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HomeMy WebLinkAboutPermit Building 2006-4-4 Status Issued ~~. 225 Fifth Street, Springfield, OR ~ 541-726-3753 Phone .1 541-726-3676 Fax .. ,[,541-726-3769 Inspection Line ., jj.- 'r -. .& CITY VI' ~nUl~uH.~LD . .. Building/Combination Permit PERMIT NO: COM2006-00119 ISSUED: 04/04/2006 APPLIED: 02/01/2006 EXPIRES: 10/04/2006 VALUE: $ 187,770,00 . ""\- ~/()ll HJ Springfield TYPEPF,r,WORK:'Single\Family Residence ATTENTION', O~::;'~ ~~ the Oregon~~1I1~~th 'ollow rule~ adTYPE,OFtYS_E:S aNew,t 00' Residential , . C nter, I"U~' R 952- ,- PROJECT DESCRIPTION: Single Family Residence Nolilicatlo;_0~1_0010 through ~\he rules by ,.. ("\l>R 95 ,_ ..~n'PS 0 r.MO You 111ay VU'-' (Note' thph818IJrt' '~b 541 520 1620 MIKE GANSEN CONSTRUCTION COMPANY '. the center. '.. N'b~f,\"Mm., ~r: -- 362 HWY 99N STE 2 calling Oregon UtilitY EUGENE OR 97402 number lor the 1_800-332-2344), rnntpr \5 SITE ADDRESS: 563 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221206200 .. Owner: , )) Address: ;1 " fContractor Type ... General :l, Electrical ,t'M h . I i 1,# ec ames :i Plumbing , CONTRACTOR INFORMATION I Contractor License MIKE GANSEN CONSTRUCTION COMPAN 92159 MAG ELECTRIC INC 149834 COMFORT FLOW 460 HOME COMFORT HEATING & AIR INC 84164 BillLDING INFORMATION I # or Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type :' Secondary Construction Type: :1 # of Bedrooms: :1 , ,;1' ) Frontyard Setback: oJ ,\ Side I Setback: :'. Side 2 Setback: 'it' ,;, Rearyard Setback: 'r- Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 18,00 5.00 5.00 12,00 0,00 Expiration Date 06/14/2009 12113/2009 06127/2007 0612512007 Phone 541-463-1000 541-461-0387 541-726-0100 541-345-2838 I R-3 # of Stories: I Lot Size: Height of Structure 23.00 Sq Ft I st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Path )'\-\E '~ii)i"t\Uther: ~S8rt~RJ~1I Buildinl(l.L E'i.\J\R\i/~\" .\\"t \~c,,,.want Load: " _....,.4\1' c:.\-\p.. ",.. ncp.\IJ\ \ I DEVELOPI\~;':~IU'FO'RMAfioNr,)I'IEO \"\Jt\ ~OMlv\EI'IC\:U un ~\OD, OVfflaY\Jl.is'i':~Y \JE # ~treet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ., 5,313 1,758 VB 528 2 2 Yes 42.80 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Fully Improved Yes Curbside 5' Curb and Gutter :i Notes: Storm drainage piped to curb face: curbcut fee added to building permit still need to fill out rorm 2/8/2006 CAS :1 'r> " .. Pa!!e I or 4 ,\ 'I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ., Description Tvpe of Construction V Wood Frame Garaee I " Dwellines Garaee .,:; ."1 :~ Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee , + 8% State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit :, Dryer Vent -;" Exhaust Hoods ~ Furnace - up to 100,000 btu ~ Gas Fireplace .: Gas Outlets 1-4 .'1:\ ,. Heat Pump Plan Review Major - Planning PW Disc - 2nd Permit (Street) 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 Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit : Storm Drainage Impervious Area , , Temp Power 200 amps or less t Vent Fan " Willamalane Single Family Total Amount Paid . I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,758.00 528.00 Total Value of Project Fpp<. V"W Amount Paid $553,57 $10.00 $140.07 $112.05 $254.00 $31.00 $851.65 $80.00 $6,00 $9,00 $12,00 $15.00 $4.00 $12.00 $150.00 $-30,00 $106,00 $57,00 $381.40 $501.40 $10.00 $865.31 $82.03 $129.34 $65.51 $805.70 $182.69 $80.00 $1,068.48 $50.00 $24.00 $1,000.00 $7,619.20 Date Paid 2/1/06 