HomeMy WebLinkAboutPermit Building 1997-9-5
SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971106
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 138 75TH ST
Assessors Map #: 17023500
Lot: 7 Block:
Tax Lot #: 03601
Subdivision: CROSSWAY ESTAT
Owner: TOM PHILIP
Address: 3973 DILLARD
Phone #: 344-9859
City/State/Zip: EUGENE, OREGON 97405
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
12/11/97
744-1871
BRAD PHILIPS CO ~ 0084521
PO Box 1253 Cottag~d'~e OR 974240
"'1"/ ::'''. -n.
.cnO~~ ~
"tJ..,t. ~ i1;>~': 1111
~ ~'~'G ~DE: LDR
aP~~~; 3
~~~~~: G
~ ~ :~350
~"'I"c: <~.....
To request an inspection, call th~24~Hior~~rding at 726-3769.
~ <% ~
All inspections requested before 7:00 a.~~~~ made the same working day,
inspections requested after 7:00 a.m. Wilri5~~~the following work day.
~ V",
REQUIRED INSPECTIONS
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: P1
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
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.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
INSULATION - Floor; prior to decking
ROUGH MECHANICAL - Prior to cover,
ROUGH PLUMBING - Prior to cover.
ROUGH ELECTRICAL - Prior to cover,
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
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.
GAS SERVICE - After line is installed and line has
minimum of one appliance. Pressure test done
SIDEWALK - After excavation is complete, forms and
in place.
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
Wall/Ceiling; Prior to cover
been connected to a
at this point.
sub-base material
SPAINCFIELD
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Job Number: 971106
Page 2
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: E
Setbk From NPL: 32
Lot Sq. Ft.: 6000
Solar Approved: Y
House
Garage
N
5
Setbacks
S W
14 36
E
20
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1950
400
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan 4
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE/W-H VENT
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN CHECK FEE
WILLAMALANE S/D/C'S
SYSDEVEL CHARGE
TOTAL MISCELLANEOUS PERMITS
Total Height: 25
Lot Type: INTERIOR
$/Square Feet
64.66
16 .27
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(A)
= 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
90,00
1,000.00
2,656.15
3,780.10
4,583.64
(C)
(D)
(E)
SPRINGFIELD
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Job Number: 971106
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 ESTIMATE ONLY FOR SDC CREDIT PURPOSES
REQUIRES SEPERATE ELECTRICAL PERMIT, PATH 1, NO CERT OF OCC. UNTIL
INFRASTRUCTURE COMPLETED AND ACCEPTED, NO SANITARY OR STORM SEWER CONN.
UNTIL FACILITIES COMPLETE 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.
Signatu~o ~ ~
J'-5"-.9.;t
Date
Date Paid:
cY~ !i{"IDATION
q -S-y""
-fd I ~'A3ld1
\'r-r\UJ~
Receipt Number:
Amount Received:
Received By:
. ATIACHMENT A (:'J .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
JOB NO, Q71/0G
NAME OR COMPANY:
]";oM ~JLJD
LOCATION:
C~..6i.....".,.. E>srA'i&~' L..."7' 7
DEVELOPMENT TYPE:
'"S. F. .a
BUILOING SIZE
LOT SIZF
<::0 Ft.
1. <::TORM DRATNAGE"
IMPERVIOUS SO. FT. ~~~
,
X $0.226 PER SO. FT. $ S'.! 7-<.i8
2. <::ANTTARY SFwFR-crTY
NO. OF PFU'S ~ ~
(See Reverse Side)
x $46.86 PER PFU
$ 1.2.~C 'l.-'Z-
3. TRANSPORTATTO~
'NO OF UNITS X TRIP RATE X COST PER TRIP
xl, 0' X $472.49
$ 477.'-1
X
X $472.49
$
X
X $472.49
$
4. SANTTARY SFWFR-MWMC
D~ DU
NO.OF-fB:M X z.77.,,"PER'I'tt1 + $10 MWMClADM FEE $ 2.87.7'-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ .J!?.4t>
TOTAL-MWMr. SDr. $ 2.4"/,3&
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ 25"2.'rf.'1
5. ADMTNTSTRATTVE FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ I'-'.<Ii'
.1.0 .-l~
Date: 7-2+-'0/7
SDC Coordinator
TOTAL SDC $2. J t.~~. "15.
