HomeMy WebLinkAboutPermit Building 2007-7-13
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1189 32ND ST
ASSESSOR'S PARCEL NO.: 1702303406200
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00942
ISSUED: 07/13/2007
APPLIED: 06/26/2007
EXPIRES: 01/13/2008
VALUE: $ 188,374.00
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Same As State Master Plan
Owner: KENNETH THOMAS
Address: 2266 9TH ST
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
Residential
Phone Number: 541-913-5086
I CONTRACTOR INFORMATION I
Contractor
ADAIR HOMES INC
BEAR MOUNTAIN ELECTRIC LLC
BEAR MOUNTAIN ELECTRIC LLC
3T PLUMBING INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
License
593
136298
136298
147077
Expiration Date
03/19/2008
08/06/2007
08/06/2007
03/02/2009
Phone
503-645-1156
541-741-8844
541-953-6747
503-932-2719
BUILDING INFORMATION'
1
R-3
U
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
3
1
18.00
Wall Heat
Electric
Electric
Path 1
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
484
1,702
I DEVELOPMENT INFORMATION I
20.00
5.00
5.00
65.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
22.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I AI I E:NTlON: Oregon law requires you ~o
foll~~MWIl ~pled by the Oregon Utility
Fully Improved NotitiMtlon cenmr. rtlose rules are set forth
Yes In OJ(t:\~.ootr~flm\rough (O'ARafiQitlC3t'ter
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notmcatton
Center is 1-800-332-2344).
Storm~m~p hole in curh.'.ptRE IF THE WORK
THIS PERMIT SHAll tJt. OT
AUTHORIZED UNDER THIS PERMIT IS N
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00942
ISSUED: 07/13/2007
APPLIED: 06/26/2007
EXPIRES: 01/13/2008
VALUE: $ 188,374.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,702.00
484.00
Value
Date Calculated
Description
Total Value of Project
$175,306.00
$13,068.00
$188,374.00
06/26/2007
06/26/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Temp Power 200 amps or less $50.00 6/27/07 1200700000000000831
-Mechanical Issuance Fee- $10.00 7/13/07 1200700000000000912
+ 10% Administrative Fee $139.12 7/13/07 1200700000000000912
+ 5% Technology Fee $79.75 7/13/07 1200700000000000912
+ 8% State Surcharge $105.35 7/13/07 1200700000000000912
2 Baths One or Two Family $254.00 7/13/07 1200700000000000912
Addressing Assignment $31.00 7/13/07 1200700000000000912
Building Permit $854.90 7/13/07 1200700000000000912
Curbcut Permit $80.00 7/13/07 1200700000000000912
Dryer Vent $6.00 7/13/07 1200700000000000912
Exhaust Hoods $9.00 7/13/07 1200700000000000912
Fire SF Fee - Residential $74.30 7/13/07 1200700000000000912
Minimum/Adjustment Mechanical $18.00 7/13/07 1200700000000000912
Plan Review Major - Planning $198.00 7/13/07 1200700000000000912
Plan Review Same As $200.00 7/13/07 1200700000000000912
Residence Wiring 1000 Sq Ft $106.00 7/13/07 1200700000000000912
Residence Wiring Ea Addtl 500 $57.00 7/13/07 1200700000000000912
Sanitary Sewer - Improvement $19.79 7/13/07 1200700000000000912
Sanitary Sewer - Reimbursement $26.03 7/13/07 1200700000000000912
SDC MWMC Administration $10.00 7/13/07 1200700000000000912
SDC MWMC Improvement $961.52 7/13/07 1200700000000000912
SDC MWMC Reimbursement $91.61 7/13/07 1200700000000000912
SDC Sanitary/Storm Admin $83.69 7/13/07 1200700000000000912
SDC Transpo Admin $76.72 7/13/07 1200700000000000912
SDC Transpo Improvement $836.32 7/13/07 1200700000000000912
SDC Transpo Reimbursement $189.58 7/13/07 1200700000000000912
Storm Drainage Impervious Area $838.37 7/13/07 1200700000000000912
Vent Fan $12.00 7/13/07 1200700000000000912
Total Amount Paid $5,418.05
I Plan Reviews I
Pa2e 2 of 4
Building/Combination Permit
PERMIT NO: COM2007-00942
ISSUED: 07/1312007
APPLIED: 06/26/2007
EXPIRES: 01113/2008
VALUE: $ 188,374,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
06/26/2007
06/26/2007
WE LLH
Initial Review
06/29/2007
06/29/2007
APP LLH
Plan nine Review
06/26/2007
06/26/2007
APP T AJ
Public Works Review
07/09/2007
07/10/2007
APP BRC
Structural Review
06/26/2007
06/26/2007
APP DLM
CITY OF SPRINGFIELD.
