HomeMy WebLinkAboutPermit Miscellaneous 1992-2-3
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Permit No: q~C081
Address: -+Q.9B \\\0 rmQQ~
Issued by' ~~ Date:a..' 3 ~/
FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential construction permit
applicants who are not registered with the Construction .Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
~iU ~apPI:c::~~ ~~:~d:'i:,n:r i:itlila:e:~;:~n1 t::dc:~:~~ee~t::~:t::e~A or 3B:
2. ,
I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A.'
I My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
OR
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3. B. I r I I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
~^OH-\ P-- (1/I/lJAr:Jh
Signature of Permit APPlican~
. /- ;2/(-?a,
Date
CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT