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Home My WebLink AboutPermit Correspondence 2008-9-11 Com g. 61303 September 11, 2008 Breck Childrey 1004 54th Street Springfield, Oregon 97478 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.cl.springfield. or us On September 10, 2008,our office issued permiF' to you or lOur representative for an addition to your single family residence located,at 1004 54 Street, Springfield, Oregon. . " While calculating the fees for that permit, the plan reviewer neglected to include the Fire Department Fee of$9.60. I am enclosing a copy of the permit that was issued and a copy of the original receipt for your reference. Please pay the amount due prior to requesting your fmal inspections for this project. I have enclosed a prestamped envelope for your convenience if you wish to make p'ayment by mail, or you are welcome to make payment in person at our office. Our office hours are 8:00 a.m. - noon and from 1:00 p.m. - 3:00'p.m. Monday through Friday. I sincerely . apologize for any inconvenience this may cause' you. If you have any questions please feel free to contact me at 541-726-3790. Sincerely, .~~~J\~~ Co=unity Services Building Safety, Ene! Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01303 ISSUED: 09/10/2008 APPLIED: 08/29/2008 EXPIRES: 03/10/2009 VALUE: $ 20,160.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspecti~n Line oj: SITE ADDRESS: 1004 54TH ST ASSESSOR'S PARCEL NO.: 1702332100100 Springfield TYPE OF WORK: Single Family Residence ii TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Residential Additiou Owuer: CHILDREY BRECK M & LINDA C Address: 1004 54TH ST SPRINGFIELD OR 97478 I CONTRACTOR INRORMA nON . Contractor Type General Electrical Mechanical Plumhing Contractor OWNER OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: . Secondary Occupancy Groi,p: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 " #'of Stories: ,jl Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: , .,,". .1 13.00 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Ganige/Carport Sq Ft Other: Occupant Load: 192 VB No I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 38.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: "io of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEM,J<:NTSN 'Street Improvements: Storm Sewer Available: Special Instruction: Storm water to tie into existirig system Sidewalk Type: DownspoutslDrains: Notes: Paee ! of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01303 ISSUED: 09/10/2008 APPLIED: 08/29/2008 EXPIRES: 03/10/2009 VALUE: $ 20,160,00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line V Wood Frame I I I Valuation Descriotion Ii Square Footage or 'Bid Amon'nt 192.00 $ Per Sq Ft or mnltiplier $105.00 Value Date Calcnlated DescriptJon Dwellines TVDe of Construction Total Value of Project $20,160.00 $20,160.00 09102/2008 ~ P '.1. Ii I1PP~ <:11... Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $231.09 8/29/08 1200800000000000924 -Mechanical Issuance Fee- $21.00 9/10/08 1200800000000000956 + 10% Administrative Fee $5.50 9/10/08 1200800000000000957 + 10% Administrative Fee $32.43 9/10/08 1200800000000000956 + 12% State Surcharge $6.60 ~~ 9/10/08 1200800000000000957 + 12% State Surcharge $38.92 9/10/08 1200800000000000956 + 5% Technology Fee $2.75 9/10/08 1200800000000000957 + 5% Technology Fee $22.17 9/10/08 1200800000000000956 Add, Alter, Extend Circ $50.00 9/10/08 1200800000000000957 Add, Alter, Extend Circ Ea Add $5.00 9/10/08 1200800000000000957 Appliance Not Listed $44.00 9/10/08 1200800000000000956 Building Permit $220.34 9/10/08 1200800000000000956 Fixture $17.00 9/1 0/08 1200800000000000956 Minimnm/Adjustment Plnmbing $35.00 9/10/08 1200800000000000956 Plan Review Minor- Planning $119.00 9/10/08 1200800000000000956 Refund - Res Plan Review . $-70.30 9/10/08 1200800000000000956 Sanitary Sewer - Improvement $42.07 9/10108 1200800000000000956 Sanitary Sewer - Reimbursement $55.33 9/10/08 1200800000000000956 . SDC Sanitary/Storm Admin $9.53 9/10/08 1200800000000000956 Storm Drainage Impervious Area $93.11 9/10/08 1200800000000000956 Vent Fan $8.00 9/10/08 1200800000000000956 Total Amonnt Paid $988.54 Initial Review 09/02/2008 I. Plan Reviews! I 09/02/2008 'APP' LLH Plannin2: Review , Pnblic Works Review" 09/02/2008 09/0212008 09/04/2008 '!l.PP DDK, 09/04/2008 ~PP LKW Storm water to tie into existing system 09/04/2008 'APP .DLM Approved as noted on the plans. Structural Review 09/02/2008 " Paee ~ of3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01303 ISSUED: 09/1012008 APPLIED: 08/29/2008 EXPIRES: 03/10/2009 VALUE: $ 20,160,00 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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, ReouiretlTnsnectiims I 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. Framing Inspection: Prior to cover and after all rough in insp,ections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plnmbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and inclnding required testing. Final Plumbing: When all plnmbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When ~Il electrical work is complete. By signatnre, 1 state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 OCCUP ANCY will be made of any structnre withont permission of the Commnnity 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 reqnired inspections are reqnested 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 plans will remain on the site at all 'Zi.:'''~ 7!ro!tJr Owner or Contractors Signature Date Paee 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2008-01303 NAME OR COMPANY: Breck Childrev LOCATION: 100454th TAX LOT NUMBER: 1702332100100 DEVELOPMENT TYPE: Single Familv Residence il N\OW DWELLING UNITS 0 BUILDING SIZE (SF: 216 LOT SIZE (SF): 42253 1 STORM DRAINAGE. II DIRECT RUNOFF TO CITY STORM SYSTEM I, I lMPERVIOUSS.F. x' I COST PER S.F. CHARGE I 26100 I $0.357 I = I $93.11 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x '1 COST PER S.F. I x I DISCOUNTRATE I I I 0.00 I $0.357 I I 50% ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC $93.11 7 SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 2 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 2 I DISCOUNT $0.00 $93.11 !l., COST PER DFU $27.67 $55.33 I COST PER DFU I $21.04' : $42.07 ITEM 2 TOTAIl- CITY SANITARY SEWER SDC ~ , $97.40 J TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: L ADT TRIP RATE I r 9.57 I I NUMBER OF UNITS I x I I 0 I I I x INEW TRIP FACTOR I . I 100 I I COST PER TRIP 21.06 $0.00 x I NUMBER OF UNITS I x I I 0 I I x. INEW TRIP FACTORI I 1.00 I ~', ~ , COST PER TRIP $92.89 $0.00 $0.00 ITEM 3 TOTAL - TRANSPORT A nON SDC 4 SANITARY SEWER - MWMr: A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 I B. IMPROVEMENT COST: INUMBER OF FEU's I x I 0 I .1' $0.00 1055 $0.00 I 1054 $0.00 1056 = , $0.00: I: ~ , $190.51 l 1= CHARGE $9.53 I 9.53 1079 ~- $0.00 11078 --"-.-.- II I TOTAL SDC CHARGES =1 $200,04 I I' I ..- II ICOST PER FEU I $97.90 I = $0,00 ICOST PER FEU I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ':rEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMINISTRATIVE FEE: I SUBTOTAL x 'I ADM. FEE RATE I $190.51 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 9/4/2008 Kaye Wilson PREPARED BY DATE .. ." V) ~ Cl o u or: ~ f-o .V) a .gj I I 1070 " I I .1 11091 II : I 11092 I 1093 ' 1094 I 1054 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE - I' NUMBER OF NEW FIXTURES x VNIT.EQUl~ ALENT = DRAINAGE FlX1lJRE UNITS - (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB -- 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS '/ ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0' 6 = 0 ILAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 /RECEPTOR FOR REFRIG / WATER STATION / ETC. O. 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC.. 0 0 3. = 0 I SHOWER. SINGLE STALL 1 0 2 .1 = '2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERciAL/RESIDENTIAL KiTCHEN .0 0 3 = 0 I . SINK: COMMERCIAL BAR . 