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HomeMy WebLinkAboutPermit Building 2007-5-16 Status Issued ,CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00403 ISSUED: 05/16/2007 APPLIED: 03/16/2007 EXPIRES: 11/16/2007 VALUE: $ 393,276.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6280 FOREST RIDGE DR ASSESSOR'S PARCEL NO.: 1702343408500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Lot 75, Mountain Gate - Same as 6106 Fernhill Residential Owner: THOMAS W AL TER CUSTOM HOMES LLC Address: 2863 RIVERW ALK LOOP EUGENE OR 97401 Phone Number: 541-683-6355 Contractor Type General Electrical Mechanical Plumbing I CONTRAG;rlt.'~ll~lF1~rmlNl fW reqUireS you, ~o . the Oregon UtIlity follow rules aao.pl~U u sro .' Contractor \!otification CedtnreiUlPse ~ 18 _ e THOMAS WALTER CUSTO~~~IOOll.(ijQ8Vl thro~gh 1 t/'41 \ BEAR MOUNTAIN ELECT~CyOU maYl~COPle!{t J I~ MARSHALLS INC cailing the c~$iWt. (Note: thel~~PJ RS PLUMBING CONTRACTINH. Imhpr for thWlllt~gon Utilit~ J)I!OY;2<O~ on . ,.... ,-,/......'..l4). I BUILDING INFORMATION I Phone 541-683-6355 541-741-8844 541-747-7445 541-461-4714 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: 2 Lot Size: Height of Structure: 41.00' Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Wa~H)1f~~E: Gas Sq Ft Basement: Ra'~I'fYjP~RMIT SHALL EyMfl.S SR Ft Ga.r.~ge/Carport Ener~~i>afh: prt'fiif IF s{jIFWtMt: Splinki~JMjQgUNDER TIIU~ PERMl(fcup~@~oad: C'C'MM~NQ.[O Or. LO. 1,0., 1~~CIJ2D FJn DEVELOR:. ~Nl .N N 21,337 1,523 2,061 1 R-3 U VB 783 157 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.40 27.00 8.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes 16.60 Total: Handicapped: Compact: 2 0.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' To Storm Sewer Notes: Storm tied to designated lateral. Overwidth approved by Traffic, max 30ft.JLP 4/5/07 Pae:e 1 of 4 Status Issued .ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-00403 ISSUED: 05/16/2007 APPLIED: 03/16/2007 EXPIRES: 11/16/2007 VALUE: $ 393,276.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion t Deck/Balcony Dwelline:s Garae:e Deck V Wood Frame Garae:e $ Per Sq Ft or multiplier $19.00 $103.00 $27.00 Square Footage or Bid Amount 157.00 3,584.00 783.00 Value Date Calculated Description Type of Construction Total Value of Project $2,983.00 $369,152.00 $21,141.00 $393,276.00 04/10/2007 03/16/2007 03/16/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $200.00 3/16/07 2200700000000000365 + 10% Administrative Fee $256.86 5/16/07 2200700000000000761 + 5% Technology Fee $135.52 5/16/07 2200700000000000761 + 8% State Surcharge $187.39 5/16/07 2200700000000000761 3 Baths One & Two Family $306.00 5/16/07 2200700000000000761 Addressing Assignment $31.00 5/16/07 2200700000000000761 Building Permit $1,511.40 5/16/07 2200700000000000761 Curbcut Permit $40.00 5/16/07 2200700000000000761 Curbcut Permit $80.00 5/16/07 2200700000000000761 Exhaust Hoods $9.00 5/16/07 2200700000000000761 Fire SF Fee - Residential $226.20 5/16/07 2200700000000000761 Fireplace (Listed) $45.00 5/16/07 2200700000000000761 Fixture $42.00 5/16/07 2200700000000000761 Furnace - more than 100,000 $15.00 5/16/07 2200700000000000761 Gas Outlets 1-4 $4.00 5/16/07 2200700000000000761 Gas Outlets 4+ $1.00 5/16/07 2200700000000000761 Miscellaneous Plumbing $90.00 5/16/07 2200700000000000761 Mountaingate Impervious Area $1,291. 