HomeMy WebLinkAboutPermit Fence 1995-07-21FBNCE PBRT{IT APPLICATION
CITY OP SPRTNGFIBLD
BUIIDING SATETI DIVISION
0ffice:
INSPECTION LINE:
225 North Fifth Street
Springfield, Oregon 97477
726-3759
726-3769
CITY OF OBEGO'V
Job Location:
Assessors Map #,11 0> 31, L4 Tax Lot #: n3,56A
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Value of Fence:
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Fence Permit is $5.00
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Construction Contractors Registration #:
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By signing this permit/application, r agree to call for an inspection once myfence has been constructed (726-3769). I also stated that all information onthis application/permit is correct dnd that I vas provided vith the SpringfieldDevelopment code requirements for fence standards.
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Date
FOR OFFICE USE
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Date of Application:lzl-q5 JoB*:]Stzll
Receipt #c/r o--Issued By:
cIDTota1 Amount Collected:
Checked for Delinquencies: \-/Checked for Historical Status:
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Issued by:IU D.*:1->l -95
Statement: lnformation Notice to Property Owners
About Gonstruction Responsibilities
Note: Oregon Law, ORS 701.055(4), requtres residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement 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.
Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38:
1. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
38. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and 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 thatl have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this
C ..oz*d-u-ft
isGnutur" or pirmit upfiiffity
(White copy to issuing agency permitfile,
pink copy to applicant)
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(Date)
Information Notice to Property Owners
About Construction Responsibilities
Note: This lnforntation Notice to.Propdrty Owners about Construction Responsibilities
was developed by the Construction Contractors Board in accordance with ORS 701.A556).
If 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:
If you hire persons not registered with the Construction Contractors Board to do labor in constructlng 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 employer, you musr comply with the following:
Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees
are paid. You will be liable for the t,x paymenas even if you don't actually withhold the tax from your employees. For more
information, call the Oregon Dept. of Revenue at 945-8091.
Unemployment insurance tax: As an employer, you are required to pay a tu for unemployment insurance purposes on the
wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Rewures
at378-3524.
,
Workers'compensation insurance: As an employer, you are subject to the Oregon Workers'Compensation Law, andkrlnt
obtain workers' compensation insurarrce for your employees. If you fail to obtain workers' compensation insurance, you may
be subject to penalties and will be tiable for all claim costs if one of your employees is injured on the job. For more information,
call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees'wages. You will be
Iiable for the tax payment even if you didn't actually withhold the tax. For more information, call the Intemal Revenue Seivice
at l-800-829-1040.
OTHEH HESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requiremgnt5
that may be brought to your attention through inspections.
Liabilily and property damage insurance: 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 punctures, 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.
If you have additional questions, write or call the Construction Contractors Board (PO Box l4t4}, Salem, OR 97309-5052,
5031378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem.
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