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Home My WebLink AboutPermit Building 2010-5-19 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1039 S 41ST St ASSESSOR'S PARCEL NO.: 1802061418700 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00639 ISSUED: 05/19/2010 APPLIED: 05/19/2010 EXPIRES: 11/19/2010 VALUE: $ 171,939,00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM20 I 0-00292 Residential Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 I CON~syouto f~'li~~gonUtility . Contractor 't1ficatiorl'Center. Thdsrceri~ll are ~~ tlOn Date BRUCE WIECHERT C !;I.AOOI(:SJIJ'iTfJ:thrlWkll7 OAR 952- . 6/2010 B F the telephone er lor the Oregon Utility Notification . ij'INWtoF.lmter is 1_800-332-2344). Lot SIze: ,Height ol'Siructnre 22,00 Sq Ft 1st Floor: . Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: '..'-..' Electric Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Bnilding: n/a Occnpant Load: Contractor Type General # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 22.50 5.00 12.50 25.00 17.50 Phone 541-606-5050 10,405 1,604 451 3 I DEVfM'tENT INFORMATION I ' , ..~. 'MIT SHi\LL EXPIRE IF THE WORK l~~~~.RltiJiER THIS PERMIT IS NOT co'n~nke [he qf!j i\BANDONED FOR , Paveil rve : Yes " ANlk ~f.]j)o'j)ei~~ IJ?D- "18:26 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLI~ IM~R,~VEMENTS ~ Fully Improveij."i 'j" ',' y est'.,,~.,;, ':-1' "~:F7. " Notes: Stormwater to curb and gutter. Description Tvpe of Construction Sidewalk Type: Curbside 5' Curb and Gntter Downspouts/Drains: I Valuation Description I $ Per Sq Ft or multiplier ' Square Footage or Bid Amount Value Date Calculated ,I, :'? " Page I of 4 \," ;;' <" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00639 ISSUED: 05/19/2010 APPLIED: 05/19/2010 EXPIRES: 11/19/2010 VALUE: $ 171,939.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line "".{;r.:.1', r ;. 'L",.., . ~~',~.' " Gara2eIMisc SF IDuplex U VB Utilitv . R-3 VB 1&2 Familv $37.72 $96.83 451.00 1,600.00 $17,011.72 $154,928.00 $171,939.72 0511912010 0511912010 Total Value of Project ~ Fee Description Amount Paid. Date Paid Receipt Number + 12% State Surcharge $215.01 511911 0 2201000000000000537 + 5% Technology Fee $107.44 5119110 2201000000000000537 1st Appliance $79.00 5119110 2201000000000000537 2 Baths One or Two Family $337.00 5119110 2201000000000000537 Addressing Assignment $38.00 5119110 2201000000000000537 Appliance Vent $9.00 5119110 2201000000000000537 Building Permit $1,001.79 5119110 2201000000000000537 Curbcut Permit $88.00 5119110 2201000000000000537 Dryer Vent $9.00 5119110 2201000000000000537 Exhaust Hoods $13.00 5119110 2201000000000000537 Fire SF Fee - Residential $102.75:;' ,. 5119110 2201000000000000537 Fireplace (Listed) $20.00 " 5119110 2201000000000000537 Gas Outlets 1-4 $7.00': 5119110 2201000000000000537 Heat Pump $17.00'" 5119110 2201000000000000537 Plan Review Major - Planning $211.00 5119110 2201000000000000537 Plan Review Same As $250.00 5119110 2201000000000000537 PW Disc - 2nd Permit $-30.00 5119110 2201000000000000537 Residence Wiring 1000 Sq Ft $134.00 5119110 2201000000000000537 Residence Wiring Ea Addtl 500 $75.00 5119110 2201000000000000537 Sanitary Sewer '- Improvement $740.60 5119110 2201000000000000537 Sanitary Sewer ~ Reimbursement $1,238.32 ;,5119110 2201000000000000537 SDC MWMC Administration $10.00 5119110 2201000000000000537 SDC MWMC Compliance Charge $22.63 5119110 2201000000000000537 SDC MWMC Improvement $1,333.57 5119110 2201000000000000537 SDC MWMC Reimbursement $IOL97 5119110 2201000000000000537 SDC SanitarylStorm Admin $157.71 5119110 2201000000000000537 SDC Storm - Reimbursement $274.67 