414/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 4/4/06 Paee 2 or 4 .. CITY OF SPRINGFIELD" Building/Combination Permit: PERMIT NO: COM2006-00119 ISSUED: 04/04/2006 APPLIED: 02/0112006 EXPIRES: 10/04/2006 VALUE: $ 187,770.00 Value Date Calculated $174,042.00 $13,728.00 $187,770.00 02/01/2006 02/0112006 Receipt Number 2200600000000000155 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403, 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 1200600000000000403 . . CITY OF >srK11~\j1flti;LD Building/Combination Permit PERMIT NO: COM2006-00119 ISSUED: 04/04/2006 APPLIED: 02/01/2006 EXPIRES: 10/04/2006 VALUE: $ 187,770.00 . Status Issued '. 225 Fifth Street, Springfield, OR :. 541-726-3753 Phone . 541-726-3676 Fax )41-726-3769 Inspection Line Initial Review Plan nine Review I Plan Reviews I 02106/2006 02106/2006 APP SKG 02106/2006 02124/2006 APP TAJ Needs survey because or minimum setbacks 02106/2006 02108/2006 APP CAS Storm drainage piped to curb race: curbcut and sidewalk permit ree added to building permit still need to fill out permit 2/812006 CAS 02106/2006 02127/2006 OK RJB Public Works Review Structural Review . 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. ~ UeotliredJnsne~tions I Erosion/Grading Inspection: Prior to ground disturbance and arter erosion measures are installed, Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. Sidewalk - Curbside: After rorms are erected but prior to placement of concrete, Urer Electrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing and/or foundation inspection, Footing: After trencbes 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: Berore 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. 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. Underfioor Plumbing: Prior to insulation or decking, Paee 3 or 4 . . CITY OF SPRINGFIELD. . Building/Combination Permit PERMIT NO: COM2006-00119 ISSUED: 04/04/2006 APPLIED: 02/0112006 EXPIRES: 10/04/2006 VALUE: $ 187,770,00 Status Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line 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, UnderOoor Mechanical. Prior to insulation or decking and including required testing. UnderOoor Gas: After line is installed and required testing and capped ir 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 Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carerully examined the completed application and do hereby certiry that all information hereon Is true and correct, and I further certify that any and all work perrormed shall be done In accordance with' the Ordinances or the City of Springfield and the Laws or the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Sarety, I rurther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. : I rurther agree to ensure that all required inspections are requested at the proper time, that each address Is readable rrom the , - street, that the permit card is located at the front of the property, and the approved set or plans will remain on the site at all ""'times during construction. ~C---~S-) r ~/ ~-ij~()(O, Ow;;;:-Or l.:ontracto;s Signature /' p--- Date .:. " Paee 4 of 4 .^~'.' .. ,~V" .) . " \'<...~( . ... . ~v'O~r ~0rj A 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54U.t.e~~0 r*'.;',~' ELECTRICALPERMITAPPUCATION. 0\O\\O..~O,.l. A.L$ "~"~Il'" ~ City Job Number r~h-Cbll'i Date rr: '1-0~~<o."'1-0~\" I '09 ,e. 3, 1,'CPMf.LEtE.FEESCIJ~~i.ow. .,,.. \) ~\J,.lQ"" .,..}\\\O 1. P:;o.9At.tONOFlNStA.L!ATlQN".i..' c;-'" ') c; t-L..... c."