HomeMy WebLinkAboutPermit Building 2007-2-8
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01637
ISSUED: 02/08/2007
APPLIED: 12/21/2006
EXPIRES: 08/08/2007
VALUE: $ 212,469.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2819 Game Farm Rd
ASSESSOR'S PARCEL NO,: 1703224106200
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Dwelling, Lot 3 Cline Subdivision
Residential
Owner: JORDAN & JORDAN CONSTRUCTION
Address: 3520 CELESTE WAY
EUGENE OR 97408
Phone Number: 541-688-3998
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
JORDAN & JORDAN CONSTRUCTION LLC 155313
DEANS ELECTRIC 99579
COMFORT FLOW 460
GPC ENTERPRISES INC 136043
_,I BUILDING INFORMATION I
Expiration Date
04/30/2007
06/20/2008
06/27/2007
01129/2009
Phone
541-688-3998
541-935-5303
541-726,0100
541,345-1931
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
N OT~jOf:Stories: I Lot Size:
We!~ht or~tr~turtilPIR~&;WOmo't 1st Floor:
THISffp'i!WH.;a'i\ LL "F'orj;e . 'S all'llrFt 2nd Floor:
AumYllUi'mypeNDER THI::; '~q'Ft Basement:
cOMJMt1~tl)J'tlR IS ABANDONEilMOR Sq Ft Garage/Carport
~'t.~~~xlV'~tRIOD. Path I Sq Ft Other:
ANY Spl-inkWd BUIlding: n/a Occupant Load:
1,901
I
R-3
641
2
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Overlay nist:. r ~uires yB'Bl\W 2
# Stree~~~fPON:Oregon law ~re on tl\\\t.~apped:
Paved 1m"~R(U'9S adopted by the 9 ~~'IlMft:
% of,~8b~e~ird~enter. ThO~~?~e~~~e 952-001
in OAR 952-001-<!~1~_~_r;~o nf the ruleS b~
I PUBLIC IM{irlYE~g;trt~~:'(HOie: \hete~~e.
-- ~' ()rrgj~,~c;rtifiCatiOn
Partially Improved 'lUmberfortheiS 1-RQ0:.332-~)'
Yes Center DownspoutslDrains:
20.00
13.00
6.00
49.00
35.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
To Storm Sewer
Notes: Storm & Sanitary to existing laterals-Location to be field verified.JLP
Paee I of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01637
ISSUED: 02/08/2007
APPLIED: 12/21/2006
EXPIRES: 08/08/2007
VALUE: $ 212,469.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
A.C. - Residen
Garaee
AC - Residential
Garaee
$ Per Sq Ft
or multiplier
$4.00
$26.00
Square Footage
or Bid Amount
1,901.00
641.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$7,604.00
$16,666.00
$24,270.00
12/2112006
12/21/2006
L.Fpp. p"W
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $606.39 12/21/06 2200600000000001734
-Mechanical Issuance Fe..... $10.00 2/8/07 1200700000000000134
+ 10% Administrative Fee $148.49 2/8/07 1200700000000000134
+ 5% Technology Fee $84.15 2/8/07 1200700000000000134
+ 8% State Surcharge $118,79 2/8/07 1200700000000000134
2 Baths One or Two Family $254,00 2/8/07 1200700000000000134
Addressing Assignment $31.00 2/8/07 1200700000000000134
Air Handling Unit Up to 10,000 $8.00 2/8/07 1200700000000000134
Building Permit $932.90 2/8/07 1200700000000000134
Dryer Vent $6.00 2/8/07 1200700000000000134
Exhaust Hoods $9.00 2/8/07 1200700000000000134
Furnace - up to 1 00,000 btu $12.00 2/8/07 1200700000000000134
Gas Fireplace $15.00 2/8/07 1200700000000000134
Gas Outlets 1-4 $4.00 2/8/07 1200700000000000134
Plan Review Major, Planning $198.00 2/8/07 1200700000000000134
Residence Wiring 1000 Sq Ft $106.00 2/8/07 1200700000000000134
Residence Wiring Ea Addtl 500 $76.00 2/8/07 1200700000000000134
Sanitary Sewer - Improvement $554.14 2/8/07 1200700000000000134
Sanitary Sewer - Reimbursement $728.74 2/8/07 1200700000000000134
SDC MWMC Administration $10.00 2/8/07 1200700000000000134
SDC MWMC Improvement $961.52 2/8/07 1200700000000000134
SDC MWMC Reimbursement $91.61 2/8/07 1200700000000000134
SDC Sanitary/Storm Admin $201.38 2/8/07 1200700000000000134
SDC Transpo Admin $64.13 ' 2/8/07 1200700000000000134
SDC Transpo Improvement $836.32 2/8/07 1200700000000000134
