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Home My WebLink AboutPermit Electrical 2007-4-5 .~ w, rc ; INITIALS N yv1 . ~. . . .A!..' DATE <-I; { (I - 0-/ ~ ....." SOURCE YY\-< 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number {;{;)y,::'ll'ml" - O/5lJs;- .... .-;----/ .........:" ...-.'t-. 4-.....r' 1'-:;1"-~'-.~'~-:..--:!: ....:......-~:~-::.-. I. ,: LOCATION, OEINSTALLATION: :";,i,~',\~'\ 'l"-"--"~-"'-' ,.... -'..- -~..~i-_";";;'..l:...>~_.~.",.,d~I,.,.t- J. g(9 kR.J1sE W~ ' LEGAL DESCRIPTION: _ . , / eM?1 Pr-P.M (/ JOB DESCRIPTION: Ii 0;' ~?? O() (o?<lJD Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,- '.. t:. _':-- ....,..~~15-"':::' ,_"~"".1.,,,,:-.<.I"'_ :;:-~-: t\ff7":"i'1.~,<r, 2. I :m~~,~o.E.l1YSJ.:;4,~.~:!TIp"~P!YIXJ t~....._______~-,_~. ,~' --_.~ -- ElectricalContractor .-tt/IU/!..C (C?:/f. IvC_ Address a ,qcyo ko.DCC f2ZJ E- , City tv IIr '7 EO If- Phone Supervisor License Number If'!:>i7 .5 Expiration Date It? - (;) I - 0 7 Constr, Contr. Number /2:. D 2. y.::> . 2-11- 08 Expiration Date gt" "-~ C-:-' 11 Owners Name ';;;;:1/J,(.l.t.n L$ . Address 5<4r\ ~.LI'le.. P l) sa City ~~tp~one fL4(P -r;4cfL/ OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 f~S- - 07 Date W'7l:'-~-:"'''''~~-, no:o.t.,'.;.:.,..:-.~. ,,,":. -"....-::,.~'...-y "-- ',~""'-.$""""'~-"'-'V'jr"-:, ---"-"''-''l''C... 3. ~S9!!!lErE,FFE'~9l!.EDJ!J:.f ,B~L(nv,;::,;: i'., {",,;' ,';'..,,~ [~' ':.~~-_;:r..<;~;, t>'~. " --,,,:" r:;<;n~~,":"t:~~-C::: 'li-- ,.",,,,,> -: ~t",';'" -:,\r. tt;' A. itNe'vResiden'liaJ'c,'Singh;.or.M....ti,Familf'jicrd".cllin riit. "' ~.:.o;..;:;..;:~:~,',~...~,;;.;;..~.=. ...'c~"':..::.,.....l.~")':._.~,Io".~,,,:-.~Lf!~~.~~ ...;:_.=.:.:....t..Io<~I;.;:.'t' Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or , Feeder ' B. e~i~~~-fil~ii~L~ii~~~;~~fi~i~~1Jj . 200 Amps or~~~THOR/ZED UNDER THIS~ITJS...UnT 201 Amps to 4 i~J!1tsNCED OR IS ABAN~GN~~ FIlD -. 401 Amps to ~U~~ DAY PER/On $125.00 -.. 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNollS $375.00 Reconnect Only $ 50.00 $50.00 . ' ~:r'~;-;!''71'l':,<~)':r.-t~'-;~\\~:r,.,-,J';-~;' -~;""~"':'.. ',r4>,If;: --.,:i tl". ';'. ;.' -;-:-:',7';.~~~;.>:/ C. kTernporarv Servlces,or:Feeders ", .':~ J.~ ~.':~":O: "'.J. ~~ .',....~. . w' '>j ;-H , ~.,_ _,c."..-" '~":"'a.:lIlt~~.~~:Cf~w--~"''''>-'. -'.' .,.,,--,~:...:.. ...... ,....... ;l__..'......~ Installation, Alteration or Relocation 200 Amps or less' .2-- 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 I () f), (;)<:9 Over 600 Amps or 1000 VollS see "B" above. r..," ~-f')f';;::' .' r-:o:...'.h.'(:~:~\";"!l.':'wr_~~~~.:!';;:;.~~~~;..p'!y;~~ la'Y7:...C'.~"'..:::-,~)'!'f':''":''t' fI-~~~M"~ D. ~BranC~"I.GlrcUlts~f'~i;it~-~'~'~~~:.{r". 'J '~.)I ':~;.:.,. 't'''t,. 'n""'"]o.t':;.; : 'of ~~.........,.,'.--,...c++.., .~~ .,--"",,",. c.-..::W'""l.....,:,;::.......t...;,..,'-. , New Nteraiioti or.Ex'tebsiiliiP.er Panel 3 l.lreC'on One cucuiification Center. Thl130 rulz:s ;3,00;,0 i ", Each AddiiioriaI:€frcuiiiof wiih1 0 through 0 \i~ C)~2-0( Service,:,oJ!!'$"d~r.:te~Jv obtain ::;:::::: J~ it;ROi l'lv,", P'::'i'5":-'::',~al~t~~l'1~\?I,~~t~i,:-ro~l]h1:l!"~F'\1..\::;c,' :2D2 E. ~y..~,=I~mY~~~~~1 illf!1tt!.~~lJ;!j:,'\,c~"1~1~1I"'t!o.'.',\ Centar is l.80l; .:~J'" '::'~":4~ ,n 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 5:=-S~"'iiD~Or-:T.!.:t'~T;\'O"E'AB~' -O~''';VE..-:~~r~.~:~;~{~~-:;:.~~ 8 ~ 4. r; u-u.!' ,~. ,i., . .'",',,'..' ",.......' M;;,,;."'''-' -- <>--..."", ,,''>~'.....- j'-;;~'" '''C' ~...~.. 8% State Surcharge 10 j:!.. '::: 10% Administrative Fee .J;" ~ 5% Technology Fee ()(D TOTAL (23- Shared Drive(T:)/Building Fonns/Electrical Permit Application S.o6.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01505 ISSUED: 02/23/2007 APPLIED: 11/27/2006 EXPIRES: 06/1212007 VALUE: $ 8,000,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 919 Kruse Way ASSESSOR'S PARCEL NO,: 1703222006800 Springfield TYPE OF WORK: Hotel/Motel TYPE OF USE: New Commercial Owner: Address: PROJECT DESCRIPTION: 6 story 153 unit hotel- Holiday Inn Hotel NOTlGE: THI~ ~tKMII """LL c:^~ l~'~ If -:-::c \'/:1'11' AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR SYCAN B CORP 840 BEL TUNE RD STE 202 SPRINGFIELD OR 97477 ANY lllU Ul\l rc:nluu. I CONTRACTOR INFORMATION I Contractor Type Architect General Electrical Contractor JENSEN FEY ARCHITECTURE MEGA PACIFIC CO FUTURE TECH INC License Expiration Date Phone 425-216-0318 01/1612008 503-238-3772 02/11/2008 541-826-7538 63108 120245 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: A2 Rl IA lIB # of Stories: Lot Size: Heigbt of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: _, Sq Ft Garage/Carport Energy Path: ATTEN 11(1f'J:'J':>9I'Sq Ft Other:' ., Y , Sprinkled BuildliJg;lW rules iil!.'.JptedOi:i:t'pan'VUO!'d:" , "'I_.L~J::_....:__ r._.............. 1........__ .....__ _~_ ~ Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: , DEVELOPMENT INFORMA'T.10Nll-001 0 through OAR 952-0r 0090. You may obtain copie~JJq.vJ~~~~ARKING Overlay Dist: call1no ttle center. (Note: lfToiiil\:>phone # Street Trees RqdJ1btlr ;l'lr!~ie Ors;:yn Utili 1;Iiridica'pped:I.' Paved Drive Rqd: Cemer is ',-800-332 g9mj);act: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pal!e I of7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541~726-3769Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review CommlIndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Addressing Assignment Air Handling Unit Up to 10,000 Backflow Device Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Non-Residential Fixture Furnace - more than 100,000 Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Plan Review Plumbing (30%) Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtll 00' Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Eacb Addtll00' Vent Fan Water Line - 1st 50 Feet Water Line - Eacb Addtll00' + 10% Administrative Fee + 5% Technology Fee + 8% State Surcbarge Temp Power 200 amps or less Total Amount Paid . I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 8,000,000,00 Total Value of Project F....., p,w Amount Paid Date Paid $17,056,42 $10,496,26 $10,00 $4,724,48 $1,887,63 $3,020,21 $31.00 $72.00 . $70,00 $26,240,65 $12,00 $27,00 $9,492,10 $8,638.00 $90.00 $12.00 $4.00 $32.00 $216.00 $247.50 $45.00 $42.00 $10,000.00 $45.00 $224.00 $1,896.00 $45.00 $42.00 $10,00 $5.00 $8,00 $100,00 11/27/06 11/27/06 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 2/23/07 4/6/07 4/6/07 4/6/07 4/6/07 $94,841.25 Paee 2 of7 . CITY OF SPRINGFIELD Building/Combination Permit. PERMIT NO: COM2006-01505 ISSUED: 02/23/2007 APPLIED: ll/27/2006 EXPIRES: 06/1212007 VALUE: $ 8,000,000.00 Value Date Calculated $8,000,000.00 $8,000,000.00 11/27/2006 Receipt Number 1200600000000001687 1200600000000001687 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000900198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 1200700000000000198 2200700000000000491 2200700000000000491 2200700000000000491 2200700000000000491 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01505 ISSUED: 02123/2007 APPLIED: 1lI27/2006 EXPIRES: 06/12/2007 VALUE: $ 8,000,000.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line I Plan Reviews I Fire Department Review 11/30/2006 01/31/2007 OK GRG See attached document for Fire Department Plans Review comments. Initial Review 11/30/2006 11/30/2006 APP SKG Planriine Review 11/3012006 12/13/2006 APP EMM To be built per approved Site Plan Review DRC2006-00037. Plumbine Plan Review 02/06/2007 02/06/2007 WE SKG See attached document for 7 plumbing items Public Works Review 11/30/2006 01/04/2007 APP JHJ Added revised SDC's (JHJ) Structural Review 01/30/2007 02121/2007 APP RWC Structural Review 11/30/2006 12/26/2006 WE JMP Received 12/12/2006. Left a voice mail request for the emergency lighting details, exiting plan, and boiler BTUs and locations. SUB Review 12/12/2006 01/03/2007 APP JF 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. IRp~ SUB Insulation Vapor Barrier: To be called for at tbe same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to auy cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete, . Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheatbing witb finish materials. Framing Inspection: Prior to cover and after all rougb in inspections bave been approved. Wall Insulation: Prior to cover. Paee 3 of7 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-01505 ISSUED: 02123/2007 APPLIED: 11/27/2006 EXPIRES: 06/12/2007 VALUE: $ 8,000,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ceiling Insulation: Prior to cover. Roofing: Prior to installing any roof covering, Drywall: Prior to taping. Firewall: Located and constructed according to plans, LatblPlaster: To be made after all lathing and gypsum board, interior and exterior are in place, bnt prior to plastering. Masonry: Reinforced Gypsum Concrete: When Class B gypsum concrete is mixed and placed. Provide inspection/test results to City Building Inspector, Bolts Installed in Concrete: To be done by a State Certified Speciallnspector. Provide inspection test reports to City Building Inspector, r Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector, Provide results to City Buiding Inspector Roof SbeatbinglNailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement, Ceiling Grid: After drywall approval but prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete, Provide report to City Building Inspector. Epoxy Ancbors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector, High Strengtb Bolting: To be done during construction by a State Certified Speciallnspector. Provide inspection results to City Building Inspector, Special Inspection: Weld Inspection: To be done during construction by a State Certified Special Inspector with approval from tbe City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Ultrasonic Inspection: To be done during construction by a State Certified Special Inspector witb approval from the City of Springfield, Copies of inspection results sball be provided to tbe City of Springfield. Special Inspection: High Strengtb Bolting Inspection: To be done during construction by a State Certified Special Inspector witb approval from tbe City of Springfield, Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Metal Deck Welding Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to tbe City of Springfield. Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State Certified Special Inspector with approval from tbe City of Springfield. Copies of inspection results sball be provided to tbe City of Springfield, Special Inspection: Moment Resisting Steel Frames Inspection: To be done during construction by a State Certified Special Inspector with approval from tbe City of Springfield. Copies of inspection results shall be provided to tbe City of Springfield. 'Pa2e 4 of7 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-01505 ISSUED: 02/23/2007 APPLIED: 11/27/2006 EXPIRES: 06/12/2007 VALUE: $ 8,000,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of Springfield. Special Inspection: Masonry, Mortar, Gront, and Reinforcing Steel Certificates Inspection: To be done during construction by a State Certified Speciallnspector with approval from the City of Springfield, Copies of inspection results shall be provided to the City of Springfield. Structural Welds: To be done during construction by State Certified Special Inspector, Provide inspection test results to City Building Inspector. Structural Masonry: To be done during construction by a State Certified Special Inspector, Provide results to City Building Inspector. Sprayed On Fireproofing: To be done during construction by a State Certified Special Inspector. Provide test resports to City Building Inspector. Fire Department Sprayed On Fireproofing: Prior to Cover. Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test. Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy a,pproval, Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This inspection is required prior to any combustible construction. Fire Department Access. Inspection to assure access is available to site for construction project. This inspection is required prior to any combustible construction, Final Fire Department. After all requirements of tbe Fire Department have been met, Fire Department Temporary Occupancy: All Fire and Life Safety Systems must be tested, accepted and operational prior to requesting this inspection. Final Building: After all Conditions have been completed as required on Development Agreement. Final Building: After all required inspections have been requested and approved and the building is complete. Rougb Grading: After gravel is in place but prior to placing concrete, Final Paving: After paving is complete. SUB Concrete Slab: Prior to and following pour. SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. Underslab Plumbing: Prior to filling the trencb and including required testing. Underground Plumbing: Prior to filling tbe trench and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking, Underfloor Drain: Prior to cover or placement of concrete, Rougb Plumbing: Prior to cover and including required testing, Paee 5 of7 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01505 ISSUED: 02/23/2007 APPLIED: 11127/2006 EXPIRES: 06/12/2007 VALUE: $ 8,000,000.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line 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. Line to Septic Tank: Prior to filling trench and required testing. Storm Sewer Line: Prior to filling trench, Grease Trap: Prior to Cover. Final Plumbing: When all plumbing work is complete. Backflow Device: Prior to covering and provide a copy of the test report on site at tbe time of inspection. Underfloor Mechanical. Prior to insulation or decking and including required testing, Underslab 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 jf 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 tbis 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, Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. Underground Electric: Prior to cover Underslab Electric: Prior to cover Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Sign Electrical: After connection is made but prior to energizing Pedestal: Prior to cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting SUB Special Inspection: See Plan Review or Inspector Notes for instructions, Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. Pal!e 6 of7 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01505 ISSUED: 02/23/2007 APPLIED: 11127/2006 EXPIRES: 06/12/2007 VALUE: $ 8,000,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sign Location: To verify the location of the proposed sign. Sign Footing: After excavation and forms are in place, but prior to concrete, Sign Attachment: Method of mounting the sign to a structure or pole. Method of attachment of bolts ~r welds. Sign Electrical: After connection is made but prior to energizing. Sign Final: After all required inspections are conducted and approved and the sign installation is completed. Temporary Electric: Approval required prior to Utility Company energizing pole, 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 tbe Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described herein, and tbat 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 tbat all required inspections are requested at the proper time, that each address is readable from the street, tbat 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. Owner or Contractors Signature Date Pa2e 70f7 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-01505 COM2006-0 1505 COM2006-0 1505 COM2006-0 1505 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: . .~",. ~. ~"~^ ~. . ~ of Springfield Official Receipt .elopment Services Department Public Works Department 2200700000000000491 Description Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DIETER KONNEGEN , Date: 04/06/2007 Item Total: l:heck Number Authorization Received By Batch Number Number How Received ddk 132251 Phone Payment Total: Page I of I 8:26:45AM Amount Due 100.00 5.00 8.00 10.00 $123.00 Amount Paid $123.00 $123,00 4/6/2007