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HomeMy WebLinkAboutPermit Building 2002-03-13SPRINGFIELD Job# 02-00052-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 Job Number: 02-00052-0'l Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 00200 Subdivision : Ambleside 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 2375 00035th St Spr AssessorsMap#: 17021943 Lot:2 Block: Addition: ctTY oF sPR n cFtELD, OREoON Owner: Tom Wirfs Enterprises lnc Address: Po Box237 Scope Of Work: Single Family Residence SFR same as2272 33rd St Phone Number: City/State/Zip: New 541-747-8704 Springfield, OR97477 Vatue: $1 15,478 Contractor Type GeneralContr ElectricalContr MechanicalContr Contractor Tom Wirfs Enterprises lnc Po Box 237, Springfield, OR 97477 Bills Electric 3170 West 11th Street, Eugene, OR Home Comfort Heating & Air Conditi Po Box 24205, Eugene, OR 97402 Registration # 32947 Expiration Date 612812004 Phone 541-747-8704 541 -687-1 851 541-345-2838 541-895-3758 21351 oning 84164 4t28t2002 tjtttiU rulos Plumbing Contr Brenda Marlene Currier 648 W Oregon Ave, Creswell, To request an inspection call the 24 hour recordi a.m. will be made the same working day, inspectio working day. 7:00 Site Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall Special FinalBuilding Temporary Power Rough Electrical the following 1 -To be.rd" rft"#ting forms. -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 fin -Prior to cover. -Prior to Cover - Prior to taping. -See Plan Review and/or lnspectors if applicable. -When all required inspections have been approved and the building is complete. Electrica! -Approval required prior to SUB energizing pole - Prior to cover. NOTI'CE: |ew by Required Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical Curbcut SW-Curbside Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Storm Sewer b 00/00/0000 00:00 AM Job# 02-00052-01 Page 2 of 4 Required lnspections Electrical -Must be approved to obtain permanent power -When all electrical work is complete. -Priortoin.ulrtio# - Prior to cover or placement of concrete. - Prior to cover. -Prior to filling trench. - Prior to fllling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical -Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all gas work is complete. -When all mechanicalwork is complete. Public Works -After forms are ereceted but prior to placement of concrete. -After forms are erected but prior to placement of concrete Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers ,l: Comments: 2: Planner: Sam Gollah Urban Growth Boundary?! Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White 3 3 Additional Requirements: Required Attachments: Source Locn: Material: Land Use: Single Family Dwelling Pave Driveway? Z Overlay District: # of Street Trees: Gtenwood Area? ! Flood Plain FEMA:1161 o12975 Street lmprovement: Fully lmproved Curb Cut?f lmprovementAgr.?[ San Sewer Depth (Ft): B - 6 Storm Sewer Available? f Specia! Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special !nstructions: Other Utilities: Project Supervisor: tr Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? a Area (Sq. Main: 1692 Accessory44O Job# 02-00052-01 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 23 Current Units: Proposed Units:1 Census Code: New SF - detached Total2132 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Additional Plan Check Hourly Plan Review Total Plan Check 0311312002 01t1512002 B2BB 7782 10 2 $10.00 $e0.00 $100.00 Building Building Permit State Surcharge For Building Permit B% Building Administrative Fee Total Building 03t13t2002 0311312002 03t13t2002 82BB 82BB 8288 115,478 $617.65 $43.24 $49.41 $710.30 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical B% Admin Fee - Electrical Total Electrical 0311312002 03t13t2002 0311312002 0311312002 0311312002 8288 8288 8288 B2BB 8288 1 3 1 $106.00 $57.00 $50.00 $14.e1 $17.04 $244.95 Plumbinq Two Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing 03t1312002 0311312002 03t13t2002 8288 8288 B2BB $2s4.00 $17.78 $20.32 $292.10 B% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct ApplianceVent (Not Covered in Schedule Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical Mechanical 0311312002 03t13t2002 0311312002 0311312002 03t13t2002 0311312002 03t13t2002 0311312002 8288 B2BB B2BB 8288 8288 82BB B2BB 8288 1 3 1 1 1 $4.32 $12.00 $18.00 $e.00 $e.00 $6.00 $10.00 $3.78 $72.',10 Public Works New Sidewalk New Curbcut Total Public Works 03t13t2002 0311312002 B2BB 8288 100 1 $65.60 $65.00 $130.60 System Development Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 0311312002 03t13t2002 03t13t2002 0311312002 03t13t2002 8288 B2BB 82B8 8288 8288 2 730 1 1 $745.29 $34.83 $10.00 $135.38 $-20.1432 1 Fee Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development S.F. Residence - Willamalane TotalWillamalane SDC Planning Plan Review Total Planning Address Assignment Total Permits w/o Srchg Job# 02,-00052-01 Paid On 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t13t2002 Page 4 of 4 Value/Quantity Fee AmountReceipt# B28B 8288 8288 B28B 8288 1 1 1 21 21 $332.86 $659.76 $1 55.1 3 $448.77 $341.04 $2,842.92 $1,000.00 $1,000.00 $50.00 $s0.00 $8.00 $8.00 Willama lane SDC 03t13t2002 B2BB Plannin 03t13t2002 B2B8 03t13t2002 B2BB 1 1 1 Develo Permits w/o Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin Sam Gollah David Bowlsby Date Completed 01t16t2002 02t04t2002 01t22t2002 01t29t2002 Comment $5,450.97 7 oz- By signature, I state and agree, that I have carefully examined the completed application and dohereby certify that all information hereon is true and correct, and I further certify inrt any and all workperformed shall be done in accordance with the Ordinances of the City of Springfield and the Laws ofthe State of Oregon pertaining to the work described herein, and that NO ObCUpANCy wiil 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 70i.O5s 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 that the permit card is located at the front of the property, and the approved set of n on the site at all times during construction Signature 3 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 Job Number: 02-00052-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 00200 Subdivision: Ambleside SPRINGFIELD 225 Ftfth Street Springfield, OR97477 Location Of Proposed Site: 2375 00035th St Spr AssessorsMap#: 17021943 Lotz2 Block: Addition: crTY oF SPRINGFTELD, OREGON Owner: Tom Wirfs Enterprises lnc Address: Po Box 237 Scope Of Work: Single Family Residence SFR same as 2272 33rd St Phone Number: City/State/Zip: New 541-747-8704 Springfield, OR97477 Value: $115,478 Contractor Type GeneralContr Electrical Contr MechanicalContr Plumbing Contr Contractor Tom Wirfs Enterprises lnc Po Box 237, Springfield, OR 97477 Bills Electric 3170 West 11th Street, Eugene, OR Registration # 32947 Expiration Date 6t28t2004 Phone 541-747-8704 541 -687-1 851 541-345-2838 541-746-9433 Home Comfort Heating & Air Conditioning 184164 Po Box 24205, Eugene, OR 97402 Fridlund Plumbing 51835 85370 Dilley Land, Eugene, OR 97405-9667 21351 4t28t2002 6t25t2003 12t14t2002 To request an inspection call the 24 hour recording at726-3769. AII 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. Required lnspections Building Site Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Geiling lnsulation Shear Wall Nailing Framing Wall lnsulation Drywall Special Hold Downs lnstalled Final Building -To be made after excavation but prior to setting forms. -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -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. -See Plan Review and/or lnspectors Notes, or prior to cover if applicable. -when all required inspections have been approved and the building is complete Job# 02-00 052-0'1 Temporary Power Rough Electrical Electrical Service Final Electrica! Job# 02-00052-01 Page2 ol4 Required lnspections Electrical -Approval required prior to SUB energizing pole -Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. 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. Mechanical -Prior to insulation or decking. -After line is installed and capped if not attached to an appliance. