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MAYOR <br />Miguel A. Pulido <br />i!4AYOR PRO TEI <br />l,richele Martinez <br />COUNCILMEMBERS <br />P. David Benavides <br />Vicenle Sarmiento <br />Jose Solorio <br />SalTinaiero <br />Juan Villegas CITY OF SANTA ANA <br />PLANNINC & BUILDINC ACENCY <br />20 Civic Center Plaza <br />P.O. Box 1968 . Santa Ana. Californra 92702 <br />www.santa-ana.or9 pba <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner <br />An application for a building permit has been submitted in your name listing yourself as the builder ol the property <br />ovements sp qat .T <br />We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware of <br />your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder. <br />We will not issue a building permit until you have read, initialed your understanding ot each provision, signed, and returned <br />this lorm to us at our ollicial address indicated. An agent of the owner cannot execute this notice unless you, the property <br />owner, obtain the prior approval of the permitting authority. <br />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand ot verity this intormation, <br />5al I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />building permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, <br />as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed <br />person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for <br />those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage lor injuries to <br />workers on my property. <br />SS.'Z. I understand building permits are not required to be signed by property owners unless they are responsible for <br />the construclion and are not hiring a licensed Contractor to assume this responsibility. <br />S>p I understand as an "Owner-Builder" I am the responsible party ot record on the permit. I understand that I may <br />protect myself from potential financial risk by hiring a licensed Contractor and having the permit liled in his or her name <br />instead of my own. <br />=a.)-24. I understand Conlractors are required by law to be licensed and bonded in California and to list their license <br />numbers on permits and contracts. <br />>=)..-5. I undersland if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employei' under state and federal law. <br />.\ i\ . O. I understand if I am considered an "employer" under state and Federal law, I must register with the state and <br />federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />unemployment compensation ol each "employee." I also understand my failure lo abide by these laws may subject me to <br />serious financial risk. <br />}-b=Z I understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by <br />SANTA ANA OITY OOL]NCIL <br />ACTING CITY MANAGER <br />Gerardo Mouel <br />CITY ATTORNEY <br />Sonia R- Carvalho <br />CLERK OF THE COUNCIL <br />[raria D. Huizar <br />[,,€yor Pro Teh, Ward 2 <br />mrun'ne2@snra-a.a do