HomeMy WebLinkAboutPermit Building 2005-6-13
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00595
ISSUED: 06/13/2005
APPLIED: 05/19/2005
EXPIRES: 12/13/2005
VALUE: $ 44,500.00
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2425 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251408700
Springfield TYPE OF
TYPE OF USE:
PROJECT DESCRIPTION: Manufactured home with garage on private lot
Owner: SANDY MANNING
Address: 2005 MARCOLA RD 104
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Contractor
TRA VESS CONSTRUCTION
RALPH W BROWN
License
138060
63137
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
2 Energy Path:
TICtl:. Sprinkled
NO ~ ~. t-\LL ~}~rT\[ Ie TUI= \NnR~
THIS PERM\ \ ~~DER THI(~~~n~~ INFORMATION.
A~~~~~~~D OR IS ABANDONED FUK
Front yard SetbracR: 180 DAY PER\~llP. Overlay Dist: '
Side 1 Setback:ANY 7.00 # Street Trees
Side 2 Setback: 8.00 Paved Drive Rqd:
Rearyard Setback: 57.00 % of Lot Coverage:
Solar Setbacks: 0.00
1
R-3
U
VN
Electric
Electric
Electric
n/a
Manuf Home w
Garage/Carport Private Lot
New' Residential
Phone Number: 541-741-7578
Expiration Date
11/01/2006
02/15/2006
Phone
541-746-6399
541-729-1500
1
Lot Size: 7,027
Sq Ft 1st Floor: 1,326
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 280
Sq Ft Other:
Occupant Load:
2
Yes
22.80
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS. . '
Street Sidewalk Type:
Fullv ImO'''pf@NTION: Oregon law require!a..vnll t
Storm Sewer Available: follc}Wsrules adopted by th 0 1R)U~~uts/DrainS
. I '. . . . e regon tIll
SpeCial nstructJon. NotificatIon Center. Th I
. . ose ru es are set forth
Notes: Storm drainage piped to curb fac~~~o~cD.RJ -001 ~ thro~gh OAR 952-001-
, '. may obtarn copIes of the rules by
, calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
1 of 4
Curbside 5'
Curb and Gutter
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00595
ISSUED: 06/13/2005
APPLIED: 05/19/2005
EXPIRES: 12/13/2005
VALUE: $ 44,500.00
I Valuation Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
$1.00
$25.00
$1.00
Square Footage
or Bid Amount
5,000.00
380.00
30,000.00
Value
Date Calculated
Foundation Onlv Use Bid Amount
Gara\?:e Gara\?:e
Manuf Home Manufactured Home
Total Value of Project
$5,000.00
$9,500.00
$30,000.00
$44,500.00
05/19/2005
05/19/2005
06/06/2005
~
Fee Description Amount Paid Date Paid ' Receipt Number
Plan Review Residential $95.16 5/19/05 2200500000000000613
+ 10% Administrative Fee $58.94 6/13/05 1200500000000000824
+ 7% State Surcharge $41.26 6/13/05 1200500000000000824
Add, Alter, Extend Circ Ea Add $3.00 6/13/05 1200500000000000824
Addressing Assignment $31.00 6/13/05 1200500000000000824
Garage/Carport $146.40 6/13/05 1200500000000000824
Manuf Home State Issuance $30.00 6/13/05 1200500000000000824
Manufactured Home Conn - Plmb $45.00 6/13/05 1200500000000000824
Manufactured Home Feeder $50.00 6/13/05 1200500000000000824
Manufactured Home Placement $160.00 6/13/05 1200500000000000824
Manufactured Home Service $50.00 6/13/05 1200500000000000824
Plan Review Major - Planning $103.00 6/13/05 1200500000000000824
Sanitary Sewer - 1st 50 Feet $45.00 6/13/05 . 1200500000000000824
Sanitary Sewer - Improvement $365.60 6/13/05 1200500000000000824
Sanitary Sewer - Reimbursement $480.80 6/13/05 1200500000000000824
SDC MWMC Administration $10.00 6/13/05 1200500000000000824
SDC MWMC Improvement $865.31 6/13/05 1200500000000000824
SDC MWMC Reimbursement $82.03 6/13/05 1200500000000000824
SDC Sanitary/Storm Admin $104.61 6/13/05 1200500000000000824
SDC Transpo Admin $65.88 6/13/05 1200500000000000824
SDC Transpo Improvement $772.49 6/13/05 1200500000000000824
SDC Transpo Reimbursement $175.13 6/13/05 1200500000000000824
Storm Drainage Impervious Area $658.44 6/13/05 1200500000000000824
Storm Sewer - 1st 50 Feet $45.00 6/13/05 1200500000000000824
Water Line - 1st 50 Feet $45.00 6/13/05 1200500000000000824
Willamalane Manuf Home Private $1,000.00 6/13/05 1200500000000000824
TotalAmount $5,529.05
Initial Review
Plannin\?: Review
OS/20/2005
OS/20/2005
I Plan Reviews I '
OS/2012005 APP SKG
06/06/2005 APP T AJ
20f 4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2005-00595
ISSUED: 06/13/2005
APPLIED :05/19/2005
EXPIRES: 12/13/2005
VALUE: $ 44,500.00
Public Works Review
OS/20/2005
OS/20/2005
APP CAS
Storm drainage piped to curb face
5/20/2005 CAS
No plan review comments.
