HomeMy WebLinkAboutPermit Building 2004-4-27
Status
Issued
.
~"'"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00381
ISSUED: 04/27/2004
APPLIED: 04/05/2004
EXPIRES: 10/27/2004
VALUE: $ 201,010.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 832 Mint Meadow Way
ASSESSOR'S PARCEL NO.: 1703234312300
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: SFR - River Glen 4th lot 155
TYPE OF USE:
Owner: FUTURE B INC
Address: PO BOX 7425 EUGENE OR 97408
Contractor Type
General
Electrical
Mechanical
Plumbing
1 CONTRACTOR INFORMATION I
Contractor
FUTURE B INC
DEANS ELECTRIC
JUNG ENTERPRISES INC
CHAPIN ENTERPRISES INC
License
36499
99579
102455
81994
I BUILDING INFORMATION.
# of Units: 1 # of Stories: 2
Primary Occupancy Group: R-3 Height of Str~~~ 24.00
Secondary Occupancy Group: U-l ~~);~~~lW~t~ \J\\\\'P.brced Air Gas
Primary Construction Type VN ego{\ \~a~~? set \o{\ Gas
Secondary Construction Type: N"'{\O~"O{ I\.ed 'o'J{'h'rlfS\~~~!e 957....00 Gas
# of Bedrooms: ~\\e \esJ:}.dO? \n~~tlh'f\, {u\eS \ Path 1
~o\\~~,..~~on C~~~~~'\ 0 \n:~O\es -0\ ~~:ono{\e
~o"\\\'~ 52"v'" - ..,,,.- t.~ri\~ ~"-'J..\J:
Ofl..f\ 9 ('{'a.-I" DE\1:4flD1\'IJ1E~J:,~~l'}RMATION I
\~090. ~~u 'i.'{\e ce\\Ote~O~ ~;?_i?lA4)'
ca.\~\l~O{ \ne . '\ ~rray Dist:
nu~lf~o.:.. __~~~.e # Street Trees Rqd:
12.60 Paved Drive Rqd:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
43.40
33.90
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Street Improvements: CE F II' I ~ r: \~'OoK
01\ : u V mprov E \f ,HI;; n n
Storm Sewer Available:~HIS PERM\\ SHALL E~ \R PERM\1 \S NOl
Special Instruction: uORIZEO UNOER lH\S cO FOR
AU, n 0 OR \S ABA~OONl..
Notes: . COMMENCE \J PER\OD.
AN'i 1 80 O~l
New
Residential
Phone Number: 541-744-2660
Expiration Date
05/18/2004
06/20/2004
10/04/2004
05/06/2004
Phone
541-744-2660
541-935-5303
541-741-0002
541-485-1146
Lot Size: 9,024
Sq Ft 1st Floor: 1,489
Sq Ft 2nd Floor: 556
Sq Ft Basement:
Sq Ft Garage/Carport 496
Sq Ft Other:
Impervious Surface Area:
2
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
21.90
Sidewalk Type:
Downspoutsillrains:
Paee 1 of 4
Curbside 5'
Curb and Gutter
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00381
ISSUED: 04/27/2004
APPLIED: 04/05/2004
EXPIRES: 10/27/2004
VALUE: $ 201,010.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellint!:s
Garat!:e .
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
2,045.00
496.00
Value
Date Calculated
Description
Total Value of Project
$188,958.00
$12,052.80
$201,010.80
04/05/2004
04/05/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $583.15 4/5/04 2200400000000000321
-Mechanical Issuance Fee- $10.00 4/27/04 1200400000000000544
+ 10% Administrative Fee $151.72 4/27/04 1200400000000000544
+ 7% State Surcharge $106.20 4/27/04 1200400000000000544
3 Baths One & Two Family $306.00 4/27/04 1200400000000000544
Addressing Assignment $31.00 4/27/04 1200400000000000544
Building Permit $897.15 4/27/04 1200400000000000544
Curb cut - Overwidth Appl $35.00 4/27/04 1200400000000000544
Curbcut Permit $75.00 4/27/04 1200400000000000544
Dryer Vent $6.00 4/27/04 1200400000000000544
Exhaust Hoods $9.00 4/27/04 1200400000000000544
Furnace - up to 100,000 btu $12.00 4/27/04 1200400000000000544
Gas Fireplace $15.00 4/27/04 1200400000000000544
Gas Outlets 1-4 $4.00 4/27/04 1200400000000000544
Heat Pump $12.00 4/27/04 1200400000000000544
Plan Review - Planning $71.00 4/27/04 1200400000000000544
PW Mult Disc - 2nd Permit $-30.00 4/27/04 1200400000000000544
Residence Wiring 1000 Sq Ft $106.00 4/27/04 1200400000000000544
Residence Wiring Ea Addtl 500 $76.00 4/27/04 1200400000000000544
Sanitary Sewer - Improvement $516.30 4/27/04 1200400000000000544
Sanitary Sewer - Reimbursement $679.20 4/27/04 1200400000000000544
SDC MWMC Administration $10.00 4/27/04 1200400000000000544
SDC MWMC Improvement $214.23 4/27/04 1200400000000000544
SDC MWMC Reimbursement $314.63 4/27/04 1200400000000000544
SDC Sanitary/Storm Admin $120.65 4/27/04 1200400000000000544
SDC Transpo Admin $52.82 4/27/04 1200400000000000544
SDC Transpo Improvement $727.42 4/27/04 1200400000000000544
SDC Transpo Reimbursement $164.89 4/27/04 1200400000000000544
Sidewalk Permit $75.00 4/27/04 1200400000000000544
Storm Drainage Impervious Area $842.74 4/27/04 1200400000000000544
Temp Power 200 amps or less $50.00 4/27/04 1200400000000000544
Vent Fan $24.00 4/27/04 1200400000000000544
WilIamalane Single Family $1,000.00 4/27/04 1200400000000000544
Total Amount Paid $7,268.10
Paee 2 of 4
CITY OF SPRI~(j~lJi,LD .
