10193434 - Permit (3) - Laserfiche WebLink

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Dear Property Owner ACIING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia B. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CIry OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana. Calrfornra 92702 wwl,!.5anta-ana.or9 pba NOTICE TO PROPERTY OWNER ing permit has been submitted in your name listing yoursell as the builder of the p rtytoAn application for a build improvements specif ied at d, -2 / We are providing you with an Own u ild n m n lnf rTn rfl t nF rm to make you aware of your responsibililies 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 ol each provision, signed, and returned this form to us al our otficial address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDG MENT AND VERIFICATION OF INFORMATON DIRE 'S: Read and initial each statement below to signify you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" building permit that erroneously implies that the prope(y owner is providing his or her own labor and material personally. I, 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 for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. leN, I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. ,1 ,lV.'Z::_3. I understand as an Owner-Builder" I am the responsible party ol record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. ,'tro. I understand Contractors are required by law to be licensed and bonded in Calilornia and to list their license numbers on permits and contracts. /nkI!s. I understand if I employ or otherwise engage any persons, other than California licensed Contraclors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "emplo/ef under state and federal law. ru I understand if I am considered an ''employea' under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensatlon of each "employee." I also understand my failure to abide by these laws may subjecl me to serious f inanciai risk. ^ rfNl / ; I I u7 . I understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily/ residential structures cannot legally build them with the intent to offer them lor sale, unless a//work is performed by SANTA ANA CITY OOI]NCIL f,.ul'do@sa.la.ana o.o Ma/or Pro Tem, Wad 2 mmadrne:@sanra an5 oro 6olono@sanla.ana o@ P Oavd Benav'des dbe.aedes@sa.ra ana ord !'!9!a@lafla: a-a!!itr-!3E!o@laqr:r!!-9!9 MAYOB Miguel A. Pulido t!,lAYOR PRO TEM Michele Maninez COUNCILMEMBEBS P. Oavid Benavides Vicenle Sarmiento Jose Solorio SalTinajero Juan Villegas \acenle Samenlo ,sarnento@snla.ana oro