HomeMy WebLinkAboutPermit Building 2008-2-11
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00182
ISSUED: 02/11/2008
APPLIED: 02/07/2008
EXPIRES: 08/11/2008
VALUE: $ 140,770.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5793 CINDER ST
ASSESSOR'S PARCEL NO.: 1802030008000
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence-
SAME AS COM2007-01638 5792 Obsidian
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
License
92208
67362
39237
142776
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 1
Height of Structure 16.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type:
Energy Path: Path 1
Sprinkled Building n/a
1
R-3
U
VB
3
I DEVELOPMENT INFORMATION I
Residential
Phone Number: 541-228-6935
Expiration Date
07/2912009
06/19/2011
03/25/2010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,234
400
REQUIRED PARKING
Front yard Setback: 18.40 Overlay Dist: Total: 2
Side 1 Setback: 5.00 # Street Trees Rqd: 3 Handicapped:
Side 2 Setback: 11.80 Paved Drive ~NTION' Oregon IftW require!t:~ffip~~t:
Rearyard Setback: 36.50 % of Lot cO~f3~erUieS ~doptedZ~~Ohe Oregon UlIlltYh
Solar Setbacks: 0.00 N ff catIon Center. Those rules are set faa' t1_
f\lnTIl"R:' ~~ ~~... ....,...-..)31 331~ ~r',",II~h nAfl952-0
SulfqtN8i~~MA"cEMA:I1L EXPIRE IF THE eJW(LIC IMPRO ., ay obtain copies ofthe rUhles oy
~ JNote. the telep one
St~JnM~~~DER THIS PERMIT IS calling t e cen ~e 81NJhIRfNotificatlon .
C~MENAEQ Q.~JS ABANDorf~~VPeJwroved number for the ".!>~44\ CurbSide 7'
StoKI (j'MfX~~tR' Center i9~~~~~rJ'Fain~: Curb and Gutter
Sp~ IhWf fMn. 10~0 final Occupancy approval shall be granted prior to Public Works approval of pump station
Notes:
Pa!!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00182
ISSUED: 02/11/2008
APPLIED: 02/07/2008
EXPIRES: 08/11/2008
VALUE: $ 140,770.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellin!!:s
Gara!!:e
Tvpe of Construction
V Wood Frame
Gara!!:e
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
1,234.00
400.00
Value
Date Calculated
Description
Total Value of Project
$129,570.00
$11,200.00
$140,770.00
02/07/2008
02/07/2008
~
Fee Description Amount Paid Date Paid Receipt Number
-Mech Iss 2+ Appliances- $40.00 2/11/08 2200800000000000177
+ 10% Administrative Fee $134.36 2/11/08 2200800000000000177
+ 12% State Surcharge $161.23 2/11/08 2200800000000000177
+ 5% Technology Fee $85.93 2/11/08 2200800000000000177
2 Baths One or Two Family $280.00 2/11/08 2200800000000000177
Addressing Assignment $35.00 2/11/08 2200800000000000177
Appliance Vent $7.00 2/11/08 2200800000000000177
Building Permit $769.62 2/11/08 2200800000000000177
Curbcut Permit $85.00 2/11/08 2200800000000000177
Dryer Vent $7.00 2/11/08 2200800000000000177
Exhaust Hoods $10.00 2/11/08 2200800000000000177
Furnace - up to 100,000 btu $14.00 2/11/08 2200800000000000177
Gas Outlets 1-4 $5.00 2/11/08 2200800000000000177
Plan Review Major - Planning $205.00 2/11/08 2200800000000000177
Plan Review Same As $220.00 2/11/08 2200800000000000177
Residence Wiring 1000 Sq Ft $117.00 2/11/08 2200800000000000177
ResIdence Wiring Ea Addtl 500 $42.00 2/11/08 2200800000000000177
Sanitary Sewer - Improvement $469.29 2/11/08 2200800000000000177
Sanitary Sewer - Reimbursement $617.17 2/11/08 2200800000000000177
SDC MWMC Administration $10.00 2/11/08 2200800000000000177
