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Home My WebLink AboutPermit Fence 1992-9-1 j '~..-r .' "" . . 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: ~ 9' fc:/Y Assessors Map #: Ie;:( o{.Jr~('f') Owner: _?:L~~ ;;1:' ~~/...I C J;Q. r Address: .//J./Jt-X- '//,1 CUdI ) Tax Lot #: J/tJ -J/7~.;2.. C i t Y : --:?/Zh .?'LG:rt?..J state@0t1.r-J Phone #: 7~ -/~/ Zip: '7"7 -vf o? Value of Fence: ~~~ Fence Permit is $5.00 Contractor/Installer: h?,m4ifC'b' ~~ (~) - Phone #: M~ 7'9"6/ Address: ;/?CJ,6t?X .LJ City: ~/?J.r.J State: ctJb4d~ Zip: . '7/~/2- Construction Contractors Registration #: Expires: By signing this permit/application, I agree to cnll for an fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided D:7e)reQUirements for .fence standards. Signature\c./ FOR OFFICE USE inspection once my all information on with the Springfield Date 9-/-)7;; '~ Date of Application: '9 -/- '7' L. Receipt # ~/")f~;':::;' Issued By: JOB #: q 2- (2-2! p~ Checked for Delinqupnd es: c; C?::fL -/ Checked for Historical Status: Total Amount Collected: Permit No: 92/22-/ C; ~/j{ JI/ij' g~ Date: 9-/-7.2- Address: Issued by; FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oreg.on Law, ORS 701.055(4), requires residential c.onstruction permit applicants wh.o are not registered with the Constructi.on C.ontract.ors Board to sign the f.ollowing 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 registrati.on 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 b.oxes 1 and 2, and either b.oX 3A or 3B: 1. l - -1, I own, reside in, .or will reside in the completed structure. ....- 2. . _- -~ I understand that I must register as a constructi.on contract.or if the structure is sold .or .offered f.or sale bef.ore .or UP.on c.ompleti.on. 3. A.I I My general c.ontract.or is C.ontract.or registration number I will instruct my general c.ontractor that all subc.ontractors who work on the struc- ture must be registered with the Construction Contractors B.oard. OR 3. B ~II $i11 be my .own general contractor. If I hire subcontract.ors, I will hire only subcontract.ors registered with the Construc- ti.on Contractors Board. If I change my mind and do hire a general contractor, I will c.ontract with a contract.or wh.o is registered with the C.onstructi.on C.ontract.ors Board and I will immediately notify the .office issuing this building permit of the name of the contract.or. I hereby certify that the Information reverse . bove information is correct and that I have read and understand o Property Owners about Construction Responsibilities on the Sign~'of P rmit Applicant </-- /- 0 Date - CONTRACTORS BOARD WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOfE: This Information N.otice t.o Property Owners Ab.out C.onstruction ResP.onsibilities was devel.ope<;l by' thE! C.onstruction C.ontractors B.oard in acc.ordance with ORS 701.055(5). passed bythe..1!:l89 Oregon legislature. If y.oU are acting as y.our .own contractor t.o c.onstruct a new h.ome or make a substantial improvement t.o an existing structure, y.oU can prevenl many problems by being aware .of the foll.owing resP.onsibilities and areas of concern. EMPLOYER RESPONSIBiliTIES: If you hire pers.ons n.ot registered with the Construction C.ontractors ~Qard t.o d.o lab.or in c.onstructing .or assisting in the constructi.on .or improvement .of a residential'litructure:y.ou will, in most instances, be ruled to be an "empl.oyer" and the pe.ople you hire will be "employees". As the employer, you must c.omply with the foll.owing: Oregon's Withh.olding Tax law: As an employer, y.oU must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if y.oU d.on't actually withhold the tax from your empl.oyees. F.or m.ore inf.ormation, call the Oregon Department of Revenue at 378-3390. Unemplovment Insurance Tax: As an employer, you are required t.o pay a tax f.or unemployment insurance purp.oses on the wages .of all empl.oyees. F.or m.ore information, call the Oreg.on Employment Division DHR at 378-3224. . W.orkers' Compensati.on Insurance: As an employer, y.oU are,subject to the Oregon Workers' C.ompensation law, and must obtain workers' c.ompensation insurance for your employees. If you fail t.o .obtain workers' c.ompensati.on insurance, you may be subject to penalties and will be liable for all claim C.osts if .one .of your employees is injured .on the job. For more inf.ormation, call the Workers' C.ompensati.on Division DIF at 373-7434. U.S. Internal Revenue Service: As an employer, y.oU must withhold federal inc.ome tax from empl.oyees' wages. Y.oU will be liable f.or the tax payment even if you didn't actually withh.old the tax. F.or m.ore information, call the Internal Revenue Service at 221-3960. OTHER RESPONSIBiliTIES AND AREAS OF CONCERN: -' C.ode Compliance: As the permit holder for this project, you are resP.onsible for res.olving any failure to meet code requirements that may be brought to your attenti.on through inspections. Liabilily and Property Damage Insurance: C.ontact your insurance agent to see if y.oU have adequate insurance coverage f.or accidents and .omissions such as falling t.ools, paint overspray, water damage from pipe punc- tures, fire, .or w.ork that must be re-d.one. : Time t.o Supervise Employees: Make sure you have sufficient time t.o supervise y.our employees. Expertise: Make sure y.oU have the expertise t.o act as y.our own general c.ontract.or, to coordinate the work of rough-in ancj finish trades, and to notify building officials at the appropriate times so they can perform Ihe required inspecti.ons. . . \ If you have additional questions, write t.o: C.onstructi.on Contractors Board 700 Summer St. NE. Suite 300 Salem, OR 97310-0151 Ph.one 503-378-4621 0244J 10/24/89