.. Ii" I VI'L U....1t I '"''''.'''\L'-'UL~IVI''' II""\UL.I-. I\lUmOer or I~ew I-IXtu.X Unit Equivalent = Fixwr~.Units
(NOTE: For remodels, calculate ani" NET additional fixtures) ,
, NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub...........,....,................................................. ''''
Drinking. Fountain,.......................,............................
Floor Drain.................................................................
Intercepiors For Grease/Oil/Solids/Etc.. ...............
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher......,....,...... .................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap 11 Per Trailerl..................
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..................................
Toiiet, Pubiic Installation........ ................................
Toilet, Private..... ............................. .... .............. ......
Miscellaneous:
::z,...
~
3
'3
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
4-
2.
...
:2.
3
I~
2..7
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
IL
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
Year
Annexed
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
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
k ;;g,+O
Credit for Parcel or Land Only If Applicable ,1{".0 of) X $ 2..rr:-
(Rate X Assessed Valuel
Improvement (if after annexation date) X $
, (Rate X Assessed Value)
=
=
CREDIT TOTAL = $ 'Sl, (,()
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential...;....... ......... ....... 0.4
CommericaL........................ 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA = TOT ALLOT SIZE X RUNOFF COEFFICIENT
.
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \00\ ~".\\+ '
ADDRESS: ~ q~,,^, \.:'\~t
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \~ ~ " ~ "H\ , m,oi
Plat Name: 0 ^~SU'"PU,( T~X Lot Number:
1. DEVELOPMENT TYPE', (~eCk appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
Job. No.
~l\\tio
PHONE: -2A4 .q~~
STATE:~ZIP: a~40'J
L
A. Sinnlp.-F::Jmilv Dp.t::Jchp.Q
\. Single Family home
, NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ 1000.00
t
B. ,Sinnlp.'-F::Jmilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-F::Jmilv Ao::Jrtment
NO. OF UNITS
X $692 per unit = $
D. M:lOllf::JC':IIIrP.n Hnmp. P::Jrk
NO. OF UNITS
X $699 per unit = $
\OnO~
J;f
$ \f()() 1J
I S I Q/l
$
WILlAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
$
3. TOTAL WILlAMAlANE NET SDC ASSESSED
(if SDC reduced for Credit)
~;p~~~me"1
City of Springfield
C\
Date
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C\~ \\Cle
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
AUTHORIZATION TO PROCEED 'A REEMENT.
THIS AGREEMENT is entered into this ~ day f ~ ,19Q] by' and .
benre.en the City ofSpringf~ehl,_a.i'l.\'\ilfJp,f1 corIWratiol: the State 0 Oregon,
hereinafter called. City,' an~d\<::" \'tm. " hereinafter called
the Applicant:. . . ". y. .
. . . . . . .
IIHEREAS, the applicant has applied to .the Ci ty community Services BUilding
~ivision .for issuance of certain constructio~\ p~erm~. fo.5. dev.elopmen~" .' '.
lmprovements to' be located at \0<f..... !.S~' M^VQ/\ Spnngfleld,
Oregon or vi thin the City's, Urban Grovt.l:! JUrisd...iE.M'onab~ea,.\\Lane 'County' . .'
Assessor's Map and .Tax Lot number \"1 U'd..?>' 'S. aJ ~n ~f1l).'. , .
IIHEREAS, the .applicant has 'asked, the City to authorize the Applicant to
immediately commence development improvements vithout a completed plan, reviev or
subsequent approval as required by the ,Springfield Building Safety 'Code , .
,Administrative Code section 303(a), .
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, VHEREAS, ,the Applicant hassubmi tted to, the Ci ty a completed permit application,
3' (three) sets. of-construction drawings, specifications, and. other data required
for the City to complete the necessary, plan' review of the ~roposed development
improvement. . ,
IIHER)':AS, the intended development improvement is of a nature that 'requires no
other reviev approval from other State or local agencies and iseicempt 'from the
criteria established by the Building. Safety Diyision, attached' as Exhibit' A of
this Agreement. ' - , .
. , ,
'IIHEREAS, -the City has not reviEived or approved the .submitted materials for the
development improvement, the .City is. therefore unable to confirm at this time
'vhether the permit applicatic~ submitted will be approved, and whether the
.lCequired construction permits can 'be issued.
'IIH.EREAS, the applicant has req~ested the City to .provide expedited authorization
to proceed vith,certain phases of construction prior to thecoinpletiori of the
City's reviev of the permit application;
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IIHEREAS, the City's fee for the administrative services rendered in providing
expedited authorization is $150.00.
