HomeMy WebLinkAboutPermit Building 2010-3-5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5780 ORCHID LN
ASSESSOR'S PARCEL NO.: 1802033304800
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00258
ISSUED: 03/05/2010
APPLIED: 03/01/2010
EXPIRES: 09/05/2010
VALUE: $ 240,000.00
SPRINGFIETYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
Owner: HA YDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
I CONTRACTOR INFORMA TlON ~
Contractor License
HA YDEN ENTERPRISES 92208
TOP NOTCH ELECTRIC INC 172366
PACIFIC AIR COMFORT INC 39237
STUTZMAN SERVICES INC 31747
BUILDING INFORMATION ~
TT t."lTI l\. p aw re uires VOl i ;0
I PUBLIC IMPROVEMENTS ~ follow rules adopted by the Oregon ul,my
. Notification Center. Those rules are set forth
Street Improvements: in oAWsWM'lYOO~Othrough OAR 952-001-
. 009"'- ~malllain copies of the rules by
Storm~C7r ,dable: . ~o 'I'o~ tll. . .t)1e telephone
speciatMg~cz:,n; For tbis parcel in Jasper 1Y!.~~. d~w~.,!t is the recommMl~WJJ S 61tP r'~~W~iiY~o\1fadllll6iity
AUT. ERMIT SHA_!'l!1 . l'!f'c'tbll1.no connec. tions shall be made tosaJJHfP.PBg~JiW. !3Eb~'99!>-ts4i41.he
Notes:, Sfri'JM?f~tJf1I[J . &~jty Council". en er I
COMMENCED 0 ERMIT IS NOt. .' .
I RI\I j .q() DA I R IS ABANDONED FOR !
.' \ PERIOD.
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
15.00
10.00
20.00
33.50
Subdivision Not Accepted
# of Stories: 2
. Height o(Structure 25.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path:
Sprinkled Building: n/a
I DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Rqd:
. Paved Drive Rqd:
% of Lot Coverage:
Paee I of 4
Expiration Date
07/29/201 I
09129/20 I 0
03125/2010
05/1212010
Phone
541-228-6935
541-317-1998
541-672-9510
541-928-8942
.-
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,490
967
1,046
400
REQUIRED PARKING
2
Yes
45.00
Total:
Handicapped:
Compact:
2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Cas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amonnt Paid
I V alu'iii~nDe~cription ~'
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
240,000.00
Total Valne of Project
~
Amount Paid
$255.07
$124.13
$79.00 '
$402.00
$38.00
$9.00
$1,278.55
$88.00
$9.00
$13.00
$120.65' ".
. F ~ .
$20.00 LC
$7.00, '"
$211.00',
$831.06
$-30.00
$134.00
$75.00
$617.30
$811.81
$10.00
$22.63
$1,333.57
$101.97
$172.94
$211.21
$17.20
$88.00
$694.28
$63.00
$36.00
$2,858.00
'.;..n:. ",1,.
$10,702.37,,\,,'\ '
I'~'
Date Paid
, ':1.,
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
.3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/10
3/5/1 0
3/5/10
3/5/1 0
3/5/10
3/5/10
3/5/10
. :~ ~ ;t: .
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00258
ISSUED: 03/05/2010
APPLIED: 03/01/2010
EXPIRES: 09/0512010
VALUE: $ 240,000.00
Valne
Date Calculated
$240,000.00
$240,000.00
03/0112010
Receipt Number
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208
1201000000000000208,
1201000000000000208
1201000000000000208
1201000000000000208
:it :, ',;
''';.~. ;
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00258
ISSUED: 03/05/2010
APPLIED: 03/0l/2010
EXPIRES: 09/05/2010
VALUE: $ 240,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Pnblic Works Review
03/01/2010
03/01/2010
I. Plan Reviews I
03/01/2010 OK
03/01/2010 APP
DJB
TSS
For this parcel in Jasper Meadows,
it is the recommendation to the
Building Division, by the City
Engineer: "that no connections shaJl
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council".
, <."
7,
Stormwater to curb and gutter via
weep hole.
Plannine Review
03/01/2010
03/02/2010
APP DDK
Access restricted to 1 driveway/lot.
Follow street tree plan. This lot will
be at maximum lot coverage when
this structure is complete.
