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Home My WebLink AboutPermit Building 2010-2-22 ~ ~. CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement PERMIT NO: COM20IO-00I08 ISSUED: APPLIED: EXPIRES: VALUE: 01/2612010 07/27/2010 $ 225,460.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3188 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802062111000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: New single family dwelling ........DPA ......... NO FINAL INSPECTIONS UNTIL FEES ARE PAID Owner: OJS INVESTMENTS LLC Address: 2860 MARTINIQUE AVE EUGENE OR 97408 Contractor Type Mechanical Plumbing I CONTRACTOR INFORMATION I I equllt::~ y...,.... ~- ION- Oregon aW r -~"Iity Contractor-HENTI . -,' led by the Oregon~ ~Sft~e SUNSET HE~i'1~~~1,'~flr;Olose rules are ~ -O~~- DONALD {!:-~\'=W!h(j01-001 0 thrO~.lg~ ~f.~" U.ilW~Y 0(J90" YOI" BUlLDiN'G;iNFORMK~~~~n . CCi.hIl1Q. .t,~ \ Cr"c{"'1' U\illl.Y 1'<""" I b \0' t ,e J c ..~ - 44) r,IJrn' or ' # of "tor.iesG32-23 . CBf\\!..-o( tJ'-'i ~\; R-3 . Height of Structure 28.00 U Type of Heat: Forced Air Gas VB Water Type: Gas Range Type: Gas Energy Path: Sprinkled Building: Expiration Date 08/1812010 0111612012 Phone 541-988-3181 541-688-1931 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 2 Lot Size: 6,637 Sq Ftlst Floor: 858 Sq Ft 2nd Floor: 1,225 Sq Ft Basement: Sq Ft Garage/Carport 630 Sq Ft Other: Occupant Load: 3 No Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: I DEVELOPMENT INFORMATlON.II...RK .1011"'.... EXPIRe 11- '''~ 11.50~-H\S PERifi~~\T ~~~~:THIS PERMI"! 15:0T 15.00 ~UTHOR\ n r'i'lI\'$'A~t)ONED fO 4 16.50 ~OMMENp .t' . *,qd: Yes 23.50 ...NY 180 W6!- [ verage: 26.00 40.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC'IMPROVEMENTS I .'J. '.. ; Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Guller Fullv Improved Yes Notes: STORM DRAINS TO CURB AND GUTTER [D)~b\ AijJ)lHOR~ZA T~(o)N 1(0 ~R(Q)C~rED Puee I of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ., PERMIT NO: COM2010-00108 ISSUED: APPLIED: EXPIRES: VALUE: ~ ,I..' '. . I Valuation Description ~ Description $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 630.00 2,083.00 TVlle of Construction Garage/Mise SF/Dulllex U VB Utilitv R-3 VB 1&2 Familv Total Valne of Project ~ Fee Deserilltion SDC MWMC Administ...tion SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimhursement Amount Paid Date Paid $ 10.00 $22.63 $1,333.57 $101.97 2/22/10 2/22/10 2/22/10 2/22/10 Total Amount Paid $1,468.17 I P.lan Reviews I Plannine Review 01/26/20 I 0 01/26/2010 APP DDK Public Works Review 01/26/20 I 0 APP B,JG 01/27/2010 Structural Review 01/26/2010 01/27/2010 APP CJC 01/26/2010 07/27/2010 $ 225,460.00 Value Date Caleulated $23,763.60 $201,696.89 $225,460.49 01/26/2010 01/26/2010 Receipt Number 1201000000000000155 1201000000000000155 1201000000000000155 1201000000000000155 DEFERRED PAYMENT APPLICA TION. 4 Street trees required - 2 along S. 32nd Street and 2 along Douglas Dr. as shown on subdivision plan. STORM DRAINS TO CURB AND GUTTER As noted on plans 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. l...Reollired.Jnsnections ~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod ~t.footing.und call for inspection in conjunction with footing und/or foundation inspection. ',t~:, r ::.,' Footing: After trenches are excavated. '- Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to noor insulation or decking. Page 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Deferred Payment Agreement PERMIT NO: COM20IO-00I08 ISSUED: APPLIED: EXPIRES: VALUE: 01/26/2010 07/27/20 I 0 $ 225,460.