79 5/16/07 2200700000000000761 Plan Review Major - Planning $198.00 5/16/07 2200700000000000761 Plan Review/Residential Hourly $45.00 5/16/07 2200700000000000761 PW Disc - 2nd Permit $-30.00 5/16/07 2200700000000000761 Residence Wiring 1000 Sq Ft $106.00 5/16/07 2200700000000000761 Residence Wiring Ea Addtl 500 $133.00 5/16/07 2200700000000000761 Sanitary Sewer - Improvement $752.04 5/16/07 2200700000000000761 Sanitary Sewer - Reimbursement $989.01 5/16/07 2200700000000000761 SDC MWMC Administration $10.00 5/16/07 2200700000000000761 SDC MWMC Improvement $961.52 5/16/07 2200700000000000761 SDC MWMC Reimbursement $91.61 5/16/07 2200700000000000761 SDC Sanitary/Storm Admin $191.36 5/16/07 2200700000000000761 SDC Transpo Admin $64.73 5/16/07 2200700000000000761 SDC Transpo Improvement $836.32 5/16/07 2200700000000000761 SDC Transpo Reimbursement $189.58 5/16/07 2200700000000000761 Sidewalk Permit $80.00 5/16/07 2200700000000000761 Temp Power 200 amps or less $50.00 5/16/07 2200700000000000761 Pae:e 2 of 4 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2007-00403 ISSUED: 05/16/2007 APPLIED: 03/16/2007 EXPIRES: 11/16/2007 VALUE: $ 393,276.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Willamalane Single Family $30.00 $2,303.00 5/16/07 5/16/07 2200700000000000761 2200700000000000761 Total Amount Paid $11,473.33 I Plan Reviews I Initial Review Plannine: Review 03/2012007 03/20/2007 03/22/2007 04/10/2007 APP APP NJM TAJ Place orange construction fencing along the Vegetation Easement and keep all construction activity out of this area. Use Native street trees from the Hillside list on page 6-4 of the street tree handout. Rcvd in PW 3/20/2007 Waiting in order rcvd. JLP 3/20/07. *** Storm tied to designated lateral. Overwidth approved by Traffic, max 30ft.JLP 4/5/07 Public Works Review 03/20/2007 04/06/2007 APP JLP Structural Review 03/20/2007 04/02/2007 OK RWC 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. 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 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. Drywall: Prior to taping. 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. Pae:e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00403 ISSUED: 05/16/2007 APPLIED: 03/16/2007 EXPIRES: 11/16/2007 VALUE: $ 393,276.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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. 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 all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Electric Service: Approval required prior to utility company energizing service. 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. ~ I ULA /(\t~,__6r- s-. I L? <-u'1 Owner or Contractors Signature Date Pae:e 4 of 4 ~--.~' ---- __~r,--_.",_~..,~." _ -_.'O.'-'~- _ .-_._.__ ::;--::.::=:-:: :~~:...:=::::7:~::"'~::, /;:!.:~]E{_~..J1. J.lt_~-(::.4..."L F!JEJFf:l~l:Ji T P1Pp~]rCAT! ~JY 225 FIITH STREET - SPRINGFIELD, OR 97477 - PH:(541)726-3753 -FAX: (541)726-3689 City Job Number COv1A 2007 -a 04 O::r . - . -... --. : ..... _ _ _0_' _____ _-. .. 1. .T;?~''li1;J(}l~Df{f;1Jif$:?!{i!