HomeMy WebLinkAboutPermit Building 2004-3-8 (2)
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_~MAI!'I~I!I~"Q' .
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I
Status Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4023 Donglas Dr
ASSESSOR'S PARCEL NO,: 1802061111000
j
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00204
ISSUED: 03/08/2004
APPLIED: 02/20/2004
EXPIRES: 10/08/2004
VALUE: $ 154,408.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR -lot 11 shady creek - same as COM2003-01195 4046 Donglas dr
Residenlial
Owncr: ,BRUCE WIECHERT
Addrcss: 3375 PARK HILLS EUGENE OR 97405
Phone Number: 541-686-9458
. . law reqUires you to
I CONTRACTOR INFORMA'fIl!lN'I' tOreg~nb the Oregon Utility
TOIIOW ',L1I"" ad~~:e","h~e r' ,Ies are set fort'
Contractor ~otifuicense CenExpiration qateARP.honeo'
BRUCE WIECHERT CUSTOM HOMES Il'!OJlO\,717,2-001-00:q9Jt1~~:t~ ~f th24k6iH458
L & E ELECTRIC INC )091.051175J may obt'03/~l!ago1ne telbs.1~;\'~~2653
COMFORT FLOW c460ing the cente'06127/2004 No\st'1-7:26,l!100
STEVE R JOHNSON n~5,065}r for the orOiJfyidQW~"AA,~1~42-3765
I BIJILDING INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Unils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslruclion Type
Secondary Conslruction Type:
# of Bedrooms:
SETBACKS
Front yard Selback:
Side I Setback:
Side 2 Setback:
Real')'ard Selbaek:
Sola r Selbaeks:
18.00
6.00
14.00
18.00
0.00
Slreel Improvements:
Storm Sewer Available:
Speciallnslruction:
1
R-3
U-l
VN
# of Stories: 1
Height of Structure 17.00
Type of Heal: Forced Air Gas
Waler Type: Gas
Range Type: Electric
Energy Palh: Palh 1
3
Lot Size:
Sq Ft IsI Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,850
1,558
430
I DEVELOPMENT IN'i;ORM;"TJO~ ilALL EXPIRE IF THE WORK
. A'UTH'O'RiiED UNDER THIS PE~~rARKING
Overlay Dist: "f1MMENCED OR IS ABANDO~!!GI~OR 2
# Street ~rees ~Q,~' 0 DAv PERIOB. HandIcapped:
Paved DrIve Rqil~ Y 18 ,I Y Compact:
es
% of Lot Coverage: 33.90
I,PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Fullv Improved
Yes
Notes:
Curbside 5'
Curb and Gutter
Pal!e 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construclion
Dwellinl!s '
Carallc
V Wood Frame
Garal!e
Fee Description
Plan Review Same As
-MedlOnieal Issuance Fee-
+ J OlX. Administrative Fee
+ 7tYt, State Surcharge
2 Baths One or Two Family
Addl'essing Assignment
Building Permit
Curbeut - Overwidth Appl
Curbcut Permit
Exhaustlloods
FUf'llacc - up to 100,000 btu
Gas Fireplace
Gas Untlels 1-4
Heat Pump
Piau Review - Planning
PW Mult Disc - 2nd Permit
Residcuce Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanilary Sewer - Improvement
Sanilar)' Sewer - Reimbursement
SDC ~IWI\IC Administration
SDC ~IW~IC Improvement
SDC ~IW~IC Reimbursement
SDC Sanitllry/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storlll Dr:Iinage Impervious Area
Vent Fan
Will:lIl1lllane Single Family
Total Amount Paid
j
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,558.00
430.00
Total Value of Project
Fpp< PiWIJ
Amount Paid
$100.00
$10.00
$121.24
$84,87
$254.00
$31.00
$744.40
$35.00
$75.00
$9.00
$12.00
$15.00
$4.00
$12.00
$71.00
$-30.00
$106.00
$38.00
$344.20
$452.80
$10.00
$214.23
$314.63
$102.21
$53.92
$727.42
$164.89
$75.00
$894.36
$18.00
$1,000.00
$6,064.17
Date Paid
2/20/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
3/8/04
Pal!e 2 of 4
. CITY V.. ~rKll"GFIELD '
Building/Combination Permit
PERMIT NO: COM2004-00204
ISSUED: 03/08/2004
APPLIED: 02/20/2004
EXPIRES: 10/08/2004
VALUE: $ 154,408.00
Value
Date Calculated
$143,959.20
$10,449.00
$154,408.20
02/20/2004
02/20/2004
Receipl Number
1200400000000000230
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
1200400000000000284
Statns
Issued
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plalllline. Review
Pulllie Works Review
Publil' "'orks Review
Structural Review
.