"Express process". Need
information on structure that has
recently been demolished to provide
credit for the fire fee.
Received information on previous
structure for credit to Fire Fee. 700
square feet was the size of the
previous structure. This structure is
responsible for 1486 square feet on
the Fire Fee.
Survey required because of
minimum side setbacks.
Stormwater to weep hole in gutter.
Site received SDC credits for
previous moble home structure. BC
Same as State Master Plan reviewed
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.
lJeouiredJnsnections I
Vfer 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.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
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.
Vnderfloor Plumbing: Prior to insulation or decking.
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.
Rough Mechanical: Prior to Cover
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00942
ISSUED: 07/13/2007
APPLIED: 06/26/2007
EXPIRES: 01/13/2008
VALUE: $ 188,374.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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 c fy that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further a ee to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, t. at the permit ca~ located at the front of the property, and the approved set of plans will remain on the site at all
times di ring constructi ii. /
k / '1,1 7(,~/n7
owfe~ or Contractors Signatur;.J Date /7 ..
Pal!:e 4 of 4
1. [.(;1;[:~<~.rrOT:.r
\ \E>C\
\t~ ~
:-o:\i1;1)9~O
\k~ rtGQ/
t<'-"'b,\ .
Date ',-, 3- 2m "')-7-
225 FIITH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
:::'l~ ~,'~' "- ", '-~--.,;:~ -.- ""--'77:>lT ---;:'7;1 -; '.:))m;", 7'.~ ; r;:r,:,-.:-..y
~;~O~~:b:;_L" J--C}l~t\~rt: _.:
'-~'!:'.p" A1(f(V.r..;.. :, 3
~~~h~~~.cm e& .
.::on,~ri.'?L;:s7E F~Ej'?l.:c~i:i!:iL:: VL2 .:..3Ej~-'!) t: Z T
G A. ~~J~.r:" ..:?..;'l.~.;t";t"n1'~....,~ - ~~...\(f:::O. &1:.~'" ~I.,~j..-; f,:;\... ~~rt..;i~....~ r-'.lo\~ ,!,'J,,-.,;.jf.;~e l-11:
\Efl D~ [lsllW se:: ~:::::4" ~ 0...~,~C._ "'~.L-~ '''''.'n.C. ""'~'"'''' ",,"
J BD~SCRlP.T. IO~N '" Q ~\ ~ 1000sq.ft.orless l $106.00 Ulo.(O)
. 'n r"\ +-r:o~ ~ additional 500 sq. ft. or ~ ~ -J aJ!,
. . ~ )U....J . \r portIon thereof . r 1 $ 19.00 U \
Permits a on-transferable ~d . "'..;....: if work ~ - Each Manufact'd Home or
not started within 180 days ofissu ce or if work is Modular Dwelling Service or $50.00
Suspended for 180 days. Feeder
2. .:;'::T?::::~_,!}. s::~c:~ ::JtJS7), '!. Jot 4.TiGi"l1)C!L"'/ B. SCi>i,:t'S :,j' :reerle::,!; _ ;::~<l[!a<:fm~, ,",/:~-ati",:s <:>:' 2"~c~u ::::im~~
Electrical Contractor !?t?u./.~ ,^k''i.-...~~l,'c- fi~ 200 Amps or less ' $ 63.00
/jl k J / j' J 7 II ~ 201 Amps to 400 Amps $ 75.00
Address 1<:"S'{L1J,/lfw. ~<. ~ Y/I!t>s 401 Amps to 600 Amps $125,00
C ?iJ% 7ttl-~q5 601 Amps to 1000 Amps $163.00
City C{A. I)t.n. 'C... _ Phone 1/~-G7'11 7q,l-~ Over 1000 AmpsNolts $375.00
J Reconnect Only $ 50,00
Supervisor License Number IJL C/'// S
- .
