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HomeMy WebLinkAboutPermit Building 2005-1-10 " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3180 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: 1702190000700 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00015 ISSUED: 01110/2005 APPLIED: 01105/2005 EXPIRES: 07/10/2005 VALUE: $ 330,873.20 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Foundation only- and Single Family Residence Owner: AL & TAWNY A PRATT Address: 1021 OLD ORCHARD LANE SPRINGFIELD OR 97477 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction 42.00 30.00 26.00 62.00 79.00 TYPE OF USE: Addition Residential Phone Number: 541-988-9889 I CONTRACTOR INFORMATION I I BUILDING INFORMATION I License Expiration Date Phone # of Stories: 2 Height of Structure 34.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: n/a 1 R-3 U-l VN 4 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 480 19,002 1,500 1,969 I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS. AC Mat No I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Pa2e 1 of5 Floodplain 3 Yes 10.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Drywell - Provide Drywell Engineering Value Date Calculated ~/ // / \ \ ._war$;~9'i~~I')'I~""D ~...' l.,_~,.,~. , . . '.. -,~-. '" < __,"c",.",~,"".~_"''''_'~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DwelliDl!S V Wood Frame Foundation Onlv Use Bid Amount Garal!e Garal!e $92.40 $1.00 $24.30 Total Value of Project ~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00015 ISSUED: 01110/2005 APPLIED: 01105/2005 EXPIRES: 07/10/2005 VALUE: $ 330,873.20 3,433.00 2,000.00 480.00 $317,209.20 $2,000.00 $11,664.00 $330,873.20 01/06/2005 01/06/2005 01/06/2005 Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $851.44 11/29/04 1200400000000001659 + 10% Administrative Fee $4.50 12/30/04 2200400000000001561 + 7% State Surcharge $3.15 12/30/04 2200400000000001561 Foundation Permit $45.00 12/30/04 2200400000000001561 -Mechanical Issuance Fee- $10.00 1/10/05 1200500000000000040 + 10% Administrative Fee $197.39 1/10/05 1200500000000000040 + 7% State Surcharge $138.17 1/10/05 1200500000000000040 3 Baths One & Two Family $306.00 1/10/05 1200500000000000040 Addressing Assignment $31.00 1/10/05 1200500000000000040 Appliance Vent $6.00 1/10/05 1200500000000000040 Building Permit $1,309.90 1/10/05 1200500000000000040 Dryer Vent $6.00 1/10/05 1200500000000000040 Exhaust Hoods $9.00 1/10/05 1200500000000000040 Furnace - up to 100,000 btu $12.00 1/10/05 1200500000000000040 Gas Fireplace $15.00 1/10/05 ' 1200500000000000040 Gas Outlets 1-4 $4.00 1/10/05 1200500000000000040 Heat Pump $12.00 1/10/05 1200500000000000040 Plan Review Major - Planning $103.00 1/10/05 1200500000000000040 Plan Review/Residential Hourly $90.00 1/10/05 1200500000000000040 Residence Wiring 1000 Sq Ft $106.00 1/10/05 1200500000000000040 Residence Wiring Ea Addtl 500 $114.00 1/10/05 1200500000000000040 SDC Sanitary/Storm Admin $32.11 1/10/05 1200500000000000040 SDC Transpo Admin $47.38 1/10/05 1200500000000000040 SDC Transpo Improvement $772.49 1/10/05 1200500000000000040 SDC Transpo Reimbursement $175.13 1/10/05 1200500000000000040 Storm Drainage Impervious Area $642.24 1/10/05 1200500000000000040 Temp Power 200 amps or less $50.00 1/10/05 1200500000000000040 Vent Fan $24.00 1/10/05 1200500000000000040 Willamalane Single Family $1,000.00 1/10/05 1200500000000000040 Total Amount Paid $6,116.90 I Plan Reviews I Pal!e 2 of 5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00015 ISSUED: 0111012005 APPLIED: 01105/2005 EXPIRES: 07/10/2005 VALUE: $ 330,873.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan nine Review 01/06/2005 01/06/2005 APP EMM Conditions of Floodplain Development need to be met before issuance (septic permit, engineered fill, etc.) Remainder of planning review done. FEMA Elevation Certificate is an Occupancy condition. Septic Permit approved. LDAP has condition for engineered fill. 12/15/2004 emm (forgoing comments transferred from original permit # COM2004-01456 dim) Public Works Review 01/06/2005 01/05/2005 APP CAS See previous permit # com2004-01456 for more info 1/512005 CAS Structural Review 01/06/2005 01/0612005 WE DLM No engineering submitted. Lateral wall design requires engineering. Called designer, who said that the engineering was given to the applicnat with the drawings. Called applicant & requested the engineering documents.I2/21/2004 dim (forgoing comments transferred from original permit# COM2004-01456) Received engineering from applicant 12/22/04. Found descrepancies between the engineering and the const. drawings. Contacted designer & engineer 12/29/04 dim. Structural Review 01/06/2005 01/06/2005 APP DLM FOUNDATION ONLY - 12/30/2004 Resolved foundation descrepancies w/ engineer by phone 12/29/2004 dim. Remainder of building not approved for construction as yet. EngineerstiIl needs to provide additional documentation regarding descrepancies between submitted engineering and construction documents for remainder of structure. 