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report 10 City Building Inspector. " ' ;/1,', 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. Vnderlloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rongh Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewe,' Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and require<ftesiing';lOd capped ifnot attached to an appliance. . , Gas Service: After line is installed and line has heen 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. Rough Electric: Prior 10 Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms arc ereeted but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. .' . ::j Paee 3 of 4 f". .," ., Status Deferred Payment Agreement 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '.: .r ..' ",. ... CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00108 ISSUED: APPLIED: EXPIRES: VALUE: 01126/2010 07/27/2010 $ 225,460.00 By signatllre, 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 aud all work performed shall be dOlle in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hereill, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that ollly 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 011 the site at all 6)g constrllctioll. -----..... Owner or Contractors Signature - "' , " Page 4 of4 2~22~(6 Date ~, ~6'.. ' .....4~<t,~ 'If-''' ~$~ ;;":t\l{~"':"e,i:I-",,, ~',;:f.:l'"j'}::""1!: '.;t'~~ '~'. .. t...~ ,;1' ., ,.:," CITY,)p_F'S~RINGFIE(jQ'fi9RJ,;GO~~i:,i;t.~;~1;~;;: ':'s~ r " " Structural Permit Application 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 r DEPARTMENT USE ONLY BPRING~E1.D ~ ~ ~~~ '~: \'~'" I7AJf pennitno{Vo -/0% This permit is issued under OAR 918-460-0030. Permits expire if work is not started 'within 180 days of issuance or if work is suspended for 180 days. it"., ,,;;;, 'L:'O<fA(:':i;'QYERNMgN'r;;Ap,.ii@YAllf,;:;t!~,;;.\;'i:':I~~ This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~1~tt~~'~~~~~~~~~{GAt~9.(i~Y~'Q~;j!5:b.N',~iRVGItlp~~1}iJ;~;~:5~;ii~~;~':'~~' Residential 0 Government D Commercial <,'!:.;ii;,.;~;:J9'B;~Ij:E: ,iNjf9RMATi6N'tANpr~OCAn9t:lf"': i~i,.;"~';; Job site address: :( 8 t '&r:..J .c. City: '>/1,>:> f.--..t State: dL ZIP: Name: :., P.ROPERTY OWNER ~\\ L(..c. ~ A'-''''' Slate: of2.. - 517- 5>:)0 Fax: ZIP: 17 'ttJ1 66'7- 763 ~ E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing reqUireme~)llterORS~IO" --....... Sign here: f:::3 _ CONTRAqOR", 1t:i1:rrAL.LA 'PON' ',':' Business name: l>S.s --\ \)~ Address: 2.BbQ ,'-' ; City: E. Phone: E-mail: CCB license no.: Print name: 0N-t n- Signature. ;';:~~~;~~~"!?!::;i:~.!~SQ,~'~C~Nj[{AGJ<5 i{' (NFq~MAnC'-~~~~r:~1t~;ij::~~~{;;{! Name CCD License Number Phone Number Electrical Plumbing ~ Le....., :'i Mechanical .s I{.JS a- 5~'::' AS . \..Pi 5 G:"t'" .5 "';,;".';'" : .,:!~.::"~-_\'('<{j~::'~/;.FEE'S'C~'gpiJIE-: j;'i'~i:'- ":. ~:t;' "';r:.~~:"-.:-', :', ':i:~v ~HI~It.i.o~,'ipfo'rmatioJ~',.~dJJ~:~~~1?LL1;' ';;;i . :'~ l:;'{~'..~,t;f~0:~~:_~:~,,\ t'~l (a) Job description: rv-e-u ~f'D Occupancy 12-- J I/\. Construction type: vB Square feet: Cost per square foot: Other information: Type of Heat: ~ C:, f-- fr. Energy Path: 114 [l;}fu:w 0 alteration 0 addition (b) Foundation-only permit? 