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Home My WebLink AboutPermit Building 2008-2-21 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00094 ISSUED: 02/21/2008 APPLIED: 01/23/2008 EXPIRES: 08/21/2008 VALUE: $ 296,279.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6024 Graystone Lp ASSESSOR'S PARCEL NO.: 1702343301800 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Mt Gate West lot 2 Residential Owner: BRUCE WEICHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 Phone Number: 541-686-9458 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON License 101717 105475 460 65065 Expiration Date 09/16/2008 03/30/2008 06/27/2009 03/12/2008 Phone 541-686-9458 541-933- 2653 541-726-0100 541-342-3765 I BUILDING INFORMATION I 4 # of Stories: .Ju toLot Size: Height of Structu~\aVI fequ\t'~'~l{j\\'\\'fq Ft 1st Floor: 1~0NtQI~god ~l\\WtCAQ9~~ Ft 2nd Floor: p..,~ "W'_1~p\e1'hoseru\esa1i2~Ft Basement: 10\i ~:;10 \t\fOU9" O"S$JfFt Garage/Carport ~o 0 ~ 11.: co~ 4 Ft Other: '0 ...~ .gt"0\8~ " ~upant Load: '-4'.aJ""'C8 -~ ~~ 14,990 1,653 627 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB 608 271 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 39.00 16.00 45.00 40.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes 21.80 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved Yes PUBLIC IMPROVEME.NTS _ ~IS PeRtAlT_~.1S tIOl AUTHORIZED U::: A6~fOl' ~~:~~~~ PEl\\OO. Curbside 5' To Storm Sewer Notes: Storm water drains to provided service tap. Pa2e 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 AC - Residential V Wood Frame Gara2e A.C. - Residen Dwellin2s Gara2e 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 Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Overwidth Application Fee Plan Review Major - Planning PW Disc - 2nd Permit 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' I Valuation Descriotion I $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Square Footage or Bid Amount 2,280.00 2,551.00 608.00 Total Value of Project ~ Amount Paid $863.27 $40.00 $224.41 $250.33 $123.31 $337.00 $35.00 $7.00 $14.00 $1,328.10 $85.00 $7.00 $20.00 $157.95 $17.00 $14.00 $5.00 $45.00 $205.00 $-40.00 $117.00 $105.00 $632.53 $831.83 $10.00 $990.39 $95.35 $168.81 $862.25 $195.48 $68.74 $85.00 $1,133.22 $32.00 Date Paid 1/23/08 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 Pa2e 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00094 ISSUED: 02/21/2008 APPLIED: 01/23/2008 EXPIRES: 08/21/2008 VALUE: $ 296,279.00 Value Date Calculated $11,400.00 $267,855.00 $17,024.00 $296,279.00 01/23/2008 01/23/2008 01/23/2008 Receipt Number 1200800000000000065 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 1200800000000000156 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00094 ISSUED: 02/21/2008 APPLIED: 01/23/2008 EXPIRES: 08/21/2008 VALUE: $ 296,279.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Temp Power 200 amps or less Vent Fan Willamalane Single Family $55.00 $28.00 $2,513.00 2/21/08 2/21/08 2/21/08 1200800000000000156 1200800000000000156 1200800000000000156 Total Amount Paid $11,661.97 I Plan Reviews I Initial Review Public Works Review 01/24/2008 01/28/2008 01/28/2008 01/28/2008 APP LLH APP TSS Storm water drains to provided service tap. Structural Review 01/28/2008 02/19/2008 APP DLM Received revised foundation plan from contractor 2/19/2008 dIm. Planninl! Review 01/28/2008 02/20/2008 APP T AJ Place orange construction fencing in rear of lot to protect trees being saved. Choose street trees fro the list of "Native Trees in Hillside Development" in the Street tree handout. 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. L..JleouiredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Vfer 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 taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Pal!e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00094 ISSUED: 02/21/2008 APPLIED: 01/23/2008 EXPIRES: 08/21/2008 VALUE: $ 296,279.