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Home My WebLink AboutPermit Building 2006-4-10 ,CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00255 ISSUED: 04/10/2006 APPLIED: 03/02/2006 EXPIRES: 10/10/2006 VALUE: $ 266,323.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6149 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343407500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 67 I DEVELOPMENT INFORMATION I REQUIRED PARKING t' Overlay Dist: \ti~'NQ~~ Total: 2 ~~q~~ttrees ~~\.\. t.'1-"\~~t.t\~\"\1\t ~Q\ Handicapped: ~\~d~\R . OER it\\S Mt:~ TO~ Compact: ~D~ke~~ \\ \S f\\)f\~DO'3S. 0 ('(\MW\;~C~~~ r!:~\GD. I PUBLI~P~MENTS I Owner: Address: RIVER V ALLEY BUILDERS roB~~2 , ~~ SWEET HOME OR 97386 rlofl laW requires Y Utility . ,......,/"\1\,. ()re~ , _ ('I,on()fI 1\ \ I CI" . ; - d teCl uy LI'~ ~ - set torti' f'" I s. a op \-~ <:IrA iolloW r,u e'ceflter. ill~NrRi\(;:rr0.~~I.NIJ10RMA TION I Notiiicatlofl 01-0010 tll\ u~~" nile rules D'f ill<Oirli,f;f2tc9r obtaill CO~I~~ 0 e\epIlO~e License O~J~EWlV~~€,~.U~\Il}DE~~l~<Orliicatlon 134566 Q::&\IE"EifEC~~~r~l{jfl UtIlity 44) 54468 ~l.Ji);W~~~~c;ff,A\~(jf.\~2rNt3.. 154166 v-" I BUILDING INFORMATION I Contractor Type General Electrical Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN # of Stories: 2 Height of Structure 27.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: nla 4 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 11.00 5.00 5.10 53.00 0.00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Residential Phone Number: 541-726-0330 Expiration Date 04/15/2007 09115/2007 0113012007 Phone 541-760-7881 541-967-7045 541-928-2423 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 13,210 1,859 450 1,096 311 .r_ ,. ...... , .....:<:'.0" Fullv Improved Yes Sidewalk Type: \ Downspouts/Drains: To Storm Sewer Notes: No hook-up to City infrastructure until Public Improvements accepted by the CITY; storm drainage piped to stub provided 3/912006 CAS Paee 1 of5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00255 ISSUED: 04/1012006 APPLIED: 03/02/2006 EXPIRES: 10/10/2006 VALUE: $ 266,323.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I A.C. - Residen DweIlines Garaee AC - Residential V Wood Frame Garaee $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,309.00 2,309.00 1,096.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $9,236.00 $228,591.00 $28,496.00 $266,323.00 03/02/2006 03/02/2006 03/02/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $720.46 3/2/06 1200600000000000235 -Mechanical Issuance Fee- $10.00 4/10/06 2200600000000000444 + 10% Administrative Fee $155.94 4/10/06 2200600000000000444 + 8% State Surcharge $124.75 4/10/06 2200600000000000444 3 Baths One & Two Family $306.00 4/10/06 2200600000000000444 Addressing Assignment $31.00 4/10/06 2200600000000000444 Appliance Vent $6.00 4/10/06 2200600000000000444 BoilerlComp Up To 100,000 btu $12.00 4/10/06 2200600000000000444 Building Permit $1,108.40 4/10/06 2200600000000000444 Curbcut - Additional Driveway $40.00 4/10/06 2200600000000000444 Curbcut Permit $80.00 4/10/06 2200600000000000444 Dryer Vent $6.00 4/10/06 2200600000000000444 Exhaust Hoods $9.00 4/10/06 2200600000000000444 Furnace - up to 100,000 btu $12.00 4/10/06 2200600000000000444 Gas Outlets 1-4 $4.00 4/10/06 2200600000000000444 Mountaingate Impervious Area $1,723.21 4/10/06 2200600000000000444 Plan Review Major - Planning $150.00 4/10/06 2200600000000000444 Plan ReviewIResidential Hourly $112.50 4/10/06 2200600000000000444 Sanitary Sewer - Improvement $591.17 4/10/06 2200600000000000444 Sanitary Sewer - Reimbursement $777.17 4/10/06 2200600000000000444 SDC MWMC Administration $10.00 4/10/06 2200600000000000444 SDC MWMC Improvement $865.31 4/10/06 2200600000000000444 SDC MWMC Reimbursement $82.03 4/10/06 2200600000000000444 SDC Sanitary/Storm Admin $190.85 4/10/06 2200600000000000444 SDC Transpo Admin $61.01 4/10/06 2200600000000000444 SDC Transpo Improvement $805.70 4/10/06 2200600000000000444 SDC Transpo Reimbursement $182.69 4/10/06 2200600000000000444 Storm Sewer Each AddtI 100' $28.00 4/10/06 2200600000000000444 Temp Power 200 amps or less $50.00 4/10/06 2200600000000000444 Vent Fan $18.00 4/10/06 2200600000000000444 WiIlamalane Single Family $1,000.00 4/10/06 2200600000000000444 Total Amount Paid $9,273.19 Paee 2 of5 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2006-00255 ISSUED: 04/10/2006 APPLIED: 03/02/2006 EXPIRES: 10/10/2006 VALUE: $ 266,323.