As noted on plans
Strnctural Review
03/01/2010
03/02/2010
APP CJC
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, ins.pections requested after 7:00 a.m. will be made the following
work day. .
l..ReollirerlJnsnections ~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are .installed.
Curbeut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected, but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod...! 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.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before 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.
Drywall: Prior to taping.
Masonry:
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.,
PERMIT NO: COM2010-00258
ISSUED: 03/05/2010
APPLIED: 03/01/2010
EXPIRES: 09/05/2010
VALUE: $ 240,000.00
Status
Issued
'(.J.;.:
, '\
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underlloor Plumbing: Prior to insulation or decking.
Under-floor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to tilling 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.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Underlloor Gas: After line is installed and reqilired testing and capped if not attached to an appliance.
Rough Gas: After line is installed and requir~d 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 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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work. is complete.
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
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont 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 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 will remain on the site at all
times during construction. \-H ,~'l'
l'.>
y- S- - /&,
Owner or Contractors Signature
Date
Paee 4 of4
StrUl
, Permit Application
DEPARTMENT USE ONLY
CJ:jI/VlZJj' C' C ~ 2 S g-
Pennit no.:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of ssuanee or if work is
suspended for 180 days.
,L0c'AL 'G9.';'E,R,~,iy1ENf:AB.~@)YA~;!-?~:",t,;,,&;{[E'
This project has ~nalland-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within nood plain: ' DYes 0 No
?{;J}ii:~1~A);\~Y,Qi:f;~J'G_Ak_E;99,,8X,W9.E~~g,9,N-~.tR~UGif.l9N;~~';:;~ 0,;;;tK~~:H~~'kt/hZ'
~ Residential D Government D Commercial
':.P9~'{SI;rE: .fNK0RMA:fJQN]!AND.Y~6"cAJ:iQN~!;i~ji~;;:;)!i'1
o /i:I.
225 Fifth Streett Springfield, OR 97477. PH{541)726~3753 + FAX(54 1)726-3689
City:
Phone:
I" ' (,
State: 00.
'Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
City:
Phone: ~/I -
E-mail:
CCB license no.:
Print name:
Signature:
r:,' '.':,'>\'P:l;;~k(,S\JB-C0N;l:RA(;;t9~:iN'~6.~,M~II@J\~/;/R?i(;;W;/~'f;i
Name CCB License Number Phone Number
Electrical / 7JV~
Plumbing 31 71/7
Mechankal 3"1;). 37
Date:
ID
, FEE SCH'EOULE-'
'~i_ ::,~y.~.lli~fio:n~;'I:~fO'r~-a}f9~~i':::!L:t:~:"iX::,::;},;}-',;.
(a) Job description:
Occupancy
Construction type:
Square feet:
,;)0(3 f- qfo
'''-
Cost per square foot:
Other information:
Type or Heat:
o addition
DYes
Energy P:Hh:
!XI new 0 alteration
(b) Foundation-only permit?
Total valuation:
(.,
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotat of fees above (2:i through 2d):
$
$
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Suhtotal of fees ahove (3a and 3h):
(a) Seismic fee, 1%(.01 x permit fee [2a]): $
TOTAL fees and surcha.-ges (2e+3c+4a): $
"
225 Fifth Streett Springfield, OR 97477 tPH(541)726-J753t FA..X(541)726-J689
SPRINGFIELD ~,,>=-~
~ . -
I~i~'"~c
~WJt8~f>A ,-"-;';:'i::-';:;:.:..::',~,{i;:.,,,o,~ft_~.1?';:;;~"~:::;;":';,
RTM6NliiUSE'0NI1cY.'>i';'i!)'
. ';'~". ;:<~;'-,,'):,?~-~-'::b~;-:'-~~~:tr,:tHi~f&:;:;.
p enn i t n 0 C I 0 -0 0 2 s-S
Date
Electrical Permit Application
t
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
~~~l~9:Gi~~~.~M!;Bf,-1Mi{r[$~t~BP,:RJ;1S?~~,p~~;T~fl~ "'. -- :@~R_
Zoning approval verified? D Yes D No ~~l~1Zt C 'c
~~ft.ff~~l:~~'~:G:@J~~Yi~~J.~:~"~r$]jB:~53J.1[L9=-rN}~~ljl~~~fl1~ ~"-' :;''''''''-'.''''':''''~~''' .
