited to certain conditions of
develC1pment identified as ineligible for this agreement: .
a) development requiring site approval vhich.has not been obtained;
b) new development located on land with over six-percent slope;
c) lots having expansive (clay) soil;
d) development located within flood hazard areas;
e) development located vi thin wetland areas;
f) pole buildings or other such type of structure that is nqt of conventional
construction.
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EXHIBIT B ,
,
Required Inspections
To request an inspection, you .must.call 726-3769.
All inspections requested before 7:00 a.m. will be
Inspections requested after 7;00 .a.m. will be made
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Temporary Electric
e
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This is a 24 hour recording.
made"the same working day,
the following. work day.
Site - To be made after excavation, but prior to setting forms
Footing - After trenches are excavated
Foundation - After forms are erected but prior to concrete placement
Underfloor Plumbing.- Prior to filling trench
Underfloor Mechanical -.prior to insulation or.decking
Post.& Beam - Prior to floor insulation or decking
underfloor Insulation - Prior to deck~ng
Sanitary Sewer - Prior to filling trench
Storm Sewer - Prior to filling trench
Water Line.- Prior. to. filling.trench
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