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00381
ISSUED: 04/27/2004
APPLIED: 04/05/2004
EXPIRES: 10/27/2004
VALUE: $ 201,010.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine Review
Public Works Review
Structural Review
04/06/2004
04/08/2004
04/08/2004
04/08/2004
I Plan Reviews I
04/08/2004 APP
04/17/2004 APP
04/14/2004 APP
04/26/2004 APP
LLH
TAJ
DJW
RJB
Overwidth d/w denied.
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.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
1 Curbcut - Standard: After forms are erected but prior to placement of concrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to floor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
11 Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
14 Final Building: After all required inspections have been requested and approved and the building is complete.
15 Underfloor Plumbing: Prior to insulation or decking.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 Underfloor Mechanical. Prior to insulation or decking and including required testing.
22 Underf100r Gas: After line is installed and required testing and capped if not attached to an appliance.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 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.
25 Rough Mechanical: Prior to Cover
26 Final Mechanical: When all mechanical work is complete.
27 Rough Electri.c: Prior to Cover
28 Electric Service: Approval required prior to utility company energizing service.
29 Final Electric: When all electrical work is complete.
Paee 3 of 4
.Gf!R'liNQ.RIEi;.~,
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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: COM2004-00381
ISSUED: 04/27/2004
APPLIED: 04/05/2004
EXPIRES: 10/27/2004
VALUE: $ 201,010;00
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 construction.
o~nteu
~~.
()
Paee 4 of 4
'fILl/I> J--
Dale / / .
/
225 Fifth Street
Springfield, Oregon 97477
541...726-3759 Phone
n;~
Wit. ..
~~y of Springfield Official Receipt
~elopment Services Department
Public Works Department
Job/Journal Number
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-00381
COM2004-0038 I
COM2004-0038 I
RECEIPT #:
1200400000000000544
Date: 04/27/2004
Description
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth Appl
PW Mult Disc - 2nd Permit
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 Transpo Admin
Plan Review - Planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
Vent Fan
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Payments:
Type of Payment Paid By
CreditCard JERRY BRAUNBERGER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000366 090750 In Person
Payment Total:
4/27/2004
Page 1 of 1
9:12:47AM
Amount Due
75.00
75,00
35.00
(30.00)
842.74
679,20
516.30
164.89
727.42
314.63
214.23
10.00
120.65
52.82
71.00
897.15
306.00
12.00
9.00
6.00
4.00
15.00
12.00
24.00
10.00
106.20
151.72
31.00
1,000.00
106.00
76.00
50.00
$6,684.95
Amount Paid
$6,684.95
$6,684.95
1tl"
o \O~~roe
ro >is' ~O
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~ ro
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726\.~~~")\\
ELECTRICAL PER.7'YI~T 'P. @tTION t\.(lO\~<,o\ \
(\hI\I\O ";'\~'f) ~J!pj
City Job Number -U.UlS." Date ,()\\O q,.<'o
. .....,........ .>i ." \"~~'\~~~?:t:\ .... .'f0\""'~ .
3. q9.Mf'~~I~ 1<1t~~gItJ!1jV1f.~
.~~'lf.
e 0 s~
....... ........ .. i/< ..P~. .1'"
A. .New.Reside~p~I-Sin~~~)?r lVlulti-Familyper dwelling unit.
1. ...~gCA.l'IO~.(21;~.f'f8TALF1'fI9~
f()?l'L ~ ~ rMnrlatJ
LEGAL DESCRIPTION
t1trb2.~ lfJ2f'l)
~OES~[~~ ~O~;~
P"'~' non-tra",f,~nd expir, if work [,
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. COtfJ}:t1-9TO~!~~I~~TIO]J>()tfLr
Electrical Contractor b.e0.. \1\1 (- 1- e ~~ \ (,
..J
Address f. D. ~O:r- r:A ~ g ~
~ l~<-JL.\D)- ':l (' c:
L-Cj t?iN (, Phone "'\ '3 ..) - :J ~Oj
City
Supervisor License Number ~ q\ '1 S
Expiration Date I () 'D I - 200l-1
Constr. Contr. Number ~ ~\ S' I ~
Expiration Date h ~ A 0 - 'J- ooZ1
Signa~ SOPeM:[::.Cian
-~
Owners Name ~uk ~ ~00'llD
Address ?O ~_ '\41:;
City ~no. phon,rt<l-qJatdJ
OVVNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Service Included
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
{ exo(t'
1(O~
l
4
$ 19.00
$50,00
B.