. \...11 ~ VI' ~rKll"uI'l~LD
Building/Combination Permit
PERMIT NO: COM2004-00204'
ISSUED: 03/08/2004
APPLIED: 02/20/2004
EXPIRES: 10/08/2004
VALUE: $ 154,408.00
I Plan Reviews ,
02/2012004 02/20/2004 APP RJB
02/20/2004 03/03/2004 APP TAJ
02/2012004 02/21/2004 APP VRJ Applicant has submitted for an
overwidth driveway 2121/04, PW's is
waiting for approval from Traffic.
02/24/2004 02/24/2004 APP VRJ Overwidtb driveway application
approved 2/23/2004 with conditions:
"The transilion wing will start at the
drain inlet." See overwldth
application.
02/2012004 09/02/2004 APP RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
willlJc made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
~ RpnllirlPti Tn~nlp.lr~
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete;
I Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
3 Erosion/Grading Inspection: After all erosion measures are in place.
4 Ufer Electrical Ground: Install ground rod at footing and call for Inspection In conjunction with footing and/or
foundation inspection.
5 Footing: After trenches are excavated.
G Foundation: After forms are erected but prior to concrete placement.
7 Post and Beam: Prior to floor insulation or decking.
S Floor Insulation: Prior to decking.
9 Shear Wall Nailing: Before covering sheathing with finish materials.
10 Framing Inspection: Prior (0 cover and after all rough in inspections have been approved.
11 Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 1101<1 Downs Installed: Special Inspection performed prior (0 placement of concrete. Provide report (0 City
Building Inspector.
15 Underfloor Plumbing: Prior to insulation or decking.
16 Underfloor Drain: Prior to cover or placement of concrete.
17 Ilough Plumbing: Prior to cover and including required testing.
1 S Water Line: Prior to filling trench and including required testing.
19 San itary Sewer Line: Prior to filling trench and including required testing.
20 Storm Sewer Line: Prior to filling trench.
21 Final Plumbing: When all plumbing work is complete.
22 U nderfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
2.1 Undernoor Mechanical. Prior to insulation or decking and including required testing.
24 Iluugh Gas: After line is installed and required testing and capped if not attached to an appliance.
25 Gns Service: After line is installed and line has been connected to a minimum of ODe appliance including required
ll'stillg. Presure test done at this point.
26 Rough l\'lechanical: Prior to Cover
Pal!e30f4
r
.
. CITY OF ~rKlj~\jl'lJ<.,LlJ
Building/Combination Permit
PERMIT NO: COM2004-00204
ISSUED: 03/08/2004
APPLIED: 02/20/2004
EXPIRES: 10/08/2004
VALUE: $ 154,408.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3(,76 Fax
541-726-37") Inspection Line
27 Fill, Gas: When all gas work is complete.
28 Final Mechanical: When all mechanical work is complete.
2tJ l~OI'l1h Electric: Prior to Cover
JU I:1l" ..ic Service: Approval required prior to utility company energizing service.
31 Fillal Electric: Wben all electrical work is complete.
By signa'"",. I state and agree, that I have carefully examined the completed application and do hereby certify that all
inful'Illalio', hereon is true and correct, and I further cerlify that any and all work performed shall be done in accordance with
the Onlilla :ees of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that 1\0 O' 'CUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
J furlhl'r l' ,ify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fUl'thlT a' ree to ellsure that all required inspections are requested at the proper time, that each address is readable from the
sln'l'I, Iilal 'he permit card is located at the front of the property, and the approved set of plans will remain on the site a( all
thill'S dl1l'il. ~ construction.
-~/~~
"3-8-cY/
~'Ill'I' or (~actor{Signature
Date
o
Pal!e 4 of 4
- -, -. ~ ~~. . - - ,
<' ': . CITY OF SPR~G.FJELD, O~GON:; ..:,,' ':", (' -}~::;
~~lif~t~"t;"'W~'.~"l ;1'. .
2. "<'Q' -. .' ~ B.