SDC Transpo Reimbursement $189.58 2/8/07 1200700000000000134
Storm Drainage Impervious Area $1,938.35 2/8/07 1200700000000000134
Temp Power 200 amps or less $50.00 2/8/07 1200700000000000134
Vent Fan $12.00 2/8/07 1200700000000000134
Wmamalane Single Family $1,000.00 2/8/07 1200700000000000134
Total Amount Paid $9,257.49
Paee 2 of 4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01637
ISSUED: 02/08/2007
APPLIED: 12/2112006
EXPIRES: 08/08/2007
VALUE: $ 212,469.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
Initial Review
01/18/2007
I Plan Reviews I
01/18/2007 APP LLH
Plan nine Review
Public Works Review
01/18/2007
01/18/2007
01/31/2007
01/19/2007
APP T AJ
WI JLP
Public Works Review
02105/2007
to JLP
01/26/2007
Public Works Review
0210512007
10 JLP
02/0212007
Public Works Review
0210212007
APP JLP
02/05/2007
Structural Review
01/18/2007
APP LLH
01/24/2007
This plan was held by an unknown
employee until today when it
appeared in my routing drawer.
Please route as quickly as possible
Waiting in order PW rcvd for
rvw.JLP
Rcvd call from owner. Tld him PW
rcvd 1/19/07. He said brought in on
12/2212006. I lid him would look into
& move to top of pile if this was
accurate. Verified this is true.JLP
First day to work on due to urgent
files placed ahead of this one (lid bid
6.01637 very urgent-assigned
others) by building department.JLP
Storm & Sanitary to existing
laterals-Location to be field verified.
Completed file rvw Fri, 212107. Data
entry Mon, 215/07JLP
Plans approved by Shawn Eaton
with the Building Department under
contract with the City of Springfield,
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.
I l?pm~
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.
Paee30f4
.
.CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01637
ISSUED: 02108/2007
APPLIED: 12/21/2006
EXPIRES: 08/08/2007
VALUE: $ 212,469.00
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.
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 aud including required testing.
Storm Sewer Line: Prior to filling trench.
Fiual Plumbing: When all plumbing work is complete.
Rough Mechauical: Prior to Cover
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.
By siguature, 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 ou 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 plaus will remain on the site at all
times during constrn
~~Y
? -S- 1//
Owuer or Contractors Signature
Date
Paee 4 of 4
, . "n'....''',.....,.. ,.L_ !!'Ii~~O.\ /1 ,
_!._ ~Ql'1"'-"'.".
225 FIFfH STREET 0 SPRINGFIELD,o'R97477 0 PH:(541)726-3753 oFAX:(S41)726-3689 ~
ELECTRICAL PERMIT APPliCATION "\ I . '''''" "
City lob Number (l1~ Date a ~. Ol " " '" .
1. ""'EQCA. "Tii::jN!(j''ii!iST'k1:'rfAiiio.~'I'~'-i!}':.J 3. !'!;€OMP~,j';;;" :?S~, -','",liEiBE.tOi;;'~!.:!i!~';l~-~
. ~9P,\Ci-'=p~~W~ --. --' ~....._,_,"_.._~"._-J~,~
LEGAL DESCRIPTION
\f")D~A-l (')10'1 N )
JOB DESCRIPTION Il<:LI. J-
~ ~~ t'~~.J1
Permits ~non-transferab~d expire if~
not started within 180 days oflssuaoce or if work Is
Suspended for 180 days.
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75,00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsIV01ts $375.00
IV U fie E' Reconnect Only $ 50.00
TH .
'-'I"JI'" r.' IS PERMIT !in._-,_.,'--""'''',....,..~.,.,- u,_~_<lt_~""li..;;1
Supervisor License Numb;er )f~' \8;'~I7'.l::;;;'LtD ~~;Lf/'..~lfrffE~:~;i..,O'2~eed.rs~~'~~"'F-"d
ExpirationDate JlL 0 i J...D :~1MENCF:D OR ~~sjgji!lqnE~ft .w~locatlon ...."'\
'''VI 180DA,y 1~OC/JAWfjBlV~ [SHOT \ $50.00 !I)~
Constr. Contr. Number q q C IOj PERIOiOI Amps to ~ f~ $ 69.00
401 Amps to 600 Amps $100.00
Expiration Date I" _ 1 0 ~ 0 D (1
f~ - J., 7> Over 600 Amps or 1000 Volts see "B" above.
