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    App Structural 1

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    © All Rights Reserved
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    App Structural 1

    Uploaded by

    pg89gx82t2
    16 views2 pages

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    16 views2 pages

    App Structural 1

    Uploaded by

    pg89gx82t2

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    1155 S 5TH ST.

    Coos County Community Development Coos Bay, OR 97420


    Building Department 541-266-1098
    www.co.coos.or.us/community-dev [email protected]

    APPLICATION FOR STRUCTURAL PERMIT DEPARTMENT USE ONLY


    Permit #:
    By: Date:
    This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
    JOB SITE INFORMATION OWNER INFORMATION
    Address: I am the property owner doing my own work (initial):______
    City: Owner Name:
    Map/Account#: Mailing address:
    Directions to work site: City/State/ZIP:
    Phone: Cell:
    Is property inside city limits: Yes No Email:
    OTHER APPROVALS
    Zoning Floodplain Onsite
    Information verified/approved? Y N Approval: Y N Information verified/approved? Y N
    Approval: Approval:
    Date: Date:
    (1) Valuation Information
    (a) Job description:
    (b) Occupancy:
    (c) Construction type:
    (d) Square feet of living space: Sq Ft of garage: Sq Ft of porches/decks:
    (e) Height: Number of stories:
    (f) Type of Work: New Alteration Addition Demolition Repair
    (g) Is this a foundation ONLY permit? Yes No
    (h) Is this a plan review ONLY? Yes No
    (i) Total valuation:
    (2) Building Fees Contractor:
    (a) Permit fee: See 2nd page to calculate Address:
    (b) 12% surcharge: City/State/ZIP:
    (c) 5% Community Development Fee Phone:
    (3) Plan Review Email:
    (a) Plan review (permit fee x 0.65 ) BCD license:
    (b) Fire & Life Safety (permit fee x 0.40 ) CCB license:
    Total Due:

    I hereby certify that, to my knowledge, the above information is true and correct. All work to be performed shall be in accordance with all
    governing laws and rules.
    Applicant name:
    Mailing Address:
    City/State/ZIP:
    Phone:
    Email:
    Signature: Date:

    [Title]
    All new fees from this point on.

    BUILDING DEPARTMENT
    FEE SCHEDULE

    The valuation shall be calculated in accordance with Oregon Administrative Rule (OAR)
    Chapter 918, Division 50. The valuation to be used in computing the structural permit and
    structural plan review fees shall be the total value (rounded up to the nearest dollar) of all
    construction work for which the permit is issued, as well as all finish work, painting, roofing,
    electrical, plumbing, heating, air conditioning, elevators, fire extinguishing systems and any
    other permanent equipment.

    Cost (below) = (Total hours spent x Pay rate x Factor encompassing indirect costs) + Actual cost
    of any additional materials and equipment directly chargeable for project. Deposits on cost are
    collected to directly charge related staff time, fees, and legal expenses. Time is charged at a fully
    burdened rate. The deposit on cost is administered by the department financial staff, under
    department policies.

    A. Structural Permit Fees


    Structural Permit (based on project valuation) - when applicable, structural permits use valuation as
    determined by ICC Valuation Table current as of April 1 of each
    Valuation Fees
    $1 To $2000 $150

    $2001 To $25,000 $150.00 for the first $2,000 plus $15.00 for each additional
    $1,000 or fraction thereof, to and including $25,000

    $25,001 To $50,000 $495.00 for the first $25,000 plus $9.00 for each additional
    $1,000 or fraction thereof, to and including $50,000

    $50,001 To $100,000 $720.00 for the first $50,000 plus $6.00 for each additional
    $1,000 or fraction thereof, to and including $100,000

    $100,001 And Up $1020.00 for the first $100,000 plus $4.50 for each
    additional $1,000 or fraction thereof

    Other Structural Fees


    Structural Plan Review (When applicable) 65% of structural permit fee

    Additional Plan Review (When applicable) $150, minimum one hour

    Fire Life Safety Plan Review (when applicable) 40% of structural permit fee

    Reinspection – per each $150.00

    Each additional inspection, above allowable – $150.00


    per each

    Community Development Fees Page - 4

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