0 Yes 0 No Total valuation: $ '2 'a'id'" "fd"",."., ,~."""'" '''''''':')D ;J;'1>,L.... ::"_ .;.' .U1_ _._mg-... e~Si-"'-1;j'.:~J!;~':. ;.1~~JU~',~~!i:~.:, :;; (r": _ " .. , .. , (a) Permit ree (use valuation table): $ /Z-Zl ~ (b) Investigative fee (equal to [2a]): $ (e) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (. 12 x [2a+2b+2c]): $ 14u, 'D (e) Subtotal oCfees above (2a through 2d): $ /J{:?J 1 ~jqpian1~eview"fie"es.L~~::.~q~~~~JJf:~~\!r1c~~~r-~'~~1@''.~i ~~'lr~b 1...._ _.j. ...c..... ..._',;,~~",#~''''''''',~.~.,-,~.~'L''':' ','<''- .._"'=f.;".'?;....~.w,.t' (a) Plan review (65% x permit fee [2a]): $ '7 'Pi "... (b) Fire and life safety (40%x permit fee [2a]): $ (cj Subtotal of fees above (33 and 3b): $ U:~~: M~~eHa~.~o~us:f~~t~~.:~*il~;:f~i)~~t~~t:~6'~- ~~: .~.. .;<::{;:f';l.~:, ,,: .-,..... (a) Seismic fee, 1%(.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ :2.1 V 2_ ~ '7 t)PA < -~ I ~T '") Electrical Permit A . 225 Fifth Street.Sprlngfield, OR 97477.PH(541)726-3753.FAX(541)726-3689 a~ ",,-, .....-......., -,:.,_,::-,',f ~... b& WJ' ' f'~ j;',,,, ."" "', -"," ;,,'" .- ';I'\;.,;':DE~ARTMENT USEONL Y '-"-0"." ,.. -.-,'...- . eo.... ZOllJ -00 10 8" Permit no.: Date: This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT:A~PROVAL Zoning approval verified? 0 Yes 0 No ", CATEGORY OF CONSTRUCTION o Residential 0 Government 0 Commercial ',JOB SrrE INFORMATION"AND L.OCATION Jobsiteaddress 31 g-g DOv\.G-L- S. bit City' ~ (~ State: , 71( 71 Reference I B () Z. 0 (; II Taxlot.: It 01:50 DESCRIPTION OF;WORK VIU ~ Name: Address: City:. Phone: Fax: E-mail: This installation is being made on residential or farm property owned .by me or a member of my immediate family. This . property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: Business name: Phone: E-mail: CCB license no.: Print name of signing supetvisor:. Signature of.signing supervisor: \~~M ~;\\ VJY:. ~ 440-2584-1 (9108/COM) , '4". ;.-. ,'" ~ " , ..... .': FEE SCHEDULE ;" Number of inspections per item ( ) . Qty. Cost Total ea. cost Residential. per unit, ser\'ice included: 1,000 sq. fl. or less (4) I: .$134.00. $1.1'1 Each additional 500 sq. ft. or portion Li' .$ 25.00 $/00 thereof .' . Limited energy (2) .. . . $ 32.00 $ Each manufactUred home or modular $ 63.00 '.$ dwelling serVice or feedef"(2) . Services or feeders: instailation, alteration,- relocation 20.0 amps or less (2) $ 81.00 $ 201'.ti> 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or fceders: installation, alteration, relocation 200 amps or less (2) , $ 63.00 $63 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or fceders section above Branch circuits: new. alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) .$. 63.00 $ Signal. circuit or a li~ited-energy panel, $ 63.00 $ alteration, or extensIon (2) Each additional inspection: (I) $58.00 $ . .... APPLICANT USE (A) Enter subtotal of above f~es $ l-9' 1 (Minimum Permit Fee $58.00) (8) Enter 12% surcharge (.12 x [A]) . $ "}s (,' ~ (C).Technology Fee (5% of [A]) $ It.