20163641 - Permit (3) - Laserfiche WebLink

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MAYOB Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILT,4EMBERS P. David Benavides Viceote Sarmienlo Jose Solorio SalTinajero Juan Villegas CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civic Center Plaza P.O. 8ox 1988 . Santa Ana, California 92702 www-santa-ana.org pba NOTICE TO PROPERTY OWNER Dear Property Owner An application for a building permit has been submitted in your name listing yourself as lhe builder of the property improvemenls specif ied at 4 We are providing you with an OwnerBuilder Acknowledoment and lnformation Verification Form to make you aware ol your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this lorm to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. WNE 'S ACKNOWLEDGMENT AND VERIFICATI N F INF RM N DIR ONS: Read and initial each statement below to signify you understand or verity this information. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" ing permit that erroneously implies lhat the property owner is providing his or her own labor and material personally. l, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage lor those injuries. I am willfully acting as an Owner-Builder and am aware ol the limits ol my insurance coverage for injuries to workers on m y property ACTING CITY MANAGEB Gerardo l\rouel CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar e 2. I understand building permits are not required to be signed by property owners unless they are responsible lor nslruction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may rns mysell from potential financial risk by hiring a licensed Contraclor and having the permit filed in his or her name of my own. I understand Contractors are required by law to be licensed and bonded in California and to list lheir license on permits and contracts. 4 5. I understand il I employ or otherwise engage any persons. other than California licensed Contractors, and the total value of my construction is al leasl five hundred dollars ($500), including labor and materials, I may be considered an ''em i'under state and lederal law eta 6. I understand il I am considered an "employer" under state and Federal law, I m ust regisler with the state and lgovernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to seflou Iinancial risk I understand under California Contractors' Stale License Law, an Owner-Builder who builds single{amily (e ntial slructures cannot legally build them with the intent to offer them lor sale, unless a//work is performed by SANTA ANA CIry COUNCIL mbul do@s.ra.ana.om Mayo, Pro Tem. Ward 2 ftf,an ne2(dsaoia.ana o.. V cenle SarmrBnro vsrnento@santa-ana oro ls010' p@sa.la ana oro dbenav,dcs@sanla ana oro illegr@rgdr:aqeJEc slnaiero@e.l:-an. oro