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Home My WebLink AboutPermit Building 2005-8-25 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01052 ISSUED: 08/25/2005 APPLIED: 08/0312005 EXPIRES: 04/12/2006 VALUE: $ 26,307.00 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 990 OLD ORCHARD LN ASSESSOR'S PARCEL NO.: 1703234407200 Springfield TYPE OF Single Family Residence TYPE OF USE: Addition PROJECT DESCRJPTION: Addition to existing single family residence Residential Phone Number: 541-736-5848 Owner: GARY GARBODEN Addi-ess: 990 OLD ORCHARD LN SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I . s '!ou \0 Contractor n l~iceIis'ee ~xpiration Date KESTREL CONSTRUC~_: Oleg~ bj~9,16)legonse~'io081l9/2006 JB ELECTRJC f>; II VI lules adop\e hO!~929S ale 952.C031l412008 JUNG ENTERPRJSES ~~~atiOn Cen\el. 1~ thll!Z!!$5 OP.R IU\e~I, 0/0412006 CHAPIN ENTERPRISi'S~+;"!\=C\52-00'-O~._;~ ,8129"; 01 \h':~hn(05/0612008 I BlhiJDING'Ir#'ORMA'II0N" "\~\\= No\;\ic;l"nl" '~ III . \ \ , callll \ ;;;( the Olegu,' 332-23(4). tnI!X1St6tI_es. el is ,.800' Lot Size: Height or.-en\ Sq Ftlst Floor: Type of Heat: Gas Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled o/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: R-3 VN I DEVELOPMENT INFORMATION I Phone 541-747-3791 541-687-5770 541-937-2688 541-485-1146 217 271 13.00 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handlcappcd: Compact: IPUBLIC IMPROVEMENTS I W "(t\~ 'NQ?Y-. \t~:.. ~\?~ tJ',li I~ ~Qi . Fullv Improved ~01 ~t.p.~~~"~cP, IS p~p. U fr\? Curbside 5' Yes ,\'lIS P.llP8~\101!1 "'~~~ Curb and Guller t>.Ui\'lQ 'toQ Q? IS CQ~~t.~C t>.'1 p'&.p.\Q\). t>.~'1 \~O g Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 16.00 13.00 35.90 Street Storm Sewer Available: Special InstructIon: Notes: Storm drainage piped to curb face 8/5/2005 CAS b I of 3 ;Wtr~A~~~J~ .- - " - ~-.., . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01052 ISSUED: 08/25/2005 APPLIED: 08/03/2005 EXPIRES: 04/12/2006 VALUE: $ 26,307.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa:l 541-726-3769 IlISpectlon Line Description A.C. - Reslden Deck/Balconv DweIllnes Type of Construction AC - Residential Deck V Wood Frame I Valuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount $4.00 217.00 $17.00 271.00 $96.00 217.00 Value Dale Calculated Total Value of Project $868.00 $4,607.00 $20,832.00 $26,307.00 08/10/2005 08/10/2005 08/03/2005 ~ Fee Description Amount Paid Dale Paid Receipt Number Plan Review Residential $125.58 8/3/05 1200500000000001139 -Mechanical Issuance Fee- $10.00 8/25/05 3200500000000000519 + 10% Administrative Fee 532.61 8/25/05 3200500000000000519 + 7% State Surcharge $22.83 8/25/05 3200500000000000519 Appliance Not Listed $9.00 8/25/05 3200500000000000519 Building Permit $236.10 8/25/05 3200500000000000519 Gas Fireplace $15.00 8/25/05 3200500000000000519 Gas Outlets 1-4 $4.00 8/25/05 3200500000000000519 Minimum/Adjustment Mechanical $17.00 8/25/05 3200500000000000519 Plan Review Minor - Planning $85.00 8/25/05 3200500000000000519 Plan Review Residential $27.89 8/25/05 3200500000000000519 SDC Sanitary/Storm Admin $8.20 8/25/05 3200500000000000519 Storm Drainage Impervious Area $164.08 8/25/05 3200500000000000519 Storm Sewer - 1st 50 Feet $45.00 8/25/05 3200500000000000519 + 10% Administrative Fee $5.20 10118/05 1200500000000001563 + 7% State Surcharge $3.64 10/18/05 1200500000000001563 Add, Alter, Extend Clrc $43.00 10/18/05 1200500000000001563 Add, Alter, Extend Circ Ea Add $9.00 10/18/05 1200500000000001563 Total Amount $863.13 I Plan Reviews , Initial Review 08/04/2005 08/04/2005 APP SKG Plan nine Review 08/04/2005 08/18/2005 APP TAJ Public Works Review 08/04/2005 08/05/2005 APP CAS Storm drainage piped to curb face 8/5/2005 CAS Structural Review 08/04/2005 08/10/2005 APP JB Approved as noted on plans To Request an inspection caD 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. wiD be made the following work day. 2 of 3 . . CIn~ v!' SPRING1'l~LU Building/Combination Permit PERMIT NO: COM2005-01052 ISSUED: 08/25/2005 APPLIED: 08/03/2005 EXPIRES: 04/12/2006 VALUE: $ 26,307.