HomeMy WebLinkAboutPermit Plumbing 2018-09-26 (2)PRII.{STIELD
REOON
Web Address: www.sprangfield-or.gov
Building Permit
Commercial Plumbing
Permit Number: 81 1 -18402287-PLM
IVR Number: 81 1045907935
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
Email Address : permitcenter@springfield-or.gov
Permit lssued: September 26,2018
Category of Construction: Commercial
Submitted Job Value: $0.00
Description of Work: lnstall PH system for brewing process
Type of Work: Alteration
Worksite address
980 KRUSE WAY
Springfield, OR97477
Parcel
1703222000912
Owner:
Address
TREVORS BREWERY
LLC
3895 MEADOW VIEW DR
EUGENE, OR 97408
Business name
KEVIN COHEN PLUMBING INC.
Primary
License
CCB
License number
176311
Phone
541 -607-9208
lnspection
3999 Final Plumbing
3999 Final Plumbing
3500 Rough Plumbing
lnspection group
Plumb Com
Plumb Com
Plumb Com
lnspection status
Pending
Pending
Pending
Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number:811045907935
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Permits must be posted in clear view on the worksite. Permits expire if work is not started within 180 Days of issuance or if work is
suspsnded for 180 Days or longer depending on the issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, Granting of
a permit doos not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction
or the performance of construction.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rutes are set forth ln OAR 952-001-0010 through OAR 952-001-{1090. You may obtain copies of the rules by calling the Cent€r at
(877) 668-4001 or dial 81 1.
All persons or entities performing work under this permit are requlred to be licensed untess exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 9/26/18 Page 1 of 2 std-BuildingPermitir
Permit Numben 81 1 -18402287-PLM Page 2 of 2
Fee Description
Technology Fee
Balance of minimum permit fees - plumbing
Ejectors/sump pump
Floor drain/floor sink/hub drain
State of Oregon Surcharge - Plumb (72o/o of applicable fees)
Printed on:9/26118
Quantity
Total Fees:
Fee Amount
$4.95
$51.00
$24.00
$24,00
$11.88
$ 115.83
std_BuildingPermit_pr
1
1
Page 2 of ?
PERMIT FEES
SPRINGTIELD
'rfiOREGON
www.springfi eld-or. gov
Worksite address: 980 KRUSE WAY, Springfield, OR 97477
Parcel. 1703222000912
Transaction Receipt
811-18-002287-PLM
Receipt Number: 468146
Receipt Date: 9/26/18
City of Springfield
Development and Public Works
225 Fifth Street
Springfield. OR 97477
541-726-3753
perm itcenter@springfield-or. 9ov
Fees Paid
Transaction date
9t26t18
9t26t18
9t26t18
9t26t18
9t26t18
Units
1.00 Qty
1.00 Qty
'1 .00 Automatic
1.00 Ea
1.00 Automatic
Description
Ejectors/sump pump
Floor drain/floor sinUhub drain
Balance of minimum permit fees - plumbing
State of Oregon Surcharge - Plumb (12o/o ol
applicable fees)
Technology Fee
Account code
224 -00000-425603- 1 034
224-00000425603-1 034
224-00000425603-1 034
821 -00000-21 5004-0000
1 00-00000-425605-0000
Fee amount
$24.00
$24.00
$51.00
$11.88
$4.95
Paid amount
$24.00
$24.00
$51.00
$1 1.88
$4.95
Payment Method: Credit card authorization
216232
Payer: KEVIN COHEN PLUMBING INC Payment Amount:$'115.83
Cashier: Chris Carpenter Receipt Total:$11s.83
Printed: 9/26118 10.24 am Page 'l of 1 Fl N_TransactionReceipt_pr
Crry or SpnrNGFrELo, ORtrcox
Plumbing Permit Application ffi
225 Fifth Street r Springfield,OP.97477 . PH(541)726-3753 . FAX(541)726-3689
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
Permit no
Date: ql frltg
Zorirgapproval verified? I Yes E No
Sanitation approval verified? f Yes I No
CATEGORY OF CONSTRUCTION
I Residential I Government $ Commercial
JOB INFORMATION AND LOCATION
Job site address: q?f) V -\.\iqe \Ai0&\
cio-6?v\nqhttoi State
Taxlot.
