HomeMy WebLinkAboutPermit Building 2007-6-26
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00562
ISSUED: 06/26/2007
APPLIED: 04/18/2007
EXPIRES: 12/26/2007
VALUE: $ 189,027.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5757 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030004900
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence -lot 183. SAME AS COM2007-00324 5777 Mt Vernon
Owner:
Address:
HA YDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
67362
39237
142776
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure: 25.00
Type of Heat: Forced Air Gas
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
1
R-3
U
VB
3
I DEVELOPMENT INFORMATION I
Residential
Phone Number: 541-228-1081
Expiration Date
07/29/2007
06/19/2011
03/25/2010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
2,891
729
999
409
REQUIRED PARKING
Frontyard Setback: 18.00 Overlay Dist: Total: 2
Side 1 Setback: 5.00 # Street Trees Rqd: 1 Handicapped:
Side 2 Setback: _ r- T" ,. I r,~.np\~.w requlrc.~aye~!,~'Hve Rqd: Yes Compact:
Rearyard SetbaCK:'. TeN, Iv N. 0 'lO~OO" f 1\'e Or8C"~(O:-O'fJI!,ot)Coverage: 39.30
Solar Setbacks: f:;imI'J rule" 8.:.:I~i::;'-O~09';"c 'rules are set forth i\HDJY~CIE:
., . ,:_.......1.;,-..... 0.nnl?r. i\.O.......... _ __....... r\(\.... _..._ _____._ _
", . -- - c "'10 "'hrol'~~' 'Mr' .hJ<_ ~- '11(,:) ,enlVIII "nALL tAlltit III tit WUtil\
, r [~::. i'r:2-0J1-0\J l I-PUBLIC IMRROMEMENTS I
In.. ..:N . ", "OIJ'-- ", ...~ ...,..~ - p . UTHORIZED UNDER THIS PERMIT IS NOT
tV"''! "Iou may ottcJn v . I h ne .
Street Improvements:', ter (Note: tile t8,ep, o. COfVi~Sld!!walk T.vDe~ ABANDONED FOD
. cc:.;\\ng the ce;1 J. .', 'I t'ficatlon IVlcl~vcu On lu _ n.
Storm Sewer Avai~~8111%er for the Oregon UtlllLY 1\l~)1 ANY 1~~~p'o~~~QlI!JIS:
Special Instruction: Centel is 1-800-332 234 .
Notes: storm to curb & gutter.JLP
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00562
ISSUED: 06/26/2007
APPLIED: 04/18/2007
EXPIRES: 12/26/2007
VALUE: $ 189,027.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,728.00
409.00
Value
Date Calculated
Description
Total Value of Project
$177,984.00
$11,043.00
$189,027.00
04/1812007
04/18/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $200.00 4/18/07 1200700000000000427
-Mechanical Issuance Fee- $10.00 6/26/07 3200700000000000429
+ 10% Administrative Fee $149.50 6/26/07 3200700000000000429
+ 5% Technology Fee $79.31 6/26/07 3200700000000000429
+ 8% State Surcharge $111.05 6/26/07 3200700000000000429
3 Baths One & Two Family $306.00 6/26/07 3200700000000000429
Addressing Assignment $31.00 6/26/07 3200700000000000429
Building Permit $858.15 6/26/07 3200700000000000429
Exhaust Hoods $9.00 6/26/07 3200700000000000429
Fire SF Fee - Residential $106.85 6126/07 3200700000000000429
Furnace - up to 100,000 btu $12.00 6/26/07 3200700000000000429
Gas Outlets 1-4 $4.00 6/26/07 3200700000000000429
Heat Pump $12.00 6/26/07 3200700000000000429
Plan Review Major - Planning $198.00 6/26/07 3200700000000000429
Residence Wiring 1000 Sq Ft $106.00 6/26/07 3200700000000000429
Residence Wiring Ea AddtI 500 $57.00 6/26/07 3200700000000000429
Sanitary Sewer - Improvement $593.72 6/26/07 3200700000000000429
Sanitary Sewer - Reimbursement $780.80 6/26/07 3200700000000000429
SDC MWMC Administration $10.00 6/26/07 3200700000000000429
SDC MWMC Improvement $961.52 6/26/07 3200700000000000429
SDC MWMC Reimbursement $91.61 6126/07 3200700000000000429
SDC Sanitary/Storm Admin $141.26 6/26/07 3200700000000000429
SDC Transpo Admin $68.68 6/26/07 3200700000000000429
SDC Transpo Improvement $836.32 6/26/07 3200700000000000429
SDC Transpo Reimbursement $189.58 6/26/07 3200700000000000429
Storm Drainage Impervious Area $735.34 6/26/07 3200700000000000429
Vent Fan $24.00 6/26/07 3200700000000000429
Willamalane Single Family $2,303.00 6/26/07 3200700000000000429
Total Amount Paid $8,985.69
I Plan Reviews I
Initial Review
04/19/2007
04/2012007
APP LLH
Pal!e 2 of 4
Building/Combination Permit
PERMIT NO: COM2007-00562
ISSUED: 06/26/2007
APPLIED: 04/18/2007
EXPIRES: 12/26/2007
VALUE: $ 189,027.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planninl! Review
04/20/2007
05122/2007
APP T AJ
Public Works Review
04/2312007
WI JLP
04/20/2007
Public Works Review
04/24/2007
04/2412007
APP JLP
Structural Review
04/20/2007
05/02/2007
OK
RJB
CITY OF SPRINGFIELD I
Per letter from Hayden Homes
dated 5/5/07, each house shall have:
1. a 3' walkway from the porch to
street, 2. grids in the windows and
3. windows in the garage doors. A
copy of the letter is attached to the
plans.
