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HomeMy WebLinkAboutPermit Building 2008-2-21 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00078 ISSUED: 02/21/2008 APPLIED: 01/18/2008 EXPIRES: 08/21/2008 VALUE: $ 285,442.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2595 16TH ST ASSESSOR'S PARCEL NO.: 1703243103700 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Legacy Estates lot 12 Owner: DOUGLAS LARSON Address: 1830 FRIENDLY ST EUGENE OR 97402 ! CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor NORTHFORK CONSTRUCTION INC BEAR MOUNTAIN ELECTRIC LLC HOME COMFORT HEATING & AIR WILLAMETTE V ALLEY PLUMBING License 174207 136298 84164 170401 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 2 Height of Structure 28.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building nfa 1 R-3 U VB 3 ! DEVELOPMENT INFORMATION I Residential Phone Number: 541-515-2857 Expiration Date 02106/2011 08/06/2009 06/25/2011 06/05/2008 Phone 541-515-2857 541-741-8844 541-345-2838 541.344-0411 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,848 1,513 554 699 350 REQUIRED PARKING Frontyard Setback: 18.00 Overlay Dist: Total: 2 Side 1 Setback: 8.00 # Street Trees Rqd: 2 Handicapped: Side 2 Setback: 11.60 Paved Drive Rqd: ATTENTlollP. Oregon<JQfilJIDqUlres you to Reary1t~~t&zGk: 42.00 % of Lot Coverage: follow rul~~lAdopted by the Oregon Utility Solar ~~. Pd. a~R' 'MIT ~ . 30.75 , . Notlflc.atlon.. Center. Th. ose rules are set f. orth . i21-1AI r EX~/!1~ I::-Tl IF :i!-J",.. :..C!::: c:: ~~~ r':'~ ':' ~f;Hglt9b Oll C a:::,?_IJQ1_ C/\U I HORIZED UNDER THIS PERM/T!_ IMPROVEMENTS fl090. You may obtain copies of the rules by OMMENCtQ OR IS ABANDn cal~na th~ c~nter. (Note: the telephone StreeAf.NPf~'tf'tJA)JsPERIOD F'<<Wl~gltved num~'eY"df~t-fl~egon Utility Notifi~ck 7' Storm Sewer Available:' Yes DOWHlipt.%lhlID1-~~~-332-2~~}u and Gutter Special Instruction: Notes: weep holes to curb and gutter Pae:e 1 of 4 .., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellin!!:s Gara!!:e AC - Residential V Wood Frame Gara!!:e Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 3 Baths One & Two Family Addressing Assignment Appliance Vent BUilding Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtll00' Temp Power 200 amps or less I Valuation Descriotion I $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Square Footage or Bid Amount 2,417.00 2,417.00 699.00 Total Value of Project ~ Amount Paid $809.74 $40.00 $216.15 $240.69 $119.04 $337.00 $35.00 $7.00 $1,288.72 $85.00 $7.00 $10.00 $155.80 $14.00 $5.00 $2.00 $14.00 $205.00 $27.93 $117.00 $105.00 $673.33 $885.50 $10.00 $990.39 $95.35 $174.49 $862.25 $195.48 $68.30 $85.00 $1,143.51 $16.00 $55.00 Date Paid 1/18/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 2/21/08 Pa!!:e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00078 ISSUED: 02/21/2008 APPLIED: 01/18/2008 EXPIRES: 08/21/2008 VALUE: $ 285,442.00 Value Date Calculated $12,085.00 $253,785.00 $19,572.00 $285,442.00 02/20/2008 01/18/2008 01/18/2008 Receipt Number 2200800000000000069 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 1200800000000000159 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00078 ISSUED: 02/21/2008 APPLIED: 01/18/2008 EXPIRES: 08/21/2008 VALUE: $ 285,442.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Vent Fan Willamalane Single Family $7.00 $21.00 $2,513.00 2/21/08 2/21/08 2/21/08 1200800000000000159 1200800000000000159 1200800000000000159 Total Amount Paid $11,636.67 I Plan Reviews I Initial Review 01/21/2008 01/23/2008 APP LLH Public Works Review 01/23/2008 01/24/2008 APP LKW Storm water to weep holes to street Plannin2 Review 01/23/2008 02/05/2008 APP TAJ Structural Review 01/23/2008 02/19/2008 APP RWC 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. ~e(]uire~nSDections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut. Standard: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Dfer 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. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Dnderfloor Plumbing: Prior to insulation or decking. Pa2e 3 of 4 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2008-00078 ISSUED: 02/21/2008 APPLIED: 01118/2008 EXPIRES: 08/21/2008 VALUE: $ 285,442.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor 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. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 -~~ ____ Z/21 I,,~ Owne/or ~Signature '-----"" Date I . ( Pa2e 4 of4 _ ccnn (Q)W ~~~nNCGJ1FnJEIL.[2\ (Q)~IE~(Q)lM ~ Date ;) Id II 0 r: , I C()MPL/:-'1b PEE SCHEDULE BELOW':' . ZON i Alv INITIAL~ i \ H\ . <- DATE F7_1' 0 y SOURCE -'f'l "'" 0 22:' HVI U ~ I RI;E I . ~PRINGFIELD, OR 97477 . PH (:'41)726-37:'3 . FA:\. (:'41)726-3689 ELECTRICAL prrff!lr:::~fiit TION Cn) Job Number \A) U Ai n - 1. 4~E\~OF1N\\QW\~rt- 3. LE\~~3 \ 06\00 J~DE'SCRIPTI~1 .. ?c1a -- 1000 sq ft 01 less ~ \1 J- (O"^rach addItIOnal 500 sq ft or . \ \lJ I lI--6ortlon thereof Permits are n-transferable and plre If work IS Each Manufact'd Home or not started wlthm 180 da}s of Issuance or If work IS Modular Dwelling ServIce 01 Suspended for 180 days. Feeder . - -\. New Residentillf": Single' (}I' MultI.Family p~I' dw~nfl'ilrunft. Service Included \ ,C) , SI1700 \\l~ 10'5.(1) S 2100 S55 00 CONTRACTORINSTALIATIQN ONLY 2. Electrical Contractor!!JJIR. !JJ{(J/IJli1/AJ ELE""c Addressg5Agg /)/W/R/J flaES5 /?f) Cit),EUGE/lJf. Phone 1!Lbft t/ tj B. Servires or Feeders - rnstallathm, Alterations or Relocatjon:, n Date r ...-- "~;"D'~'"I' E:"~"'~ . - '---'" 1/otj(), S If) /10 IJ6~q 8' ,r/o~ · . V.I~ to 200 Amps \2f.t~f.1TION Oregon law requl!6fu {) f't.' 20 I Amp~RJ ~orf1w.Pj ~dopted by the urf$~g~ t ;~~1h 40 I Am'iM~lfl ~~tW\1P~enter. Those rLl\I~j~~g~.Q01_ 601 Am~ht01~~!5mjjS)1-0010tnro~~~tM1ru\es bv Over I O~aoops~u@ay ob:atn t~~~~ th'3'elep'~one Reconnect <e~tjlng the center. (_._ UtlHty Nh1If\~atlon ~umber for the. or~~O(;.332-2344). c. 'Temporary sCI"\G.ep~rF~\ldcrs Sup<::rvlsor License Number E\.plratlOn Date Installation, AlteratIOn or RelocatIOn ~~aJ \. 200 Amps or less \ S 55 00 20 I Amps to 400 Amps S 76 00 401 Amps to 600 Amps SilO 00 Over 6~0 .\mP\.~D1~tE~lts see"'8 above RE If 1HE WORK D. Branch Circb)b S PERMII SHP--LL EXPI PERMII IS N01 -\\-1\ MI1i:R 1\-11S New AlteratIOn p.tJ~ft~rmEf'eUYiJlrje1 BANnONED FOR One CIrCUIt t\'~11ENCED OR IS A 'S'~g-OO Each Additional ~Pf~ll~~OV&AY PERIOU. ServIce or FeederJ.WL-\{llIt S 400 Constr Contr Number The II1stallatlon IS be1l1g made on property I own which IS not Intended for sale lease or rent S 55 00 S 55 00 S 28 00 5 50 00 Owners Signature , - 4. SUBTOTAL OF ABOVE (~ State ~urcharge 10% Admllllstratlve Fee 5% Technolol,')' Fee InspectIOn Request: 726-3769 TOT-\L "h",~d 1)"",,( I )/l:luildmg 11Irms/LkLlrl(nl Permn ApplKdllon 7-07 dOL CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2008-00078 NAME OR COMPANY: Douglas Larson LOCATION 2595 16th Street TAX LOT NUMBER 1703243103700 DEVELOPMENT TYPE Smgle Family ResIdence NEW DWELLING UNITS 1 BUILDING SIZE (SF: 3116 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS SF. --" x COST PER S F CHARGE 330475 $0346 I = I $1,14351 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F x I COST PER S F x DISCOUNT RATE I o 00 I $0 346 50% = I 7841 if) ~ Cl o U ~ ~ r-- " rf) >-< c.J ~ DISCOUNT $000 ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x 33 $1,143.51 $1,143.51 1070 COST PER DFU $26 83 $885.50 1091 B IMPROVEMENT COST NUMBER OF DFU's I x 33 I COST PER DFU $20 40 $673.33 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,558.83 3 TRANSPORTATION A REIMBURSEMENT