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tes -When all gas work is complete. -When all mechanicalwork is complete. Public Works -After forms are ereceted but prior to placement of concrete. -After forms are erected but prior to placement of concrete Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas Final Mechanical Curbcut SW-Curbside Street lmprovement: Fully lmproved Gurb Cut?f lmprovement Agr.?[ San Sewer Depth (Ft): 8 - 6 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00:00' Special lnstructions: Other Utilities: Project Supervisor: Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' 8 To Storm Sewer Types Of Warning Devices Reqd. 6 00/00/0000 00:00:00' Zoning: LDR FloodPlain? [ Weflands? ! Journal numbers 1: Comments: 2 Planner: Sam Gollah Urban GroMh Boundary?! Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Glenwood Area? ! 3 3 Additiona! Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: 1161 ot 2975 Overlay District: # of Street Trees: Job# 02-00052-01 Page 3 of 4 Land Use: Single Family Dwelting Pave Driveway? Z Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Feet) Main: 1692 Accessory:440 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 23 Current Units: Proposed Units:1 Census Gode: New SF - detached Total2132 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Additional Plan Check Hourly Plan Review Total Plan Check 03t13t2002 01t15t2002 8288 7782 10 2 $10.00 $90.00 $100.00 B Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 03t13t2002 03t13t2002 03t13t2002 8288 8288 8288 115,478 $617.65 $43.24 $49.41 $710.30 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t13t2002 8288 8288 8288 8288 8288 1 3 1 $106.00 $57.00 $50.00 $14.91 $17.04 $244.95 Plumbing Two Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing 03t13t2002 03t13t2002 03t13t2002 8288 8288 8288 1 $254.00 $17.78 $20.32 $292.10 Mechanical 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct ApplianceVent (Not Covered in Schedule Gas Fireplace Dryer Vent Mechanical lssuance 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t1312002 03t13t2002 03t13t2002 8288 8288 8288 8288 8288 8288 8288 1 3 1 1 1 $4.32 $12.00 $18.00 $9.00 $9.00 $6.00 $10.00 Job# 02-00052-0'l Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical State Surcharge - Mechanical Total Mechanical 03t13t2002 8288 $3.78 $72.10 Public Works New Sidewalk New Curbcut Total Public Works 03t13t2002 03t13t2002 8288 8288 100 1 $65.60 $65.00 $130.60 System Development Residential - Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t13t2002 03t13t2002 $745.29 $34.83 $10.00 $135.38 $-20.14 $332.86 $659.76 $1 55.1 3 $448.77 $341.04 $2,842.92 8288 8288 8288 8288 8288 8288 8288 8288 8288 8288 32 1 1 1 21 21 2,730 1 1 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 03t13t2002 8288 $1,000.00 $1,000.00 Planni 03t13t2002 8288 1Planning Plan Review Total Planning $50.00 $50.00 Permits Wo Address Assignment Total Permits Mo Srchg 03t1312002 8288 1 $8.00 $8.00 Grand Total PIan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $5,450.97 Checked By Lisa Hopper Steve TemPlin Sam Gollah David Bowlsby Date Completed 01116t2002 0210412002 0112212002 0112912002 Comment By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inforriation hereon is true and correct, and I further certify that any and all work performed shall be oone 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 *itnoJip'"i*i..ion ortn" community services Division, Buirding safety. tfurther certify that only contractors and emptoy""t *no u'" in "o*pliance with oRS 701'055 will be used on this project' ,, .:.