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HomeMy WebLinkAboutPermit Electrical 2005-6-28 3. SU ~ '- ~eo; 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX\~~~~8~6~ ELECTRICAL PERMIT APPLICATION ' ",\X\e0\~g. e.~ City Job Number Cs;:.- OOt.f~ L Date "l-~~~~O\le. ' 1...of-.\~g AIB~ o~ nn e (j I S fol.l~ . Those rules are set forth G-/~/r-;c, &nJP4n~otlflc~R~rl:ss' h hOAR~?_nn1_$63.00 10 oAf!@P~iIWs1toOgaJ.> lnf~~~s of the rlIIA~ hy $ 75.00 OJa../ /1'> 51 /:I> c. 0090,~U^,~~Ytg~W'1~])rel.theteleph()nA $125.00 ca~' the center. :0'101.1 . erT(IP,.I1.~tg cmH-i~WJatility Notification $163.00 Phone Lf3 '1- t::. Y1 / nu ver-fi~~^W~~1YOOtSJ32-2344). $375.00 RecMtEf1ecrb'i1ly $ 50.00 Signature of Supervising Electrician D. / /1 /7 ff ./" New Alteration or Extension Per Panel (~ A~ ~ ~ One Circuit $43.00 ~ Each Additional Circuit or with ~+ hlIOU. MIJ1'~~mceorFeederPe~tRE II: T \~ ',"!OR\<.$ 3.00 OwnersNa e w.: [\ \;'"', lE}\\-'\ r I' Address \ .~'b 6C>>tim ACJU\()~ ~lfH , ~ \I\"nn AnA. ,,~A CO\\j~"[\FNCED OR I City ----.WJr ~ Phone ~"\ .(.JJ IV 'Pump Or~lffigati0nOD $ 50,00 \' IV ~ R[d \ ;-{ I (.1\1 ' AN 1 SIgit/OUt ine Lighting $ 50,00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1. a '338 ~ljYl Ani or: fA~hA.M. ~ PH-I ()4~O Sub Jof-[)~ LEGAL DESCRIPTION \ fJD1.'34-?A- JOB DESCRIPTION >~0 ~~)Iv ~/~ Permits a~e non-transterable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address :1/ 0 City ~ iA 0 t-'./1 P- I Supervisor License Number 30 '1/ S c.U Expiration Date I 0 - /- ,a::!I- 6 7 Constr. Contr. Number I ~ 0 50,SJ Expiration Date 1- / - 0 b OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. 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 s-' $ 19,00 J06"tJC) q{:aa $50.00 c. Installation, Alteration or Relocation 200 Amps or less I 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 SO tOO $ 69,00 $100.00 4. 7% State Surcharge 10% Administrative Fee 2-.s-~ leD /t-,fl- 'ZS-:IO ! :J-c, '51(;1- TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I,03,doc /' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00492 ISSUED: 07/13/2005 APPLIED: 04/26/2005 EXPIRES: 01/13/2006 VALUE: $ 286,890.00 Status: Issued '; 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6338 Fernhill Ct ASSESSOR'S PARCEL NO.: 1702343404500 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence, Mountain gate subd lot 34 Owner: ANSLOW & DEGENEAULT INC Address: 1953 GARDEN AVENUE EUGENE OR 97403 Residential Phone Number: 503-484-0070 I CONTRACTOR INFORMATION' ': Contractor Tvpe General Electrical Engineer Mechanical Plumbing Contractor License Expiration Date ANSLOW & DEGENEAULT INC 49169 10/16/2008 BURGHARDT & ZHUN mENTION: OregorlMi083quires YOLOtoo1/2006 HAL PFEIFER follow rules adopted by the Oregon Utility MARSHALLS INC Notification Center. T~@ltules are sett0A111/2005 ABSOLUTE PLUMBIN~ ~~~~m.cg01 0 ffj'~h OAR 952m0l1l-/2007 I Bum:mNt9lJN~'[~es ot the rUles oy CCllllllY lilt: lit:IILCI, \IJ~: the telephone #lij~if{Br the Oregon Utility f'1otificetif>Yize: Height dtenter is 1-800-332~). Sq Ft 1st Floor: Type of Heat: Forced Air Gas SqFt 2nd Floor: Water Type: . Gas Sq Ft Basement: Range Type: '--::-.-. ::~' 'Electric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: 1 R-3 U VN 3 I DEVELOPMENT INFORMATION' Phone 503-484-0070 541-434-6491 541-683-4257 541-747-7445 541-345-3055 2,480 686 388 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Hillside 3 Yes 35.00 REQUIRED PARKING Total: 2 Handicapped: Compact: 13,00 5.30 10.00 18.00 25,50 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Subdivision Not Accepted IPUBLIC IMPROVEMENTS I Street F II I d Sidewalk Type: ,u v mprove Storm Sewer Available: '1tC~: Yes E \f 1\-1E WOi)l{.wnspoutsIDrains To Storm Sewer Special Instruction: ~iQ '. \\1\\1 S\-If\ll E)<,P\R cRN\\1 \S N01 1\-11S PER NDER 1 \-lIS PL R Notes: No hook-up to City Infrastrl'\'Sf~'r'e:wJlif-R.~IifJI~Alb\{t:rn~bt~~i~lp~ed by the City; storm to system stub 5/3/2005 f\fi\'J\ENCEO Un COI~\ 01\'< PERIOD. f\N'< '\ BO 1 of 5 ~WrL~p~, A.....~""IG._U),~.. ....iiii..", ,.""., "'. 