511911 0 2201000000000000537 SDC Transpo Improvement $1,140.17 5119110 2201000000000000537 SDC Transpo Reimbursement $279.54 5119110 '2201000000000000537 SDC Transportation Admin $99.36 5119110 2201000000000000537 Sidewalk Permit $88.00 5119110 2201000000000000537 Temp Power 200 amps or less $63.00 5119110 2201000000000000537 Vent Fan $27.0Q ;.;' . ',.. .5119110 2201000000000000537 WiIlamalane Single Family $2,858.0Q 5119110 2201000000000000537 1.,';"-:, Total Amount Paid $1l,1l8.5~. I Plan Reviews I Pa2e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00639 ISSUED: 05/19/2010 APPLIED: 05/19/2010 EXPIRES: 11/19/2010 VALUE: $171,939.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannine: Review 05/19/2010 05/19/2010 APP DDK Required street trees as shown on street tree plan attached to permit: species as shown. 2" caliper, leave name tag on until approved. Stormwater to curb and gutter As noted on plans ':'.1,-' Public Works Review Structural Review 05/19/2010 05/19/2010 o5/i 9/201 0' 05it912010 " APP APP TSS CJC '," To Request an inspectiori 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. ~eollirecUnsnections I Erosion/Grading Inspection: Prior to ground disturban,ce and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at 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. Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. " '"" ' ;:,<;U:, :'{?'.,; Post and Beam: Prior to floor insulation or14e~king~ fj. 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. Undernoor Plumbing: Prior!o insulationor'd'ecking. Undernoor Drain: Prior to cover or placem"ent of concrete. Rougb 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 ~omplete. , " " Paee 3 of 4 ': ~~. i c .. CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00639 ISSUED: 05/19/2010 APPLIED: 05/1912010 EXPIRES: 11/19/2010 VALUE: $ 171,939.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underlloor Mechanical. Prior to insnlation or decking and inclnding required testing. Underlloor 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. 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 Mecbanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. . ~.-<:,,:t" ,,'--~. c' -, ' . 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 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 pe~niission of the Community Services Division, Building Safety. I further certify tbat only contractors and employees who are ii. 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. {II !N/~ S))1~ 0 . I Owner or Contractors Signature Date ";,,,;., '! t, 4. .....,. ~)1" n. .1 -t,' Page 4 of 4 Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Street. Springfield, OR 97477+PH(541)726-J75JoFAX(541)726-J689 . DEPARTMENT USE ONLy.... 60-00 b '3 Pennit no.' Date: S -( ,- I 0 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. ". '[OCAL:C;;OVERNMEIIIT" APcPROVAGi:',,': Zoning approval verified? 0 Ves 0 No ," '.:};<?,CAtEGbRY~VOF -:_CONSTRUCTlbN~<_:}," ;M\"',<\:.,<.'_ -'wo D Residential D Government D Commercial ~~ji21~t()BFSITEi'INF()RMATI()NI:ANDVr.OCAtIOIll;;';;(\)';! .' , , ---- --- -- .- -,- Job site address: 10 3 '1 4 51-" City. f.1.!- BoZOb( Taxlot.: /'l7CJO .'DESCRIPTION. OFW()RK':'!' ZIP:" 7 Lf OJ ;;,',- PROPERTY OWNER Name: t:>"IIU Wi eJ-.e-A CJ;.+O... Address: 307 :s '3 ie. I F-J City: .( u v-<.- ZIP. ,,/7"10)' Phone:SVf -bab Of ~ ~ Fax: GV/-'3Yf ~3b 'Z.. E-mail: VJ " t'c..h"~~ \-.()~.s f} c.omc,o',S+ . IV "'t- This installation is being made on residential or fann property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Address: City: S Phone:S'fl -5~1 - 41 'i ~ E-mail: CCB license no.: O~ 4 7S" Signing supervisor's license no,: Print name of signing supervisor: Signature of signing supervisor: BCD license no.: ::S. '-117'1-S" /;' C Oe "ov,>.:.