()rFee(iers..... Instai:'ltion,Alterationsor Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50,00
c.
\\\ . \~\\\\\!
Installation, Alter~~ip~ (JrRel?s~ti~E" V)\
200An;ps,odess .,...'J $ 50.00
..\2('}lAnip~ to400Alnps' '.\\.,,~, $ 69,00
. 40iAtnps'to600 .;\mps.~\nf\C$100.00
.: "'ovet 60Q,Amps'9f lOoGVplts.soo4B':~b.oft~:C\'
'-'\'0 k ... . ... .. ,.'(J\.i}'\ .. .' .., ....,. .. , ~.Q,,"
,\ Qj .;~{Bt~~f~r&it~,R~~ Ii \I,\)\t "it;A\,
, ' _ ,"_ -:' -":. '. ,,', '. _,'. ~. ", r" -: -' ,_'_, c- ,:.__'_ . '_._:' '! . "n. (', .. I
... ',(\ '~e~Alterati~J19r '.l!~t~n$ioriP~r Panel
9~~Cjftuii:." . $ 43.00
E'~ch Additional Circuit or with
Service or Feeder Permit $ 3.00
ffJ~
E.~ns5~ll:llleou~(~~rviceJ~~~?~7Ilot iE~~ - E a cll Installation
rE: 1?\~t \r 1'\1 ~ ~n1
ltilli1~,M~r~~t~\1.P-lttr\\S rEt\t~\\1\S $' 50.00
\$ig'iil,. B~. '\itfji~~\\"\ ,,, \~DG\\\tO tQ'i\ $ 50.00
~IJrlM9 tt;~XjIGt\~&t9i\ $ 25,00
liQ.h~a\' ~~i.~~?ial $ 45.00
,:{ '0 "\.W'"'-">-'
Minim~~ Electric Permit Inspection Fee is $45.00 + Surcharges
~i4
'L~ ! vJ
'],.1 t~,~
4.
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Elecll~cal Pennit Application] -03.doc
CITY OF SPklNGFIELD SYSTEMS DEVELOPMEN?4\~RKSHEET
JOURNAL OR JOB NUMBER: COM2004-00381
NAME OR COMPANY: FUTURE B HOMES
LOCATION: 832 MINT MEADOW
TAX LOT NUMBER: 170323431112300
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF' 0 LOT SIZE (SF):
9024
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1. STORM DRAINAGI;;
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 2906.00 I $0.290 . = $842.74 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. x 1 COST PER S.F. x DISCOUNT RATE I DISCOUNT
I 0,00 1 $0.290 50% = I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x 1 COST PER DFU
30 I $22.64
B. IMPROVEMENT COST:
1 NUMBER OF DFU's x
1 30
$842.74
$842.74
11070
$679.20
1091
COST PER DFU
$17.21
$516.30
I
11092
I
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=1
$1,195.50
3. TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADT TRIP RATE I x 1 NUMBER OF UNITS' x I COST PER TRIP x 1 NEW TRIP FACTOR
I 9.57 1 1 I $17.23 1 1.00 $164.89 1093
B. IMPROVEMENT COST: I
I ADT TRIP RATE I x 1 NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR'
I 9.57 I 1 1 $76.01 1.00 $727.42 11094
ITEM 3 TOTAL - TRANSPORTATION SDC =1 $892.31 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
1 1 $314,63 = $314.63 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
1 1 1 $214.23 = $214.23 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER sm =1 $538.86
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) =1 $3,469.41
5. ADMINISTRATIVE FEE:
1 SUBTOTAL x ADM. FEE RATE CHARGE
I $3,469.41 5% $173.47
TOTAL SANITARY ADMINISTRATION FEE: 120.65 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $52.82 r 1078
Virginia Jurasevich 4/14/2004 =, 1
TOTAL SDC CHARGES $3,642.88
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATH1lJB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 2 0 3 = 6
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
. I TOILET, PRIVAtE INSTALLATION 3 0 3' = 9
MISCELLANEOUS DFU TYPE NUMBEROFEDU'S
20 = 0
. "";;7.:'
tOTAL DRAINAGE FIXTURE UNITS 30
",0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$5.04
$5.04
$4.95
$4.88
$4.75
$4.58
$4.41
$4.20
$3.88
$3.50
$3.07
$2.60
$2.14
$1.71
$1.52
$1.38
$1.19
$1.03
$0.87
$0.68
$0.46
$0.27
$0.09
$0.04
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
o
o
1998
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $0.46
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
V ALOE / 1000 CREDIT RATE
$0.00 x $0.46
o
TOTAL MWMC CREDIT
=
$0.00
.1