{:Y~~~!f?!tt;;c)h::? bZ80 ,~e-S4 (2.7'Jc,t:'" " LEGAL DESCRlr 11VI-l 170Z. :3t.t3'{ e> g-~-oO JOB DESCRIPTION ./' #D~~ WI(U;'" ~ TBh1, yO Permits are non-transferable and e~re if work is . not started within 180 days of issuance or if work is Suspended for 180 days. Date , . ..' ~ 5-IG:-b7 3. -.::-~~q~fftf~.j;~~~~ijJl};~~qt~fi:~~*'~t!Jj~~(J(J4("'-,:',..~... :.-.-..: .. A. "I'\i~Y~1{~~e~#~J.1~~~i~I~~f;:~V~~h1"c!f~~W~;V#,d\~~ning.~11k~......,...,., Service Included 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof Each Manufacfd Home or Modular Dwelling Service or Feeder $106.00 IDb J33 / 7 $ 19.00 $50.00 :;ocm::::nt:;l ~t:..p'r.- (j~B.;::~:i~":~"!"~".ji";i~~:;':::""f"'~'!",,"'. k ) / jr J 7 II /k 20J Amps to 400 Amps $ 75.00 Address 1.<:3171 (j;tlw. Je/~~ d' y/~ 4OJAmpsto600Amps $125.00 C qA' 7lt/-1?tfqj 601 Amps to 1000 Amps $163.00 City C, A .IfCn <.. Phone 1J{'3-67'11 7ttfWlZ/ Over 1000 AmpsIVolts $375.00 J R...."....ect Only $ 50.00 C," - - r:.-' <. ."oc:::...\IOU \0 . ~ emp~jt~H')' ."'lrf'!--~i~~u-v;:rJf~t\\'W On \a.~ A o{e9o~ c:.e\ ,ort . ~~J.J!"(g~;.' p..\1E.N crg%~dr~ose {Un o~f\ 95 \ $ 50.00 'o\\O~ {~~08iP~~~9 so' \he ot'A $ 69.00 _'o,\\\ca.\\41 ~~ 6g~\e ~ne \e\e?~' _\,nl' $100.00 'i ..~ 9 p~: b..\O,\.e~,~ t-..\~\IJ"" \\ \ Or"' (dyp~OlJ ~~~'U\W.~s~~A): " above. 00900. :;;t~o.~w.:;l'1!t~On- n n~AA. _ _ ca.\\\n\t"'tl"I'\"e~vJ'W~{'\". ~1'l,,,...;c, _ ~- \Q~ratiDn -~r Extension Per Panel fI U One Circuit . Each Additional Circuit or with : Service or Feeder Permit Supervisor License Number ~ C/o ~ Expiration Date / (j-O /-07 Canstr. Contr. Number /<. t z(j<6 Expiration Date t -('-07 Signa~9f Swer;vfsln~'lectriCian tlv)/L/i -) . OwnersName TvJ C~J.,~ ~e:s Address Zgr6J ~I "O'\..W,(,1~ L,o E. City &zJ.-~. Phone pZ3-b'JS'CS- OWNER INSTALLATION The installation is being made on }'.....}'~ I own which is not intended for sale. lease or rent. Owners Signature: Inspection Request: 726-3769 5'0 $ 43.00 $ 3.00 'Ie"" ,"".""'-'/,~,', -- - ,-.-,.. ~'_< _ u . .i"t=tf3'1:~H~ne6~!S'\.Scr~'7e~~f-r;,:2ffi~r '~Hlf~ mC4{:l~{:~U Pi . ~_ ~-l Rst:1J~atHJi1 , ,,_. . 1\iC\I"IU " PiI\Q, 'u ~\'\' '~\11\ II \eX? ~ ~ ~ ~.l! \ 1 t'>~&;1 S~ili~'t~~.~~mER 1\-\\ \ -.'JIG f~~()'OO Li~~}l{JR1W~t\:s I\B I\NUU \\l \.- $ 25.00 LhtttWJM~~~~~D. $ 45.00 Minimu~~.~A)'it Inspection Fee is $45.00 + Surcharges ~ zg, Z3 ,"z,. ZB~ 1'1 Ilr 8% State Surcharge 10% Administrative Fee S"C' 'caA-t ,:-;:'~ T6TAL $:?5S'_fb /~--::::::- ~ Shared Drive{T:)fBuilding FonnstElectrical Pennit Application) -06.doc C,TY OF Sf'hl"'GFIELD SYSTEM~ DEVELOPMEN';?il':VRKSHEET JOURNAL OR JOB NUMBER: C0M2007-00403 NAME OR COMPANY: Tom Walter LOCATION: 6280 Forest Ridge Dr TAX LOT NUMBER: MtGate]stAdd Lot#75 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS ] BUILDING SIZE (SF: 2911 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO. CITY STORM SYSTEM I IMPERVIOUS S.F. x COST PER S.F. CHARGE I 3849.00 $0.336:: I $1,291.79 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I I 0.00 $0.336 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC' 1 $1,291.79 21377 r.rJ P-l Cl o u ~ P-l f-< r.rJ ...... o gz DISCOUNT $0.00 $1,291. 