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Home My WebLink AboutPermit Fence 1994-05-13SPNINGFIEL() %iy rENCB PERHIT APPLICATION CITY OF SPRINGFIELD BUILDING SATTBTY DIVISTON 225 North Fifth StreerSpringfield, Oregon 97477 0fflce: INSPECTION LINE: 726-3759 726-37 69 /rs &-7 7g Tax Lot {t: T O5-G) Job Location: Owner: Z C Address:Phone {l:--{aP Ci ty:State:zlp:7z lz? Value of Fe nce Fence Permit is 95.00 Con trac tor/Ins talLer: Address:/-2 Phone {t: Cl ty:State:Zipt Constructlon Contractors Reglstration ltl _Expires: S gnaturc Da te FOR OFFICE USE Date of Application:JOB {I:q Rccci p t ll Ln I,p'Issued By:Tt,\, Total Amount Collected:/? By signing this permit/apprication, r agree to carr for an lnspectlon once myfence has been construct;d Q26-376g). -r arso stated that all information onthis apprication/permit is correct and that r was provlded vtth the sprlngfleldDevelopmcnt code requirements for fence standards. Clrecked tor Delinqtrenei es: i?Clrecked f or lli,s tori ea I S ta rrrs : r_z- ol: Assessors Mup ltt Utn^-I.- Permit No 1'l b1 11 Address: b-B:l 1 2 lssued by Date OR OFFICE USE ONLY 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. 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. 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 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. ,7 / na ture o rm pp cant CONSTRUCTION CONTRACTORS BOARD 0244J 8t91 r-/L- vt 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 owR contractor to construct a new home or make a substantial inftlrwement to an existing structure, you can prevent ma.ny problems by being aware of the following responsibilities and areas of concern lf you hire pefs-o-?s not registered with the C=onstruction Contractors Bqard to do labor in constructing or assisting in the construC{ibn oririplovement o1;drf6srdential stidctur", yor',*ill, in most instanies, o-8iubd to be an "employer" ,ld the pgople you h.ir-.e yili'Oe "eniptoyees"- As the employrer, you must comply with the following: Oregon's Wiihholging Tax'Lbw,: As an, employer, you must withhold income taxes trom employee wages at uwill.beliableforthethxpaymentbevenifyoudon,tactriatlywithholdthe tax from your employees. For more information, call the Oregon Department of Revenqe at 378-3390. EMPLOYER RESPONSIBILITIES: Unemployment lnsurancb Tax: As an em ployer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For n+ore informationi'call the O(egon Employment Division DHR at 378-3224. Workers' Compensation lnsurance: As an employer, you are subfect 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 ttable,fof d[ cfaim costs if 'bn6 of your employees is injured on the job. For more information, callthe Workers' Compensation Division DIF at 973-7434. U.S. lnternal Revenue Service: .Ag an employer, you must withhg_ld Ledera! ipcome tax from employees'wages.+ ymenq.even it yol didn't-4ctuafi1,t wftlitrort t'na ar. 'For, more infoimation, catt the lnternal Revenue Sbrvice-al 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code Compliance: As the permit holder for:thie project,you are responsible for.resolving any failure to meet code requ that may be brought, to your attention through inspections. ' :'.:;]-...,.i..:,::.i-:,i-';'i;3t.,I{-:'];,:.'.,... Liability and Prbperty Darnage lnsur&Frc€: -:Contact yorur.insurance agEnt to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint oversprayi watei d'amage from pipe punc- tures, fire, or work that must be re-done. . i ..,-::]{'i, .1 ,.-rii i. ,' i.- .ri,'!. r. .:, l, ; ' -r-,.:: ..ill : 'r Time.to &rpervise.Employees: It*ake,sure youlftEvesufficient time to supervise you, enarpknTex; iii '' ,i',:' r,. , t'i: '",.'i"i 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 503-378-4621 0244J 10t24189 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 Oregqp _Legislature.