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Home My WebLink AboutPermit Fence 1993-09-21SP,ilINGFIELD FENCE PERHIT APPTICATION CITY OF SPRINGFIELD BUITDING SAFETY DIVISION 225 North fiith Street Springfield, Oregon 97477 0ffice: INSPECTION LINE: 7 26-37 59 7 26-37 69 OREGONCITY OF Job Location:GE s. \4@ )*,*t- Assessors Map #' l1 O) 3 t4.l ovnen aoo(& M ohl eu - rax Lot #: C39bO Address. ,.ffi* Ai Phone #: 1)L - og1? Ci ty:S ta te:OA zip: Ql V'l ? VaLue of Fence:4 3ooou Fence Permit is $5.00 Contractor/Installen O Address:Phone #: City: State:Zipz Construction Contractors Registration *:Expires: By signing this permit/applieation, I agree to call for an inspection once my fence has been constructed (726-3769), I also stated that al} information onthis applieation/permit is correct and that I vas provided vith the Springfield Developmen t code requirements for fence standards. tlbtl*u Date FOR OFFI L Date of Applicati on 7lr,lrt;.-tos *z 4 3/442 Receipt # i 0 :,)Issued By:rcl3 Total Amount Colleeted: I 9C; Checked for Delinquene'ies: .ff Check.ed for Historical Statnsr K An.,^o Q. e-lt^lJ Permit No:Q\j qua Address 1,, t1 S <+tu lssued ov, DB 3bt%Date: 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 1 2 3 OR My general contractor is Contractor registration nu mber-. I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 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. qbtbz g ure o rm p cant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8t91 WHITE COPY TO ISSUING AGENCY PERMIT FILE HNK coPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES lf you are acting as your own coiitractor'to construct a new home or make a substantial improvemeni to an existing structure, you can prevent many problems by being aware of the following respopsi$iliiies and areas .'of concern ''- EMPLOYER RESPONSIBILITIES: j lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvemlrnt of a residential structure, you will, in most instances, be ruled to be an "employer" and the people you hirb will be "employees". As the employer, you must comply with the following: Oregon's Wiihholding Tax Law: As an employer, you must withhold income taxes from qgnployee wages at the time ernployees are paid. You will be liable. for the thx payments evenrif.you don't actually withhold the tax from your employees. For more information, call the Oregon Department of 'Flevenue at 378-3390. Unemployment lnsurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all:employees. ,For,fiior,s,inforrnation, call the Oregon fy.nploymerf Division DHR at 378-3224. Workers' Compensation lnsurance: As an er.rployer, you are subjeb{ to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. tf you fail.to obtain workers' compensation insurance, you may be subject to penalties and will be lidble for,all cldim costs if one of your employees is iniured on the job. For more information, call the Worf111' ":-O?1.:ltion,pivision DIF at 373-7434. U.S. ln$r,fnal.Revenue Servicg: As an employer, you must withhold teOerat ingome tax from employees' wages. You will be liable for the tax payfrent even'if you didn't actually with'hold the tax. For more information, call the lnternal Revenue Service at 221-3960. OTHER RESPONSIBILITIES AND AREAS OF CONGERN: Code Complianee: As the ,psffnit holdg for this proiect, you.are responsible for resolving any failure to meet code requirements that may be brougffi to your attention through inspections, Liability ahd Property Damagre lnsurance: Oonthct your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint oversprai watrir damage from pipe tures, fire, or work that must be re-done. Time,td $tpervlsb Empbyemi ,iil*e sure you,,hav€,suffiobnt tim.e brsupervise ylur.employeeg j:r.,-t :i 9..-,: jj,:r:,..:r punc- Expertise: Make sure you have the experti of rough-in and finish trades, and to notify the required inspections. lf you have additional questions, write to: se to act as your own general contractor, to coordinate the work building ofJiciats at the appropriate times s: they can perform Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 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 Legistrature. ' 0244J 10t24t89