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review LDAP Review I Plan Reviews I 03/07/2006 APP 03/07/2006 10 LLH VRJ 03/06/2006 03/07/2006 Plan nine Review 03/07/2006 TAJ 03/27/2006 APP Public Works Review 03/07/2006 03/09/2006 APP JLP Structural Review 03/07/2006 04/05/2006 APP DLM Full review LDAP submitted by Mr. Larkin 3-2-2006 and is under review. $600.00 due at issuance. The 35% coverage is based on 425 sf of pervious pavement. The use of pervious pavement needs to be approved by PWE. The floor plan shows a living suite with a kitchen. This constitutes an ADU. Greg Larkin agreed to remove the range on 3/10/06. If in the future they wish to establish a full kitchen with a range, they will need to apply and be approved for an ADU. The Vegetation Easement needs to be fenced with orange construction fencing. No construction activity is allowed in this area. A survey is required because of minimum side setbacks. Approved for pervious pavement 4/3/06 CAS Waiting for approval of pervious pavement by Eric W. 3/27/06 JLP No hook-up to city infrastructure, until public improvments are accepted by CITY. Storm drainage shall be piped to existing stub.03/08/2006 JLP Requested info from engr re: lateral design. 4/3/06dlm Received revised shearwall info. from engineer 4/5/06dlm. 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. ~((ouireCUnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Paee 3 of 5 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: cOM2006-00255 ISSUED: 04110/2006 APPLIED: 03/02/2006 EXPIRES: 10/10/2006 VALUE: $ 266,323.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor 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 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. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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 filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor 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 Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When aU mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Shower Pan. Prior to covering and including required testing. Paee 4 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00255 ISSUED: 04/10/2006 APPLIED: 03/02/2006 EXPIRES: 10/10/2006 VALUE: $ 266,323.00 225 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 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 tha req 'red inspections are requested at the proper time, that each address is readable from the street, that the ermit car is located at the front of the property, and the approved set of pJans wiJI remain on the site at all timesd' en,trUeti'a. 4-/d -CJ(: Ow~ or Co~tractors Signature Date ( Paee 5 of5 .' , .' . W""":~""'~~';Io..:~.."oi'':'f.?' -",; ,..:~,~"-. 1.....: ~ _;;" ~[1F- "'~ ~~ "" '!J ~'4.,!";>'~ ; -to ,~,';s;~;;..:(,_,i;:t:< ",::;"~ ~', - ~1.;: ',Q;I:IiY=:{~}EHS' ,RINGafJ;ELD."@REGO,t',r""~:';":' ;:>:~,:",j~ ""....\1~~.~~"'" ",d_.~',.X~~:"', I'-;'~.;""""'j 'Io:",:\':f'~', ~. ,: '.. ,.- ,__=' >.. ~;~""'..' ~ ~~.-,";,:>'<~'~' ~il">~OL'\!I<lllt"O~lI...lO> C: :""""--:'ii i!Jy\~1 ~;.~~~~~~~~SPR~;1tFJE~-;;~~PH'(541)72.-37S3 · FAX' (541)726-368. L~-:'~~'''~ , The,.following ?rojec~ubmiJted hjl<\th?~"owing City Job Number '\. 0 . lonlng. andDatws nO~4U1rEi S'iJec!ifit' I~ use approval, 3. COMPLETE FEMfi'4lEDll/JE BELOW Mt2- Date ? - / A. New R&wt(q{tijJUSiligh!fol' l'ihlt~~.. i1U1e1ling unit. 1. LOCATION OF INSTALLATION 6/49' ~~,-7h,// Lc)tJ/;> / LE\16L~~ D\~ ~OB DESCRlPTIO~.. \f ~.DXtJu.Jt1L , per~it:a:e. n3ransfe;able and expire if work is not started within 180 days of issuance or if work . Suspended for 180 days. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular DwelIing Service or Feeder $106.00 $ 19.00 $50.00 2. ~ONTRACTOR INSTAfLATION NLY B. Services or Feeders - Installation, Alterations or Relocation: Elecirica Contractor ' _, , _. ~, . 200 Amps or less $ 63.00 / . ,.' '. Orego~61'Ahr~lig~ooY~M t~ $ ~ : ~"J' xlopted400y. tliel(jreo6oo Uf,f1ty 75.00 Address ,,' . ..., t Th 1 Amps to' 00 Amp.s h $125.00 " t I ".;. ::...-,,-, v2.r1 er. ose rUles are sellort '" in :),[,,~ %2-001-001 0 R?(bO~JwSj<PJ~og?)~8~ _ $163.00 City '\ Ph e nnon Y"II m~'1 obtain<2ttpl~g,09f~J>o/tYig~Sby $375.00 calling the ~enter. (~tH<EPqrf~ ?~~phone $ 50.00 number for the Oregon Utility Notification f':t:>ntt:>r is 1_~oo~~!l25~~~ervices or Feeders Expiration Date ~ ~ OwnersName G~ h~J:-, ~ Address fiJ, a'-6^ q~~ City?h)~~.Iif"f/I-f( Phor: ~4/-7~t'-73!