COST I ADTTRlP RATE x I NUMBER OF UNITS x I COST PER TRIP x INEWTRIPFACTOR I 957 I 1 I 2043 I 100 $195.48 1093 B IMPROVEMENT COST ADTTRIP RATE x I NUMBER OF UNITS x I COST PER TRlP I x NEW TRIP FACTOR 957 I 1 I $9010 I 100 $862.25 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73 I I I I, 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST NUMBER OF FEU's x ICOST PER FEU 1 I $95 35 = $95.35 1054 B IMPROVEMENT COST NUMBER OF FEU's x COST PER FEU 1 $99039 = $990.39 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $1,095.74 'j - 'j SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $4,855.81 5 ADMINISTRATIVE FEE '" - I SUBTOTAL x ADM FEE RATE 1= CHARGE I $4,85581 5% , $242 79 TOTAL SANITARY ADMINISTRATION FEE 17449 1079 i TOTAL TRANSPORTATION ADMINISTRATION FEE $68 30 ! 1078 - -- - , Kaye Wilson 1/24/2008 TOTAL SDC CHARGES =1 $5,098.60 PREPARED BY DATE - - --~~.--~. .- -- DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 I CLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASINIDOUBLE LAVATORY 2 0 2 = 4 SINK SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 33 *EDU (EqUIvalent DwellIng Umt) IS a dIscharge eqUIvalent to a smgle famIly dwellIng umt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$l,OOO ASSESSED VALUE $529 $529 $519 $512 $4 98 $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 1 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 $000 x $000 = , $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. ~)iU212 SYSTEM DEVELCPMENT CHARGE WORKSHEET FOR 2008 NAME: \' 1JqQS- &W\ PHONE: b\ C:y 2.€5l ADDRESS:\~-:7i'1 tr\Pf\A~ITY f1Tle~TAT~~P: Gh402-- LOCATION OF PROPOSED BUILDING SITE: \ Jr V StreetAddre~s: b1..ffiCO \\O~ ~\ee;~ Plat Name: ~(afJ-, Tax Lot Number: 'I1Ll:1l13 \ 03lro -- \ - \ . . 1. DEVELOPMENT TYPE (Check appropriate dwelling(s) Dwelling type definitions are on the back) A. Sinale-Familv Detached NO. OF UNITS l X $2,513 per unit = B. Sinale-Familv Attached NO. OF UNITS X $2,726 per unit = C. Multi-Familv Acartment NO. OF UNITS X $2,323 per unit = D. Sinale Room Occucancv NO. OF UNITS X $1.162 per unit = E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = WILLAMALANE SDe 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval) " 3. TOTAL WILLAMALANE NET SDe ASSESSED llin 87' ced for tJ," Development Service Date CitY of Springfield $ A,~L3.(jJ $' $ $ $ , $!l.~ ~ ''l $ ,/J $j~1fh~ I I 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 COM2008-00078 Payments: Type of Payment Check CredltCard cRecemtl RECEIPT #: 1200800000000000159 Date: 02/21/2008 Descnption Addressmg AssIgnment Willamalane Smgle Family Fire SF Fee - ReSidentIal Storm Dramage ImpervIous Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo ReImbursement SDC Transpo Improvement SDC MWMC Improvement SDC MWMC Admmlstratlon SDC Sanitary/Storm Admm SDC TransportatIon Admm SDC MWMC ReImbursement Sidewalk Permit Curbcut Permit Plan RevIew Major - Plannmg 3 Baths One & Two FamIly Furnace - up to 100,000 btu Vent Fan Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Heat Pump ReSidence WIrIng 1000 Sq Ft ReSidence WIrIng Ea Addtl 500 Temp Power 200 amps or less BuIldmg Permit Storm Sewer Each Addtl 100' Appliance Vent Exhaust Hoods -Mech Iss 2+ ApplIances- Plan Review ReSidential Vent Fan + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By DOUGLAS LARSON DOUGLAS LARSON Item Total: Check Number Authorization Received By Batch Number Number How Received NJM NJM 1005 In Person 021012 In Person Payment Total: Page 1 of2 2:28:49PM Amount Due 3500 2,51300 15580 1,14351 885 50 673 33 19548 862 25 99039 10 00 17449 6830 9535 8500 8500 205 00 33700 1400 2100 700 500 200 1400 11700 10500 5500 1,288 72 1600 700 10 00 4000 27 93 700 11904 240 69 21615 $10,826.93 Amount Paid $1,82693 $9,00000 $10,826.93 2/21/2008