10 10 Residential) per unit, service included:
0:Residential Government Commercial /..J <r'
~?~~)~@j3,]jI~liKJ;ffiLr)j1li1iJ,[~N!~l1li[r]IJ,Rj~lj2.i~~ID:iJ*il[@lil~~~'f2;:1Ii 1,000 sq. ft. or less (4) I $134.00 $
S7fO Cl-eh.'" Each additional 500 sq. ft. or portion i .-
Job site address: thereof -2 $ 25.00 $ '7:5
City:):y (.,a,C'r iot I State: 0\,2. ZIP: "inn' Limited energy (2) $ 32.00 $
Subdi~ision\) :\Cl."'-0"( 11'1',\ <'l:>lov-J" I LaIno.: ;;Je;s Each manufactured home or modular
~jf!f~~~~@:~~n~f{r~iR~~~i~~~W]J]~lsiE~~f~~.~~, dwelling service or. feeder (2) $ 63.00 $
".' w,,,"." Services or feeders: installation, alteration, relocation
~ -~~ '3)>0 amps or less (2) $ 61.0u $
~i:'r-"':7;:1l~;~~p~. l\';~y .~~,.:-'''.~::''-:~~.c-\-:.:.'i$';N~.''<V "'-~T~.;+~~-'.[~,"~~Z~_'i~\C~?~~ri'~ 201 to 400 amps (2) $ 95.00 $
~M~!'ilJ~~~'!!'~~>L~mRBQ.g,~B~,~@.w.rRJ;;R>C1\:;:",~~~fJ%iJ;g.,~;""'~'fht,~l'f.f~.
Name: \-l.,tAN\ ~c\/Y"-.-e c.. 401 to 600 amps (2) .. $156.00 $
Address: Y-iCC-/ $c-v (!,(c-.Ci,r 601 to 1,000 amps (2) $205.00 $
City: (2 ",01 VVlCV< c-1 I State: () Q ZIP: 7'775'0. Over 1,000 amps or volts (2) $469.00 $
Phone: 5'11-218- G'I')5 I Fax:S2"/1-7'//- ;J572 Reconnect only (2) $'63.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
This installation 1S being made on residential or farm property 200 amps or less (2) I $ 63.00 $ 0~
owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 67.00 $
property is not intended for sale) exchange, lease, or rent. OAR
479.540(1) and 479.560(1). 401 to 600 amps (2) $126.00 $
Signature: Over 600 amps or 1,000 volts, see services or feeders section above
~.~!2i~~:l');i!Jjfil:~.~Gjril15J:!:i[N~jJj?K~~l1l.~!i:N~_~;\\,";)~~iIv Branch cinuits: new, alteration, extension per panel
Business name: . /on \\6rc\o. FI pC a. Fee for branch circuits with purchase of a service or feeder fee:
Address: ",)0 ~ 70 ( Ove'1 (+- Each branch circuit $ 6.00 $
City: 6e.Y\d\ I State: oR. ZIP: b. Fee for branch circuits without purchase of a service or feeder fee:
Phone:Sl 11-311- 191'i{ I Fax: - - First branch circuit (2) $ 55.00 $
E-mail: Each additional branch circuit $ 6.00 $
CCB license no.: 17':23GC, I BCD license no.: {- ..22(/. Miscellaneous fees: service or feeder not included
Signing supervisor's license no.: A_ 'i+~ Each pump or irrigation circle (2) $ 63.00 $
Print name of signing supervisor:' J" J .~'" , :~~ r" Each sign or outline lighting (2) $ 63.00 $
Signature of signing supervisor: L:!CJ/ fl \ ~'.J.,-j .~\. Signal circuit or a limited-energy panel, $ 63.00 $
"U, ~" , alteration, or extension (2)
Each additional inspection: (I) $58.00 $
~~Q '~';'~'.~i;;;'~"~R~~W.<<-."!':>t"Y"t!~~-'"":t'.""~'~;:t"''''''''v';-."~')'~~~~~._"'-'~_~'i<';.
.~t@~~ ,:-~~~I{ :. ..A:.);~;dit~J~t@~~m1~q_~g.~~,t~~~~~~~,~~;
(A) Enter subtotal of above fees
~ (Minimum Permit Fee $58.00) Z7Z.
