HomeMy WebLinkAboutPermit Fence 1992-04-07CITY OF SPR"VGFIELD, OREGO'U
225 North Fifth Srreet
Springfield, Oregon 97417
FENCE PERHIT APPLICATION
CITY OF SPRTNGFIELD
BUILDING SAFETY DIVISION
ISPFII.GFIELD
0ffi ce :
INSPECTION LINE:
726-3759
7 26-37 69
Job Location: l,
Assessors Map *:
Ovner:
Address:
Ci ty:
P ?rur
Tax Lot #:
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Fence Permit is $5.00
a:{d one
State:
Con t rac tor/Ins taller :
Address:
Ci ty:
Phone #:
zip:
ConstructionContractorsRegistrationf:-Expires:
By signing this permit/application, I agree to cal] for an inspection once my
fence has been constructed (726-3769). I also stated that aII information onthis application/permit is correct and that I vas provided with the Springfield
Development eode requirements for fence standards.
0uatter
State:
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gnature
Date of Application:
Receipt *
Total Amount Collected:
JOB *:
Issued By:fl,r,,--*
Date
FOR OFFICE USE
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Checked for Delinqueneies: X Checked for Historieal, Status:K
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Permit No:
Address:
lssued by Date:
R OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS701.055(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 struc'turq is sold
or offered for sale before or upon completion.
A
1
2
3 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.
OR
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
ttre lnlormation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
Signature of Permit Applicant Date
CONSTRUCTION CONTRACTORS BOARD
0244J 8191
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
/
INFORrg'ATION NOTICE TO PROPERTY OTIINERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This lnformation Notice to Property Owners About Construction Responsibilities
was developed by the Construction Contractors Board in accordance with ORS 701.055(5),
passed by the 1989 Oregon Legislature.
T 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.
,t
E[/t PLOf ER RESPONST Bt LtTIES:
., )ir
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 employer, 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 employees are paid. You will be liable for the tax payments even if you don't actually withhold the
.",ld[. from your employees. For more information, call the Oregon Department of Flevenue at 378-3390.' i' {i ,*;,
Unempifufugngltqqrg1gq E4 As an employer, you are required to pay a tax for unemployment insurance
purposes on th'e Wages of all employees. For more information, call the Oregon Employment Division DHR
a|378-3224.'' .. : 4i t+l:,'{
.
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 will be liable for all claim costs if one of your
employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-74U.
U.S. lnternal Revenue Service: As an employer,you 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 Flevenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet
cod e requrreme nts 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: lt/ake 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, OFI 97310-0151
Phone 503-378-4621
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0244J 10124189