..,- LEGAL DESCRIPTION -----L=1-o11.2..1 'Z.. rJt"Q,-..... JOB DESCRIPTION ~~/t.. ~,,)Iw ~f,.lle,At!J7~ av-J f"~-;u~ .. I f Permits are non-transrerable and expire If work is not st~rted within 180 days of Issuance or irwork is Suspeuded ror 180 days, 2. ~C;~:iN,TiiA.97:gRny,Si:44p9NOftit j Electrical Contractor fJLJtJV.aL/Iy//l/d~ Address cf6J5tJ. ~ LA ~ 6 City _~AJI./ Phone /fIPfd3I?1 Supervisor License Number "-I7V.;zS Expiration Date /1).-- 1-01 Constr. Contr, Number I VI gy:! Expiration Date /,;} -/.rtJ~ ;:;:f~)E1.~ OwnersName &A.lA ,eN CGo.c;.k.. Ad~ "3b'Z.. I-IlI<IY '";.y IV' City e-u. ~~ Phon~ S~. /61O OWNER INSTAL~ I~n Request: 726-3769 A. 1':~e~lJ.l.esjde6ti...I,;!~i;;gle.~j..l\1ulti-faD!i1y per d.velii~g uni!.] Service Included 1000 sq, ft. or less Each additional 500 sq. ft. or portion thereor Each Manuract'd Home or Modular Dwelling Service or Feeder / 3 $ 19.00 ~,+, CO S106.00 JOc",OD $50.00 B. I:,$e.~~~~~'o-i',fee~r~~s -: [lJ~t;aJI~ti~,~_~".~~~~~a.(LoR~~~'Reloc*tio~:' '-I ATTEN IIUI~: urt\ju" ,un '--,-".. , .', b h 0 "on' ,'.1,'" 2001b-mp.s:'1I"Jess adopted Y t ere,., $'N,oqh 20I'AmnHo~400:'Am.p.s'. Those rUles are ff75:00 .....,... r.: ".. ::),",'J 11111 4Q11'\.nlJiS toc600),xmps')1 0 througn Ut-In $125,00- " [Illes Oy 601lW'mps'iolI0001Aii\~~aln cop,es ur u:t $163.00 O '100"0' 'A' 'h:n','(ler. (Note." Ie '~'~P$"3u7'5'''00 ver mp'"'vots U ".. "'T . . Reconneci:0nII,Dr the Oregon ""'" .~:' '$~o~6'ci Center is 1-800-33<<-<<"""1' c. ~:Te.~pb'ri1ry~.'SerVic~o';:Fe-~ders.'.' , . ,,\" ~ Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50,00 $ 69.00 $100.00 w,oo Over 600 Amps or 1000 Volts see "B" above. D. 1,',ilra'n~Il:~i~cujts'. ')~-".- .... 'I New Alteration or Extension Per Panel NCQile:c&cuit ~ F _..~ '''A~,,43.00 THEach~dditiiin-aHnircui'il;P~tIi I 1111." v S~~C~I(;~:F"ed~~,perrnitHIS PERMIT IS Nf$hoo AU lt1Ut'\ Leu U_I~U.~'.'" HI "Ie I=n~ G" "H~' ""I un'" r"J"ror.D~~,~\' , ' . 'I E,J Miscellaneous .(S~!"i'\i~~/feeder not inc!uded),","E~~h Installation i AN ,"- Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~". ". ',.. '," '. 4'I;S~tqTA:i'qF.ABgVE B% State Surcharge 10% Administrative Fee . .1 21>.00 1"1-,01/ , "1./,'30 !' :2-)"/. '3't- TOTAL Shared Drive(T:)lBuilding FormslElectrical Pcnnit Application I.03.doc CITY OF SINGFIELD SYSTEMS DEVELOPMEN&RKSHEET ----- "-.. JOURNAL OR JOB NUMBER: COM2006-00119 NAME OR COMPANY: Gansen Construction LOCATION: 563 Ethan Ct TAX LOT NUMBER: 1703221206200 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNiTS I BUILDING SIZE (SF: 2502 LOT SIZE (SF): I. STORM DRAINAG~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S.F. I I CHARGE I I 3308.00 I $0,323 I = $1,068.48 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0,00 I I $0.323 I 50% = I ITEM I TOTAL. STORM DRAINAGE SDC $1,068.48 I DISCOUNT $0.00 2. SANITARY SEWER. CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 20 I B. iMPROVEMENT COST: I NUMBER OF DFU's I x I 20 I COST PER DFU $25.07 $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $882.80 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 957 I I NUMBER 10F UNITS I x I COST PER TRIP x INEW TRIP FACTOR I $19.09 I 1.00 x I COST PER TRIP x INEWTRIPFACTORI $84.19 I 1.00 = , $988.39 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER,OF UNITS I I 9.57 ITEM 3 TOTAL- TRANSPORTATION SDC 5332 $1,068.48 $501.40 SJ81.40 $182.69 $805.70 :1i1.lJ . 