HomeMy WebLinkAboutPermit Fence 1992-3-29
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SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
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Job Location: :)/ of 00 ('^'oj
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Value of Fence:~~, Fence Permit is $5.00
contractor/lnstaller:~ff ~~
Assessor
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Tax"Lot #: D{j;//9
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Phone
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zip:
City.
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
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
Develop t code requirements for f nce standards.
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inspection once my
all information on
with the Springfield
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FOR OFFICE USE
Date of Application: 1.........1) m. qQ
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Receipt # _~ T\ Issued
Total Amount COl;ected~~~. ~
Checked for Delinquf'nc:i,es:~ Checked for Historic<ll Statu.
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Issued b
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.
Fe ~IiCable blanks, and initial boxes 1 and 2, and either box 3A or 3B:
yl - I I own, reside in, or will reside in the completed structure.
( 2. I '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
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. of this form.
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Ignature of Permit JXplicant - (1
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CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COpy TO APPLICANT
INFOR.TION NOTICE TO PROPERTY 06ERS
ABOUT CONSTRUCTION RESPONSIBILITIES
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NOTE:" . 'This Information Notice to Property Owners About Construction Responsibilities
was develop~d bythe'Cot:lst~uction Contractors Board in accordance with ORS 701.055(5),
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, pa~sed oy the 1989 Oregon Legislature. '
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If you are 'acting as your own contractor to c'onstruct a new home or make a substantial impro~emerit to an
existing structure, you can prevent many problems by being aware of the following responsibilities and areas
of concern.
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EMPLOYER RESPONSIBILITIES:
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If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting
in the construction or improvement of a residential structure, you will, in most instances,be ruled to be an
"employer" and the people you hire will be "employees". As the employer, you must comply with the following:
Oregon's Withholding Tax Law: As an employer, you m!Jst withhold income taxes from employee wages at
the time employees are paid. You will be liable for the'tax paY!TIents even if you do'n't actually withhold the
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tax from your employees. For more information, call the Oregon Department ot Revenue at 378-3390.
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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 E,mployment Division DHR
at 378-3224. '
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Workers' Compensation Insurance: As an,er.nployer, you are subject to the Oregon Workers' Compensation
Law, and must obtain workers' compensation insuranc'e 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.
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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 w,ithhold 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 this project, you are responsible for resolving any f?ilure to meet
code requirements that may be brought to your attention through'inspections.
Liability and Property Damage Insurance: Contact your insurance agenrto see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punc-
tures, fire, or work that must be re-done.
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 general contractof, to coordinate the work
of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform
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the required inspections. ',' ' , , ' " : " .", "
If you have additional questions, write to:
Construction Contractors Board
700 Summer St NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
0244J 10/24/89