HomeMy WebLinkAboutPermit Fence 1992-7-20
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FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
'225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
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Assessors Map #: y- 'D~ ~l_rI\/ ~ Tax Lot #: \~
Owner: ,\atf I, ,_V9.YY1.V
Address: \a-cJ \Ji.c'_O fltoJtDi [1~ Phone
City:-4~ldL- cD State: iOJt<L
Value of Fence: ~, Fence Permit is $5.00
Contractor/Installer: l ~~g_')~ ~
Job Location:
#: 1!{lrff107~
Zip: C,{7L'.TI
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Dev~m:nt/C~.de,req~ements_ for fence standards.
Sig~1 .~~ Da,?-.2tl-7'2-
FOR OFFICE USE
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By: CJ)lCO_J "
Checked for Delinquencies:
Checked for Historical Status:
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Permit No: C ~~B?' -,,'
f)ll CHIh11J11frO j
'/ ) Date:~,~Oq{)
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-FOR O~IFICE USE ONLY
STATEMENT: ;;
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION .RESPONSIBILlTIES
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Address:
Issued
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. Note: Oregon. Law, GRS 701.055(4) '.. requires residential co~s~ruction permit
applicants who are not registered with the Construction Con:tractors Board to
sign the following statement before the building permit can be i,issued. This state-
ment is required for residential building, electrical, mechaniqal, and plumbing
permits. Licensed Architect and Engineer applicants, exemptiifrqm registration
under GRS 701.010(7), need not submit this statement. This statement will be
filed with the perinit. . Ii
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B:
L ~ lawn, reside in, or will reside in the completed structu'rel.
2. I \ ~ I understand that I must register asaconstruction contracthr if the structure is sold
(or offered for sale before or upon completion. Ii
3. A; I I My general contractor is . II
Contractor registration number
I will instruct my general contractor that all subcontractors,: who work on the struc-
ture must be registered with the Construction Contractorr Board. .
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WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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INFO~ATION NOTICE TO PROPERTY OvlfNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
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. NOTE\\-'o-'fhi~ I.ri,tgr'h)'ati'on Notice to Property Owners About Construction Respon~ibiliti~s
\ {', . I was-depel?p~q by t~e\ COI1~truction Contractors Board in accordance with ORS 701.055(5),
/. , ",I: lP,a$sed,bythe 1t8$ Qreg~n Legislature. -
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'If yolilare '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 aware of the following responsibilities and areas
of concern. .
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the Constrljction Contractors Boar~ to do labor in con~tructing or assisting
in the cons~r.uction or improvement of a residential, structure, . you will, in most'in.stances, be ruled to be an
"employer",a.rid the peopl~ you hire vyill be "~mploye~s". As Hie emplox~r,you m'u~t comply with .the following:
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Oregon's Withholding Tax lai,: As an employer, you' must ~ithhold income taxE?s from employee wages at
the time employees are p.aid. . You will be liable for the tax payment?, even if you don't actually withhold the
tax from your employees.' For more information, call the Oregon Department of Revenue at 378-3390.
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Unemployment Insurance Tax: As an employer, you are require'd to pay a tax for unemployrrent insurance
purposes on the wages of all employees. For more information, call the Oregon Employmerl!:Division DHR
at 378-3224. . . - . " . , ,
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Workers' Compensation Insurance: As,an employer\ you are subjectto the Oregon Workers' ~ompensation
Law, and must obtain workers' compensation insurance for your employees. If you falUg obtain workers'
compensation insurance, you may be subject to penalties and,will be Iiable,forall claim costs if one'of your
employees is injured on the job. For more information, callt~e Worke~s' Compensation Qivision DIF at 373-7434.
U.S. Internal Rever')Ue Service: As an employer, you must withhold federal income tax from employees' wages.
You will be liable for the tax paym.ent even!f you didn't ,actually withhold the ta~. for more information, call
the Internal Revenue Service at 221-3960. . ' '
OTHER RESPONSIBILITIES AND AREAS OF CONCERN,: .
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Code Compliance: ',As the Permit holder .tor this project, you are responsible for resolving any',failure to meet
code requirements that may be brought to your attention through inspections.
Liability- and Property Damage' Insurance: Contact your insurance agenHosee if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint overspray, wafe'r damage from pipe punc-
tures, fire, or work that must be re-done.
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Time to Supervise Employees: Make sure you have sufficient time to supervise your employees;
Expertise: Make sure you have the expertise to act as your own gen~ral contractor, to coordinate the work
of rough-in and finish trades, and to notify building officials atJhe appropriate times so they can perform
the required inspections. .
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If you have additional questions, write to:
Construction Contractors Board
700 Summ~r S1. NE, Suite 300
Salem, OR '97310-0151
Phone 503-378-4621
0244J 10/24/89