Signc1~ng~Elec~~~~~~I~tg:;~
- ". .-.,....qnonc P edlEach~ddi 'on'irCii'Cuitorwith
\..."" ^ I ~ tern ThlServiCl: or~g~Peiinitl $ 3,00
Owners Name 'SJ..1ll.>>1r\ 01 0010th ~I',':'''I> llre ~..,..
II o..;'A Q.\ ^ " .r ~fi ta;nlt~ii"a'~tli~~'"ciifi~~iirat';j!K;;E~lJi~ij;ijfo~~
Addrefq{ss ~~, ~J\~1,lhfl er'(fVote:th';; ';';;~/~s;r:.~..",,,E.,, ....."=-~-,---~<::il
CIty .I ~'-'!'hone Q on~1ffilP'OfiiTiiillti~n $ 50.00
, v IS 1-800-il~!.~ljne.~WI~, $ 50.00
OWNER INSTALLATION Limiieo'E/M-gylResldential $ 25.00
Limited Energy/Commercial $ 45.00
Mlnlmnm Electric Permit Inspection Fee Is $45.00 + Surcharges
2 ~eO~6T~ST~TI!,'ii&ONE~
~lec:::="~::::~'~"{T;f~'G
Address V, 0, R:-..,,; '1( (l t;" . .
City f u,~ p,>;J e/
Phone~ 3:; - 530 -;
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
A. ~l~tiiiT~WM1iiti:F~i"""eitd\;~i~iiti~
L='W,,-, ......_, ' .._._-,",~.,--....;yjR._.--_.",--g'".,,'D
Service Inclnded
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
\
4-
~
~
$106,00
$ 19.00
Each Maoufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
B. r~~"St)~1fs~T:{giiiti~~i~~-=~~.!'~
._--.~.a,;,",~M{''','''''''''~''''''''~:-=''''''_,~''''~.''''''~I1-,..~~~.l''i,~'''':''!'.mi:-:1r~~
'i':::'''':'''i::\''''>~..::;eo.-. ':"$~""""f"~'<o\&k'i't.v!-;A~::r:-J.",\'<""",~'jo-~',M. '''.~
~o.' .. "', ",.."''''''...,,,
4.', ....!'(.l>-LQ. '" ~-ABaJlE'__~w.,' '. '"...",."
~'..,' '" '_"~_':;"_ ~--" """",,""''iCl',,' \-..,
~,:JI'f~AI1'~;":"'","'Il"",,.~~j<'i';-:"'~'1'~:'
W2.fXJ
1j'Z,.Sb
'L.'6. ? r)
I L. (d)
7% Slate Surcharge
10% Administrative Fee
JVli't...L.l
t=:P/tJ
Shanod Drive(T:)IBuilding FormsIEle,tri,a1 Pcnnit ~ir?"5~~~
CITY OF ANGFIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: C0M2006-0] 637
NAME OR COMPANY: Jordan & Jordan Construction
LOCAT]ON: 2819 Gamefann Rd
TAX LOT NUMBER: Lot #3 .. Cline Subdivison
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS ] BUILDING SIZE (SF: 2614.5 LOT SIZE (SF):
1 STORM DRAINAGE
11446
DIRECT RUNOFF TO C]TY STORM SYSTEM
I IMPERV]OUS S.F, x I COST PER S.F. CHARGE I
I 5775.50 $0.336 I = I $1,938,35
RUNOFF ROUTED TO DRYWELL DES]GNED AND CONSTRUCTED TO C]TY STANDARDS
I IMPERVIOUS S,F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I I $0.336 I I 50% = I
ITEM I TOTAL. STORM DRAINAGE SDC $1,938.35 1
2. SANITARY SEWER - r:ITY
DISCOUNT
$0.00
$1,938.35
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 28 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 28 I
COST PER DFU
$26.03
$728.74
$]9.79
$554,14
ITEM 2 TOTAL, CITY SANITARY SEWER SDC
=,
$1,282.88
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I x
I 9.57 I
I NUMBER OF UNITS I
I ]
x I COST PER TRIP x INEWTRIPFACTORI
$]9.8] I 1.00
x I COST PER TRIP x INEWTRIPFACTORI
$87.39 I 100 = ,
=1 $1,025.90
$189.58
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I
I 9,57 I I I
ITEM 3 TOTAL, TRANSPORTATION SDC
$836.32
4 SANITARY SFWER ,MWMr
I
;rn
~
Cl
o
u
~
~
rn
~
o
Ul
~
11070
11091
I
11092
j 1093
1094
A. REIMBURSEMENT COST:
INUMBER 7F FEU's I x ICOST PER FEU
I $91.6] = $91.61 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I I I $961.52 = $961.52 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC = , $1,063.13 j
~ j
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~, $5,310,26
~. ADMINISTRATIVE FEE: I
I SUBTOTAL x ADM. FEE RATE ,~ CHARGE
I $5.310,26 5% I $265.5 ]