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LA V ATOR Y /RESIDENTIAL BAR 0 0 1 0 I IURINAL, STALL / WALL 0 0 5 = 0 I ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 I = 0 I MISCELLANEOUS DFU TYPE NUMBER OF EDUS 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 2 :BDU (Equivalent Dwellin~ Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 1- - YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 r- BEFORE 1979 5: (Enter I for Yes, 2 for No) ,I 1979 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 I 1980 (Enter I fnr Yes, 2 for No) I 1981 BASE YEAR 1979 I, 1982 II 1983 CREDIT FOR LAND (IF APPLICABLE) ]984 V ALOE /1000 CREDIT RATE I 1985 $0.00 X . $5.29 ~ , $0.00 I 1986 I 1987 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1~~8 VALUE/1000 CREDIT RATE I 1989 $0.00 x $5.29 0 I 1990 I 1991 I 1992 TOTAL MWMC CREDIT = ., $0.00 I 1993 I 1994 I 1995 I ]996 I 1997 I 1998 I 1999 I 2000 I 2001 I I . . CITY OF SP;RI:NGFJELD? OREGON ZON \}D(0 INTI1ALS~ DATE ~.(\,~ . SOURCE\\~~ 225 FIFTH STREET. SPRINGFlEW, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number . (' ~ 2-<YJ fll, - n j ,\ 0 ") Date 1. Ji;;Q~fiQN~Q~i.&:.tr~Q,.N:~_. 3, R~S1;2!;1_g~~&i.mp..~;Y~F.~~ /a()~ 5~h S/r '! . LEGAL DESCRIPTION: / 7!') 2- "2, ? Z I Dc!) /0-0 JOB DESCRIPTION: _J1eiJ#am/M:t"#' &?23rJ~rcJ/rJ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, ~<". ." . ,..,"Ai"""'" ..-_.'\l"ii!I'~.'_~".i"~."'>r...~.._._'.~..<.":'."~' ;n....:.""...ti.;l;0,".."''''''.'~. <'.""_~''':.''''PI'''-'-. ,eONFRAei<w<.4JNSTATJIfATIONfONEE. .2. ~"'i"":C'~"'''''~''5'(~~'''''I~';''ml'''Illi''ll'O:.'~\''j'',''''''<<,''''~'''';{m",,#.-'"'.:it Electrical Contractor Address / City Phone Supervi~r License Number ITENTlON: Orego aw requires you to EXPirl1l~~.rulll~adoPte . by the Oregon Utility fit!llfi0l, Vv''''',. I "u~e rUles are set torth In OAR 952-001-0 0 through OAR 952-00'1- Const1lll9lll~ . 'n ':'':'J::zs 5f1t.~ ,ul,,~' . calling the c ter, (Note: the telephoneur Exp~ for t e.Oreoon Utility M"tific;aliell Cel)Cer IS 1-800-332-2344) Signature of Su#ising Electrician . ::~s N:ffi11~~ r;f1;:/1 City .Yf?} ( Ph:ne 72? -710/"- OWNER INSTALLATION The installation is being made on >,'V>,_Hj I own which is not intended for sale, lease or rent. ~~p/. NOTICV' TH)S PERMIT SHALLfXPIRE IF THE WORK InsPrtlff~~ff:u1M"l'HIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, A. fil~~l~tiI~s]&gl~~MJilam;~liy,-:p;rtJ~lll~t. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modutar Dwelling Service or Feeder $121.00 $ 22.00 $57.00 B. 1fS~~~~~~~lis~;r~1l~~tjo:;r~1-'iRTI~r~11~ ~..i.,._v./J;""'"",~,.""""*,"...-,-);j_,...~,.~_"l\.'\lm'""._t';l;~..""..""4'.I.="'-_""~_~"~.,,..'!'!r.,,;:;,.!q 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps I! 60 I Amps to 1 000 Amps Over 1000 Amps/V olts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 c ~~T~~Wff<~~rS~~{~~F€@~~Lt~J*~t~~~l1A:lt~tit~~~l . ~:.... -,_,.P9~_.~,a'~'_"_""~0ll~,,__,~~.~_,.~.._.~~f~~~~_~_.~4~. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps. 40 I 1\mps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D, $ 57.00 $ 79.00 $114.00. New Alteration or Extension Per Panel OneCrrcllit J Each Additional Crrcllit or with I' Service or Feeder Permit $ 50.00 $ 5.00 '50~ S;0-t:7 :~~:\&~~~~~;:~,,~t:~~~J~~':';'<i;J,";>;'J~\l}j;igs;'~~l1 E. ~~~~i~eJJ!,21~~Jl~~~~4~,!~~~~_~!:!!,~~~~)~;fl~_~,!!,t!'~~.2!!~,U9~:, Pump or irrigation $ 57.00 Sign/Outline Li!ihting $ 57.00 Limit6d Energy/Residential $ 29.00' Limited Energy/Commercial $ 52.00 Minimnm Electric Permit Inspection Fee is $52.00 + Surcharges 4, k'GItom'1oEmlO"VE]i1l}~~~~411 en; .-, _ c"'''*_'''''''''~''')ll!<lil"~~~=i#..'.ii:.,....~f\j~~oo'~" ~.. '--) ~ . - = 6:>0 12% State Surcharge 0. 10% Administrative Fee <<:; , .>0- " 5% Technology Fee "7 ,7 S" TOTAL . '.. 