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Rough Plumbing: Prior to cover 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 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. 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 ;re requested at the proper time, that each address is readable from the street, that the permitjCard is 10 ated at the front.of'the property, and the approv~d self Pia/ill remain on the site at all t;m''[;Cj,trult;on. 2/21/ 0 g Owner or Contractors Signature Date { f Pa2e 4 of 4 SPRINGFIELD ..:Ji._."~ ~ !p.}. ~ _, <Ai4>-"';~'1 r; . "' ~ ,1'tl'-.,lt , ~ I ~~"tF>-t"?w,.........~-!t;r.At.....:s,"'""'-",;;." (Ill . ~ .,. -"'.-' f '"',., ", ~2;';;':""'3.0. '.J ZON ~V INITIALS l\..'IY\l'-.t DA TE ~ - d I - 0 <':( SOURCE ~~;V 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number C4>"""" ZOo K -000 'Y BA~~ Feeders - Installation, Alterations or Relocation: foflow rule . Oregon Jaw requIres you to N~ ~~f~ted by the Oregon Utifity$ 63 00 In ~.1~~~~ "gss a.:.e set fortf1; 75.00 :J' onta-5 ~weJOQ@4 Xi\'lmay>~~ .9 OAn ~ot!.uu1'$125 00 c.mUntH oples of the-tt.!..", Ly' n~;Pi~.~t9:. ~he telephnne $163 00 5 ll" VI , '8 Over ~gA fw.9'tfJWt UtilIty Notificatioll $37500 Reconnect fit)" ~cm-332.2344}. $ 50.00 1. LOCA..TION OF INST.ALLATION: 3. ~O z-'-( (-rAy 5r~NE' I LEGAL DESCRIPTION. /7D7. 3433 c>' Foe J BDE~C;TI\tiJl~.ont \cmp Permits ar non-transferable ~ expire If work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR'INST.ALLATION ONLY Electrical Contractor L 4"'- e Address q 2 <6 3 :3 CIty \5 P t- 16- Phone SupervIsor License Number f1 / ') '1- 5 (Olt)!} 07 , Constr Contr. Number 1'0 .s 'I 7 ~ ?/D? , Signature of Supervlsmg ElectrIcIan ExprratlOn Date ExprratIon Date h_U .'\ c- \ ~ ~~ j)f/!-vU(}.eJ "A-/l Owners Name g'(\) Le. W', ed,..~}- Gf->~ Address 3073 .s Ie...., V ~c W , City e-.J~Y~J"'- e.... OWNER INST ALLA nON 'Zb-1l{S-g Phone .- The mstallatlOn is being made:;f>~p~rty I own whIch IS not mtended for sale, lease \~ O~~~~~~~ ~~~uest: 726-3769 00-1:0-[6 d/~I Jo g Date COMPLETE FEE SCHEDl.lLE BELOW 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 Manufact'd Home or Modular Dwellmg ServIce or Feeder $106 00 lO{O~ Q5, l .P) $ 19 00 $50 00 C. Temporary Services or Feeders Installation, Alteration or Relocation ( 200 Amps or less \ 20 I Amps to 400 Amps 40 I Amps to 600 Amps OD~ $ 50 00 $ 69 00 $10000 Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each AddItIonal CrrcUlt or with 1..1... ServIce or Feeder PermIt rj.J~') NOTICE: E. l\fisce~_lflfJSl~mvtfr/~~~e~w~~\ltr8~~"ation Pump or ~~~~RIZED UNDER THIS PE~~1)dS NOT SIgn/OUtlj\W~Sl6J'/fED OR IS AIjANUU~ 6"R Lumted EnergyiR~~~li\YaFERIOu. $ 25 00 LimIted Energy/CommercIal $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ;a~~(O \ t'7 JfJJ !l . \ rL """ ,'/0 State Surcharge CJ 10% Admmistrative Fee ,....(} h . \ ~ 5% Technology Fee \ fCl . ~ t::; TOTAL ~..11 Shared Dnve(T )/Bulldmg Fonns/Electncal Perrrut Apphcatlon 8-06 doc $ 43.00 $ 300 4. SUBTOT.AL OF ABOVE CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER' COM2008-00094 NAME OR COMPANY Bruce Weichert Custom Homes LOCATION 6024 Mountamgate Dnve TAX LOT NUMBER 17-02-34-33-01800 DEVELOPMENT TYPE. SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 2629 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x COST PER S F CHARGE I 3275 00 $0 346 = I $1,133 22 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S F x I COST PER S.F I x I DISCOUNT RATE I o 00 I $0 346 I I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,133.22 14990 r/) ~ Cl o u ~ ~ f-< r/) a ~ DISCOUNT $000 $1,133.22 1070 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's 31 x COST PER DFU $26 83 $831.83 1091 B IMPROVEMENT COST I NUMBER OF DFU's . 