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Home My WebLink AboutPermit Building 2003-12-31 ------ (f)..F.,.. . . .. . . . . . , . . . . . . " ," 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: ~.1)ylt,al}(), -' '1--" . Address: 10 ()... 'J5:b..- Issued by: -'J)lbM. 'D PJs7'o'~ ~ I 7-:' ~ ..- Construction Contracf\'a ~ Board Date: 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 a building .permit can be issued. This statement i~ 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 or 3B: ~. I own, reside in, or will reside in the completed structnre. ~. I understand that I must register as a construction contractor if the structure is sold or offered for . . sale before or on completion. o 3A. My general contractor is (N ame) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR ~B. I will be my own general contractor. If I hire subcontractors, I will hire only subc.ontractors registered with the Construction Contractors Board. If I 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 infor tionis correct and that I have read and do understand the Information Noti~wners about . o~;;r~on ResPo~sibilities on the reverse side of this form. ~ ~ .(./~__ rz-3/-o3 (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) prop-own/f/3-99 Information Notice.to Property O\vners .^bo~t (:on.struction ~esponsibiHties -~ Note: ThLI' Information Notice to Property Owners about Construction Re:'ipol1sibilities H:iIS developed by the Construction Contractors Board in accordance 'with ORS 701.055(5). Ifyoll are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you cqwprevent maryyproblems by being aware of the following responsibflities'and concerns. Employer Responsibilities If you hire persons not registered with the Construction Contractors Boar,d to do labor in constructirig ,or a,?sisting . . . '. .. . . in the construction or iinprovement of'a residential structure, you will; in most instances, be ruled to be an e111ployer and the people YOll hire will be employees. As the employer, YOll inust cOjl1ply with the follo~ving: , ".' .. '.' .. . ..' Oregon's withholding tax la\v: As an 'employer, you .must withhbldincom~ taxes from employee, Wages at the. ' time employees are P!lid. Y01l'wiH.be Hable foHhe ta,xlpayments even i'fyou!don'tactually \~itlih'oId the tax fro 01 your employees. For more information, call the Oregon Department of Revenue at 503-945-8091. 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 Oregon Employment, Department at 503- 378-3524. ' : " .J..,., , . " :. ",::", . ", ' Worker.s.: co,mpeUl~a,tioni",surance: As an employer; Y0U are subject.to the Qregon Workers' Compensation. , _ ~ r. .. . . . . . '. .', "_.' . _ . ._' ~ t' . Law, and must obtain workers' compensation insurance for your emplox-~es. Jf; you fa,i1 to obtain.workers' compensation insurance, you may be subject to penalties and will be liable for 'a'II' claill1' costs if ,on'e of your employees is injured on the job. For more information, call the, Workers' Compensation Division at the Depal1rnent of CQn~umer and Busil~ess Services at 503-947-781 Oc U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the -tax paym~nt even if you didn't actually \vithhold the tax.: For more information, call the Internal Revenue Service at 1-800-829-1040. . . .' . . Other Responsibilities and Areas of Concerns' ., ........... . Code compliance: As the permit holder for this project, you are respbnsible for'resolvingany fail'llI=e to meet code requirements that may be)rought to your attention through inspections. __ '. \" .' . . f ..-. ,'i:~. _ ....'. . . . . .' i", Liability and pro'perty- darrtage insu'ninc~: 'G~)litact ;youfihsilrancea~eTH 'to see if you ha-\/e adeqllate'insurance' coverage for accidents and om.is5ionssuch as falling tools, ,'paint overspray.i water damageH-bm pipe punctures, fire, or work that must be re-done. . 'c, Time t.o Supervlse employ~es: Make ~ure, you,havesufficit?,nt time to supervise yoUl~ emp.loyees. .. -...,: '~"'-;'_. , --. -"-- Expertise: Make sure you have the expertise to act as your own. ~~~l~ra.~ contractor, to coordinate the work of rough-in and fi~ish trades, and .to"potify building officials as the"appropriate.times so they canpei.form the .req~ired inspections. ,- - . ' If you have additional questions, writ~ or ~all.the Constru~tion. Con~ractors Board (PO Box 14140, Salem, OR 97309-5052, 503-378-4621). The: 'Board is located at 700 Summer'St'NE, Suite 300, in Salem. prop-own/fl 3-99 ' 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfield.or.us December 23, 2003 Ted Hutchens 102 75th Street Springfield, Oregon 97478 Dear Hutchens: On December 19, 2003, our office issued permits for the construction of a single family residence to be located at 102 75th Street, Springfield, Oregon. The Building Permit Review Technician neglected to have you fill out Notice to Property Owners About Construction Responsibilities. I am enclosing a copy of the permit that was issued for your reference. Please fill out the form and return the white copy in the prestamped envelope that we have provided. I sincerely apologize for any inconvenience this may cause you. If you have any questions, please feel free to contact either David Bowlsby at 736-1029, or myself at 726-3664. Sincerely, ~ ~ [,u~ Kaye Wilson Building Safety Encl