City of West Linn Building Permit Application
22500
Salamo Rd. Box 900; West Linn OR 97068; Phone: 503-742-6055
Inspection Line: 1-888-299-2821
Forms
available at http://westlinnoregon.gov
TYPE OF
WORK
New
construction
Demo
lition
Addi
tion/alteration/replacement
Othe
r:
C
A
T
EGORY OF CONSTRUCTION
1- and 2
-family dwelling
Comme
rcial/industrial
A
c
ces
sory building
M
u
lti
-family
M
as
t
er builder
O
th
e
r:
JOB SI
TE INFORMATION AND LOCATION
Job s
ite address:
City/S
tate/ZIP:
Suite/
bldg./apt. no.: Project name:
Cros
s street/directions to job site:
Subdivis
ion: Lot no.:
Tax map/
parcel no.:
DESCRIP
TION OF WORK
PROPER
TY OWNER
TEN
ANT
Name
:
Add
ress:
City/S
tate/ZIP:
Phone: ( )
Cell: (
)
APPL
ICANT
CON
TACT PERSON
Busi
ness name:
Contact name:
Add
ress:
City/S
tate/ZIP:
Phone: ( )
Cell: : (
)
E-mail:
C
O
NT
RACTOR
Busi
ness name:
Add
ress:
City/State/ZIP:
Phone: ( )
Cell: (
)
CCB lic.
: West Linn Lic # : or Metro Lic # :
Author
ized signature:
Print name: Date:
REQUI
RED DATA: 1- AND 2-FAMILY DWELLING
Permi
t 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.
Valuat
ion
Number
. of bedrooms:
Number
of bathrooms:
Total
number of floors:
N
e
w
dwelling area: square feet
Garage/
carport area: square feet
Covered
porch area: square feet
Deck ar
ea: square feet
Other
structure area: square feet
REQUI
RED DATA: COMMERCIAL-USE CHECKLIST
Permi
t 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.
Valuat
ion
Exis
ting building area: square feet
New
building area: square feet
N
um
ber
of stories:
Type
of construction:
Occupancy
groups:
Exis
ting:
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*
Pleas
e refer to fee schedule
Fees due
upon application (Plan Review)
Amount
received
Date
received:
Thi
s
permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete
* Fee methodology set by Tri-County Building Industry Service Board
Contractors: Please go to https://aca.oregon.accela.com/orego
n to
complete permit application