( 6') TOTAL fees and surcharges (A through' C): $ '!II '7 Lf If ", e~ willamalane t\it Park and Recreation District Job. No. {PIt? ~ 1c1 S- SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 30, 2010 NAME:..D:s-S 1 ~ V . . ADDRESS:~6.t> ttA1tT!,v/tft'MfY F114 ~. PHONE: ')l~ 5JS-o . STATEt)ILZIP: ~"?l(~~ . LOCATION OF PROPOSED BUILDING SITE: Street Address: S I g- /( Plfl^.4 ~< ;>/2. . . Plat Name: ~\~ ~~x Lot Number: \<tttlDl9'2. \ \\f1J) \ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.). . A. Sinqle-Family Detached NO. OF UNITS /. X $2,858 per unit = $ps-a B. Sinqle-Family Attached NO. OF UNITS . X $3,100 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,641 per unit = $ D. Sinqle Room Occupancy NO. OF UNITS X $1,321 per unit = $ E. Accessory Dwellinq Unit NO. OF UNITS X $1 ,550 per unit = $ $ ;l-8'f> g- WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willarnalane Credit approval.) $ If" 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) 0\ .~. ~ 0v\-~ Development Services Dep rtment City of Springfield $' 2~ s-ttr ~~212L\ Date 5 SPI:lINOll"Il!l..'D'~ APPLICATION TO DEFER FEES AND CHARGES AND CONSENT TO ASSESS LIEN The owners of the property shown below hereby apply to the City of Springfield to pay the fees and charges of$/OS- f( <-t,) J- . deferred until fmal building occupancy is requested. Such fees and charges include System Development Charges assessed on the property for the City and Willamalane Park & Recreation District. In the event that the real property on which the fees have been. deferred pursuant to Ordinances 6233 and 6234 is sold or conveyed, the fees or charges deferred shall become immediately due and payable to the City of Springfield. Sale or conveyance includes either actually selling, conveying or assigning any or all of the property or any or all of the owner's interest in the property. The owners hereby apply for and consent to the voluntary imposition of a lien for $IO<;()"'j /2... upon the following described land in the City of Springfield, Lane COunty, Oregon: MAP AND TAX LOT /)\,02 CJ0Z1 II (J170 SITE ADDRESS ,<; / J 6 [)&Z1 y Lrf S D?i.. CITY, STATE, ZIP .5("L,f'J4-Hb'L-J) DIG Q7'17'X SEE ATTACHED LEGAL PROPERTY DESCRIPTION BILLING NAME BILLING ADDRESS CITY STATE b~ .j::ruvU ~~,,"";'~1\ 2-~~0 h-A-,...t-,\.-J~ke. --- ,. ,. CLIj <.-<- "'- UtL- LLC ,4VQ., . 'ZIP . 'l7<to '(; FEES AND CHARGES DEFERRED RECORDING FEES $IOS--ZLf.I!1-- $>7Y TOTAL LIEN $10)$'1./2- , In addition to the fees and charges indicated above, we agree'to pay the fees associated with recording the lien and removal of the lien at Lane County Deeds and Records. . Weare all of the legal owners of the described land or all of the contract purchasers of record of the described land to which these fees and charges are applicable. We waive any and all irregularities or defects, jurisdictional, or otherwise, in any proceedings to . . _imRose, c.aJculate and collect these fees and charges, and in the imposition and collection of the lien consented to in this application.W e pr;;-~; -t';- p-';y ili~efees-alld charges when fmal building occupancy is requested or at suchlime the'iearproperty is sold or conveyed. The charges may be paid in full at any time without penalty. We understand that if there is a subsequent failUre to pay the fees and charges the City shall have the right to enforce payment of the amount due in any manner provided by the general law of the State of Oregon, or by the Springfield Municipal Code, includmg but not limited to foreclosure of the land. We acknowledge that the City has an interest in the property to collect these fees and charges, including System Development ___Charges,.and.that the.City.has,the,authority_toJien.the.pl])p,,-rty_to..c:.ollect those fees and charges. In the event of an)' !,roce~ding to - enforce collection or to foreClose, the entire unpaid balance, and any fees shall be considered delinquent and due. W~ also agree w.