10293433 - Permit (3) - Laserfiche WebLink

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MAYOR Miguel A Pulido MAYOB PRO TEM Michele Maninez COUNCILMEMBERS P. David Benavides Vicente Sarmrento Jose Solorio SalTinajero Juan Villegas CITY OF SANTA ANA PTANNING & BUILDINC AGENCY 20 Crvic Cenrer Plaza P.O. 8ox 1988 . Santa Ana. Calrforn a 92702 www.santa ana.org pba NOTICE TO PROPERTY OWNER Dear Property Owner An application for a building pe rmit has bee submi in your name listing yoursell as th ilder ol the property p rovements s pecified at 7 We are providing you with an Owner-Builder Acknowledoment and lnlormation Verification Form to make you aware ol your responsibilities and possible risk you may incur by having this permit issued in your names as lhe Owner-Builder. We will not issue a building permil until you have read, inilialed your understanding of each provision, signed, and returned this form to us at our oflicial address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNEB'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Bead and initial each statement below to signity you understand ot verity this intormation. !q . ' understand a frequent practice ol unlicensed persons is to have the property owner obtain an "Owner-Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an OwnerBuilder, may be held liable and subjecl to serious financial risk for any in.juries 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 inluries. I am willfully acting as an Owner-Builder and am aware of the limits ol my insurance coverage for injuries to workers on my property. VC,-2. t understand building permits are not required to be signed by property owners unless they are responsible for lhe construction and are not hiring a licensed Contractor to assume this responsibility. \)-eZ. t understand as an "Owner-Buildef' I am the responsible party ol record on the permit. I understand that I may protect mysell from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. l-Ca. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. VGaU. , understand il I employ or otherwise engage any persons, other than Calilornia licensed Contractors, and the total value ol my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employei' under state and federal law. VA A. I undersland il I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribule to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. I G ,. I understand under Calilornia Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them lor sale, unless a// work is performed by SANTA ANA CIry COUNCIL ACTING CIry MANAGEB Gerardo Mouel CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar nouldo@sanla-ana do Mayor Pro Tem. Ward 2 dm:n'ieu @enra ana o,o Mlono@sra ana oro P Oaed Bâ‚¬navrdes dben.vides(asn1a-ana o.o N eoasosaira a.a orc srnaiero@safla.a.a.oro