Building Permit Application
City of Happy Valley
16000 SE Misty Drive, Happy Valley, OR 97086
Phone (503) 783-38
00 Fax (503) 658-5214
IVR 24 Hour Inspection Request Line (888) 299-2821
Schedule Online: www.oregon-epermitting.info/
( Inspections / cancellations must be made by 7:00am)
www.happyvalleyor.gov
TYPE OF WORK
New Construction Addition/Alteration/Replacement
Demolition Other:
CATEGORY OF CONSTRUCTION
1 & 2 Family Dwelling Commercial/Industrial Accessory Building
Multi-Family Tenant Improve
ment Other:
JOB SITE INFORMATION AND LOCATION
Job Site Address:
City/State/ZIP: Suite/Bldg./Apt. No.:
Subdivision or Project Name:
Lot # or Tax Map/Parcel #:
DESCRIPTION OF WORK
PROPERTY OWNER
Name:
Address:
City/State/ZIP:
Phone: ( ) E-mail:
Home Owner Installation: This installation is being made on property that I own, which is
not intended for sale, lease, rent, or exchange. (ORS 447, 455, 479, 670, 701)
Owner Signature: ___________________
_________________ Date: ______________
APPLICANT / CONTACT PERSON
Name:
Address:
City/State/ZIP:
Phone:
E-mail:
CONTRACTOR
Business Name:
Address:
City/State/ZIP:
Phone: ( )
CCB License: City or Metro License:
E-mail:
Authorized Signature: ______________________________________ Date: ____________
Print Name: ________________________________________________________________
REQUIRED DATA: 1 & 2 FAMILY DWELLING
Permit fees are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
work indicated on this application. $__________________.
# of Bedrooms: # of Baths:
# of Floors:
New dwelling area: sf x 118.45=
Garage/Carport area: sf x 47.80=
Deck area: sf x 23.90=
Unfin. Bsmt./ Storage: sf x 21.00=
Other Structure: sf x _____=
Total Valuation (Feb. 2018 ICC $/sf values)=
REQUIRED DATA: COMMERCIAL
Permit fees are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
work indicated on this application. $__________________.
Valuation (Feb. 2018 ICC =$/sf)
Exist. bldg area: sf New building area: sf
Number of stories: Type of construction:
Occupancy: Existing: New:
NOTICE
All contractors and subcontractors are required to be licensed
with the Oregon Construction Contractors Board under ORS
701 and may be required to be licensed in the jurisdiction in
which work is being performed. If the applicant is exempt
from licensing, the following reasons apply:
BUILDING PERMIT FEES*
Refer to Happy Valley fee schedule for other fees & permits
Valuation Permit F
ee (K = $1,000)
Less than $4,000 $ 85.00 min. permit fee
$4,001-$25,000 $ 85.00 + $11.10per $K over 4K to 25K
$25,001-$50,001 $318.10 + $ 8.25per $K over 25K to 50K
$50,001-$100,000 $524.35 + $ 5.55per $K over 50K to 100K
More than $100,000 $801.85 + $ 4.65per $K over 100K
Permit Fee.………….….($85.00 minimum)
Plan Review.………….(65% of Permit Fee)
(40% of Permit Fee)
(Commercial Permits Only)
State Surcharge.………(12% of Permit Fee)
Metro Excise Tax.….….(.0012 x valuation)
School Tax($1.26 x sf residential, $.63x sf com.)
TOTAL BUILDING PERMIT FEE
Plan Review Deposit:
Check# Date:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete
Rev. 4/1/18
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