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[,4AYOR <br />Miguel A. Pulido <br />MAYOR PRO TEM <br />Michele Martinez <br />COUNCILI\,IEMBERS <br />P. David Benavides <br />Vlcente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />INTERIM CITY IVANAGER <br />Cynthia J Kurtz <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar <br />CITY OF SANTA ANA <br />PLANNING & BUILDING AGENCY <br />20 Crvic Center Plaza <br />P.O. Box I988 . Santa Ana. Californra 92702 <br />www.santa ana-orq/oba <br />NOTICE TO PROPERTY OWNER <br />An application for a building permit has been submitted in your name listing yourself as the builder of the property <br />improvements specified at <br />We are providing you with an Owner-Builder Acknowledqment and lnformation Verification Form to make you aware ol <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 of each provision, signed, and returned <br />this form to us at our official 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 or verify this information. <br />D 9, ,understand a frequent practice of unlicensed persons is to have the property owner obtain an 'ownerBuilder" building <br />permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner- <br />Builder, may be held liable and subject to serious flnancial risk for any injuries sustained by an unlicensed person and his or her <br />employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. <br />1.\,' <br />-l ) I Z. I u nderstand building perm its are not req u ired to be signed by property owners unless they are responsible for the <br />construction and are not hiring a licensed Contractor to assume this responsibility.[\ r' <br />J ) , | 3. I undersland a s an "Owner-Bu ilder" I am the responsible party of record on the permit. I u nderstand that I may protect myself <br />from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. <br />4. I understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on <br />permits and contracts.l\r> <br />ll-tS f understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of <br />my construction is at least flve hundred dollars ($500), including labor and materials, I may be considered an "employer" under state <br />and federal law. <br />^f)L-dU. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal <br />g--ovemment, withhold payrolltaxes, provide workeri' compensation disability insurance, and contribute to unemployment <br />compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk.C''ZV u7. I understand under Calfornia Contractors' Slate License Law, an Owner-Builder who builds single-family residentialEi itures cannot legally build them with the intent to offer them for sale, unless a// work is performed by icensed subcontractors and <br />the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed <br />eneral buildi ng Contractor <br />I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any flnancial or <br />personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA CITY COUNCIL <br />moul'do@santl-aru do <br />l,l'ayor Pro Te6 ward 2 <br />mrma.l ne2Osanta-ans oro <br />V certe Sam'enro <br />wam enloasa.ta e.a oro <br />P Oavrd Benav'des <br />dbe.zvdesAsanla'ana oro rM easasanta.ana o.o <br />Dear Property Owner: