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Home My WebLink AboutPermit Fence 1994-04-28CITY OF OREGO'V PENCE PERHIT APPLTCATION CTTY OF SPRTNGPIBTD BUILDTNG SAFETY DIVTSTON SPRINGFIELO 0ffice: INSPECTION LINE: 726-37s9 726-3769 225 North Fifth StreetSpringfield, Oregon 97477 Job Location: Assessors Map #: Ovner: Address: Ci ty: Value of Fence:Fence Permit is 95.00 ( Kd Tax Lot {t: Phone *:-320 f S tate: 1 Zipl w Contractor/Installer: A //e B c^ ^)E,,I ce d. Addre.ss: Ci ty: Phone *, E!* r (g ?-S 2 ) ) De S ta te: Construction Contractors Registration *:zt{ ture FOR OFEICE USE te I.ssued zip: i res s,/ry/75a -7- By signing this permit/appricatig!r r agree to carr for an inspection once myfence has been constructla (zzo-slog). "r arso "t"t"d that aIl information onthis application/permit is correct and that r vas provided vith the SpringfieldDevelopment code requirements for fence standarJs. Date of A Receipt # pplication: TotaI Amount Collected: # Checked for Delinqueneies:Checked for Hi.storieal Starrrs: 7ix 78 \I Permit No: Address: lssued b Date: OR 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 underORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fiil i the plicable blanks, and initial boxes 1 and 2, and either box 3A or 38 1 2 I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or pon completion 3,A My general contractor is Contractor registration num I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 3.8 I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf 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 lnformation Notice to Property Owners about Construction Responsibilities on the reverse side of this ->&+r Si ture cant CONSTRUCTION CONTRACTORS BOARD 0244J 8191 t te WHITE COPY TO ISSUING AGENCY PEBMIT FILE PINK COPY TO APPLICANT OR rNFoRilTroN NoncE ro pRopERTv oilxens ABOUT CONSTRUCTION RESPONSIBILITIES i lf you-are acti existing struct 'of concern. ng as your own contractor to construct a new home or make a substantial imprQVement to an ure, you can prevent many problems by being aware of the following responsibilities and areas ETIPLOYER RESPONSIBI LITHS : lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the constr''uciion or improvement of a residential structure, you will, in most in'dtancbso.'$b ruled to be an "employer" qnQ the ppople you hire will be "employees". As the employe( youmyp.,!,gomgly with the following: Oregon's Withholding Tax Lairv: As algpploygr* you must wiiflnotO income taxeC'from,employee wages at the time employeeS'4lep€id. .Yoq wi{l be liabje for the tax pgylpgnts even if you don't aclltAlly withhold the tax from your employees. For more information, call the Oregon Departmg$ 9{,Fevenue at 378-3390. Unemployment lnsurance Tax: As an employer, you are required to pay a tax forun"rlioyrent insurance purposes on the wages of all employees. Fol,Enore informdipn, call the Olegon Qrnployment Division DHR a|378-3224. olt.. .'! qt{ltalrrr- a*' tr r.,-t€"'. 'a n?1'--,: !i2, -r^lr:91 l ::,', i .t, '' t:3r3:ir-rrr ! [&r]ers' Compensation As an ert'rploye6 ]nu are.sublect to the Oregon \Alcikers' Compensation Law, and must obtain workers' compensation insurance for your employees. lf you fail to obtain workers compensation in'surance,'ydu may b.e subject to penalties and will be lieble,fdr hll alaim cbsts if sne of you I employees is injured on the job. For m'ore,information, ballthe Workers' Compensaligl Division DIF at 973-74U. j U.S. lnternal_Revenue Sqrylce, .As^an employer, you must withhold federa.l,income tax from employees'wages.+y"i?,ltevenifiou.didn'tac.!uallywithhold.the,'ta{Formoreinformation,call the lnternal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCEBN: Cnrde Gomplianee: As the perrnit hol.der for this project, you are,responsible,for resolving any failure to meet code requirements that rnay t'e btoiryht to your attention:through inspectkrn* lgbit!!y C!9 Ifqe.rtylqrygblllgUrh rContact'yotniltisrrldrioelegbrh$,-$eelif.'ydrr,hf;ve 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 t6' Supervise- Ernployees:"0,li]ake smre you:'have,sufficient time,tb rsupgrvdie ycrur':anplqees, Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-tn and finish trades, and to notify building officials at the appropriate. times so they can perform the required inspections. ;riri 'll-i t.*- ,-: . ' lf you have additional questions, write to Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-3784621 o24N 10t24t89 NOTE: This lnformation Notice to Property Owners About Construction Responsibilities wds developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.