HomeMy WebLinkAboutPermit Building 2000-2-25
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225 North Fifth Street
Springfield, OR 97477
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I Job# 99-01415-01 I
Page 1 of4
TRANSn:Ol-0000745
DATE:FEB 28 2000
AMT RECD:2 $ 4772.94
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-01415-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 573 Nicholas Dr Spr
Assessors Map#: 17032212
Lot: 21 Block: Addition:
Owner:
Address:
Tax Lot #: 01900
Subdivision:Zachary Place
Cozy Homes
P.O. Box 237
Phone Number: 541-747-8704
City/StatelZlp: Springfield, OR 97477
New Value: $118,638
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Contractor
Tom Wirfs Enterprises Inc
Po Box 237, Springfield, OR 97477
Bills Electric
3170 West 11th Avenue, Eugene, OR
97402
Bmc Mechanical
X,X,X
Reg istration #
32947
Expiration Date
6/28/2000
Phone
541-747-8704
21351
4/28/2000
541-341-8426
Office Use
Land Use: Single Family Dwelling
Zoning Code: LOR
Bedrooms: 3
Range: Electric
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
lRNW
1
(VN) Wood Frame
Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage:
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
working day.
Temporary Power
Footing
Underfloor Plumbing
Foundation
Post and Beam
Floor Insulation
Sanitary Sewer Line
Storm Sewer Line
Special
Required Inspections
I Transfered Records I
-Approval required prior to SUB energizing pole.
-After trenches are excavated.
- Prior to insulation or decking.
-After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking.
- Prior to decking.
- Prior to filling trench.
- Prior to filling trench.
-See Plan Review and/or Inspectors Notes.
Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Curbcut
Sidewalk
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Job# 99-01415-01
Page 2 of 4
Required Inspections
I building I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking.
- Prior to decking.
- Prior to cover.
- Before covering sheathing with finish materials.
- Prior to cover.
- Prior to Cover
-Prior to taping.
-When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electrical work is complete.
I Plumbing
- Prior to insulation or decking.
- Prior to cover or placement of concrete.
- Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
-When all plumbing work is complete.
I Mechanical
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
I Public Works I
-After forms are ereceted but prior to placement of concrete.
-After excavation is complete, forms and sub base material is in place.
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? 2J
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Flood Plain FEMA:
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C:o(l~tructlon Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Fee
Quick Start
Total Transfered Records
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Job# 99-01415-01
Store
# Of Stories: 2
Current Units:
Census Code: Does not apply
Total:1872
Paid On Receipt#
Transfered Records
10/25/1999 35983
Plan Check
02/28/2000 745
Building
02/2812000 745
02/28/2000 745
02/28/2000 745
Electrical
02/28/2000 745
02/28/2000 745
02/2812000 745
02/28/2000 745
Plumbing
02128/2000 745
02/28/2000 745
02/28/2000 745
02/28/2000 745
Mechanical
02/28/2000 745
02/28/2000 745
02128/2000 745
02/28/2000 745
02/28/2000 745
02/28/2000 745
02/28/2000 745
02/2812000 745
t'ubllc Works
02/28/2000 745
02/28/2000 745
system uevelopment
02/28/2000 745
02/28/2000 745
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Page 3 of4
Height (feet):
Proposed Units:l
Value/Quantity
"I
Fee Amount
150
$150.00
$150.00
118,175
$309.24
$309.24
118,638
$475.75
$33.30
$14.27
$523.32
1
3
$85.00
$45.00
$9.10
$3.90
$143.00
1
$.00
$192.50
$13.48
$5.78
$211.76
1
$4.50
$.00
$.68
$6.00
$9.00
$3.00
$10.00
$1.58
$34.76
1
3
1
50
1
$60.00
$60.00
$120.00
1,890
23
$438.48
$1,110.21
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'Fee
Job# 99-01415-01
Paid On Recelpt#
System Development
02/28/2000 745
02/28/2000 745
02/28/2000 745
02/28/2000 745
02128/2000 745
1
1
1
1
Page 4 of 4
Value/Quantity
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
Willamalane ~U(;
02128/2000 745
S.F. Residence - Willamalane
Total Willamalane SDC
Grand Total
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 fro e street, that the permit card is located at the front of the property, and the
approved set of pia i remain on the site at all times during construction.