TOTAL SANITARY ADMINISTRATION FEE: 201.38 1079
TOTAL TRANSPORTAT]ON ADMINISTRATION FEE: $64.13 j 1078
Jeff Prociw 2/5/2007 TOTAL SDC CHARGES = , $5,575,77 'I
PREPARED BY DAre I
._..~
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE F1X11JRE UNITS 'I
(N01'Eo FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL F1X11JRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
fBAlliTUB 2 0 I~ = 6
IDRINKING FOUNTAIN 0 0 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0 I
ILAUNDRY TUB 1 0 2 = 2 I
ICLOlliESWASHER I MOP SINK 1 0 3 = 3 I
ICLOlliESWASHER,3 OR MORE (EA) 0 0 6 = 0 I
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I
IRECEPTOR FOR REFRlG I WATER STATION IETe. 0 0 1 = 0 I
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3 = 3 I
SHOWER. SINGLE STALL 1 0 2 = 2 I
SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ,I
SINK: COMMERCiAuR'ESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
iSINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL I 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 28
-EDU (Equivalent Dwelling Unit) is a discl1arge equivalent to a single f~!~ dwelling unit (20 OFlfs) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
[ YEAR CREDIT RATE/SI.OOO I]
ANNEXED ASSESSED VALUE IS LAND ELGmLE FOR ANNEXATION CREDIT? 2
I BEFORE 1979 S5.29 (Enter I for Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2
I 1980 $5,19 (Enter I for Yes, 2 for No)
I 1981 $5.12 BASE YEAR 1979
~ 1982 $4.98
1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.63 VALUE 11000 CREDIT RATE
I 1985 $4.40 $0.00 x $5,29 ~ , $0.00
I 1986 $4.07
I 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
r 1988 $3.22 VALUE I 1000 CREDIT RATE
1989 $2.73 $0.00 x $5.29 0
1990 $2,25
1991 $1,80
1992 $1.59 TOTAL MWMC CREDIT = SO.OO
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0,09
2(0) $0.05
225 Fifth Street
S'priilgfleld', Oregon 97477
541-726-3759 Phone
. Tj;~~'!
1JIi:..,'~ "
.. _ )...;i
. ",,,,,,'.-., -...'" '.,.
caof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1637
COM2006-01637
COM2006-01637
COM2006-0 1637
COM2006-0 163 7
COM2006,O 1637
COM2006,O 1637
COM2006-01637
COM2006-0 163 7
COM2006-01637
COM2006-0 1637
COM2006-0 1637
COM2006-0 1637
COM2006-0 1637
COM2006-0 163 7
COM2006-0 163 7
COM2006-01637
COM2006-01637
COM2006-01637
COM2006,Ol637
COM2006,Ol637
COM2006-0 1637
COM2006-0 1637
COM2006-0 163 7
COM2006,O 163 7
COM2006-0 163 7
COM2006-01637
COM2006-0 163 7
COM2006-01637
Payments:
Type of Payment
CreditCard
Check
cReceint I
RECEIPT #:
1200700000000000134
Date: 02/08/2007
Description
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
~Mechanicallssuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addfl 500
Temp Power 200 amps or less
Plan Review Major - Planning
Storm Drainage Impervious Area
Sanitary Sewer, Reimbursement
Sanitary Sewer, Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SCOTT JORDAN
JORDAN AND JORDAN
CONSTR
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 910097 In Person
djb 6755 In Person
Payment Total:
Page I of2 '
1I:56:19AM
Amount Due
932.90
31.00
1,000.00
254,00
12.00
8.00
12,00
9,00
6.00
4.00
15.00
10,00
106,00
76.00
50.00
198,00
1,938.35
728.74
554.14
189.58
836,32
91.61
961.52
10.00
201.38
64.13
84.15
118,79
148.49
$8,651.10
Amount Paid
$8.000.10
$651.00
$8,651.1 0
2/8/2007