SDC MWMC Improvement $990.39 2/11/08 2200800000000000177
SDC MWMC Reimbursement $95.35 2/11/08 2200800000000000177
SDC Sanitary/Storm Admin $123.32 2/11/08 2200800000000000177
SDC Transpo Improvement $862.25 2/11/08 2200800000000000177
SDC Transpo Reimbursement $195.48 2/11/08 2200800000000000177
SDC Transportation Admin $73.31 2/11/08 2200800000000000177
Sidewalk Permit $85.00 2/11/08 2200800000000000177
Storm Drainage Impervious Area $692.73 2/11/08 2200800000000000177
Storm Sewer Each Addtll00' $16.00 2/11/08 2200800000000000177
Temp Power 200 amps or less $55.00 2/11/08 2200800000000000177
Vent Fan $21.00 2/11/08 2200800000000000177
Willamalane Single Family $2,513.00 2/11/08 2200800000000000177
Total Amount Paid $9,037.43
Pa!!:e 2 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00182
ISSUED: 02/11/2008
APPLIED: 02/07/2008
EXPIRES: 08/11/2008
VALUE: $ 140,770.00
I Plan Reviews I
Plannilll! Review 02/07/2008 02/0712008 APP TAJ Plant all 3 street trees on s 58th,
approximate location shown on the
site plan.
Public Works Review 0210712008 02/0712008 APP LKW No final Occupancy approval shall
be granted prior to PublIc Works
approval of pump station
Structural Review 02/07/2008 02/07/2008 APP DLM Approved as noted
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.
~eouire<UnsDections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
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 tapmg.
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.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Pnor to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Pa2e 3 of 4
CITY OF SPRINGFIELD ...
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00182
ISSUED: 02/11/2008
APPLIED: 02/07/2008
EXPIRES: 08/11/2008
VALUE: $ 140,770.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor 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.
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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 701.005 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 during construction.
--z.a~----
u
a;>"/- //,- 0 S
Owner or Contractors Signature
Date
Paee 4 of 4
- -. ....... L..UU I \ I f'\ l} I c., Ie
(FAX)JS4J7dJ2572
P 001/002
ZON L 1)2,.
um1ALS N 1"\
.... DATE ~ 11..-0)1
"" OJ..." SlRJ;Er · SI'RINGFIEI.o. OR.,." · _)'12<.1753 ....,. (<41_ ... saURO; ~ jll /
ELEl.,.~gJ'CALPBRM1T APPLICArrON
City Job Number -CCJH? 2~ 9; - rx5> /9:,? ' Date ~111 0((
3. ~~_~Q;~~'"
LEGAL DESCRIPTION:
/ $0 2- &7~ t!1-eJ f) 10 6t9-O Service lneluded
,". -. - ~-
JOB DESCRIPTION: 1000 sq. n. or less
./~~ H. r ~/ _.6~~c::h additional 500 sq. ft. or
81Ncy! ~, NLf'Il~.& 1'3~nion thereof
' .
Permits are DODotnmsferable and expire if work is .Each Manufact'd HOme or
not sbarted within 180 days of issuance or if work is Modular Dwelling Service or
SUSpended for 180 day$. Feeder
,
?-:?! -Cj.JJ Pump or irrigation $ 55.00
Sign/Outline LiGhting $ 55.00
Limited EnergylResidentiaI $ 28.00
Limite(j Energy/Commerciai $ SO.OO
Minimum Electric Permit Inspection Fee is $SO.OO + SUn:.llargClS
4. 1-0
/2-...8% State Surcharge ? ' ~
]0% Administrative Fee '2./.. 4Il>
$% TeclmoJogy Fee , I ~ . "7"
TOTAL 17 ..Z. 1,1.
Shan:d 0rive(r:)Jam1ding FOrmslEJcetJ'ieal Pcmllt Applica en 7..()'].doc
1. gq~~jr,..t..... ""
5793 O~(Jex...
<:;r
""r
2.