Rcvd 4/23/2007---Waiting in order
PW rcvd for rvw.JLP WI 4/23/07
For this parcel in Jasper Meadows,
it is the recommendation to the
Building Division, by the City
Engineer: "that final occupancy
should not be given until the
subdivision is accepted by City
Council". Storm H20 to curb &
gutter. JLP APP 4/24/07
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.
~eouiredJnsoect!ons I
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.
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.
Final Gas: When all gas work is complete.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Pal!e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00562
ISSUED: 06/26/2007
APPLIED: 04/18/2007
EXPIRES: 12/26/2007
VALUE: $ 189,027.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Plumbing: Prior to cover 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.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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 if not attached to an appliance.
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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that 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 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 const uction.
Z7, t~ 2~--67
Owner or Contractors Signature
Date
Pal!e 4 of 4
lON.' .
INITIALS
. DATE
SOURCE
.
---:--',-- '-,~ i" {-
Date fa-'~Ol
)~1!~fit~~ii,~~:~Q~JI~~!eff;'~@ii~~t1~"
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3153 . FAX: (541)726-368!J
-.-------ELECTRICAL -PER}1[!AfJ,'P.I4t;4.TION
. City.Job Number ' ('/'ll t) lc7 L---
L :,::{Ji~~f!:gN;Q~;py~r~pr.~f(~'" r,d ~~~~r{ , 3.
""dtQ~C6~d -'~~~\Jefr (iQY\
LEG\f6b~~Co O~
JO~r\f~ (1) MJl 0 2-l31
Permi~ ~tr.nSfenlble .~d "'ph ~work it
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. ~i~S?e~~~;~~~~~"~ei~ix;f
Electrical Contractor MtG<J fl.J-V1l.t~(....
Address
~'1iSgcr H c.VC( 1'-( S vJ
City
AlkV\,\
Phone SLf/-7S'(-CR17{
Expiration Date
Jf~7t..f S.
/0/07
Supervisor License Number
Constr. ContI'. Number
e';'7 sf.R L.....
&1t'1/XKJ7
Expiration Date
Signature of Supervising Electrician
v~
Owners Name fut. cW\ [Jij '" /
Address ~lo4~'6t0_ ~k1Cltl
City _~~ Phone!1l1f> log]
" -'~!?-f2..-;J~?:"
~;~~~~~}.
A. ,:~;~~~~~itjI~[~~i1~&t~~~~i~:~lil~~[~~::,;";~:.~,i
Service Kncluded
1000 sq. ft. or less
Each additiona1500 sq. ft. or
portion thereof .
Each Manuf3ct'd Home or
Modular Dwelling Service or
Feeder
$106.00.
IO{P~
Ef)
$ 19.00
$50:00
B. o~:~~~~~~[i!!~~~~t:~".ii:';~~;:~~~!~~~~;i~~~tt~I~:~~;~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 1 Amps to 1000 Amps
Over 1000 Amps'Volts
Reconnect Only
. $ 63.00
$ 75,00
$125.00
$163,00
$375.00
$ 50.00
c. ~w.{~~J~~~~~ll;J~:;:i~r
Installation, Alteration or Relocation
200 AInps Or less
201 Amps to 400Arpps
'40 1 Amps to 600 Amps ,
Over 60.0 .o\mps .or 1000 Volts see "B" above.
D. ~t!f~i\{,
New Alteration or Extension Per Panel
One Cin:uit
Each AdditioIial Circuit or with .