. . ~"r.,;' ~. -:;eo' ..... ~-' ". .; \ ~ "' ~'J' ., -'WI;
E1~caICon~tor' L('E-E'lp~~;E~:MIT SHaJ'l!' ';;ltrHE WO~K'
. '" \ I tB~ p$,
Address '1:J~J.~ J()fU5 A-crlJ ptlalORIZED UNI i l.o;m 'tb ~p? NOT
COMMENCED OR~8t R,q~Mn
City So C-Id Phone q33 A~~AY PE~IOOOAmpslVolts
I R______. Only
Installation, Alteration or Relocalion
200 Amps or lcss
Conslr, Conlr, Number I 0 54 r.S 201 Amps 10 400 Amps
, ATTENTJON4dr~I\OlIfioo~ you 10
Expiration Date 3 - ~ Q - 0 If fn~l~w rules aBwJ'&6\PxJ,~ Q%ll8'VMtil~ ''B" above.
, . . .' . . Notlfrcatlon (fr.'mBP , ' "" .~~
Slu'''~v71J lectriy) I' " ~O~~.Ry~~2':>;:_19{)~,~'tJ)panel ~ ~~~:t~
_1/ ~ of' ~.JjAc2A/J cllllingthec@Atafi~te:thetelephone S43.OO
~ " numberfort~~I!#ill!J!lI~ftOlith>n
OwnenName(),r\Jl.€. WiecJ/l.e.vt (\b~~Q~i'J(f-~~. S 3,00
Address3~ ..., 5,- . E.~' ' , iili' . '\Jd~_.tg.r.-
/ \'C"-~Il. H-, \,~ ~~~;;~!-_ = Q.~ . L~~~~~
City Ev~el'lf. Phone ~gh-9Lf,(~ Pump or irrigation S50.OO
Sign/Outline Lighting S 50.00
Limited Energy/Residential $ 25 .00
Limited Energy/Commercial S 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.1~1.;~'I',~' /Llt!
7% State Surcharge ' /0 0 Z
10% Administrative Fee /4,-/0
/6~~
ELECl'RlCAL PERMrl' APPLICA770N
City Job N;,,;,ber C011 ZClO'f -{)OW Y Date
~~~t~tlIJ
LEGAL DESCRIPTION
I 'bOl.-Oblt //()CJO
JOB DESCRIPTION
'sFR-
Permits are non-transferable and expire If work is
not started wlthin 180 days of Issuance or If work is
Suspended for 180 days.
Supervisor License Number
'I; 7Lf-5
Expiration Date
IO-Oj ~Olf
OWNER INSTALLATION
The installation is being made On property J own which
is not intended for sale, lease or rent
Owners Signa lUre:
Inspection Request: 726-3769
A. ~iii' "
~j "'-'.~
Service Included
1000 sq. ft. or Icss
Each additional 500 sq. ft, or
portion thereof
Each Manumct'd Home or
Modular Dwelling Service or
Feeder
$106,00
job
3,25
I
L
$ 19.00
$50,00
- rI!"~'!'- ,~~'~' ,
- <.'''t.' ,:~,..!.' ~",..,,-,.;, ~1L:J,.~
~"'. ... ."'~ =,...,:...~"":I.;.........