~-- . pay the city's cost of collection or foreclosu and any attorney fees necessary for such collection or foreclosure. c.E (G4..\i . Print Name of OWner -.---.-. ,)..'-)2-'/0 Yt<- - Sf 7 - c,::,sSO -------. Signature of Owner Date Phone # Signature of Owner Date Phone # Signature of Owner Date Phone # Signature,of Owner .Date Phone # Print Name of Owner Print Name of Owner '- --Print Name of Owner Th OFFICIAL SEAL . DEYETTE KELLY NOTARY PUBLIC. OREGON COMMISSION NO. 420351 MY COMMISSION EXPIRES AUG. 15, 2011 'l2rJ. day of ,RbrlACLrCj:-, z.o I 0 ~.......,O>.~_, STATE OF OREGON ) ) 5S. County of Lane ). v:\common\accnting\assessmt\Deferred fees contract.doc 225 Fifth Street, Sp'i-ingfield, Oregon 97477 541-726-3759 Phone ~~. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000155 Date: 02/22/2010 II :50:30AM Paid By DJS INVESTMENTS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 101.97 1,333.57 10.00 22.63 $1,468.17 Job/Journal Number COM20 I 0-00 1 08 COM20 1 0-00 I 08 COM20 1 0-00 I 08 COM20 I 0-00 I 08 Description SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC MWMC Compliance Charge Payments: Type of Payment Check Amount Paid cjc 6514 In Person Payment Total: $1,468.17 $1,468.17 cReceitlll Page I of I 2/22/20 I 0 ;..' $.PRING FI E.L~ ~ .'. .&; ,,'OREGON www.ci.springfield.or.us TRANSACTION RECEIPT COM201 0-001 08 3188 DOUGLAS DR CITY OF SPRINGFIELD 225 Fifth 8t Springfield, OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2011001212 lOES.\:iRIB:iiIQN'" ,;",,"'! "i.! !.!'iI!,!'!';;; ,I:,' + 12% State Surcharge + 5% Technology Fee 1 st Appliance 3 Baths One & Two Family Addressing Assignment Appliance Vent Building Permit Curbcut - 2nd Curbcut Curbcut Permit Vent Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential- Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 SDC Sanitary/Storm Admin SDC Tean Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sanitary Sewer - Improvement Sewer - Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family RECORD NO: COM2010-00108 "'<i!i;hiiiiiiHiii;1ii]!j,,'J'%@ ;'i>"i;;A"C"HC""'Oi%"'U'i"N%"I~" i'C'%'O,H"'D"'E'''viiiii,: """""';''''' T >141 i 'l 1 'f;\.':,".:,~ . " '., .,' _. ~ ' .. "'.0. . ,,;,,; DATE: OS/24/2011 821-00000-215004 100-00000-425605 224-00000-425604 224-00000-425603 224-00000-425602 224-00000-425604 224-00000-425602 201-00000-428060 201-00000-428060 224-00000-425604 224-00000-425604 100-00000-424005 224-00000-425604 100-00000-425002 224-00000-425602 224-00000-426102 224-00000-426102 719-00000-426604 446-00000-448026 447-00000-448027 719-00000-426604 443-00000-448025 . 442-00000-448024 201-00000-428060 440-00000-448028 224-00000-426102 224-00000-425604 821-00000-215023 TOTAL DUE: [iF[l~!~'!},;sm!::ptu:t:/,bf;IAM,6.l1ijJZD:CfE~:",l't 248.83 120.78 79.00 402.00 38.00 9.00 1,221.57 -45.00 88.00 9.00 '13.00 135.65 7.00 211.00 794.02 134.00 100.00 179.39 211.21 931.65 79.73 661.39 869.79 88.00 1,040.11 63.00 36.00 .2,85800 10,584.12 t. PAYMENT TYPE: "n"<tPAYOR , CASHIER,iosow"ssv;.:, , ",,' COMMENTS'!h'!!II':''', Check DJS Investments pacific continental 39199 bank 10,584.12 TOTAL PAID: 10,584.12