HomeMy WebLinkAboutPermit Building 2005-11-4 (2)
.
.- CITY OF SPRINGFIELD:
Building/Combination Permit.
PERMIT NO: COM2005-01468
ISSUED: 11/04/2005
APPLIED: 10/19/2005
EXPIRES: 05/04/2006
VALUE: $ 13,000.00
Status: Issued
225 Fiftb Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
*
SITE ADDRESS: 2372 MAlA LP Springfield TYPE OF Manuf Home w
ASSESSOR'S PARCEL NO.: 1703251403400 Garage/Carport Private Lol
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufaclured home wilh garage on privale 101- Maia Park 10111
Owner: ARTIE MAE HARLOW
Address: 2433 MARCOLA RD
SPRINGFIELD OR 97477
Phone Number: 541-746-4065 '
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Manuf Home Insl
Plumbing
Contractor License Expiration Date
HARRISON JACOBSON INC 66447 05/07/2007
MAG ELECTRIC INC 149834 ) 12/13/2005
HARRISON JACOBSON INC ATTENTION: ofiR1d7J law requireg5/~7(~007
HARRISON JACOBSON INCfollow rl)l,,~ "rlnli.6~"'7n" 'ho ('\'M.9.~/l:?!~l!97
I BUILDi"Nci;iNFORMAl'IONllose rules are set forth
, II h
',"un" """-uu'-uu,u I rough OAR 952-001-
# oJtslll;ieS'ilu may obtain copiet of tl.9trS~; by
Heighf'ilflng the center. (Note: the t~!?grJfH~!JFloor:
TypellfrHeat:for the Oreg!j;'~t1r:1~.y N~9'~h~,\!!hFloor:
Water TypeCenter is 1-8~!estr!.c234~19 FI Basement:
Range Type: EIeclric Sq Ft Garage/Carport
Energy Patb: Sq Ft Olher:
Sprinkled nla Occupant Load:
Phone
541-689-7762
541-461-0387
541-689-7762
541-689-7762
# of Units:
Primary Occupancy Group:
Secondary OCCUpWlCy
Primary Conslrucllon Type
Secondary Conslruction
# of Bedrooms:
1
R-3
U
VN
5,663
1,404
320'
3
I DEVELOPMEN. mruN.IATlON ,
REQUIRED PARKING
TolaI: 2
Handicapped:
Compacl:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.50
5.00
5.50
10.00
0.00
Overlay Dlst:
# Streel Trees 0
Paved Drive Rqd:
% of Lol Coverage: 38.20
IPUBLlC IMPROVEMENTS I
FuUv Improved H01ICE: SHAll ~1'A~'l'<M~ORK
Yes 1HIS PERM\1 iR~i
AU1HOR\ZEEDOUONRD~: ABANDONED fOR
COMMENC
Slorm drainage pIped 10 curb face 10/21~2005 Cj.Mf 180 DAY PERIOD.
Streel
CiJrb and Guller
Storm Sewer Available:
Special Instruction:
Noles:
1 of 4
Status: Issued
225 FIfth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriplion
Type of Construction
Foundation OnIv Use Bid Amounl
Garal!e Garal!e
Fee Description
Plan Review Residential
+ 10% Admlnlslralive Fee
+ 7% Slale Surcharge
Add, Alter, Extend Circ Ea Add
AddressIng Assignment
Foundation Permil
Garage/Carport
Manuf Home State Issuance
Manufaclured Home Conn - Plmb
Manufaclured Home Feeder
Manufactured Home Placement
Manufaclured Home Service
Plan Review Major - Planning
Sanitary Sewer - hi SO Feel
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Adm1nIslration
SDC MWMC Improvemenl
SDC MWMC Reimbursemenl
SDC SanItarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvemenl
SDC Transpo Reimbursement
Slorm DraInage Impervious Area
Slorm Sewer - hi SO Feet
Waler Line - hi SO Feel
WiIlamalane ManufHome Private
Total Amount
Initial Review
10/21/2005
.
