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Home My WebLink AboutPermit Fence 1994-03-15G 225 North Fifth StreetSpringfield, Oregon 97477 PENCE PBRHIT APPLICATION CITY OF SPRTNGFTELD BUILDING SAFETY DIVTSTON SPRI]rlcFTELD 0ffice: TNSPECTTON LINE: 726-3759 726-3769 CITY OF OFEGO'V Job Location: Assessors Map #: I o3n u ra 0 Tax Lot #: OLl oo L Ovner: 5r- Ci ty: Val-ue of Fence:s0 a Cont rac torlIns taIler : Ci ty: Construction Contractors Registration #: S ure By signing this permit,/appricatiglr r agree to carr for an inspection once myfence has been constructed (126-3769). "r also stated that ar1 information onthis apprication/permit is correct and that r vas provided with the SpringfieldDevelopment code requirements for fence standards. Phone #: State:oK"Zip: 7Z ?72 Fence Permit is 95.00 Phone S: State:zip: lre s ?{ Date FOR OFFICE USB Date of Application: b) t ct4 JOB #: 6l ! o:aa. Receipt + \\Al bB Issued By:QB Total Amount Collected: S .Of-l ) Clrecked for Delinquenci e.s: t;/Checked f or Hi s tori ea I S ta ru.s , q- I Address:- -Fzsz /p Address: 49033aPermit No Address:880 N ]ls+ lssued Uv: Q O Date: OR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIB!LITIES 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. Fill in the applicable 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. A My general contractor is , Contractor reqistration number-. I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 3.B 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-t3au Ttsb-r 1 2 3 OR re of it pp CONSTRUCTION CONTRACTORS BOAHD 0244J 8191 Date WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES lf you are acting as your own contractor to construct a new home or make a substantial irnprovement to an existing structure, ygu can preven! many problems by being aware of the following responsibilities and areas-bf 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 irhproverhent of a residentidl structure, you wiil,- in most instances, DE "ruled to be an "employer" and the'pieople you hire will b€ "employees'l As the ernployer, you mus! comply with the following: .-..' Oregon's Withholding Tax Lauv; As an employpr, you must withhold income taxes from employee wages at the time ernployees afe 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 Reyenue at 378-3390. Ury11plqytrglt l!!!qg!gg Tax: As an'emptoyer,'iou are required to pay a tax for unemployment insurance purposes on the wages of allren-rployeqq. Fgr rnole information, oall the Oregon Employment Division DHR at !78-3224. Workers' Compensation lnsurance: As an employer, yqu 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-rnay be subject to penalties anil wi$l bd t+aOleforatl clriim costs if one of your employees is injured on the job. For more information, call the W9rk9p' C_olpensation Division DIF at 373-7434. U.S. lnternal Revenue As e idn't aclually.withhold the tAx taxJrom employees' FOr more informati wages.must withhold federal ilcome Iwle on, call the lnternal Revenue Servi ce at OTHER RESPONSIBILITIES AND AREAS OF CONQERN; Code Cornpliance: As,the permit hoider for this pro;ect, you are responsible for resolving any failure to meet code'requirements that'may be brought to your attention through inspections:' Liability and Property Damage tnsurance: Contact your inSurance agent to see if you'have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water dhmage from pipe punc- tures, fire, or work that must be re-done. j.,. . : Time to Supervis'e 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, OR 97310-0151 Phone 503-37&4621 Tf{30244J 10t24189 NOTE: This lnformation Notice to Prgperty Owners About Construction Responsibilitires was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.