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 PhoDe 541-726-3676 Fax 541-726-3769InspectioD LiDe Footing: After trenches are e:lcavated. FouDdation: After forms are erected but prior to CODcrete placement. Post and Beam: Prior to Ooor iDsulation or decking. Floor Insulation: Prior to decking. Shear Wall NailiDg: Before covering sheathing with fiDish materials. FramiDg Inspection: Prior to cover aDd after all rough ID inspections have been approved. WalllDsulation: Prior to cover. CeIling InsulatioD: Prior to cover. Drywall: Prior to taping. Final BuIldlDg: After all required inspections have been requested aDd approved aDd the buIlding is complete. Storm Sewer Line: Prior to filling trench. UnderOoor 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 If not attacbed to an appliance. Rough Mecbanical: Prior to Cover Final Gas: When all gas work is complete. FiDal Mechanical: WbeD all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work Is complete. By slgnature,l state aDd agree, that I have carefully examiDed the completed applicatioD aDd do hereby certify that all iDformatlon hereoD is true and correct, aDd I further certify that aDY and all work performed shall be dODe In accordance with the OrdinaDces of the City of SpriDgfield and the Laws of the State of Oregon pertaining to the work described herein, aDd that NO OCCUPANCY wiD be made of aDY structure without permissioD of the Community Services Division, BuildiDg Safety. I further certify that ooly COD tractors aDd employees who are iD compliance with ORS 701.005 will be used OD this project. I further agree to eDsure that all required inspectioDs are requested at the proper time, that each address Is readable from the street, that the permit card.. located at the froDt of the property, aDd the approved set of plans wID remalD on the site at all times duriDg cODstructlolL OWDer or Contracton SigDature Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Joornal Number COM2005-0 I 052 COM2005-0 1052 COM2005-0 1052 COM2005-0 I 052 Payments: Type of Payment Check 10/18/2005 . RECEIPT #: .~:,.. ~ ~ ..JI!.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001563 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ill ELECTRJC Received By djb I of I Date: 10/18/2005 Item Total: Lheck Number Aulhorlzatlon Batch Number Number How Received 16383 In Person Payment Total: 8:37:46AM Amoo nt Due 43,00 9.00 3.64 5.20 $60.84 Amount Paid $60.84 $60.84 ' .' . -ir&~@''''~;~1Q..D.; - ~ t" ~... ','- ~ . -". '. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01052 ISSUED: 08/25/2005 APPLIED: 08/03/2005 EXPIRES: 02/25/2006 VALUE: $ 26,307.00 . Status Issued 225 Fiflb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 990 OLD ORCHARD LN ASSESSOR'S PARCEL NO.: 1703234407200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: Address: GARY GARBODEN 990 OLD ORCHARD LN SPRINGFIELD OR 97477 Phone Number: 541-736-5848 .. - ...., "'t ~ , -' , " ", . ~. Contractor Type General Electrical Mechanical Plumbing Contractor KESTREL CONSTRUCTION LLC MARKHAM ELECTRIC INC JUNG ENTERPRISES INC CHAPIN ENTERPRISES INC T)lI,~~: ~,:,':T ~I-l."f I l~Vt1ln,.. ,,.. ......... ....... I CONTRACTOR 1~~6~~TI~~:I~DER THISPE'RMiT~IS'N(;T\ I' ~llS ABANUONED FOR h,~Y 1 t".fk'\ litRI"E" . t' D t Ph ....Icense 1I xplra Ion a e one 23946 08/19/2006 541-747-3791 128394 04/0112008 541-942-8789 102455 10/0412006 541-937-2688 81994 05/0612008 541-485-1146 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Gas Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: ATTENTIONpQhqtJon IS1i'FP~'/{frl you to Sprinkled Buililin'g:w rules ail/a')ted bomp.lifHISO?u\!tility .........:4::...........:......... f"',..,.....,.... Th.....