Expiration Date 10-0/-07
Constr. Contr. Number /<. ~ ZrJ<i
Expiration Date t - ('-07
C.. ~TQ:i~--;nt;::T/ S1;J-: iC:~5 (:r4~. .F~!~dc~~/:.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
l $ 50.00
$ 69.00
$100.00
~[XJ
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder P\\flfnCE:
E. .:fn7.::;:D2n.~f}!!5 (itt4JSJ~~~M~~~t6~~IRamaWgRK
. 'AUTHORIZED UNDER THIS PERMIT IS NOT
Pump or irrigation COMMENCED OR IS ~ONED FOR
Sign/Outline Lighti7tNY 180 DAY PERiOD! 50.00
OWNER INSTALLATION Limited EnergylResidentiaI $ 25,00
The installation is being made on property I own which Limited Energy/Commercial $ 45,00
is not intended for sale. lease or rent Minimum Electric P "',; J. ,~t In...."....;:on Fee is $45.00 + Surcharges
Own... Signa_: ~I':';~~:= ~ao;,=:-J::'ms OF k2D:0i . it'b (f)
Notification Center. Those rulel are set fortb n ffi.
In.O.AR 952-001-0010 through OAR &aofllteSureharge \ f I
0090. You may obtain copies of tht ~8.inistrative Fee -.!L l.
calling the center. (Note: the telepliOilj......... \ f""\ f-!6
Inspection Request: 72fWMeer for the Oregon Utll~ No~ 50;0 ,_ J . \JJ
Center Is 1-80Q..332 2344). Shared Drive(T;}lBuiJding FonnsIElectrical Pennit Application 1-06.doc
- lb1c1t 2.~l.qq
Signa~~/9f S\.}' .;.:,<' ;~1ng Electrician
i/I \ /... i;
, ,., 1"_
" A " (/1.. .
. /. /.;' /
' .'1,(,,)-// / ~/.; )
~:Nom, .Ken \t\OffiLlO .
Ad 0 O\Th St- .
hone L'2lti1.~<6<f
Over 600 Amps or 1000 Volts see "B" above.
D. ,"CUi;\:":;;' C:~rri~;;
$ 43.00
$ 3.00
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: 0 COM2007-00942
NAME OR COMPANY: Adair Homes
LOCATION: 1189 32nd Street
TAX LOT NUMBER: 17-02-30-3406200
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZIj: (SF' 0 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
2498.00 '$0.336' = $838.37
RUNOFF ROUTED TO DRYWELLDESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I DISCOUNT
I 0.00 $0.336 I 50% = I $0.00
9583
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
1
, $838.37
,-"'-
$838.37
COST PER DFU
$26.03 '
$26.03
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 1
$19.79
=,
$19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$45.82
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x
I 9.57
NUMBER OF UNITS x I COST PER TRIP
1 I $19.81
x INEW TRIP FACTOR
I 1.00
$189.58
B. IMPROVEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS I x I COST PER TRIP
I 9.57 I ' 1 I I $87.39
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $1,025.90
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST: '
INUMBER OF FEU's x
I 1
x NEW TRIP FACTOR
1.00 = ,
$836.32
COST PER FEU
$91.61
ATTENTION: Oregon liw requfret::!jqu to $91.61
follow rules aJ",.,lClJ b" ili" \Jll;lyOn VUIRY
Notification Center. Those rules are set forth
o In OAR 952-o01-oG10through OAR95a:Qt''I.