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Fee Amount
$491.60
$242.76
$22.05
$10.00
$115.76
$2,430.86
$1,000.00
$1,000.00
$4,922.94
Signature
Date
z- z.~-(JO
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f:ffi~~/~~DrOJMl as Submitted has the following
ft~~f6Vlll. oaa not require specific land usa
225 FIFTH STREET . l anlng L7;:>t!-- ELECTRICAL PERMIT ~PLICATION
SPRINGFIELD, OREGON 97477 . n IA fC;l..
INSPECTION REQUEST: tl~TFn ,;)-~~ -0-<1 Ci ty Job Number -LLlJ '-.J
OFFICE: 726-3759 lIum\llltllll !lilli\alutt rII.. J '
~~. ::9MPJ.ETE FEE SCHEDULE BELOIl
1. .},{>~Inn'tl~
LEGAL~Do:\PT~ Q\G.Jf)
~. at "- .-
DE6 PTION
l <6 r')fl./
".
are non-transferable .and expire
work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto~)/f'S qM
Address ~ (7D IV II ~
Ci ty q..v' Cj Phone ., 1/( -0<1 '2J,
I
Supervisor License Number q f? D ~
Expiration Date /D-I-(
Constr Contr. Number ~ I J5/
Expiration Date <t ~ 2.. f - 0 0
Signature of Superv' in Electrician
~;)O'
Owner~ ~e ~~ - _
Add~~S:V(Q ~-"o'O'I
. Phon;141 <{.l{)f
The installation is being made on
property I own which is not intended
for sale, lease.or rent.
Owners Signature:
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DATE:
RECEIPT 1I:
RECEIVED BY:
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only.
Items Cost
Sum
I
f15
W
S 85.00
c9
S 15.00
S 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
S 40.00
$ 55.00
S 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
S 35.00
S 2. 09'
not included)
S 40.00
S 40.00
S 20.00
S 36.00
lIS
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Job. No.
(\q\,\o
SYSTEM DEVELOPMENT CHARGE
. (\ _ . WORKSHEET
NAME: U)~tk\~. PHONE: 14\ DlYt
ADDRESS:~.l\). ~STATE:.oc.zIP: 07:1.37
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~~ ?J\\ \.~tlt, J.:) \J,~
Plat Name~t'lu._Jk~\t)~Q..xax Lot Number:\'1D~'l..l~\QfO
1. DEVELO'p~ENT TYPE ~Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sin.QIA-Fllmilv DAtllr.hAn
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $..l(X't).o<:J
B. SinQle'-Fflmilv Attllr.hAn
NO. OF UNITS
X $924 per unit = $
C. .Multi-Familv AOllrtment
NO. OF UNITS
X $692 per unit = $
D. Manufaclumn HomA Park
$
$
\000 ,en
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\ reo r;:o .
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
2. SDC CREDIT (it applicable) SDG-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(it SDC reduced for Credit)
~~nfs~~&-:
City of Springfield
$
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Date
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DEVELOPMENT SERVICES DEPARTMENT
225 FIF.TH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
CITY OF SPRINGFIELD
COMMUNITY.SERVICES DIVISION
BUILDING SAFETY
AUTHORIZATION TO PROCEED AGREEMENT.
THIS .AGREEMENT is entered. into this '2-) day of dC;wlVY , 19 77 by and
betveen the Ci ty OfSPringfie~a m.unici~~l corporation ot the Sta te ()f Oregon,
'hereinaf~er called. Ci ty,and .t, _~o-J:0 . ,'hereinafter called
the. Appllcant. .. . ~_. . . ,
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IIHEREAS., the appl{cant has applied to the City community Services Building
Division for issuance of certain cO~;':pIft~~ ..Pltr:ni,ts for development .
improvement:, t~ be loc~ted at. .~"')') ,} \ ~'(\ N'j".c:::>. Springfield,
Oregon or vlthln the Clty's Urban Grovth JunsdlCtlOnal Are$l.i. Lane County:
Assessor's Map and .Tax Lot number ~O?\IJ~L\t'J. r-o()\u..m .
\
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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\(HEREAS, . the Applicant has .submi tted. to. the Ci ty a completed permit application,
3 (three) sets. of.construct.ion dravings, specifications, and other data required
for the City to .complete the necessary plan.reviev of the proposed development
improvement.
IIHE~AS, the intended development improvement is of a .nature that 'requires no
other reviev approval from other State or local agencies and is 'exempt from the
criteria established by the Building Safety Diyision, attached. as Exhibit A of
this Agreement. ..
