TYPE OF WORK
New construction Demolition
Addition/alteration/replacement Other:
CATEGORY OF CONSTRUCTION
1- and 2-family dwelling Multi-family
Accessory building Industrial
Commercial Other:
JOB SITE INFORMATION AND LOCATION
Job site address:
City/State/ZIP:
Suite/bldg./apt. no.: Project name:
Cross street/directions to job site:
Subdivision: Lot no.:
Tax map/parcel no.:
DESCRIPTION OF WORK
OWNER
Name:
Address:
City/State/ZIP:
Phone:
Email:
APPLICANT
Business name:
Contact name:
Address:
City/State/ZIP:
Phone:
E-mail:
CONTRACTOR
Business name:
Address:
City/State/ZIP:
Phone:
CCB lic.: METRO lic.: City Bus. lic.:
E-mail:
Authorized signature:
Print name: Date:
REQUIRED DATA: 1- AND 2-FAMILY DWELLING
Permit fees are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
materials and labor for the work described on this
application.
Valuation
Number. of bedrooms:
Number of bathrooms:
Total number of floors:
New dwelling area: square feet
Garage/carport area: square feet
Covered porch area: square feet
Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Permit fees are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
materials and labor for the work described on this
Valuation
Existing building area: square feet
New building area: square feet
Number of stories:
Type of construction:
Occupancy groups:
Existing:
New:
BUILDING PERMIT FEES
Please refer to fee schedule
FEE TYPE AMOUNT
PERMIT FEE
PLAN CHECK FEE
(Due upon application)
FIRE LIFE SAFETY FEE
(Due upon application)
STATE SURCHARGE
(12% of permit fee)
METRO CET
(0.12% of valuation)
DEFERRED SUBMITTAL
OTHER
TOTAL FEES
NOTES:
This permit application will expire if a permit is not
obtained within 180 days after it has been accepted as
Building Permit Application
City of Tualatin
18880 SW Martinazzi Ave.
Tualatin, OR 97062
Phone: 503-691-3044 Fax: 503-692-0147 www.tualatinoregon.gov
__________OFFICE USE ONLY__________
Date received:
_____________Permit # ____________________
______________ By:_____ Receipt: ____________
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