1/6/2005 dim Structural Review 01/06/2005 01/10/2004 APP DLM Received revised engineering information 1/7/04 dim Added notes from original engineering that was absent on const.dwgs. dim To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Paee 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2005-00015 ISSUED: 01110/2005 APPLIED: 0110512005 EXPIRES: 07110/2005 VALUE: $ 330,873.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L..JleouiredJnsnections' Erosion/Grading Inspection: After all erosion measures are in place. Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Vnderfloor Plumbing: Prior to insulation or decking. Vnderfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Storm Sewer Line: Prior to filling trench. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. Final Plumbing: When all plumbing work is complete. Vnderfloor Mechanical. Prior to insulation or decking and including required testing. Vnderfloor 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 minimum of one appliance including required testing. Presure test done at this point. Pa2e 4 of5 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00015 ISSUED: 01/10/2005 APPLIED: 01/05/2005 EXPIRES: 07/10/2005 VALUE: $ 330,873.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , I 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 ofany structure without permission ofthe Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 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 durin:1struction. , ~''LAL(m/HL.... ~ l-jO-cr5 Owner or C;ntractor~ignature Date Paee 5 of 5 = $0.00 JOSS $0.00 1054 $0.00 1056 =1 $0.00 = I $1,589.86 CHARGE $79.49 I 32.11 1079 I' $47.38 1078 TOTAL SDC CHARGES =1 $1,669.35 CITY OF S"'~NGFIELD SYSTEMS DEVELOPMEt'J1"'ORKSHEET JOURNAL OR JOB NUMBER: eeM-260'~ ~#1';2.t::'t'J 5' - ~ If!:) / S NAME OR COMPANY: Tawnya Pratt LOCATION: 3180 Hayden Bridge Rd TAX LOT NUMBER: 1702190000700 DEVELOPMENT TYPE: NEW DWELLING UNITS BUILDING SIZE (SF: '3433 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 760.00 $0.310 = I $235.60 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. I x COST PER S.F. x I DISCOUNT RATE I I" 'DISCOUNT 2623.50 $0.310 I 50% = I $406.64 ITEM 1 TOTAL - STORM DRAINAGE SDe I $642.24 2. SANITARY SEWER - CITY " A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 0 COST PER DFU $24.04 B. IMPROVEMENT COST: I NUMBER OF DFU's I 0 , x $18.28 ITEM 2 TOTAL - eITY SANITARY SEWER SDe =1 $0.00 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRlP RATE x I 9.57 NUMBER OF UNITS x I COST PER TRIP I . I $18.30 x INEW TRIP FACTORI I 1.00 I 'B. IMPROVEMENT COST: ADT TRlP RATE x NUMBER OF UNITS x I COST PER TRlP 9.57 I I $80.72 ITEM 3 TOTAL - TRANSPORTATION SDe = I $947.62 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x ' , 0 x I NEW TRIP FACTOR I 1.00 ICOST PER FEU I $82.03 B. IMPROVEMENT COST: NUMBER OF FEU's o x ICOST PER FEU I $865.31 '- MWMC CREDIT IF APPLICABLE (SEE REVERSE) . MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMe SANITARY SEWER SDe SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE 'I $1,589.86 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 11/30/2004 PREPARED BY DATE 19002 $642.24 '. = I $0.00 = I $0.00 $175.13 $772.49 = $0.00 r./) i:I.l Cl o U 0::: i:I.l t-< r./) ....... o ~ 1070 1091 1092 1093 1094 1054 -(~ .... ......... '~";':'.. ~... .....c=~ ~t".~':''''',-,~.~h.. .. .. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATIITUB 3 0 3 = 9 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 2 0 3 = 6 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 ISHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 5 0 1 = 5 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlV ATE INSTALLATION 4 0 3 = 12 MIsrFT .T ANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 39 I, *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5,12 '.' $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1:,59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 =, $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT Lane I~l County pef\ 1.,. " ~--::::~" Ai~~~,lir Sv<'S'S~ Pul>liG 'Works ' APPL!CAJ\rT'S Copy (~'dn.,; ~ounty. SEPTIC INSTALLATION PERMIT SP047448 Parcels: 17-02-19-00-00700 AT N HAYDEN BRIDGE RD & 32ND ST Site: Applicant: PRATT AL & TAWNYA 1021 OLD ORCHARD LN SPRINGFIELD OR 97477 ;~ Owner: ALBERTS DEVELOPMENT LLC PO BOX 10545 ' EUGENE OR 97440 Site Inspection Number: 04-9021 'Vork Description: INSTALL SEPTIC SYSTEM System Type: INSTALL, STD Issued Date: 11/2412004 Expiration Date: 11/24/2005 INSTALLATION REOUIREMENTS: Projected Daily Flow: 450 gallons Drainfield Size: 225 feet Special Conditions: Recommend l500-gallon tank to facilitate future use ofrepair area. 18-24 inch trench depth only allowed if equal distribution. 