IIHEREAS, .the City has not revieved or approved the submitted materials for the
development improvement, the .City is. therefore unable to confirm at this time
'vhether the permit applicati~~ submitted vill be approved, and ",hether the
~equired construction. permits can be issujd.
'II~EREAS, the ~pplicant ha; req~ested the City to .provide expedited authorization
to proceed vi th certain phases of construction prior to the completion of .the
City~s .reviev of the permit application:
IlHEREAS, the City's fee for the administrative services rendered in providing
expedited authorization is $150.00.
NOli, THEREFORE, in.consideration of the foregoing recitals and of the mutual
promises contained herein, the City authorizes immediate commencement of the
development improvement specified in.the. permit application subject to the.
folloving terms and conditions:
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Authorization to Proceed Agreement
Page 2.
1. City agrees that the Applicant may immediately commence vith the
development improvements set forth in the permit application..City's
authorization to proceed. is conditione9 .hovever, .upon Applicant's agreement
.that the project viII be constructed as set forth in the attached submitted
dravings and specifications, except as may be modified by City, and viII
comply vith all. applicable lays and ordinances. Applicant's. immediate
commencement of construction is at Applicant's ovu risk. The City. makes no
assurance that the development or construction improvements viii 'be approved
or the required construction permits viii later be issued.
2. City agrees to reviev Applicant's permit application in the normal reviev
~rocess and to thereafter: .
a) issue Applicant the appropriate construction permits; ~
b) advise Applicant of deficiencies in the proposed construction vhich'
. must be remedied before permits can be issued; or .
c) advise Applicant of any stat~tes, ordinances or code provisions vith
vhich Applicant must comply vith 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 ~ith
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 ~,~ OP~ER for removal of all such .ork in a manner as
prescribed in BSChC, SECTION 204. ABATEMEh7 OF UNSAFE, SUBSTANDARD O~
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 permit 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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Au thoriza tion .to Proceed Agreemen t
Page 3.
5. Applicant agrees that until Applicant's permit application is approved,
construction viiI not to proceed beyond the point of authorization approved
by ~he~u:~~6ti-~t's Point o~Authorizationis ~
6. APp~.c\nt agree~hat al~ york performed under. this agr~ement shall be.
acceSSl ~ and exposed for lnspection purposes and that nelther the Buildlng
Official nor City shall be liable for the expense entailed in the removal or
replacement of. any material necessary to allov'inspection. .
.7. Applicant agrees that any or all'deficiencies. identified during the
necessary inspections vill.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 york 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 before a building permit. is issued.
This agreement shall terminate on .. Nor/ 2. s'" f'f<(f .
.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 an~.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 t'herefrom, is .
instituted to obtain, establish, enforce, or compel any right o~obligation
resulting 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 AGREEMENT, PLEASE
SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU MAY DESIRE. '
CITY.
city of Springfield
. APPLICANT
contractor
By:. tff tJ~
t- BU~ng ~~l
Business Name
Address \)t) m
f"-.
CC Registration #
~()
~~c\4[1
LAND/PROPERTY OWNERISl
I/WE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/WE.
UNDERSTAND WHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES
UPON US AS TH~L . ROPERTY OWNERS. I/WE AGREE TO BE BOUND BY ALL
TERMS AND COND Q S OF THE AGREEMENT.
Name' . y .. .
. Address
VALIDATION:
RECEIVED BY
~ qt4-~
1)3t;1~ s
lull.)' /q'f
Ir;" I
dt.l~
CITY JOB #
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
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EXHIBIT A.
Purpose
The purpose of this agreement is to allow 'certaln 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
dwellings not complex in nature as determined by the Building Official and
minor alterations 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 two-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 review prepared by said architect or engineer, stating that the
. submi t ted material is in compliance vi th the One and Two-Family [}veIling
Specialty Code, may be considered eligible for this agreement.
The following items include but are not limited 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
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 same working day,
the following work day.
Temporary Electric
site - To be made after excavation, but prior to setting forms
(; :; Footing -
~~Foundation
r )U~derfloor
~underf~oor
After trenches are excavated
- After forms are erected but prior to concrete placement
Plumbing'- Prior to filling trench
Mechanica~ - Prior to insu~ation or decking .
'('.) Post & Beam - Prior to floor insulation or decking
''----''"'
C ) Underfloor Insulation - Prior to deck~ng
. ( ~ Sanitary Sewer - Prior to filling trench
.~ Storm Sewer - Prior to filling trench
....
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Line - Prior, to filling.trench