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Home My WebLink AboutPermit Fence 1993-03-04225 North Fifth Street Springfield, Oregon 97477 PENCE PERHIT APPLICATION CTTY OF SPRINGFIELD BUILDING SAFETY DIVISION SP]IINGFIELO 0ffice: INSPECTION LINE: 726-3759 726-37 69 CITY OF OREGOA' J Job Lo Assess Owner: Addres cat ion: ors Map *: S uw)Tax Lot *: Phone #: Ci ty tate:Zip: Value of Fence:Fence Permit is $5.00 Con t rac torlIns taIIer: Address:Phone * Ci ty:S tate 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 aII information on this application/permit is correct and that I vas provided r,rith the Springfield Development code requirements for fence standards. re Date FOR OFFICE USE Date of Application:+*: Receipt #Issued By: Total Amount Collected: oo Checked for Delinquencies: 5 P Check.ed f or Hi s tori ca 1 S ta tus : e.irra-d U_--_(-€ Permit No: Address: lssued Date: R OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERSABOUT CONSTRUCTION RESPONSIBILITIEC - Note: Oregon Law, ORS 701.055(4),. requires residential construction permitapplicants who are. not registereO witn tne Construction Contractors Board tosign the following statement before the building pLrmit can be issued. This state-ment.is required for residential.blilding, eleciricat, mecnanl.ir,-ino ptumoingpermits. Licensed Architect and Enginell gnRlicants, exempt fr6m registratioiunder ORS 701.010(7), need not sudmit thid btatement. This statement wil befiled with the permit. Fill in the applicable 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 upon completion. My general contractor is , Contractor registration number-. 3 A I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 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 form. .3-4-7s S a ture Permit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8t91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY O\gNERS ABOUT CONSTRUCTION RESPONSIBILITIES OTE:Tnts developed structionnAbsutrsCo Responsibilities0wnet0natioNoticeProperty'lnfoim N nn 701owith .055(5)accordanceinBoardrcContractouctiontheConsJrwasby lature.1 Legis9890reganthebypassed -lt voo are acting ," ,or.t*n aontractor to construct a new home or make a substantial irnprgYement to an existing structure, you can prevent many problems by being aware of the {ollowing responsibilities and areas of concern EMPLOYER RESPONSIBILITIES: lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or imprwement 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 Lqwl As an,employer, you must the time employees are paid. You will be liable for the tax tax from your employees. For more information, call the , withhold income taxes from employee wages at payments even if you don't actually withhold the Oregon Department of Bevenue at 378-3390. Unemployment lnsurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, calllhe Olegon Employmertt Division DHFi at 378-3224. ,.. , Workers' Compensation Insurance: As an emploirer, you are subject to the Oregon Workers'bompensation Law, and must obtain workers' compensation insurance for your employees. lf 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, callthe Workers' Compensation Division DIF at 373-7434. U.S. lnternal Revenue Service: As an e mployer, ycu must withhold federal income tax from employees'wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the lnternal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCEHN: Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that rrlay.be brought to your attention through inspections. Liability aM Property Damage lnsurance: Contact your insurance agent to 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 youti employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. lf you have additional questions, write to:Construction Contractors Board 700 Summer St. NE, Suite 300 Salern, OR 97310-0151 Phone 503-378-4621 4244J fit24tg9