Structural Review
OS/20/2005
06/01/2005
APP RJB
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.
L ReQuired InsDec~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Gro~nd: 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
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement. of concrete. Provide report to City
Building Inspector.
Manuf Home Set Up: When installation of all piers or stands is complete.
Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
Manuf Home Plumbing: After home has been connected to water and sewer.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
MH Service: Approval required prior to utility company energizing service.
MH Pedestal: Approval required prior to utility company energizing service.
3 of 4
Status:
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2005-00595
ISSUED: 06/13/2005
APPLIED: 05/19/2005
EXPIRES: 12/13/2005
VALUE: $ 44,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 wiD 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 stree th the permit card is located at the front of the property, and the approved set of plans wiD remain on the site
at all . ring construction. ~
. .,.--- I
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Owner or Contractors Signature Date
4 of 4
;1;~~~~~~=;;;:;;~;' P8 , (541)726-3753 · FAX, (541)72,::~~":< <<~;'FQ~/ < .'
CIty Job Number l \...,,";) · ~'(:) Date,'.'.' 'JJ"" ~. '
- ~. ~
I. A\~~~ON 3. COMPLETEFE~~<,
LEG1~n~~ ~ ~ ~1) A. 8m"e Induded 8i~~~~f...ii~ p~i J~'lIi.g .Iii,..
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps t<t(>.UOENrliYJDN: Oregon law re~~ivij%b'ou to
Over 600 A1Ei'~kr:m-' fe~trV'3HPR~e.cbb~J~~e uregon Utility
D.BraIlchrCi~~ti'iation9~rteI. r'Il01r rUleos~Rre9s5e2t,fooo~h
il"l c;/-\rr952~OOl-0010througn 1-\- .-
/ . ) J2.... _ _ ''\/ New Altereti'!m?'Y'~tfl,l1!ipQ}fHmifllU@t>ies of the rules by
VV . I d"r.,.o-vv One Circuit calling the center. (Note: th~4eI6(p)hone .
\t.. \ ra 11\ n ' Each AdditiCVlf\\1qir&Pifofty.jWOre5~; ~~it~ Notifica4iln 0 0
\'W u \1 v- ServIce or Feeae;"t>ere~nter is 1- t344)~ (~) /
~ \0: \6I04 Miscellaneous (Service/feeder not included) -Each Installation
l~\ .p1<D' Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
JO.~~ ffi)Q(J
-l. ~~ . ,J~
Permits are no -t ansferable and expire if work is ,-
not started with 180 days of issuance or if work is
Suspended for 180 days.
2. CONTRACTORINSTALLATIONONLY'
Electrical Contractor ~. ~b
(oC;z- (j ?~~
City ~ Phone 7z"i-/5CJD
(/
Address
Supervisor License Number
9'1S- 5
/0 / 07
t1rs7
Expiration Date
Constr. Contr. Number
Expiration Date
"2- ~ c)(p
Signature of Supervising Electrician
~
V
:;::" N!m6 ~ '_
City ~ ~N) -Un" (Phone
\ ' \\ ~:/.
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request:
726-3769 k ~~~
~\}J \~\)
t>'~
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
t
$50.00 ro .00
B. . Services or Feeders - Installation, Alterations or Relocation:
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps,to 1000 Amps $163.00
Over 1000 Amp~fV(Hts $375.00
Reconnect:91l!r'~:': .';'T SH~LL r,,~.__ $50.00
, , I L, ,. :1 I', L,\,-li1t IF Tr-'t- "/ ';,,/
I" .'...p ..-ru, .... 'c- . .... '. ',. ". I VI li,l"
c.TeniP~~~r~:~t~~~:~t~rL~fr~~~:(~JI~;otj~VG lFSSR NO f
.IJ..i'! { I i.;f; ;)1.<\1 Ctl:'~lr1n.