24-30 inch depth if serial. , Fill pad should be graded to direct surface water away from drainfield. See OAR 340-71-220(11) for drop req. Septic TankSize: 1000 gallons Trench Depth: 18-30 in. OTHER REQUIREMENTS: 1. Installation of an effluent pump requires and Electrical Permit. 2. Install disposal trenches on contour. The trench bottom shall be level within, a tolerance of plus or minus one (1) inch over the entire trench length. 3. Minimum of eight (8) inch fall from top of septic tank outlet to top of first header pipe leaving D-box, 4. New systems must meet setback requirements in Table 1. T\ 11/24/2004 Date Authorized DEQ Agent LANE COUNTY ON-SlTE-SEWAGE OFFICE 125 E 8TH Avenue, Eugene OR 97401. PH: (541) 682-3754. Fax: (541) 682-3947 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~i'i ~ity of Springfield Official Receipt .Jevelopment Services Department Public Works Department RECEIPT #: 1200500000000000040 Date: 01110/2005 2:22:31PM Job/Journal Number Description Amount Due COM2005-000 15 Plan Review Major - Planning 103.00 COM2005-000 15 Building Permit 1,309.90 COM2005-000 15 Addressing Assignment 31.00 COM2005-000 15 Willamalane Single Family 1,000.00 c'OM2005-00015 3 Baths One & Two Family 306.00 COM2005-00015 Furnace - up to 100,000 btu 12.00 COM2005-00015 Vent Fan 24.00 COM2005-00015 Appliance Vent 6.00 COM2005-00015 Exhaust Hoods 9.00 COM2005-000 15 Dryer Vent 6.00 COM2005-000 15 Gas Outlets 1-4 4.00 COM2005-000 15 Heat Pump 12,00 COM2005-000 15 -Mechanical Issuance Fee- 10.00 COM2005-000 15 Residence Wiring 1000 Sq Ft 106.00 COM2005-000 15 Residence Wiring Ea Addtl 500 114.00 COM2005-000 15 Temp Power 200 amps or less 50.00 COM2005-00015 Storm Drainage Impervious Area 642.24 COM2005-000 15 SDC Transpo Reimbursement 175.13 COM2005-00015 SDC Transpo Improvement 772.49 COM2005-000 15 SDC Sanitary/Storm Admin 32.11 COM2005-00015 SDC Transpo Admin 47.38 COM2005-00015 Gas Fireplace 15.00 COM2005-000 15 + 7% State Surcharge 138.17 COM2005-000 15 + 10% Administrative Fee 197.39 COM2005-000 15 Plan Review/Residential Hourly 90.00 Item Total: $5,212.81 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check TAWNYAPRATT dim 5289 In Person $5,212.81 Payment Total: $5,212.81 1/10/2005 Page 1 of 1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~ (541)7fe.Jasd;>.o", , ~Il &; 13:' ELECTRICALtfA'RM~~JCATION ~v0 @~~". &<l''''&.'<!l . 0 ~ 0/ IS' " City Job Number ", ~ Date .. "<'.." oS'. "" '..~6.,,~ . J.~,,3. .:"? ~iifi"'''''' LE\'1D~1cr~0' 0 aD l.DO A'service Included "'i".a',,'c!L~ JOB.?ESCRIP~ON. ~~ '2fll~' ,IOOOSq.ft.orless ~~I ~ A. ~nMl\ Each additional 500 sq. ft. or " ""CL l.' \ _ t) + , ~...l.." portion thereof lQ $ 19.00 Permits e non-transferable a d expire if work is Each Manufact'd Home or not started within 180 days of Issuance or if work is Modular Dwelling Service or Suspended for 180 days. 'Feeder [~eoN?1iAcr()R~1iVSTAl,r;~TION.oJLy1~ 2. ~tJ;:."d'>:;;:Z~/q:\:\~i~~'~./~;>:<j;i~i~'~Jf(&}A;~~~l~i,;iAAi&:''tJM:z;i~AmJ1i::2t;.;:c..(,:~ Electrical Contractor A{ 't,,~ fir .f-l\I € Address Lq-r 0 lI}\/ht.~ G-w ~ Phone 5"4 (--5?I.~ (j-Q City ,hJC,Q.-vt= Supervisor License Number t.J 77 )... ~ Expiration Date /0- 0 I - 0 7 CtfS ILt6?QS- Constr. Contr. Number ft :Zo -4 b~( Cc...(3. ,.:.., ~- oS' ~ .- 7-0l-0b Expiration Date Signature of Supervising Electrician ]4~~~ Owners Nam~ ~t.-t-' ~1J t:f-afu Address \I)rL.\ (~\jirtrw~ E. C;ty~ Phone fN$(j"Wl OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 .\Qlo~ \.\4 .w $50.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ~~T~1ri'~~rif~"'; ~=,.. .~P".""H' Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. $ 50.00 $ 69.00 $100.00 w ~(YJ \ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 7% State Surcharge 10% Administrative Fee I)... ~O . cj) _t 5 ~O 'L' I "cO (3\ <5y\D TOTAL Shared Drive(T:)JBuilding FormslElectrical Pennit Application I-03.doc