OF
P
Address
State ZIPCit"v:
Phone:Fax:
E-maii:
This installation is being made on residential or farm properf,v-
owned by me or a member of my immediate family, and is
exempt from iicensing requirements under OAR 918-695-0020
Sienature:
State: O{L ZIP:City
Business name:
Address:
Phon64l-'ff1 q?fr8 Fax:
E-mail: ApO Unn{chd-nnurnbuflcr . Co{n
CCB license no., Yl to3 t \JBCD license no.:
Piumbing license no.
Print name: \Z-q\O\ \V C'\fa)'f\
l*l-,((.S
Description Qty.Cost
ea.
Totalcost
New residential
1 bathroom/l kitchen (includes : first)00feet ofwater/sewer lines. hose
bibs. ice maker. under;/loor low-point
drains and rain-drain packages)
$323.00 $
2 bathrooms/i kitchen ss06.00 $
$3 bathrooms/l kitchen s595.00
s1 28.00 $Each additional bathroom (over 3)
Each additional kitchen (over 1)$1 28.00 $
Residential fire sprinklers (includes plan revien')
0 to 2,000 square feet s99.00 s
2,001 to 3.600 square feet $158.00 $
3.601 to 7.200 square feet s236.00 $
$315.00 $7,201 square feet and greater
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water supply s99.00 $
Commercial, industrial, and dwellings other than one- or
two-family
$99.00 $Minimum fee
$24.00 $Each fixture
Miscellaneous fees
$103.00 $100' storm. sewer. water line
Each fixture. appurtenance. and piping O $24.00 $
Storm water retentior/detention faciliw $103.00 $
$24.00 slrrigation systems/Backfl ow
$24.00 $Piping or private storm drainage
svstems exceeding the first 100 feet
Specialty fixlures $24.00 $
Reinspection (no. ofhrs. x fee per hr.)$99.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$99.00 $
Each additional inspection: (i)s99.00 $
$Medical gas piping Minimum fee
Enter vaiue of instaliation and equipment $
-.Enter fee based on installation and equipment vaiue.$
(A) Enter subtoral ofabove fees
(Minimum Permit Fee $99.00)$
(B) lnvestigative fee (equal to [A])$
$(C) Enter 12% surcharge (.12 x [A+B])
$-a
(D) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through D):$
Iast edited 7/1/201 8 bjones
LOCAL GOVERNMENT APPROVAL
y'rr,ffiufi-
tReference:J
PROPERTY OWNER
Name: -k€ Vfxrs. 6f errJeyU
DEPARTMENT USE ONLY
FEE SCHEDULE
DEPARTMENT USE v
l\ a)
GRAYITY 8YPAsS
USED DURING PUIIP
III\AINTAINANC€ OIILY
-l
I
I
I
I
Ivo
CTTY SEWER
FLOOR51N(
BELOW
6RAOE
STAEON
BELOW
6RADE
PH
ADJUSTI/\ENT
TANK ABOVE
6RADE
TRENCH
DR^1N
O BREWERY PEOCESS WASTE WA]ER TO 8E COLLECTED BY (E)
TRENCH DRAIN
^ND
CONVEYEO TO NEW SUIIIP 8AS]N,
Z)sUIIP PUMP WILL LTFI PROCESS WA5TE TO (N) PH TANK
WHERE IT !!ALL BE AOJU5TED TO IAEET CTTY WA5TE WATER
STAND^R05,
NOTE: GRAyIry ByPASS IS FOR PUI P l\ AINTENAM€ OR
REPAIR ONILY
NTS- SCHEMATIC DRAWINo
8/15/t8
6 CONNELL
P1
HOP VALLEY BREWING
980 KRUSE WAY, SPRTNGFIELD, OR
97477
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541.607.9208 CE# 17631 I
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3)^DJU5TED PROCE55 WASTE WTL! IHEN 8E PUMPED IO (N)
rLOOR 51NK CONNECTED IO (E) 5AMTARY 5EWER-