. CITYOFSPR.J.l'~ld<IELD
Building/Combination Permit
PERMIT NO: COM2005-01468
ISSUED: 11/04/2005
APPLIED: 10119/2005
EXPIRES: 05/04/2006
VALUE: $ 13,000.00
I Valuation Descriotion I
$ Per Sq FI
or multiplier
$1.00
$25.00
Square Footage
or Bid Amount
5,000.00
320.00
Value
Date Calculaled
Tolal Value of Project
$5,000.00
$8,000.00
$13,000.00
10/1912005
10/1912005
FpPo. PiWLI
Amount Paid
Date Paid
Receipt Number
2200500000000001462
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
1200500000000001684
$85.02
$60.32
$42.22
$3.00
$31.00
$68.40
$91.80
$30.00
$45.00
$50.00
$160.00
$50.00
$150.00
$45.00
$381.40
$501.40
$10.00
$865.31
$82.03
$121.83
$66.29
$805.70
$182.69
$933.79
$45.00
$45.00
$1,000.00
10/19/05
ll/4/05
1114/05
11/4/05
11/4/05
11/4/05
ll/4/05
1114/05
ll/4/0S
ll/4/0S
ll/4/05
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
ll/4/0S
1114/05
ll/4/0S
ll/4/0S
1114/05
$5,952.20
I Plan Reviews I
10121/2005
APP SKG
2 of 4
.
.
CITY OF SPRINGFIELD
Status: . Issued
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01468
ISSUED: 11104/2005
APPLIED: 10/19/2005
EXPIRES: 05/04/2006
VALUE: $ 13,000.00
Plannine RevIew
10/2112005
10/27/2005
APP TAJ
The Plot plan has been revised 10
add Ihe wesl 20' feet of this 10110 the
101 nexl door. Tbis was approved
through Property Line Adjuslment
SUB2004-00012.
Slorm drainage piped 10 curb face
10/21/2005 CAS
Public Works Review
10/21/2005
10121/2005
APP CAS
Structural Review
10/21/2005
10127/2005
APP RJB
To Request an inspection call the 24 hour recording at 726-3769. AIl 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.
Erosion/Grading Inspeclion: Prior to ground dislurbance and after erosion measures are inslaUed.
Veer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundalion inspection.
Footing: After trenches are excavated.
Foundalion: After forms are erected bul prior to concrete placement.
Shear Wall Nailing: Before covering shealhing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Hold Downs Inslalled: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Manuf Home Sel Up: When installation of all piers or slands is compIele.
Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, slreel address numbers, Irees, driveway, elc. have been Inslalled.
Final Building: After all required inspections have been requesled and approved and the buIlding is eompIele.
Waler Line: Prior 10 filling Irench and including required lesting.
Sanilary Sewer Line: Prior to filling Irench and including required lesting.
Slorm Sewer LIne: Prior 10 filling Irench.
Final PlumbIng: When all plumbing work is complete.
Manuf Home Plumbing: After home has been connecled 10 waler and sewer.
Rough EleclrIc: Prior 10 Cover
EIeclric Service: Approval required prior 10 utility company energizing service.
Final Electric: When all eIeclricaI work is complete.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected 10
the panel.
3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01468
ISSUED: 11104/2005
APPLIED: 10119/2005
EXPIRES: 05/04/2006
VALUE: $ 13,000.00
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
MH Service: Approval required prior to utility company energizing service.
By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is lrue and correcl, and I further certify that any and all work performed shall be done in accordance
with the Ordinances of the Cily of Springfield and Ihe Laws of the State of Oregon pertaining to the work described herein,
and thai NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certify that only conlractors 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 slree!, thai the permit card is located at the front ofthe property, and the approved set of plans wiD remain on Ihe site
at all times dUrinyonslructiolL
~~ l/f-t35
Owner or ~lr.6.,rs Signalure Date
4 of 4
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .:0 .,.,..