. NOli, THEREFORE, in consideration_of the foregoing reci ta1s and of the mutual
promises contained herein; the City authorizes immediate commencement' of the
development improvement speci fied in' the, permi t' applicationsubj ect 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 with the
development improvements set forth in the permit application.,City's
authorization to proceed is conditionep ,however, upon Applicant's agreement
that the project will be constructed as set forth in the attached submitted
drawings and specifications, except as may be modified by City, and will
comply with all' applicable laws 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 vill'be approved
or the required construction permits vill later be issued.
}. City agrees to review Applicant's permit application in the normal review
process and to thereafter: '
a) issue Applicant the appropriate construction permits; or
b) ad'vise Applicant of deficiencies in the proposed construction which'
,must be remedied before permits can be issued; or
c) advise Applicant of any statutes, ordinances or code provisions vith
vhich Applicant must comply with before City can issue the permit.
3. Applicant agrees that if City finds Applic: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 vlll
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)
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c) issue a NOTICE J.JD ORDER for removal of all such vor!: in a manner as ,'0;
prescribed in BSCAC~ SECTION 204. ABATEMENT OF u~SAFE; sua STANDARD OR
DANGEROUS BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon
receipt of such notice, Applicant shall'immediately remove, the vork
specified in the Notice and Order.
4. ,Applicant agrees, if the issuance of, the permit is denied:'
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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 vill not to proceed beyond. the point of authorization approved
by t~~~~' BujJdiQg Offisial.Applicant's Point of Authorization is ~
. \~ )D'L/.. 0) II'X,' 1\"'\ .' .
6. Applicant 19rees that all vork performed under 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 allovinspection. .
1. Applicant.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 submi tted materials.
8. Applicant agrees that no vork 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. Notvi ths.tanding 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, whichever first occurs. Applicant understands
that all work on the project. shall immediately cease without any notice from
the City if this Agreement terminates C!!:for.e a ~.!1i1din.& pe9'll.t,i{; issued..
This agreement shall terminate on , " ~Jf\\1..\O f IQ \ \.'-'\9' 1 .
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 vhatsoever, for personal injury and. property damage arising from the
Applicant's early commencement of construction and the work undertaken or
completed.
11. The terms of this Agreement shall extend to and be binding upon the
parties hereto and their heirs, successors and assigns.
.......
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12. If .any suit, action or other proceeding, .or'an appeal therefrom, is
instituted to obtain, establish, enforce, or compel any right or' obligation.
resul ting from this Agreement., the prevailing party shall be enti tIed to
recover from the adverse party, in addition to costs and disbursements, such
additional sums as the courts, both 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 EX~ENSES 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 AGR~EMENT, PLEASE
SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU MAY DESIRE.
city of
__ APPLICANT
~ontracto~ ~~.~~
Business Name\. ~tll\ ~\Q.I~" ~_~
CITY
Building official
Address
CCRegistration #
BA~\
LAND/PROPERTY OWNER/S)
IIWE HAVE READ THE ABOVE AUTHORIZATION TO PRO~EED AGREEMENT. I/WE-
UNDERSTAND WHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES
UPON US ~S THE LAND/PROPERTY OWNERS. I/WE AGREE TO BE BOUND BY ALL -
-TERMS AND CON~ITIONS O~REEMENT. ,
Name >:C ~r~.
_Address - -rili. 30.)' /f/Pf/ ~./ a -f'707
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VALIDATION:
Q C\ \ \\\\()
I<ECEIPT NUMBER' - ~\1\C\ l
~. \O.C\{) .
AMOUNT RECEIVEQ \ ~ ,W
RECEIVED BY ~~_)
CITY JOB #
DATE PAID
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EXHIBIT A.
Purpose
The purpose of this agreement is to allov 'certa'in development improvements to
'occur prior to obtaining plan reviev approval from the Springfield Community
Services Division.
Scope
The 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 alterat.ions or modifications to existing commercial and industrial
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 architect or engineer, stating that the
. submi t ted material is in compliance vi th the One and Tvo-Family Dvelling
Specialty Code, may be considered eligible for this agreement.
The folloving items include but are not li~ited to. certain conditions of
development identified as ineligible for this agreement:
a) development requiring site approval which 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 within 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
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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
This is a 24 hour recording.
made'the sarne working day,
the following work day.
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Temporary Electric
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 decking
.
Sanitary Sewer - Prior to filling trench
Storm Sewer - Prior to filling trench
Water'Line,- Prior, to filling,trench
"
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