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Home My WebLink AboutPermit Fence 1994-5-16 '," ,--,' FENCE PER HIT APPLICATION CITY OF SPRINGFIELD nUILDING SAFETY DIVISION 225 North Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: Assessors Owner: State: \ #: 'W1.qlo~ ~ . I'~/lfln- Zip: L IJCJ Fence Permit is $5.00 Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: Dy signing this permit/application, I agree to call for an inspection once my fence has been constructed (726-3769). I also stated that all information on thi~ application/permit is correct and that I was provided with the Springfield Development code requirements for fence standards. ~g~1.~ ~/M/ s--It -'1 (-( Date FOR OFFICE USE Date of AjtPPlicat~ion~.b.qLo. Receipt ' l't)'\ To tal Amoun t COll~c ted: '~ PU . \J /~:, By:~.l ) - C",4[) ti2J Issued Checked [or Delinq\l~nd es: Checked for lIistoricrll Strltll,':;: -------------------..----... '.. ---" --- -........ - Permit No: C4n7Z~ .-r- Address: ~~1MB1~rA2 o-q Issued bY~I)~) Date:O' IoQl FOR 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 fi~~ith the permit. Fillr tj YP1icable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1. I~ I I own, reside in, or will reside in the completed structure. I 2. I \ I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A.I I 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. OR I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If 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 Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (U;lA~ !14tlh1/ ign-ature of permitJ.pplicant S- /;1; ler tj Dare ' CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT ~' \/ INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES .- .( ......... , . NOTE: J~i~ In(qrm.a!ion Notice to property Owners About Construction Respon~ibilities was developed py:the Construction Contractors Board in accordance with ORS 7.O1..0~5(!5), ._pass~d by. th,8 01989 Oreg'On. Legis.lature. ' '.. :: --.. .'..""..' . .~ '.' ., ~,. ,'" . ::-., . .: If 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 responsiQilltie!S' a.nd areas ofconcetn. " .' .. , , . .,;~ . ..,., ... -~. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors 80aro to do labor in constructing or assisting in the construction' or 'irnprov~ment of a res\dential :I)tructur~, yo.y.will,' in most instances,"tre ruled to be an "employer" and the people you hire will.be "emR.loyees". As. the e,mployeJ, you 'mus{cQmply'with the following: .' , " I" "'. . ,; " '.,., ~ '." . . " ," . ." " "'.' " ' . " ,'). .... . ". f " . "" '. ',';- '-~. '; ,.f. : - " . . Oregon's Wi~hholding, Tax 'Law: . As an employer, Y9u must w.it~hoJd 'in<?.om'e taxes, ~rom:~r.ripJpyee wages at the timeempl.oyees are paid. You will Qe Hable for the tax payments: even if.you don't aQtu.ally withhold the '.. , . oS ' '. ,." .." tax from your employees. For more information, call the Oregon Depa!tment of. Revei)ue at 378-3390. . ". '. . ... . I . t.. \ . r ". ," j I Unemployment Insurance Tax: As an employer, you are required to pay a'tax for unemployment insurance pLirposes on the wages of al.l.employe~s:- ..For. r:nore information, call. the OregonEmployment Division DHR at 378-3224: Workers' Compensation Insurance: As an employer, you are 'stJqject toJhe Oregon Workers' Compensation Law, and must obtain workers' compensation insurance (or your employees. If you .fail to obtain workers' compensation insurance; you may-be -subject.to.penalties andwfllbe liable fO,r'all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compen.sation Division DIF,at 373-7434. . ,. , ., .~~ . .' '"l.~ .:-: ' , i .:J U.S. Internall3eye.nue Serv.ic~: ,As ~n employer, Y9lJ rT:lUSt wit~rold federal income tax from employees' wages. You will be liable 'f6'r'lh~E;3.Jax p'aym~pt even if. you, didri'ractl.a~!Iy.lI',iithllold the .tax. For more information, call ~ ' ' '. . _ . '. " '.. " ' . -1 .. ~ \, '. the Internal Revenue' Service at 221-3960. ~ . . . , .~. OTHER RESPONSiBILITiES AND AREAS OF CONC~RN.: -", . \ .-., . ~, '. ') . , Code Compliance: As the permit hold.er for this proje,ct., you ,are responsible for resolving any failur~ to meet code requirements that may be brought to your attention .through inspections.. ." : .' .~ . . . Liability and Pro'perty Damage Insurarice::--Contact-your insura~ce' 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. . . T'ime'to Supervise Employee.s;, Make .sure 'you.have sufficient time to supervise your emplO1lees: to .' Expertise: Make sure you have the expertise to act as your 'own general contractor, to coordinate the work of rough~in and fini~h ~rades..and to notify building ,officials at the appropriate times so th~y"can perform the required inspections.. ',f - ',.,' ~'" , I~' ..",=l.....~;;.,. .,: I , If you have additional questions, write to: Construction' Contractors Board 700 Sum,mer S1. N~h SU,ite 300 Salem; OR 97310-0151 " Phone 503-378-4621 I;' .. ," .,- _ ~' 'J' '..~.If,; '.., ....... '. :7f'-~, '_ . , "0244J' 10/24/89" .. ....,., , . . ..' , . J.'J . ,-, . '\"'~-t4~':~_::1"~r~ c: ;'~ ~;~:~~t ',',l')~:<