10 ,0 u ~ I.IJ I- Of ~ o I.IJ ~ 1070 1091 t092 11093 1094 I I 4 SANITARY SFWFR. - '\1WMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $82.03 ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 5. ADMINtSTRATIVE FEE. $957.34 $3,897.0 I ISUBTOTAL x I ADM. FEE RATE 1= $3.897.0 I , I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $194.85 Cheryl Slaymaker 2/8/2006 TOTAL SDC CHARGES PREPARED BY DATE = $82.03 = $865.31 $0.00 $10.00 129.34 $65.51 =, $4,091,86 I 1054 '1 1055 1054 1056 1079 11078 .., " , . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT .. DRAINAGE FIXTURE UNITS (NOTE. FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 3 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL I SOLIDS / ETe. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH I ETC, 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER I MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION I ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK I DISHWASHER / ETe. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 WINK: COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCiAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3 IURINAL, STALL I WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 .EDU (Equivalent Dwelling Unit) is a discharge equivalent 10 8 single family dwelling unit (20 DFlYs) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I I I I I ~ I I I I I YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOOlr-- ASSE~SED V ALU~ IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 : $5,29' (Enter 1 for Yes, 2 for No) $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 2 $5,19 (Enter I for Yes, 2 for No) $5.12 BASE YEAR 1979 $4.98 $4,80 CREDIT FOR LAND (IF APPLICABLE) $4.63 VALUE I 1000 CREDIT RATE $4M ~oo x ~~ -, ~OO $4.07 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $3.22 VALUE I 1000 CREDIT RATE $2.73 $0.00 x $5.29 - , 0 $2.25 $1.80 $1.59 TOTAL MWMC CREDIT = $0,00 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $(),05____ 225. Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . 8Pin14'~""".J'1.~ ----. ..... Wt. , . , . . -, ".'" ,: , , .... " ~." -""'~ .,,- ~ty of Springfield Official Receipt .velopment Services Department Public Works Department ., , :J~b/Journai Number CpM2006-00 119 COM2006.00119 " COM2006-00119 ,W CpM2006-00 119 COM2006-00119 COM2006.00119 COM2006-00119 COM2006-00119 COM2006-00 119 COM2006-00 119 COM2006-00119 CbM2006-00119 CbM2006-00119 COM2006-00119 COM2006-00119 COM2006-00119 , d&M2006.00 119 CbM2006.00119 CbM2006-00119 d~M2006-00119 COM2006-00119 COM2006-00119 COM2006-00119 COM2006-00119 COM2006-00 119 COM2006-00119 COM2006-00 119 C;OM2006-00 119 CbM2006-00119 CPM2006-00119 COM2006-00119 RECEIPT #: 1200600000000000403 Date: 04/04/2006 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Pennit Curbcut Pennit PW Disc. 2nd Pennit (Street) Stonn 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 SanitarylStonn Admin SDC Transpo Admin Plan Review Major - Planning Building Pennit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee , p~ments: , , T pe or Payment Paid By qreck GANSEN CONSTRUCTIN ;6 :F Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 7745 In Person Payment Total: ~I :1 \., 'i ,~\ 'I' :,. . " \ :(~ 4/4/2006 Page I or I 12:49:35PM Amount Due" 31.00 ' 1,000,00 106,00 57.00 50.00 80,00, 80,00 (30.00) 1,068.48 501.40 381.40 182,69 805,70 82,03. 865,31 I 1O.0l). , 129.34': 65.51 150.00 851.65 254,00 12.00 24,00 ' 9.00 6.00 4.00 15.00 12.00 10.00 112.05 140.07' : $7,065.63 : - Amount PaId " $7,065,63 $7,065,63