~v <
ELECTRICAL PERMIT APPLICATION c,,,,~ ,0"'"
- ~~
City Job Number C.>-DJ"I6{!; Date ,p ~<'
.-ti~~ 000
";.' '-'1 3. Fc;911f!'iE:r!}l'EE:_~!it~ .
" 0\"" o~ 1.:
.. ii'
",Q f'1'fi.
A. [~e~:~~i4~~ti;1I :"Sirigle;'l~Il!i'~~!ly p." dwelIind...ilii.;.: ...1
0(> ~,v
Service Included , YJ~-..o
~.
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Signature of Supervising Electrician
/- A ~ New Alteration or Extension Per Panel
!AA/;-r _--. _ One Circuit
f, 'I /- Each Additional Circuit or with
ersNameMA/&. ~l.::_~LLC:,...- Service or Feeder Permit / $ 3.00 1.cC
Z 4. "3. s .diA ~J . E. IMiSC~\la~eouS(S~i'vi~e/fee~';r: n~t inclUded) :'~achlns!alIatio;'-l
~ Phone' ;:;<{ b' l..{tbr Pump or irrigation $ 50.00
, Sign/Outline Lighting t~~\C.
Limites!l~ei!.lResidenti~\. tf-~\~ W \ WNOi
Limll\\I\~'Plr{~lI~"E.R itl'~ ~E~\III\ ~O
Minimum ~\'f\t)l'Iitfft~ ~~evso,\l~~~~ + Surcharges
4. I\SiJ.D~,1flttJ~'a!\JWQ\)t;. . i..:. ,.J /0'-'
r,......~\i~nf('r.~",v.-\_; ..,', '.' ""
7% State Surcharge 7 Z-l
10% Administrative Fee I 0 ~ 0
I v::> ~
1. ~.:t.Q€;A'TiONOF;,m-$t.AlJAfi6J\T"
211-2 #/1110. j..tJ
.
LEGAL DESCRIPTION
I +-o~ 2-S/Lf ,nl/()O
JOB DESCRIPTION
&"Ir:a.Jrxr4Jhk"JII"'!, "...J ht1l.6t:-
Permits are non-transferable and expire if work Is
nol started within 180 days of Issuance or If work Is
Suspended for 180 days. .
2. f'c9NTIgA,ci:ifi(iN$T.4''::r.'4ttqN6~iYl
Electrical Contractor ..{j fi//) ()1L11M~
/
Address ~ iA.ParIP _ ~ Su ("~
City
~
U
Phone
'7 ifJl--v' 3f1
Expiration Date
'-J 7 ij..:z 5
I 0'" /-~
jA/Q%3Y
1.;2-ertJS
Supervisor License Number
Constr. Contr. Number
Expiration Date
City
/
Inspeclion Request: 726-3769
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or uires y'fL to $50 00 100 ()O
Eee~ N Oregon law req .' .
AI I t:1~T\O: \..... ''lP Oreqon UIIIIIY .
~~t~!~~~~!~~~f!;~~~~~1hA.J~1~i~~l~~ReI~catio~-::',~
in 200.'A~~foQJ1e\s btain copies ot the rule~$\{;3.00
i) V,..I I m?\I 0 t lepnoro
0'201 Amps to '100 Amps(No\e: the e .$'75.00
401l\AmpJ?t-600n,{;;;~s'on Utility NotIIlCC1II$f25.00
h tortnev'""
60i1J\..rip~.to 1000 AmnsJO-332.2344). $163.00
I 'ert\.tjl 1..J .1"'_
Over 100lfAmps/Volts $375.00
Reconnect Only $ 50.00
c. 1;':remp(J-ra'ry'Servi'ceS',o~F~d~i-s.,..:
-'1;