31 x COST PER DFU $20 40 $632.53 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,464.36 3 TRANSPORTATION A REIMBURSEMENT COST. I ADT TRIP RATE I x NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR I 957 I 1 I 2043 I 100 $195.48 1093 B IMPROVEMENT COST I ADT TRIP RATE x I NUMBER OF UNITS I x COST PER TRIP I x NEW TRIP FACTOR I 9.57 I 1 I $90 10 i 100 $862.25 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $1,057.73 I 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's x ICOST PER FEU I 1 I $95 35 = $95.35 1054 B IMPROVEMENT COST INUMBER OF FEU's x COST PER FEU I 1 $990 39 = $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 $1,095.74 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $4,751.05 ,5 ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RATE CHARGE I $4,751 05 I 5% $23755 TOTAL SANITARY ADMINISTRATION FEE 168 81 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE $68 74 i) 078 Todd Singleton 1/28/2008 TOTAL SDC CHARGES =1 $4,988.60 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY TIffi NET ADDmONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 !LAUNDRY TUB 0 0 2 = 0 I CLOTHES WASHER I MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG I WATER STATION I ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK I DISHWASHER I ETC 1 0 3 = 3 ISHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 SINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 31 *EDU (EqUlvalent Dwelhng Urnt) IS a dIscharge eqUlvalent to a smgle family dwelhng urnt (20 D~~)_~et at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $4 98 $4 80 $463 $440 $407 $367 $322 $273 $225 $180 $1 59 $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 I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0 00 x $5 29 = , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0 00 x $5 29 o TOTAL MWMC CREDIT $000 = Willamalane Park & Recreation District Job. No. ~.. [AAt SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME:'&ucf WI€.('\qt PHONE: loPJro-q 4.~ ADDRESS: ~tn~ .0~l~ 6r~TATE(JL.z,P:~ LOCATION OF PROPOSED BUILDING SITE: Street Address: W-4 Grf\\. .swe l? ! Plat Name: '.~ t G-de, ;ax Lot Number: t 1()~3 3 0\ ~ 1. DEVELOPMENT TYPE (Check appropriate dwelllng(s). Dwelling type definitions are on the back. ) A. Sinale-Familv Detached NO. OF UNITS l X $2,513 per unit = $_~6t3.cP B. Sinale-Familv Attached NO. OF UNITS X $2,726 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,323 per unit = $ D. Sinale Room Occuoancv NO. OF UNITS X $1,162 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = $ $l1sro.cV 6 $ J~rB .ou --:> ,2(, of $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval) 3. TOTAL WILLAMALANE NET SDC ASSESSED \iliCC Jr ror Credit) ) Development serVll;e~ nt City of Springfield ~S~F ? Date 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 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 COM2008-00094 Payments: Type of Payment CredltCard Check cRecelOt I RECEIPT #: 1200800000000000156 Date: 02/21/2008 DescrIptIOn Addressmg Assignment WtlIamalane Smgle Family ReSidence Wlrmg 1000 Sq Ft ReSidence Wifing Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - ReSidential Sidewalk Permit Curbcut Permit Overwldth ApplIcation Fee PW DIsc - 2nd Permit Storm Dramage ImpervIous Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Admmistratlon SDC Sanitary/Storm Admm SDC TransportatIon Admm BuIldmg Permit 3 Baths One & Two FamIly Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu BoIler/Comp Up To 100,000 btu Vent Fan ApplIance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (LIsted) ~Mech Iss 2+ ApplIances~ Plan Review Major - Plannmg + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By BWCH BWCH Item Total: Check Number AuthOrIzation Received By Batch Number Number How Received DJB 04547b In Person DJB 17254 In Person Payment Total: Page 1 of2 10:44:28AM Amount Due 3500 2,51300 117.00 10500 5500 15795 8500 8500 4500 (40 00) 1,133 22 831 83 632 53 19548 862 25 9535 99039 10 00 16881 6874 1,328 10 33700 3200 1400 1400 2800 700 20,00 700 500 1700 4000 205 00 12331 250 33 22441 $10,798.70 Amount Paid $9,500 00 $1,29870 $10,798.70 2/21/2008