79 111070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I . x I 38 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 38 I COST PER DFU $26.03 $989.01 109] $]9.79 $752.04 ]092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,741.05 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE I x NUMBER OF UNITS I x I COST PER TRIP x NEW TRIP F ACTOR I 9.57 I 1 I I $] 9.8] 1.00 i $189.58 1093 B. IMPROVEMENT COST: ADTTRIPRATE x NUMBER OF UNITS I x I COST PER TRIP x NEW TRIP F ACTORI ; ~ 9.57 ] I , $87.39 1.00 I $836.32 j 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = 1 $1,025.90 I 4. SANITARY SEWER-MWMC t A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I ] $91.61 = $91.61 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I 'X COST PER FEU I ] I $961.52 = $961.52 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ,\ ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,063.13 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $5,121.87 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE 1= $5,]21.87 I 5% I. TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $256.09 ] 91.36 $64.73 1079 i ]078 I Jeff Prociw 4/6/2007 TOTAL SDCCHARGES = I $5,377.96 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN .0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 I CLOTIffiSW ASHER / MOP SINK 1 0 3 = 3 I CLOTIffiSW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FORREFRIG / WATER STATION /ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 2 0 2 = 4 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3 URINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 0 ITOILET, PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 38 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at ] 67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE ]979 ]979 1980 1981 ]982 1983 ]984 ]985 ]986 ]987 ]988 ]9&9 ]990 ]99] 1992 1993 ]994 ]995 1996 ]997 1998 1999 2000 2001 CREDIT RATE/$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] for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 ]979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $O~O x $5.29 o = $0.00 TOTAL MWMC CREDIT .Job/Journal Number COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007 -00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007 -00403 COM2007 -00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007 -00403 COM2007-00403 COM2007 -00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 COM2007-00403 Payments: Type of Payment CreditCard Check Check cReceintl RECEIPT #:I~200700000000000761 Description Curbcut Permit Building Permit 3 Baths One & Two Family Furnace - more than 100,000 Vent Fan Exhaust Hoods Gas Outlets 1-4 Gas Outlets 4+ . Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit 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 Plan ReviewIResidential Hourly Addressing Assignment Willamalane Single Family Fixture Miscellaneous Plumbing Fireplace (Listed) Fire SF Fee - Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By WALTER CUSTOM HOMES WALTER CUSTOM HOMES W ALTER CUSTOM HOMES Received By nJm njm njm Page 2 of3 Check Number Batch Number e: 05/16/2007 Item Total: 6624 5595 Authorization Number How Received 016069 In Person In Person In Person Payment Total: 1 :39:20PM . Amount Due 40.00 1,511.40 306.00 15.00 30.00 9.00 4.00 1.00 50.00 80.00 80.00 (30.00) 1,291.79 989.01 752.04 189.58 836.32 91.61 961.52 10.00 191.36 64.73 198.00 45.00 31.00 2,303.00 42.00 90.00 45.00 226.20 106.00 133.00 135.52 187.39 256.86 $11,273.33 Amount Paid $9,500.00 $1,479.36 $293.97 $11,273.33 5/16/2007