~o rl.loC' ~r.o. cot f"rth 2t7 R-3 271 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMWBONl ')010 through OAR 952-001- uu~u. YOU may obtain copies ofR!EQmlREDjPARKlNG Overlay Dist: calling the center. (Note:.them.1rlll:ho~e 13.00 # Street Trees RIIffilber for the, Oregon Utility \\1II~7Qd: Paved Drive Rqd: Center IS 1-600-332-23 pact: 16.00 % of Lot Coverage: 35.90 13.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: FullV Improved Yes Sidewalk Type: DownspoutslDralns: Curbside 5' Curb and Gutter Notes: Storm drainage piped to curb face 8/5/2005 CAS Paee I of3 ., Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction AC - Residential Deck V Wood Frame A.C. - Residen DecklBalconv Dwellinl!s Fee Description Plan Review Residential -Mecbanicallssuance Fee- + 10%. Administrative Fee + 7% State Surcharge Appliance Not Listed Building Permit Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Plan Review Minor - Planning Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet . . CITY OF SPRIr~uJ.<l~LU' Building/Combination Permit PERMIT NO: COM2005-01052 ISSUED: 08/25/2005 APPLIED: 08/03/2005 EXPIRES: 02125/2006 VALUE: $ 26,307.00 I Valuation Descrintion , $ Per Sq Ft or multiplier $4.00 $17.00 $96.00 Square Footage or Bid Amount 217.00 271.00 217.00 Value Date Calculated Total Value of Project $868.00 $4,607.00 $20,832.00 $26,307.00 08/10/2005 08/10/2005 08/03/2005 If ....~ tiilIJ Amount Paid Date Paid Receipt Number 1200500000000001139 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 3200500000000000519 $125,58 $10.00 $32.61 $22.83 $9.00 $236.10 $15,00 $4.00 $17.00 $85.00 $27.89 $8.20 $164.08 $45.00 8/3/05 8/25/05 8/25/05 8/25/05 8/25/05 8/25/05 8/25/05 8/25/05 8125/05 8/25/05 8/25/05 8/25/05 8/25/05 8/25/05 Total Amount Paid $802.29 I Plan Reviews I Initial Review 08/04/2005 08/04/2005 APP SKG Planninl! Review 08/04/2005 08/18/2005 APP TAJ Public Works Review 08/04/2005 08/05/2005 APP CAS Storm drainage piped to curb face 8/5/2005 CAS Structural Review 08/04/2005 08/10/2005 APP JB Approved as noted on plans 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. R..nllil;rrl rn.,n..r~ Footing: After trencbes are excavated. Foundation: After forms are erected but prior to concrete placement. Pal!e 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01052 ISSUED: 08/25/2005 APPLIED: 08/03/2005 EXPIRES: 02/25/2006 VALUE: $ 26,307.00 . Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Post and Beam: Prior to Door insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing witb 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. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trencb. UnderDoor 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 If not attacbed to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully enmined the completed application and do hereby certify tbat all information bereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb tbe Ordinances of the City of Springfield and the Laws of tbe State of Oregon pertaining to the work described bereln, and tbat NO OCCUPANCY will be made ofany structure without permission oflhe Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wl1l be used on tbis 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 plans wl1l remain on the site at all times during construction. cg/c??S/O.s Date I _Ll ~/~~ /1: .J~ , Owner or Contractors Signature Pal!e 3 of3 ,. CITY OF SaG FIELD SYSTEMS DEVELOPMEN.RKSHEET JOURNAL OR JOB NUMBER: COM2005-01052 NAME OR COMPANY: Garboden LOCATION: 990 Old Orchard Ln TAX LOT NUMBER: 1703234407200 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 432 LOT SIZE (SF): L STORM DRAINAGE o I I'" 1i!5 10 u 0:: ~ I- - '" (3 Igz DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x I COST PER S,F. I CHARGE 508,00 