HomeMy WebLinkAboutPermit Fence 1993-9-16
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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
Job Location: c...,c...LJ I I\Il.r ~+f\.QiJ_+
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Assessors Map II: ICX6::l04- II Tax Lot II: 6IS{)r)
Owner: q..l'.c.c V 0" V)"V"""YA PAr
Address: c...c..L../) \\)'d \J ~+r..Q.p_-f
City: ~;''^5 ~eJoR_ State: oR
Phone II: 7 'JL -9 ~'"' (
Zip: q) '-17 Q
Value of Fence: -:if. C....(')() (>. Fence Permi t is $5.00
Contractor/Installer: ()l JfV\.1.V-
. Address: Phone II:
City:
State:
Zip:
Construction Contractors Registration II:
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
Development code requirements for fence standards.
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Date
FOR OFFICE USE
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Date of Application:
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,.,.. .'.'..JOB II:
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Recei pt II
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Issued By: "
Total Amount Collected: Sou
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Checked for Delinqm>nci es: ..-/
Checked for HistoricAl StAtuS: -.
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Permit No:
C1"2...,)L/,:)C}
S<"41 "I",,-, ~+.
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lQB Date: 9 !IUq-.,
Address:
Issued by:
FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential c.onstructi.on permit
applicants wh.o are n.ot registered with the C.onstructi.on C.ontract.ors B.oard t.o
sign the f.olI.owing statement before the building permit can be issued. This state.
ment is required f.or residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt fr.om registration
under ORS 701.010(7), need n.ot submit this statement. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either b.oX 3A or 3B:
1. I ')..- r I own, reside in, .or will reside in the c.ompleted structure.
2. I
I understand that I must register as a c.onstruction c.ontract.or if the structure is sold
or .offered f.or sale before .or upon c.ompleti.on.
3. A.I
I My general c.ontractor is
C.ontract.or registrati.on number
I will instruct my general contractor that all subc.ontractors wh.o w.ork on the struc-
ture must be registered with the Construction Contract.ors Board. .
OR
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3. B.I V'" I I will be my .own general contractor.
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If I hire subc.ontractors, I will hire only sub.c.ontract.ors registered with the Construc-
tion C.ontract.ors B.oard. If I change my mind and do hire a general c.ontractor, I will
contract with a c.ontractor who is registered with the Construction Contract.ors Board
and I will immediately n.otify the .office issuing this building permit of the name .of
the c.ontractor.
I hereby certify that the above information is correct and that I have read and understand
the Information Notic 0 P operty Owners about Construction Responsibilities on the
reverse side of this r
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Is'tgna~ .of Permi~~
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CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
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NOTE: This Inf.ormation Notice 1.0 Property Owners Ab.out Construction ResP.onsibilities
was developed by the Construction Contractors B.oard in accordance with ORS 701.055(5),
passed by the 1989 Oregon Legislature.
If you are acting as your own c.ontract.or to construct a new home .or make a substantial improvement t.o an
existing structure, you can prevent many pr.oblems by being aware of the following resP.onsibilities and areas
of c.oncern.
EMPLOYER RESPONSIBILITIES:
If y.oU hire pers.ons n.ot registered with the C.onstructi.on C.ontractors B.oard to d.o lab.or in <;.onstructing or assisting
in the construction or improvement of a residenlial structure, y.oU will. in most inslances, be ruled t.o be an
"employer" and the people y.oU hire will be "empl.oyees". As the empl.oyer, you must comply with the following:
Oreg.on's Withh.olding Tax Law: As an empl.oyer, y.oU must withh.old income taxes from employee wages at
the time employees are pa~d. You will be liable f.or the tax payments even if y.oU don't actually withhold the
tax fr.om your employees. For m.ore inf.ormation, call the Oreg.on Department .of Revenue at 378-3390.
Unempl.oyment Insurance Tax: As an empl.oyer, y.oU are required t.o pay a tax for unemployment insurance
purp.oses .on the wages of all empl.oyees. F.or m.ore inf.ormati.on, call the Oreg.on Empl.oyment Division DHR
at 378-3224.
W.orkers' C.ompensation Insurance: As an employer, you are subject to the Oregon W.orkers' Compensati.on
Law, and must .obtain workers' c.ompensation insurance for y.our employees. If y.oU fail to .obtain w.orkers'
c.ompensati.on insurance. you may be subject t.o penalties and will be liable for all claim costs if one of y.our
employees is injured on the job. For more inf.ormati.on, call the Workers' Compensati.on Divisi.on DIF at 373-7434.
U.S. Internal Revenue Service: As an employer, y.oU must withh.old federal inc.om~ tax from employees' wages.
You will be liable for the tax payment even if y.oU didn't actually withhold the ta.x. F.or more informati.on. call
the Internal Revenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance: As the permit holder for this project, y.oU are responsible for resolving any failure to meet
code requirements that may be brought to your attention through inspections.
Liability and Pr.operty Damage Insurance: Contact y.ourinsurance agent to see if y.oU have adequate insurance
c.overage f.or accidents and omissions such as falling t.ools, paint overspray, water damage from pipe punc-
tures, fire, .or w.ork thaI must be re-done.
Time t.o Supervise Employees: Make sure y.oU have sufficient time to supervise your empl.oyees.
Expertise: Make sure you have the expertise t.o act as y.our .own general contractor, to c.oordinate the work
of rough-in and finish trades, and to n.otify building .officials at the appropriate times S.o they can perform
the required inspections.
If you have additional questi.ons, write to:
Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
0244J 10/24/89