Service or Feeder Permit
/2J
$ 50,00
$ 69.00
$100.00
,
$ 43.00
$ 3.00
... . ",-, r":",?' -i:~~';l;:;~:;:y::-~:::J}::..."':~'r-:':.E':,.. -~-;:'~-'::'~~-'-:~ -::;f'~~ ~~{:i:~.~..;
E. ;~~'~~Jf";~~"~a'o~t~~!~~~~~eg~;t~t;'~6~~~R~~~J;
P I\/n.;;f;"~i:~ C Y the Orec$~l"lolA'^/ity
UIDP. or ungauODJ enter. Tho~ _ . v:J .~v
SignlbU"t1ili~llig1i'tiii@1-001 0 thr~~ '_~Jt:.:: ~rf50~Morth
Limi' OdOQEfJ YO!ib~ .:.v.......al ' U~:i' I vMR$92f's20..flO 1-
te nergyfJ."\:esl4"ill.l 3/n ConiaC" ~+ <I . U'
call/na t~ ' - - ~. "le rU/QS b
The installation is being made on property I own which Limitedtnergy/C6~er2ial (Note' tllA taiJp4S.'oO y
. . ...l\t1t:'..llf-Pi co 11""1' 1 . . (I m?t:Jr tor .the OrefJo[1 f It":+ .' .. Ilone
IS not mt"t'~.suB4)!i~.e, ease or rent Minimum ElectriC ~~wtU,,?~p'ectio(~_F~~lS~$4~S:OOI-ti.S.~#larges _
-HI~ PERMIT SHALL EXPIRE IF THE WORK "", ,_oc.....p',_,-. .-=",..;..,.;:~ 'i": ",,1~, '~", ,.-:2.&
Owners s:IDThORIZED UNDER THIS PERMIT IS N041~ {f~~r?~'.;"", ~_~,q~~r. ,..~sL .,t,;~B?\'~ \L.a.J. .
r.nMMENCED OR IS ABANDONED FOR 8% State Surcharge .~D4
ANY 180 DAY PERIOD. lO%AdministrativeF~ : no .:'0
Inspection Request: 726-3769 ~,~~. ~.. ts
OWNER INSTALLATION
./
Shared DriVe(T:)IBui]'To~itA~~~
UlHldSNIHdS dO XLI~ 6S9g9ZLltS XVd 60:01 HllJ 90/II/LO
IOO~
. ,
,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
'2191.00 '$0.336 = I $735.34
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I
0.00 $0.336 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC I $735.34
COM2007-00562
Hayden
. 5757 Mt Vernon
Lot#183
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF;
1228
LOT SIZE (SF):
1728
r:FJ
~
Q
o
u
~
~
E--<
r:FJ
-
o
gz
DISCOUNT
$0.00
$735.34
11070
I
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 30 I
I
COST PER DFU
, $26.03
$780.80
1091
B. IMPROVEMENT COST:.
I NUMBER OF DFU's x
I 30 $19.79 $593.72 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC \ =1 $1,374.51
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADTTRIP RATE I x I NUMBER OF UNITS x I COST PER TRIP x I NEW tRIP F ACTORI
9.57 I I 1 I $19.81 I 1.00 I $189.58 I 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR
I 9.57 1 $87.39 1.00 $836.32 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,025.90
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x COST PER FEU
I 1 I $91.61 = I $91.61 I 1054
B. IMPROVEMENT COST: I
NUMBER OF FEU's x COST PER FEU
1 $961.52 = $961.52 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
I
MWMC ADMINISTRATIVE FEE = $10.00 11056
ITEM 4 TOTAL -MWMC SANITARY SEWER SDC =1 $1,063.13 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $4,198.88 I
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM. FEE RATE 1= CHARGE
$4,198.88 I 5% I $209.94
TOTAL SANITARY ADMINISTRATION FEE: 141.26 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $68.68 11078
Jeff Prociw 4/24/2007 TOTAL SDC CHAR,GES =, $4,408.82
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 1 0 2 = 2
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 30
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4 .40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -00562
COM2007-00562
COM2007 -00562
COM2007-00562
COM2007-00562
COM2007-00562
COM2007 -00562
COM2007-00562
COM2007 -00562
COM2007-00562
COM2007-00562
COM2007-00562
COM2007-00562
COM2007 -00562
COM2007 -00562
COM2007 -00562
COM2007 -00562
COM2007-00562
COM2007 -00562
COM2007-00562
COM2007 -00562
COM2007 -00562
COM2007 -00562
COM2007 -00562
COM2007 -00562
COM2007-00562
COM2007 -00562
Payments:
Type of Payment
CreditCard
cReceint 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200700000000000429
Date: 06/2612007
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Stonn 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 Sanitary/Stonn Admin
SDC Transpo Admin
Building Pennit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Gas Outlets 1-4
Heat Pump
~Mechanicallssuance Fee~
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HA YDEN HOMES / ERIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
088183 In Person
Payment Total:
Page I of I
2:38:04PM
Amount Due
31.00
2,303.00
106.00
57.00
106.85
735.34
780.80
593.72
189.58
836.32
91.61
961.52
10.00
141.26
68.68
858.15
306.00
12.00
24.00
9.00
4.00
12.00
10.00
]98.00
79.31
111.05
149.50
$8,785.69
Amount Paid
$8,785.69
$8,785.69
6/26/2007