HomeMy WebLinkAboutPermit Electrical 2020-03-31Prope
Regard
rty Owner Statement
Respons
10
ina Con-struction IbIlIties
Oregon Law requires residential constnjction permit applicants who are not licensed with
ction Contractors Board to sign the following statement before a building permifcan beConstru
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the
issued. (ORS 701.325 (2))
I his statement iS required for residential building, eiec cai, mechanical,
licensed architect and engineer applicants, exempt from ficensing under
submit this statement This statement will be filed with the perm
Please check the appropriate box'
.t.
and plumbing pe its•
ORS 701.010 (7), need not
1 own, reside in, or w1`11 reside in the completed structure and my general contractor is:
Name � CCB# ^ Expiration Date
1 will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
✓ ; I will be performing work on property I own, a residence that I reside in, or a residence that i will
reside in. If 1 hire subcontracto I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
have read and.. understand the Information Notice to Homeowners About Construction Responsibilities,
and 1 hereby certify that the in fo ation on this homeowner statement is true and accurate.
Print Name of Perm
.lint
Signature of Permit Applicant
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