>- 3L. ^"~~ ~ \)JV 'bqpo\(),. ~ \k~Q/ ~ 440-2584-J (9108/COM) ~~/,(" ~:~f~:'t~;i\:{~ ;",:,~l}Pt;,\;,!~;!j"":, FoE-E :tSG H Ej),Q l,j Eg;~:.~5~;-fWPi(~~5?i{~}f'j~~t,;j?~~~::~Y~~ . ~ ~nt~er ?fin~pedio?s p~r ,ii~o,.;(i:r Qty. Cost Total .::'ea;-: :'''0 COSt'.'( Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $ /'5Cf Each additional 500 sq. ft. or portion ~ $ 25.00 $f\~ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: instal/ation, alteration. relocation 200 amps or less (2) { $ 63.00 $~'1 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a Iimited-energy,panel. $ 63.00 $ alteration, or extension (2) Eaeh additional inspeetion: (I) $58.00 $ ;j;:;.'Rfi".~~'f!M;',,';;'j!:t;;ti;A~e[[CANfEUSE~j:2i!i;;!i.;"!"1.'.....:";. ..' ; (A) Enter subtotal of above fees rFIY (Minimum Permit Fee $58.00) $ ~ (B) Enter 12% surcharge (.12 x [A]) $ :t~ (C) Technology Fee (5% of [A]) $ 1,d ~.. TOTAL fees and surcharges (A through C): $~ 4 llg~ 2~ willamala'ne t\it Park and Recreation District Job. No. ~ ..\b- \Q~ , . SYSTEM DEVELOPMENT CHARGE WORKSHEET . January 1-June 30, 2010 NAME: t)~eJ \~)~~ ADDRESS:5Cr\,c._')~l)~ ~STATE:~P: LOCATION OF PROPOSED BUILDING SITE: PHONE: \.oDLP SDSO Q14CJO Street Address: \ D'6C\ .b Plat Name: ~\~ ~ ,\\'5C Tax Lot Number: \ ~ mOto \4 \ 8LOO 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the . back.) A. SinQle-Family Detached NO.,OF UNITS \ X $2,858 per unit = $ Q,~ ~.o() B. SinQle-Family Attached . NO. OF UNITS X $3,100 per unit = $ C, Multi-Family Apartment NO, OF UNITS X $2,641 per unit = $ D. SinQle Room Occupancy NO. OF UNITS . X $1,321 per unit = $ E. Accessory DwellinQ Unit NO. OF UNITS. X $1,550 per unit = $ 3. TOTAL WllLAMALANE.NET SDC ASSESSED (if SDC reduced for Credit)' bU $ 2- ~5<6,cV ;zf $ ~~Sg.~ b ,11-,tO\D Date $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approvaL) 5 ~ tit r'l~ AS 10 (, II Structural Permit Application-_ s '-II '51" CIO-Z.<;Z . . .,....,..,~"O,',."_.7'...,:...,".".,,;_,.,.,...._...';_'n'.. -',-,1. DEPARTMENT,USE-ONLY;i . "-," ,'.;-,.:,~-.._".,~ ,,,,,,,,",''>If\.',;.,,.,.'~,,, .",.:"*.'...~.,,?..~ c o vIA ZOIc) - OO63C Permit no.: Date: S -I ? 'I D . . ~. . ,t~?~~;" 'C1!;v"-OF SPRINGFIEkD, gREGON ~'. .-,,:.: :,:~;: : . 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-J689 This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~J)~V'-EO€A-WG0VERNMEN;ii'APPROVAili~~\lj:;rj:"'~'*"im~~ ... '- _ .*11_ _. _,_!J;\__._.'__,_m.._ _._'.)!L.'._.__.______,_"'"o,~..~~ This project has final land-use approvaL Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes ONo Property is within /lood plain: 0 Yes ONo if~~~~~J;qAf,gc;QRY,:a;oit~iC;9i:l~T[(jG:r'!P/lf'ir21;~f;.:,':(.;f;! ~ Residential 10 Government 0 Commercial ~i~JOBlTsifE;!iNroRMATIO-gIi:Nb1li.OCA'f16N:;'lj~i,~;i!"1i ~'~""" j;! . ,._...~_..,~_...../,...J;L..~.".~..<..>~...__,.._.....,.N_.._._ .....m.. _~_, '_.. ," >...." ""'_"_\." <.:....., ""__ Job site address: 10 3 'i 5 '-I15+- City:<:or;"" {:: ,,-1,1 State: 0 iL ZIP: q 71 77 Subdivision: F': J h~ y-t ,l'\t&..l.o\o.J"> I Lot no.: (.;) Reference/80Z OGiI./ I Taxlot: 18700 ~~~m:~~i~~~i;ID~~,'K~~9~~,,~RQ:~~RIY.~:QS,yN-~Ri~::;:. :~~:::~?,:_: ;!;r~ ~-;;;F: ' . , };~ Name: \3 {.It<- tv: , Ii.,f Cv',Ki", ~""o..\ :tI\JL- Address: 3 0 7'~ 5t:~"iC'w I-N City: t "',e,,-<- StateO"" ZIP:'171 D<J Phone: -blb - '1'1'>6 Fax: -1/'1- ?i3b? E-mail:W )~cJ...e-JT' 1,..0""'-5 QC"'~L"st Ner This installation is being made on residential or farm property owried by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: ~!fJi~~~,~6N:i'BAGiQ'~~!N~f~[;~fi9~~f',\';~if,:f!:.,~idi;;i~;i Business name: 'b',vu: 1,.J;e~L,..., C::v~b,... 