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Home My WebLink AboutPermit Fence 1992-7-6 ~, ...' . 1; . FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: INSPECTION LINE: 726-3759 726-3769 Job Location: 70/tr7 Assessors Hap #: )/70'2. - Owner: .5'~n/~1 Address: 66 ~ Ct=- 7 City: C;A?/1lI t/- c ~ "" / /;;; 3~ ~3 . '~O/P ;oJ',c€, ~ 5~; Tax Lot #: "..~ 502- State: ~. Phone #: 7;(~ -56-10 Zip: 9':?y"?/ Value of Fence: P (Cl &. efi;) ~1ce ....'---...... p~mit is $5~ .-0 /nA1;() lC?f./n;vc.e Or/Jt)~Q - ,M1Y... ~7~/.a-(.... _~.pS; City: "Y/qq I ' 9/7'{!/ -1/ -------- ,/~, ~,.JA?'1 p--//'-;;, Phone #: _/}~ - 0?g?) Zip: 9;?~?7/ #~. Contractor/Installer: Address: State: rYr-e... /}/4 , / 'v Expires: Construction Contra~tors Registration #: /' By signing this permit/application, I agree to call for an fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided Development code requirements for fence standards. Q~~~ inspection once my all information on with the Springfield ?-~ ~) 'Date FOR OFFICE USE Receipt # ,5""5"') 0 Issued By: JOB #: 9"20€fBZ,- #~ Date of Application: 7-/7- ~z. Total Amount Collected: ~~ Checked for Delinquencies: ~- Checked for Historical Status: . ~ ~ .' Permit NO; Q 20 c;3~ 2- v Address: 4/ S7 . ~Uf'i A- Issued by: 'dX: Date: ?,#p2. FOR OFFICE USE ONLY ST A TEM ENT: 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 . fi led with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1. T.-..><L I own, reside in, or will reside in the completed structure. 2. L~f 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 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 3. B..J=><:.-- fi, 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. .~r~~ Signature of Permit Appncant - -) --//-- r 2--- Date CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 -. WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT ". INFORMATION NOTICE TO PROPERTY Ou NERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE~ ~ :rh~s lriformat~on Notice tq Property Owners About Construction Responsibilities was developed by th~ Construction Contractors Board in accordance with ORS 701.055(5), -... '. ~ 'passe'a;by the ~198.9'Or~gon Legislature. . ..'.... ..-', ',:.'~ .. .~'-........, ~ . '-.., . ,~ ,"'", ,- If you are acting as ybur" own contractor" to construct.a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsib'ilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the constn..lction or improvement of a residential str~cture, you will, in most instances, be ruled to be an "employer" ~nd the'people you hire will be "employees':.-As the employer, you mustconiply with the following: Oregon's 'Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time ~mployees are paid. You will be liable for the tax payments even if you don~t actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at378-3390. Unemployment Insurance Tax: As an -employer, 'you are required to pay a ta~ for unemploy~ent insurance purposes on the wages of all er;nployees. For more informi?tion" call the O~egon Employm~nt-Division DHR at 378-3224.- .-' -' - Workers' Compensation Insurance: As an employer, you are subje,ct to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434. - 'I u.s. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if ,you didn't actually vyith,hold the tax. For more information, call the Internal Revenue Service 'at 221-3960. '- , . OTHER RESPONSIBILITIES AND AREAS OF CONCERN: .-:-~ .- -- Code Compliance:. As the permit holder for thi~ project, you are responsible for resolving any failure to meet code requirements that may be brought to your, attention througb inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint ove rs pray, water damage from pipe punc- tures, fire, or work that must be re-done. . ,. - Time to Supervise Emp.loyees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to Goordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times ?0 they can perform the required inspections., ' -"". " /' - _ '.' \ ' '. ". , If you have additional questions, write to: Construction Contractors Board 700 Summer S1. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244J 10/24/89 .