0090. ;(()u mavobtaln coDles Dfthelu'IlIQ "'961.52
calling the center. (Note: the tef~ph $0 00
numb~ for the Oregon Utility No ~I.... .
Center Is 1~-2344).= $10.00
$1,063.13 I
I NOTICE: 0 0".., J
.-...... ............ f'U'" eYDIDC Ie TI.n= wn lK
I mo-. ... ,..... --.. ..-- --
AUTHORIZED UNDER THIS PERMIT IS NI IT
COMMENCED OR IS ABANDONED FOR
. ANY 180 DAY PERIOD.
1
I
B. IMPROVEMENT COST:
INUMBER OF FEU's lox
/ 1 ,
I COST PER FEU
I $961.52
o 0 .MWMC,CREDIT IF APPLICABLE (SEE RE\,?~SE)
MWMC ADMINISTRATIVE FEE
~ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
=,
=1
$2,973.22
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
'SUBTOTAL I x ADM. FEE RATE
$2,973.22 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINiSTRATION FEE:
CHARGE
$148.66
68.82
$79.84
-~~ --"
-..- .
Billy Curtiss
7/1 0/2007
TOTAL SDC CHARGES
=, $3,121.88
PREPARED BY
DATE
-~. -...
~-- .,
rfJ
~
Cl
o
u
~
~
f-<
rfJ
.....
o
o~
1070
1091
1092
1093
1094
1054
1055
11054
'1056
1079
11078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAlNAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBA THTUB 2 2 3 = 0
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
I CLOTHES WASHER / MOP SINK 1 1 3 0
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 2 2 = -4
ISINK: SINGLE LA V ATORY/RESlDENTIAL BAR 2 0 1 = 2
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET; PRlVATE INSTALLATION 2 1 3 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 1
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelli~!lunit (20 DFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE
BEFORE 1979 $5.29
1979 $5,29
1980 $5.19
1981 ".'t!" ....$5-42
1982 $4.98
1983 ./-' $4.80
1984 $4.63
1985 $4.40
1986 ., , $4,07.
1987 '" $l67
, .H.?2,
1988 .~, I
,,~ ,#: .'..
1989 $2,73
1990 $2.25
1991 $1,80
1992-, ..,. $1.59
1993 $1.45
t '" 1994 $1.25
1995 $1:09
1996 $0.92,
1997 $0.72 '
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
;,
,
CREDIT FOR LAND (IF APPLICABLE)
V ALUEI 1000 CREDIT RATE
$O~{)O x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29 0
TOTAL MWMC CREDIT
=
$0.00
225 ,Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007 -00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007 -00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
COM2007-00942
Payments:
Type of Payment
Check
Check
cReceintl
RECEIPT #:
1200700000000000912
Description
Plan Review Major - Planning
Building Permit
Addressing Assignment
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee~
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
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 Transpo Admin
Curbcut Permit
Storm Drainage Impervious Area
Plan Review Same As
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/13/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
KENNETH THOMAS
ADAIR HOMES INC
djb
djb
Page 1 of2
2795
I 151
In Person .
In Person
Payment Total:
8:33:39AM
Amount Due
198.00
854.90
31.00
254.00
12.00
9.00
6.00
18.00
10.00
106.00
57.00
74.30
26.03
19.79
189.58
836.32
91.61
961.52
10.00
83.69
76.72
80.00
838.37
200.00
79.75
105.35
139.12
$5,368.05
Amount Paid
$3,841.15
$1,526.90
$5,368.05
7/13/2007