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Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction AC - Residential Deck V Masonarv Garaee - Masonrv A,C, - Residen Deck/Balconv Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Not Listed Building Permit Curbcut - Additional Driveway Curbcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Mountaingate Impervious Area Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement I Valuation Description I $ Per Sq Ft or multiplier $4.00 $17,00 $101.00 $29,00 Square Footage or Bid Amount 2,480.00 388.00 2,480.00 686,00 Total Value of Project Fees Paid I Amount Paid $688,77 $10.00 $192.24 $134,57 $306,00 $31.00 $18,00 $1,173,40 $-40.00 $40,00 $80.00 $6.00 $9.00 $12.00 $15.00 $4,00 $-94,86 $802.28 $103.00 $84,50 $106.00 $95.00 $493.56 $649.08 $10.00 $865.31 $82,03 $-5,27 $129,43 $0,53 $63.06 $772.49 $175,13 Date Paid 4/26/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 7/13/05 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00492 ISSUED: 07/13/2005 AIr LIED: 04/26/2005 EXPIRES: 01/13/2006 VALUE: $ 286,890.00 Value Date Calculated $9,920,00 $6,596,00 $250,480.00 $19,894,00 $286,890,00 06/28/2005 06/28/2005 06/28/2005 07/11/2005 Receipt Number 1200500000000000511 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 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: COM2005-00492 ISSUED: 07/13/2005 AIr LIED: 04/26/2005 EXPIRES: 01/13/2006 VAL UE: $ 286,890.00 Storm Sewer Each Addtll00' Temp Power 200 amps or less Vent Fan WiIlamalane Single Family $98.00 $50.00 $30,00 $1,000.00 7/13/05 7/13/05 7/13/05 7/13/05 1200500000000000992 1200500000000000992 1200500000000000992 1200500000000000992 Total Amount $8,189,25 I Plan Reviews I Initial Review 04/27/2005 04/27/2005 APP SKG Planninl! Review 07/11/2005 07/11/2005 APP TAJ Amount of imperviuos surface reduced to meet 35% coverage requirements, I gave the plans back to PW to recalculate SDC's. Planninl! Review 04/27/2005 07/05/2005 WI TAJ Waiting for resolution of coverage and use pervious concrete to meet coverage requirements, No other Planning issues, Trees near the retaining wall shall be protected using the methods outlined in the MountainGate Development Plan Restrictions handout, Construction fencing shall be placed between the Vegetation easement and the worksite during construction, Public Works Review 04/27/2005 07/11/2005 APP CAS Waiting for info on pervious surface - structural section Called Gordon 4/28/2005 CAS Revised site plan approved 7/11/2005 CAS Structural Review 04/27/2005 05/05/2005 10 JB Plans forwarded to Jason Bush for review Structural Review 05/05/2005 05/10/2005 WE JB Jason has requested additional information from contractor to complete plan review, Structural Review OS/27/2005 OS/27/2005 WE JB Plans need to be re-engineered, Applicant/contractor has been contacted, Structural Review 06/23/2005 06/28/2005 APP JB Approved as noted on plans 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. I ReQuired Insoections . Curbcut - Overwidth: After forms are erected but prior to placement of concrete, 3 of 5 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: COM2005-00492 ISSUED: 07/13/2005 APPLIED: 04/26/2005 EXPIRES: 01/13/2006 VALUE: $ 286,890.00 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, Post and Beam: Prior to floor insulation or decking, Floor Insulation: Prior to decking. Shear WaU Nailing: Before covering sheathing with finish materials, Framing Inspection: Prior to cover and after all rough in inspections have been approved, WaU Insulation: Prior to cover. Ceiling Insulation: Prior to cover, DrywaU: Prior to taping, Final Building: After aU required inspections have been requested and approved and the building is complete, Perimeter Foundation Drains: After gravel and filter cloth is instaUed but prior to backfiU, Underfloor Plumbing: Prior to insulation or decking, Underfloor Drain: Prior to cover or placement of concrete, Rough Plumbing: Prior to cover and including required testing, Water Line: Prior to mling trench and including required testing, Sanitary Sewer Line: Prior to mling trench and including required testing, Storm Sewer Line: Prior to filling trench, Final Plumbing: When aU plumbing work is complete, Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is instaUed and required testing and capped if not attached to an appliance. Rough Gas: After line is instaUed and required testing and capped if not attached to an appliance, Gas Service: After line is instaUed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point, Rough Mechanical: Prior to Cover Final Gas: When aU gas work is complete, Final Mechanical: When aU 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 aU electrical work is complete. 