S 63.00
S 75,00
SI25,OO
S163.00
S375.OO
$ 50,00
~Q',~" ,>I'- '.;.tSl -"1"'.ll.'ii!1 ""1;~;;~~-<'\ti,'.~c ','!:'~-,
c.. ..'~"' '~.~~~$ri-~~l:~~~~
S 50.00
S 69.00
Sloo,OO
TOTAL
Sbmd 1lriv<(T:)/Iluilding FormslElectrical Pc1mit APIlticaticm 1.{)J,doc
CITY OF SPIGFIELD SYSTEMS DEVELOPMEN+tlRKSHEET
JOURNAL OR JOB NUMBER: COM2004-00204
NAME OR COMPANY: Bruce Weichert Custom Homes
LOCATION: 4023 Doull!as Drive
TAX LOT NUMBER: 180206 I 1 Tax Lot 11000
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I
I 3084,00 1 $0,290 I = I $894,36
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, I x I COST PER S,F, I x I DISCOUNT RATE I I DISCOUNT
I 0,00 I $0,290 I I 50% ~ I $0,00
ITEM I TOTAL - STORM DRAINAGE SDC '$894,36
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 20 I $22.64
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 20 $17,21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
3, TRANSPORTATION
$797,00
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I
I 9,57 I I I I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I
I 9,57 I I I
ITEM 3 TOTAL - TRANSPORTATION SDC = I
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $314,63
B. IMPROVEMENT COST:
INUMBER OF FEU's , x ICOST PER FEU
I I I $214,23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I
5, ADMINISTRATIVE FEE:
ISUBTOTAL I x I ADM, FEE RATE I~
I $3,122.53 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
COST PER TRIP
$17,23
x I NEW TRJP F ACTORI
1.00
COST PER TRIP
$76,01
$892.31
x INEWTRIP FACTORI
1.00
5850
$894,36
Iii
1[2
10
10
U
Ie<:
I~
,,,"
r.n
6
~
I 1070
I
$452,80 11091
I
$344.20 I 1092
$164.89
$727.42
$538,86
$3,122.53
CHARGE
$156,13
=
$314.63
=
$214.23
$0.00
$10.00
102,21
$53,92
2/20/2004
TOTAL SDC CHARGES
$3,278.66
Virginia Jurasevich
PREPARED BY
DATE
J
----,
11093
1094
I 1054
I
1055
1054
1056
1079
1078
----
.J .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW AXTURES x UNIT EQUIVALENT"" DRAINAGE AXTURE UNITS
(NOTE' FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL RXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IsA THTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE J OIL J SOLIDS J ETC, 0 0 3 = 0
I INTERCEPTORS FOR SAND 1 AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER. 3 OR MORE (EA), 0 0 6 = 0
IMOBILE HOME PARK TRAP.ll PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
ISHOWER. GANG (NUMBER OF HEADSl.. 0 0 2 = 0
ISINK, COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0 I
iSINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I
ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 1 0 1 = 1 I
I URINAL. STALL / WALL 0 0 5 = 0 I
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 I
ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 il
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20 I
.EDU (Equivalent Dwellin,g Unit) is a dischar,ge equivalent to a sincle family dwellin,g unit (20 OWs) set at 167 gallons per day ~,
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$ I ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE '979 $5,04 (Enter I for Yes, 2 for No)
1979 $5,04 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
1980 $4.95 (En'er I for Yes, 2 for No)
1981 $4.88 BASE YEAR 1979
1982 $4.75 I
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 VALUE /1000 CREDIT RATE
1985 $4.20 $0,00 x $5,04 ~ , $0,00 1
1986 $3,88 I
1987 $3,50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3,07 VALUE /1000 CREDIT RATE
1989 $2,60 $0,00 x $5,04 0 I
1990 $2,14 I
1991 SI.71
'992 $1.52 TOTAL MWMC CREDIT = $0,00 I
I 1993 $1.38
I '994 St.l9
I 1995 $1.03
I 1996 $0,87
I 1997 $0.68
I 1998 $0,46 I
I 1999 50.27 I
I: 2000 $0,09 ,I
200' $0,04 II
225 Fifth Street -&
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
C0M2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
C0M2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
C0M2004-00204
COM2004-00204
COM2004-00204
COM2004-00204
C0M2004-00204
C0M2004-00204
Payments:
Type of Payment
CreditCard
~~"........~;" ',.'
IL-h.e '0
~-~ "
Receipt #: 1200400000000000284
Description
SwtitarySewer-Rerrnburnemem
Sanitary Sewer - \my. v' ....ent
SDC Transpo Rerrnburnement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Gas Outlets 1-4
Gas Fireplace
Heat Purnp
-Mechanical Issuance Fee-
Furnace - up to 100,000 btu
Plan Review - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Building Permit
Addressing Assignment
Willamalane Single Family
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth Appl
PW Mult Disc - 2nd Permit
Storm Drainage Impervious Area
Received By
ddk
Check Number
Batch Number Authorization Number
Paid By
BRUCE WEICHERT
000317 011603
"
City of Springfield Official Receipt ,J
Development Services Department
Public \Vorks Department
Date: 03/08/2004
10:42:04AM
Amount Paid
Item Total:
452,80
344,20
164,89
727.42
314,63
214,23
10,00
102,21
53.92
254,00
18,00
9,00
4,00
15,00
12,00
10,00
12,00
71.00
106,00
38,00
84,87
121.24
744.40
31.00
1,000.00
75.00
75,00
35,00
(30,00)
894,36
$5,964.17
.
.)
How Received
10 Person
Payment Total:
Amount Paid
$5,964,17
$5,964.17