--r :-^^^^{i^^6 ar6 ra^r rpe.ted at the orooer time, that each I further agree to ensure that all required inspections are requested at the proper time' address is readable froil'ii.r; ,ir"Li, th"t td"p;;it;i9"lt F^"::d at the fioni of the propertv' and the approved set of plans"wiiril*.ii^ "i ine site at alltimes during construction' Signature Date 1 CITY OF SPRINGFIELD SYSTEMS DEYELOPMENT CIIARGE WORKSHEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING I.INITS:1 BUILDn$6 $T7F: 1817 SF LOT SIZE: 10394 SF Cozy Homes 2375 35th st l'7021943 tl:200 SINGLE FAMILY RESIDENCE OR JOB NUMBER: 02-00052-01 RATEIMPERVIOUS S.F.COST PER S.F. $0.00$0.2730.00 IMPERVIOUS S.F 2730.N COST PER S.F. $0.273 i745.29x xx RUNOFF ROUTED TO DRYWELLDESIGNED AND CONSTRUCTED TO CITY STA}{DARDS 1. STORM DRAINAGE DIRECT RI.'NOFF TO CITY STORM SYSTEM ITEM l TOTAL. STORM DRAINAGE SDC 1.04$16.242l NUMBER OF DFU's 2l COST PER DFU $2r.37 $448.77 A. REIMBURSEMENT COST: B.IMPROVEMENT COST: x x 1ITEM 2 TOTAL . CTTY SANITARY SEWER SDC COST PER TRIP NEWTRIPFACTORNUMBER OF UNITSADTTRIPRATE 761949.57 ADT TRIP RATE 9.57 NUMBER OF UNTTS 1 COST PER TRIP $16.21 $1s5.r3 NEW TRIP FACTOR 1.00 A. REIMBURSEMENT COST: B.IMPROVEMENT COST: x xx xxx t4 .55 10.00 NUMBEROFFEU's 1 COST PER FEU $332.86 $332.86 NUMBER OFFEU'S 1 COST PER FEU $34.83 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMIMSTRATryE FEE B,IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: .55MEM 4 TOTAL . MWMC SANITARY SEWER SDC 7U.54suBTorAL (ADD rrEMS 1, 2, 3, & 4) ADM. FEE RATESUB 135.38.707.54 5Vo 5. ADMIMSTRATIVE FEE: x 92,842.92 U) rI]ooU &ElHV) () E]& 1070 109 1 t092 1093 1094 1055 1056 1073 TOTAL SDC CHARGES211,12002glrtoTur+l;"- SDC COORDINATOR DATE ITEM 3 TOTAL. TRANSPORTATION SDC DRAINAGE FIXTT]RE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALTJE UI'U NUMBER OF NEW FD(TURES x UNIT EQUIVAI,ENT = DRAINAGE FXTURE LJNTTS (NOTE: FOR REMODELS, CAIIULATE ONLY THE NET ADDTTIONAL FDffURES) NO. OF FIXTURES FIXTURETYPE ( *NEw - #oLD ) x UNIT EQUIVALENT DRAINAGE FIXTURE UNITS BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE I ON- I SOLIDS / ETC. INTERCEPTORS FOR SAND i AUTO WASH I ETC. LAUNDRYTUB CLOTHESWASHER / MOP SINK cLoTrrEswASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIG / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASIMR / ETC. SHOWER, SINGLE STALL sHowER, GANG (NUMBER OF HEADS) SINK: COMMERCIAURESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK:DOMESTIC BAR WASHBASIN LAVATORY URINAL, STALL/WALL TOILET, PUBLIC INSTALLATION TOILET PRIVATE INSTALLATION MISCELLANEOUS DFU TYPE NIIMBER OF EDU,s* 5 6 3 ( 0 -J_)*20 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x 2-0 0-0 0-0 0-0 0-0 0-0 1-0 0-0 0-0 0-0o-0 0-0 0-0 1-0 0-0 0-0 0-0 3-0 0-0 0-0 2-0 3 6 I 0 0 0 0 3 J 6 2 0 3 3 6 0 t2 0 I 0 J 0 0 0 3 2 2 0 0 J 2 0 1 0 2 0 I 3 6 0 TOTAL DRAINAGE FIXTURE UNITS =rEDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 2t IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY $20.14 $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNE}(ED CREDIT RATE PER $I,OOO ASSESSED VALUE 1979 OR BEFORE 54.92 1990 $2.06 1980 $4.83 l99 r $1.64 198 I $4.77 t992 $ 1.45 1982 $4.64 1993 $1.31 1983 $4.47 1994 $1. l3 1984 $4.30 1995 $0.97 1985 $4.09 1996 $0.82 1986 $3.78 1997 $0.63 r987 $3.4t 1998 $0.41 1988 $2.98 1999 $0.22 1989 $2.52 2000 $0.04 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATTON) 0.000 CREDIT FOR LAND (IF APPLICABLE) TOTAL MWMC CREDIT = x $0.63 VALUE / 1OOO CREDIT RATE 31.971 x $0.63 = DLVI-l_t)l'tllt:N I lol.tiVlt.L:.:; t )i i,)tt t I lvlt" t.r I $y,-'.,:,Iil III:>ltiL:l I:;t)tttNct |ELD, ofl g/4// (S4t) Z26.s7sS FAX 1S4t ) 726,3689 www. ci. spri r ryf ield.or. us Tom Wirfs Enterprises PO Box 237 Springfield, Oregon 97477 Enclosed is a copy :f tl: electrical permit,single family residences to be locate d at 3352,3368, and 3384 Water Mark, ana zits irll ;;;il;;,,J,,;;"r"r. Lffi :U.'$ffil f [::T'*#'#:il,lT::J.l:*.rr v var i date th em r am enc rosing Thank you, and if you have any questions, please feel free to phone me at 726-3790. March 14,2002 Sincerely, Lisa Hopper Building Safety Supervisor cc:David Bowlsby Encl ,/ 0r*ogtpL YtrD LEGAL if rvork is ofissuance '180 days. Electrical Address ataa. Cost $106.00 tl- $ le.oo s s0.00 Fee is 545.00 + Multi-Family per drvelling unit. Service Inclutled: .Ilems I Electrician 1000 sq.ft. or less Each'additional 500 sq. ft orportion thereof Each Manufd Home or Dwelling alllps to 401 amps 1 amps Over D. Brauch 4.S 7Vo 8Yo or with TOT.A,L ..q4A.q5 1. 4l! ) and expire obtain & a oD the