HomeMy WebLinkAboutPermit Fence 1993-03-01FEIg:E__PERurr APPLr cATr 0N
--_9I_TY 0F SPRTNGFTELD
BUILDING SAFETY DTVTSION
SPETNGFIELD
0ffice:
TNSPECTION LTNE:
7 26-37 s9
7 26-37 69
225.North Fifth StreetSPringfie1d, 6regon 97477
Job Location:
Assessors M"p #,
Tax Lot #:Ovner:
Phone #:
Ci ty
S ta te:Zip:
Va1ue of Fence:Fence Permit is 95.00
Contrac torlIns talIer :
Address:
Ci ty:
Phone #:
State:zip:
Construetion Contractors Registration #:
By signing this permi t/application, f agree to caII for an inspection oncefence has been c myonstructed (726_3769 )IaI so stated that aII informati on onthis application /permit is correct and that f vas provided wi th the Springf i e1dDevelcodquirements for fence stan dards.
S
/ lkAG 7f
Date
FOR OFFICE USE
Date of Application:JOB *:
Receipt #Issued By:
Total Amount Collected:
.ln
@
Checked tor Delinquenei es :Check.ed for Historica\ Status:
Address:
ture
Permit No:
Address
lssued
OR OFFICE USE ON
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.
icable blanks, and initial boxes 1 and 2, and either box 3A or 38
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.
Da
Fill in
1
2
3.A lVly general contractor is ,
OR
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 certily that the above information is correct and that I have read and understand
the lnform otice Owners about Construction Responsibilities on the
reverse is
3- r - 9=
nature o rmit Applicant Date
CONSTRUCTION CONTRACTORS BOARD
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WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
INFORMA?TON NOTICE TO PROPERTY OWNEFIS
ABOUT CONSTRUCTION RESPONSIBILITIES
.ija.
tf you are acting as your own contractor to construct a new home or make a substantial improVement to an
existing structure, you can prevent many problems by being aware of the following 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 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 employe[ you must comply with the following:
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at
the time empl oyees are paid. You will be liable for the tax payments even if you don't actually withhold the
tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390.
U nemployment I nsurance Tax As an employer, you are required to pay a tax forun"rnpLyrrent insurance
purposes on the wages of allemployees. For more information; callthe Oregon Employment Division DHFI
ai378-3224.
Workers' Compensation lnsurance: As an employer, you are subject to the Oregon Workers' Compensation
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 willbe 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 employer, you must withhold federal income tax from employees' wages.
mentevenifyoudidn'tactuallywithholdthetax.Formoreinformation,call
the lnternal Revenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AHEAS OF CONCERN:
Code Compliance As the permit holder for this project, you are responsible for resolving any failure to meet
code requirements that may be brought to your attention through inspections.
Liability and 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 your 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
Salem, OB 97310-0151
Phone 503-378-4621
NOTE: This lnfOrmation Notice to Properly Owners About Construction Responsibilities
was developed by the bonstruction Contractors Board in accordance with ORS 701.055(5),
passed by. the 1989:Oiegqn Legislature.
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