S0.323 = I $164.08 RUNOFF ROUTED TO DRYWELL 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 S0.323 I 50% I = I DISCOUNT $0.00 ITEM I TOTAL - STORM DRAINAGE SDC SI64.08 $164.08 11070 - - 2, SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 0 S25.Q7 SO.OO 11091 B. IMPROVEMENT COST: I I NUMBER OF DFU's I x I I 0 I S19.Q7 SO.OO 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO I 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRlP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRIP FACTORI I 9.57 I I 0 I I S19.09 I 1.00 I SO.OO 11093 B. IMPROVEMENT COST: I I ADTTRJPRATE 1 x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR I I 9,57 1 i 0 I I S84.19 I 1.00 I SO.OO 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I SO.OO - 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU I I S82,03 = SO.OO 1054 B. IMPROVEMENT COST: IN UMBER OF FEU's I x ICOST PER FEU I 0 I I S865.31 = SO.OO 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054 MWMC ADMINISTRATIVE FEE SO.OO 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SO,OO I SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , SI64.08 I 5. ADMINISTRATIVE FE~ ~'m I SUBTOTAL x ADM, FEE RATE 1= CHARGE I SI64,08 5% I $8,20 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: SO.OO ~ 1078 ---, Cheryl Slaymaker 8/512005 TOTAL SDC CHARGES =, $172.28 PREPARED BY DATE . . . -, DRAINAGE FIXTURE UNIT (DFU) CALCULATIQN TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS 'I (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDI110NAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 IDRINKlNG FOUNTAIN 0 0 1 = 0 IFLOOR DRAlN 0 0 3 = 0 I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 Ere. 0 0 3 = 0 INTERCEPTORS FOR SAND 1 AUTO WASH 1 Ere. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER 1 MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EAt 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRJG I WATER STATION 1 ETe. 0 0 1 = 0 RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETe. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0 SINK: COMMERClAURESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0 URJNAL. STALL 1 WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRN A TE INST ALLA TION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 :EDU (EQuivalent DwelJiOll Unit) is a discharge equivalent to a single family dwcllin$!. unit (20 DFU's) set at 167 ~lIons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATEI$I,OO~ I ANNEXED IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 ASSESSED V AWE BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 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 1985 $4.40 $0.00 x $5,29 ~ , $0.00 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE 11000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0,00 I 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0,05 .225 Fifth Street SpFingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1052 COM2005-0 1052 COM2005-0 1052 COM2005-0 1052 COM2005-0 1052 COM2005-0 1 052 COM2005-0 1052 COM2005-0 1052 COM2005-0 1052 COM2005-0 1 052 COM2005-0 1052 COM2005-0 1052 COM2005-0 1 052 Payments: T~pe of Payment Check , , :l " .' , . .' :, 8/25/2005 . ."~~"'!~!'I~" '." . ~. , I ' ~-' .. : .Jl,!,ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 3200500000000000519 Date: 08/25/2005 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Residential Building Permit Storm Sewer - 1st 50 Feet Gas Outlets 1-4 Gas Fireplace Appliance Not Listed Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Plan Review Minor - Planning + 7% State Surcharge + 10% Administrative Fee Paid By KESTREL CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 4065 In Person Payment Total: Page I of I 9:12:48AM Amount Due 164,08 8,20 27,89 236,10 45.00 4,00 15,00 9,00 17,00 10.00 85.00 22,83 32.61 $676.71 Amount Paid $676,71 $676.71