. . "~' I
,'- ~ ~ ,
';/ ."'),',
. ..(
InslaIlalion, Alteration or Relocation
200 Amps or less
20 I Amps 10 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. k Branch <':1"-cllits,' . . . ....
$ 50.00
$ 69.00
$100.00
". .'..'~.': I
~', '. ,~
$ 43.00
TOTAL
Shared Drive(T:)lBuilding FonnsIElectrical Permit Application 1-03.doc
CITY OF .INGFIELD SYSTEMS DEVELOPME.ORKSHEET
JOURNAL OR JOB NUMBER: COM2005-01468
NAME OR COMPANY: Geor~e Harlow
LOCATION: 2372 Mai. L~
TAX LOT NUMBER: 1703251403400
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 1940 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
2891.00 I $0.323 I = I $933.79
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVtOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I $0.323 I 50% ~ I
ITEM I TOTAL - STORM DRAINAGE SDC $933.79 ~
DISCOUNT
$0.00
2. SANtTARY SEWER - r.JTY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's I x
I 20 I
COST PER DFU
525.07
B. tMPROVEMENT COST:
I NUMBER OF DFU's I x
I 20 I 519.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REtMBURSEMENT COST:
I ADT TRJP RATE I x
I 9.57 I
I NUMBER OF UNtTS I
I I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNtTS I
I 9.57 I I I
ITEM 3 TOTAL - TRANSPORTATION SDC
= ,
$882.80
x I COST PER TRIP x INEW TRIP FACTORI
$19.09 I 1.00
x I COST PER TRJP I x INEW TRIP FACTOR I
$84.19 I I 1.00
= , $988.39
4 SANtTARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I J
ICOST PER FEU
I $82.03
B. tMPROVEMENT COST:
INUMBER OF FEU's I
1 I I
x
ICOST PER FEU
I $865.3 t
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMtNISTRA TIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
$957.34
SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
$3,762.32
~
5 ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE I~
I 53.762.32 I 5% I
TOTAL SANITARY ADMINISTRATtON FEE:
,TOTAL TRANSPORTATION ADMtNISTRATlON FEE:
Cheryl Slaymaker
PREPARED BY
10/21/2005
DATE
~ ,
CHARGE
5188.12
TOTAL SDC CHARGES
5644
$933.79
$501.40
$381.40
$182.69
$805.70
=
$82.03
'"
W
o
o
u
~
W
E-<
'"
6
~
11070
. 1091
I,
11092
I
11093
I
11094
I
1054
$865.31 :11055
$0.00 1054
$10.00 11056
I
II
=
121.83
$66.29
=, $3,950.44
1079
II
'1078
.
.
DRAINAGE FIXTURE UNI~(DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOlli, FOR REMODELS. CALCULA lli ONLY THE NET ADDmONAL FlXTIJRES)
. NO. OF FIXTURES
UNlT
FIXTURE TYPE NEW OLD EQUIVALENT
1 BATHTUB 2 0 3 =
IDRtNKING FOUNTAIN 0 0 1 =
I FLOOR DRAIN 0 0 3 =
INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETe. 0 0 3 =
IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 =
LAUNDRY TUB 0 0 2 =
CLOTHESW ASHER I MOP SINK 1 0 3 =
CLOTHESWASHER - 3 OR MORE (EAl 0 0 6 =
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 =
RECEPTOR FOR REFRlG I WATER ST A llON I ETC. 0 0 1 =
IRECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 =
ISHOWER. SINGLE STALL 0 0 2 =
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 =
IStNK: COMMERCiALiRESIDENTIAL KJ'rCHEN 1 0 3 =
I SINK: COMMERCIAL BAR 0 0 2 =
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 =
ISINK: SINGLE LAVATORYIRESIDENTtAL BAR 2 0 1 =
IURlNAL. STALL/WALL 0 0 5 =
ITOILET. PUBLIC INSTALLATION 0 0 6 =
ITOILET. PRIVATE INSTALLATtON 2 0 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
.EDU (Equivalent Dwellin~ Unit) is a discharge equivalent to a sinstle famjly dwellinp; unit (20 DFU's!.set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
DRAINAGE
FIXTURE
UNtTS
6 -I
o I
o I
o I
o I
o I
3 I
o
o
o I
o 'I
o I
o I
3
o
o
2 I
o "
o
6
o
20
I
_.1
,I
I
I
.
