HomeMy WebLinkAboutPermit Fence 1993-03-24225 North Fifth Street
Springfield, Oregon 97477
FENCE PER}IIT APPLICATION
CITY OF SPRINGPIELD
BUII,DING SAFETY DIVTSION
SPFI,{GFTELO
0ffice:
INSPECTION LINE:
t26-3759
7 26-37 69
CITY OF SPRINGFIELD OREGON
Job Location:
Assesso Map #:Tax Lot lt:
Owner:
Addres . Phone #:
Ci t;,'Sl-ate:Zip:
Value of Fence:Fence Permit is $5.00
Con t rac tor/Ins taIler :
Address:Phone {l:
Ci ty r State:Zipt
Construction Contractors Registration it:Expires !--
By signing this permit/application, l agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that al1 information on
I
@
this a
Develo
Date of Appl
Receipt ll
Total Amount Colleeted:
hat I vas provided vith the Springfield
standards.
Date
FOR OT'FICE USE
*:
Issued Ily:
pp lieation/rmpe corr:eet and t
ts for f
u
Checked for Delinqueneies:Checked for tlistorieal. Status:
\ ---
Permit No:
Address
lssued 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
underORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in th plicable blanks, and initial boxes 1 and 2, and either box 3A or 38:
1 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.
3
2
A
OR
3.8
I hereby ce rtily that the above information is cothe lnfo rmation Notice rty Owners areverse side lo
S u pplicant
My general contractor is
Contractor registration number-.
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the construction contractors Board.
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 hiria general contractor, I willcontract with a contractor who is registered with the Construition Contractors 6oardand I will immediately notify the office issuing this building permit of the name ofthe contractor.
rrect and that I have read and underst andbout Construction Responsibilities on the
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te
CONSTRU
o244J 8t91
CTION CONTRACTORS BOARD
piil,[E3g,,fyJ?
Jp#JIGicENcy PERM rr Fr LE
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This lnformation Notice to Property Owners About Construction Besponsibilities
was developed by the Qonstruction Contractors Board in accordance with ORS 7O1.055(5),
passed by the 't989 Oregon Legislature.
lf you'did acting as your own cdhtractor to con5iruct'" n"* home or make a substantial intEroement to an
existing structure, you cqn prevent many problems by being aware of the following responsibilities and areas
Of concern.
EMPLOYER RESPONSIBILITIEE: :.1
lf you hire pefsons not registereclwith the Construction Contraetors Board to do labor in constructing or assisting
in the construction or improvement of a residential structdre, yoti will', in most instances, be ruled to be an
"employer" and the people you hire will be "em-pfoyees". Aslhe gniploygr, ypu must.cgmply with the following:
Oregon's Wilhholding Tax LaI! 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 actqally withhold the
tax from your employees. For more information, call the Oregon Departmenl of'Revenue 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 emplo)€€s;For more informatiorl, call.the Orqgoqr,Employment Division DHR
at 378-3224
Workers' Compensation lnsurance: As an erhployer, you are su$ect to the Oregon Workers' Compensation
scompensationinsuranceforyouremployees.lfyoufailtoobtainworkerS,
compensation insurance, you may be subject to penalties and witl be liable for all elaim costs if one of your
employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 973-7434.
U.S. lnternal Revenue Service: As an employer, you must withhold federal income tax from employees'wages.
mentevenityou.didn'tactu6llywithholdthetax'Formoreinformation,call
the lnternal Revenue Service it 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance:
code requirements
Liabil and lnsurance:
coverage for acci and SU
tures, fire, or work that must be re-done'
Time to Supervise Employeqg
lf you have additional questions' write to:
As the permit holder for.this project, you are responsible for resolving any failure to meet
that may be brought to your attention through inspections.
COntact your,inSurance agent to see if you have adequate insurance
ch as falling tools, paint overspray, water damage from pipe punc-
Expertise: Make sure you have the expertise to act a:-your own general contractor, to coordinate the work
of rough-in and finish irades, and to notity building officials at the appropriate times so they can perform
the required insPections'
: Make sure you have sufficient time to supervise your employees,
Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 50&3f84621
0244J 10'24'89