EJecaical Con1ractor
1M {w 'i~~
Address
rrtlf.'6't Hw<( ~~I
Ciry A \ huaIV LI
Phone 7~-ltlll
Supervisor l.ice.ase Number
f{~..,'t s
E....:...~:cn Date
I{)-I-IOW
Constr. CoIUr. Number (p / .s (p L
Expiration Date I-I - 'J.w r'
Signature of SUpervising Electrician
1~ -- - fL-
Own~Narnc --1:MerJcv ~~
Address
City
Phone
OWNER. INSTALLATION
The installation is being made On property J own which
is flat intended for sale, lease or rem. ,
Owners Signature:
In..,. ..~OD Request: 726-3769
/ $117.00 LL7 tJ-!)
2- $ 21.00 -1 ~ 6lJ
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 70.00
$ 83.00
oi>13S:011
$180.00
$4J3.00
$ 55.00
c
InstaIJatiODs Alteration or Relocation
200 Amps or Jess I
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
5~ ()!:>
Over 600 Amps or 1000 Volts see"Bn above.
D.
New Alteration or Extension Per Pallc1
-- One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
E.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER C0M2008-00182
NAME OR COMPANY Hayden Homes
LOCATION 5793 Cmder
TAX LOT NUMBER 1802030008000
DEVELOPMENT TYPE Smgle FamIly ResIdence
NEW DWELLING UNITS I BUILDING SIZE (SF: 1634 LOT SIZE (SF)
I STORM DRAINAGE '
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S F x COST PER S F CHARGE
2002 00 $0 346 = I $692 73
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S F x I COST PER S F x I DISCOUNT RATE I DISCOUNT
I 0 00 I $0 346 I 50% I $0 00
HEM 1 TOTAL - STORM DRAINAGE SDC '$692.73 I
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
I NUMBER OF DFU's I x
I 23 I
COST PER DFU
$26 83
B IMPROVEMENT COST
NUMBER OF DFU's x
23
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$1,086.46
5793
$692.73
$617,17
I ' $469.29
r/)
~
Cl
o
u
~
~
IE-<
r/)
f-<
o
~
r 1070
I
1091
1092
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY TIIE NET ADDIT]ONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
ILAUNDRYTUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
I CLOTIffiSW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
IRECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
*EDU (EqUIvalent Dwellmg Urnt) IS a discharge equIvalent to a smgle falmly dwellIng urnt (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE] 979
]979
]980
]98]
]982
]983
]984
]985
]986
]987
]988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$529
$529
$519
$512
$498
$480
$463
$440
$407
$367
$322
$273
$225
$180
$159
$145
$125
$109
$092
$072
$048
$028
$009
$005
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
2005
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0 00 x $0 00
= ,
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0 00 x $0 00
o
TOTAL MWMC CREDIT
$000
=
Willamalane
Park & Recreation District
Job. No. /~1tI'/47ft--DOlts2-
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007
NAME: ~...1J6iJ 1I11wt~ . PHONE: 7-2..~ - 1'o'7.3S-
- f - -
ADDRESS:Z~4 5~&"~dlcITY "'~I~~___A STATE~ZIP:" 7~r~
~(, ~ -
LOCATION OF PROPOSED BUILDING SITE:
Street Address: :; 79.3 CI,Ai ,1) t5t
Plat Name:~ /1.lbfI~f Tax Lot Number: /g02.. 6 < D~~ ~ ~
1. DEVELOPMENT TYPE (Check appropriate dwelhng(s) Dwelling type definitions are on the
back. )
Development Services Department
City of Spnngfleld
Date
5
DEVELOPMENT TYPE DEFINITIONS1
... ,', ';', "',' ," _Single fiamily'Oetached Dwelling Unit
. "~ \' j. . A btrildiri~or-a ptJrtion of a buildin-g consisting of one or more rooms including sleeping,
cooking, and plumbing facilities arranged and deSigned as permanent liVing quarters
for one family or household; and not attached to any other dwelling unit or building.