1(-,9SS , Shared Drive(T:)IBuilding FonnsIElectrical Permit Applicati60 7~8.doc " " Ii II:' .. . . . . . . . . '. . " "'-' Construction Contractors Board 700 SmnmerSt NEStiite,3jJO ' POBox1414lJ ...' "" (, . Salem OR 97309~5052, ~.".." .c', Phone: 503-378-4621 Web Address: wWw.ccb.state:or.us '~!,mht#: DJpff 200~ -0 ~ . .' 7!-' - . 'Ad~ess: ../(3&4- ;5-f ';L S/" '. IssuidbY:~~~~Date:. .~~~k~ " II " . - I! Statement: Information Notice to property'Owners Abou(C~nstruction Responsibilities ., "'4' . 4: - Ii . . Note: Oregon Law, ORS 701.055(4) requires residpntial construction permit applicants who are not . licensed with the Construction Contractors Board ita sign' the following statement before a b~ilding . . ~ -.~ 11 - . permit can be issued. This ~tdtement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and enginee~ applicants, exempt from licensing under'. ,_ ORS 701.01 0(7}. need, nots,ubmit this statement: rr.isstatement willl?e filed. with the p'ermit. - ,. . ~ .. . i~ ' Fill in the appropriate blanks and initi31boxes 1 and 2,.and elther'box '3Aor 3B: _.~ -, - :" . . '. -... j/ ..;. . - j . ~ 1. . ,town, reside in, .()r will ~~side in the ~ompleted ~tructure. .... '. ' . . . '.~ 2.' . I ~dersiand that'1 must bec~rne l~censed as' a cJ~struction ~o~tra~tor 'if the struc~e is sold or- . , offered for sale before.or on completion.' . ::'. " . -. . . .' ..' ~~ . . --" , : o . 3A.. My general contractor is (Nam~) (ccB #) ., . . .e'. '.' 11' ,'. 1 will instruct mygeneral.contr~ctoi- that all sub~oritractors who work on the stliH;ture must be . licensed with the Construction Contractors Board. .,' .,. - i~' l! OR '.'M . )LA II 3B. Iwill be my own,general contractor. II', ,I "I:t . . ~ , . If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors. Board. IfI change my mind and ):Iire a general dlmtractor, I will contract with a contractor who is . . _,_' " '. __'. ,t- _. .. ji.. . . ' . . licensed with the ccB and will i=ediatelynotify the office issuing this building permit of the name of the contractor. . - . Ii" ,'...' . . ., I . I hereby certify that the above information is correct and tliat I have read.and do understand the Information . ' - > jl; . '. Notice'~o, Property <?W. ~ ~ersab gout ,-construction Responsib,.ties .~n_the.reverse si,de of this form, ~ CP'-~ . ; .c;/;o/cr ;<:~. (Signamreofpermit applicant) Property _owneLdoc' 06"0 1-04 Ii (White copy to issuing agency per:mit file, pink copy to applicant.) ,.-. " . II - ",- II " I (Date) ,. [~. , 225 Fifth Street Springfield, Oregon 97477. 541-726-3759 Phone Job/Journal Number COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 Payments: Type of Payment Check cRcccintl Item Total: t:heck Number Authorization Receiyed By Batch Number Number How Received RECEIPT #: 1200800000000000957 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add' + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By BRECK CHILDREY dim Page I of I 4255 City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/10/2008 JO:27:10AM Amount Due 50.00 5.00 2.75 6.60 5.50 $69.85 Amount Paid In Person Payment Total: $69.85 $69.85 9/1 0/2008 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~4'11 ~~ >==~---~,_.- . City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-01303 COM2008-0 1303 COM2008-01303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 COM2008-0 1303 Payments: Type of Payment Check cReceinl1 RECEIPT #: 1200800000000000956 Date: 09/10/2008 Description Refund - Res Plan Review Plan Review Minor" Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Minimum/Adjustment Plumbing Vent Fan Appliance Not Listed -Mechanical Issuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By BRECK CHILDREY Item Total: Check Number Authorization Received By Batch Number Number How Received dIm 4254 In Person Payment Total: r Page I of I 10:03:17AM Amount Due (70.30) 119.00 93.11 55.33 42.07 9.53 220.34 17.00 35.00 8.00 44.00 21.00 22.17 38.92 32.43 $687.60. Amount Paid $687.60 $687.60 9/10/2008