(B) Enter 12% surcharge (.12 x [AJ) $
~~ (C) Technology Fee (5% of [AD $
TOTAL fees and surcharges (A through C): $ ?JY
~
~
cy
440-2584-J (9108/COM)
R?, wiUamalane
tlJ Park and Recreation District
Job. No. .c:./O ... 2~
SYSTEM DEVELOPMENT CHARGE WORKSHEET
. January 1-June 3D, 2010
NAME: rf-A'i DEl--l ltOMES, PHONE:9iI."2.F- ~ '7J'$"
. ADDRESS:2V~'1 St.J i;t.J4tI/i:IZ. CITY~oM~b STATE:Ac!;; ZIP: qFJ?rt,
LOCATION OF PROPOSED BUILDING SITE: "'.
Plat ~ame:
S760 QeCHlb "
. Tax Lot Number: \3tJ)..tt?:>330\<E[O
. Street Address:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.) .. .
A SinGle-Family Detached
NO. OF UNITS. I
,
X $2,858 per unit =
$ ;:2Y'.\ r
. B. SinGle-Family Attached
NO. OF UNITS
X $3,100 per unit =
$
C. ~,,1u!ti~Famifv-.A.partment
. .NO. OF UNITS
)($2,641 per unit =
$
D. SinGle Room Occupancy
~:=~=.~~==,,~~.""==J~O'oQ!"",,-LJ.NIJS~,"-'n".m . -.-----"._ =X.$.t,32.1cpercunit =..=~:.-- '$--~-'"
E. . Acce~sorV Dwe'lIinG Unit
'. NO. OF UNITS'
X$1 ,550 per unit =
$
$ . .2$)"6
. WILLAMALANE SDC
2. SDC CREDIT (/fapplicable) SDC payer must furnish proof of
'. .~il~[";1Lanepre(jitapproyaL) .
.. . '. :..' :i~~'~~':~ ~".-~ 7..-=;;:-~+--~,..'~_ ~-,~'-"~:;.::"7;~,- ::-'-'~" ~~:~:=,~.::::~=-::~-~....:: . :~;:~ =.'~ _' _- ~-.:.:""'.::'~~~-Yi-_: -:---=- ';:'_-=-:'~: ~'..:- _..
_ _ _
m "3: TOTAl: WiLLAMALANE-NET SDC ASSES'SED
(if SDC reduced for Credit)
.$ 0
- " .
. .--'-,- ,..---- ------
$ i%rS'
~
. . -:5 I ~ /d
_.e_ ~_~~.m~. _O.m ._
Development Services Department
City of Springfield
''';. -'~-' -"--------'--- --~--~-"--'.,..~- '---..-'-"- - '-'"
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Publie Works Department
RECEIPT #:
1201000000000000208
Date: 03/05/2010
l:lI:I3PM
Job/Journal Number
COM2010-00258
COM20 I 0-0025 8
COM20 I 0-0025 8
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-00258
COM20 I 0-0025 8
COM2010-00258
COM2010-00258
COM2010-00258
COM2010-00258
COM2010-00258
COM2010-00258
COM2010-00258
COM2010-00258
COM2010-00258
COM20 I 0-00258
COM2010-00258
COM2010-00258
COM20 I 0-0025 8
COM2010-00258
COM2010-00258
COM2010-00258
Payments:
Type of Payment
Check
cReceintl
Description ; .'
Storm Drainage Impervious Area. '
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improv~ment
SDC Transpo Reimbursement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC MWMC Compliance Charge
SDC Transportation Admin
Sidewalk Penn it
Curbeut Penn it
PW Disc - 2nd Penn it
Plan Review Major - Planning
Plan Review Residential
Building Penn it
Addressing Assignment
Willamalane Single Family
3 Baths One & Two Family
1st Appliance
Vent Fan
Appliance Vent ,'"
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
HAYDEN HOMES / TIM
Item Total:
Check Number Authorization
Received By Batch Number Number How,Received
NJM
22483
In Person
Payment Total:
"
,., r~" ('
"
Page 1 of I
Amount Due
694.28
811.81
617.30
211.21
101.97
1,333.57
10.00
172.94
22,63
17.20
88.00
88.00
(30.00)
211.00
831.06
1,278.55
38.00
2,858.00
402.00
79.00
36.00
9.00
13.00
9,00
7.00
20.00
134.00
75.00
63,00
120.65
255.D7
124.13
$10,702.37
Amount Paid
$10,702.37
$10,702.37
3/5/20 I 0