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HomeMy WebLinkAboutPermit Correspondence 1998-2-9 -, Permit #: 9'~/ S-8 Address: L-tzo <3>~~'b~~~ S~~D . o<l- Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701. 055(4), requires residential construction permit appli- cants 'who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This,statement 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. Fill in the appropriate blanks and initial boxes 1 and 2; and either box 3A orJB: ~ ~ 1. I own, reside in, or will reside in the completed structure, 2, I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. u. 3A. My general contractor is (Name) . Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. ' OR & 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors registered with the Construction Contractors' Board. If! change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and 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 thatlhaveread and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this,form. , ' Jw.",,- 0 \D.~tk :f--q-q~ I (Signature ofpermit-a'Jpii'cant) (Date) (White copy to issuing agency permit file, pink copy to applicant) ~ ~-"';> ,. ~_ y .:.:~: .. ~~i~+':{ '<;'~::..: h _ Jlnfo~m~tnon 'Notace to Pritjperty Owners> .. "A~gfR.!l~ ~~~st,~~9-~ioru R~sponsibi~ities _ ~' ~__ .0. o' o. .... ,... . c'_ 'f _-...,__~, "__0.___':'_ J : _ _' . j ; Note: This Information Notice to Property Owners.abput Construction Responsibilities was developed by the'Construction Contractors Bocii'd il1!GCcordance ll'ith ORS 701,055(5). lfyou are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent. many problems by being awar~ of , the following responsibilities and areas of concer~. EMPLOYER RESPONSIBILITIES: ~ '. . If you hire persons IJ?t registered with'the Constrllction C~l)trac~ors Bo~rd to do labor i~ constructing or assisting in the construction or improvementpfa residential structure; you \vill, it) mosfinstances,be ruled to be an einployer and the people you hire will be ~rnployees, As the' employer, y'~u mllst comply with 'the following: , Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wagesatthetime employees are paid, You wi II be I iabie for the tax payrnents,even if yotr'do'n't actually withhold the tax from your employees. For more information, call the Oregon'Dept. of Revenue at945-809L '\',,' Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Qr~gon Employmel~t .l)epaJ!:men~ at 3 78-3524~, ,; " ' Workers' compensation insurance: As an employer, you a~~ ~ubje.ct t.otre Q~egon Wor;~ers' Compensa~i,ol) Law, and l1l:u~t . obtain workers' compctlsation insurance for your employees, 'If you failto obtain \vorkers' compensation inStlrance, you n~a'Y{ be subjecttqpenalties and will be liable for all claim costs ifoneofyouremployees is injured on thejob. For more information, , . , ( l' ' ,-' , , ", - - - ' ,-., call th~ Workers' Coill;p~nSatlon DivisIon at the Department OfCollsunler ahd B'usi~ess Services at 94)-7888', ' ';",'.. U.s. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable forthe taxpayment even if you d idn',t actually withhold the tax. For more information, 'call tnelntenlal Revenue Service at 1-800-829-1040, ' .1,.,' " "l OTHER RESPONSIBIUTIES'AND:AREAS OF CONCERN:: , Code compliance: As the permit holder for this project, you are responsible for resolving any fai lureto meet code requirements that may be brought to your attention through inspections, Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions sU9h as (alling,tools, paint overspray, :...vatet: damage from pipe punctures, fire, or work that must be . 1 .'.. ;. . - ..' ,....' . r . . fe-done, Time tos~pc.:vise e.:nploy~es: Make sureyou h~ve sufficient ti~e to sllp'ervi~;e your emr>16y~es, Expertise: Make sure you have the expertise to act as your own general contractor, to coord inate the work of rough- in and finish trad~s, and10:110tify building' officialsCat the apPI'opriate'tin;es;o theycan'perforlTI the required inspections, .' ~ . ? ~ . lfyou have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052, 503/378-462 J), 'the Bbard'is located at 700 Summer S1. NE Suite'3'00,in.Salem, . .' . - _".... - -' I . _ . - - - f- -. i. '{I prop-own.pm4 1/94