--..T~sf.El~J~iti.Qn )e,c1~~s. manufactured housin~~... ~A _ _,,_ '
" _. '" . ~. . .lo.- . ( ..J '. \." ., ,';.; ...., \ .. .',-J;.....~
... ..... ___J ,...j'...... ,~i \1. \
Si",I~~mily Att,~..hed Dwelling. Unit. '., .. . '
,lrpo'rtihn'of a buitdtMg consisting o1~o~ or!il~r:~ roo~l~iIT~~~l=ooking,
, and plumbing facilities arranged and designed as pe~ent living quarters for one
family or household; and which is attached to one or more dwelling units by one or
more common vertical walls. Thi~d~n~!O(1 alsO-!nclucj..~s.,1{~t,.i~ot limited to "duplex",
"zero lot line dwelling", "townhouse,~~d ~r~~,house". Witi);the e~eption of duplexes,
~.... "'~ ~i"gle..Famt~,~ttacA~ Dwelling Units typicaljy.."are se~~tt3IY owned. ~
'-- ~ '... ~'" ... " _:>l '" ~. ' \ . ,. ,.....~ \. '\\;, 'a.."- \ "."",,'
v ....,~.\ ......), '.. ~)"~-.J
Multi-Family Dwelling Unit \. .
A portion of a building consisting of one or more rooms including sleeping, cooking,
and plumbing faCilities arranged and designed as permanent living quarters for one
family or household; and which IS attached to two or more dwelling units by one or
more;c~rA~.vertical walls. Typ'i~~lIy,1ne: units are In an apartment building or
comp~x, aRCi- are not separately owned.
Single Room Occupancy Dwelling Unit
A portion of a building consisting of one or more rooms including sleeping faCIlities with
a shared or private bath, and shared cooking faCilities and shared living/activity area.
ThiS definition also includes, but IS not limited to "assisted liVing facility." Single room
occupancy dwelling Units shall be charged at one-half the multi-family dwelling unit
SDC rate.
Accessory Dwelling Unit
A secondary, self-contained dwelling that may be allowed only in conjunction wrth a
detached single-family dwelling. An accessory dwelling unit is subordinate in size,
locatIon, and appearance to the primary detached single-family dwelling. An accessory
dwelling unit generally has its own outside entrance and always has a separate
kitchen, bathroom and sleeping area. An accessory dwelling unit may be located
within, attached to, or detached from the primary Single-family dwelling. Accessory
dwelling units shall be charged at one-half the single family detached dwelling unit
SDC rate.
....', -..,r-..
C. ' /
.. j 1-~ ~-.. ~~
Updated 2120107
1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6, October 10, 2006
6
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 182
COM2008-00182
COM2008-00 182
COM2008-00 182
COM2008-00182
COM2008-00182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00182
COM2008-00182
COM2008-00 182
COM2008-00182
COM2008-00182
COM2008-00 182
COM2008-00 182
COM2008-00 182
COM2008-00 182
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000177
Date: 02/11/2008
DescriptIOn
WIllamalane Smgle FamIly
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
ApplIance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mech Iss 2+ ApplIances-
Residence WIrIng 1000 Sq Ft
Residence WIrIng Ea Addtl 500
Temp Power 200 amps or less
SIdewalk PermIt
Curb cut PermIt
Storm Dramage ImperVIous Area
Sallltary Sewer - ReImbursement
Sallltary Sewer - Improvement
SDC Transpo ReImbursement
SDC Transpo Improvement
SDC MWMC ReImbursement
SDC MWMC Improvement
SDC MWMC AdmmlstratlOn
SDC Sallltary/Storm Admm
SDC TransportatIOn Admin
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Plan ReVIew Same As
Plan ReView Major - Plannmg
BUlldmg Permit
Addressmg ASSIgnment
PaId By
TIM/HA YDEN HOMES
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
nJm
031754 In Person
Payment Total:
Page I of 1
9:02:17AM
Amount Due
2,51300
28000
1600
1400
21 00
700
10 00
700
500
4000
117 00
4200
5500
8500
8500
692 73
61717
469 29
19548
862 25
9535
99039
10 00
123 32
7331
8593
161 23
13436
220 00
205 00
76962
3500
$9,037.43
Amount PaId
$9,03743
$9,037.43
2/11/2008