1;",,,,,,-, J:T.J(.. Address: '3 07 3 S il~ ";-:..J LV' City: 'f: v< e....... State:O .;(.. I ZIP: '1 7~ D 'l Phone: -6J' b cf '-I S ? Fax: -3'1'1 - 33 6 z. E-mail: w; e",k.... \ \-.o,....'S @ COI''V\ "",4 ~ ,.j,,\ CCB license no.: (Ol J r 7 Print n~e: ~ -i' ...r',.:../c W";h:HV Signature: W W ______.- ~~.....'~iiiZ,',lSUB1CONfRACfOR.NF,(jRMAt oNWr :,m ',\!il_ ,,,.it.,..._........_"______.. .L.......__.,.!... ,.i!1i!;l1i'o Name CCB License Number Phone Number Eleetrical t-+- e 5 t I 'i I 'i & Plumbing51c.v<i J, ~l-3'1 &, Mecbanical cr- H 726- 0 I 00 "y".c'''.-......''';>,_'''''''''... ""...'.'.'....'." i""."".>.""'''ih\~.~ ~1>\iJ.. ~~""'.'''.' ~Q~*.:Y;~'jJ~~~%1.~'~P3$t1>~~-iffl;~~Gtil;~U.!;~:~~t~itl;~1~~}1~~)~~:1~' ~lrYiTIW~jif)~~rglRtm~lrq-~'~~~:~r~':;';fi~Jf~Jif~~~jjf~l~~J~' (a) Job description: S I... e F........., Occupancy :5 vi. Construction l)Ipe: V~ Square feet: Cost per square foot: Other infonnation: Type of lIeat: Energy Path: / .-anew 0 alteration 0 addition (b) Foundation.only pennit? O.Yes )dNo Total valuation: " 2. Build~~'g~"f~,~~,~;.:t.~t~if~i;:~~HtA!,~.;'" . (a) Pennit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour):' (number of hours x fee per hour) . S (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal offees above (28 through 2d): $ T=f.~~P,I.~{iiY~~yj~i!rf~~~~r~~il~~~i;{~\m'~1?i~~~~~~t~~~ff~~'?:. (a) Plan review (65% x pennit fee [2a]): 0 (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal offees above (3a and 3b): 4'l\1is~~r!il!!~iJ'ilsfe'es}ii:, . ... (a) Seismic fee, 1% (.01 x pennit fee [2.]): $ TOTAL fees and ,urcharge, (2e+3c+4a): $ / RECEIPT #: 2201000000000000537 Date: 05/19/2010 2: 17:52PM Job/Journal Number Description Amount Due COM20 1 0-00639 Plan Review Same As 250.00 COM20 1 0-00639 Plan Review Major - Planning 211.00 COM20 1 0-00639 Sidewalk Permit . .lj~';f'" 88.00 COM20 1 0-00639 Curbcut Permit ...~..." 88.00 COM20 1 0-00639 PW Disc - 2nd Permit n (30.00) COM20 I 0-00639 SDC Storm - Reimbursement 274.67 COM20 1 0-00639 Sanitary Sewer - Reimbursement 1,238.32 COM20 I 0-00639 Sanitary Sewer - Improvement 740.60 COM20 1 0-00639 SDC T~anspo Reimbursement 279.54 COM20 I 0-00639 SDC Transpo Improvement 1,140.17 COM2010-00639 SDC MWMC Reimbursement 101.97 COM2010-00639 SDC MWMC Improvement 1,333.57 COM2010-00639 SDC MWMC Administration 10.00 COM20 I 0-00639 SDC Sanitary/Storm Admin 157.71 COM20 I 0-00639 SDC MWMC Compliance Charge 22.63 COM20 I 0-00639 SDC Transportation Admin 99.36 COM20 1 0-00639 Building Permit 1,001.79 COM20 10-00639 Addressing Assignment 38.00 COM20 I 0-00639 Willama1ane Single Family 2,858.00 COM20 J 0-00639 2 Baths One or Two Family 337.00 COM20 1 0-00639 1 st Appliance 79.00 COM20 1 0-00639 Vent Fan 27.00 COM20 1 0-00639 Appliance Vent 9.00 COM20 1 0-00639 Exhaust Hoods \:., 13.00 COM20 1 0-00639 Dryer Vent 9.00 COM20 10-00639 Gas Outlets 1-4 .,f\k\! )." " 7.00 COM20 1 0-00639 Fireplace (Listed) ..\"" 20.00 " COM20 1 0-00639 Heat Pump 17.00 COM20 1 0-00639 Residence Wiring 1000 Sq Ft 134.00 COM20 1 0-00639 Residence Wiring Ea Addtl 500 75.00 COM20 I 0-00639 Temp Power 200 amps or less 63.00 COM20 I 0-00639 Fire SP Pee - Residential 102.75 COM2010-00639 + 12% State Surcharge 215.01 COM20 1 0-00639 + 5% Technology Pee 107.44 Item Total: $11,118.53 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard BRUCE WIECHERT CJC 01563D In Person $9,500.00 Check BRUCE WIECHERT CUST CJC 19592 In Person $1,618.53 HOMES Payment Total: $11,118.53 j""~\' ',f" '.., -. cReceiotl Page 2 of2 .. 5119/20 I 0