4 of 5 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: COM2005-00492 ISSUED: 07/13/2005 APPLIED: 04/26/2005 EXPIRES: . 01/13/2006 VALUE: $ 286,890.00 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 &arety, I tirher certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this p.lojedt, I furth" ~gr~e to en~ure that all required inspections are requested at the proper time, that each address is readable from the str~e 'Ith/~t the ~Jrmit card is located at, the front of the property, and the appr, oved, set of Plan, s will remain on the site at all ~m 's uring ~nstruction, / ___ ~ -... 7 I"?/('"):( owne\juature Da;." ( '- 5 of 5 'CITY OF S'i~GFIELD SYSTEMS DEVELOPMEN\~?~~RKSHEET JOURNAL OR JOB NUMBER: COM2005-00492revised NAME OR COMPANY: Anslow & DeGeneault LOCATION: 6338 Femhill Ct TAX LOT NUMBER: Mountain Gate Lot 34 DEVELOPMENT TYPE: SINGLE F AMIL Y'RESIDENCE ' NEW DWELLING UNITS 1 BUll..DING SIZE (SF 3612 LOT SIZE (SF): 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, i I COST PER S,F, CHARGE I 2282,00 I $0.3] 0 = $707.42 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, I x I COST PER S,F, x DISCOUNT RATE I DISCOUNT , 0,00 I '$0,310 50% = I $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC' 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 27 COST 'PER DFU $24,04 B. IMPROVEMENT COST: NUMBER OF DFU's x 27 $] 8.28 ITEM 2 TOTAL - CITY SAMTARY SEWER SDC 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I x I 9,57 I B. IMPROVEMENT COST: I ADT TRIP RATE , 9.57 . NUMBER OF UNITS' x 'I 1 I x . I NUMBER OF UNITS I x I 1 I ITEM 3 TOTAL - TRANSPORTATION SDC, 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x' COST PER FEU I 1 $82,03 B. IMPROVEMENT COST: 'NUMBER OF FEU's ] x ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE I $3,755,02 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: .-.--- ~~ - ------,- _. Cheryl Slaymaker 7/11/2005 PREPARED BY DATE = , $865.31 1055 , $0.00 1054 , $10.00 1056 I I , ] 24,16 11079 I $63,59 1078 =1 $3,942.77 -, $707.42 =, $1,142.64 COST PER TRIP $ 18.30 x INEW TRIP FACTORI I 1.00 I =, COST PER TRIP $80,72 $947.62 x I NEW TRIP FACTORI I 1.00 I $957.34 $3,755.02 10709 $707.42 $649.08 $493,56 $175.13 $772.49 = $82.03 CHARGE $]87,75 TOTAL SDC CHARGES rfJ ~ o o u ~ ~' E--< rfJ ...... o gz , 11070 1091 1092 1093 1094 1054 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONI.. Y THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUNALENT UNITS IBATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2 I URINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ] 67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE] 979 ]979 ]980 ]98] ]982 ]983 ]984 ]985 ]986 ]987 ]988 ]989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 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) VALUE f 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 Spt;ingfield, Oregon 97477 541-726-'3759 Phone r'ity of Springfield Official Receipt evelopment Services Department Public Works Department Job/Journal Number COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 CbM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 COM2005-00492 CbM2005-00492 COM2005-00492 P,~yments: Type of Payment CreditCard 7/13/2005 RECEIPT #: 1200500000000000992 Date: 07/13/2005 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Curbcut - Additional Driveway Curbcut Permit 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 Mountaingate Impervious Area Plan Review Residential 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Appliance Not Listed -Mechanical Issuance Fee- Plan Review Major - Planning Building Permit + 7% State Surcharge + 10% Administrative Fee Mountaingate Impervious Area Curb cut - Additional Driveway SDC Sanitary/Storm Admin SDC Transpo Admin Paid By GORDON ANSLOW Item Total: Check Number Authorization Received By Batch Number Number How Received djb 093369 In Person Payment Total: 1 of 1 11:47:03AM Amount Due 31.00 1,000,00 106.00 95.00 50.00 40.00 80,00 649.08 493.56 175.13 772.49 82.03 865.31 10,00 129.43 63.06 802.28 84.50 306.00 98,00 12.00 30,00 9.00 6.00 4.00 15,00 18,00 10.00 103,00 1,173.40 134.57 192.24 (94.86) (40,00) (5.27) 0.53 $7,500,48 Amount Paid $7,500.48 $7,500.48