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HomeMy WebLinkAboutPermit Fence 1992-08-05225 North Fifth Street Springfield, Oregon 97477 FENCE PERHIT APPLICATION CITY OF SPRINGFIBLD BUILDING SAFETY DIVISION SPrlIiIGFIELD 0ffice: INSPECTION LINE: 7 26-37 59 726-37 69 C'TY OF SPB"VGFIELD,OREGO'V JobLocation: lZd- N ZtSl V Assessors Map *:o 0vner: q Ltt/ra-n State:a€* 74a - 171 Iv3 Tax Lot *: Phone #:Address: Ci ty:t Zip:lutt value of Fence , 4 fin-',. 5b Fence Permit is $5.00 Con t rac torl Ins t aI ler : Address:Phone *: Ci ty:State:zip: Construction Contractors Registration #: Expires: ? -s--72 S g Date FOR OFFICE USE Date of Application:7 -q4 JOB *:Qzr "7D Recei p t lt Issued By: Total Amount Collected: 5-dD Clrecked for Delinquenc'ies: "/ Checked for Historieal. Statrrs, l/ By signing this permit/application, I agree to call for an inspeetion onee my fence has been constructed (726-3769). I also stated that all information onthis application/permit is correct and that I vas provided vith the Springfietd Development code requirements for fence standards. Permit No: * 1 2 Address: lssued Date:3 R 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. A My general contractor is , Contractor registration numbe 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 t 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 inlormation is correct and that I have read and understand the lnformation Notice to Properly Owners about Construction Responsibilities on the side of this 8-r-7L re of Permit Appl cant Date CONSTRUCTION CONTRACTORS BOARD 0244J Bt91 3 OR WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT .+ d# INFORT,,ATION NOTICE TO PROPERTy Or,,ilERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: fhis lnformation Notice to Property Owners About Construction Responsibilities was develon.eO Oy1!e Construction Contractors Board in accordance with ORS 701O5S(O,passed by the 1989 Oregon Legislature. ! lf you are acting as your own contractor to construct a new home or make a substantial improraement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areasof 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 employer, you must comply with the following: 9reqon's Witlnou 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 actuallywithhold the tax from your employees. For more information, call the Oregon Department of Revenue ai gZA-SggO. Unemp loyment lnsurance Tax: As an em ployer, you are required to pay a tax for unemployment insurance purposes on the wages o{ all employees. For more information, callthe Oregon Employment Division DHB al378-3224- Vorkers'Com nsation lnsurance: As an employer, you are subject to the Oregon Workers'Compensation Law,must obtain workers' compensation insurance for your employees. lf you fail to obtain workers' cornpensation 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, callthe workers'compensation Division DIF at g7g-74u. U.S. lnternal Revenue Service: As an employer, you must withhold federal income tax from employees'wages. ymentevenifyoLdidn,tactuallywithholdthetax.Formoreinfoimation,call the lnternal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: -iqe ternpllnee: As the permit holder for this project, you are responsible for resolving any failure to meet,.ode 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 Su seE 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. ,- .t 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 10t24t89