/ OWNER INSTALLATION The installation is being made on property I own which is not intended 11 salevleas;ye nt. Owners ture: IL --=-- / Inspection Request: 726-3769 Installation, Alteration or Relocation 200 Amps or less \ 201 Amps to 400 Amps 40 I Amps to 600 Amps $50.00 ~DpO $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. , Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50.00 ~<e!~ine Lighting PIRE \~ T~F W~5ll.00 114~tM:~#hfR~MI~n&~\S PE?MI1 IS 1\$.~2koo ~'tr8~n.~gy!~iri~r~~~NOOMH) fOR $ 45.00 Mi . .~...~vir:J.LG'~p~ OR \} , . F . $ 00 DI~~.W.J~n.c- erm~t.lnspectlon ee IS 45. + Surcharges '\ RO Of>:l Ptt\\U\J. 4. ~tJbroTAL'OF ABOVE ~t)O .cD 8% State Surcharge S-f. .- QV 10% Administrative Fee t) .fJ-J /1uJ 6'-"l -' TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-06,doc . . ," ~ '" CITY OF SPRINGFIELD SYSTEMS DEVELOPME~f'ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING .UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. ,x COST PER S.F. CHARGE 5335.00 $0.323 = I $1,723.21 I. RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I I 0.00 $0.323 50% I = I ITEM 1 TOTAL - STORM DRAINAGE SDC $1,723.21 I C0M2006-00255 River Valley Builders 6]49 Femhill Loop 1702343407500 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF '3839 LOT SIZE (SF): 13210 if] ~ ~ o u ~ ~ t-< if] ...... o ~ DISCOUNT $0.00 $1,723.21 1070 -.~- -~, "'- -., 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 3] COST PER DFU $25.07 $777.17 ]091 B. IMPROVEMENT COST: N.lJMBER OF DFU's I x 31 $]9.07 = , $591.17 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,368.34 3. TRANSPORTATION 1- A. REIMBURSEMENT COST: I ADTTRlP RATE x I NUMBER OF UNITS x COST PER TRIP x INEWTRlPFACTOR I 9.57 I I $19.09 I 1.00 $182.69 1093 B. IMPROVEMENT COS1;: I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x INEW TRW FACTOR I 9.57 I I $84,19 I 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $988.39 - .- 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x ICOST PER FEU I I i $82.03 $82.03 I 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I I $865.3 1 = , $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) = , $0.00 I 1054 MWMC ADMINISTRATIVE FEE = , $10.00 I ]056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $5,037.28 5. ADMINISTRATIVE FEE: . ISUBTOTAL x I ADM. FEE RATE 1= CHARGE I $5,037.28 I . 5% I $251.86 TOTAL SANITARY ADMINiSTRATION FEE: 190.85 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $61.01 11078 - I Cheryl Slaymaker 3/9/2006 TOTAL SDC CHARGES =, $5,289.14 I PREPARED BY DATE .~,.::.~ '!. I.J 'i. . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE ..... NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 IDRINKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 I CLOTIIESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FORREFRIG / WATER STATION IETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 3 0 2 = 6 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 31 'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $5.19 (Enter I for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE/1000 CREDIT RATE 1985 $4 .40 $0.00 x $5.29 = I $0.00 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE / 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 I 1999 $0.28 I 2000 $0.09 .I 2001 $0.05 225. F.ifth Street Springfield, Oregon 97477 541-726-375? Phone c& of Springfield Official Receipt ~lopment Services Department Public Works Department Job/Journal Number COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 COM2006-00255 Payments: Type of Payment CreditCard Check cReceint I RECEIPT #: 2200600000000000444 Date: 04110/2006 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Curbcut Permit Curbcut - Additional Driveway Mountaingate 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 Major - Planning Building Permit 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Plan ReviewIResidential Hourly Paid By RIVER VALLEY BUILDERS RIVER V ALLEY BUILDERS Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb 12193 160409 In Person In Person Payment Total: Page 1 of2 2:18:55PM Amount Due 31.00 1,000.00 50.00 80.00 40.00 1,723.21 777.17 591.17 182.69 805.70 82.03 865.31 10.00 190.85 61.01 150.00 1,108.40 306.00 28.00 12.00 12.00 18.00 6.00 9.00 6.00 4.00 10.00 124.75 155.94 112.50 $8,552.73 Amount Paid $8,000.00 $552.73 $8,552.73 4/10/2006