InstallatIOn; j\lteratJon or Kelo'catlon
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBtOTALiOFfABOVE '\ ~ .00
'-.'2.L
to .3U\.
no.~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-D3.doc
CITY OF SPt{INGFIELD SYSTEMS DEVELOPME~'''iit10RKSHEET
JOURNAL OR JOB NUMBER: C0M2005-00595
NAME OR COMPANY: Sandy Manning
LOCATION: 2425 Maia Loop
TAX LOT NUMBER: . 1703251408700
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS, 1 BUILDING SIZE (SF: 1684 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 2124.00 $0.310 = I $658.44
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I DISCOUNT
I 0.00 I . $0.310 I 50% =1 $0.00
ITEM I TOTAL - STORM DRAINAGE SDCI $658.44
. 7027
$658.44
f/)
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Q
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u
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E-<
r./)
>-<
o
~
1070
2. SANITARY SEWER - CITY:
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 20
B. IMPROVEMENT COST:
NUMBER OF DFU's x
20 '
COST PER DFU
$24.04
$18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=1
$846.40
3. TRANSPORTATION
A..REIMBURSEMENT COST:
I ADT TRIP RATE . x
I 9.57
B. IMPROVEMENT COST:
I ADT TRIP RATE x
I 9.57
I NUMBER OF UNITS' x I
'I 1 I
I x
INEW TRIP FACTOR
I 1.00
COST PER TRIP
$18.30
I NUMBER OF UNITS x
I 1
ITEM 3 TOTAL - TRANSPORTATION SDC
=1
COST PER TRIP
$80.72
$947.62
x NEW TRIP FACTOR
1.00
$480.80
$365.60
$175.13
$772.49
1091
1092
I
1093
1094
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 1
ICOST PER FEU
I ' $82.03
B. IMPROVEMENT COST:
, NUMBER OF FEU's x COST PER FEU
1 $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADM1NISTRATNE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $957.34
".- -~
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $3,409.80
5. ADMINISTRATNE FEE:
=
$82.03
1054
1055
11054
1056
=
$865.31
$0.00
$10.00
I SUBTOTAL x I ADM. FEE RATE 1=
I $3,409.80 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$170.49
Cheryl Slaymaker
5/20/2005
TOTAL SDC CHARGES
PREPARED BY
DATE
104.61
$65.88
=, $3,580.29
-~,_-.:__I
i'
11079
I
11078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAlNAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBA THTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAlN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL! WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
r--- BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I 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
=
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that with t.he !ppr.2v;~1 of t~e att,f{hed
permits, one of the following manufactured homes will be placed at rJ~~~ \.AI\.Q\-l V ~ '
Springfield, Oregon, City Job Number c..S - c:c ~'i ~.. -
~ Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed
floor area of not less than 1,000 square feet, that has a nominal roof pitch 00 feet in height for each 12
feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to
have an exterior thermal envelope meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family dwellings constructed under the State
Specialty Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area
of not less than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width
and that has no bare metal siding or roofing.
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constmcted of stone, brick or other masonry materials, and with no more than 24 inches of
the enclosing material exposed above grade.
I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60
days of the date of fssuance of the manufactured home set up permit. These requirements may include, but
are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on
your approved set up plans and/or permit and your partition approval if applicable:
. Street Trees
. Paving Driveway
. Minimum 32 square foot storage structure
. Completion of partition approval
. Removal of any existing structures as noted on your partition approval
. Signing and recording of any required partition, easement, improvement agreements, etc.
. Final lot grading
. City Sidewalk and curb cut installation
. Any outside agency approval as required i.e., Division of State Land approval.
re below, I agree to complete the above mentioned land use requirements.
y;:
/,/ . -:z-,/) 0
Owner Signatilre
/,
.r .
~~~
Date
Contractor Signature
Date
225 Fifth Street
Springfie~d; Oregop. 97471
5~1-726-3759 Phone
.,
JOb/Journal Number
COM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
. COM2005-00595
COM2005-00595
COM2005-00595
C,OM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
CbM2005-00595
COM2005-00595
QOM2005-00595
QOM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
COM2005-00595
Payments:
Type of Payment
CreditCard
~ I
,;
;.l
~;
"
J'
6/13/2005
RECEIPT #:
City of Springfield Official Receipt
~velopment Services Department
Public Works Department
1200500000000000824
Date: 06/13/2005
Description
Addressing Assignment
Willama1ane ManufHome Private
Manufactured Home Placement
ManufHome State Issuance
Storm 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/Storm Admin
SDC TranspoAdmin
Manufactured Home Conn - P1mb
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Plan Review Major - Planning
Garage/Carport
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GEORGE TRA VESS
Received By
djb
1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
040328 In Person
Payment Total:
11:37:21AM
Amount Due
31.00
1,000.00
160.00
30.00
658.44
480.80
365.60
175.13
772.49
82.03
865.31
10.00
104.61
65.88
45.00
45.00
45.00
45.00
103.00
146.40
50.00
50.00
3.00
41.26
58.94
$5,433.89
Amount Paid
$5,433.89
$5,433.89