.
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that with the a,WJroJJll.Afihe atla~~
permits, one of the following manufactured homes will be placed at ~ ~ 7 (,I... - \Ii ~ '^?'
Springfield, Oregon, City Job NumberC ~C1)I; - 0 l..... ~
Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed
floor area of not less than 1,000 square feet, that has a nominal roof pitch of3 feet in heighl for each 12
feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to
have an exterior thermal envelope meeting performance standards which reduce heat loss to levels
. equivalent to the performance standards required of single family dwellings constructed under the State
Specialty Codes.
_ Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area
of not less.than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width
and that has no bare metal siding or roofmg.
l
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of
the enclosing material exposed above grade.
I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60
days of the date of issuance of the manufactured home set up permit. These requirements may include, but
are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on
your approved set up plans andlor permit and your partition approval if applicable:
. Street Trees
. Paving Driveway
. Minimum 32 square foot storage structure
. Completion of partition approval
. Removal of any existing structures as noted on your partilion approval
. Signing and recording of any required partition, easement, improvement agreements, etc.
. Final lot grading
. City Sidewalk and curbcut installation
. Any outside agency approval as required Le., Division of State Land approval.
By my signature below, I agree to complete the above mentioned land use requirements.
Owner Signa~e
~. ~~
contractor~~ ~" .
Date
/ I- t-/-a5
Date
. . . w
225 Fifth Street
Splirigfield, Oregon 97477
541-726-3759 Phone
.
a!:"~I".!!!!!IEL!!_'..~___ :'.
1Iit:'
--~. ;
----. :-.--"
~ity of Springfield Official Receipt
.evelopment Services Department' .
Public Works Department
Joh/Joornal Number
COM2005-0 I 468
COM200S-0 I 468
COM2005-0 I 468
COM2005-0 I 468
COM2005-0I468
. COM200S-01468
COM200S-01468
C{)M2005-01468
COM200S-01468
COM2005-01468
COM2005-0I468
COM2005-0I468
C'OM2005-0 I 468
COM200S-0I468
COM2005-0 I 468
C-€lM2005-0 1468
COM2005-0 1468
COM2005-0 1468
COM2005-01468
COM2005-0 1468
COM2005-01468
COM2005-0I468
COM2005-0 1468
COM200S-0 1468
CoM2005-0 1468 .
CbM200S-01468
Payments:
T)'Pe of Payment
check
J
.'
"'
:!
'.
'..
,.
.'
.
.~:
.1
11/4/2005
RECEIPT #:
1200500000000001684
Date: 11104/2005
Description
Addressing Assignment
WiIlamalane ManufHome Private
Manufactured Home Placement
Manuf Home State Issuance
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
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 SanitarylStorm Admin
SDC Transpo Admin
Plan Review Major - Planning
Foundation Permit
Garage/Carport
Sanitary Sewer - I sl 50 Feel
Waler Line - 1st 50 Feet
Storm Sewer - I si SO Feet
Manufactured Home Conn - Plmb
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GOODEN HARRISON
Item Total:
Lbeck Number Authorization
Received By Batch Number Number How ReceIved
djb 9569 In Person
Payment Total:
I of I
9:51:19AM
Amoo nt Due
31.00
1,000.00
160.00
30.00
50.00
50.00
3.00
933.79
501.40
381.40
182.69.. .
805.70
82.03
865.31
10.00
121.83
66.29
150.00
68.40
91.80
45.00
45.00
45.00
4S.00
42.22
60.32
$5,867.18
Amount Paid
$5,867.18
$5,867.18