Sewer Permit Application
City of Happy Valley
16000 SE Misty Drive, Happy Valley, OR 97086
Phone (503) 783-3800 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 Improvement Other:
JOB SITE INFORMATION AND LOCATION
Job site address:
City/State/ZIP:
Subdivision or Project Name: Lot No.:
DESCRIPTION OF WORK
APPLICANT / SITE CONTACT / HOMEOWNER
Business Name:
Contact Name:
Address:
City/State/ZIP:
Phone: Fax:
E-mail:
SEWER / PLUMBING CONTRACTOR
Business Name:
Address:
City/State/Zip:
Phone: Fax:
E-mail:
CCB License: Plumbing Business License:
Authorized Signature:
Print Name: Date:
CONTRACTOR MUST COMPLETE A DRAWING
OF THE SEWER INSTALLATION ON
THE SEWER AS-BUILT SHEET.
FEE SCHEDULE – SITE UTILITIES
Description Qty. Ea. Total
1.0 Plumbing / Sewer Permit
Sanitary sewer (100 linear ft.) $96.00
Storm sewer (100 linear ft.) $96.00
Catch basin or area drain
Drywell, leach line, or trench drain
Manufactured home utilities
Manholes
Rain drain $26.00
“SITE UTILITIES” PERMIT FEES
Subtotal……………………………………………..
State Surcharge …...(12% of permit fee items 1.0 & 2.0)
Plan review……… (30% of commercial permit fee only)
TOTAL “SITE UTILITIES” PERMIT FEE
FEE SCHEDULE – SEWER
3.0 Reversal Permit
Reversal of Bldg Drain without
Individual Fixture Connection. $40.00
Connections to each Individual
Fixture
$26.00
4.0 Sewer Connection Permit
Assessed for Inspection of Building
Sewer to the City/County Lateral
$42.00
5.0 Abandonment Permit
Assessed for Inspection and
Verification of Properly Abandoned
Private Sewage System. (Not subject
to minimum permit fees if combined
with a demo permit.)
$30.00
“SEWER” PERMIT FEES
Subtotal …………………………………………………
Plan Review Fee………………….(none for residential)
State Surcharge (12% of permit fee items 3.0 and 5.0;
no surcharge for item 4.0)
TOTAL “SEWER” PERMIT FEE
This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
Revised 6/7/2016
click to sign
signature
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